Monday, April 13, 2020

How to Write a Sample Reflection on Visit Essay

How to Write a Sample Reflection on Visit EssaySample reflection on visit essay can be helpful for studying those documents when you want to study what are written in the document or you want to know what people say about the document. The sample reflection on visit essay can be used to give you a clearer picture of what a document is all about. It will help you find the right thoughts about the document and about the writer that's why you need to use it often.You must be the one who must write the sample for your essays. You should not ask someone else to do this. You may ask a friend if he or she would like to give you the sample but it should be something that you did not do yourself. You have to be the one who would have the chance to write about the document or the person and this is very good for students who want to have a pen and paper as well as computer with them at their homes so they can work on their own.The most important thing you must know is the 'how' of writing and that is to take your time. Writing is not only your hobby. It is also part of a professional career and this is why you need to do it right.The first step you need to do is decide what is the right time to do it. Make sure that the times you will study the sample is the best for you. For example, if you need to study the sample during afternoon for studying the document, it is better for you to be able to do it when you will have enough time to do this.Take some time to look for a sample that you can use to write the sample. There are lots of ways for you to find sample. You may ask for the help of a classmate, or a friend. This is the best way to study as you will have a few minutes and you can do it when you will have the free time.Write about the reflection on visit essay in the notebook that is provided to you. When you do not have a notebook, a word document is just what you need. Do not put any paragraph that is not related to the situation in the writing. You may add few word s and some sentences here and there, but make sure that the topics are related to the topic you have chosen.After you finished writing the reflection, it is time to give it to your friend or a person who will look for a document and will give you the result. This is your chance to find out what you do and what you should do next. You have to take this time to reflect to yourself. You should always look back and then make sure that what you have written is perfect and then you can take a chance to make it a reality.

Saturday, April 11, 2020

Each Year, Three Thousand To Five Thousand People Are Diagnosed With D

"Each year, three thousand to five thousand people are diagnosed with Down Syndrome in the United States. It is found in approximately one out of one thousand all live births." (Nadel,37). Down Syndrome occurs when there is an abnormality in chromosome 21. Most people with Down Syndrome (approximately ninety-five percent) has an extra 21 chromosome. Instead of the normal number of forty-six chromosomes in each cell, the individual with Down Syndrome has forty-seven chromosomes. "This condition is called trisomy 21."(Pueschel,6) .Down Syndrome is a combination of birth defects including some degree of physical abnormalities, musculoskeletal disorders, and hypothyroidism. Granted, individuals with Down Syndrome have distinct physical characteristics. Generally they are more similar to the average person in the community than they are different. The physical features are important to the physician in making the clinical diagnosis. Not every child with Down Syndrome has all the characteristics; some may only have a few, and others may show most of the signs of Down Syndrome. Some of the physical features in children with Down Syndrome include flattening of the back of the head, slanting of the eyelids, small skin folds at the inner corner of the eyes, depressed nasal bridge, slightly smaller ears, small mouth, decreased muscle tone, loose ligaments, and small hands and feet. "About fifty percent of all children have one line across the palm, and there is often a gap between the first and second toes" (Pueschel,240). The physical features observed in children with Down Syndrome usually do not cause any disability in the child. Moreover, there are many health problems associated with Down Syndrome. "Sixty to eighty percent of children with Down Syndrome have hearing deficits." (Pueschel,235). If there is a significant hearing loss, the child should be seen by an ear, nose and throat specialist. "Forty to forty-five percent of children with Down Syndrome have congenital heart disease" (Marino,63). Many of these children will have to undergo cardiac surgery. Intestinal abnormalities also occur at a higher frequency in children with Down Syndrome. For example, blockages of the esophagus, small bowel, and at the anus are not uncommon in infants with Down Syndrome. These may need to be surgically corrected at once in order to have a normal functioning intestinal tract. Children with Down Syndrome often have more eye problems than other children who do not have this chromosome disorder. For example, "three percent of infants with Down Syndrome have cataracts."(Pueschel,49) They need to be removed surgically. Other eye problems such as cross-eye, near-sightedness, far-sightedness and other eye conditions are frequently observed in children with Down Syndrome. Another concern relates to nutritional aspects. Some children with Down Syndrome, in particular those with severe heart disease often fail to thrive in infancy. On the other hand, obesity is often noted during adolescence and early adulthood. Maintaining an appropriate diet can prevent these conditions. It is important for individuals with Down Syndrome who skeletal problems have also been noted to be more common in children with Down Syndrome to get special help, including patients with kneecap subluxation, hip dislocation, and atlantoaxial instability. The latter condition occurs when the first two neck bones are not well aligned because of the presence of loose ligaments. Most of these people, however, do not have any symptoms, and "only one to two percent of patients with Down Syndrome have a serious neck problem that requires surgery"(Pueschel,217). Furthermore, The thyroid gland sits at the base of the front of the neck and makes thyroid hormone from iodide, thyroglobulin and tyrosine. This results in the production of thyroxine (T4), which is a prohormone and the actual thyroid hormone, T3. Both T3 and T4 are secreted by the thyroid into the blood stream. Hypothyroidism is the most common problem for individuals with Down Syndrome. Hypothyroidism is when the thyroid cannot produce enough thyroid hormone. This can be present at birth (congenital) or may be acquired at any age. Every state in the US does a routine screen on all newborns for hypothyroidism. "In newborns and infants with Down Syndrome, the most common reason for hypothyroidism is that the thyroid did not form correctly in the fetus" (Pueschel, 220). In acquired hypothyroidism, the most common reasons in toddlers and older children with Down Syndrome is autoimmunity (where the body makes antibodies against its own thyroid) and thyroidits (where the thyroid tissue becomes replaced with white blood cells and fibrous tissue). The symptoms of low thyroid hormone are difficult to pick up, especially in infants. They include decreased growth, and development, an enlarged tongue, decreased muscle tone, dry skin and constipation, all