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Author. Title. Title of the container. Other contributors, Version, Number, Publisher’s name, Date of publication, Location. Here is an example of how an actual source (in this case, a book) looks when cited using the School homework help romans, 8th edition style: Goodwin, Doris. Team of Rivals: The Political Genius of Abraham Lincoln . Simon Shuster, 2012.

For more help with creating citations with these core elements, try the MLA citation maker on EasyBib. 2. Inclusion of “containers” in citations. When the source you are referencing is actually a small part of Tudor house a larger source, such as a chapter within a book, the larger source is called the “container,” as it “contains” the smaller source. Generally, the School help romans, container is Tudor house, italicized and is followed by a comma. For more details on this, see the examples below.

You can also create citations with containers in the MLA citation machine. MLA citation format for citing a title within a container might looks as follows: Source Author(s) Last Name, First Name. Accounting 2013? “Title of Source.” Container Title , Container Contributor(s) First Name Last Name, Publisher, Date Published, page numbers. Here is an example full citation of how to cite a book chapter using the 8th edition format: Uenten, Wesley Iwao. “Rising Up from a Sea of Discontent: The 1970 Koza Uprising in U.S. Tudor Sp.z.o.o? Occupied Okinawa.” Militarized Currents: Toward a Decolonized Future in Asia and the Pacific , edited by Setsu Shigematsu and Keith L. Camacho, University of Minnesota Press, 2010, pp. 91-124. 3. The ability to use pseudonyms for paper helper up author names. In order to more efficiently create accurate citations for new source types, it is now acceptable to use online handles or screen names in Tudor house, place of authors’ names. @TwitterHandle. “Content of Tweet.” Twitter, Date, Time, URL (omit http:// or https://). @realDonaldTrump. “I will be having a general news conference on JANUARY ELEVENTH in N.Y.C.

Thank you.” Twitter , 3 Jan. 2017, 6:58 p.m., twitter.com/realDonaldTrump/status/816433590892429312. 4. Adding the Essay paper helper, abbreviations vol. and no. to magazine and journal article citations. In previous versions of the style, there was no indication that the numbers in Tudor, periodical citations referred to the volume and issue numbers. This has changed in the 8 th edition to Pay homework history, be clearer to the reader. O’Carol, John. “The Dying of the sp.z.o.o, Epic.” Anthropoetics 30.2 (2011): 48-49.

Print. O’Carol, John. “The Dying of the Epic.” Anthropoetics , vol. 30, no. 2, 2011, pp. 48-49. Unlike previous editions, the inclusion of URLs in Accounting july, citations highly recommended by the 8 th edition. Omit “http://” or “https://” from the URL when including it in a citation. 6. Omitting the Tudor house, city of publication. In previous versions of the citation style, researchers included the city where the publisher was located. Today, this information generally serves little purpose and login, the city of publication can often be omitted. Only include the city of publication if the version of the source differs when published in a different country (Example: British editions of books versus versions printed in the United States).

7. Tudor House Sp.z.o.o? Flexibility in Essay paper helper up, citation formatting. In addition to one universal format for all source types, the house sp.z.o.o, 8th edition now allows for more flexibility in citation presentation than previous versions of the style. Now Trms? For example, there is technically no right or wrong way to document a source, and certain aspects of Tudor house a source can be included or excluded, depending on history, the focus of the work. For example, if you are citing the movie, Casablanca , and your research project focuses on the main character, Rick Blaine, it would be beneficial to your reader for you to include the name of the actor, Humphrey Bogart, in your citation. Other writers who instead focus on the whole movie in their paper may elect to Tudor sp.z.o.o, just include the paper helper, name of the director in their works cited page. To create the Tudor house sp.z.o.o, best and most effective citations, you always should think about which pieces of information will help readers easily locate the source you referenced themselves. Your teacher may want you to assignment 2013, format your paper using the guidelines specified in the 8th edition. If you were told to create your citations in this format, your paper should be formatted using the new MLA guidelines as well. Use white 8 ? x 11” paper.

Make 1 inch margins on the top, bottom, and house sp.z.o.o, sides The first word in every paragraph should be indented one half inch. Indent set-off quotations one inch from the left margin Use any type of font that is easy to Essay, read, such as Times New Roman. Make sure that italics look different from the Tudor house, regular typeface Use 12 point size Double space the entire research paper, even the works cited page. Leave one space after periods and other punctuation marks, unless your instructor tells you to make two spaces. You can either create a title page using EasyBib’s Title Page creator or omit the title page completely and use a header. To create a MLA header, follow these steps: Begin one inch from the helper, top of the first page and flush with the left margin. Type your name, your instructor’s name, the Tudor sp.z.o.o, course number, and Accounting assignment july 2013, the date on separate lines, using double spaces between each. Double space once more and center the title. Do NOT underline, bold, or type the title in all capital letters. Only italicize words that would normally be italicized in the text.

Example: Character Development in The Great Gatsby. Do not place a period after the title or after any heading. Double space between the title and first lines of the text. Placed in the upper right-hand corner, one half inch from the top, flush with the right margin. Type your last name before the page number. Tudor House? (To make this process easier, set your word processor to automatically add the last name and page number to each page). Do not place p. before the page number. Many instructors do not want a page number on the first page. Ask your instructor for their specific preferences. Should be placed as close as possible to Accounting july, the text that they most closely refer to. Label tables with: “Table,” an house sp.z.o.o, arabic numeral, and create a title for it.

This information should be located above the table, flush left, on separate lines. Format the title the same way as the School homework, title of the paper. Underneath the table, provide the source and any notes. Notes should be labeled with a letter, rather than a numeral, so the reader is able to house sp.z.o.o, differentiate between the help history, notes of the text and the notes of the table. Use double spacing throughout. Tudor Sp.z.o.o? Label illustrations with: Fig. (short for figure), assign an arabic number, and provide a caption.

The label and caption should appear underneath the illustration. **If the table or illustration’s caption gives complete information about the source and the source isn’t cited in the text, there is no need to include the citation in the works cited page. Label musical scores with: Ex. (short for Example), assign it an essay, Arabic numeral, and provide a caption. The label and house sp.z.o.o, caption should appear below the musical illustration. The 8th edition recommends that numbers are spelled out if the number can be written with one or two words. For larger numbers, write the number itself. One, forty four, one hundred, 247, 2 ?, 101. If the help history, project calls for frequent use of Tudor numbers (such as a scientific study or statistics), use numerals that precede measurements. 247 milligrams, 5 pounds.

Here are some other formatting tips to keep in mind: Do not start sentences with a numeral, spell out the number. Always use numerals before abbreviations or symbols, ex. 6 lbs. In divisions, use numbers, ex: In page 5 of the study. The purpose of an MLA works cited list is to display the sources that were used for Case study assignment essay for social work a project, and to give credit to the original authors of the works that were consulted for a project. Works Cited lists are typically found at the very end of Tudor a project. Citations are what make up a works cited list. Here are some tips on how to create a works cited list for your citations: Citations are listed in alphabetical order by the first word in the citation, which is typically the Pay homework history, last name of the house, author.

Each citation should have a hanging indent. When there are two or more sources with the same author, only Essay up, include the author’s name in the first citation. In the second or subsequent citations, use three hyphens in place of the author’s name, followed by a period. Middlekauff, Robert. The Glorious Cause: The American Revolution. Oxford UP, 2007. – – -. Colonial America . Oxford UP, 1999. Connell, James. “The Battle of Tudor house Yorktown: What Don’t We Know?” The American History Journal, vol. 19, no. 6, 2005, pp.

36-43. Middlekauff, Robert. School Help? The Glorious Cause: The American Revolution. Oxford UP, 2007. – – -. Colonial America . Oxford UP, 1999. The Patriot. Directed by Roland Emmerich, performed by Mel Gibson and Heath Ledger. Columbia Pictures, 2002. The 8th edition also has standardized rules regarding the formatting of titles within citations. Here are some of the rules pertaining to titles in the new MLA format:

When citing book titles, always enter the full title, in italics, followed by Tudor, a period. See the MLA format citation below: Last Name, First Name. Italicized Title . Publisher, Publication Year. When citing periodicals, place the title of the homework help romans, article in quotes, with a period at the end of the title. The italicized title of the house, periodical follows, along with a comma. An MLA format example is below: Last Name, First Name. “Title of the Article.” Periodical Title.” Publication Year, Page Numbers. When citing a website, the title of the web page or article is placed in quotation marks, with a period before the end quotation. The title of the website is written in italics followed by a comma.

If the name of the Case study assignment essay for social work, publisher differs from the name of the website, include it after the title. House Sp.z.o.o? Immediately following the publisher is the date that the page or article was published, or posted. Finally, end with the URL. The URL is the website’s address. The citation format is as follows: Author’s Last name, First name. “Title of the Article or Individual Page.” Title of the website, Name of the publisher, Date of publication, URL. Click here for additional information on website titles. Giving credit to the author of works that you use in paper, your research paper is not only important for citation accuracy, but will prevent plagiarism.

In order to include the author’s name in your citation, follow the guidelines listed below: Author formatting: Olsen, Gregg. Citation example: Olsen, Gregg. If I Can’t Have You: Susan Powell, Her Mysterious Disappearance, and the Murder of Her Children . St. Martin’s True Crime, 2015, pp. 18-22.

Place the authors in Tudor sp.z.o.o, the order in help history, which they appear on the source. Note that only the lead author’s name is listed last name first; all additional authors are listed by their first name, middle initial if applicable, and then last name: Author formatting: Bernecker, Sven, and Fred Dretske. Citation example: Bernecker, Sven, and Fred Dretske. Knowledge: Readings in Contemporary Epistemology. Oxford: UP, 2007.

List the author’s last name, first name, and then middle initial if applicable. Tudor Sp.z.o.o? Follow it with a comma, and then add et al. in place of the additional authors: Author formatting: George, Michael L., et al. Citation example: George, Michael L., et al. The Lean Six Sigma Pocket Toolbook. McGraw-Hill, 2005. In cases where the person responsible for creating a work is someone other than the author, such as an editor, producer, performer, or artist, always include the individual’s role after the name: Kansaker, Tej Ratna, and Mark Turin, editors.

When citing works of Accounting assignment solution july entertainment, such as film or television, include the sp.z.o.o, name and Case study assignment essay work, role of the sp.z.o.o, person on whom you’ve focused: Byrne, Rose, performer. *Note: If you are writing about a film or television show that does not focus on an individual’s role, omit the author’s name and start the Essay, citation with the title. If a corporation is the house sp.z.o.o, author of the text, include the full name of the corporation: The American Heart Association. Treat the Accounting assignment 2013, translator as the author.

You should do this only if the focus of your paper is on the original translated work. Include the name of the original creator after the title, preceded by the word “By”: Author formatting: Rabassa, Gregory, translator. Citation example: Rabassa, Gregory, translator. One Hundred Years of Solitude. Tudor House? By Gabriel Garcia Marquez, Random House, 1995. When no author is given in a text, omit this section and romans, start the citation with the title. Sources can be released in different versions, or forms. Tudor House Sp.z.o.o? For example, a book can have various versions – such as a first edition or a second edition, even an Case assignment for social work, updated edition. A movie can have an unrated or an uncut version. It is important to house, communicate to the reader which version was used to help them locate the essay for social, exact source themselves.

For books, if it is a specific numbered edition, type out the numeral and Tudor, use the abbreviation “ed.” for edition. If no specific version is mentioned or located, omit this information from the citation. Examples of 8th edition citations for sources with various versions: Weinberger, Norman M. “The Auditory System and paper helper up, Elements of Music” The Psychology of Music, edited by Diana Deutsch, 2nd ed., Academic Press, 1999, p.61. Tudor House? Google Books, books.google.com/books?id=A3jkobk4yMMClpg=PP1dq=psychologypg=PR6#v=onepageq=psychologyf=false. JFK. Performance by Kevin Costner, directed by Oliver Stone, director’s cut ed., Warner Home Video, 2008. When including the date of publication, there aren’t any set rules to how the date should be input into the citation.

For example, you can use May 5, 2016 or 5 May 2016. Help? What does matter is consistency. Whichever way the date is placed in one citation, the same format should be used in the other citations in your project. Names of months that use more than four letters are written with abbreviations. Regarding new MLA in text citations, the rules are the Tudor sp.z.o.o, same as in previous versions of the style.

When using a direct quote or paraphrasing an author’s work, place an in-text citation after the borrowed information. Generally, the in text citation is found immediately following the direct quote or paraphrase, but it is acceptable to insert it in a place, soon after, that allows for a natural pause while reading. (Author Last Page Number[s]). Ready to start citing? See the information and examples below to get started creating citations for the most popular source types. Author’s Last name, First name. Title of the work, translated by Essay paper, or edited by First Name Last name, vol. number, Publisher, Year the Tudor sp.z.o.o, book was published, page number(s). Roth, Veronica. Divergent. Homework Login? Katherine Tegen Books, 2011. Olsen, Gregg, and Rebecca Morris.

If I Can’t Have You: Susan Powell, Her Mysterious Disappearance, and Tudor sp.z.o.o, the Murder of Her Children. St. Write? Martin’s True Crime, 2015, pp. 18-22. Matthews, Graham, et al. Disaster Management in Archives, Libraries, and Museums.

Ashgate, 2009. Author’s Last name, First name. “Title of chapter or section.” Title of the house, work, translated by or edited by First Name Last name, vol. Persuasive Essay? number, Publisher, Year the book was published, page number(s). Montrose, Louis. “Elizabeth Through the Looking Glass: Picturing the Queen’s Two Bodies.” The Body of the Queen: Gender and sp.z.o.o, Rule in teacher login, the Courtly World, 1500-2000, edited by Tudor sp.z.o.o, Regina Schulte, Berghahn, 2006, pp. 61-87. How to essay for social, Cite an E-book Found Online: Author’s last name, First name. Tudor? “Title of the chapter or section.” Title of the e-book, translated by or edited by First name Last name, vol. number, Publisher, Year of School homework publication, page number(s). Title of the sp.z.o.o, web site or database, URL. Austen, Jane, and Seth Grahame-Smith.

Pride and help, Prejudice and Zombies. Quirk, 2015. Google Books, books.google.com/books?id=x5xPaPeZzmUClpg=PP1dq=zombiespg=PP1#v=onepageq=zombiesf=false. Poe, Edgar Allan. “The Gold Bug.” Short Stories for English Courses, Edited by Rosa M.R. Mikels, 2004.

Project Gutenberg, www.gutenberg.org/cache/epub/5403/pg5403-images.html. Author’s last name, First name. Tudor? “Title of the chapter or section.” Title of the e-book, translated by or edited by essay business, First name Last name, Name of e-reader device, vol. number, Publisher, Year of publication, page number(s). Doer, Anthony. All the Light We Cannot See. Kindle ed., Scribner, 2014. Author’s Last name, First name. “Title of the Article or Individual Page.” Title of the website, Name of the publisher, Date of publication, URL. White, Lori. “The Newest Fad in People Helping People: Little Free Pantries.” Upworthy, Cloud Tiger Media, 3 Aug. 2016, www.upworthy.com/the-newest-fad-in-people-helping-people-little-free-pantries?g=2c=hpstream. MLA Citation Website with no author: “Title of the Article or Individual Page.” Title of the website, Name of the Tudor sp.z.o.o, publisher, Date of publication, URL. “Giant Panda.” Smithsonian National Zoological Park, Smithsonian Institute, 2004, nationalzoo.si.edu/animals/giantpandas/pandafacts. How to teacher, Cite a Website with no webpage title:

Webpage Description. Title of the website, Name of the publisher, Date of publication, URL. General Information on sp.z.o.o, the New York Mets. NYCData, The Weissman Center for International Business Baruch College/CUNY, www.baruch.cuny.edu/nycdata/sports/nymets.htm. How to Cite a Journal Article found on a Database: Author’s Last name, First name. “Title of the article.” Title of the journal , First name Last name of any other contributors (if applicable), Version (if applicable), Numbers (such as a volume and issue number), Publication date, Page numbers. Title of the database, URL or DOI. Brian, Real, et al. “Rural Public Libraries and Digital Inclusion: Issues and Challenges.” Information and Technology Libraries , vol. 33, no.

1, Mar. 2014, pp. 6-24. ProQuest, ezproxy.nypl.org/login?url=http://search.proquest.com.i.ezproxy.nypl.org/docview/1512388143?accountid=35635. How to Cite a Journal Article found in Print: Author’s Last name, First name ” Title of the article.” Title of Essay paper up Journal , Volume, Issue, Year, pages. Bagchi, Alaknanda. “Conflicting Nationalisms: The Voice of the Subaltern in Mahasweta Devi’s Bashai Tudu .” Tulsa Studies in Women’s Literature, vol. 15, no. Tudor House Sp.z.o.o? 1, 1996, pp. 41-50.

Follow the formula for citing a book. Cite the author of the essay, the name of the essay, the name of the collection, the Pay homework help, editor of the Tudor, collection, the Accounting assignment, publication information, and the page number(s) of the essay. How to Cite an Image from a Website: If there is Tudor house sp.z.o.o, no title available for the image, include a brief description of the Essay paper helper, image instead. Creator’s Last name, First name. House Sp.z.o.o? “Title of the digital image.” Title of the website, First name Last name of any contributors, Version (if applicable), Number (if applicable), Publisher, Publication date, URL.

Jan 28, 2018 Tudor house sp.z.o.o, order essay and get it on time -

Therapist guided internet based cognitive behavioural therapy for Tudor house sp.z.o.o, body dysmorphic disorder: single blind randomised controlled trial. Objectives To evaluate the Write persuasive essay business, efficacy of Tudor house, therapist guided internet based cognitive behavioural therapy (CBT) programme for body dysmorphic disorder (BDD-NET) compared with online supportive therapy. Design A 12 week single blind parallel group randomised controlled trial. Setting Academic medical centre. Participants 94 self referred adult outpatients with a diagnosis of body dysmorphic disorder and assignment essay a modified Yale-Brown obsessive compulsive scale (BDD-YBOCS) score of ?20. Concurrent psychotropic drug treatment was permitted if the dose had been stable for at least two months before enrolment and remained unchanged during the house sp.z.o.o, trial. Interventions Participants received either BDD-NET (n=47) or supportive therapy (n=47) delivered via the Pay homework help, internet for 12 weeks. Main outcome measures The primary outcome was the BDD-YBOCS score after treatment and follow-up (three and six months from house baseline) as evaluated by a masked assessor. Help. Responder status was defined as a ?30% reduction in symptoms on the scale. Secondary outcomes were measures of Tudor sp.z.o.o, depression (MADRS-S), global functioning (GAF), clinical global improvement (CGI-I), and Write essay thesis quality of life (EQ5D). House Sp.z.o.o. The six month follow-up time and all outcomes other than BDD-YBOCS and MADRS-S at now trms teacher 3 months were not pre-specified in Tudor sp.z.o.o, the registration at clinicaltrials.gov because of an administrative error but were included in now trms teacher login, the original trial protocol approved by the regional ethics committee before the start of the trial.

Results BDD-NET was superior to supportive therapy and was associated with significant improvements in severity of symptoms of body dysmorphic disorder (BDD-YBOCS group difference ?7.1 points, 95% confidence interval ?9.8 to ?4.4), depression (MADRS-S group difference ?4.5 points, ?7.5 to ?1.4), and other secondary measures. At follow-up, 56% of those receiving BDD-NET were classed as responders, compared with 13% receiving supportive therapy. The number needed to Tudor, treat was 2.34 (1.71 to 4.35). Self reported satisfaction was high. Conclusions CBT can be delivered safely via the internet to Pay homework history, patients with body dysmorphic disorder. BDD-NET has the potential to increase access to evidence based psychiatric care for house sp.z.o.o, this mental disorder, in line with NICE priority recommendations. It could be particularly useful in a stepped care approach, in which general practitioner or other mental health professionals can offer treatment to people with mild to Homework now trms teacher, moderate symptoms at low risk of suicide. Trial registration ClinicalTrials.gov ID: NCT02010619.

Body dysmorphic disorder (BDD) is a psychiatric disorder characterised by a pervasive preoccupation with perceived defects in physical appearance accompanied by avoidance and Tudor house sp.z.o.o time consuming compulsive behaviours, such as mirror gazing and excessive camouflaging to hide perceived defects.1 If left untreated, this is a chronic and unremitting disorder that is associated with functional impairment across multiple life domains, relatively high rates of study assignment for social, psychiatric admissions to Tudor house, hospital, substance dependence, and assignment solution 2013 suicidality.2 3 4 Although the disorder is house sp.z.o.o often underdetected and underdiagnosed within the mental health services,5 6 epidemiological studies show that it is a common mental health problem, with a prevalence ranging from 0.7% to 2.2% in the general population.7 8 9 10 It is common for those with body dysmorphic disorder to Homework now trms teacher login, seek non-psychiatric care, such as dermatological treatment or plastic surgery, in house, an attempt to “fix” the perceived defects; however, such interventions rarely work and School romans can lead to a deterioration of Tudor, symptoms.11 12. Evidence based treatments for body dysmorphic disorder include psychopharmacological treatment and cognitive behaviour therapy (CBT).13 14 15 16 Guidance from the National Institute for Health and Clinical Excellence (NICE) recommends that adults should be offered the Accounting solution july 2013, choice of either a course of a selective serotonin response inhibitor or specialised CBT that deals with the key features of the disorder.17 There is, however, a gap between supply and demand of CBT because of various factors, such as a lack of Tudor house sp.z.o.o, trained therapists, direct and indirect costs associated with treatment, and geographical barriers that prevent people with body dysmorphic disorder from receiving specialised CBT.18 19 20 In two surveys, only 10-17% of people with body dysmorphic concerns reported that they had received an empirically supported psychotherapy (such as CBT), and 19-34% reported that they had received an SSRI.19 20 Thus, one of NICE’s key priorities for implementation—namely, that each primary care trust, mental healthcare trust, and children’s trust that provides mental health services should have access to a specialist multidisciplinary team offering age appropriate care—is currently far from reality.17 The growth in assignment solution 2013, demand for sp.z.o.o, mental healthcare exceeds available National Health Service (NHS) resources in now trms, the United Kingdom, and this gap is likely to increase up to 2020.21 Cost pressures require that providers find innovative ways to deliver services. The UK government’s mental health strategy “no health without mental health”22 recommends the increased use of information and communication technology to improve care and house access to services. Write Essay Thesis. UK government initiatives such as “Digital First” aim to sp.z.o.o, reduce unnecessary face to face contact between patients and healthcare professionals.21 Many people with body dysmorphic disorder report that one important reason for persuasive essay thesis business, not seeking treatment is related to feelings of shame and stigma associated with their concerns about house appearance, making telecare options potentially suitable.19 20. Internet based CBT is a burgeoning area of mental health aimed at increasing access to specialised behavioural treatments. In some countries (such as Sweden, Australia, and the Netherlands) internet based CBT has been implemented as part of the regular healthcare system and is efficacious and cost effective for a wide range of homework, mental health disorders.23 24 With the primary aim of increasing access to evidence based care for body dysmorphic disorder, we recently developed a therapist guided internet based CBT programme for body dysmorphic disorder (BDD-NET). Sp.z.o.o. In a pilot study, this was found to be safe, highly acceptable to patients, and potentially efficacious.25 Crucially, the study assignment for social work, treatment required only a fraction of the therapist time associated with regular CBT.

We evaluated the efficacy of BDD-NET compared with online supportive therapy in the management of adults with body dysmorphic disorder. Supportive therapy was chosen as a control as most patients report that they receive non-specific talking therapy when they seek help.19 We hypothesised that BDD-NET would be superior to Tudor house, online supportive therapy in reducing symptoms, as well as other psychiatric symptoms, and improve quality of life. This was a single blind parallel group superiority trial conducted at Karolinska Institutet from November 2013 to January 2015. Solution July 2013. Participants were randomly assigned to 12 weeks of BDD-NET (n=47) or online supportive therapy (n=47) in a 1:1 ratio without restriction. Both groups were followed for Tudor sp.z.o.o, three months after the Pay homework history, end of treatment (six months from baseline). This follow-up point was not included in the trial registration (clinicaltrials.gov) due to an administrative error but was included in the original study protocol. House. Participants randomised to supportive therapy were offered BDD-NET after the Homework now trms login, six month follow-up assessments. No changes to Tudor house, methods were made after the Accounting july, trial started. The study is reported in accordance to the Consolidated Standards for Tudor house sp.z.o.o, Reporting Trials (CONSORT) statement for non-pharmacological treatments.26. Eligible participants were individuals with access to the internet, aged 18 or over, and with a principal diagnosis of body dysmorphic disorder according to the Diagnostic and Statistical Manual of homework romans, Mental Disorders, 5th edition (DSM-5),1 with a score of at least 20 on the modified Yale-Brown obsessive-compulsive scale (BDD-YBOCS).27 Exclusion criteria were changes in psychotropic drug treatment within two months before enrolment, completed CBT for body dysmorphic disorder within the past 12 months, current substance dependence, bipolar disorder or psychosis, acute suicidal ideation, a severe personality disorder that could jeopardize participation in treatment (such as borderline personality disorder with self harm), and concurrent psychological treatment. House. Participants who were taking psychotropic drugs and Essay up had been taking a stable dose for at Tudor least two months before enrolment were asked to keep their dose stable during the study period.

Recruitment and determination of eligibility. Participants were recruited from all over Sweden. Flyers were distributed to psychiatrists and general practitioners throughout Sweden with information about the Essay paper up, study. House Sp.z.o.o. In addition, the study was advertised in Essay, national newspapers. Interested applicants had to register on the study’s secure website and complete an house sp.z.o.o, online screening consisting of the Montgomery-Asberg depression rating scale self report (MADRS-S),28 alcohol use disorders identification test,29 drug user disorders identification test,30 body dysmorphic disorder questionnaire,31 and general background information. The body dysmorphic disorder questionnaire is a screening instrument that has shown excellent sensitivity and specificity.31 Potentially suitable participants underwent a structured diagnostic interview with a clinical psychologist or with a trained student in the final semester of a five year clinical psychology programme. The interviews were conducted over telephone, which is a reliable administration format for structured psychiatric assessments.32 To establish a diagnosis of body dysmorphic disorder, we used the Homework teacher login, structured clinical interview for DSM-IV axis I disorders, with an added question about the presence of repetitive behaviours to reflect the updates made to the diagnostic criteria of body dysmorphic disorder in DSM-5. Tudor House Sp.z.o.o. The mini-international neuropsychiatric interview was used to determine the presence of other comorbid psychiatric disorders.33 All assessors had received extensive training in Pay homework history, structured diagnostic interviews. To ensure reliability of diagnostic procedure and house sp.z.o.o eligibility criteria, a consultant psychiatrist reviewed each case and help made the final decision on enrolment. BDD-NET is delivered through a tailored online platform with a dedicated hospital server with encrypted traffic and an authentication login function to guarantee participants’ confidentiality. Treatment lasted 12 weeks, and none of the participants had any face to face contact with a therapist.

The treatment protocol is based on a CBT model for body dysmorphic disorder, emphasising the role of sp.z.o.o, negatively reinforced avoidance and assignment 2013 safety seeking behaviours (such as mirror checking and camouflaging perceived physical defects) as maintaining factors of body dysmorphic disorder. The treatment protocol has been validated in a previous trial, and the treatment effects are comparable with those gained in house sp.z.o.o, traditional face to face CBT.25 The main intervention in BDD-NET is systematic exposure to fear eliciting situations or events combined with response prevention until anxiety and urges to ritualise subside (such as leaving home and refraining from compulsive mirror checking). In total, BDD-NET consists of paper up, eight interactive modules delivered over Tudor sp.z.o.o 12 weeks, with the Essay paper helper, first five modules containing the house sp.z.o.o, core treatment components.23 Each module is devoted to a special theme and covers psychoeducation, a cognitive behaviour conceptualisation of body dysmorphic disorder, cognitive restructuring, exposure and response prevention, more on exposure and response prevention, values based behaviour change, difficulties encountered during treatment, and prevention of relapse. To progress to the next module participants have to complete homework assignments (such as reading text material, answering a quiz at Write persuasive essay thesis business the end of each module, filling out worksheets, or doing exposure and response prevention) and report to Tudor house sp.z.o.o, their therapist. The participants had contact with an identified therapist throughout the entire treatment using a built-in email system on the BDD-NET webpage. Participants could log in for social, and send emails at any time. Tudor Sp.z.o.o. All homework assignments and questions from the participants were reviewed and answered within 36 hours, except on School, weekends. The role of the therapist was mainly to guide and coach the participant throughout the treatment, provide feedback on homework assignments, answer questions from the participants, and Tudor sp.z.o.o consecutively grant access to the next treatment module. Pay Homework History. The participants were notified by Tudor sp.z.o.o an automated text message (SMS) when they had a new email in the treatment platform from Case assignment essay for social their therapist. The therapists guiding the participants through the treatment were four clinical psychology students who had completed their basic clinical training (320 hours) and had provided therapy in house, milder cases under the supervision of a senior psychologist. The clinical psychology students had no prior experience of treating body dysmorphic disorder but were closely supervised by the lead author (JE) with weekly meetings throughout the trial.

The duration of therapist contact and sent emails was automatically recorded by now trms teacher login the BDD-NET platform. Tudor House Sp.z.o.o. Median therapist time spent weekly per participant reading and answering emails was 13.2 minutes. To ensure treatment integrity and adherence to protocol, the lead author monitored the messages sent by the therapists throughout the Essay paper, entire treatment, and Tudor house provided supervision. Appendix 1 shows a screenshot of BDD-NET. Participants had access to the integrated email system on the BDD-NET webpage and unlimited access to an identified therapist. School Help Romans. They were given the opportunity to talk freely about their experiences, thoughts, and feelings about body dysmorphic disorder and house sp.z.o.o how it affected their life. The therapist sent an email at least once a week, encouraging the participant to discuss distressing life events and to romans, promote problem solving. The therapists used skills drawn from counselling techniques and included minimal encouragers, reflecting, empathising, and summarising. All emails from the participants were reviewed and answered within 36 hours, and participants were notified by an automated text message when they had a new email in the treatment platform. Treatment lasted 12 weeks, and none of the Tudor house, participants had any face to Pay homework help history, face contact with a therapist. Non-directive supportive therapy delivered via the internet has been shown to reduce symptoms associated with obsessive compulsive disorder,34 though there are no reports of its efficacy for body dysmorphic disorder.

The supportive therapy served as a control for caregiver attention and the possible anxiety alleviating effect of sharing one’s distress with a therapist. The same therapists that guided participants through BDD-NET delivered the supportive therapy. Therapists spent a median of 6.3 minutes per participant per week reading and answering emails. To ensure treatment integrity, the lead author monitored the messages sent by Tudor sp.z.o.o the therapists throughout the entire treatment and provided supervision. No therapist drift (deviation from treatment protocol) was detected in either of the groups. Participants were randomised on homework, a 1:1 ratio with simple randomisation with no constraints. To prevent potential selection bias related to the randomisation procedure, an external party not involved in the inclusion process used a true number service (www.random.org). Allocation concealment was ensured through randomisation after the Tudor sp.z.o.o, decision to include each participant had been made.

Immediately after randomisation, participants received information about which treatment they had been allocated to and how they could log on to the secure website. Write Persuasive Business. Assessors in the trial remained masked to treatment allocation at baseline and three and six month follow-up. Tudor Sp.z.o.o. Because of the nature of the Homework, intervention, participants and therapists were not blinded to treatment. All participants were assessed at Tudor house baseline and then received 12 weeks of treatment. 2013. Follow-up times were three and six months from sp.z.o.o baseline (after treatment and three months after treatment, respectively). After the six month follow-up, participants in the supportive therapy group were offered BDD-NET and reassessed after receiving 12 weeks of additional treatment with BDD-NET. Participants also completed online self report measures at these time points, a method that has been shown to be as reliable and paper helper up as valid as written administration.35 36.

The primary outcome was change in severity of symptoms of Tudor, body dysmorphic disorder assessed with the persuasive essay thesis business, BDD-YBOCS administered by a clinician.27 The BDD-YBOCS can be considered the ideal for assessing symptom severity and has a total score of 0-48, with a higher score indicating more severe disorder. To ensure quality of assessments, clinicians in this trial practiced together on case examples with excellent reliability between raters (intraclass correlation 0.95, 95% confidence interval 0.89 to house sp.z.o.o, 0.98). Secondary outcomes included responder status defined as an Case study work, empirically derived cut off point of ?30% reduction from baseline on the BDD-YBOCS.37 Remission was defined as patients who no longer met diagnostic criteria for body dysmorphic disorder. Depressive symptoms were assessed with the MADRS-S.28 Clinician rated global functioning and improvement was assessed with the global assessment of Tudor sp.z.o.o, functioning scale (GAF)38 and the clinical global improvement scale (CGI-I).39 Quality of Essay helper, life was assessed with the Tudor sp.z.o.o, EQ5D EuroQol (EQ5D).40 All outcomes other than BDD-YBOCS and MADRS-S at three months were not pre-specified in the registration at clinicaltrials.gov because of an administrative error but were included in the original trial protocol approved by Accounting assignment july the regional ethics committee before the sp.z.o.o, start of the persuasive thesis business, trial. The occurrences of adverse events were recorded mid-treatment and Tudor after treatment with a self report form.41 Treatment credibility and expectancy of study assignment, improvement were recorded at sp.z.o.o week two with the C scale (included post hoc after trial registration).42. We received input from patients from the BDD-NET pilot trial on the treatment material.

No patients were involved in solution 2013, setting the house, research question or the outcome measures, nor were they involved in developing plans for recruitment, design, or implementation of the study. No patients were asked to advise on interpretation or writing up of Case study assignment work, results. We carefully assessed the burden of the trial interventions on the patients by collecting information about adverse events, quality of house, life, and time spent on the treatment. We plan to disseminate the results of the research to study participants and to the Swedish OCD Foundation. Power calculation and statistical analysis. We powered the study to be able to Essay paper, detect at least a medium standardised effect size (Cohen’s d). We based power calculations on a previous pilot trial of Tudor sp.z.o.o, BDD-NET and the efficacy of Accounting assignment, online supportive therapy for obsessive compulsive disorder.25 34 A sample size of 39 per group was required to give 80% power and Tudor a two sided 5% significance for detecting a mean difference between groups of at least 4 and a standard deviation of 6.24 on the BDD-YBOCS between BDD-NET and supportive therapy. We anticipated a potential 10% dropout rate, giving a planned sample size of at least 44 per group, or 88 in total.

There were no planned interim analyses or rules for stopping. Analyses were by intention to help, treat, with participants analysed in the group to which they had been randomised. Missing data were deemed to be missing at random by using Little’s missing completely at random test. Linear mixed models with maximum likelihood estimations were used to evaluate the house sp.z.o.o, effect of treatment group on the different outcomes. Such models take into assignment essay for social work account the differences in rate of change and differences in trajectories of change between individuals with repeated responses and use all the Tudor sp.z.o.o, available data for each participant.43 The fixed part of the model included a treatment indicator variable (supportive therapy/BDD-NET), a time indicator variable (three or six months), and an interaction effect of treatment ? time to allow for differential change between the two groups from the three to the six month follow-up. Baseline (before treatment) scores on each outcome measure were included as covariates. Participant varying intercepts were included as a random effect in the model. As therapist support time varied between the two treatment arms, it was included as an additional covariate in School homework help, the model. House. Because it did not predict outcome, however, (P=0.11-0.98) it was dropped from the final model. We used ? 2 tests for categorical data and independent t tests for assessing differences between groups when time was not a factor on the outcome variable. We carried out help romans, post hoc analysis of participants in the supportive therapy arm who later crossed over to BDD-NET after the six month follow-up using paired t tests.

Effect sizes within and between groups were calculated as Cohen’s d. Tudor. All statistical analyses were done in STATA 13.1. Figure 1 ? shows the flow of participants through the trial. At follow-up at three and six months there was a 1% and 9% loss of data, respectively. Essay Paper Helper Up. Little’s test suggested that the missing data met the assumption for Tudor house, missing at random (? 2 =42.57, df=52, P=0.82). There were no significant differences in dropout rates across conditions at after treatment (? 2 =1.01, df=1, P=0.32) or at the six month follow-up (? 2 =1.11, df=1, P=0.29), and dropouts did not significantly differ from study assignment for social work completers on Tudor house, baseline demographics or on symptom measures. The two groups did not significantly differ on Essay helper up, any baseline characteristics (P=0.08-1.00; tables 1 and 2 ? ). Fig 1 Flow of participants with body dysmorphic disorder (BDD) through study of therapist guided internet based cognitive behavioural therapy (BDD-NET) Sociodemographic characteristics of participants with body dysmorphic disorder according to allocation to internet based cognitive behavioural therapy (BDD-NET) or supportive therapy.

Figures are number (percentage) of participants unless stated otherwise. Clinical characteristics of participants with body dysmorphic disorder according to allocation to internet based cognitive behavioural therapy (BDD-NET) or supportive therapy. Figures are number (percentage) of participants unless stated otherwise. BDD-YBOCS scores were significantly lower for BDD-NET than for supportive therapy, both at the end of treatment (three months) and at six months (table 3 ? and fig 2 ? ). The standardised effect size between groups was large at both time points (Cohen’s d=0.95 at three months and 0.87 at six months). The effect size within groups at six months was 1.42 (95% confidence interval 0.95 to Tudor sp.z.o.o, 1.89) for BDD-NET and 0.55 (0.13 to 0.96) for supportive therapy.

Estimated means, group differences (BDD-NET v supportive therapy), and Write persuasive thesis business effect sizes for Tudor sp.z.o.o, primary and secondary outcomes at follow-up. Fig 2 Effect of treatment over time on Yale-Brown obsessive compulsive scale modified for body dysmorphic disorder (BDD-YBOCS) with 95% confidence intervals. Scores are shown at baseline, after treatment (3 months), and follow-up (6 months) according to treatment group. Help Romans. Six month follow-up point was not registered at clinicaltrials.gov because of administrative error. Depressive symptoms, measured with the MADRS-S, decreased over the course of the trial with BDD-NET but not with supportive therapy, and there was a significant difference between groups at both follow-up times (table 3 ? ). At three months, the effect size between groups was small (Cohen’s d =0.43), whereas at sp.z.o.o six months it was medium ( d =0.58) There was also a significant correlation between the change in symptoms of body dysmorphic disorder and change in depressive symptoms at both follow-up times ( r s (92)=0.46, P0.001) and r s (80)=0.41, P0.001, respectively).

Of the 51 participants with a diagnosis of major depressive disorder at Accounting july 2013 baseline, 32/57 (56%) no longer met diagnostic criteria for depression at three months and 27/57 (47%) were still in recovery at the six month follow-up. Post hoc analysis of global functioning and quality of life showed that there was an sp.z.o.o, increase in global functioning with BDD-NET but not with supportive therapy, with a significant group difference on the global assessment of functioning scale at both three and six months (table 3 ? ). At three months, there were no significant differences between groups on health related quality of life (EQ5D). At six months, however, the health related quality of paper helper, life (EQ-5D) had further improved in BDD-NET, and there was a significant difference between groups, favouring BDD-NET (table 3 ? ). House Sp.z.o.o. Appendix 2 shows the observed means and standard deviations at School romans the different time points for primary and secondary outcomes. The proportion of participants classified as responders was significantly higher in the BDD-NET group at Tudor house sp.z.o.o three months (25/46 (54%) v 3/47 (6%), ? 2 =25.42, df=1, P0.001) and at six months (23/41 (56%) v 6/45 (3%), ? 2 =17.55, df=1, P0.001). At the six month follow-up, 23/41 (56%) of the assignment essay work, participants in the BDD-NET group were classified as improved or much improved on the clinical global improvement scale, compared with 7/45 (16%) in the supportive therapy group (? 2 =15.52, df=1, P0.001).

The number needed to treat was 2.34 (95% confidence interval 1.71 to 4.35). The number of participants no longer meeting criteria for body dysmorphic disorder was 15/46 (32%) versus 1/47 (2%; ? 2 =15.16, df=1, P0.001) at house three months, and 16/41 (39%) versus 4/45 (9%; ? 2 =10.92, df=1, P0.001) at six months, always favouring BDD-NET. Treatment credibility, expectancy, and Pay homework history acceptability. After two weeks, participants randomised to BDD-NET rated the treatment as more credible than participants randomised to supportive therapy ( t (85)=?2.42, P=0.02), but this did not translate in sp.z.o.o, greater expectancy of School homework romans, improvement ( t (85)=?0.58, P=0.57). Participants deemed BDD-NET highly acceptable; 13/45 (29%) were very pleased with the treatment provided, 21/45 (47%) were pleased, 9/45 (20%) were indifferent or somewhat displeased, and 2/45 (4%) were very displeased.

In total, 37/45 (82%) reported that if they were in need of additional CBT in the future they would use BDD-NET, and 40/45 (89%) would recommend BDD-NET to a friend with similar problems. After the six month follow-up, all participants who had received supportive therapy were offered BDD-NET. House. Two participants were lost to follow-up, and four declined. School. Participants who crossed over to BDD-NET (n=41) showed a significant decrease on the BDD-YBOCS after receiving BDD-NET, with a mean reduction of ?7.14 (95% confidence interval ?9.06 to ?5.23, P0.001; fig 3 ? ). Of the people who crossed over, 14/35 (43%) were classified as responders, and Tudor 10/35 (29%) no longer met diagnostic criteria after receiving BDD-NET. Fig 3 Mean scores of participants initially randomised to supportive therapy who crossed over to BDD-NET (n=41) and received 12 weeks of additional treatment after 6 month follow-up. Similar improvements were observed on the MADRS-S with a mean reduction of ?2.18 (95% confidence interval ?4.29 to ?0.07; P=0.043) and the global assessment of functioning, with mean improvement of 4.69 (2.93 to 6.45; P0.001). On the EQ5D, there was a non-significant increase of thesis business, 0.04 points (?0.05 to 0.14; P=0.378). Tudor House Sp.z.o.o. The four participants in the supportive therapy group who declined to cross over to BDD-NET had made significant improvements after receiving supportive therapy, and three of them were classified as responders.

Adverse events and protocol deviations. No serious adverse events (that is, events leading to acute health risks demanding admission to hospital) were reported. Fifteen (32%) participants in the BDD-NET group and Write persuasive essay business six (13%) in the supportive therapy group reported mild adverse events (that is, increased levels of house, anxiety and general negative wellbeing) at the beginning of the trial, which had subsided for everyone at three months, except for paper, four participants in the BDD-NET group. Of these, two participants reported increased sleep disturbances because of heightened anxiety levels attributed to the exposure exercises, one reported depressive mood, and one reported that the insight gained throughout the treatment regarding time spent on concerns about appearance was emotionally painful but also enhanced motivation to make changes. Three of the participants reported that the sp.z.o.o, adverse event had little impact on their general wellbeing, except one who thought that the adverse event (sleep disturbances) had a moderate impact on wellbeing. Paper Helper. The occurrence of adverse events during treatment was not related to Tudor, responder status at follow-up (? 2 =0.91, df=1, P=0.34). All participants taking psychotropic drugs at baseline reported that they had kept their dose stable during the treatment period. After the start of treatment, one participant in the BDD-NET group had been prescribed an antidepressant but was classified as a non-responder at the three month follow-up. None of the School help, other participants reported that they had received any other type of house, healthcare during the duration of the School homework help, trial. From the three to the six month follow-up, three participants in the BDD-NET group and two participants in the supportive therapy group had received additional healthcare in the form of Tudor house sp.z.o.o, CBT, pharmacological treatment, or both. In this trial, we compared the efficacy of BDD-NET, a novel therapist guided internet based CBT programme for body dysmorphic disorder, with online supportive therapy, a kind of non-specific talking therapy that mimics the Essay, psychosocial support that most patients with body dysmorphic disorder report receiving in Tudor sp.z.o.o, the real world.19 20 Overall, BDD-NET was superior to supportive therapy and was associated with significant improvements in symptom severity, depression, global functioning, and quality of life.

These gains were maintained for at least three months after the Write persuasive essay thesis, end of treatment. At that point, 56% of those receiving BDD-NET were classed as responders, and 39% no longer met diagnostic criteria for body dysmorphic disorder. Tudor House. The number needed to Pay homework history, treat to achieve one responder was 2.34. Participants in the supportive therapy group who crossed over to BDD-NET after six months also improved robustly on primary and Tudor secondary outcome measures. No serious adverse events were reported. Some participants reported mild adverse events (such as heightened anxiety levels associated with exposure tasks) during the trial, but these were generally short lived and were not associated with responder status at the end of treatment. Most participants were satisfied with BDD-NET, despite no face to face contact with a therapist, and deemed the help romans, treatment as highly acceptable. The results indicate that BDD-NET has potential to house, greatly increase access to evidence based psychiatric treatment for patients with body dysmorphic disorder, in line with the Write persuasive essay thesis business, NICE priority recommendations.17. Strengths and limitations of Tudor house, study.

Despite its modest size, this study represents the largest randomised controlled trial ever conducted in people with body dysmorphic disorder. The inclusion of a control intervention with high ecological validity, the use of Essay paper helper up, masked assessors, and minimal data loss are other strengths of the house, study. One potential limitation of the trial is history that the results might not be generalisable to everyone with body dysmorphic disorder as the participants were self referred and most had reasonably good insight. We also took the precaution, on safety grounds, of excluding participants with substance dependence and Tudor severe suicidal ideation. Case Assignment Essay. Thus, despite the fact that most participants had been ill for many years, had had previous contact with mental health services, and Tudor house sp.z.o.o a fifth had undergone plastic surgery, participants in this trial might have been particularly motivated to engage in psychotherapy compared with more severely affected and delusional patients seen in specialist clinics.

As body dysmorphic disorder is severely under-recognised and undertreated, however, it might take many years before patients receive the correct diagnosis and are referred for specialist treatment. This means that patients seen in specialist clinics often represent the extreme end of the severity continuum. From this perspective, our sample could be more representative of the people with body dysmorphic disorder in general than those seen in specialist clinics. Another potential limitation is Accounting assignment july that participants were informed that if they were randomised to supportive therapy, they would be offered BDD-NET after the six month follow-up assessment, although they were not explicitly told that we expected BDD-NET to Tudor, be superior to assignment solution july, supportive therapy. It is still possible that some well informed participants knew about the NICE recommendations and this introduced a bias. House. Participants randomised to BDD-NET found the homework romans, treatment more credible than participants in the supportive therapy group, but perceived credibility did not translate to greater expectancy of improvement as there were no differences between groups on how much participants thought they would improve at end of Tudor house sp.z.o.o, treatment. On average, participants in the supportive therapy group sent fewer emails to their therapist, resulting in less overall therapist contact throughout the active phase of the trial. The estimated differences in treatment effects, however, remained unchanged when we adjusted for the amount of paper, therapist contact. Overall, our results are in line with previous studies of face to face CBT for body dysmorphic disorder.14 15 The proportion of Tudor, comorbidities were the same in our sample as in previous clinical trials, though symptoms of depression were on average of mild severity compared with moderate to severe depression as seen in the two recent randomised controlled trials of CBT for body dysmorphic disorder.14 15 BDD-NET is not intended for the most risky and severe end of the spectrum.

Conclusions and policy implications. The therapists providing online support had no previous experience of treating body dysmorphic disorder, which indicates that this form of treatment delivery could be easily scalable. BDD-NET is delivered online as a series of Accounting assignment solution july, interactive modules, and the role of the therapist is mainly to encourage the Tudor house sp.z.o.o, participant to help, engage in the treatment, making it reasonable to assume that BDD-NET can be used in non-specialist settings. BDD-NET could be particularly useful in a stepped care approach, where mild to moderately affected patients can be offered BDD-NET by their general practitioner, or other health professionals, thus freeing resources for patients in sp.z.o.o, more severe and complex cases to be treated in specialised settings. Homework Help. Logistic barriers are also eliminated, as patients receiving BDD-NET do not have to travel to the clinic once a week to receive the treatment.

This makes BDD-NET particularly promising in more rural areas, where the Tudor house, access to trained CBT therapists is limited.18 Future stepped care trials of BDD-NET in non-specialist settings are warranted. What is already known on this topic. The NICE guidelines recommend cognitive behavioural therapy (CBT) for homework help, body dysmorphic disorder but most affected people do not have access to Tudor house sp.z.o.o, this treatment. Internet based CBT is persuasive essay thesis business a burgeoning part of mental health aimed at increasing access to evidence based treatments for Tudor, a range of mental disorders and other conditions. A pilot study suggested that therapist guided internet based CBT could be a highly acceptable, feasible, and potentially cost effective treatment option for Write essay, body dysmorphic disorder. This large randomised controlled trial evaluated the efficacy of therapist guided internet based CBT for body dysmorphic disorder (BDD-NET) BDD-NET was associated with significant improvements in symptom severity, despite no face to face contact with a therapist, and house sp.z.o.o gains were maintained for at Pay homework least three months after the end of treatment.

We thank the participants of the house, BDD-NET trial and Monica Hellberg, Sofia Eriksson, Vania Panes Lundmark, Martin Runeborg, Lina Anderhell Lorena Fernandez de la Cruz, and Matteo Bottai for their invaluable help. Contributors: JE and CR had the Accounting 2013, original idea for the study and, with DM-C and BJ, designed the trial variables and obtained the Tudor, funding. Write Persuasive Essay Business. JE and CR were responsible for study supervision. All authors were responsible for the acquisition of the data. JE, EA, and CR carried out the sp.z.o.o, statistical analysis.

JE drafted the manuscript, which was revised by all authors. All researchers were independent of the funders. The funders had no part in the study design, in the collection, analysis, and interpretation of data, in the writing of the Case assignment work, report or in the decision to submit the article for publication. House Sp.z.o.o. JE and CR are guarantors. Funding: This study was funded through the regional agreement on Essay paper, medical training and clinical research (ALF) between the Stockholm County Council and Karolinska Institutet, the Swedish Research Council (grant No: K2013-61X-22168-01-3), and the Swedish Society of sp.z.o.o, Medicine (Soderstromska Konigska sjukhemmet, grant No: SLS3B4451).

Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: no support from any organisation for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work. Ethical approval: The regional ethical review board in Case study assignment essay work, Stockholm approved the protocol (registration ID: 2013/1773-31/4). Tudor Sp.z.o.o. All participants gave written informed consent. Transparency: The lead author affirms that the manuscript is an study essay for social work, honest, accurate and house transparent account of the study being reported; that no important aspects of the study have been omitted; and login that and discrepancies from the study as planned (and if relevant, registered) have been explained. Data sharing: No additional data available. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and Tudor sp.z.o.o license their derivative works on persuasive essay business, different terms, provided the original work is Tudor house sp.z.o.o properly cited and the use is non-commercial.

See: http://creativecommons.org/licenses/by-nc/3.0/. Download this article to assignment solution july 2013, citation manager. BibTeX (win mac)Download EndNote (tagged)Download EndNote 8 (xml)Download RefWorks Tagged (win mac)Download RIS (win only)Download MedlarsDownload. If you are unable to import citations, please contact technical support for your product directly (links go to external sites):

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Free Essays on A Stranger From Lagos. TOURISM The traditional relationship of Oba Liken of Ibefun and the people of Lagos and Tudor house sp.z.o.o Ibiyeroye marriage may explain the notion that Eyo was introduced to Lagos from Ibefun. Paper. Chief Tajudeen Gbadesere revealed that, “the variant of Eyo staged was in the night entailing three consecutive outings in Tudor house sp.z.o.o a. Lagos is the largest city of Nigeria, and it is help romans, known for its corruption, poverty and crime. The rate of urban growth is increasing rapidly mainly due to natural increase and in-migration. In 1959, the population was around 300,000 and increased to 13.4 million in 2004.

By 2050, it is predicted that. Traffic Jam in Tudor house Lagos State, Nigeria. TRAFFIC JAM IN LAGOS STATE, CAUSES AND EFFECTS INTRODUCTION Traffic Jam is history, a condition on road networks that occurs as use increases, and is characterized by slower speeds, longer trip times and increased vehicular queuing. There are all sorts of things that give Lagos a bad name. If it’s not the.

A Comparison Between the Experiences of Child Poverty for Children Living in the Slums of Lagos and in Hackney, London. of poverty in the UK. Lagos is the largest city in Nigeria. House Sp.z.o.o. With an estimated population of business 8.8 million inhabitants in the city, or rather 10.7 million in the metropolitan area, Lagos is the second largest city in Africa. The UN estimates that at its present growth rate, Lagos state will be third largest. may be an Tudor house sp.z.o.o affront to a stranger . A religion must have the ability to paper helper up, be hospitable toward the religious other in order to exist with the multiplicity of strangers . A two facetted golden rule is necessary in order to satisfy the idea of hospitality as stated in Hosting the Stranger . The most common formulas.

Evaluation of Taxi Operations in Lagos Metropolis-Introduction. TAXI OPERATION IN METROPOLITAN LAGOS INTRODUCTION Lagos a former capital of the Federal Republic of sp.z.o.o Nigeria is located on the south western zone of the country. Lagos has about population of 18 million. The size of the state is about 300sq meter. Transportation in Lagos state is predominantly through. The Stranger in the Photo is Me I'm thinking about what time I’ll be swimming in the big pool at my daycare today. I'm planning how Ariana and I will get out of naptime. I'm wondering how high I can pump on the swings, and how I’ll challenge Ariana to that later. I'm smiling for the camera with a. first and foremost bring to fore what curriculum reform connotes.

DEFINITIONS OF CURRICULUM AND REFORM The term reform is etymologically derived from the Latin root reformare which means “to shape, to reconfigure, to make different”. Persuasive Essay Thesis Business. It is Tudor house sp.z.o.o, a verb that refers to improvement by alteration, a correction. Presence of Meaning Siddhartha and login the Stranger. What is the Tudor, purpose of july life? Is there significance to every action, or are actions irrelevant in the long run? In the novels Siddhartha and the Stranger written by Hermann Hesse and sp.z.o.o Albert Camus the existence of a meaningful and meaningless life has no influence on the quality of life for School homework both main. LTD; we are into sp.z.o.o, manufacturing household cleaning detergents like tablet soap and liquid soaps e.t.c 1.2 The proposed business location is homework romans, along Lagos Abeokuta Express Road under IFO local government. Ogun state. 1.3 This location is preferred because of the following reasons. 1. Availability of. Book Report 1 The Man from sp.z.o.o St.

Petersburg Student Name Class Name January 18, 2013 In the compelling novel The Man from St. Case Study Essay For Social. Petersburg the author brilliantly creates a world full of illusions in which nothing is as it seems. Each character is decorated with intriguing secrets and captivating. ?Living with strangers - essay analysis How people behave around eachother, and how they act and speak in Tudor house manner of thesis business specific norms and unwritten rules, that is Tudor sp.z.o.o, culture. Thesis. What in one culture may be quite normal and reputable, such as kissing in the street, can in another culture seem provocative and. Living with strangers Over the last centuries, cities have grown bigger and Tudor bigger due to the increasing amount of solution july jobs in the cities. The big city is a big change to people that comes from smaller towns – so it is to Siri Hustvedt. In the essay “Living with strangers ” Siri writes about Tudor, some the conflicts. These Black officers served their country in a time when racism and discrimination were rampant. Many White soldiers had difficulties taking orders from African American officers or non-commissioned officers.

His first assignment after graduation was with the Buffalo Soldiers in the 10th Cavalry in. ? ACT ONE 1. Othello picked casio as his liuetentant instead of lago 2. Thesis Business. Desdemona is aloping with Othello 3. I’m serving under him to take advantage of him. 4-Iago thinks that they're foolish and dumb. He pretends to Tudor house sp.z.o.o, be loyal to get what. The passage I read from Othello by now trms William Shakespeare begins in sp.z.o.o act 3 line 295.

It begins with Desdemona offering her handkerchief to Othello because he was complaining about having a headache. Othello tells her to put it away, that he is fine and does not need it. In doing so she accidently drops. Arcadia, Stranger Than Fiction, Gattaca, and There Relationship to. when it comes to “determinism”.

It’s mans attempt to order and explain his view of his world, and to impose his theory and stamp on nature. The film “ Stranger than Fiction” directed by Marc Forster, the book “Arcadia” by Tom Stoppard, and movie “Gattaca” directed by Andrew Niccol all have a theme of Essay up determinism. winds also blow over the United Kingdom, just north of London , therefore cooling these regions a small amount. Lagos has a much warmer climate that London. The average temperature for Lagos is house sp.z.o.o, 27 degrees, whereas in July it is a couple of degrees cooler but still a whopping 25 degrees. Warm sea currents. Effects of now trms teacher login Pollution on the Nigerian Ecosystem. resources in this country. Safe drinking water is reported to be available to 78% of the urban population, and 49% of the rural population (1). However, Lagos , with a population of more than 12 million, does not have a central sewage system; but rather, all waste is emptied into a lagoon (6). This same lagoon.

likely safeguard against civil war? Question 12 Which of the Tudor, following is NOT a cost of civil war? Question 13 By definition, natural resources come from the land, and study essay work therefore must be harvested, mined, drilled for, or extracted. This can increase the likelihood of civil war for house sp.z.o.o which of the Essay paper helper up, following. Fdc Bi-Monthly Economic and Business Update. introduced a The constraints to growth include oil production cuts arising from OPEC quota and militancy activities in the Niger Delta, power supply shortages, credit crunch and contraction in fiscal revenue.

Power supply from the Tudor sp.z.o.o, national grid, now estimated at 1300MW, is sharply below the minimum required. 16 October 2013 From the Outside Looking In What does it mean to be an “American”? To each individual person it means something very different. For the writer Bharati Mukherjee, who wrote the essay, “American Dreamer”, to be a true American someone has to want to be an American, not just prove that. The Stranger by Albert Camus The Stranger is School, set in Algeria. Tudor Sp.z.o.o. The story concerns an office clerk named Mersault whose refusal to adhere to societal expectations regarding love, friendship and paper religion eventually leads to his imprisonment under a death sentence. The author Albert Camus identifies. The Three Strangers Analysis Essay In the sp.z.o.o, story of The Three Strangers , Thomas Hardy wanted to shed light on a conflict prevalent in society—appearance versus reality. It is very rare for people to Homework teacher login, reveal everything about themselves, and if they do, they are often considered foolish and gullible. In.

Influence of Natural Elements on Tudor house sp.z.o.o, the Protagonist of 'Siddhartha' and 'the Stranger’ ‘Influence Of Natural Elements On The Protagonist Of Siddhartha and The Stranger ’ The elements of Nature are very important for mankind’s existence. It plays a very important role in each ones life. The forces of these elements are portrayed in those dwelling near it. Pay Homework. As it is such an essential. stories theme was jealousy. Lago a white male with much credibility had betrayed his best friend Othello a black male who also had much credibility from the Tudor house, war as a “war hero” but was also a lower class of Write persuasive essay citizens due to house, the racial segregation that was present at the time. Lago had betrayed Othello by. Stranger Danger Making sure children are aware of the Pay homework history, dangers that strangers can present without scaring them is a fine balancing act. If children are to spend anytime at all out of sight from parents/ carers teaching them about Stranger Danger may give some peace of mind.

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Secrets from the Field Book Review. Kory Stachowski Book Review March 3, 2009 Anthropology 101 Life in a World Under Pashto Secrets From The Field by Benedicte Grima, a female ethnographer, follows the author through her involvement in fieldwork in Tudor house the Muslim world of Iran, Afghanistan and Pakistan. This area being as hostile and. Engelsk A - 2. Delprove Text B: Living With Strangers In the essay living With strangers , written by help Siri Hustvedt in 2002, she speaks of her experience of moving from the small town in Minnesota to the big New York City. All cultures and Tudor house societies have unspoken rules and etiquettes that an now trms outsider. ?Urbanisation case study LEDC Lagos , Nigeria 1) Examples of the waste/sewage/water pollution problems in Lagos and the reasons for these problems A lack of bathroom facilities in sp.z.o.o the slums forces people to Case assignment for social work, defecate in the canals, where people drink, bath and wash. This leads to an increased risk. to pick where you went, you just went where you were told to. Their assignment was to Lagos , Nigeria, and they lived there from house 1974-1977. Homework Help. Her, my grandpa, my dad, and all 3 of his brothers and sisters went to Lagos Nigeria together on this teaching program. House. When it came time for my grandma to pack.

Strangers Analysis In his article, Toni Morrison reflects on the psychological effects of human interaction by depicting scenes from his own life experiences. Morrison contributes ethos throughout the majority of the article by help romans constantly including himself in sp.z.o.o the human error that has lead to a false. James Baldwin’s, A Stranger in paper the Village, is a narrative set in a remote village in Switzerland. Baldwin realizes he is house, probably the only black person the villagers have ever seen. He brings a uniqueness that fascinates the natives, who ultimately come to accept him on his return visits but always. In this short story there are two main characters, the girl from Onitcha and the man from Lagos , he during the story falls attracted to her, but he is attracted to her in a way that hurts because she is engaged and maybe pregnant. She seems to be a promiscuous girl cause of the way she dresses, with.

Ferrell: A Test of His Will Power Stranger Than Fiction There are many actors out there that have been repeatedly selected to play a role featuring similar characteristics from past films. History. This term, “typecast” defines an actor who is continually casted into sp.z.o.o, a specific type of role and. The Lagos Culture By Tosin Odubela July 14, 2010 at 4:43pm Generally, the world is usually less distinct and less divergent from the perspective of homework help romans a young and growing mind in terms of culture. Everything in the world is essentially the same save for the Universals –“ traits that tend to distinguish. Sciences, Lagos State University, Ojo, Lagos , Nigeria Dr. Kehinde, James Sunday Department Of Accounting And Finance, Faculty Of Management Sciences, Lagos State University, Ojo, Lagos , Nigeria Mrs Bolarinwa, Sehilat Abike Department Of Accounting And Finance, Faculty Of Management Sciences, Lagos State. What Parents Can Do in Order to Protect Their Teenage Children from Unpredictable Dangers. their teenage children from unpredictable dangers. Most people grew up having their parents nagging them to never talk to strangers . It isn't too hard to understand why parents worry about Tudor house sp.z.o.o, their teenage children's safety so much, since some teenagers fall into strangers ' traps in real life. There.

seven archetypes used in story-telling mentioned by homework romans Christopher Booker in The Seven Basic Plots. Tudor House. This archetype is known to expect a specific reaction from the readers often using grief, destruction and death. As the archetype manifests itself through time, there are many ways authors have interpreted the. A View from the now trms teacher login, Bridge-Dramatic Tension. Miller clearly uses different aspects of his play A View From The Bridge to create dramatic tension. Sp.z.o.o. His central character Eddie is the Essay paper up, person around who has a great deal of conflict revolving around him. He creates a lot of tension and each scene of conflict becomes stronger than the one.

Strangers Are Just Friends You Have Not Met Yet. epic poem, The Odyssey, the importance of good hospitality is depicted. Sp.z.o.o. The Odyssey is the story of Odysseus, the King of Ithaca, and his trip home from Troy after winning the Trojan War. Accounting Assignment. The Odyssey is key to understanding ancient Greek life because it provides “much of what is known about the early. statements, and Tudor house sp.z.o.o policies are internal communication. Now Trms Teacher. Employees need sufficient information, to do their jobs effectively. Tudor Sp.z.o.o. This sufficient information comes from the managers, by way of mission statements and goals. There is also a structure, which is an internal factor that affects the business day-by-day operations. bigger budget plan. California’s Three Strike Law has been around for about 19 years now. Its main goals were reducing crime and deterring offenders from help repeating or committing crime.

The Three Strike Law in Tudor house sp.z.o.o California has recently come about to be reformed. The reason why the Three Strike Law came about. ?I write the review below in support of my application; this review gives a brief insight into the Lagos carnival, which I recently engaged in as an active observer. LAGOS CARNIVAL Lagos is dynamic port city in the heart of Nigeria, West Africa; evidence affirms her to be the most populous port city. A Stranger Looking for Home I was born a shy, reserved kid. It always, I mean always took me along time to Accounting assignment solution july 2013, be comfortable around someone. Then it would take me even longer to Tudor sp.z.o.o, be comfortable enough to get close with someone. Write Essay Business. This even true for family that I do not see on a daily basis. I really do.

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In The Stranger by Albert Camus is a novel with multiple themes. This is probably one of the most theme rich novels I have ever read and I only touched on Tudor house sp.z.o.o, a few of the Case study, key themes presented in the novel. The themes are mortality, isolation, nature, religion, women, passivity, and society’s social class. Lagos economy and climate change impact Written by sp.z.o.o BusinessDay Tuesday, 27 November 2012 00:00 In terms of landmass, Lagos is one of the Case study assignment essay work, smallest states in house Nigeria. However, it has a large growing population (18 million people, according to one estimate). History. Economically, Lagos is very strategic to.

Short Paper on house, Minimum Wage from 30 Days. Short Paper # 1: “Minimum Wage” from 30 Days For most Americans the word “poverty” suggest an inability to provide a family with nutritious food, clothing, and Essay paper up reasonable shelter. There is an enormous number of Tudor sp.z.o.o Americans forced to live in these impoverished conditions everyday. If we focus our attention. come from ? Later Betty learned it was because Phi wants to get to know the people. She wants to now trms, share her thoughts, give advice, promote her country and most important of house sp.z.o.o all help others. Betty was a little bit scared. She was supposed to ride on a motorbike. A motorbike – with a complete stranger . Solution July. Phi. From Exile to Restoration and a Detour Along the house sp.z.o.o, Way.

From Exile to Restoration a Detour Along the Way[1] Good Friday Reflections on Mark 8.31 – 9.1: How the Exile of One Man brought Restoration for All By Rob Stegmann Eugene Peterson defines exile as being in a place we don’t want to be. He writes: We are separated from home. We are not permitted. ?Living with Strangers Big city life. Most people associate this with huge skyscrapers, dense traffic, big lights and last but not least a lot of people.

Busy-looking people push you around, and the rush hour almost resembles the nature’s survival of the fittest. In “Living With Strangers ” Siri Hustvedt. stranger in hign planes greek tragic hero is he a christian tragic and nieche noble describe a real life person that characterizes courage described by aristotle what features make you think he posses that attribute The Stranger of the High Plains is most like a Nietzschean noble. He is. in realization of this that consideration is given to measure for the development of capital market as an institution for the mobilization of finance from the Homework teacher login, surplus sectors to Tudor, the deficit sectors. 1.1 DEFINITION OF CAPITAL MARKET Capital market is a market where buyers and sellers engage in trade. The Stranger novel ends after Meursault’s judgment. He only cares about shunning the thesis, “machinery of justice” that has condemned him to death.

He believes that the only thing matter is the house, possibility of an escape to freedom. He remembers his mother telling him how his father once forced himself to thesis business, watch. B. Living With Strangers In 2011 8,244,910 people were living in one of the United States’ most famous cities: New York. New York has the highest population density in the United States with over 27000 people per square mile and it is estimated that 200 languages are spoken in the city. In a city.

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Essay: MEASUREMENT OF CURRENT PERCEPTION THRESHOLDS USING THE NEUROMETER #039; APPLICABILITY IN DIABETIC NEUROPATHY. General aspects about house diabetic neuropathy. We are witnessing to a continuing growth in rates of diabetes incidence and prevalence worldwide, and the overwhelming burden of the disease is being carried by low- and middle-income countries, where four out of Essay paper five people are living with diabetes. International Diabetes Federation (IDF) estimates that 382 million people have diabetes, and house the number of assignment 2013 people with the house sp.z.o.o disease will dramatically escalate to 592 million in Homework now trms teacher login, less than 25 years (1). Permanent and sp.z.o.o progressive nature of the Pay homework history disease leads to house specific microvascular (neuropathy, retinopathy, nephropathy) and macrovascular chronic complications (coronary heart disease, stroke, peripheral artery disease) having a negative impact on life expectancy, its quality and on extremely high costs it induces.

Diabetes is the fifth cause of death worldwide (2), being responsible for more than 4.9 million deaths worldwide in 2014, according to IDF data (1). Diabetes mellitus is considered a cardiovascular disease equivalent with a major impact on morbidity and mortality, people with diabetes having a two-fold increase in the risk of stroke (3). Also, diabetes is the Homework now trms teacher login major cause of renal failure and the leading cause for visual impairment and Tudor sp.z.o.o blindness in developed countries (2). Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes, affecting more that 50% of those with diabetes (4). DPN is a major risk factor for development of foot ulcers in people with diabetes (5) and up to 25% of diabetic patients will develop a foot ulcer (6). The majority of lower limb amputations are preceded, in most of the cases, by a foot ulcer. Approximately 70% of all leg amputations are being performed in people with diabetes, and annually more than 1 million diabetic people are suffering from an amputation, meaning that, every 20 seconds, somewhere in the world, a person is losing one foot because of diabetes. After a major amputation, up to 50% of the diabetic people will suffer an amputation to july the other leg, in Tudor, the next 5 years, and 5 years mortality rate after a leg amputation is 68% (7). There is evidence that instituting a structured diabetic foot program can yield a 75% reduction in Accounting solution 2013, amputation rates and a near fourfold reduction in Tudor house, inpatient mortality.

Given the high cost (both economic and personal) of treating foot ulcers, it is study work important that we understand the modifiable risk factors associated with the development of Tudor house sp.z.o.o neuropathy, in order to delay or prevent its development, and also it is important to history detect peripheral neuropathy early in the natural history of the disease so that specific education be provided, and Tudor sp.z.o.o preventive measures can be applied to avoid devastating complications associated with the essay thesis diabetic foot (8). Diabetic neuropathy encompasses a number of neuropathic syndromes, but, by far, the Tudor commonest form, meet in more than 90% of diabetic patients, is the chronic diabetic peripheral neuropathy, also known as distal symmetrical polyneuropathy (4). In daily practice, diabetic peripheral neuropathy is a clinical diagnosis, based on patient history and clinical examination, after the exclusion of other causes (9). But, the diagnosis cannot rely on history alone, as up to 50% of patients may be asymptomatic. For clinical research, the diagnosis of DPN requires at least two tests in addition to the clinical history and examination: these normally comprise quantitative sensory testing (QST) and electrophysiology (EP). Lately, promising new techniques are rising, such as intra-epidermal nerve fiber density, nerve biopsy and Write persuasive essay corneal confocal microscopy (10).

Current perception threshold using the Neurometer?? – Describing the method. Among quantitative sensory testing, measurement of sp.z.o.o current perception threshold (CPT) using the Neurometer?? (Neurotron Inc., Baltimore, Maryland, USA) have been proved to be a reliable method to Write persuasive essay thesis asses DPN (10,11). The technology is available since 1989, and its employment has been progressively increase in the past years, with applicability in both clinical use and human research. Figure 1. The Neurometer?? device ((Neurotron Inc., Baltimore, Maryland, USA) The typical sensory nerve is composed of Tudor sp.z.o.o three distinct sub-populations of romans nerve fibers that are characterized by their diameter. These various sub-populations of Tudor sp.z.o.o nerve fibers transmit different sensations. The smallest (unmyelinated) fibers transmit dull pain and temperature, the middle diameter (small myelinated) fibers transmit fast pain, temperature and pressure sensation, and the largest (myelinated) fibers transmit touch and pressure sensation. Unmyelinated C fibers also play an important role in the peripheral autonomic nervous system providing the Accounting assignment innervation to Tudor house sp.z.o.o the smooth musculature. One third of the C fibers are autonomic efferents. Diabetic peripheral neuropathy was defined in literature as a small-fiber neuropathy(12) (13).

The smallest diameter unmyelinated fibers represent more than eighty percent of the total fibers, have the longest refractory periods and study assignment work the slowest average conduction velocities (CV) of 1 m/s. In contrast, large diameter myelinated fibers comprise less than ten percent of the total fibers, have the shortest refractory periods and sp.z.o.o fastest average CV of 60 m/s. Neurometer?? is able to evaluate the functional status of these three distinct nerve fiber types by measuring the Homework teacher login CPT at frequencies of 2000, 250 and 5 Hz, respectively (11). 2000 Hz stimulus selectively induce large myelinated fiber responses and the 5 Hz stimulus selectively determine unmyelinated fiber responses. The device quantify in a quickly and painlessly manner the conduction and functional integrity of the large and small myelinated and small unmyelinated sensory nerve fibers (14). The device is producing transcutaneous electrical stimuli through a pair of gold plated electrodes to quantify neuroselective CPT values. The patient can be tested at one or more body sites with three different alternating frequencies of electrical stimulus (2000, 250, 5 Hz) and Tudor house the tested skin sites have to be intact. For Social Work. With the patient sitting in a comfortable position two electrodes coated with conductive gel are attached to Tudor house sp.z.o.o the skin site to be evaluated. The current is increased (to a maximum of 9.99 mA) until the patient begin to feel the current at the skin where the electrodes are attached. The current is then terminated, decreased by 0.08 mA and thesis reapplied.

When a sufficient number of tests have been performed the CPT device determines and displays the CPT value for Tudor house the test series (15). At each frequency (2000, 250 and 5 Hz), an now trms login, R-CPT (rapid current perception threshold) value is generated and sp.z.o.o could range from Essay paper helper 1 to 25. A value ranging from 6 to 13 is classified as normal, while a value ranging from Tudor house sp.z.o.o 1 to 5 show hyperesthesia (increased sensation). A value between 14 and 25 is showing hypoesthesia (decreased sensation). Both hyperesthesia and hypoesthesia indicate the presence of sensory neuropathy. Figure 2. R-CPT nerve evaluation in a patient without DPN (A) and a patient with sensory DPN (B) Using the Neurometer?? for history the screening and diagnosis of diabetic neuropathy-existing evidence. This test can be used to detect neuropathy in the earliest and asymptomatic stages. It is clearly proven and Tudor unanimously accepted that HbA1C (glicated hemoglobin) value is positively associated with specific diabetic microvascular complications, including neuropathy (16). But, it has been suggested that impaired glucose tolerance (IGT) may also cause neuropathy (17).

One study, conducted on 45 subjects with IGT and 46 healthy volunteers assessed the presence of neuropathy in people with IGF, by Pay homework history measuring the CPT using the Tudor house sp.z.o.o Neurometer?? as evaluating method for the sensory nerve function (18). The results showed that subjects with IGT had a higher frequency of both hyperesthesia and hypoesthesia as detected by current perception threshold testing at Accounting assignment july 2013 5 Hz as well as increased heat detection thresholds. Thus, this study has demonstrated that subclinical small-fiber neuropathy and autonomic neuropathy are commonly present in IGT subjects, and measurement of CPT using the Neurometer?? demonstrated to be able of detecting neuropathy in the early stage. Kempler and co, conducted a study in 1995 in witch CPT and tests of autonomic function were applied on 22 patients with non-insulin dependent diabetes mellitus (NIDDM), 6 patients with newly diagnosed-NIDDM, and Tudor 12 healthy subjects. The authors concluded that CPT permits the diagnosis of sensory dysfunction early in the course of diabetes and in NIDDM (19). The results of a study conducted in 116 patients with type 2 diabetes mellitus and 38 healthy controls (11), who were assessed for peripheral neuropathy by measurement of CPT using the Pay homework help Neurometer. showed that the CPT at 2000 Hz was significantly higher in Tudor, diabetic patients than in Case essay for social, controls, and sp.z.o.o also showed a significant negative correlation with motor and sensory nerve conduction velocities. Significantly higher CPT values were obtained in patients with proliferative diabetic retinopathy and macroalbuminuria. So, the authors concluded that CPT is useful in detecting abnormalities of myelinated as opposed to unmyelinated nerve fibers in patients with type 2 diabetes.

We also conducted a study on 60 patients with type 2 diabetes, who were divided in three groups based on their diabetes durations ( 10 years), and the patients were assessed for the presence of DPN using two different methods: Semmes – Weinstein Monofilament testing (SWMT) and rapid-current perception threshold measurement using the Neurometer?? (14). Our results also showed a higher incidence of sensory neuropathy in patients with more than 10 years duration of diabetes when compared with those with less than 5 years of diabetes duration. Neurometer?? detected sensory neuropathy in a higher percent of subjects (250Hz: 30%, 5Hz: 46.6%) compared with monofilament testing method (21.7%), statistical significant only for 5Hz frequency (p=0.01). Also, frequency of 5Hz proved to help be the most sensitive in detecting patients with hyper and hypoesthesia. Giving the fact that a significant incidence of sensory neuropathy was found in diabetics with less than 5 years duration of diabetes it is important to recommend screening for sensory neuropathy in patients as soon as diabetes is Tudor diagnosed. The findings of a similar study including 60 type 2 diabetic patients, conducted by Nather and co (20) suggested that sensory testing using both Neurometer?? and Pin-Prick tests detected a higher incidence of School help sensory neuropathy compared with Semmes-Weinstein monofilament testing. The results of our study were also consistent to Tudor those found by Case study essay Cheng et al. House. (21) in a study involving 558 type 2 diabetic people, from which 59 had sensory neuropathy after SWMT assessment, 45 were positive on Vibration Perception Threshold and 189 were diagnosed with sensory neuropathy according to R-CPT measurements by the Neurometer.

The conclusion were that the Neurometer?? is capable of detecting peripheral sensory neuropathy in significantly more patients as compared to Case study assignment for social work SWMT and Vibration Perception Threshold. A very recent paper published in Tudor sp.z.o.o, 2014 (22) involving 241 Korean subjects with type 2 diabetes, evaluated the usefulness of CPT for diagnosing distal polyneuropathy and cardiovascular autonomic neuropathy in diabetic patients. Now Trms Teacher Login. The conclusions were that even thou the subjects with DPN had significantly higher CPT at all of the frequencies than the subjects without DPN and Tudor house sp.z.o.o the CPT was significantly associated with neuropathic symptoms or signs corresponding to the nerve fiber stimulated, it provides little additional information compared with conventional evaluations. Assessment of current perception threshold is a useful evaluation method of patients with peripheral nervous system pathologies resulting in altered cutaneous sensation. By applying this method it is Case essay for social possible to detect both clinical and subclinical large and small fiber neuropathy. The Neurometer?? CPT can independently evaluate those three sub-types of nerve fibers (A. Tudor House Sp.z.o.o. A?? and C fibers) by using different frequencies of an Accounting july 2013, alternating current, providing improved detection sensitivity over other methods testing. Tudor Sp.z.o.o. However, conflicting information and methodological problems exist regarding the usefulness of the Neurometer?? CPT for the evaluation of specific conditions such as diabetic neuropathy, although an important body of Essay up literature describe many of the Tudor house sp.z.o.o benefit features attributed to this instrument. So, in Write persuasive thesis, the light of this facts, future research is house sp.z.o.o needed in order to establish the real diagnosis value of Neurometer??

CPT data. Search our thousands of essays: If this essay isn't quite what you're looking for, why not order your own custom Health essay, dissertation or piece of coursework that answers your exact question? There are UK writers just like me on School homework romans, hand, waiting to Tudor help you. Write Business. Each of us is qualified to a high level in our area of expertise, and house we can write you a fully researched, fully referenced complete original answer to your essay question. Just complete our simple order form and you could have your customised Health work in login, your email box, in as little as 3 hours. This Health essay was submitted to house sp.z.o.o us by a student in order to help you with your studies. This page has approximately words.

If you use part of essay thesis business this page in your own work, you need to Tudor house sp.z.o.o provide a citation, as follows: Essay UK, Essay: MEASUREMENT OF CURRENT PERCEPTION THRESHOLDS USING THE NEUROMETER #039; APPLICABILITY IN DIABETIC NEUROPATHY . Available from: http://www.essay.uk.com/essays/health/essay-measurement-of-current-perception-thresholds-using-the-neurometer-applicability-in-diabetic-neuropathy/ [03-10-17]. If you are the original author of this content and no longer wish to have it published on Case study assignment essay for social, our website then please click on the link below to request removal: 11-08-17 - Smoking habits of university students - CARDIOVASCULAR GENE TRANSFER EFFICIENCY 01-08-17 - Effects of sp.z.o.o stress and essay business anxiety-related disorders on the brain - Autism Spectrum Disorder (ASD) 09-07-17 - Enzyme instructed self-assembly (EISA) 28-05-17 - Glaucoma, Diabetes mellitus and Intra ocular pressure 23-05-17 - Seven functions of self-injury 18-05-17 - Neurodegenerative diseases 14-05-17 - Warafin genotyping in house, patients 04-05-17 - Acute lymphoblastic leukaemia. We offer professional custom essay writing, dissertation writing and coursework writing service.

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