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biography content OF THE HOLY FATHER. The first Pope of the Americas Jorge Mario Bergoglio hails from Argentina. The 76-year-old Jesuit Archbishop of scholarships, Buenos Aires is a prominent figure throughout the continent, yet remains a simple pastor who is deeply loved by his diocese, throughout which he has travelled extensively on the underground and by bus during the based essay 15 years of non essay based scholarships, his episcopal ministry. “My people are poor and indian book I am one of them”, he has said more than once, explaining his decision to live in an apartment and cook his own supper. He has always advised his priests to show mercy and apostolic courage and to keep their doors open to everyone. The worst thing that could happen to non essay based scholarships, the Church, he has said on various occasions, “is what de Lubac called spiritual worldliness”, which means, “being self-centred”. And when he speaks of should advertising be banned essay, social justice, he calls people first of all to non essay based, pick up the Catechism , to rediscover the Ten Commandments and the Beatitudes. His project is simple: if you follow Christ, you understand that “trampling upon a person’s dignity is be banned, a serious sin”. Despite his reserved character — his official biography consists of only a few lines, at least until his appointment as Archbishop of Buenos Aires — he became a reference point because of the strong stances he took during the dramatic financial crisis that overwhelmed the country in 2001. He was born in non essay based scholarships Buenos Aires on 17 December 1936, the son of Italian immigrants. His father Mario was an accountant employed by the railways and his mother Regina Sivori was a committed wife dedicated to raising their five children. He graduated as a chemical technician and then chose the path of the questioins priesthood, entering the Diocesan Seminary of Villa Devoto.
On 11 March 1958 he entered the novitiate of the Society of Jesus. He completed his studies of the humanities in Chile and returned to Argentina in 1963 to graduate with a degree in philosophy from the Colegio de San José in San Miguel. From 1964 to 1965 he taught literature and psychology at non essay based scholarships Immaculate Conception College in Santa Fé and in Channel Strategy 1966 he taught the same subject at the Colegio del Salvatore in Buenos Aires. From 1967-70 he studied theology and obtained a degree from the Colegio of San José. On 13 December 1969 he was ordained a priest by Archbishop Ramón José Castellano. He continued his training between 1970 and 1971 at the University of Alcalá de Henares, Spain, and on non essay based scholarships, 22 April 1973 made his final profession with the Jesuits. Back in Argentina, he was novice master at Villa Barilari, San Miguel; professor at the Faculty of Theology of San Miguel; consultor to make a good essay, the Province of the Society of Jesus and also Rector of the Colegio Máximo of the Faculty of scholarships, Philosophy and Theology. Should Be Banned! On 31 July 1973 he was appointed Provincial of the Jesuits in Argentina, an office he held for six years. He then resumed his work in the university sector and from 1980 to 1986 served once again as Rector of the Colegio de San José, as well as parish priest, again in San Miguel. In March 1986 he went to Germany to finish his doctoral thesis; his superiors then sent him to based, the Colegio del Salvador in Buenos Aires and next to the Jesuit Church in the city of Córdoba as spiritual director and confessor. It was Cardinal Antonio Quarracino, Archbishop of essay on bipin pal, Buenos Aires, who wanted him as a close collaborator.
So, on 20 May 1992 Pope John Paul II appointed him titular Bishop of Auca and Auxiliary of Buenos Aires. On 27 May he received episcopal ordination from the Cardinal in the cathedral. He chose as his episcopal motto, miserando atque eligendo , and on his coat of arms inserted the ihs, the symbol of the Society of Jesus. He gave his first interview as a bishop to a parish newsletter, Estrellita de Belém . He was immediately appointed Episcopal Vicar of the Flores district and on 21 December 1993 was also entrusted with the office of Vicar General of the Archdiocese. Non Essay Based Scholarships! Thus it came as no surprise when, on 3 June 1997, he was raised to the dignity of Coadjutor Archbishop of Buenos Aires. Not even nine months had passed when, upon the death of Cardinal Quarracino, he succeeded him on knocks once essay, 28 February 1998, as Archbishop, Primate of Argentina and Ordinary for Eastern-rite faithful in Argentina who have no Ordinary of their own rite. Three years later at the Consistory of 21 February 2001, John Paul ii created him Cardinal, assigning him the title of San Roberto Bellarmino.
He asked the scholarships faithful not to come to qualities make leader essay, Rome to non essay based scholarships, celebrate his creation as Cardinal but rather to donate to the poor what they would have spent on the journey. Channel! As Grand Chancellor of the Catholic University of Argentina, he is the author of the books: Meditaciones para religiosos (1982), Reflexiones sobre la vida apostólica (1992) and Reflexiones de esperanza (1992). Based Scholarships! In October 2001 he was appointed General Relator to the 10th Ordinary General Assembly of the Synod of based essay, Bishops on the Episcopal Ministry. This task was entrusted to him at based the last minute to replace Cardinal Edward Michael Egan, Archbishop of New York, who was obliged to indian essay book, stay in his homeland because of the non essay terrorist attacks on based, September 11th. At the Synod he placed particular emphasis on “the prophetic mission of the based scholarships bishop”, his being a “prophet of justice”, his duty to “preach ceaselessly” the social doctrine of the Church and also “to express an authentic judgement in matters of faith and morals”.
All the while Cardinal Bergoglio was becoming ever more popular in Latin America. Despite this, he never relaxed his sober approach or his strict lifestyle, which some have defined as almost “ascetic”. In this spirit of poverty, he declined to be appointed as President of the Argentine Bishops’ Conference in 2002, but three years later he was elected and then, in 2008, reconfirmed for a further three-year mandate. Meanwhile in April 2005 he took part in the Conclave in which Pope Benedict XVI was elected. As Archbishop of Buenos Aires — a diocese with more than three million inhabitants — he conceived of opportunity knocks, a missionary project based on communion and evangelization. Non Essay Based Scholarships! He had four main goals: open and on bipin pal brotherly communities, an informed laity playing a lead role, evangelization efforts addressed to every inhabitant of the city, and assistance to the poor and the sick. He aimed to reevangelize Buenos Aires, “taking into account those who live there, its structure and scholarships its history”. He asked priests and lay people to work together. In September 2009 he launched the solidarity campaign for Channel, the bicentenary of the Independence of the scholarships country.
Two hundred charitable agencies are to be set up by 2016. And on a continental scale, he expected much from the impact of the message of the Aparecida Conference in 2007, to indian essay book, the point of describing it as the “ Evangelii Nuntiandi of Latin America”. Until the beginning of the recent sede vacante , he was a member of the Congregation for Divine Worship and based the Discipline of the book Sacraments, the Congregation for the Clergy, the Congregation for Institutes of Consecrated Life and Societies of Apostolic Life, the Pontifical Council for the Family and scholarships the Pontifical Commission for Latin America.
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Pediatric Palliative Care and Pediatric Medical Ethics: Opportunities and Challenges. The fields of pediatric palliative care (PPC) and pediatric medical ethics (PME) overlap substantially, owing to a variety of historical, cultural, and social factors. Based! This entwined relationship provides opportunities for leveraging the strong communication skills of both sets of advertising, providers, as well as the based, potential for resource sharing and research collaboration. At the same time, the personal and professional relationships between PPC and PME present challenges, including potential conflict with colleagues, perceived or actual bias toward a palliative care perspective in resolving ethical problems, potential delay or underuse of qualities that make, PME services, and a potential undervaluing of the non essay scholarships, medical expertise required for once essay, PPC consultation. We recommend that these challenges be managed by: (1) clearly defining and communicating clinical roles of PPC and PME staff, (2) developing questions that may prompt PPC and PME teams to request consultation from the other service, (3) developing explicit recusal criteria for non essay scholarships, PPC providers who also provide PME consultation, (4) ensuring that PPC and qualities make a good leader essay, PME services remain organizationally distinct, and (5) developing well-defined and scholarships, broad scopes of practice. Overall, the rich relationship between PPC and PME offers substantial opportunities to Channel better serve patients and families facing difficult decisions. pediatrics palliative care medical ethics hospital care Abbreviations: PME — pediatric medical ethics PPC — pediatric palliative care. Prologue A 14-year-old boy, who we will call John, lies in bed. His head and back are propped up by pillows, his breathing appears labored, and his brow glistens with sweat. Next to his bed stands an IV pole with a patient controlled analgesia pump, a long thin clear plastic tube connected to the central venous catheter that protrudes from underneath his shirt.
The room is dark, the shades being drawn and all but the bathroom lights turned off. Outside, in the hallway, with the door to non essay based scholarships his room closed, his parents are conversing in an animated manner with the attending physician. They do not want their son to be told that the cancer has returned and is now widely spread. At the same time, they recognize how uncomfortable their son is and want all efforts to be made to lessen his pain and ease his breathing. After a fairly lengthy discussion, the parents and the attending physician agree to requesting both a palliative care consultation, to help with pain and symptom management as well as further clarification of goals and limits of care, and an ethics consultation, to help think through the pros and cons of telling John the full truth or something less than the Channel Strategy, full truth. For the past several decades, in the realm of pediatric hospital practice, the fields of scholarships, palliative care and medical ethics have to a large degree overlapped and entwined. Indeed, this special supplement to Pediatrics , 1 of a series of supplements devoted to pediatric ethics, testifies to the particular relevance of pediatric palliative care (PPC) to pediatric medical ethics (PME), and vice versa. In this issue, the reader will find illuminating discussions of the ethical “hot topics” of autonomy, truth telling, futility, the role of values in should be banned essay, decision-making, the extent of professional duties, and non essay based scholarships, the line between the easement of suffering and euthanasia (all fitted out with compelling apt examples from based essay PPC). Even if the relationship between PPC and non essay scholarships, ethics is be banned, evident, we should not consider the depths of the based, relationship to be self-evident, nor should we be blase about how to best manage aspects of this relationship. 1 , 2 In this essay, we will explore the reasons for the association (at times verging on an alliance) between PPC and pediatric ethics, consider the advantages and disadvantages of this tight relationship, and offer up some recommendations about how to manage and make the most of essay on bipin chandra, this set of connections (Fig 1). Reasons, opportunities, challenges, and scholarships, recommendations for managing the once, relationship between pediatric palliative care and pediatric medical ethics.
In writing this essay, one of us is fully aware that he (albeit as a flawed example) personifies this enmeshed relationship, being both a practicing PPC physician as well as a practicing pediatric ethics consultant at a large children’s hospital. Non Essay Based! The reader should also be aware of these facts, as the advertising be banned essay, journey along this dual-path career may have provided not only certain insights but also some personal baggage that may have influenced what we write. The origins and causes of the association between PPC and non essay, ethics can be traced to historical and cultural factors, as well as a combination of self and social selection. In 1965, the concept of using “intermittent positive pressure ventilation” to treat immature infants was born into the world. 3 Although physicians had long provided care to essay on bipin chandra pal infants who were born well before their due date, the introduction of intubation and mechanical ventilation led to the creation not only of neonatal intensive care units during the ensuing decade, but also to non essay based scholarships a host of essay chandra, pressing ethical dilemmas. Doctors had to decide which premature infants should be treated with this level of non essay based scholarships, high-intensity care. The alternative to intubation, mechanical ventilation, and other invasive neonatal intensive care unit interventions was to provide “comfort care measures,” or what we would today call palliative care.
4. During the book, 1970s and early 1980s, the practice of issuing “do not attempt resuscitation” orders both came into existence and became a focal point for scholarships, ethical debates about the involvement of parents in the process of making decisions about the book, medical care that their children receive. 5 Here again, the dilemmas about the appropriate ways to care for dying children and children who have serious illnesses were the focus of both medical ethicists and of specialists in palliative care. In 1979, the paradigm-altering ethnographic study of the “private worlds of dying children” revealed that children who had advanced cancer often fully understood the grim nature of their prognosis. 6 Even so, the children seldom talked about non essay based their thoughts, beliefs, or dreams about dying, death, or an afterlife, maintaining this lonely isolation by advertising essay, a sad dance of “mutual pretense.” Both the scholarships, children and their parents continued to essay on bipin behave with each other as though everything would be okay to provide support to the person they loved. Non Essay! The ethical concern of truth telling was henceforth apiece with PPC. In 1982, Baby Doe was born with Down syndrome and document questioins, an esophageal atresia with a tracheal esophageal fistula. After a decision to not operate to correct the scholarships, atresia was made by his parents and physicians, the infant was treated with sedating and pain relieving medications until he died 6 days later. 7 The subsequent outcry and passage of federal regulations underscored again the contentious dilemma of who to indian treat and how. More pointedly, the Baby Doe controversy brought to non essay scholarships the fore concerns about biases against disabled individuals, as well as concerns when family interests seem to should advertising be banned outweigh the best interests of the child, with both sets of concerns potentially leading to fundamental injustices. 8 , 9.
These examples can be multiplied, illustrating how historically some of the most trenchant issues in pediatric medical ethics have arisen in the context of patients who have grave illness potentially confronting the end of life, with difficult decisions to make about how to best care for these individuals. The observed historical association of PPC and based scholarships, PME is no coincidence, reflecting instead several aspects of our cultural milieu that make this association likely. 10 Death is an Channel Strategy, oddly marginalized topic in American culture, being on the one hand the centerpiece of violent or frightening mainstream entertainment, yet on the other hand being an scholarships, issue so painful and essay, difficult to contemplate privately or discuss publicly that doing so in a sustained, thoughtful, considered manner is felt by many to be taboo. As a result, even though the death rate is ultimately 100%, we struggle as a society to envision the ideal care of dying individuals, to engage each other in non essay, formulating plans to assure such care, and to enact these care plans. These struggles are difficult when the patient is a competent adult, and essay on bipin chandra, exponentially more difficult when concerning children.
PPC engages in this struggle, patient by patient. Scholarships! Such efforts require not only grappling with death, but also with other difficult and marginalized issues that are central to PME, such as views regarding the value of life, the degree to which impairments do or do not diminish this value, the Strategy, practical and spiritual implications of pediatric suffering, and the pursuit of a path of care that is in the child’s best interest while respecting the child’s emerging capacity to make reasonable decisions that may be contrary to the decisions of the based, parents. People who engage in essay, PPC and non essay scholarships, PME also tend to exhibit similar personality characteristics: good collaborative communication skills, a manner of interpersonal interactions perceived by others as especially respectful and kind, an often broadly ecumenical personal world view, and an openness to both joy and sadness. This is not to say that PPC and PME practitioners have a corner on the market of any of these characteristics, or exhibit all of them to an exemplary degree, but these characteristics do seem to cluster in both of these sets of practitioners. This clustering may be driven by individual self-selection, based on one’s sense of personal interests and strengths, or by the encouragement of document based, others. The overlap of PPC and PME, in terms of both core content concerns and personnel with interest and aptitude, presents several advantageous opportunities. Shared Collaborative Communication Skills. A core set of collaborative communication skills enables PPC and PME personnel to have productive and sometimes transformative encounters with patients, parents, and other health professionals. Collaborative communication can help to clarify everyone’s (often differing) sense of the clinical situation, explore and support feelings of hope, fear, and frustration, examine the rationale and goals of care, and formulate consensus treatment plans. Such collaborative communication, when empowered by non essay based, emotional intelligence, can promote a common sense of purpose and respect, and can create shared agendas out of apparent conflict.
Having personnel who are particularly adept at collaborative communication use this skill in both the practice of PPC and PME is a sensible use of document essay questioins, a valuable and sometimes limited resource. The fields of non essay, PPC and Strategy, PME can provide cross-fertilization regarding skills and intellectual agendas. The specific collaborative communication challenges confronted by non essay based, practitioners in either PPC clinical consultation or PME ethics consultation can promote the further growth and development of make a good, these practice skills in ways that can benefit either realm of practice. The 2 disciplines also have, as noted, many common areas of interest, presenting opportunities for scholarly or research collaboration. Some organizations combine palliative care and medical ethics programs, housing them underneath 1 administrative umbrella. Based Scholarships! This arrangement, which seems sensible given the overlap of PPC and PME outlined here, permits the Channel Strategy, colocation of like-minded colleagues and efficient use of support staff and joint program resources. The overlap of PPC and PME also presents certain challenges that need to be recognized and managed.
Potential Conflict With Colleagues. PPC sometimes involves conflict among health care colleagues, and PME consultation sometimes is non essay based, sought to address and book, resolve these conflicts. To the degree that members of the PPC team are also members of the PME consultation service, the handling of the case by the PME consultation service may appear to be influenced by a conflict of collegial interests. Scholarships! The potential for on bipin, such conflicts exists regardless of based, which configuration of Strategy, colleagues is non essay based, involved. For example, overlap of the PME consultation service with members of the neonatal, pediatric, cardiac, or surgical ICU staffs would all raise similar concerns. Based Essay! Although these concerns motivate some to call for non essay scholarships, PME consultation services to book be staffed by individuals outside of the scholarships, hospital or organization, such staffing models raise other practical concerns, while still not necessarily dissolving all potentially influential interpersonal relationships. Potential Conflict of Commitments. At a deeper level, PPC represents a certain stance regarding the goals of medical care. 11 , 12 This stance can be best summed up as follows: “to cure when possible, to comfort always.” This philosophy of care is often accompanied by Strategy, a deep sense of purpose and based scholarships, personal mission, which can be good or bad.
A powerful sense of mission motivates practitioners of both PPC and PME to plunge into based questioins difficult emotional situations. If one’s commitment to this sense of personal mission is very strong, however, then the ability to take on non essay the perspectives of others (which can be critical for exploring and understanding the based essay, ethical dimensions of difficult clinical situations) may be compromised. Again, this challenge is not unique to those who practice PPC. Neonatologists and based scholarships, oncologists, intensivists and cardiologists, surgeons and general pediatricians all may have deep personal and philosophical commitments that need to document based essay be managed when engaging in ethics consultation. Similarly, health care personnel who perform PME consultation are often committed to a deliberative process that may be at odds with the non essay scholarships, pace of decision-making required by indian, a particular case, or to non essay scholarships the attainment of consensus, which may not be possible in Strategy, all cases. Potential Delay or Underuse of PME. Although PME clinical consultations sometimes identify unmet PPC needs, and thereby result in non essay based, a PPC consultation, the opposite does not occur as frequently: PPC consultation rarely results in a subsequent PME consult. While such a chain of events does occur from time to time, PPC staff, given their collaborative communication skills (and for some, their formal training in PME or involvement in PME consultations), may be able to manage most of the ethically challenging cases (but not all of them) and thus run a risk of not drawing on the resources and potential benefits of PME consultation in a timely manner. Indian Book! This may be especially true for cases in which PPC staff have forged a strong therapeutic relationship with the patient or family, yet other clinicians are nonetheless struggling with a sense of moral distress.
PME consultation in these situations can provide a forum for dialogue, enhanced team-wide understanding of the based scholarships, goals of care, and ultimately better therapeutic relationships across the entire health care team. Potential Undervaluation of qualities that essay, PPC Medical Expertise. To meet the needs of children living with life-threatening conditions and their families, PPC demands a thoroughgoing knowledge of advanced pain and symptom management, as well as a firm understanding of the disease processes that cause serious pediatric illness. PPC practitioners also need to have high-functioning relationships with community-based hospice and home nursing agencies. Equating PPC only based with communication and decision-support (which is to indian book say, with the components of PPC that most overlap with PME) is to misunderstand the scope of medical expertise that PPC requires. Potential Limitation of the Scope of Medical Ethics.
Conversely, too much emphasis on non essay the ethical issues that arise in the care of children who have serious life-threatening illness limits the scope of all the topics that PME should address. Many medical ethics issues are far afield from essay on bipin end-of-life dilemmas, ranging from the ethics of expanding newborn screening programs and other innovations emerging from genomic-based medical practice, to non essay based the quotidian challenges of access to high-quality care or the detrimental effects on long-term wellbeing of exposure of children to poverty or violence. Ethicists worry about the regulation of document essay, research, about non essay scholarships enhancement therapies, and about the policy issues and looming challenges of intergenerational distributive justice. Furthermore, PME has not only an important role in performing clinical consultations, but also a vital role in the formulation or review of a wide variety of hospital policies that extend beyond the domain of PPC, as well as the Strategy, provision of ethics education to members of the health care staff across the range of PME topics. With these thoughts regarding opportunities and non essay, challenges in mind, we offer the following set of recommendations about managing the relationship between PPC and PME. Define Clear Roles and Promote Role Identification. Health care personnel involved in both PPC or PME, like all other health care personnel, need to knocks essay be clear in their own minds regarding the non essay, clinical role that they are entrusted to fulfill in the care of patients and families, and be explicit when communicating the nature and expectations of this role to patients and parents. If, in the passage of time and turn of events, a health care professional moves from questioins one role to another in the care of a patient, this role transition also has to be recognized inwardly, and communicated clearly to patients, family members, and others.
Identify Clear Consultation Trigger Questions. Both PME and PPC clinical staff should, when going about their consultative duties, pose to themselves (and potentially other health care staff as well as patients and non essay scholarships, families) a few questions to prompt recognition or awareness that the other consultative service might be beneficial. For PME staff, some useful questions are: Does this patient have unmet pain or symptom management needs? If the based essay, patient has serious illness, are the goals of care clear? Is the patient in a failing state of health with no single clinical service providing guidance, in partnership with the patient and scholarships, family, about how to proceed with care? For PPC staff, questions might include: Is there any debate about what is the “right thing” to do to help this patient? Is this debate at the level of dissension or discord?
Are the patient or family feeling that they are not being heard? Are members of the clinical staff reporting feeling uncomfortable with the care that is being provided, or even a strong sense of moral distress? If now is on bipin chandra pal, not the “right time” to non essay request a PME consultation, what events or discussions would indicate that the right time has indeed arrived? Weekly team meetings of PME staff, monthly ethics committee meetings, and weekly interdisciplinary PPC team meetings are good occasions to that essay pose or to revisit these questions. These meetings can essentially provide a level of clinical supervision to these realms of overlapping practice. Similarly, health care personnel involved in PME need to develop criteria that can provide prompts or guidance about when to recuse oneself from a PME ethics consultation. Non Essay Based Scholarships! Individual PME providers may find themselves involved in once, an ethics consultation on a case in which they are intimately involved as a medical provider. Ideally, ethics consultants should bring an impartial perspective to each consult, which can be more challenging if that individual is also providing clinical care to non essay the patient. PME consultants who also provide direct patient care need to be able to recognize the limitations to their objectivity in these circumstances and appreciate the qualities make a good leader essay, value of based scholarships, calling in an outside consultant in such cases. Maintain Organizational Distinction.
Clarity of roles extends beyond the context of direct patient care: PPC teams and PME consultative services should have different names for essay chandra pal, these distinct organizational roles, along with separate budget lines and based scholarships, reporting structures. Strategy! As noted, locating PPC and non essay based scholarships, PME services under one administrative umbrella can increase efficiency through resource sharing. At the same time, clear separation needs to be maintained between the two, as they serve different roles within the organization, and if the distinctions are blurred organizationally they are more likely to be blurred at the bedside. Additionally, for some of the most ethically challenging cases, distinct PPC and PME services may need to be an organization double-check (or potentially a check-and-balance) for each other. Indeed, for such cases, PPC and PME staff can potentially role model how to address differences of opinion among health care staff regarding the best course of action, engaging in discussion that is respectful and should advertising be banned, vigorous, listening and scholarships, challenging, sensitive and searching. Build and Maintain a Broad Scope of Work. At the national level, the fields of both PPC and PME are promulgating practice guidance and qualities that make leader, standards, such as have been articulated by the American Academy of Pediatrics regarding PPC and PME consultation and hospital ethics committee work, 13 , 14 and as are set forth in an increasing number of non essay based, textbooks and indian book, professional society guidelines. 15 – 19 At the local level, within hospitals and health care systems, PPC and based, PME programs should identify their own practice standards, including their scope of practice, and monitor whether their performance drifts over time to should be banned unduly focus on one area of scholarships, their intended scope of practice while neglecting others. The relationship between PPC and PME, arising from historical, cultural, and social underpinnings, is too important to leave to chance.
On balance, we believe that the relationship offers substantial opportunities for the better care of the patients we serve and their families. To achieve that lofty goal, professionals in both fields must be mindful of the challenges that need to be managed in terms of organizational structure, role expectations, and reflective practice. Accepted November 12, 2013. Address correspondence to Chris Feudtner, MD, PhD, MPH, The Children's Hospital of Philadelphia, 3535 Market St, Rm 1523, Philadelphia, PA 19104. E-mail: feudtner email.chop.edu. Dr Feudtner conceptualized and drafted the knocks essay, initial manuscript; Ms Nathanson critically reviewed and scholarships, added content to the draft manuscript and edited the manuscript; and both authors approved the final manuscript as submitted.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. FUNDING: No external funding. POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to qualities leader essay disclose. Morrison W , Derrington SF . Stories and the longitudinal patient relationship: what can clinical ethics consultants learn from palliative care? J Clin Ethics . Non Essay Scholarships! 2012 ; 23 ( 3 ): 224 – 230 pmid: 23256402.
Carter BS , Wocial LD . Ethics and essay on bipin chandra pal, palliative care: which consultant and when? Am J Hosp Palliat Care . Non Essay Based Scholarships! 2012 ; 29 ( 2 ): 146 – 150 pmid: 21665855. Delivoria-Papadopoulos M , Levison H , Swyer PR . Intermittent positive pressure respiration as a treatment in severe respiratory distress syndrome. Arch Dis Child . 1965 ; 40 ( 213 ): 474 – 479 pmid: 5318721. Lantos JD , Meadow W . Neonatal Bioethics: The Moral Challenges of opportunity once essay, Medical Innovation . Baltimore : Johns Hopkins University Press ; 2006. Burns JP , Edwards J , Johnson J , Cassem NH , Truog RD . Do-not-resuscitate order after 25 years. Crit Care Med . 2003 ; 31 ( 5 ): 1543 – 1550 pmid: 12771631. Bluebond-Langner M . Scholarships! The Private Worlds of Dying Children . Princeton, NJ : Princeton University Press ; 1978. Pless JE . The story of advertising essay, Baby Doe. N Engl J Med . 1983 ; 309 ( 11 ): 664 pmid: 6225020. Angell M . Handicapped children: Baby Doe and Uncle Sam.
N Engl J Med . 1983 ; 309 ( 11 ): 659 – 661 pmid: 6225018. Lantos J . Baby Doe five years later. Implications for based scholarships, child health. N Engl J Med . 1987 ; 317 ( 7 ): 444 – 447 pmid: 2956518. Callahan D . The Troubled Dream of Life . In: Search of a Peaceful Death . New York : Touchstone ; 1993. Cassell EJ . The Nature of Suffering and the Goals of Medicine . 2nd ed. New York : Oxford University Press ; 2004. Byock I . The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life . New York : Avery ; 2012. American Academy of Pediatrics. Committee on Bioethics . Institutional ethics committees.
Pediatrics . 2001 ; 107 ( 1 ): 205 – 209 pmid: 11134464. American Academy of Pediatrics . That Make A Good Leader Essay! Section on non essay based Hospice and Palliative Medicine and Committee on Hospital Care, Feudtner C, Friebert S, and Jewell J. Pediatric palliative care and hospice care: commitments, guidelines, and recommendations. Pediatrics . 2013 ; 132 ( 5 ) : doi: 10.1542/peds.2013-2731. Wolfe J , Hinds PS , Sourkes BM . Textbook of Interdisciplinary Pediatric Palliative Care . Philadelphia : Elsevier/Saunders ; 2011. Goldman A , Hain R , Liben S . Oxford Textbook of Palliative Care for Children . 2nd ed. Oxford, New York : Oxford University Press ; 2012. Carter BS , Levetown M , Friebert SE . Essay On Bipin! Palliative Care for Infants, Children, and Adolescents: A Practical Handbook . 2nd ed.
Baltimore : Johns Hopkins University Press ; 2011. Hester DM . Ethics by Committee: A Textbook on Consultation, Organization, and based, Education for Hospital Ethics Committees . Should Advertising Be Banned! Lanham, MD : Rowman Littlefield Publishing ; 2008. American Society for Bioethics and scholarships, Humanities' Core Competencies Update Task Force . Core Competencies for advertising, Healthcare Ethics Consultation: The Report of the American Society for scholarships, Bioethics and Humanities . Qualities That Make A Good! Glenview, IL : American Society for Bioethics and Humanities ; 2011. Copyright © 2014 by the American Academy of Pediatrics. Copyright (c) 2017 by American Academy of non essay based, Pediatrics.
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narrative essay i So, your professor just gave you a new assignment, and it looks like an based interesting topic. The problem is you don’t know how to write a narrative essay. Relax (but don’t procrastinate)! Narrative essays are actually pretty fun to write. What’s more, they don’t usually require much research since they are typically based on your life experiences. All that said, there are some important rules to follow.
This blog post will tell you all about narrative essays and teach you how to Channel Strategy, write a narrative essay that stands out. Narration is writing that tells a story. A good way to scholarships, wrap your mind around a narrative is to think about how a narrator in a film presents a scene. He tells the story from a particular perspective, giving a detailed account of what happened. Consider the narration in this clip from How the Strategy Grinch Stole Christmas : So, how is the narrator’s recounting of the based Grinch’s failure to steal Christmas related to questioins, learning how to write a narrative essay? As the narrator in your essay, you set the scene and tell the story from your viewpoint, giving a detailed report of events. Chances are, you narrate stories every day. Based. I mean, didn’t you just tell your friend all about that funny thing that happened in class earlier? You know how to narrate.
So, writing a narrative essay should be easy, right? Well, hold on, it’s not that simple. One of the challenges with writing narrative essays is that you often have to distill a complex story into make a limited (and to-the-point) number of words. At the same time, you have to garner enough interest to keep the based scholarships reader engaged in on bipin chandra your story. Anyone can tell a story, but not everyone can tell a story that captures an audience. Non Essay Based. It’s important to essay pal, keep some rules in mind as you learn how to write a narrative essay. The best way to learn how to write a narrative essay is to see an non essay based scholarships example. I’m going to pretend that I’m the character Rudy (from the 1993 film Rudy ), and essay chandra, I’m going to write a narrative essay about something that happened in my (Rudy’s) life.
First, watch this clip from the film: Now, I will write a sample narrative essay, as if this clip were based on my experience. Just as with a true narrative essay, my memory of the experience may be slightly different than the reality of the experience. You always have some creative license with narrative essays–whether they are fictional or not. Read this sample essay first, and then I’ll break it down into its elements: A janitor changed my life. Non Essay Based. I was at a low point, ready to quit everything–even when I had it all.
I didn’t realize how lucky I was. At 5 foot nothing, 100 and nothing pounds, I was hardly your typical football player. But, that didn’t stop me from believing that I could play for advertising be banned essay Notre Dame. It turns out, the most important part of achieving my dreams is believing in scholarships myself. After two years of advertising be banned, trying hard to prove that I was worthy of playing, I found out that I hadn’t made the dress list for our kickoff game.After fighting to non essay based scholarships, be on the team and on bipin chandra, sweating through every practice, I was going to sit on non essay based scholarships, the bench…again. So, I decided to call it quits.
Who was I to think that I deserved anything better than working at the steel plant, just like my father and my brothers? If that life was good enough for them, why wasn’t it good enough for should advertising me? As I stood there in section five, staring out at the empty stadium, I thought of how proud my dad would have been to see me out there on based, the field playing for the team we both loved so much. I felt so stupid. I wasn’t a football player. Channel Strategy. I was a bench warmer… nothing more. That’s when the scholarships team janitor found me standing there. “Hey,” he said. “Don’t you have to be at practice?” “Not anymore,” I said, annoyed. “I quit.”
“Why’d you quit? You don’t seem like the quitting type.” “I don’t know,” I said. Indian Essay. “I just don’t see the non essay scholarships point anymore.” In that moment, the janitor reminded me of essay, everything I had already achieved. Against all odds, I had stuck with the team for two years, and I was going to graduate with a degree from Notre Dame. What he said next drove his point home. Scholarships. He said, “In this lifetime, you don’t have to prove nothin’ to Channel Strategy, nobody except yourself.”
He had a point. I had already proven myself to everyone except for me. If I didn’t believe in non essay myself… who would ever believe in me? Thanks to the janitor’s wisdom, I eventually played my first–and only–game that season, and I proved to myself that I can achieve anything I set my mind to. Okay, now let’s pick this thing apart. In the following section, I’ve highlighted certain concepts from my sample narrative essay in chandra different colors. Their explanations follow. A janitor changed my life. I was at a low point, ready to quit everything–even when I had it all. I didn’t realize how lucky I was. At 5 foot nothing, 100 and non essay based scholarships, nothing pounds, I was hardly your typical football player.
But, that didn’t stop me from believing that I could play for Notre Dame. It turns out, the on bipin pal most important part of achieving my dreams is believing in myself. Let’s break it down. Start with a strong hook . Just as with any other form of writing, your first paragraph should start with a strong hook. The sentence, “ a janitor changed my life ,” sets up the story with a bold statement meant to capture the non essay attention of my readers. Channel. The goal is to make readers ask, “How did a janitor change your life?
What happened?”For more information on hook sentences, read my blog post, “How to Write Good HookSentences.” Set the scene . In this section of my first paragraph, I set the scene. Scholarships. I give the reader some context for my story (I was at a low point. I was a struggling football player for Notre Dame… etc.). That Make A Good Leader Essay. Define the non essay purpose . Have you ever heard anyone talk on and on about something without making a point? This is a common trap for writers attempting a narrative essay. A good narrative essay has a purpose: perhaps you learned a hard lesson, or perhaps you transformed into a more mature person. Whatever the case, that purpose should be stated in the first paragraph.
In the opportunity essay example narrative, my purpose is to make the point that “ the most important part of achieving my dreams is based believing in myself .” As you can see, the first paragraph is critical to setting up a good story. Now, let’s talk about what goes on in your body paragraphs. After two years of trying hard to prove that I was worthy of playing, I found out should advertising be banned that I hadn’t made the dress list for our kickoff game. Based. After fighting to be on the team and sweating through every practice , I was going to document based questioins, sit on the bench…again. So, I decided to call it quits. Who was I to think that I deserved anything better than working at non essay based the steel plant, just like my father and based questioins, my brothers? If that life was good enough for them, why wasn’t it good enough for me? As I stood there in section five, staring out at the empty stadium , I thought of how proud my dad would have been to see me out there on non essay, the field playing for the team we both loved so much.
I felt so stupid. Indian. I wasn’t a football player. I was a bench warmer… nothing more. Scholarships. That’s when the team janitor found me standing there. “Hey,” he said. “Don’t you have to be at practice?” “Not anymore,” I said, annoyed . “I quit.” “Why’d you quit?
You don’t seem like the quitting type.” “I don’t know,” I said. “I just don’t see the essay questioins point anymore .” In that moment, the janitor reminded me of everything I had already achieved. Based. Against all odds, I had stuck with the team for two years, and I was going to essay on bipin chandra, graduate with a degree from Notre Dame. What he said next drove his point home. He said, “In this lifetime, you don’t have to prove nothin’ to nobody except yourself.” Let’s break it down. Use vivid and scholarships, appropriate detail . The goal here is to recreate the story for document questioins your reader just like it happened.
Make the story vivid and full of detail. Note, however, that this is not a descriptive essay, so only include the details that matter most to your story . Use dialogue . Sometimes, a great story can’t be told without dialogue. Non Essay Based. It’s definitely okay to incorporate dialogue, as necessary, especially if it’s a natural part of your story.In my sample essay, the conversation with the janitor is critical to the story, so including the dialogue from this interaction is essay book appropriate. Write chronologically . Non Essay Based. It’s a smart idea to write in chronological order, especially if you are an inexperienced writer. Strategy. What happened first, next, and last?This will help you to stay true to your story and not wander. In this sample, I focus on the sequence of events that led me to my moment of truth, how the janitor talked me into staying on the team, and how this changed my perspective on scholarships, life. Maintain consistency in narration . In this example narrative essay, I chose to Channel, write in based the first-person narrative voice and in the past tense.I chose first person because I was telling a story that happened to me (remember, I’m pretending to be Rudy in this sample). I chose past tense because I’m telling a story that happened in the past .Chances are, you’ll want to write your narrative essay in first person, past tense, too.
In some cases, you may find that writing in third person is a better choice–especially if you are recounting a story that happened to chandra, someone else. Scholarships. But, whatever you choose, keep it consistent throughout. Okay! Let’s move on to the based last paragraph. He had a point. I had already proven myself to everyone except for me. If I didn’t believe in myself… who would ever believe in me? Thanks to the janitor’s wisdom, I eventually played my first–and only–game that season, and scholarships, I proved to myself that I can achieve anything I set my mind to essay pal, . Let’s break it down. Restate your purpose . In your final paragraph, leave your reader with a clear restatement of your purpose.Remember, I began this sample narrative essay by stating my purpose: “The most important part of achieving my dreams is believing in myself.” In the final paragraph, I closed with a restatement of non essay based, this same point: “ I proved to myself that I can achieve anything I set my mind to. ” Here are the eight concepts we just covered, distilled into handy table form for your convenience.
Final Thoughts on on bipin chandra, How to Write a Narrative Essay. As you set out to write your narrative essay, bring the readers on non essay based scholarships, your journey with you. Give them a reason to listen to your story. If you’re uncertain what to opportunity essay, write about, remember that a good personal narrative essay will show some sort of non essay scholarships, transformation. Questioins. For example, you started out as a shy person, but had an interesting experience that made you more outgoing. Find a story of transformation, and then write about what happened. If you need more ideas, check out these example narrative essays.
Finally, always be sure to edit your personal narrative essay before you submit it! It doesn’t matter how awesome your story is if the narrative is masked by bad grammar or sentence structure errors. Psst. 98% of Kibin users report better grades! Get inspiration from over 500,000 example essays. About the Author. Naomi Tepper is a former Kibin editor, the former content manager for non essay based scholarships the Kibin blog, and qualities a good essay, forever a word nerd. Wooooow, thnx this really saved my day cause I had no idea of how to write a narrative essay. Happy to non essay based scholarships, help and thanks for reading!
You’re welcome! Thanks for based essay questioins reading. Hey… anyone wants to learn the best way to write an essay without tutoring…. Non Essay. here it it. this stuff is as good as perfect to learn an essay. +Naomi Tepper thanks a ton.. Indian Essay. this will help me improve my narrative writing skills.. Thanks again #128578; Aww, shucks thank you! More than happy to non essay based, help. Thank you I really appreciate your help. n if you don’t mind, is document based essay questioins it possible that you could help me out non essay based with a few links or something, so i could improve my writing skills. (other types of writings as well- like argumentative, descriptive, persuasive, summary writing)… oh! n am also having my IGCSE pre-boards coming up this Monday so even a few tips would also help.
Thanks:) Truthfully, I don’t know much about the IGCSE boards, but I imagine there might be some timed writing tests involved, in be banned essay which case this post might come in non essay scholarships handy: https://www.kibin.com/essay-writing-blog/how-to-write-a-timed-essay/ Thanks alot… all of them are really helpful #128578; Can you please guide me to another link with summary writing.. Essay. i think the above link doesn’t seem to be working.. Thanks in advance. #128578; Hi Naomi. Found this really helpful, thank you. I was wondering if you have any additional advice that would help me hone my writing skills. #128578; Hi again, Sowmya! Woot!
Looks like your finding your way around our blog. Nice to see you reading this post as well. Yes, I have lots of advice on non essay based scholarships, writing better essays. Check out the comment I left for Joshua (below), it links to some of Channel, my most useful blog posts. Is it possible if you could share a link on summary writing to me, it would be of great help. Thanks in scholarships advance. thank for the awesome help. You are so welcome! Thanks for essay on bipin chandra the comment. #128578; THANK YOU SO MUCH . YOU HELPED ME A LOT ! Awesome!
Happy to scholarships, help. #128578; I want to help my son write a narrative. He has to indian book, choose to be something from our timeline of non essay scholarships, study with our coop. Make Leader Essay. He has chosen the Black Death. This seems so exciting to scholarships, me but I simply cannot wrap my head around how to approach this as a narrative. He actually wants to BE the black death. Qualities Make Essay. Ideas? Wow! Your son sounds very creative. I love this concept. Your son should choose the non essay based scholarships characteristics of the make leader essay Black Death that he wants to personify.
Before writing, answer some questions: What’s his motive (as the Black Death)? How does he feel about the non essay based “work” he is doing? Does he have a visible form or is he invisible? If visible, how do humans see him? Try to keep the essay pal personification consistent throughout.
Then build a narrative arc around this “character” with a beginning, middle and end. Based Scholarships. Perhaps tell the story of visiting on Strategy, a particular family. What does he learn from the experience? What is the point (thesis)? Most importantly have fun! I love this! Do you have an example with a guide just like the based scholarships one you did for narrative essay but for an illustration essay? Thanks so much Erin!
Sorry to ask again, but do you have examples for indian a research essay and another narrative without dialogue? I want to non essay based, be able to show my college students different examples of should advertising be banned essay, narrative essays.
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18 Metaphors Analogies Found in non essay based Actual Student Papers (Or Not—But They're Still Hilarious) Okay, so we can't be 100% positive that these are from actual student papers. [Update: They are not.] Let us know which is the best (worst?) in the comments below! 1. Indian Essay? His thoughts tumbled in non essay his head, making and breaking alliances like underpants in a dryer without Cling Free. 2. He spoke with the wisdom that can only come from experience, like a guy. Qualities? who went blind because he looked at non essay based scholarships, a solar eclipse without one of those. Knocks Once? boxes with a pinhole in non essay scholarships it and now goes around the country speaking at. high schools about the dangers of looking at essay, a solar eclipse without one. of those boxes with a pinhole in based scholarships it. 3. She had a deep, throaty, genuine laugh, like that sound a dog makes just. before it throws up. 4. Her vocabulary was as bad as, like, whatever. Indian Essay Book? 5. He was as tall as a six-foot, three-inch tree. Non Essay? 6. The little boat gently drifted across the pond exactly the way a bowling. 7. From the attic came an unearthly howl.
The whole scene had an eerie, surreal quality, like when you're on vacation in essay book another city and. Jeopardy comes on based at 7:00 p.m. Based? instead of 7:30. 8. The hailstones leaped from the pavement, just like maggots when you fry. them in hot grease. 9. Long separated by based, cruel fate, the document based questioins star-crossed lovers raced across the. Based Scholarships? grassy field toward each other like two freight trains, one having left. Cleveland at 6:36 p.m. traveling at qualities that leader, 55 mph, the other from Topeka at.
4:19 p.m. at a speed of 35 mph. 10. John and Mary had never met. Scholarships? They were like two hummingbirds who had. 11. He fell for her like his heart was a mob informant, and she was the East. 12. Even in his last years, Granddad had a mind like a steel trap, only one. that had been left out on bipin chandra pal, so long, it had rusted shut.
13. Shots rang out, as shots are wont to do. 14. The plan was simple, like my brother-in-law George. Based? But unlike George, this plan just might work. 15. The young fighter had a hungry look, the kind you get from knocks once not eating. 16. He was as lame as a duck.
Not the metaphorical lame duck, either, but a. Non Essay Based? real duck that was actually lame, maybe from stepping on a land mine or. 17. The ballerina rose gracefully en pointe and extended one slender leg. behind her, like a dog at a fire hydrant. 18. It was an American tradition, like fathers chasing kids around with. [As Alan pointed out, these came from the Washington Post Style Invitational Bad Simile and Metaphor Contest.] If you used the words jeggings , muggle , or binge-watch in Channel Strategy a sentence 30 years ago, you would have likely been met with stares of confusion. But today these words are common enough to hold spots in the Oxford English Dictionary. Such lingo is a sign that English, as well as any other modern language, is non essay based scholarships, constantly evolving. But the essay path a word takes to enter the general lexicon isn’t always a straightforward one. Based? In the book video below, TED-Ed lays out how some new words become part of our everyday speech while others fade into obscurity. Some words used by English speakers are borrowed from non essay based scholarships other languages, like mosquito (Spanish), avatar (Sanskrit), and prairie (French).
Other “new” words are actually old ones that have developed different meanings over time. Nice , for example, used to only mean silly, foolish, or ignorant, and meat was used as blanket term to describe any solid food given to knocks once livestock. The internet alone is non essay scholarships, responsible for Channel a whole new section of our vocabulary, but even the words most exclusive to the web aren’t always original. For instance, the non essay based word meme was first used by Richard Dawkins in his 1976 book The Selfish Gene . To learn more about the essay true origins of the words we use on a regular basis, check out the full story from TED-Ed below. Puns can be divisive: Some find them irresistible, some find them groan-worthy. And while newspaper readers may appreciate clever wordplay in a headline—say, “Big Rig Carrying Fruit Crashes on 210 Freeway, Creates Jam,” or one of The New York Post ’s seemingly endless Anthony Weiner puns—most people don’t drop puns in everyday conversation.
But for others, punning is a way of scholarships, life. Pun competitions challenge wordsmiths to come up with as many great puns as they can on the fly in front of an audience. And they aren’t for the faint of heart, as author Joe Berkowitz found out over the course of writing Away With Words , his new book about the world of competitive punning. Essay Book? Here are ten facts we learned from the book about puns and the art of wielding them competitively. Making puns “crosses all major languages and cultures in history,” John Pollack, an international punning champion and the author of a historical look at the phenomenon, The Pun Also Rises , told Berkowitz. In San Juan Chamula, Mexico, a tradition of verbal duels called k’ehel k’op , which often revolves around puns, dates back to Mayan times. Traditional Palestinian weddings have featured pun-heavy oral poetry duels for centuries. 2. THE WORLD’S FOREMOST PUN COMPETITION IS NAMED AFTER AN AUTHOR WHO DIDN’T PUN. The largest and non essay based scholarships most prestigious pun competition is the O. Henry Pun-Off World Championships, held every year in once Austin, Texas. You’d think the reference to the famous short story writer would nod to his affinity for puns, but in fact, there’s not a lot of evidence he liked them at all. “Although he did name one of his stories ‘A Midsummer Knight’s Dream,’ the author’s work is largely pun-free,” Berkowitz writes.
During the course of non essay based, writing the a good leader essay book, he visited the O. Henry Museum in Austin, where the Pun-Off is non essay based scholarships, held, and was informed that the connection between puns and based questioins the author O. Henry is quite tenuous. “Between you and me, he was not a huge punner,” a tour guide told him. Non Essay Scholarships? “That connection was made between the museum and the Pun-Off early on because it was held here, and it just stuck.” 3. THERE ARE FOUR DIFFERENT KINDS OF PUN. There’s the homophonic pun, in which two words sound the same but mean something different. (“Czech” and “check,” for instance.) Then there’s the homographic pun, in which two words sound different but are spelled the same. (Like a bass player versus a bass fish.) There are also homonymic puns, in which the on bipin chandra words both sound and are spelled the non essay same. (Berkowitz’s example: “I felt unsettled inside so I had an evening out.”) And last, there’s the portmanteau, a combination of two other words. (Like “brunch.”) 4. That Leader Essay? AT THE PUN-OFF, THE RULES ARE SERIOUS BUSINESS. The O. Non Essay Based Scholarships? Henry Pun-Off in Austin—a competition Berkowitz calls “the Olympics of pun competitions”—has strict rules. Only honest-to-goodness puns are accepted. You can’t just throw in a phrase related to a topic if it doesn’t have the necessary wordplay to qualify as one of the four types of should be banned, pun. “If the topic is railroads, we will not accept anything like, ‘I hope we stay on track,’” Pun-Off organizer Gary Hallock told Berkowitz by way of explanation. There are two competitions wrapped into the O. Henry Pun-Off: Punniest of Show and Punslingers.
In the scholarships former, competitors perform their own two-minute routine on any topic they want, cramming in as many puns as possible. These monologues are judged by a panel on originality, performance, and wit. Punslingers, meanwhile, is a rapid-fire, head-to-head tournament in which punners exchange wordplay on randomly chosen topics as fast as possible. Each competitor gets a maximum of Strategy, five seconds to based scholarships think of their next pun, and whoever runs out essay, or gets three strikes (attempted puns the judges deem invalid) first loses. The longest this particular event has ever lasted was a grueling 48 minutes of scholarships, puns relating to numerical phrases like “three’s a crowd.” 5. ENGLISH IS A GREAT LANGUAGE FOR PUNS. English speakers already have a leg up when it comes to puns. For one thing, it’s got a whole lot of words. The Oxford English Dictionary estimates that there are around a quarter of a million distinct words in the English language. English has borrowed words from so many languages that there are a wide variety of potential puns that wouldn’t otherwise be available, like “soirees” and “sore eyes.” English also doesn’t have declensions, so the document based essay questioins endings of words don’t change based on what part of the sentence they’re in. “The apple” stays the same whether it’s a direct object or the subject of a sentence, in other words, which is non essay scholarships, not the case for advertising be banned languages like German or Russian. (English uses word order to convey the difference instead.) So “saw” can be both a verb or a noun, no matter where in the sentence it falls. As in, “The blind carpenter picked up his hammer and saw.”
If anyone knew how great English can be for based puns, it was Shakespeare. “Never mistake the a good Bard for someone above poop and fart jokes,” Berkowitz writes. Non Essay? “When Thersites of Troilus and Cressida says, ‘But yet you look not well upon him; for, whomsoever you take him to be, he is Ajax,’ it’s not just because a character is named ‘Ajax,’ but because ‘a jakes’ meant a public toilet back then.” The greatest writer in the English language, indeed. 7. FOX’S BOB’S BURGERS HAS A PUN QUOTA. The writers of the once animated series Bob’s Burgers regularly go through their own kind of mini pun competition in order to craft a series that’s unusually dedicated to puns. Based? That's because there are at essay on bipin chandra pal, least three points in each episode that involve puns. In the title sequence, there is always a rotating series of stores located next to non essay based the show’s titular family restaurant. Document Essay Questioins? These plausible companies always have punny names like I’d Hit That (a boxing gym) or That’s Improv-able Improv Theater. Non Essay Based Scholarships? Later in the credits, an based essay questioins, exterminator van always pulls up in front of the restaurant bearing a punny name like Last of the Mousehicans. And then there’s the ever-popular Burger of the Day feature, which has spawned an entire cookbook full of recipes for burgers with pun names like “Shoot-Out at the OK-ra Corral Burger (comes with Fried Okra).” To populate each episode with these running gags, the show’s writers have to scholarships include three or four pun options for each when putting together a script. Bob’s Burgers creator Loren Bouchard then hand-picks his favorites for each episode. 8. WANT TO BE A PUN CHAMPION? TRY IMPROV.
All of the once essay winners of the O. Henry Pun-Off in the past decade have had one thing in based scholarships common: a background in improv. Improv performers are used to coming up with ideas on the fly in advertising be banned front of an audience, and in the training process, they get extremely comfortable failing spectacularly. Scholarships? They’re comfortable opening their mouths without having a good idea of what’s going to should advertising be banned essay come out. As one improv-trained punster told Berkowitz, “if you get an improviser up there, they’ll be, like, ‘Well, I can just start talking and I don’t know what I’m gonna say but I’ll get there.’” 9. FOR THE BRAIN, PUNNING IS LIKE TANGLING CHRISTMAS LIGHTS. What’s going on in your head when you’re thinking up a pun?
Salvatore Attardo, an expert on the linguistics of humor, described it this way: A good way of representing what’s in the brain is to think of it as strings of based scholarships, lights on a Christmas tree. So you have one string that’s white, and those lights are all the associations of meaning. If you have ‘dog,’ you have ‘puppy’ and ‘bitch’ and all the words that are related to dogs. So that’s one string, but then you’re going to have another string that’s red and it’s ‘fog,’ ‘bog,’ ‘log’—all the associations on the sound and all the that a good leader sounds that begin the same way. What is happening when you make a pun is that you’re kind of crossing the strings of lights. So even if a certain pun feels like low-hanging conversational fruit, it's actually a pretty complicated neurological process. Scholarships? 10. Advertising Essay? IT’S REALLY, REALLY HARD TO TEACH A COMPUTER TO PUN. Non Essay Based? A computer won’t be entering the O. Henry anytime soon. Software engineer Max Parke attempted to overcome this challenge by building the Punerator, a computer program designed to replicate the very human act of punning. Parke fed the document questioins program a rhyming dictionary and a data set of non essay based scholarships, synonyms, antonyms, homonyms, and once phrases, hoping to non essay scholarships one day be able to get the machine to should be banned essay reverse engineer the pun “Iran so far away.” The process of based scholarships, combining words to make longer words, to turn verbs into book nouns, to use words in ways that are counter to their intended meaning, was just too complicated for the algorithm.
Even the best artificial intelligence is no match for a competitive punner, or even a totally average one. It’s a skill that—for now—is uniquely human. LIVE SMARTER BIG QUESTIONS WEATHER WATCH BE THE CHANGE JOB SECRETS QUIZZES WORLD WAR 1 SMART SHOPPING STONES, BONES, WRECKS #TBT THE PRESIDENTS WORDS RETROBITUARIES. Why You Should Never Flush Dental Floss Down the non essay scholarships Toilet. Why You Should Sing 'Happy Birthday’—Twice—While Washing Your Hands.
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Is Caralluma Fimbriata Backed By Science? While there is plenty of speculation and non essay based, hype surrounding caralluma fimbriata weight loss results, but this cactus plant has not been proven in based essay, documented clinical research to increase weight-loss or aid with obesity. There are several studies suggesting it may promote appetite suppression, but the results were over the course of two months. At DietSpotlight, solid science is non essay, a critical part of the research process. When an ingredient supposedly helps users lose weight and even reduce waist circumference, we want to see the evidence to back the claims.
If it’s missing, we become concerned. Wonderful product. Be Banned Essay? I’m working on non essay based losing 50 pounds and make leader, this is based scholarships, helping so much!! only been taking it for a few days. The most noticeable thing is it makes my stomach growl REALLY loud for qualities a good leader about 2 hrs after I take it. I don’t really notice decreased appetite. I’ll keep taking it as directed and we’ll see if anything changes.
Was taking for a month and non essay, didn’t lose any weight and used it along with a diet I was already on. The Bottom Line – Does Caralluma Fimbriata Work? Wow, we found out quite a bit about should, caralluma fimbriata. While we appreciate that this one is based scholarships, a natural plant extract, we are skeptical about it because the weight-loss claims aren’t backed by should be banned essay solid science. Not only is there no published clinical data to non essay support it, there are quite a few customer complaints. For dieters who wish to slim down, there’s one out there focused on curbing hunger, boosting energy and metabolism. Among the best products we’ve seen this year is Channel Strategy, one called Dietspotlight Burn.
This diet pill contains four key ingredients, which have been proven in non essay, published scientific studies to should advertising be banned essay help ignite metabolism and improve fat loss. User reviews posted online indicate people are seeing amazing results. Plus, the makers of Dietspotlight Burn are confident in the formula so they’re offering a Special Trial Offer, which is non essay, a positive. Previous Caralluma Fimbriata Review (Updated April 11, 2014): What You Should Know about should be banned essay, Caralluma Fimbriata.
Product Features of Caralluma Fimbriata. Advantages of Caralluma Fimbriata. Weight loss products containing Caralluma Fimbriata can be ordered online. It is traditionally used in India as an appetite suppressant. Based? Information about essay, Caralluma Fimbriata can be found online. Disadvantages of non essay based scholarships Caralluma Fimbriata. Caralluma Fimbriata is chandra, still a very new ingredient, meaning that its long-term effects are still uncertain. There has not been enough detailed research or clinical trials carried out based scholarships, regarding Caralluma Fimbriata. There is no proof that Caralluma Fimbriata is superior to other weight loss ingredients on the market. Doctors are currently weary of that a good appetite suppressants and there are concerns that heavy users may miss out on non essay based necessary nutrition. Caralluma Fimbriata is a cactus extract.
We searched PubMed and other online resources that store peer-reviewed studies and found some soft support that links it to document essay weight-loss. Caralluma Fimbriata Ingredients and Supplement Facts. Serving Per Container: Varies. We explored Caralluma Fimbriata ingredients in based, order to give you the opportunity once, information you need. Caralluma fimbriata is a cactus found naturally in India, Africa, Saudi Arabia, Canary Islands, Afghanistan, and non essay scholarships, Southern Europe. Questioins? It has been traditionally consumed by Indian tribes and non essay based, modern cuisine as a vegetable or preservative.  What Is It Supposed To Do? Caralluma fimbriata supposedly contains chemicals that can decrease appetite. A study was performed and published in Complementary Therapies in Medicine concerning the ability of Caralluma fimbriata to have an based essay effect on based metabolic syndrome in overweight and Channel Strategy, obese subjects. Based? According to researchers, “Supplementation with C. fimbriata extract whilst controlling overall dietary intake and physical activity may potentially play a role in curbing central obesity, the key component of metabolic syndrome.” However, they go on to explain that controlled dietary intake and based essay questioins, exercise were definite factors in their weight-loss. However, another study showed that the plant can help children with Prader-Willi syndrome.
Published in North American Journal of non essay based American Science , researchers noted that, “…an extract of the book, Indian cactus succulent Caralluma fimbriata eases hyperphagic appetite behavior within a cohort of non essay based scholarships children and adolescents (n = 15) with PWS without notable adverse effects.” Additional studies had different conclusions still. Advertising Be Banned Essay? In a research published in non essay, Perspectives in Clinical Research , researchers noted that, “A commercially available extract of CFE in an oral dose of 1 g/day claimed to opportunity once have anti-obesity effect failed to yield any positive results on anthropometry and non essay based scholarships, appetite in overweight and obese individuals beyond placebo. Make Essay? There were also no significant differences in non essay based scholarships, the clinical and biochemical parameters.”  One that’s caught our attention is one called Dietspotlight Burn. Want to learn more about the book, clinically-tested ingredients? Click above. References 1. Caralluma (NL). Non Essay Based? WebMD. August 29, 2016.
2. To evaluate efficacy and safety of Caralluma fimbriata in overweight and obese patients: A randomized, single blinded, placebo control trial. Once? (2015). National Center for Biotechnology Information. June 10, 2016. Even natural weight-loss supplements have the ability to cause issues with some users. Any formula, natural or not, may cause negative reactions. Though Caralluma Fimbriata side effects don’t affect most users, they are very real for non essay based some. Dyspepsia or an upset stomach is described as any discomfort felt in the upper abdomen. It’s a symptom that usually comes along with nausea, bloating and gas.
What causes an upset stomach? Many things can cause an document questioins upset stomach from non essay scholarships eating too much to an allergic reaction. Often, you will feel full after a small meal, but it’s likely just due to a stomach virus. Should Be Banned?  Other causes of an upset stomach may be more serious, such as stomach cancer. However, more serious pain will also come with swelling, vomiting, weight loss and non essay, other symptoms. An uneasy sensation and make a good essay, a feeling like you need to vomit may be described as nausea. It can come with burning, indigestion or heartburn. The stomach flu, motion sickness, seasickness, drinking too much, pregnancy and food poisoning are all common causes of nausea. It may also be caused by an allergic reaction to medication or from overeating.
Any pain felt in your head is a headache. It’s actually the based, most common pain felt in opportunity once essay, the body.  There are several types of headaches and they may show up surprisingly or come with increased activity. Headaches are often caused by what is known as a trigger. In some cases, there are multiple triggers, such as noise, glare, anxiety, activity, medication, food, drink, environment, hormones, posture or an allergic reaction. An irregularity in your bowel movements making it difficult to have a bowel movement is known as constipation.
It may also be described as a straining feeling and scholarships, hardened stool. The most common cause of constipation is a change in diet or activity. Other causes include irritable bowel syndrome, eating too much dairy, dehydration, stress, colon cancer or eating disorders. Many medications and qualities leader essay, supplements list constipation as a possible side effect, as well. Not all users will experience the Caralluma Fimbriata side effects, but there have been reports of upset stomach, nausea, headaches, constipation and others. Make sure you speak with your doctor before taking any supplement, especially if you’re pregnant or nursing, on medication currently, have a medical condition or you’re under the age of 18. Carlluma fimbrata is a natural extract used as an ingredient in some weight-loss supplements. Based Scholarships? It can cause a number mild side effects.
However, we find it important to note that adverse reactions are rare with this product. “Interfered with my sleep regardless of when I took it.” Cheryl. “I was allergic to this product. As a consequence I gained 3 lbs in days…inflammation and water.” Paul. “I couldn’t take two of them together , because it made feel too hyper.” Roxana. “I have noticed that it upsets my stomach and on bipin pal, cause nausea on scholarships an empty stomach.
I also feel bloated.” Laurel. “It made me feel a bit nauseous when I took it on an empty stomach.” Melissa. “I would not recommend it to on bipin chandra others. It made my stomach cramp.” Teta. “Does not work gave me headaches and bad cramps.” Greg. Side effects are rare and one that’s not associated with adverse reactions is non essay based, one called Dietspotlight Burn. To learn more about it, click above.
References 1. What Causes an Channel Strategy Upset Stomach After a Meal? (2016). Livestrong. April 14, 2016. 2. Headache (1995). Based Scholarships? MedicineNet. March 25, 2016. Caralluma Fimbriata Scientific Abstracts: Caralluma Fimbriata extract was studied in overweight participants in a placebo-controlled randomized trial. 50 men and women between the ages of 25 to 60 years old with a BMI of Strategy +25 kg /m2 were assigned to either placebo group or experimental group.
The experimental group was administered 1 g of Caralluma Fimbriata extract per day for a total of 60 days. By the end of the 30 and 60 days intervention, anthropometric measurements, blood glucose and lipids, dietary intake and observations of appetite were carried out. Waist circumference and hunger levels displayed a substantial reduction in experimental group when compared to placebo. There was a trend toward more reduced body mass index, body weight, hip circumference, energy intake, and hip circumference between time points of assessment in an experimental group, however, were not substantially different from the placebo group. Caralluma Fimbriata extract seems to decrease waist circumference and based, suppress appetite when compared to placebo throughout a period of 2 months. Essay? 
It is thought that typical Caralluma Fimbriata can reduce appetite, prevent deposition of rats and decrease obesity. This activity is because of the inhibition of fat synthesis by suppressing the formation of Malonyl Co-Enzyme A and Acetyl Co-Enzyme A, which are the foundations of fat synthesis. Also, Caralluma Fimbriata was found to scholarships elevate fat burning in book, the body. Subjects on standard Caralluma Fimbriata extract reported a feeling of being more energetic and gained lean muscle mass all while reducing fat. The main reason for this is that Caralluma Fimbriata extract suppresses fat synthesis as well as elevating fat burning in the body. This allows for the creation of available energy for non essay based scholarships the body and makes the once, individual more active.  The anti-obesity effect of Caralluma Fimbriata was studied by monitoring alterations in based scholarships, feed intake, serum lipid and hormonal profiles, liver weight, fat pads, and body weight.
Antiatherosclerotic effects were gauged by histology. Caralluma Fimbriata triggered substantial and dose-dependent suppression of food intake, with body weight, liver weight and fat pad mass prevention activities. Differences in serum lipid profiles linked with weight gain were suppressed in a similar manner, as were average elevations in essay on bipin pal, serum leptin levels. The data from the study concluded that Caralluma Fimbriata has anorexigenic effects and that treatment with Caralluma Fimbriata delivered protective effects against atherogenesis. It was found that Caralluma Fimbriata contains antiatherosclerotic and non essay based, anti-obesogenic properties.  References 1. Effect of Caralluma fimbriata extract on appetite, food intake and anthropometry in make a good leader, adult Indian men and non essay based scholarships, women (2007). Advertising Be Banned? Appetite.
December 14, 2016. 2. Non Essay? Recent update in management of obesity and Overweight Patients: Standardized extract of Caralluma Fimbriata safe and effective Therapy (2011). International Journal of Clinical Cases and Investigations. December 14, 2016. 3. Antiobesogenic and Antiatherosclerotic Properties of that make essay Caralluma fimbriata Extract (2010). Journal of Nutrition and Metabolism. December 14, 2016.
Summer Banks, Director of Content at Dietspotlight, has researched over 5000 weight-loss programs, pills, shakes and diet plans. Previously, she managed 15 supplement brands, worked with doctors specializing in weight loss and completed coursework in nutrition at Stanford University. Scholarships? full bio. Choosing the right weight-loss system can be confusing and often times frustrating. Let us help. Let us know a little more about you and Strategy, your goals. Caralluma Fimbriata Customers Also Bought:
Caralluma Fimbriata Questions Answers QA. The modern usage of non essay scholarships Caralluma Fimbriata is for appetite suppression in aiding a person’s weight loss, and qualities make a good leader essay, it also has benefits in improving endurance and quenching thirst. Caralluma users reported mild side effects such as gas, upset stomach, constipation, and based, stomach pain. Choosing the right product is the #1 question asked by DietSpotlight readers. We recommend trying any product before buying it and should advertising essay, know that finding a product with a sample offer is based, near impossible - so we created our own product, Burn HD, with scientifically backed ingredients. Click here to get your sample of our powerful fat burner today. Caralluma fimbriata is the qualities that make a good leader, ingredient. This varies from manufacturer to manufacturer, however as the general rule you should take one or two caralluma fimbriata capsules once or twice a day. There’s no specific manufacturer of based scholarships caralluma fimbriata, considering this is a plant. There are various supplement companies that use it in products.
I would just like to knows if the a good leader, people have taken it have noticed a weight loss or not and how much in what time period. Hello Mary. Non Essay? All users are different and opportunity once, can experience different weight-loss results but based on our research a lot claimed a lack of results from based scholarships Caralluma Fimbriata. I have bought a supplement named caralluma 2000 how is that. Is that worth spending money.
Does it have any side effects? We don’t know of the particular side effects of Caralluma 2000 but Caralluma as an ingredient is Channel Strategy, still fairly new and is being closely studied. Check back for updates on what we find. what is the common name of this drug.available in market as a vegetable. Hello! The common name of this ingredient would most likely be “caralluma”, but before you buy, you should consider a supplement like Dietspotlight Burn. It contains clinically researched ingredients, which we like. The people who have really serious eating problem or weight problem are not likely to get good results form any natural product. Most drugs come from plants originally but are synthetically made many times more potent which is why they are effective.
DS. is it harmful or are there any restrictions for medications? Hi! It is always best to non essay consult with a physician before taking this product because there can be side effects with other medications. Doesn’t work , don’t buy , I work out Channel Strategy, 5days in week and watching what i eat still got 8 pounds #128577; Hi Sejo. We’re sorry you couldn’t lose weight with Caralluma Fimbriata! You might want to check out Dietspotlight Burn if you want to lose weight. I have used Caralluma 500 for scholarships one year, and I lost around 10 kg in 3 months. Very happy with Caralluma Fimbriata, especially with the New Zeland made supplement Caralluma 500. Copyright 2008 - 2017 Dietspotlight.com.
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