Pro Essay Writers

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Custom Writing

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Top Essay Writer Australia Team

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Custom Essay Writing Services

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Rush Essay

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Custom Essay Writing

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The 10 Best Essay Writers Near Me

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Top Essay Writer Australia Team

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In addition, a person’s mental health could be a pointer as to whether they receive the necessary psychiatric care when necessary and in the case where psychotropic medications are used whether they are justified and their use monitored on a monthly basis. In our line of work, we receive many children with mental health problems and it is our responsibility to evaluate them individually and understand what could be triggering or encouraging the conditions so that we can give them the appropriate care that can nurture them to make independent decisions without stigmatization and isolation. Lunsky et al. (2008) emphasize on the role that medical ethics play in protecting the medical rights of people with intellectual disability. Caregivers, healthcare providers and patients with disability should work together with the ultimate goal of achieving good health while meeting their medical rights. Self-determination in healthcare should be encouraged to reduce disparities in health that people with intellectual disabilities undergo. Self-determination has the capacity to change issues that are known to be sources of health disparities for example patient-level factors, health system factors and communication issues from the patient or healthcare provider. Bà © rube (2013) argues that democratic principles give prospective parents the right to choose what they desire.   He recognises how difficult it is to maintain the abortion rights of an individual in the face of a social stigma directed at people who are disabled shaping their prenatal choices.   Bà © rubà © visual izes a world where certain conditions are screened and disability is not equated with disease. He adds that disabled people must be allowed to participate in the democratic deliberation of the public policies that affect them. Medical care and screening This helps in determining whether the medical problems identified have been resolved and referrals to specialists are made when necessary. It will also help in determining whether the person with disability and the care provider comply with the recommended medical treatments.   It also ensures that before or during the period that behavioural and educational assessments and interventions are done, the individual is examined to evaluate vision, hearing, allergies, reactions to medications and other medical conditions that might be contributing to challenging behaviour but have not been recognized. In their study, Raina and Lunsky (2010) established that inpatients and outpatients from the forensic group engaged more in substance abuse, had higher levels of IQ and considerably longer stay lengths compared to the non-forensic group. This did not however translate to high rates of personality disorders in the forensic group, where the clients also had equal gender distribution. This is a clear indication that these clients need to be served in such a manner that they are accorded the necessary mental health supports adequately as well as the legal supports to address forensic-related issues. Similarly, in my day-to-day experiences with students in my early childhood special needs class, I have to thoroughly understand an individual’s medical history to know the specific medical problems they are suffering from in order for me to tailor the necessary supports and interventions that can help them grow and achieve independence as an individual rather than as a group. Question 2 Based on the video clip, the different components of Enhanced Milieu Teaching (EMT) used by the mother to encourage communication from the child are; setting up an interactive context whereby the child is allowed to initiate the communication, response of interaction by responding to the child’s communication to you and using verbal terms to teach them how to have a conversation, modelling and expanding play by linking words with engaging activities and letting the child take the child, modelling communication target to expand the child’s utterances, environmental arrangement strategies whereby non-verbal tasks are used to initiate communication and   milieu teaching procedures where an adult encourages the child to say something by giving them a signal. Sandberg and Liliedahl (2008) advocate that prelinguistic children are given an active role in play interactions and provided with opportunities to ask questions in order to reinforce language development. I would recommend that the mother use parent coaching to improve interactive communication with their child. For instance, the mother can enrol the child in a group-based program to complement the EMT. Moore et al. (2013) note that group training tends to be more effective and promoted an environment where peer parents are able to support and guide each other thereby encouraging participation and engagement, especially when they involve parent education programs that aim at reducing children’s challenging behaviours. The authors add that small groups consisting of 5-6 families are more effective as parents get an opportunity to share progress, support each and discuss the way forward in implementing strategies. Another Milieu teaching strategy I would recommend is naturalistic intervention through the use of play and routines. According to Curiel and Sainato (2016), the focus in this case is on training the parents or adults present in the environment of the child to recognise and respond to attempts at communication by the child. This is because most attempts at communication by the child often go unnoticed leading to missed opportunities at elaboration of language. Children’s daily routines such as bath time, dressing, mealtime, nappy time and reading before going to bed provide rich environments for learning language. This is also shown by Ogletree et al. (2011) who demonstrate the acquisition of communication skills by a child through perlocutionary, illocutionary and locutionary stages where peers and teachers serve as communication partners.

Importance Of A Good Transport System - 1503 Words

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Tourism Is A Key Pillar Of New Zealand s Economy

Tourism is a key pillar of New Zealand’s economy. The tourism industry in New Zealand contributes to nearly 3.7% of the country’s gross domestic product. Though a key pillar of the economy, it is also raised a lot of problem in its environment. Tourism is gradually damaging the environment of New Zealand and it has raised an alarm for the country to consider its pillar sector. New Zealand has magnificent sceneries such as the Mt. Victoria, the Fiordland National Park, The Southern Lakes and the Expansive national museum. This essay endeavors to ascertain that tourism in New Zealand is causing environmental issues in the country. Discussion Tourism has adversely affected the environment of New Zealand in the following ways: its biggest impact is on the loss of quality land. Some of New Zealand’s unhampered natural environments are experiencing human interference in their natural setting. 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Cocaine and New Melting Point free essay sample

The local anesthetic, benzocaine, was synthesized via the esterification of p-aminobenzoic acid with ethanol. The percent yield of crude product was determined to be 21% and the melting point was recorded at 86. 2 °C  ± 0. 2 °C, with a 6. 3% error from 92 °C, the literature melting point of pure benzocaine. The crude product was then recrystallized to improve the purity of benzocaine and 57. 4% was recovered. The new melting point range was measured at 89. 1 °C  ± 0. 3 °C, which has a 3. 15% error. The infrared spectrum of the recrystallized product was measured to further verify that the synthesized product was benzocaine. Introduction The discovery of benzocaine as a local anesthetic came out of necessity to find a replacement for other anesthetic compounds with high toxicity levels such as cocaine and similar synthetic drugs. Cocaine has been used for its pain relief and stimulant effects for centuries, specifically by the Amerindian population in the Peruvian Andes, in the form of chewing the coca leaf (Erythroxylon coca) (Pavia et al, 283). The pure crystalline tropane alkaloid and active component of the coca leaves, cocaine, was isolated in 1862, and was used as an anesthetic in surgical and dental procedures in the 1880’s (Pavia et al, 284). However, it was soon realized that the use of cocaine was not safe because the lethal dose was very close to the treatment dose and because of the toxic effects on the central nervous system, including addiction (McMaster University). As a result, scientists began to make substitute synthetic compounds similar in structure to cocaine, which consists of an aromatic residue, an intermediate chain, and a basic tertiary amino group, shown in figure 1. Figure 1: Structure of Cocaine (ChemWiki) All of the synthetic drugs that derived from the structure of cocaine had similar functional groups including an aromatic ring at one end, which is typically an ester of an aromatic acid, a basic tertiary amino group at the ther end (which increases the compound’s solubility in the injection solvent), and a central chain of atoms one to four units in length that connects the two ends (Pavia et al, 284). Benzocaine does not possess the tertiary amino group and thus is not used for injection, but only as a topical anesthetic. To synthesize an aromatic ether involves the esterification of a benzoic acid in the presence of acid. The benzoic acid is not reactive enough to undergo nucleophilic addition so a strong acid is requir ed to protonate the carbonyl oxygen, which gives it a positive charge, thus making the molecule more reactive. The tetrahedral intermediate then loses a water molecule to yield the ester product for an overall substitution of a hydroxide group (-OH) by an alkyl group (-OR) (McMurry, 796). The general mechanism for esterification is shown in figure 2. Figure 2: Mechanism of Esterification Reaction. 1. Protonation of carbonyl N? attack 2. Formation of good leaving group 3. Loss of water and another deprotonation forms the ester (Organic Chemistry Help) In this experiment, Ethyl p-aminobenzoate, or benzocaine, was synthesized by the esterification reaction mechanism of p-aminobenzoic acid and ethanol in the presence of sulfuric acid. The general reaction is shown in figure 3. Figure 3: Esterification of p-aminobenzoic Acid to Synthesize Benzocaine (ChemWiki) Experimental An analytic balance was used to measure 0. 1212g of p-aminobenzoic acid. The p-aminobenzoic was transferred to a 3mL conical vial along with 1. 2mL of absolute ethanol, and a magnetic spin vane was added to dissolve the solid. Next, 1. 0mL of concentrated sulfuric acid was added drop-wise to the vial while the solution was still being mixed by the spin vein, and a white precipitate formed in the vial. The mixture was then refluxed; a water cooled condenser was attached to the vial and the mixture was allowed to come to a gentle boil at 105 °C with constant stirring by the spin vein. After 70 minutes of reflux, the vial mixture was allowed to cool to room temperature and the contents were transferred via Pasteur pipette into a beaker with 3mL of water. Next, 1mL plus an additional 10 drops of 10% sodium carbonate was added drop-wise to the beaker until the solution reached a pH of 8. The precipitate formed (crude benzocaine product) was collected via vacuum filtration and washed with water during the transfer into the Hirsch funnel. The product was allowed to dry for one week after which the mass and melting point of the crystals were measured. The crude product was then recrystallized in a Craig tube over a warm water bath (60-70 °C) by adding methanol drop-wise until the solid completely dissolved. Eight drops of hot waster were then added to reform the precipitate, followed by subsequent addition of 15 methanol drops to re-dissolve the precipitate. The solution was then chilled in an ice bath and â€Å"seeded† with a spatula to induce crystallization. The recrystallized product was then collected via gravity filtration using an air vacuum to accelerate the process. An analytical balance was used to determine the mass of the purified product. The crystals were collected in two capillary tubes and a MelTemp device was used to measure the new melting point. A sample of crystals was run through the IR spectrometer to obtain the infrared spectra for the purified benzocaine product. The data and calculations sheets are attached to the report. Results and Discussion Ethyl p-aminobenzoate, or benzocaine, was synthesized via the esterification reaction mechanism of  ¬Ã‚ ¬p-aminobenzoic acid and ethanol in the presence of sulfuric acid. The mass of the crude benzocaine product was determined to be 0. 31g for a 21. 2% yield. The yield was very low but can be accounted for by the loss of crude product in the second week. The crystals were mistakenly first transferred into a conical vial before they were transferred into a Craig tube. The crude product was very fine and adhered to the walls of the conical vial so that not all of it was recovered. In addit ion, there was minimal loss of product during the various mixture transfers from container to container throughout the lab procedure. Yet another possibility for such low yield remains that the reaction did not proceed to completion. During the neutralization process, sodium carbonate was added until the pH was 8, however, it is likely that the pH was actually slightly less than that because a 100% color match of pH paper was not achieved, and addition of sodium carbonate may have been prematurely stopped. The melting point range for the crude benzocaine product was measured at 86. 2 °C  ± 0. 2 °C. There is a 6. 3% error from the literature melting point of pure benzocaine which has been established at 92 °C. The lower melting point implies that there were impurities present in the crude product. The crude product was then recrystallized in order to increase the purity of benzocaine and in the process only 0. 0178g or 57. 4% of the product was recovered. The new melting point range was determined to have a range of 89. 1 °C  ± 0. 3 °C, which only has a 3. 15% error based on the literature melting point of pure benzocaine. This lower percent error indicates that the recrystallization of crude benzocaine did have purifying effects on the product. Ultimately, the purifying effects outweigh the product loss during recrystallization because in this case, the product benzocaine, a topical anesthetic, is most effective in its pure state. The goal for this synthesis is to obtain pure benzocaine, thus one recrystallization step or more are an important part of the experimental procedure. In order to further characterize the synthesized benzocaine, an infrared spectrum was taken from a sample of the recrystallized product. The structure of benzocaine, shown in figure 4, has an amino group, an aromatic component, and an ester component. Figure 4: Structure of Ethyl p-aminobenzoate, or benzocaine (ChemWiki) As can be seen in the IR spectrum in figure 5, the functional groups are all present, indicting a successful synthesis of benzocaine. The amino group peaks between 3200-35000cm ¬Ã‚ ¬Ã‚ ¬-1, the strong aromatic C-H bonds show absorbance at approximately 3000cm-1, and the ester absorbs near 1700cm-1. A sample of the purified benzocaine was tested for its effectiveness as an anesthetic on the skin. A small amount was rubbed on the skin (top of hand). Next, several tests were performed including: addition of a drop of hot water to the treated area and to a non-treated area, addition of a drop of cold water to both areas, and slight poking with a pen on both the treated and untreated areas. It was determined that the benzocaine produced did have anesthetic properties because the sensations were less intense on the treated skin than on the untreated skin. The effects lasted for approximately five minutes. In conclusion, benzocaine was successfully synthesized, despite the low yield, in the esterification reaction of p-aminobenzoic acid and ethanol. The recrystallization procedure yielded more pure and more desirable benzocaine product, which can be seen by the higher melting range and further characterized by the IR spectrum.

Top Three Coalition Essay Topics

Top Three Coalition Essay TopicsThere are several different Coalition Essay Topics that you could choose from. However, you should not choose a topic that is in opposition to your personal view on the political system. Remember that you are an individual; however, that is not the issue at hand. Choose a topic that is in-line with your personal view and beliefs.In our first article, we discussed some common Coalition Essay Topics. The rest of this article will focus on two of those Coalition Essay Topics.One of the Coalition Essay Topics that you could choose is the Army Test. This is a large Military Organization, which has a lot of competition. You could have to compete against other candidates, but you should be aware that you might come in a close second to someone else.The other Coalition Essay Topic is the Military Recruiters. Once again, there are many candidates competing for the position, but if you choose the right one, then you may find that you have a better chance of bein g hired as a Military Recruit.The third Coalition Essay Topic is the Political Movement. Remember that the other Coalition Essay Topics will have a political impact on you. Once again, if you choose the wrong one, then you might end up in a political contest with another person.If you choose the correct Coalition Essay Topics, then you will stand a better chance of becoming a better person, a better military career, and a better civilian career. Remember that you do not want to choose the wrong Coalition Essay Topics.These are the three Coalition Essay Topics that you should consider. In the next article, we will cover the final Coalition Essay Topic. We will discuss what the pros and cons are to each of the three Coalition Essay Topics.