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Berghain: The Secretive, Sex-Fueled World of Techno's Coolest Club. Berlin's Berghain is famed for its groundbreaking sounds and X-rated sights, but the club is also a test case for how tourism and gentrification are threatening Europe's party capital. At 11:30 a.m. on a Sunday in research str 581, January, the a essay massive main dance floor at Berlin's Berghain is full. Dino Sabatini, an proposal paper str 581 Italian DJ with short dark hair, is playing hard, hypnotic techno to a crowd of shirtless gay men, disheveled dudes in sneakers and tiny women with tiny backpacks. Many of these revelers have been in the club for more than 24 hours, a feat of stamina likely attributable to some combination of MDMA, speed and ketamine. The club has been open since Friday night and will remain open until some time Monday morning.

On the dark, cavernous dance floor #x2014; which is located in the imposing turbine hall of a defunct East German heating and power station #x2014; the strain of endless partying is starting to become evident. Near the club's main staircase, an overly energetic young man in knee socks and short shorts is dangerously close to falling from a platform on to a trio of skinny brunettes below. The air smells of to buy a essay weed, sweat and urine, and next to the bar, a couple of glassy-eyed men in leather harnesses are leaning against each other, absentmindedly putting their hands down each others' pants as strobe lights flash. I've seen two men making out, but that's about it, complains Sofia, a thin, hoodie-wearing 24 year old with long hair visiting from New York, while surveying the general crowd. She's eager to see more. Sofia is at research proposal paper, the tail end of a three-week visit to clinical nutrition care answers, the city with her husband, a Brooklyn bar-owner, and has been a fan of proposal EDM since she was 19. Is It Plagiarism To Buy A Essay! This is her last day in paper str 581, Berlin, and her friends recommended she come here, the plagiarism city's most famously hardcore and important club for electronic dance music, as a final blow-out: Everybody was telling me you need to go to Berghain, she says.

So this is str 581, where we went. Ib Philosophy Essay! She isn't alone. Over the past decade, Berlin has transformed into Europe's unofficial party capital, and Berghain has developed a reputation as the Mecca of clubbing. According to a study by Berlin tourism organization visitBerlin, one-third of visitors to Berlin are drawn by the city's nightlife. A record 5.3 million tourists visited Berlin in the first half of 2013, including 150,000 Americans #x2014; an increase of nearly eight percent over the first half of research proposal paper 2012.

Many of these American tourists were drawn to the city's music scene by the popularity of ib philosophy EDM back home. The famously secretive Berghain #x2014; which attracts many of the world's most respected DJs and has been described as the best club in the world by everyone from the New York Times #xA0;to DJ Mag #xA0;#x2014; has gone from being a local phenomenon, infamous for its sex parties and drugs, to one of the city's most high-profile tourist attractions. Now the venue stands at the intersection of the bigger trends facing the city, namely gentrification, a rise in low-fare tourism and a flood of international hype, and research proposal paper, faces an awkward question: What does it mean for a club to case research ebook, be underground when the entire world wants to dance there? A visitor carries a cloth tote bag advertising Berghain during the second annual Hipster Olympics on July 21st, 2012. Adam Berry/Getty Images. To enter Berghain is, as many people have described it, a religious experience. On Facebook, Sunday trips to the club are referred to as Sunday Mass, and techno blogs are littered with references to the church of Berghain. Research Paper Str 581! Religious imagery is nothing new to the electronic music scene #x2014; Frankie Knuckles compared the Warehouse, the Chicago club which gave birth to house music, to a church for people who have fallen from grace #x2014; but in the case of Berghain, the star test questions sacred comparison is especially apt.

First of all, the research paper building is enormous. The main Berghain dance floor, which focuses on hard techno, has 60-foot ceilings supported by massive pillars made of unpainted concrete. The construction is similar to that of a cathedral of the Middle Ages, says Thomas Karsten, one of the two architects responsible for the 2004 renovations of the building, which was originally constructed in 1953 as part of East Germany's postwar reconstruction process and abandoned in the late 1980s. Essay Anti Abortions! There's something almost spiritual about the atmosphere. Most of the research proposal str 581 building has retained its original industrial architecture #x2014; the d#xE9;cor is spare, the walls are mostly empty and a slightly less Dante's Inferno-esque upstairs space, called Panorama Bar, makes use of cages that formerly housed electrical equipment. Study! As a result, the club, which was opened by two media-averse German men, Norbert Thormann and Michael Teufele (who, in keeping with the club's no-media policy, refused an interview request), still has the look and feel of an abandoned building. A large metallic swing hangs off the side of the dance floor, and warm white lights illuminate part of an imposing preserved fa#xE7;ade behind the club's main bar. The building is so large and maze-like, you can discover new stairways and rooms even after spending a few days in the club.#xA0; The most conspicuous new elements in the main space are the research paper famous stacks of Funktion One speakers that dominate the dance floor. Benedikt Koch, who installed the Berghain sound system#xA0;#x2014; one of the most powerful in the world #x2014;#xA0;claims that on holt homework, most nights, the club's sonic apparatus operates at only 10 to 20 percent of its full capacity. Research Str 581! The clean sound, Koch says, helps people get less tired during marathon parties.

If you turned it up to full power, he claims, it would be like getting a massage of every nerve of your body. The cult of the club, which takes its name from the adjacent neighborhoods of Kreuzberg and Friedrichshain, also stems from the its rigorously tasteful approach to booking. In the essay about anti abortions nine years since Berghain opened, the club has hosted many of the world's best known and most esteemed DJs #x2014; residents include Ben Klock and research proposal str 581, Cassy, while Detroit legends Carl Craig and Jeff Mills as well as famous younger DJs, like Gesaffelstein, have also played sets. The smaller Panorama Bar floor, which focuses on groovier, more melodic house music rather than the main floor's severe techno, has hosted avant-garde heroes Laurent Garnier and test essay, Ricardo Villalobos, among many others. Research Proposal Paper! While EDM in about anti, the U.S. is currently dominated by the more pop-friendly vibe of dubstep, the sound in the main Berghain space is dark, hardcore techno. When the former turbine hall fills with people, one-third of the crowd tend to research str 581, be shirtless men, sweat and testosterone dripping off their bodies, and clinical for the nutrition care answers, much of the dancing consists of some combination of marching and forceful air-punching, a proper physical response to the big, industrial beats. Paper Str 581! As Karsten puts it, When you're in the building on a Sunday afternoon, there's this feeling that this is exactly right, that the clinical case studies answers club Berghain and the building Berghain are part of the intensification of this minimal music, and you can't imagine anything different. The story of Berghain begins 20 years ago, when Thormann and Teufele threw their first Snax sex party, a fetish gathering that was held in various different locations around Berlin. In the late Nineties, a contact at Deutsche Bahn, the research proposal str 581 German national railroad, helped them secure a space for their parties in ib philosophy essay, a former railway freight yard, which later became a club called Ostgut, the predecessor to Berghain. Ostgut was in many ways the proposal quintessential gritty, hedonistic Berlin club. Ib Philosophy Extended Essay! Daniel Wang, a Berlin DJ who has played at Berghain, remembers that the research str 581 first time he went to a Snax party at Ostgut, he had to climb off the clinical case for the process side of a bridge and down a ladder to make it into the boundary-pushing club.

There was a piss room with huge funnels connected to tubes so the liquid wouldn't drip onto the dance floor, and people could duck their heads under the funnel waiting to be pissed on, he remembers. When the research proposal paper str 581 club was closed to make way for a new arena, the owners searched for is it plagiarism a permanent location, and in 2004, they opened Berghain, which has a capacity of research paper 1,500. Panorama Bar, the case for the nutrition care answers upstairs dance floor, opened in October of that year, followed one month later by the main dance floor, and one year later by proposal str 581, Lab.Oratory, the gay sex club (Crisco is sold at the bar) that takes up space on for the nutrition care process answers, the building's ground floor. The club melded Ostgut's underground vibe with a more professional service experience #x2014; drinks are shuttled to and from the bar via hidden hallways, and the building was retrofitted so clubbers couldn't easily injure themselves. In the early years #x2014; before the city's tourism boom hit full swing #x2014; the club attracted a typically eccentric Berlin crowd: diehard techno fans, leather fetishists, bearded young professionals on drugs. Research Proposal Str 581! Shambhu Leroux, a voluble, heavily tattooed blues singer who for eight years was one of the club's bartenders, said there was a genuine vibe at case ebook, Berghain in the beginning.

She remembers that the research crowd welcomed nonconformists, including transgender people like her. There were a lot of extended essay freaks there, Leroux said. #x201C;[And that] is proposal str 581, a word I apply to myself. Berghain's exterior during the day. CC Image Courtesy of peterulrich.net | Berlin Webdesigner on Flickr. In addition to the music, sex and drugs were always a key part of the club's appeal: It's no accident that Berghain offers countless areas for star questions people to proposal paper, sneak away to #x2014; there are two darkrooms, small closable cubbies upstairs, and large unisex bathroom stalls which, according to Karsten, were built to accommodate six people and also to be capable of resisting cleaning materials not used outside of the meatpacking industry. Case Studies For The Nutrition! The club was also purpose-built not to have any dead ends, even in the bathrooms, so people can cruise each other without running into a wall. Those bathrooms don't have any mirrors, either, to save partiers the buzzkilling indignity of seeing their own faces after an epic partying session. Lab.Oratory, which shares Berghain's industrial architecture, is known as Berlin's most extreme sex club. The club hosts regular nights called Yellow Facts, Sewer System and paper str 581, Scat (the website description reads: From hard to soft stools, you'll find the right taker for everything.) Neda Sanai, an artist and filmmaker who worked as a bouncer for six years, says visitors to Lab.Oratory would sometimes bring shit into star test essay questions the club in Tupperware containers. Karsten, the Berghain architect, says, if we designed the research proposal paper str 581 Lab again, we would have made those floor drains a bit bigger.

The all-male Snax parties still take place twice a year, once on Easter weekend and once in November. At its most recent iteration #x2014; a sports-themed bacchanalia #x2014; the essay abortions dress code required sneakers and sportswear, and research str 581, the line to get in at midnight was more than three hours long. A boxing ring was set up in the middle of the main dance floor, and as Boris, one of the resident DJs, played pounding techno the space filled up with men in jockstraps having sex, or giving each other blowjobs by holt homework, the bar. At 9 a.m., the club was still full, and three men were trying to revive a passed-out man in the downstairs orgy room, while a dozen others had sex nearby. If you want an explanation for the extreme nature of the Berlin club scene, you need to look at the city's history. For the decades before unification, the research city was poor and isolated, with little to offer economically. Holt Homework! Half of Berlin was walled in, Boris, a native Berliner remembers, and the city was politically aligned with the left; it had a very militant character, which expressed itself in a very aggressive, minimalist raw form of proposal paper str 581 techno. This sound became the staple of the illegal parties that sprouted up in the abandoned factories and warehouses after the fall of the Berlin Wall, and then, over the following decades, in the more permanent clubs that eventually took their place.

The names of these clubs are now a shorthand for the crazed party culture of post-reunification Berlin, when former East and West Germans found common ground in the city's hedonistic dance floors: The Bunker, E-Werk, Tresor, Weekend, WMF. In the naughties, Bar 25, a drug-fueled club that looked like a gypsy-acid pirate lair and had its own hostel became a high-profile symbol of the city's debauched nightlife and the subject of a popular documentary. Star Test Essay! In the past two decades, the city's tradition of sexual permissiveness, lax drug policing and left-wing, anarchist politics blended together to create the most sexually adventurous, unconventional party scene in Europe. The city's historical poverty meant high unemployment and large numbers of people with no reason to wake up early on Monday, fueling the appetite for marathon-length parties and a dislike of closing times. It's a fuck-off to the rigid capitalist version of time that is enforced in any other city in the world, says Wang. They're truly saying that money is of secondary importance, that it's the experience that matters. This stands in research paper str 581, contrast to the big-business Las Vegas EDM scene and events like the is it plagiarism a essay Electric Daisy Carnival, which have introduced a new generation of research proposal paper young Americans to electronic music, albeit without the sense of danger and edginess that characterized the rave scene of the Nineties. In Vegas, superstar DJs like deadmau5 and Skrillex make millions of dollars a year, performing in controlled, meticulously set-designed clubs where table service can run in the tens of holt homework thousands of dollars.#xA0; By contrast, Berlin is scrappy, grimy and chaotic. Cover charges and proposal paper str 581, drinks are still cheap, the venues look run-down and authentic, and you're less likely to see a celebrity than you are two people fucking at the bar. Is It To Buy! Additionally, unlike too many Stateside venues, Berlin's clubs and parties are almost never overrun with corporate branding for energy drinks or body spray.

For Americans hungry for a taste of underground techno culture, the lure of this seemingly unspoiled scene can be hard to resist. Str 581! There's the legend of Berghain, DJ Harvey says. It's a cross between The Lord of the Rings and ib philosophy, the Stonewall Riots, and paper str 581, then there's the stories about the guy who turns up with frozen shit and uses it as a dildo. At 4 a.m. on a recent Sunday, a constant line of a few dozen people was braving a wind chill of minus 11 Fahrenheit #x2014;#xA0;the coldest night of the test questions year so far in Berlin #x2014;#xA0;to patiently face the club's notorious bouncers. The three enormous, stern, black-clad German men were turning away about research proposal str 581, as many people as they were letting in, with little discernible pattern to their decision-making. One couple, seemingly in shock about being rejected and extended essay, unsure about what to research paper, do next, stood shivering next to extended essay, the club's metal entry barriers until a bouncer yelled at them in German, and then in English, that it was time for them to get off of research proposal private property.

Berghain's door policy is almost as famous as its A-list roster of DJs. The club's main bouncer, Sven Marquardt, a bearish East German photographer with a face covered in barbed-wire tattoos, is a minor celebrity in Germany and referred to in newspaper headlines as the is it lord of the proposal paper night. Blogs and Twitter are filled with advice for potential visitors on how to test essay questions, get into the door #x2014;#xA0;don't go as a large group, don't speak English near the research proposal door, act gay, but not too gay #x2014;#xA0;but most people admit that there is no way to know the rules. Famously, and about abortions, perhaps apocryphally, Britney Spears is said to have been denied entry.#xA0; Given that, it's understandable when people take the rejection at the door personally. Sanai says she once witnessed a woman who couldn't get in pick up broken glass from the ground near the door and begin cutting her arms. (For what it's worth, she says there are no firm rules for getting in the door, and that it's up to research paper, the individual bouncers who they let in). The strict door policy is partly meant to protect Berghain's alternative identity from drunks or gawking businessmen in suits, but also more recently from the flood of tourists that has surged into Berlin.

On this day, as on a essay, most others, it seemed moot #x2014; most of the people walking up to research str 581, Berghain's doors were speaking English or Spanish or Italian, not German. An inside view of Berghain. CC Image Courtesy ewar woowar on is it, Flickr. Luis-Manuel Garcia, an ethnomusicologist with Berlin's Max Planck Institute for Human Development studying the city's techno scene, claims the massive recent popularity of EDM in the United States has accelerated the scene's touristification and brought in a younger, less-bohemian crowd. He compares it to the vaunted Chicago rave scene of the Nineties, which suffered from the massive, sudden influx of newcomers and then rapidly died out. Something similar is research paper, happening in ib philosophy, Berlin and Berghain, specifically, Garcia says. Berghain is changing, and sooner or later it's going to be over.#xA0;

To hear him explain it, the life cycle of research paper a techno club is anti abortions, similar to research proposal paper, that of an about anti island ecosystem: Something I have observed in research proposal paper str 581, many different scenes in many different cities, is that for a scene to be lively and essay questions, coherent, it requires turnover but also a certain amount of stability. If a scene becomes too insular, it tends to stagnate, but if it is suddenly overwhelmed by newcomers, the elements that created it begin to dissolve. When you start getting huge turnover in a club, explains Garcia, it becomes more and more difficult for research str 581 those who have been there for a long time to teach the newcomers how to behave. In the case of Berghain and its cult-like devotees, this anxiety is overlaid with the city's often schizophrenic relationship with tourists, who are thought of, on one hand, as economic saviors and, on the other, as unwelcome intruders. In the last several years, the issue of tourism has become increasingly prickly in Berlin.#xA0; If you bike around the recently gentrified neighborhoods of Kreuzberg or Neukoelln, you can't escape the anti-tourist graffiti which marks many of the walls #x2014;Eat the tourists, Fuck tourists, Touristen Fisten . The anger stems, first and foremost, from economics: In Neukoelln, for case study methodology in business example, rents went up 23 percent between 2007 and paper str 581, 2010, and, although tourists carry only a small part of the blame, many people associate the increase with the plagiarism to buy rise in foreign visitors and new arrivals. In the nightlife world, the rise in tourism has been similarly controversial. Tobias Rapp, the author of proposal str 581 Lost and Sound , a book about study methodology in business research, Berlin club culture, argues that the rise in proposal paper str 581, visitors has actually invigorated the city's clubbing scene #x2014; bringing more knowledgeable techno fans and excitement into the clubs. The bigger problem is the Berliners, he says, who have become blas#xE9; about the local techno scene and have an arrogance that is anti abortions, out of place. Proposal Paper Str 581! But many locals see the is it plagiarism to buy threat as deeply existential. The rise in visitors from London and research paper str 581, New York and essay questions, San Francisco means not only swarms of non-German speakers getting drunk in Berlin parks, but the encroachment of globalized mass capitalism into Berlin's anarcho-bohemian bubble. It means rising prices for locals, and, therefore, the proposal str 581 need to work more, and, ultimately, less opportunity for three-day long partying.

Rapp paraphrases the late German theater director Christoph Schlingensief, who was himself nodding to Samuel Beckett, when he describes the city's philosophy: Fail again, fail better.#xA0; Now the city is grappling with what it means to become a success. According to Berlin's senator for economics, the essay about city's economy is expected to grow at three times the rate of paper other German states in 2014. Tourism, of which techno is a large part, brought over essay anti abortions, 10 billion euros into the city in 2011. Klaus Wowereit, the city's mayor, regularly meets with the owners of Berghain, and four years ago, the state offered 1.2 million euros in financing for the club, so it could expand its cultural offerings (the club did not accept the research paper str 581 offer). Case For The Care Process Answers! Berghain is a lodestar in Berlin, says Wang, whether you like what the club has to offer or not, it is an attraction that gives life to its satellites. According to Sanai, large numbers of tourists started coming to Berghain around 2009. In 2007, Pitchfork had already described it#xA0;as quite possibly the research str 581 current world capital of extended techno. In 2009, DJ Mag crowned it the top club in the world.

At that point, the proposal str 581 rise of discount airlines had made it affordable for people in Europe to come to abortions, Berlin for a weekend, party for two days and proposal, then fly back home. In Business Research Ebook! EasyJet started doing offers, she says, and you would see that one week the people would be Spanish, the next week Italian, the next England. Leroux says the change came very slowly, little bit by little bit. She said gradually the visitors became more uptight, and then would start trying to take photos of her with their iPhones or ask her if she was a real woman. I'd never had this question asked at the beginning, she says about the interlopers. There was this attitude of we are not really living here, so we can shit all over the place, because tomorrow we won't be here.

By definition, subcultures are fleeting, Rapp says. But in proposal paper str 581, recent years, the rise of the Internet and social media has accelerated the process. When Berghain opened, there were no smartphones. Now over 85,000 people have checked in at Berghain on Facebook and is it plagiarism to buy a essay, despite the club's no-photography policy, a search for #berghain on Instagram reveals nearly 12,000 posts. With social media in the underground club world, everybody who wants to know about proposal str 581, something knows about plagiarism to buy a essay, it, says DJ Harvey. Berghain isn't headline news anymore. Gradually, Garcia says, Berghain regulars stopped coming Fridays and Saturdays because those nights became dominated by tourists and now, if ever, only paper str 581 come on Sundays during the day. On techno sites, like Bodytonic, locals complain#xA0;that the club has become an attraction filled with Irish techno tourists on ketamine. (Last year, Berlin electronic band JETS' Travis Stewart called Saturday nights at essay about, Berghain a tourist trap). Paper! One long-term German Snax party regular complains that even the holt homework sex parties are becoming more tame: It's become less extreme #x2014; now you go to present yourself, and consume the music and maybe have sex, but it's not as experimental. Research Str 581! Garcia, who has been going to Berghain since 2007, says he prefers going on Sundays to avoid crowds. When the New York Times published a travel guide this fall claiming the insider secret was to extended essay, come to the club at noon that day to avoid the wait, Garcia says that On Facebook all of proposal str 581 my friends who are connected to that scene said, 'Oh fuck, now do we have to go Monday afternoon?

Other recent developments have gradually chipped away at Berghain's elevated reputation: In October, Lady Gaga held an album release party#xA0;on Berghain property (Apparat, the German electronic star, tweeted#xA0;that this was sad.) A few weeks later, a video pitch#xA0;for an app called How to Get Into Berghain #xA0;made the rounds on case study research, social media and in Berlin newspapers. In it, a programmer describes an app allowing users to find out the lineup and connecting them to an online store to purchase the perfect Berghain apparel (the example: 340-euro Alexander McQueen sneakers). Lady Gaga poses for the press prior to the prelistening fan event of research paper her new CD 'Artpop' at Halle Berghain on October 24, 2013. Plagiarism A Essay! Anita Bugge/WireImage. In a possible indication of broader future intentions, the owners of Berghain purchased the building from the Vattenfall power company in 2011 and last year opened a new space for events like ballet performances. Research! Plans to expand parts of the building for other cultural uses have been in study research, the works for years, but have yet to be financially viable.

The club already hosts concerts and various arts events during the week, and has grown to include a biergarten and another concert venue. #xA0;There might be a moment, which may be happening right now already, where Berghain isn't cool anymore, but it is already an institution, like the philharmonic, for electronic music, says Rapp. If the research proposal club plays its cards well, and doesn't compromise its programming choices, then it will continue to play that role for years to come. If not, it'll be a spiral into the abyss.#xA0; But whatever happens to Berghain itself, the club's biggest legacy might be its effect on the city as a whole, as a magnet for a class of young, educated culturally inclined people who come to visit the city and then move here and throw new parties of case studies for the care their own #x2014; even if it attracts its share of str 581 clueless American tourists too. Clubs open up and close down, says Rapp, and if Berghain closes, it wouldn't be the end.#xA0; In London, Chicago and ib philosophy essay, New York, underground electronic music scenes appeared and then faded away, becoming a quieter part of the cities' identities and proposal str 581, then resurging in different moments. In the essay far future, Berlin may well follow those cities' leads, becoming a more expensive, and boring, version of itself, where clubs close at normal hours and research proposal str 581, beers cost as much as a small meal. Karsten believes the city's clubbing culture is going to become more upscale and conventional because more international guests are coming, who expect to go into is it plagiarism to buy a club and order a table with champagne. Together with his partner, Alexandra Erhard, he recently designed Avenue, a new club in the formerly hip Berlin district of str 581 Mitte, which boasts table service and caters to a more upscale clientele.#xA0; A new term, Clubsterben, which translates as club death, was coined by owners to describe the spate of recent of essay club closures, allegedly due to gentrification, but, as Rapp points out, the city still has lots of places that are undiscovered, and the club mile is simply gradually moving eastward, towards the districts of proposal paper Lichtenberg and case ebook, Neukoelln, where there are still empty spaces, and plenty of scuzz. There, clubs like ://about blank and research proposal paper str 581, Salon zur wilden Renate host marathon parties of extended essay their own.#xA0; Dancers of Berlin's State Ballet perform the play 'mass' (Masse) at 'Berghain,' on May 2nd, 2013 Kay Nietfeld/AFP/Getty Images. By the afternoon on Sunday, Sofia, the proposal visitor from New York City, is clinical case for the nutrition care process answers, feeling better about her Berghain experience. She managed to proposal paper, get some drugs in the club's bathroom, and is scouring the club for a hot woman with whom she and her husband could have a threesome.

I've spoken to plagiarism to buy a essay, four women, and none of them were interested, she pouts, staring glumly off into the distance. Then she decides to keep trying and walks off.#xA0; At this point in research proposal, the day, the party-shifts are changing #x2014; people who have been in the clue for a full day are fading while newcomers, who came after eating breakfast, are trickling in. At the bar, a gaggle of holt homework clean-cut British tourists from London are looking at their iPhones, and marveling at research str 581, the time. We should be eating lunch right now, one says, amazed. On the plagiarism a essay dance floor, a middle-aged man is rubbing his crotch against a blonde woman's thigh and fondling her boob like he's testing the ripeness of a cantaloupe. The party will continue until the research paper evening and into Monday morning, at which point the study in business research ebook tourists will return to their Airbnbs and the locals will go home, most likely to research proposal str 581, rest and is it plagiarism a essay, prepare for normal life to resume. Outside the club, the proposal winter sun remains hidden behind Berlin's usual thick cloud cover, and the city's elevated train rattles by.

As people stumble out the front door, dazed by the muffled light, a constant trickle of clinical case studies nutrition process newcomers trudge up the dirt path to confront the research stonefaced bouncers, unsure if they'll be turned away or be allowed to climb the stairs and disappear into the noisy darkness of Berghain.#xA0; Sign up for our newsletter to receive breaking news directly in clinical case for the answers, your inbox.

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analysis THE STORY Mr . Know - All is a story with a moral lesson. The subject is simple. Holt Homework? A rich Britishmerchant of research proposal paper str 581, . Oriental origin, called Mr . Kelada, meets a group of Westerners on a shipsailing across the Pacific Ocean. His cabin-mate, a British citizen who is the nameless narrator of the story, dislikes Mr . Is It To Buy? Kelada even before he sees him. However, at theend of the pride and reputation to save an American ladys marriage.As a result, he earns the proposal str 581, respect of the narrator.story Mr . Case Research Ebook? Kelada, the Levantine. Discrimination , Doctor , Fiction 1558 Words | 2 Pages. citizen of the British colonies, interferes in other people's lives. He is dogmatic and thinks that he knows everything better than anybody . else, he is certain that you are as glad to see him as he is glad to see you. He argues a lot and always has something to say, runs everything, conducts the auction, collects money for prizes at paper str 581 the sports, organizes the concerts and arranges a ball. All these annoy the passengers and the narrator, but Mr.Kelada doesn't want to case studies for the care answers, annoy them, he has good intentions.

British colonization of the Americas , British Empire , Colonialism 697 Words | 2 Pages. Literature review: Mr . Know all : Hots: * Explaining patterns – didn't keep his mouth shut. Proposal Paper? Mr . . Kelada is a busy person. He can never assay he's wrong, he has to win every argument. About Anti Abortions? When he admits he made a mistake we're totally surprise as he breaks his pattern. Proposal Paper Str 581? It's going against everything we thought about him.

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The subject is simple. A rich British merchant of Oriental origin, named Mr . Kelada, meets a group of Westerners on a ship sailing across the Pacific Ocean from San Francisco to Yokohama. His cabin-mate, a British citizen who is the nameless narrator of the story, dislikes Mr . Research Paper? Kelada even before he sees him. However, at the end of the story Mr . Kelada, the Levantine jeweler, proves to be a real gentleman. A Story , British Empire , British National 3140 Words | 10 Pages. All Quiet on the Western Front Essay. Ian Johnson 1 May 2013 Mr . Morris World Lit. War Through the Eyes of Erich Remarque A soldier must have the methodology, mentality of, “I must kill or . I’ll be killed” or they will surely perish. Research Proposal Paper? Taking this idea to heart can be a very moralistic test that most people can’t handle. Essay Anti? All Quiet on the Western Front is one of the research proposal str 581, greatest war novels ever written because of its exposing graphic depiction of ib philosophy, war. Research? In the short note before Chapter One, Remarque lets the holt homework, reader know exactly what themes he intends.

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Analysis of Scene 5 Act 1 of Macbeth Essay. Research Proposal Paper Str 581! Macbeth Scene AnalysisAct 5 Scene 11)Plot SummaryIn this scene the gentlewoman who accompanies Lady Macbeth while she sleeps has previously reported to a doctor of her sightings of Lady Macbeths deranged sleepwalking not long after Macbeth left to prepare for battle. Here both of them keep watch to see if any of Lady Macbeths sleepwalking occurs again. It starts off with the doctor and gentlewoman discussing Lady Macbeths condition. During Lady Macbeths sleepwalk she had previously, she confessed to essay abortions the murder of research proposal Duncan that she and her husband committed. However when the doctor asks the Gentlewoman whether In this slumber agitation, besides her walking and other actual performances what at study methodology ebook any time have you heard her say? but the proposal paper, gentlewoman refuses to answer as she doesnt want to get involved. Studies! Later in the scene Lady Macbeth starts sleepwalking carrying a candle which the gentlewoman states that Lady Macbeth always insists on having it near her bed. 2)Character Analysis Major Characters.

In Act V. Scene i. the research str 581, major character that we see is Lady Macbeth. Holt Homework! I think the main message we perceive from this scene about Lady Macbeth is that her bravery was all a pretense and on the outside, but really her conscious was afraid and in shock about what she had driven her husband to do. The metaphor used to describe the lingering shadow of the dirty deed is the spot. When Lady Macbeth starts talking she keeps on repeating the same thing over and over again begging for the damned spot to get off her hands. The spot was the research proposal, left over case process answers, blood marks and smell of the murder that all the perfumes of Arabia will not sweeten this little hand. Shakespeare uses indirect characterization to show us that Lady Macbeth has a guilt side of her that she tried so hard to mask. Although we have always known Lady Macbeth as the str 581, strong, ruthless ambitious one of the two however in this scene she falls apart and becomes vulnerable to the guilt that built up inside her. This shows that although the rest of the people of Scotland think of plagiarism to buy a essay Lady Macbeth and her husband as strong powerful people, this scene lets us know that there is more behind their dynamic characters. 3)Character Analysis Minor CharactersIn this scene there are two minor characters, the Doctor and the Gentlewoman.

Although they are minor characters they play especially significant roles in this scene as they are the ones to witness the confession of the murder of paper King Duncan that she and Macbeth committed. Things that we learn about the doctor in this scene include that he is a man with patience as at the beginning of the abortions, scene he says I have two nights watched with you but can perceive no truth in your report. When was it she last walked? This showed that he either had the patience to wait and proposal paper str 581 see the condition of Lady Macbeth or he didnt want to disobey command of the rulers. He couldve just said on the first day/night that he didnt see any evidence of Lady Macbeths sleepwalking and left to do his job in clinical case nutrition care answers, other places.

The doctor is a flat character as he doesnt appear several times throughout the research proposal, story yet he is case research, still quite important. He is also an inquisitive person as he honestly reports to the gentlewoman of his observations and he asks several questions where it is required. He is straightforward as he doesnt waste time trying to pretend that he knows how to cure Lady Macbeths sleepwalking as he says This disease is beyond my practice;The gentlewoman is also a flat character as she only served as the link to the doctor finding out research paper str 581, about Lady Macbeths sleepwalking. In addition, she doesnt reappear in the rest of the story. However she still played an important part as she was the one to first encounter the process answers, sleepwalking Lady Macbeth. The gentlewoman is a straight forward person as she directly answered most of the research, questions she was given. The only answers, thing she didnt answer was about whether Lady Macbeth spoke while she sleepwalked.

The gentlewoman seemed loyal as she did not want to get involved with the situation of Duncans murder so she said to paper the doctor she wont repeat what Lady Macbeth said. Ib Philosophy Extended! 4)Language FeaturesShakespeare uses a lot of language features in this scene. This scene shows a lot of irony compared to Act 2 Scene 2. In that scene she says Retire we to our chamber; a little water clears us of research proposal str 581 this deed. Which was basically she telling Macbeth not to worry but their actions will not be found out case study methodology ebook, of. Research Proposal! Yet here she is the star essay questions, spirits of the proposal, deed haunting her still, after several weeks. Contradiction is also used for case study in business ebook, the same reason and research str 581 way irony is used. Essay Questions! Lady Macbeth contradicted herself from Act 2 Scene 2, by research str 581 saying nothing will go wrong when we can clearly see that in this scene nothing is star test essay, close to right. 5)ThemesThe theme that Shakespeare explores greatly throughout the whole of Macbeth, is moral thoughts.

In this scene he indirectly tells us that there is never an easy way out of a bad deed, for whether you are caught or not your guilt will haunt you forever. However in this scene Macbeth uses the theme of Masks. Proposal Paper Str 581! The theme of clinical case studies for the care answers masks is basically how throughout the whole play we see different sides of the major characters Macbeth and Lady Macbeth, they put on different masks depending on who they are with. 6)ConnectionsFor this play I found out paper, a very interesting relationship between it and the movie Final Destination. In this movie the story starts off with one of the characters, Alex, having a premonition of abortions him and his friends crashing in a plane ride to Paris, which can be compared to the three witches having a vision of Macbeth as king and giving the information to Macbeth. Research Paper! Then on extended essay, the plane Alex realizes that everything is going the way things were in his dream, and he runs off the plane in fear, bringing 6 other friends with him. As the story develops, the str 581, characters realize they cannot cheat death as one by one they start to die according to how they wouldve died in study methodology ebook, the plane. They spend the movie trying to find a way to not die, but in the end the only one that survives has locked herself in an asylum room where she goes crazy, just like Lady Macbeth went crazy in Act 5 Scene 1. In Macbeth even though they cheated their way to the throne by killing Duncan, Banquo and the other people meant to get the title of King, Macbeth and Lady Macbeth both die at the end as their plans fail and they end up as miserable people.

Macbeth by William Shakespeare. University/College: University of Arkansas System. Type of paper: Thesis/Dissertation Chapter. Date: 25 July 2016. Let us write you a custom essay sample on Analysis of proposal str 581 Scene 5 Act 1 of Macbeth.

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Str 581 week 2 research proposal analysis / writing a research paper

Endometriosis: General Information. Posted under Health Guides. Updated 29 August 2016. Endometriosis is a condition that occurs when tissue similar to the inside of the uterus is found outside of its normal location. The only research str 581 way to be 100% sure that a person has endometriosis is to have a laparoscopy.

There is no cure for endometriosis, but treatment can improve symptoms and preserve fertility. Endometriosis, pronounced, “end–o–me–tree–o–sis” can affect girls of all ages. Essay Questions? It is a condition that occurs when tissue similar to the inside lining of the uterus is found outside of its normal location. Endometrial implants can be found on the ovaries, fallopian tubes, and proposal ligaments that support the uterus and case in business tissue covering the bladder and rectum. Research Proposal Paper? The most common locations of holt homework endometrial implants in teens are in the cul–de–sac area (behind the uterus), and near the bladder.

What are the symptoms of endometriosis? Endometriosis causes different symptoms in research str 581, young women. Pelvic pain and/or severe period cramps are the most common symptoms. There can be pain before, during or after your period. The pain may occur at regular times in your cycle or it may occur at any time during the month. It is often referred to as “chronic” pelvic pain.

The location of the clinical nutrition care process, endometrial implants and the way in which the lesions affect the pelvic organs contribute to the symptoms teens may have. Some teens may have pain with exercise, sex, and/or after a pelvic exam. Although not as common, some teens may have painful or frequent urination, diarrhea or constipation with pelvic pain. Research Proposal? It’s important to remember that some teens have a lot of endometriosis and have very little pain, while others may have a small amount of case in business endometriosis and severe pain. Although we know that some young women may be slightly more likely to research proposal develop endometriosis because female relatives have it, the ib philosophy extended essay, fact is we do not know the cause of this disease. The three most accepted theories are: Sampson’s Theory: This theory explains that the flow of paper str 581 menstrual blood gets “backed up” causing some of the blood to flow in ib philosophy extended, a reverse direction. Proposal? This process causes blood containing endometrial tissue to attach to essay anti abortions surfaces outside of the uterus. Meyer’s Theory: This theory proposes that specific cells called “metaplastic cells” change into endometrial cells and are actually present at birth.

Vascular Theory: This theory suggests that the endometrial tissue “travels” through the research str 581, body via blood vessels. Extended? It then reaches various tissues, implants, and then grows, causing pain. The ONLY way to be 100% sure of this diagnosis is to have a procedure called a laparoscopy. There is no blood test, x–ray, ultrasound, or MRI that can diagnose endometriosis at research proposal paper str 581, this time. A laparoscopy allows your doctor to look inside your belly at your pelvic organs with a special lens to identify the study methodology ebook, endometriosis (implants). Other tests that may be ordered before a laparoscopy might include blood tests, vaginal cultures to check for infection, ultrasound or an paper str 581, MRI (to make sure it’s not something else).

Why have I heard that some adult women may have trouble getting pregnant? If endometriosis is not found and test essay treated, it can grow and proposal damage the fallopian tubes and ovaries. This can make it more difficult to about abortions get pregnant. Studies done at research paper str 581, Boston Children’s Hospital have shown that if endo is found in teens and treated early, it does not tend to get worse over time. Is there a cure for endometriosis? While there is no cure for endometriosis, you can be treated with surgery and medicine to keep the endometriosis from essay questions, getting worse and harming your future fertility.

It is very helpful to use a Pain and proposal str 581 Symptom Tracker to record your pain for a while. Another method to locate and describe your pain is “Pain Mapping”. Make a copy of your Pain and Symptom Tracker and Pain Mapping worksheets, fill them out, and bring them with you to case methodology research ebook your appointments. These tools will help you explain your pain to your medical team. Ways to help you describe pelvic pain: Type (sharp, dull, burning, aching, crampy) Location (where the pain is) Duration (how long the pain lasts) Intensity (on a scale of research 1–10, how “bad” the pain is) What kinds of treatment are available? Once a diagnosis of endometriosis has been made, treatment falls into the following categories. Observation: After an evaluation and before beginning hormonal therapy, you and essay your gynecology (GYN) team may decide to keep track of proposal paper str 581 your symptoms and try mild pain medicine.

This is usually the first step for ib philosophy essay girls with premenarcheal endometriosis (who are too young to have had their first period). Medical suppression: Hormonal treatment such as birth control pills containing estrogen and progesterone taken continuously (to stop periods) relieves symptoms in many patients. Research Paper Str 581? A second treatment is study in business research, progesterone medicine alone. This comes as a progestin–only birth control pill in paper, a pill pack (Nor–QD® or Camilla®) or as a regular pill that comes in holt homework, a bottle Norethindrone acetate (Aygestin®). The dose of research paper str 581 Aygestin® can be adjusted for your body to stop your pain and bleeding. Ib Philosophy Essay? Another type of medication is a GnRH agonist, such as Leuprolide acetate (Lupron–Depot®). This medicine works by shutting off hormones made by the ovaries and temporarily stops your period. The use of GnRH agonist therapy lowers your body’s estrogen level (one of the hormones that causes your body to have periods). Surgery: Visible endometriosis will be destroyed at the time of str 581 laparoscopy. Case Study Methodology In Business Research? After this procedure, many teens find relief from research paper str 581, symptoms.

Most say that their pain is better, but not completely gone. Remember, there is no cure for endometriosis. Many teens may experience pain again. Lifestyle changes: Dealing with chronic pelvic pain can be challenging. Exercising often helps to relieve or lessen pelvic pain and menstrual cramps. Eating a balanced diet and getting enough rest also helps your body manage pain. Practicing relaxation techniques such as yoga and holt homework meditation help to ease pain too. Pain treatment services: If you do not have relief from research proposal paper str 581, your symptoms, your gynecologist may refer you to star test essay questions a pain treatment program for proposal paper str 581 an evaluation. Following an holt homework, evaluation, services such as biofeedback, physical therapy, acupuncture and exercise programs may be offered.

Complementary medicine: Acupuncture, herbal remedies, homeopathy and healing touch are among popular adjunct approaches to research proposal medical treatment. Many of these therapies can be helpful, however not every complementary therapy has been scientifically proven to be safe and effective. Clinical Case Care Answers? Research studies are limited. Research Paper? Before experimenting with any alternative therapy, make sure that you are working with a licensed provider that has been referred to you. What else do I need to know about endometriosis? Young women CAN suffer from symptoms of endometriosis. Medical studies have found this disease in teenagers and young children. Chronic pelvic pain is NOT normal. Most young women have none or mild to moderate menstrual cramps one or two days a month. If you are absent from school because of pelvic pain or menstrual cramps, tell your GYN team. Endometriosis occurs among women of ALL races.

Endometriosis is NOT an STI (sexually transmitted infection). Getting pregnant does NOT cure this disease but may improve symptoms for some women. Some women with endometriosis who have had children continue to have pain. If your pain makes you feel at all disadvantaged compared to other young women or men, this is not normal. Don’t “normalize” your symptoms. If you don’t feel like you are equally capable as other young women your age (because of pelvic pain), you need to about anti abortions seek medical treatment. Endometriosis: Pain and Symptom Tracking. Posted under Health Guides. Research? Updated 29 August 2016. Keeping track of pelvic pain, menstrual cramps, and other symptoms such as pain when you pass urine or when you have a bowel movement is star test essay, important.

Be sure to proposal str 581 write down any symptoms you have, the number from 1–10 that describes the degree of pain, and where it is located. If you are taking continuous hormone pills and you do not have periods, you can use the chart to clinical nutrition care process track any other symptoms, including breakthrough bleeding. Be sure to proposal paper str 581 check out the Sample Pain and Symptom Tracker and carefully read the keys at the bottom before you start filling out your own tracker. Make a few copies of My Pain and Symptom Tracker. Write the name of the month at the top of the page and begin tracking your pain and symptoms. To fill in the bleeding “Amount” row, look at the Blood Flow Amount Key at test questions, the bottom of the page to proposal paper figure out which letter (S, L, N, or H) best describes your flow.

Figure out essay which letter best describes the location of your pain (M, L, or R) by taking a look at the “Pelvic Pain Location Key” at research, the bottom of the case methodology in business research, page. Write it down in the Pelvic Pain “Location/Intensity” row. Then, decide which number best describes your pain (0 = no pain, 10 = the worst pain you have ever had) by looking at proposal, the Pelvic Pain Numerical Rating Scale at the bottom of the page. Write that number down in about abortions, the same row. Example = M/5.

If you don’t have any pain symptoms or breakthrough bleeding on any given day, just leave the box empty. Remember to bring your Pain and Symptom Tracker with you to your GYN appointments. Sometimes it’s hard to describe exactly where your pelvic pain is, so we created this special tool to help you “map your pain”. Pain mapping using colored pencils or markers is a unique way to research paper show your medical team the location of your pain. Simply color in methodology in business research ebook, the area where you have pain. You can create your own “key” using different colors. For example; you may use the color red to paper show the location of severe pain, while you may choose the color orange to indicate moderate pain—it’s up to you, you’re the artist.

We’ve included a sample pain mapping worksheet to show you an study ebook, example of how to research proposal paper map your pain. Posted under Health Guides. Updated 29 August 2016. Even though everyone experiences pain differently, it can be helpful to methodology think of your pain in two ways: the physical pain you have, and research str 581 how your pain impacts your life. Your physical pain may include ongoing pelvic pain, painful periods, and less often, bowel and bladder problems. How your pain impacts your life may include challenges such as: isolation from friends due to care answers unexpected bouts of physical pain, not being able to participate in sports or other activities (because of proposal chronic pain and/or fatigue), and anxiety over school work because of absences. Also, your pain can take a toll on those who care about you, such as significant others and family members. This can cause added tension and stress. For all of these reasons and more, you may feel frustrated because your health feels out of your control. Take a moment to identify your physical symptoms and how they impact your life. Stress-relieving techniques: Learning to manage the clinical case studies for the, stress in your life is important under any circumstances but it is essential when you are living with chronic pain.

Many young women with endometriosis feel overwhelmed with managing both their pain and paper the various stressors that impact their lives. Here are some examples of ways to test questions manage the stress of chronic pain: Exercise Sleep 8–9 hours each night Take naps when you need them Meditate daily Eat 3 healthy meals a day with nutritious snacks in between Do things you enjoy when you feel well Stay in touch with your friends in person, by phone, or online Keep up with your schoolwork (so you don’t feel overwhelmed or get behind) Practice yoga Learn when to push yourself and when not to Keep to research paper str 581 routines as much as possible Plan ahead with your parents/caregivers for unexpected “flair–ups” of pain Talk to a counselor. It is also helpful to have your own personalized list of things to do when you have a pain flare–up. Your list can include things such as taking a warm bath or shower, lying down with a heating pad, doing yoga poses, reading a good book, watching a favorite DVD, or listening to music.

Managing your pelvic pain at study ebook, school: Does your endometriosis pain get in the way with your plans to attend school or your ability to stay for a full day? Does your academic performance and grades sometime suffer due to proposal paper str 581 absences, missed assignments or difficulty keeping focused? Perhaps you’ve also experienced tension with your family, and/or teachers due to poor school attendance and performance issues. Dealing with pelvic pain in a school setting can be very stressful, particularly if your teachers and school nurse are not aware of the pain you have to cope with most days. Below are tips to help you manage the realities of star test questions being a student with chronic pelvic pain. Notice that all of the tips depend on paper str 581, BEING PREPARED. Know your pain tolerance threshold.

Your pain will likely be mild some days, but other days it may be severe. Use “My Pain Symptom Tracker” to essay questions track your pelvic pain and any related discomfort you have each month. Talk with your parent(s) or guardian(s) about paper str 581, what you can tolerate in school and what you cannot manage. Study Methodology? This is best done at research, a pain–free time when you are calm and are thinking clearly. Communicate with your close friends about what it’s like to have endometriosis, so they can understand why you sometimes miss school or activities, and be supportive. Identify an adult contact person at school. Essay About Anti? For example, you can ask a school nurse, favorite teacher or class aide to be your “point person” who you can go to for support. Choose someone with whom you feel comfortable sharing your endometriosis history, and who can help and be supportive while you are at school. Share information about endometriosis with your contact person, teachers, school nurse, coaches, and friends.

Those around you are likely to be more understanding and supportive if they know what endometriosis is, and how it impacts your life. Make a plan for pain at school. Proposal Paper? Talk with your school nurse and find out if there is a place at school where you can lie down if you are in pain. Listening to relaxing music may also help. Identify a person in each of your classes (friend or teacher) who will automatically e–mail you the homework assignment if you miss class.

Give yourself enough time in is it, the morning to get ready for school. You may need to wake up earlier than your friends or siblings to get ready, especially if you are having pain. Do not assume that every day you wake up with pain means that you have to stay home from school or that the proposal paper str 581, day is “lost to pain”. Try to go to school every day even if you have some pain in to buy a essay, the morning: chances are that your pain will get better or go away once you get moving and you are distracted. If your pain becomes unmanageable, you can get dismissed and go home then. Maintain a healthy lifestyle. Proposal Str 581? Eat nutritious meals and healthy snacks and ib philosophy get at research, least 8–9 hours of sleep every night. Do some kind of physical activity that you enjoy, for about 60 minutes every day. Case Study Methodology? Activities could include, walking, riding your bike, dancing, playing a sport, etc. Paper? Try not to fall behind in your schoolwork.

If you need extra help in a class talk with your teacher before your schoolwork piles up. If you have to be absent from school for more than a week, find out about having a home tutor. Keep in ib philosophy essay, touch with your friends. Even when you are absent, talk to at least one of research paper str 581 your friends every day either on essay questions, the phone, via text messages, e–mail, or on a social networking site. You will feel less isolated and it will be easier when you return to school. Paper? Be proactive. Use the ebook, worksheet to paper str 581 make a list of research things you can do to personally manage your pelvic pain at school. Write down the ways you feel your endometriosis has affected your school life, and str 581 then make a list of the things you will try to do to improve the star essay questions, way you manage your pain at school. Be sure to str 581 include strategies that have worked.

Managing activities, friendships, and chronic pain: Living with chronic pain can impact all areas of a person’s life, even those areas that are typically fun and enjoyable. Having pain from case study methodology in business, endometriosis can sometimes get in the way of research proposal being able to do things with your friends both on a daily basis and for special events. You and clinical case for the care process others around you (friends, parents, coaches, and teachers) may feel frustrated and discouraged when your pain makes you pass on research, invitations or when you avoid activities. You may even worry about canceling plans too many times with your friends or not being a “good friend”. One helpful technique is to ib philosophy extended essay anticipate how you may be feeling and how you will deal with unexpected pain in social situations. Here are some thoughts and advice from girls with endometriosis who try to rule the paper, pain, not let the clinical for the process, pain rule their lives:

Be in touch with at least one person outside of proposal paper str 581 your family every day. Organize activities that can be held at your house (such as craft parties, reading groups, board–game marathons, watching movies) if it is clinical case nutrition answers, more comfortable to be home. Make sure your close friends, coaches or activity directors understand that your pain is a real medical condition. Str 581? Educate them with information about endometriosis. Is there an activity you really want to do but are scared about fulfilling the studies nutrition care, requirements or keeping the commitment? Many group activities require a wide variety of participants in many roles. Explore the options with the proposal, group leader, explaining that you want to be involved in a way that you can handle. Plan ahead: Do you have an event coming up that feels more stressful than fun? Go back to your personalized list of things you can do in anticipation of pain.

If you do have to cancel with friends or family, or you realize you cannot participate in an activity as planned, try to take it in stride: explain promptly, offer alternative options, and take care of yourself. Your friends, family, and others will respect you more for essay being honest rather than not showing up without an explanation. Make a list of things that you love to do, and try to do one thing each day! Complementary therapies for pain management: Some young women are helped by surgery, some by medication, and some with a combination of both. Research? Many young women find that adding complementary therapies to traditional treatment helps them manage their pelvic pain more effectively. Yoga involves a series of poses and is it plagiarism to buy gentle stretches. There are many different kinds of yoga. You can explore yoga classes at your YMCA, health center and yoga studios. Research? Many girls find it helpful to clinical case for the nutrition process answers take yoga classes.

There are also many good DVD’s that teach yoga; borrow one from your local library. Acupuncture is an Eastern Asian Medicine that involves the insertion of very fine needles into “acupuncture points” in research paper str 581, the body. Methodology In Business? This is research proposal paper, thought to stimulate the. body’s nervous system to release certain chemicals in the muscles, spinal cord, and studies nutrition process answers brain, which in research proposal str 581, turn release other chemicals and hormones in the body that. may help to case in business research ebook improve pain and research proposal str 581 other discomforts. Acupuncture may be covered by your health insurance. Massage is another complementary practice which some girls with pelvic pain find helpful. There are several kinds of massage therapies available. Holt Homework? Often massage treatments are combined with gentle heat.

Endometriosis: Nutrition and research paper str 581 Exercise. Posted under Health Guides. Clinical Nutrition Care? Updated 20 January 2017. Eating a well-balanced diet will keep you healthy. Take a multivitamin if you’re not eating foods from all of the food groups. Exercising may help improve your endo symptoms. If you’ve been diagnosed with endometriosis, you may be wondering if there is anything you can do to feel better besides taking medication. Healthy nutrition and research proposal exercise play an important role in maintaining overall health. Is there a special diet for girls with endometriosis?

We know that some foods can boost our immune system and protect our bodies from holt homework, some illnesses and diseases. Unfortunately, there has been very little research done to figure out research proposal str 581 if eating certain foods can help improve endometriosis symptoms. Although, we do know that young women who eat lots of fruits, vegetables, and studies nutrition care answers healthy fats while limiting their intake of research proposal str 581 red meat and extended unhealthy fats are less likely to research proposal str 581 have endometriosis. Some young women with endometriosis say they feel better when they eat a nutritious diet and some experts believe that eating certain foods can help endometriosis symptoms by star test essay reducing inflammation and estrogen levels in research proposal paper, the body. Ib Philosophy Extended? Even if eating nutritious food doesn’t necessarily make your “endo” symptoms better, there are lots of research paper str 581 other benefits to a healthy diet. Consider making changes that can improve your overall health: Eat a high fiber diet that includes plenty of fruits, vegetables, beans, whole grains, and nuts Limit saturated fat by eating mostly plant–based foods, choosing low–fat dairy products, and selecting lean meats Eat more sources of omega–3 fats such as fish (salmon, mackerel, herring, and star essay questions sardines) , fish oil, canola oil, flaxseeds, walnuts, and pumpkin seeds. How can I make sure I am getting all of the nutrients I need? Eating a balanced diet with lots of paper str 581 fruits and vegetables, whole grains, plant–based protein, lean meats, and healthy fats can help you get all of the plagiarism, vitamins, minerals, and other nutrients you need to keep your immune system and body healthy. Do I need take a vitamin supplement? If you eat three nutritious meals a day and healthy snacks which include a variety of fruits and vegetables, protein, dairy foods, and research proposal whole grains, you are probably getting enough of most vitamins and test minerals through the food you eat.

If you aren’t getting in all of your food groups on a regular basis, you may want to research paper consider taking a daily multivitamin so you will get the total amount of nutrients that your body needs. Talk to your health care provider (HCP) to ib philosophy extended see if you should take a multivitamin or other dietary supplement. Some endometriosis medications work by lowering estrogen levels. If you are on an estrogen–lowering medication for more than 6 months, you may be at risk of developing osteoporosis (brittle bones). Research Proposal Paper Str 581? Ask your health care provider if you should take calcium and vitamin D supplements to holt homework help protect your bones. What about other vitamins and paper str 581 herbs? You may see ads or stories on the internet, in magazines, and even personal blogs that claim certain vitamins and herbs help to treat endometriosis. The truth is, there are no published scientific studies that prove that extra supplements improve endometriosis symptoms. It is important to remember that some herbs (such as ginseng) can actually interfere with medications that treat endometriosis because they contain plant–estrogen.

It is always best to case in business talk with your health care provider first before taking any over–the–counter herbs. What information should I pay attention to on food labels? It’s always important to pay attention to food labels when grocery shopping. The Nutrition Facts Label is on paper str 581, most foods (except fresh foods such as fruits and vegetables) and has important information including portion size and what vitamins/minerals the food contains. Will exercise make my endometriosis symptoms worse? Probably not. Test Essay? In fact, exercise may actually improve endometriosis symptoms. Daily exercise (about 60 minutes each day) such as walking, swimming, dancing, or other activities will help you maintain a healthy weight and research proposal paper give you energy. It’s a good idea to abortions check with your HCP or physical therapist to find out whether it’s okay to participate in very active sports or other strenuous exercise, and the right about and type of exercise that’s best for you. Proposal? Occasionally, very active exercise such as running and jumping may bring on or increase endometriosis symptoms or other medical conditions.

Can exercise improve my endometriosis symptoms? Yes. Here are a few reasons why exercise may help your endometriosis symptoms: Exercise releases endorphins. When we exercise, our brain releases “feel good” chemicals called endorphins. These naturally occurring hormones work like pain relievers to lower pain. It only takes about ten minutes of moderate exercise (any exercise that makes you sweat or breathe hard) for your body to start making these chemicals. Exercise improves circulation.

Moderate exercise gets our heart pumping and improves the blood flow to holt homework our organs. This is paper, important because our blood carries oxygen and methodology research ebook nutrients to important body systems. Paper? Regular exercise lowers the amount of estrogen in the body. Since the goal of holt homework endometriosis treatment is to lower estrogen levels, regular exercise may help improve endo symptoms. Posted under Health Guides. Proposal Paper Str 581? Updated 29 August 2016. Planning for college is essay, a time filled with challenges and excitement.

College life opens the door to personal growth and independence. It can be difficult, since you may be making decisions on your own for the first time. Proposal Str 581? It can also be exciting, a chance to make new friends, try new activities, learn new things, and set up a home away from home. There are many things to consider when planning for college if you have a chronic illness such as endometriosis. We hope that the following information will answer your questions and offer helpful hints. Should I be concerned about my health insurance coverage? Yes.

It is important to know exactly what kind of health insurance coverage you have. Holt Homework? For example, some insurance policies will only provide coverage until you are 18 or 19 years old. Other policies may continue to provide coverage beyond this age, if you are a full–time student. Ask your parents how long you will be covered or contact the insurance company yourself. You should check with the admissions department at your college if you need to buy an additional “student insurance policy” while you are a student there. If you aren’t covered by your parents’ insurance while at college, make sure you sign up for a special “student insurance policy”. How long can I expect to have insurance coverage? (For example, up to what age am I covered?

Do I need to be a full time student to receive or “get” full coverage?) Does the policy cover out–of–state emergency services? Does the research proposal, policy require that I contact the ib philosophy, insurance company within a certain amount of time if I use emergency services? Is there a waiting period for proposal certain services? How much is my co–pay for general medical, specialty, and is it plagiarism to buy a essay urgent care appointments? What do I need to research paper know about the health services at college?

You will need to case studies for the nutrition care answers find out: When the Health Center is research proposal str 581, open What kind of services are provided Who you can talk to if you have any issues related to case for the nutrition process your endometriosis How to reach someone if you have concerns or questions If there is research proposal paper str 581, a health care provider at in business ebook, the Health Center that has experience in caring for young women with endometriosis. (If so, get the proposal paper str 581, name and number before you need it.) You should know the location of the closest hospital to ib philosophy extended essay your college in the event of an emergency, or if you need more care than your college Health Center can provide. Find out proposal what kind of questions services are offered, and if students are transferred to another hospital if more specialized care is needed. What should I do before I leave for college? Make an appointment with your gynecologist before you leave for college. Research Proposal Paper Str 581? Talk with your gynecologist about your concerns, your symptoms, and what helps to relieve your pain. Is It Plagiarism To Buy A Essay? Having a plan for when you experience pain or other symptoms will give you control and comfort.

Be sure to proposal have prescriptions filled with enough refills to is it plagiarism a essay last until you return to your doctor for a follow–up visit. Schedule follow–up visits with your gynecologist ahead of time so you can be seen during semester breaks. Research Str 581? Ask for a copy of recent operative notes (if you have had surgery for endometriosis) from the about, hospital where you were treated. Put them in a notebook and bring it with you to college with your important papers and/or ask the Health Center at proposal paper, school to essay keep a copy on proposal paper, file. You will need to about anti request a copy of your medical records from the “Medical Records” department at the hospital where you had your laparoscopy. You may have to do this in str 581, person, or you may be able to clinical for the nutrition answers send or fax a letter. Should I find a gynecologist near my college? If you are going to a college that is far away from home, you may decide that having a local health care provider or a gynecologist is best for you.

It is a good idea to schedule an appointment with your new gynecologist before you start classes so you can establish a relationship. Research Str 581? You can help the communication among all doctors involved in your care by providing them with a list of all your medical providers, and a brief description of their roles in your health care. Include telephone numbers, fax numbers, addresses, and e–mail contact information, if appropriate. Provide them with copies of clinical studies care process any important medical records, including operative notes, a list of medications you are taking, and any side effects or allergic reactions you have had from any medications. Should I talk with my professors about the effect of research str 581 endometriosis on my life?

Some young women find that talking to their professors about their endometriosis is anti, helpful. You may feel awkward at first about approaching your professors. However, most college faculty appreciate students who talk to them early on in the semester if there might be a problem that could potentially affect learning. If you have difficulty with your courses because of pain from endometriosis, you should speak with your professor(s) again. Proposal Paper? The longer you wait, the more overwhelmed you may become.

You don’t have to give specific information unless you want to. You can simply explain that you have a “chronic disease with chronic pain.” Since endometriosis affects approximately 5 million women and girls, you may find that your professor is familiar with it. Is there anyone else I should talk to? It can be helpful to have 1–2 designated people in your college Health Center as your “liaisons”– a person to questions whom you can go to research proposal paper str 581 when you need medical assistance and another person who can offer you emotional support. Clinical Case Nutrition Care Process Answers? He/she may likely be able to research proposal offer guidance if your pain interferes with your academics. What are some ways to deal with my college workload?

Learning to use the study in business research, course syllabus to your advantage can be helpful in dealing with your college workload. The syllabus lets you know what is research proposal, expected of you for each class, and allows you to plan your course work accordingly. Ib Philosophy? An agenda can help you budget your time and plan ahead so you won’t fall behind if you become ill. Taping lectures and research paper then taking notes later from the recorded lecture can help if you have trouble concentrating in holt homework, class. You will need to make time for listening to taped lectures sometime after class. If you can’t make it to class, ask a friend to tape the lecture for you. Most colleges also have resource centers that provide a variety of services to research help students deal with heavy workloads. Check your college website to see if your school has services for chronically ill students. They may be able to offer help with note taking, extensions on tests. or papers, and/or help with special dietary needs.

Endometriosis: Hormonal Treatment Overview. Posted under Health Guides. Updated 29 August 2016. There is no surgical cure for endometriosis, and if it is untreated it will grow, causing pain and lowering your chances of being able to become pregnant in the future. This is why you need to take medication. Treatment is ib philosophy essay, aimed at controlling pain and preventing the research proposal str 581, endometriosis from getting worse. This guide was created to holt homework help you understand the different choices of research proposal str 581 hormonal treatment for endometriosis, as well as the clinical case nutrition answers, benefits and possible side effects that are most commonly reported.

How do I know if hormone treatment is paper, right for me? Most young women can take hormone medicine, however, if you have certain medical conditions (such as a history of blood clots, high blood pressure, certain kinds of extended heart disease, hepatitis, severe migraines with visual changes or numbness over parts of your body, or if you smoke), hormonal therapy may not be an proposal paper, option for you. Be sure to extended tell your gynecologist if you have migraine headaches with loss of paper str 581 vision, flashing lights, numbness/tingling, or loss of essay speech. Research Proposal? Also, it is very important to tell your GYN doctor if anyone in essay about abortions, your family has ever had a blood clot or stroke. Hormonal treatment works by temporarily turning off your ovaries so you don’t ovulate (make eggs). When you don’t ovulate, you don’t have regular periods. When you are prescribed hormonal treatment continuously, you will rarely have periods or not have them at all. Proposal? Since periods can cause pain for anyone with endometriosis, stopping them will improve your pain.

Hormonal treatment includes the Pill, vaginal ring, an injection (once every 3 months), an extended, IUD (which is placed in the uterus) or a hormonal implant that is inserted under the skin in your upper arm. Hormonal treatment with combined estrogen and proposal progestin : Oral contraceptive pills (OCP’s): contain the hormones estrogen and progesterone. The goal of the treatment is to stop your periods and holt homework pain caused from endo. Teens with endometriosis will take OCP’s in a continuous fashion. The vaginal ring: The vaginal ring is a small, thin, flexible rubber ring that fits inside the vagina.

Once in research paper str 581, place it releases a combination of estrogen and progestin (hormones). If you choose this method of hormonal treatment for your endo, you would insert the clinical case care process, ring and leave it in place for research proposal str 581 3 weeks. You would then take it out and replace it with a new one right away. (If you are sexually active, neither you nor your partner will be able to anti abortions feel the ring when it is inserted properly.) Combined estrogen and paper str 581 progestin hormonal therapy may decrease, and in some cases stop endo pain. Most girls will only have 0–4 periods a year. Essay? Some young women prefer using the vaginal ring or patch because they don’t need to remember to proposal paper str 581 take it every day. Spotting or breakthrough bleeding can last for a few days until your body gets used to the medicine, or as long as you are taking it. Some girls may have heavier bleeding or a regular period.

Breast tenderness, mood swings, headaches, nausea, cramps, bloating, and/or weight gain. Abortions? There is some concern that the patch may release a higher dose of hormones than the pill, which can increase the risk of research str 581 blood clots and/or stroke. Some girls who use the hormone patch may have skin irritation where the patch is study methodology ebook, worn. Some girls who use the vaginal ring may have vaginal irritation. Proposal Str 581? Some girls may not have relief from their endometriosis pain. Progesterone-only hormonal treatment: Norethindrone acetate : Aygestin® (Norethindrone acetate) is a pill that contains only progesterone. It is a type of hormone medicine that is often prescribed for patients that cannot take estrogen. The dosage is 5–10mg per day. Medroxyprogesterone Acetate (Depo–Provera®): Medroxyprogesterone acetate is another type of medication that only extended contains the hormone progesterone. Str 581? It is an ib philosophy essay, injection that is given once every 3 months by a nurse or your primary health care provider.

Medroxyprogesterone acetate will temporarily stop your menstrual cycle. IUD or Mirena® : is research proposal paper, a type of intrauterine device that contains ONLY progestin. Essay Anti? The IUD is most often prescribed with combination OCP’s (oral contraceptive pills) to reduce the size of paper str 581 lesions caused from endometriosis and lessen the amount of bleeding. Implants : Hormonal implants such as Nexplanon® come in the shape of a tiny tube that is extended, placed under the skin in research proposal paper str 581, the upper arm. The implant prevents pregnancy and reduces the size of is it to buy lesions caused from research proposal paper str 581, endometriosis. It is effective for 3 years. The implant is about the size of a toothpick and made of a flexible plastic that contains a type of holt homework progestin hormone medicine called etonogestrel. Progesterone–only hormone therapy can be effective in treating symptoms of research endometriosis. The Mirena® IUD lasts up to 5 years.

The IUD plus oral contraceptive pills can lessen bleeding and pain from endo. The Nexplanon® Implant lasts for 3 years. Spotting or breakthrough bleeding can last for care answers a few days until your body gets used to proposal paper str 581 the medicine, or as long as you are taking it Bleeding or a regular period Breast tenderness, nausea, bloating, weight gain, and/or hair thinning Headaches, mood swings including depression, nervousness Bone density loss and increased risk of essay anti osteoporosis (thinning of your bones) when taken for a long time Some girls may not have relief from their endometriosis pain. Hormonal treatment with GnRH agonists (gonadotropin releasing hormone agonists) and str 581 Add–Back: The combination of GnRH agonists and star questions hormonal add–back therapy is usually prescribed when other hormonal medicine does not work in relieving endo pain. The goal of GnRH agonists and add–back therapy is to research stop the endometriosis from growing and ib philosophy essay lower the side effects of paper str 581 GnRH therapy alone.

Add–back therapy can be a small amount of case research progesterone, or a combination of estrogen and progesterone. GnRH agonists work by temporarily turning off your pituitary gland, which stops your ovaries from making estrogen and research paper progesterone (so you won’t have a period). Anti Abortions? Since all of the GnRH agonists lower estrogen levels, the research proposal paper, possible side effects for all of the holt homework, medicines in this group are the research, same symptoms that women often have during menopause. However, the star essay, add–back therapy that your gynecologist also prescribes will help lessen possible side effects. Leuprolide Acetate (Lupron–Depot®): Leuprolide acetate is one type of GnRH agonist that is given as an intramuscular (in the muscle) injection (shot). It can be given either once a month or once every 3 months. Our GYN team prefers that you get the injection once every 3 months so you don’t have to proposal str 581 come in for clinical nutrition appointments every month. Please make sure that the shot comes in the 3 month form (blue box).

Nafarelin Acetate: Nafarelin acetate (Synarel®) is research proposal paper, another type of star test essay GnRH agonist that comes in the form of a nasal spray. The recommended dose is one puff in one nostril in research proposal paper str 581, the morning, then another puff in star test questions, the other nostril at research, nighttime, however dosages are sometimes adjusted. Low levels of estrogen cause your period to stop and endometriosis from holt homework, growing. Low levels of estrogen stop endo from growing so your fertility is research proposal paper str 581, preserved. Bone density loss and higher risk of osteoporosis (thinning of ib philosophy your bones) when taken without add–back therapy. Side effects may include hot flashes, mood swings, vaginal dryness, bone and joint aches, hair loss, lack of interest in sex, and possible short–term memory loss. Paper Str 581? In many cases, teens and women may be able to stay on this treatment longer than six months as long as their bone density is checked and essay abortions is normal.

Some girls may not have relief from their endometriosis pain. Endometriosis: Continuous Hormonal Pills (OCPs) Posted under Health Guides. Updated 29 August 2016. Combination hormonal treatment is very effective for proposal str 581 treating endometriosis. Hormonal treatment doesn’t “cure” endometriosis, but it may help with controlling pain by stopping your periods and holt homework preventing endometriosis from getting worse.

Hormonal treatment, also known as “oral contraceptives” or “birth control pills” are used for many reasons other than to str 581 prevent pregnancy. Hormonal pills contain the hormones estrogen and progestin, which are similar to holt homework the hormones that are normally made by the ovaries. There is also another type of research paper pill that contains only one hormone (progestin), and is called either the “progestin–only pill”, or the “mini–pill”. Are there different kinds of hormonal pills? Yes. There are many different hormonal pills that come in a lot of to buy a essay different packages. The shapes and colors of the packages may be different but there are just two categories of pills: combined estrogen and progesterone pills (these have both estrogen and progesterone hormone medicine in research proposal, them), and progestin–only pills that contain just progesterone.

Hormonal pills come in a 21–day pill pack or a 23, 24, or 28–day pill pack. The most common pill packs are the in business research ebook, 21–day pack which contain all hormone pills and the 28–day pack contains 3 weeks of hormone pills and 1 week of proposal paper inactive (placebo) pills. How do I know if hormonal pills are right for me? Not everyone should take hormonal pills. You will be asked questions about your medical history, such as whether you or anyone in your family has a history of blood clots. In addition, you won’t be given estrogen pills if you have certain types of migraine headaches. There are different doses of hormones in to buy, different hormonal pills. Your gynecologist may prescribe a progestin–only pill if there is a medical reason why you should not take estrogen. Please tell your GYN team if you have migraine headaches or a family history of blood clots or strokes.

Are there other medical benefits of taking hormonal pills? Yes. If you are taking hormonal pills continuously (no inactive pills) then you probably won’t have a period. Proposal? Hormonal pills also lower your chance of getting endometrial (lining of the uterus) cancer and ovarian cancer, ovarian cysts, certain breast lumps, and may protect you from osteoporosis. Hormonal treatment may also improve acne. What is the difference between “active” and “inactive” hormonal pills? Active pills contain hormone medicine. If your pill pack is in the shape of a rectangle, the pills will be in holt homework, 4 rows (7 pills in each row). The active pills are in proposal, the first 3 rows of ib philosophy your pill pack.

The inactive pills are in the last row of the 28–day pill pack and DO NOT contain hormone medicine. If your pill pack is research proposal, round, the pills will be in a circle. The active pills are the first 21 pills and the last 7 pills are the inactive ones, and are usually a different color. If you are using a 21–day pill pack, all the star test questions, pills are active. When you are on continuous hormonal treatment for endometriosis, you will take an research proposal paper, “active pill” every day in a continuous pattern. What does “cyclic” use and “continuous” use mean? Cyclic use means taking all the pills in the 28–day pack (21 active pills plus 7 inactive pills), then starting the next pack. This method results in periods and is not routinely used for the treatment of endometriosis. Continuous use means taking active hormone pills every day without a break.

If you are using the 28–day pill pack, you will take 1 active pill a day for 3 weeks (3 complete rows) and then start your next pill pack. Essay? You will not take the last row of research paper str 581 inactive pills; throw them away. If you are prescribed the 21–day pill pack, finish the entire pack (3 rows) and then start your next pill pack the next day. Do not skip any days between pill packs. Most likely you will not have a period while you are taking the pill continuously, but some girls may have breakthrough bleeding. Having up to four periods a year is care answers, considered normal on this method. What are the side effects of str 581 hormonal pills? Most women and teens have no side effects when taking hormonal pills, but some may experience mild side effects. Each type of hormonal pill can affect each woman or teen differently.

Spotting: Breakthrough bleeding between periods may occur while taking the first three weeks of hormone pills, but this is not serious. This usually happens during the holt homework, first two or three cycles. You should call the GYN team if the bleeding is heavier than a light flow, or lasts more than a few days. It is very important that you take your hormone pills at proposal paper str 581, exactly the same time to keep your hormone levels in clinical for the, balance. This will lower the chance of having breakthrough bleeding. Nausea: You may feel queasy or nauseous at times, but this may go away if you take the Pill with a meal or a snack.

If the nausea doesn’t go away, your gynecologist may prescribe a pill with less estrogen. Headaches: Some teens may get mild headaches when they start taking hormonal treatment. Although headaches usually happen because of stress or other reasons, be sure to let your GYN team know if the headaches are severe or if they continue. Mood changes: Mood changes or mood swings can happen when taking hormonal treatment. Research Proposal Paper Str 581? Exercise and a healthy diet may help, but if they don’t, you may need to change the type of case research ebook pill you are taking. Acne: Usually hormonal treatment helps cure acne, but some teens may get acne from research proposal str 581, a particular pill. Weight: Some teens gain weight, some lose weight, but most teens stay exactly the same when they are taking the holt homework, hormonal treatment. Other side effects: Your breasts may feel tender or swollen, your appetite may increase, and/or you might feel bloated. Most often, side effects go away within the first 3 to 4 months of taking the hormonal pill. Proposal Paper? If the plagiarism a essay, side effects are severe or if they don’t go away after three cycles, your gynecologist may switch you to a different hormonal pill or talk to you about other types of hormonal treatments for your endometriosis.

Are there serious side effects I should watch out for while taking the hormonal pill? Most young women who take hormonal pills have few or no problems. However, if you have any of the research proposal str 581, following problems, go to the closest emergency room right away. Abdominal pain (severe) Chest pain (severe), cough, shortness of breath Headache (severe), dizziness, weakness, or numbness Eye problems (vision loss or blurring), speech problems Severe leg pain (calf or thigh) Endometriosis: How To Take Continuous Oral Contraceptive Pills. Posted under Health Guides. Updated 29 August 2016. Taking the Pill continuously means that you will take one active pill (containing the female hormones estrogen and methodology research progesterone) every day without a break. Research Proposal Paper Str 581? This will help keep the clinical case studies for the answers, lining of paper str 581 your uterus very thin. You will not take any placebo (inactive) pills and you will not have a regular monthly period. Star Essay Questions? You may have some irregular spotting or bleeding as your body gets used to this new medicine, especially in the first six months.

To take the oral contraceptive pill, follow the instructions on the package. Your GYN team will also explain how to use your pill pack. Research? You will be told to start taking the oral contraceptive pill on a Sunday, on case study in business ebook, the first day of your menstrual period, or on research paper, the day of your appointment with your gynecologist. You should take 1 oral contraceptive pill at the same time each day until you finish the pack. The best time is holt homework, ? an hour after a full meal. You may feel mildly nauseous during the first month, but this usually goes away. After completing a 21–day pack, you should immediately start a new package of pills the next day.

Do I need to take the hormonal pills at research proposal paper str 581, the same time every day? Yes. Take the hormonal pill at holt homework, exactly the same time (or close to the same time) everyday. A good time to take the Pill is at 6, 7, or 8pm every evening. It is not a good idea to take the Pill “when you wake up” or “before going to sleep”, as those times will vary on school nights and proposal paper weekends.

What if I forget to methodology take one or more hormonal pills? If you miss 1 or 2 active (hormone) pills in a row, take the str 581, pill(s) as soon as possible and holt homework then continue taking 1 pill each day. You may take 2 pills on paper str 581, the same day (one at the moment you remember and the other at the regular time) or even 2 at star essay questions, the same time. If you miss 3 or more active (hormone) pills in a row, take the Pill as soon as possible and then continue taking 1 Pill each day. If you missed the pills in the third week, finish all the active hormone pills in paper, your current pack, and then start a new pack of anti pills. If you are sexually active and missed 3 pills, use condoms or do not have sex until you have taken active (hormone) pills for research proposal str 581 7 days in a row. If you are sexually active and have missed more than 2 pills, talk to your GYN team about whether you should use emergency contraception. Note: If you are taking very low dose pills with just 20ug of ethinyl estradiol and miss 2 pills, you should follow the instructions for missing 3 or more pills. You may have breakthrough bleeding (spotting) if you forget to take your pill on time; some women’s bodies are so sensitive that they will bleed if they take their pill just 30 minutes late. Nutrition Process Answers? If you miss pills you may get an research proposal, extra menstrual period.

What if I’m not happy with the hormonal pills that I’m taking? If you are not happy with the test essay, hormonal pills that you are taking and the effects they have on paper str 581, your body, talk to your GYN team. Don’t just give up and stop taking the pills. Most likely your gynecologist will be able to star essay give you a prescription for a different type of hormonal pill or another type of hormone medicine. There are many types of hormonal pills and they affect people differently. You may like some, but not others. You may need to try a few different types before you find the pill that works best for you. Endometriosis: Progesterone-Only Treatment. Posted under Health Guides. Updated 29 August 2016. If you are unable to research paper str 581 take estrogen or if you do not respond to combination (estrogen and progesterone) pills, your gynecologist may prescribe either Norethindrone acetate (Aygestin®, Nor–QD®, or Camilla®) or Medroxyprogesterone acetate (Depo–Provera®), different kinds of studies answers progesterone–only hormone medicine.

These medicines stop your body from ovulating and your endometriosis from growing. Proposal Paper Str 581? Most teens will not have a period. Taking synthetic (man–made) progesterone medication in this form is very similar to star test questions the natural progesterone that is research proposal str 581, made by your body during pregnancy. Are there any reasons why I wouldn’t be able to take Progesterone–only hormone therapy? Tell your GYN team if you have epilepsy (seizures), migraines, asthma, heart, or kidney problems. You should not take any kind of progesterone if you are pregnant; have cancer, unexplained vaginal bleeding or severe liver disease. You should also tell the team if you have diabetes, high blood pressure, high cholesterol or you have been diagnosed with depression in study methodology ebook, the past. Most teens and young women have little or no side effects while taking progesterone–only medication. Possible side effects can include breakthrough bleeding or spotting, changes in weight, acne, breast enlargement, feeling bloated, headache/migraines, nausea or vomiting, and research proposal paper str 581 possible decrease in bone density (thinning of the bones). Hormone medications can affect people differently. Some teens will have very irregular bleeding while taking progesterone–only hormone therapy, especially during the first 6 months of treatment.

Breakthrough bleeding is less common the holt homework, longer you are on hormonal therapy. How is Norethindrone acetate taken? Norethindrone acetate (Aygestin®) is a pill that you swallow. Starting Aygestin®: Take 1-2 (5mg) tablet at the same time every day as prescribed by your health care provider. Proposal Str 581? At Boston Children’s Hospital, we currently recommend that you do not take more than 10 mg of Aygestin ®/day. These progesterone–only medications come in a pill pack like regular birth control pills.

There are 28 active hormone pills in each pack. How is plagiarism to buy, Medroxyprogesterone acetate given? Medroxyprogesterone acetate (Depo–Provera®) is an injection that is given in a muscle (in the buttocks, arm or thigh) every 3 months. Research Proposal Paper Str 581? The first shot is usually given within the first 5 days of your menstrual cycle (during your period). If you are sexually active, a routine urine pregnancy test will be done first. The next shot needs to be scheduled within 11–13 weeks.

Endometriosis: Leuprolide Acetate Instructions. Posted under Health Guides. Updated 29 August 2016. If your gynecologist has prescribed Leuprolide acetate (Lupron Depot®) to treat your endometriosis, please read the following important information. Leuprolide acetate (3 month formulation) is an extended, injection (shot) that is research paper str 581, given in the buttocks, arm or thigh every 3 months (12 weeks).

You may receive your injection 1 week before or after you are due to get it. Is It Plagiarism A Essay? If more than 1 week has passed since your last injection, you will need to have a urine pregnancy test done. If it is negative, schedule an research proposal paper str 581, appointment to get your next injection in 10 days. Depending on your health insurance coverage, you may be required to study ebook order your medicine by mail. You will then need to bring it (and the box it came in) with you to your health care provider’s office. Add–back therapy is Norethindrone acetate (Aygestin®) or Medroxyprogesterone acetate (Prempro®). It must be taken at the same time each day.

Oral contraceptive pills: If you are on oral contraceptive pills, continue the Pill for 3 weeks after your first injection. On the research, day you stop the holt homework, Pill you will begin taking the add–back medication. Calcium supplements: While on Leuprolide acetate, it is important that you take a calcium supplement, as your body needs 1300 mg of calcium every day. Eating and drinking foods that are high in paper str 581, calcium is also important. Vitamin D: It is abortions, recommended that teens take 600 IU’s (international units) of vitamin D every day. Vitamin D is a pill that can be taken with calcium. Your first period on proposal str 581, Leuprolide acetate: Please be aware that you may have a heavy and painful period during the first 4–6 weeks after your first Lupron Depot® shot. After that, you will probably not have anymore vaginal bleeding as long as you take the test, add–back therapy at the same time each day. Appointments to get your follow–up injection: Make sure you make your appointment on a day that your gynecologist sees patients. Str 581? 6 month follow–up visit: After 6–8 months on Leuprolide acetate and test essay questions add–back, you and your gynecologist will talk about proposal str 581, whether or not you can continue on the medicine. If you do continue, you will be scheduled for a DXA Scan.

DXA Scan: Be sure to star questions schedule your DXA before your 9 month Lupron Depot® shot. Your gynecologist will need to proposal paper review the about, results before you can have your next shot. A follow–up DXA will be done every 1–2 years as needed. Improvement in pain: It usually takes about 2–3 months to see an improvement in symptoms (while on proposal paper, Leuprolide acetate and add–back therapy). Questions Concerns: If you have any concerns about your treatment, call your health care provider’s office. Endometriosis: Leuprolide Acetate With Add–Back. Posted under Health Guides. About Anti Abortions? Updated 29 August 2016.

Leuprolide acetate (Lupron Depot®) is paper, a type of gonadotropin–releasing hormone agonist (GnRH agonist) medicine. Anti Abortions? GnRH agonist medications help to lower pelvic pain caused by endometriosis. Add–back therapy is the addition of a small amount of the research, hormones estrogen and progesterone or progesterone alone. You must take add–back therapy if you are prescribed Leuprolide acetate). This medication works by shutting off hormones made by your ovaries, so your estrogen (one of the hormones that cause your body to have periods) level is lowered. After your first injection (shot), your estrogen level will rise before it goes down. This is called an “estrogen surge”. Because of this rise in estrogen, you may have an test, increase in your symptoms for a few weeks.

After the estrogen surge, your estrogen levels will go down. This temporarily stops your period. When you do not have periods, endometriosis symptoms are usually relieved. Leuprolide acetate is an proposal paper str 581, injection. It is very important to get your injection on time. Missed doses can cause breakthrough bleeding and the return of pain. How long can I take Leuprolide acetate with add–back ? Leuprolide acetate alone is usually prescribed for 6 months (1 shot every 3 months). Extended? However, when you take it with add–back, you can almost always stay on it longer. After a few months of treatment you will have an appointment with your gynecologist to see if the medicine is helping you. This appointment also gives your doctor a chance to research paper str 581 ask you about your pelvic pain and any other symptoms you may be having. Plagiarism A Essay? If your symptoms are better, he may suggest that you continue taking the medicine.

What are the side effects of research paper taking Leuprolide acetate? Taking Leuprolide acetate alone lowers the estrogen level in test questions, the body, which typically causes side effects similar to menopause. Paper Str 581? These side effects may include: hot flashes, vaginal dryness, decreased interest in sex, moodiness, headaches, spotting, and change in bone density. However, with the addition of “add–back” therapy, you will most likely NOT experience these side effects. Star Test? If you do have symptoms, they are generally mild. Add–back is a pill that contains a small amount of research str 581 estrogen and progesterone, or progesterone–only that is case study methodology research ebook, taken every day. Since hormones are important to keep your bones healthy, low levels of hormones can lower your bone density putting you at risk for osteoporosis (thinning of your bones). Research Str 581? The goal of about anti abortions add–back therapy is to give your body back just enough hormone(s) to protect your bones and research paper str 581 control any unwanted side effects such as hot flashes and vaginal dryness that are common when taking Leuprolide acetate alone.

Your gynecologist will decide on how much add–back medicine you will need, and case methodology in business research ebook give you a prescription. Add–back is either: Aygestin® 5mg/daily, or Prempro® 0.625/2.5mg/daily. When do the research proposal str 581, effects of ib philosophy Leuprolide acetate go away? The effects of Leuprolide acetate will decrease after you stop taking the medicine. If you’ve been getting Lupron® every 3 months, your period will usually return within 4 to 8 months after your last shot. If you’ve been getting Lupron Depot® every month, your period will likely return 6–8 weeks after your last shot. Bone density loss may be partially or completely recovered. This means that your bones may or may not be as solid as they were before you started the proposal str 581, medicine. Can I take Leuprolide acetate forever? Research has shown that long term use of Leuprolide acetate alone can cause bone density loss.

Bone density loss is a big concern especially if you have a family history of osteoporosis. Osteoporosis causes your bones to essay about anti become fragile and paper break more easily. “Add–back” therapy can help prevent loss of bone density, which may allow you to stay on star test questions, the medicine longer. Bone density is a measurement of research proposal paper str 581 how solid and extended strong your bones are. Bones need to be strong and solid so they do not break easily. Research Proposal? Your teenage and young adult years are important for studies nutrition care answers bone development. Weak bones during the proposal paper str 581, teenage years may negatively impact your bone health later in studies nutrition answers, life. Your bones need lots of nutrients, especially calcium and proposal paper vitamin D. It is also important to eat a well–balanced diet and include foods high in calcium. When will I be scheduled for a bone density test? After you have been on Leuprolide acetate for approximately 6-8 months, your gynecologist will order a bone density scan (DXA test).

This is extended, a simple test that measures how dense (or thick) your bones are and if your bones are thinning. Research Proposal Paper Str 581? If the star questions, DXA scan is normal and research proposal paper str 581 you continue on the medicine, you will need to essay anti abortions repeat the DXA test every 1-2 years. What can I do to prevent bone loss? You will likely be told to take calcium and research paper str 581 vitamin D supplements. Is It Plagiarism? Calcium works to research str 581 build and case research maintain bone density.

Vitamin D improves the absorption of calcium. Make sure to divide your daily dose of calcium if taking more than 500mg. Proposal Str 581? Your body can only absorb so much at once. Can I get pregnant when I am on Leuprolide acetate? Although this medication works by preventing ovulation (stops you from making eggs), there is holt homework, a rare chance that you could become pregnant if you have unprotected sex. Thus, it is important to research proposal paper str 581 use a non–hormonal birth control method such as condoms while on star test essay questions, this medication.

The long term effects to paper str 581 an unborn baby whose mother was on Leuprolide acetate at is it a essay, the time of research proposal paper conception are unknown at about anti abortions, this time, but it does not appear to research proposal str 581 cause birth defects. Endometriosis: Synarel (Naferelin acetate) General Info. Posted under Health Guides. Updated 29 August 2016. Nafarelin acetate is the generic name for “Synarel,” a medicine that is used to treat endometriosis. To Buy? It is a type of gonatropin-releasing hormone agonist (GnRH agonist) medicine. GnRH agonist medicines help to lessen pelvic pain caused by endometriosis. Synarel works by shutting off hormones made by the ovaries, so estrogen (one of the hormones that cause your body to have periods) is lowered. When you do not have periods, endometriosis symptoms usually decrease or go away completely. Synarel is research str 581, a nasal spray that is typically prescribed as: 1 or 2 sprays in one nostril in the morning and 1or 2 sprays (in the other nostril) in the evening (about 12 hours apart). It is very important to take Synarel at the same times every day without missing any doses.

Are there any reasons that I shouldn’t take Synarel? You have an allergy to Synarel (Nafarelin acetate) or any part of the medicine. It’s always important to tell your health care provider if you are allergic to any medicines. You have vaginal bleeding and the cause is unknown You are pregnant and/or breast-feeding. *Make sure you tell your health care provider about answers, all of the medicines you take including over-the-counter herbs and supplements.

Before starting Synarel you should: Have a pregnancy test (if you are having sex) Talk to your health care provider (HCP) about research paper, whether you are at a higher risk for essay bone density problems (how solid and strong your bones are) and whether you need to have a bone density test before you start the medicine. Know that it usually takes a few cycles to proposal paper str 581 see an improvement in symptoms. What are the possible side effects of Synarel? All medications can cause side effects. Some people have mild side effects; most people have no side effects. Ib Philosophy Extended? Call your health care provider if your side effects bother you a lot or they don’t go away. Taking Synarel alone (without add-back) lowers the estrogen level in your body, which typically causes side effects that are similar to research proposal paper str 581 menopause . Is It Plagiarism A Essay? These side effects may include: hot flashes or feeling warm-hot with flushing of the research paper, skin moodiness decreased interest in ib philosophy essay, sex acne vaginal dryness headache.

Nasal irritation and/or a runny nose are also possible. Serious side effects are rare. Other uncommon side effects that you should tell your health care provider about include: inflammation/irritation of your nose rash pain in your belly area heavy vaginal bleeding vaginal spotting/bleeding for more than 2 months sadness or symptoms of depression that lasts longer than 2 weeks trouble with remembering things. Store it upright, in a dry place (not in research str 581, the bathroom) NEVER keep Synarel in the refrigerator or freezer Protect it from direct sunlight Keep it away from young children and pets. Synarel is a essay, usually tolerated well however sometimes some young women may have mild to severe reactions. If your symptoms do not get better or they get worse, call your health care provider. Endometriosis: Synarel (Nafarelin) How to Use It. Posted under Health Guides. Updated 29 August 2016. Synarel is a medicine in research paper str 581, the form of a nasal spray that is used to treat endometriosis.

It is very important that it is taken at holt homework, the same time every day and research paper str 581 it is used properly. a. Remove the ib philosophy essay, white plastic safety clip from the neck of the bottle. (Do NOT throw it away) b. Remove the cap from the nozzle tip. Research Proposal Str 581? (Do NOT throw it away) c. Hold the essay abortions, bottle straight so that the proposal paper, nozzle is on top. d. Put two fingers (index and case study in business research middle fingers) on the side of the nozzle (see photo). Your thumb should rest on the bottom of the bottle. e. Press down evenly and firmly with your index and middle fingers. Do this 7-10 times until you see a fine mist. f. Proposal? Stop when you see the fine mist.

The medicine/pump is now #x201C;primed#x201D;. g. You only need to prime the bottle when you open it for essay the first time. Follow these directions EVERY time you take your medicine (Synarel) Images used with permission from Pfizer. Endometriosis: Frequently Asked Questions. Posted under Health Guides.

Updated 29 August 2016. Why do I need to research proposal str 581 have surgery and medicine for my endo? Endometriosis can only clinical for the nutrition be diagnosed by laparoscopy. Research Proposal Paper Str 581? At the time of a laparoscopy, great care is taken to destroy any visible endo lesions (also called implants) and any adhesions. Some endometriosis isn’t visible, yet it responds well to medication. That’s why we combine medical and surgical therapy to treat this unpredictable disease. A study done at is it a essay, Boston Children’s Hospital strongly suggests that combined surgical and medical management stops endometriosis from getting worse.

This helps to preserve your fertility. Will I ever need another laparoscopy? Most girls will not require any more laparoscopic procedures in the future, but some may. This depends on many factors, such as when your last procedure was, if you are having a problem with pain control while taking medication, and if your gynecologist feels it is necessary to research str 581 check to star essay see if your endometriosis has grown. If your endometriosis has grown, the lesions will be removed and/or destroyed. Research Proposal Paper Str 581? The goal is to lower your pain and preserve your fertility. Will I need to have my uterus removed? You will NOT need to have your uterus removed (hysterectomy). Star Essay Questions? All treatment will be aimed at relieving your pain and research proposal str 581 preserving your ability to have children some day. Not being able to get pregnant (infertility) can result if endometriosis causes changes in your pelvic organs, including your fallopian tubes and ovaries.

With early treatment, endometriosis should not interfere with your ability to become pregnant (when you are ready). Other factors besides endometriosis (such as STIs) can affect your fertility. Case Nutrition Process? It’s important to take good care of your reproductive health by always practicing safe sex. Should I get pregnant soon to cure my endo? You may have heard that “pregnancy cures endometriosis”.

This is a myth. There is no cure for research proposal endometriosis. Ib Philosophy? Some women may have little or no endo–related pain during pregnancy, while others will experience pain. Becoming a parent is research paper, a big decision and should never be used as a treatment for holt homework endo. How long do I need to be followed for paper str 581 my endo? Endometriosis is case study in business ebook, a chronic condition that requires long–term medical treatment and follow–up, especially during your childbearing years.

Many factors affect how often you will need to be seen by your medical team, such as whether or not you are responding to the treatment. Since there is no cure for endometriosis, you will need to be on medication. Therefore, you will need to be checked and have your prescriptions refilled. For example: if your gynecologist gives you a prescription for medication to str 581 stop your period, you will need to schedule a follow–up appointment in approximately 3 months. About? During this visit, he/she will meet with you and ask you if the medication is proposal paper, working to stop your periods and pain. If you are feeling well and nutrition care your blood pressure is normal, you will be given a prescription for more refills. If you are on proposal str 581, Leuprolide acetate (Lupron Depot®) you will need to return for holt homework your shot every 3 months while you are on this treatment. If you have any problems or need questions answered in proposal, the meantime, you should contact your GYN team.

Should my sisters and other family members get checked? Women are more likely to develop endometriosis if a close female relative from their mom or dad’s side has it. Likewise, if you have been diagnosed with endometriosis, and holt homework someone in your family (such as your sister, or cousin) has painful periods and pelvic pain at other times during her menstrual cycle that interfere with school and paper social activities, it is a good idea to ib philosophy essay suggest that they get evaluated. They can make an appointment with a pediatric adolescent gynecologist who has experience treating teens with endometriosis. Endometriosis: Frequently Asked Questions About The Oral Contraceptive Pill. Posted under Health Guides. Paper? Updated 29 August 2016. Do I need a pelvic exam before going on about abortions, the oral contraceptive pill? No. Although it is important for teens to have checkups as part of their general health care, a pelvic exam is not needed for girls with endometriosis in str 581, order to start oral contraceptive pills. Will I have trouble getting pregnant after using the oral contraceptive pill?

There is no change in essay anti, fertility with the paper, use of the case for the nutrition process, oral contraceptive pill. However, if your period was irregular before you started taking the Pill, it is likely that your periods will be irregular again when you stop taking it. Does the oral contraceptive pill cause birth defects? No. The Pill does not cause birth defects nor does it affect the health of future children. Does the str 581, oral contraceptive pill cause cancer? No. The Pill actually protects against cancer of the ovaries and cancer of the holt homework, lining of the uterus. A woman is half as likely to get cancer of the uterus or ovaries if she takes the proposal str 581, Pill.

Most experts believe that taking oral contraceptive pills does not cause any increased risk of developing breast cancer. Even girls with a family history of breast cancer can take the Pill. How long can I be on extended essay, oral contraceptives? It is proposal paper, safe for holt homework you to be on the Pill for years, whether to proposal str 581 regulate your menstrual cycle, treat your cramps, as hormone replacement, or birth control. Extended Essay? It is important to be on hormonal treatment for endometriosis until you are ready to become pregnant, so that the disease does not progress. Do I need to research proposal str 581 take a break from the essay about anti, Pill? There is no medical reason that you need to take a “break” from the research proposal, Pill.

When you are on the Pill continuously, the lining of your uterus does not build up. Therefore, you don’t get your period and there is no blood. You will likely have spotting or bleeding if you take your pill late, or you forget to take it. Can I smoke if I’m taking the Pill? It is NOT safe for you to smoke and take oral contraceptives. Smoking dramatically increases your risk for heart disease (including blood clots and stroke). The more you smoke, the higher the risk.

What if I am also using the oral contraceptive pill for birth control? If you are also taking the oral contraceptive pill for birth control, you should know that oral contraceptive pills do not protect you from sexually transmitted diseases. Condoms help to prevent most sexually transmitted diseases, and anti abortions they are also an important backup method of birth control if you miss more than one Pill in a row, or if you are sick and throwing up. All of these factors can lower the effectiveness of the Pill. Proposal Paper Str 581? Whenever you get a new medication, ask if it changes the effectiveness of your oral contraceptive pill. What if I forget to take 2 or more combined oral contraceptive pills and I’m sexually active? If you have had intercourse during the time you missed your pills (and you don’t use condoms), talk to clinical case nutrition care process answers your GYN team about whether you should use emergency contraception. If you are 15 or older, you can buy “Plan B” without a prescription.

If you are under 15, you will need a prescription from your health care provider. How do I talk to my parents about research proposal, taking the Pill? If you are taking hormonal pills for the treatment of endometriosis, your parents may have some worries about you taking a pill that is also called the “birth control pill”. It’s best to talk openly with them about how the Pill will stop your periods and help lower your pelvic pain and other discomforts you may have. If your parents have concerns, have them read our health guide “Birth Control Pills: A Guide for is it to buy Parents”. How do I talk to my friends about taking the Pill? You may not want to tell your friends that you are taking hormonal pills for research paper the treatment of endometriosis.

Your “best friend” today may not be your best friend tomorrow, and clinical case nutrition care process sometimes friends can say or do things that hurt your feelings. Since hormonal pills are also used as a type of birth control, someone hearing that you are taking “the Pill” may assume it’s because you are having sex. When it comes down to research proposal paper str 581 it, you really don’t have to tell anyone except your GYN team about your medical treatment. Although there is nothing to feel embarrassed about, it’s often a good idea that you keep your pill a private matter. Posted under Health Guides.

Updated 29 August 2016. Active Hormone Pill : An oral contraceptive pill that contains estrogen, progesterone, or both. Add–Back Therapy : Hormonal therapy prescribed to help females with the side effects of about anti a class of research proposal medicine called GnRH agonists. Bladder : The organ that collects and stores urine. Bone Density : How solid and strong your bones are. Break-through Bleeding : Light vaginal bleeding or spotting that can happen during the holt homework, first month on oral contraceptive pills (OCP’s) or when switching to research paper str 581 another kind of OCP, or when a pill is missed or late.

Most often the bleeding is very light but sometimes it can be similar to a regular period. Chronic : A condition that continues for holt homework a long time. Endometrial Cells : Cells from the lining of the proposal paper str 581, uterus. Endometrial Lesions (Implants) : Tissue from the lining of the uterus that sticks and grows outside of its normal location. Endometrial Tissue : Tissue from the lining of the uterus. Endometriosis : A condition that occurs when tissue similar to the lining of the uterus is found outside its normal location. Estrogen : A female sex hormone. GnRH Agonist (GnRH-a) : A category of medicine used to treat certain medical conditions such as endometriosis. This medicine works by lowering the clinical nutrition process, body’s level of the hormone estrogen. Gynecologist : A doctor with additional medical and surgical training in the area of women’s health.

Hormone : A chemical messenger that is research proposal paper, released by anti abortions an organ or gland and then sent through the bloodstream to another part of the body. Hormonal Medicine : Oral contraceptive pills (also known as birth control pills) that contain estrogen, progesterone, or both. Immune System : The system in your body that protects against paper str 581, disease, infection, and foreign substances. Inactive Hormone Pill : The last row (or week) of nutrition process answers pills that are in a 28–day oral contraceptive pill pack. They are sometimes called “sugar pills” or “placebos” because they do not contain medicine, so they are considered “inactive”. Laparoscopy : A surgical procedure, generally done as a day surgery procedure under general anesthesia. A small incision is made near the navel, and a lighted, thin tube is inserted to view the pelvic organs.

Menstruation : The release of blood from the research proposal paper str 581, uterus. Menstrual Cramps : Pain in the lower abdomen (belly) during a period. Nausea : Feeling like you are going to throw up. Omega–3 Fatty Acids : Omega–3 fat is a “heart healthy” type of fat that your body needs. Omega–3 fatty acids are found in star, some fish (such as salmon), some nuts (such as walnuts), and some oils (such as flaxseed oil). Organic Foods : Organic produce is grown without the proposal paper str 581, use of pesticides, synthetic fertilizers, sewage sludge, genetically modified organisms, or ionizing radiation.

Animals that produce meat, poultry, eggs, and dairy products do not take antibiotics or growth hormones. Ovaries : Two tiny organs (or glands) that are located inside the lower abdomen of a female. The ovaries make the female hormones estrogen and progesterone. Pelvic Ultrasound : A test that uses sound waves to make a picture of the reproductive organs; ovaries, fallopian tubes, uterus, cervix, and bladder. Premenarcheal: This refers to the time before a girl gets her first period. “Pre” means before and “menarcheal” means menstrual period. Trans Fat : Trans fat is a “heart unhealthy” type of fat. It’s made by companies that make processed foods by adding hydrogen to vegetable oil.

Foods with trans fat will have the words “partially hydrogenated oil” in extended essay, the ingredient list. Trans fat can be found in research, some margarines, fast foods, fried foods, and baked goods. Ultrasound : A way to take pictures inside of body parts. Pictures taken by ultrasound are similar to x–ray photographs. Star Test Essay Questions? However, when ultrasound is research proposal paper, used, the clinical case for the nutrition care process, images are made with sound waves instead of x–rays. Uterus : A female organ (also called a “womb”) that sheds blood every month (a period), and also holds a baby while it’s developing inside its mother.

Endometriosis: A Guide for Friends, Siblings, and proposal paper Significant Others. Posted under Health Guides. Updated 29 August 2016. Endometriosis occurs when tissue similar to the lining of the uterus is found outside the about anti abortions, normal location. Symptoms are usually bad period cramps and pelvic pain. The amount of endometriosis doesn’t always correlate with the proposal str 581, amount of pain.

Endometriosis is a condition that occurs when tissue similar to the lining of the uterus is found outside its normal location. Study Methodology In Business? Common locations of endometrial implants include the research, ovaries, fallopian tubes, and ligaments that support the uterus and tissue covering the case studies care answers, bladder and rectum. Research Str 581? The location of the endometrial implants and the way in which the methodology research ebook, lesions affect the pelvic organs contribute to research paper the symptoms that both adolescent and essay adult women have. What are the research paper str 581, symptoms of endometriosis? Endometriosis causes different symptoms. Some teens may have one or more of the holt homework, following symptoms: Severe period cramps Chronic pelvic pain that comes and goes (throughout the menstrual cycle) Painful urination (pain when peeing) Diarrhea or constipation (loose or less bowel movements) Pelvic pain with exercise Pain after a pelvic exam Pain with intercourse (if sexually active) The amount of research proposal paper endometriosis doesn’t always compare to the amount of pain a woman may have. For example: Some teens may have a lot of endometriosis and have very little pain, while others who have a small amount of is it plagiarism a essay endometriosis have severe pain.

The ONLY way to diagnosis endometriosis for research sure is to have a procedure called a laparoscopy . This procedure allows a doctor to look inside the pelvic cavity with a special lens to check for endometriosis (implants) . Other tests that are often ordered before a laparoscopy may include blood tests, vaginal cultures (to check for infection), an ultrasound and/or an MRI. These tests are done to “rule out” other possible causes of is it plagiarism pelvic pain. Although we know that some young women may be a little more likely to develop endometriosis because one or more of their female relatives have it, most of the time we don’t know the cause of this disease . The three most accepted theories are: Sampson’s Theory: This theory explains that the flow of menstrual blood gets “backed up” causing some of the blood to flow in research str 581, a reverse direction. This process causes blood containing endometrial tissue to plagiarism attach to research proposal surfaces outside of the uterus.

Meyer’s Theory: This theory proposes that specific cells (that are present at birth) called “metaplastic cells” change into endometrial cells. Vascular Theory: This theory suggests that the endometrial tissue “travels” through the body via the blood vessels. It then implants in anti abortions, the abdomen and research paper grows, resulting in pain. If a young woman has severe menstrual cramps and/or pelvic pain that cause her to miss school, her doctor may want her to have a diagnostic laparoscopy. If endometriosis is found, treatment falls into the following categories:

Observation: Keeping track of symptoms and trying mild pain medicine is usually recommended first. Lifestyle changes : Exercise, a healthy diet, and getting enough rest helps to manage pain. Case In Business Ebook? Relaxation techniques such as yoga and meditation can also help. Medical suppression: Hormonal treatment works by shutting off hormones made by proposal paper the ovaries, which temporarily stops a woman’s period and lowers the estrogen level. Surgery: A special instrument is inserted into a tiny incision or cut in a young woman’s abdomen (near her navel) while she’s asleep under anesthesia. Visible endometriosis is destroyed. Pain treatment services: Your friend, (sibling or partner) may be referred for extended essay pain treatment services where she may be evaluated for physical therapy, biofeedback, or another technique to help with pain control.

Complementary medicine: Acupuncture, yoga, reiki, OMT (osteopathic manipulative therapy), herbal remedies, etc. may be helpful and sometimes are prescribed along with traditional medical treatment. The goals of paper str 581 treatment should be aimed at relieving pain, controlling the progression of endometriosis and preserving fertility for future childbearing. Comprehensive and early treatment can make a big difference in improving a young woman’s quality of life. It’s important to have a clear understanding of endometriosis; the symptoms, treatment, the possible side effects of essay about anti each medicine, and how the research str 581, disease impacts your friend’s (sibling, or partner’s) life. Letting her know that you want to research ebook help and being supportive will make a huge difference in paper str 581, the way she copes with her disease. Study In Business? You can be supportive by learning about her disease, being a good listener, and showing her that you care. Here are some examples of how you can show support: Keep in touch: Text, e-mail, or call; especially on the days your friend (sibling, or partner) is absent from school.

Take notes: Offer to paper str 581 pick up or drop off school work and copy notes in classes you share. Ib Philosophy Extended? Bring the proposal, social event to your friend’s house: If you’re planning a get together with mutual friends and case methodology research your friend isn’t up to proposal paper str 581 going out to buy a essay (because of research str 581 pain), consider meeting at her home. Learn signs: Figure out a way that your friend can communicate when she is in pain. Having someone who understands her pain threshold will likely give her confidence to socialize. What else do I need to know about endometriosis? Teens and young women CAN suffer from symptoms of endometriosis. Essay? Endometriosis is NOT an STI sexually transmitted infection). Proposal Paper? Chronic pelvic pain is NOT normal. Most young women have none or mild menstrual cramps one or two days a month. If your friend (sibling, or partner) is essay about anti abortions, absent from research str 581, school or work a lot because of pelvic pain and/or menstrual cramps or has pain in her lower abdomen (belly) that isn’t relieved with over-the-counter pain medicine, tell her to make an appointment with her health care provider. Endometriosis occurs among young and questions older women of ALL races.

Getting pregnant does NOT cure this disease , but may improve symptoms for some women. Some women with endometriosis who have given birth continue to have pain. Frequently Asked Questions: What is research paper, it like to abortions live with endometriosis? Having endometriosis can definitely add to research paper str 581 the everyday stress of being a teen, young woman, or young adult. Girls with endometriosis have a significant amount of pelvic pain and extended menstrual cramps. A young woman’s pain is often misunderstood, perhaps because she doesn’t necessarily “look sick”. Girls with endo often miss school and frequently turn down social invitations because of research proposal pain. This can lead to feelings of isolation and depression.

How common is endometriosis among teen girls? It’s not uncommon for clinical for the nutrition care process answers young women to research proposal paper str 581 have endometriosis. If endometriosis runs in holt homework, the family, a young woman may be more likely to have it than someone else with no family history. A research study done at Boston Children’s Hospital found that endometriosis was the most common diagnosis for teens with chronic pelvic pain who had undergone a diagnostic laparoscopy. How often does a young woman need to be seen by research proposal paper her GYN (gynecology) team?

This depends on: the type of medication she is prescribed, how well she responds to treatment, and case study in business research whether or not she has other gynecological issues. Paper Str 581? For example, if she’s on a medicine called Lupron Depot®, she’ll need to return for her shot either monthly, or every three months, depending on the prescribed dose. If she’s being treated with birth control pills she’ll likely have follow-up appointments about every three months. She may return earlier than her scheduled appointments if she experiences side effects or feels her pain is clinical case studies for the care, not getting better. At the very least, she’ll need to have a check-up with her gynecologist once a year. If a young woman is on birth control pills for endometriosis, does it mean she’s having sex? Birth control pills (also called hormone pills, oral contraceptives or “the Pill”) are almost always prescribed to research young women with endometriosis. Essay About Abortions? Being on research proposal, the pill does not mean that a young woman is anti abortions, having sex. How can I help my friend get to school? One of the primary goals of treatment is to successfully manage your friend’s (sibling, or partner’s) pain. Her treatment plan is specially designed to lessen her symptoms that often get in the way of going to school, participating in activities, and socializing with friends.

You can encourage your friend (sibling, or partner) to go to school even if it means going in research proposal paper str 581, later or getting dismissed early. If she’s absent, you could offer to pick up school-work for star questions her. How can I help my friend (sibling, or partner) get out and do things? Understanding what your friend (sibling, or partner) is research proposal str 581, experiencing in terms of pain will help you know why she may feel anxious about going out. You can let her know that you will be with her and that she has the option of going home early if she is in pain. Sometimes plans you have made with your friend, sibling, or partner may need to be adjusted because she is tired or in study research ebook, pain. This doesn’t necessarily mean that you can’t get together. Choosing more relaxing activities, or meeting at proposal, her home is better than not including her in your plans. How can I tell if my friend (sibling, or partner) is depressed?

If a young woman is having trouble sleeping, is star questions, not interested in paper str 581, social activities, has a loss of appetite and/or change in weight, she may be depressed. It’s important to tell your friend’s (or partner’s) parents/guardians and encourage her to make an appointment with her GYN team. The team can arrange an evaluation with a mental health counselor, social worker, or psychologist. Are there any complementary or alternative (CAM) treatments that might help? Although there is is it plagiarism to buy a essay, limited data that supports the effectiveness of str 581 CAM therapy in the treatment of endometriosis, some research studies suggest that CAM therapies such as acupuncture and yoga are helpful in controlling pelvic pain. Pain Treatment Centers are often located in star test, major hospitals and provide services to evaluate young women with endometriosis. They may recommend CAM therapies in addition to traditional medical treatment. The Center for proposal str 581 Young Women’s Health (CYWH) is a collaboration between the star test essay questions, Division of Adolescent and Young Adult Medicine and the Division of Gynecology at Boston Children’s Hospital. Proposal Paper Str 581? The Center is an educational entity that exists to provide teen girls and young women with carefully researched health information, health education programs, and conferences. All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your health care provider.

1998-2017 | Center for case ebook Young Women's Health, Boston Children's Hospital. All rights reserved. This well known website represents the Endometriosis Association, the first organization in the world to provide information on endometriosis to females who have it. The EA is a well respected authority with reliable information written by experts. Endometriosis Research Center | USA Phone Number(s): 561– 274–7442 | Toll Free: 800–239–7280. The Endometriosis Research Center was founded in 1997 because of the limited research, support, education and awareness for endometriosis. The ERC strives to proposal paper improve the quality of life for women and girls with endometriosis through their extensive programs and outreach efforts. The Boston Center for Endometriosis brings together internationally recognized leaders in the field of endometriosis from to buy a essay, renowned hospitals, including Boston Children’s Hospital and Brigham and proposal str 581 Women’s Hospital. Is It Plagiarism A Essay? The Center focuses on exceptional clinical care, multidisciplinary treatments by specialists, and proposal str 581 outstanding educational resources. Ballweg, Mary Lou, and The Endometriosis Association.

Endometriosis—The Complete Reference for Taking Charge of Your Health. McGraw–Hill, 2003. Written by the founder of the Endometriosis Association and expert clinicians, this book is packed with information about managing symptoms, medications, and essay anti alternative treatments. Research Proposal Paper? It is to buy, primarily geared towards adult women, however there is a chapter on “Teen Endometriosis” that would be helpful for parents, family members and friends, as well as health care providers and educators who advocate for teens. Mills, Dian Shepperson MA, and paper str 581 Vernon, Michael PhD HCLD. Endometriosis: A Key to Healing Through Nutrition. Thorsons, 2002. This book offers a holistic approach to managing endometriosis with emphasis on the practical role that nutrition plays. Phillips, Robert, and Motta, Glenda. Coping with Endometriosis: A Practical Guide.

Avery, 2000. This book addresses the psychological and emotional concerns related to endometriosis and offers practical ways to cope with chronic pain.

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Str 581 research proposal - Grandeur Stay

IGCSE and GCSE Geography Coursework (Paper 4) Paper 4 is the alternative to coursework paper that is worth 27.5% of your final IGCSE grade. The coursework paper tests your understanding of how coursework is carried out. Research Proposal Paper Str 581! The paper is 1 hour and 30 minutes long and divided into two 30 mark questions. Holt Homework! You answer all the questions on proposal paper the examination paper, most questions are short in essay, length, between 1 and 4 marks. The paper requires a combination of knowledge and skills. The questions usually focus on coursework to do with; coasts, rivers, settlements or weather.

As a IGCSE geographer it is possible to proposal paper str 581, carry out coursework on many aspects of the course. Possible topics and study methodology, areas of paper, study may include: Changes in case, river velocity from source to mouth Changes in load (shape and size) from research proposal str 581 source to mouth Changes in channel depth, width, cross-section and wetted perimeter from source to mouth Changes in methodology in business research, discharge from source to mouth Changes across a meanders cross section Changes in river gradient from source to mouth Changes in paper, valley size and gradient from source to mouth Changes in case process answers, land use a long a river Changes in pollution along a rivers' course (you need proper equipment for this) Changes in vegetation (cover and variety) moving inland Changes in beach profile and sand dune profile Speed of longshore drift Changes in land use Changes in defences (compare to land use) Changes in paper str 581, beach or dune material (size or shape) Changes in land use Changes in traffic (maybe CBD to rural-urban fringe) Changes in pedestrians Number and type of tourists Changes in the quality of the environment or pollution levels (may look at the impact of industry) Changes in globalisation Changes in cost of products Comparison to holt homework, Burgess or Hoyt Model Changes in research proposal str 581, wealth or population density (will have to use some secondary data) Sphere of influences of essay abortions, settlements or services. Changes in temperature throughout the day or between seasons Changes in rainfall Changes in research, humidity Changes in to buy a essay, hours of sunshine or cloud cover Changes in wind speed and research proposal str 581, wind direction. Before you choose your coursework you have to clinical case studies for the, decide if you live in a suitable study location. For example it is no use trying to do a piece of coursework on rivers, if you live in the middle of a desert. Before starting your coursework, you should also think about how you can carry out the coursework safely and definitely carry out a risk assessment. You can make your coursework safer by doing the following:

Protection from the weather (waterproof jacket, umbrella, hat, suncream) Sensible dress (remember you will be representing your school, but you should also wear clothes that don't draw attention to yourself Always carry out coursework in groups Always tell an adult or teacher where you area carrying out coursework Always carry a mobile phone with you Never do coursework near a river or the sea without an adult or teacher and without them checking that it is safe Carry out coursework in day light and wear reflective clothes Check that your study area is safe. For example it wouldn't be safe walking around downtown San Salvador Don't display valuables making you more vulnerable to crime e.g. Proposal Paper! if you have a camera or a phone keep it out of sight. Specification: Formulating aims and hypotheses: Candidates should be familiar with hypotheses as statements that form the basis of Coursework assignments. The hypotheses may investigate a geographical concept e.g. ‘A CBD has the highest concentration of comparison shops’. Collecting relevant data, analysis and drawing conclusions using the data as evidence can test these. The width of about anti abortions, a river will increase as you move from the source to paper str 581, the mouth The amount of traffic will increase as you move from the rural-urban fringe to the CBD The amount of vegetation will increase as you move inland from the sea (distance = 200metres) The hottest part of the holt homework, day will be between 1200 and 1400. Whenever you are doing data collection, the aim is to be as objective as possible. Objective means that no bias or personal opinion affects the outcome of your results. The opposite to paper, be objective is being subjective.

Being subjective simple means that your own personal views and star test questions, bias has influenced results. It is up to research str 581, date (current) You know how the data has been collected i.e. what technique It only holt homework, includes data that is proposal str 581 relevant to your coursework It only covers your study area It is collected in plagiarism to buy a essay, the format that you want. You can study temporal changes e.g. how population has changed over a number of str 581, years It can be quicker, especially if the data is on the internet You can study a larger area It may include data that you can not obtain personally e.g. salaries. The data may include some personal bias Data collection can be time consuming It can be expensive to travel to places to collect data It is hard to study temporal changes Some data might be unavailable or too dangerous to collect Only possible to cover a small area. It is out of date, especially if it has been printed in a book. There might more information than you need The information may include a larger area than your study area You may not know how the data was collected and who collected the data The data might be in essay questions, the wrong format e.g. in a graph and not raw figures. Quantitative data: This is any data that involves figures. Quantitative data is very easy to research proposal paper, present and about anti abortions, analyse. Even though it is research proposal str 581 easy to present it can be very general and exclude some data.

Because you are following a pattern you will get better coverage of an area or sample group. Even though you pick the technique, once it is picked, there is no bias in who gets selected. It is very simple to understand and carry out. Because you are selecting the systematic technique, there is some bias (subjectivity). You decide how often to take a sample. Even with a systematic sample you may end up with an holt homework unrepresentative sample e.g. you ask every 10th person to fill in a questionnaire, but every 10th person turns out to be female. Every person or every location/place has a completely equal chance of being selected It is quick and simple. Because it is research str 581 totally random, results maybe completely random and not representative e.g. when randomly selecting names out of hat to ask questionnaires too, you only pick females. Stratified sampling: Because both systematic and random sampling can give you a unrepresentative sample, if you have some secondary data that allows you to rank your sample group you can then carry out stratified sampling.

For example if you are carrying out environmental indexes in essay, a city that has 12 districts, if you randomly or systematically select four, you may pick th efour best or the four worst. Proposal Paper Str 581! However, if you know the average income of those 12 areas (census data) you can them rank them 1 to 12 and then randomly or systematically pick a district from each quartile giving you a more representative sample. Decide on your questions (what do you need to find out and what type of question are you going to holt homework, ask) Whether to research proposal paper str 581, do the questions orally or give them in holt homework, written form (you may have to think about translations) How you are going to pilot (test) your questions How you are going to proposal paper str 581, record the answers (record them, write them down, trying to remember is unreliable) How you are going to sample (random, systematic, stratified) Remember that you are representing yourself and the school - be polite Remember people don't have to answer questions and they may be sensitive about some e.g. age groups and income groups. When actually designing your questions you have two real choice; open or closed: You are getting the respondents personal opinion. They are not limited in their response.

Some responses might not be relevant to your research Respondents may not understand the case study in business research ebook, question and give you an irrelevant response Results are very hard to analyse using graphs or tables. All answers will be relevant to your research The results are easy to analyse using graphs and tables. The results lack personal opinion. Paper Str 581! They can be very generalised You are nearly always forced to have an to buy a essay other box meaning you don't know what the respondent thinks Your personal opinion has been placed on the questions (subjective). Specification: Observation – Examples of paper, using observations as an enquiry skill to collect data include the study methodology in business research, recording of land-use in an urban area or observations of river or coastal features. Maps, recording sheets, field sketches and annotated photographs may all be used to record candidate observations. It is important to research proposal paper str 581, always have an other category, because you always find a land use that you have not thought about. They are more accurate than field sketches They can be good for showing data collection techniques e.g. measuring a river's load They can support data collection findings e.g. they can show an example of a poor environment They can show temporal changes, especially if you can find historical photos.

You can annotate and label them. People often include photos that are not relevant e.g. a photo of their friends People forget to label, annotate or refer to photos, which then makes them irrelevant. People often only photograph the nice things e.g. Extended Essay! pretty view and forget the research paper, more ugly areas that are just as important e.g. Holt Homework! area of pollution They can often contains too much information e.g. Research Proposal Paper! people and vehicles Because they are two dimensional, depth can be deceptive. Specification: Counts – Pedestrian and holt homework, traffic counts are two significant examples of proposal paper str 581, this enquiry skill. Appropriate methods for holt homework, recording the counts should be discussed including the layout of str 581, recording sheets, instructions and the necessary information required to identify the sheet following the count (i.e. Plagiarism! time, date, location and name of recorder).

Geography fieldwork equipment can be used to measure virtually anything, but is most commonly used to take measurements along a river or at a beach. Below are photos and descriptions of some of the most common types of geography equipment. Transect: A transect is basically a line a long which you take measurements. You may have a transect that runs from the rural-urban fringe to the CBD or a transect that runs from the sea in land through sand dunes. In a real piece of paper str 581, coursework, you would explain how all your data was collected. In your description you would probably contain the following information: Date, time and location of data collection Group size Description and to buy a essay, copy of proposal paper str 581, data collection forms used e.g. questionnaires or counts Explanation of how the forms were used e.g. sample size, count period, count technique, etc.

Description of essay about, equipment and an explanation of its use. Instead of writing a methodology in paper, your exam, you may be asked to write a set of instructions, explaining how data collection should be carried out. Is It! For example you might be asked to proposal, give a set of instructions for about, doing a traffic count. You might say: Find a safe location near the road your are counting traffic Count the traffic in proposal, both directions for a 10 minute period A tally should be used for counting because this is easy and quick At the end of 10 minutes count up the totals for each type of vehicle. You may also be asked about how your data collection could be improved. Improvements may be made in some of the following ways: Do counts more regularly e.g. every one or two hours Do counts, surveys or indexes in more locations Do counts, surveys and indexes on different days of the week (including weekends) Get two groups doing the same survey, index or count so that an average may be taken. Specification: Data presentation techniques: A knowledge of the illustrative techniques to case methodology, present data across the topics for Paper 4 is required.

This should include, various types of paper, graphs, maps and diagrams for example line graphs, bar graphs, divided bar graphs, histograms, flow diagrams, wind rose graphs, isoline maps, scatter graphs, pie graphs, triangular graphs and radial graphs. If you are asked to complete a graph or table, all the data will be there for you so read the case for the care answers, data carefully and complete the graph/table/diagram carefully. Shows spatial distribution e.g. dot map Shows variations between regions and research str 581, countries e.g. Star Test! choropleth map Visually interesting (interesting colours, symbols) Very bold and clear Easy to understand Clearly shows trends and anomallies. Can disguise intra-region or intra-country variations e.g. choropleth map Hard to see trends and anomalies Very complicated to read Symbols take up to much room. Specification: Analysis: Candidates should be able to describe the patterns in data presented in graphs and tables of research paper str 581, results. Reference to relevant geographical knowledge and essay anti, understanding is often required in str 581, the interpretation of the data. Ib Philosophy Extended Essay! Practice of research, this skill will improve success in extended essay, Paper 4 questions. Look for research paper str 581, trends and clinical for the care process answers, correlations (if there is not a overall trend, look for smaller trends) Look for anomalies (things that don't fit the general trend) When ever you refer to trend and anomalies you must support with evidence e.g. facts and proposal str 581, figures from plagiarism graph or table. Try and explain trends (refer back to theory or other information that you have discovered in your investigation) Try and explain anomalies.

Specification: Formation of conclusions: Using the evidence from the data, candidates should be able to proposal paper, make judgements on the validity of the original hypothesis or aims of the assignment. Test Essay! Reference is also required of the reliability of the collected data and a critical evaluation of the chosen data collection methods. Refer back to original hypothesis Use some data to proposal, support your findings Refer to case study methodology in business research ebook, theory (if mentioned in research paper str 581, introduction) - do your findings agree or disagree with theory State what you have learnt from your investigation. Evaluation : In an evaluation you state what went well in plagiarism, your research, but also how it can be improved or extended in the future. If you are asked to write an evaluation, think about the paper str 581, following: What went well (keep this brief) Any problems with data collection e.g. bad weather, missing data, sampling technique, questions, data collection form Data that could be useful in the future e.g. secondary data from government, more questionnaires (bigger sample) Additional hypothesis that you could have used Problems with time or money that could be changed in the future.

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