Expert Guide How Many Times Should You Take the SAT

Expert Guide How Many Times Should You Take the SAT SAT / ACT Prep Online Guides and Tips How many times can you take the SAT? Is there a limit if you're retaking it to achieveyour ideal score? Why would you want to keep sitting through this high stakestest, anyway? There are several compelling reasons to take the SAT more than once, but you also shouldn't go totally overboard. Let's go overwhen you should retake the SAT, and when it might be time to move on. Reasons to Take the SAT More Than Once Students almost always improve when they retake the SAT.When you take the SAT,you gain valuablereal test experience that helps youfigure out how to manage your time and deal with pressure. Youmight encounter certain problems that stump youand learn the concepts youmissed out on for next time. Because theycan take time to study and improve, lots of students choose to take the SAT more than once to improve the scores they'll ultimately add to their college applications. Some students strategically build up their SAT score section by section. If your college superscores your test resultsor takes the highest scores by section across all the timeyou sat for the test, then you could theoretically focus on Math for one test date, Reading for another date, and Writing and Language for the third. While you shouldn't treat any section as a throwaway section, since a major discrepancy in scores could raise red flags both to your colleges and the College Board, this approach is one way to really hone your knowledge in one area and potentially achieve near-perfect section scores one test date at a time. If you scoreworse than you expected to on the SAT, you might have had a fluke test. There could have been a major passage that just didn't make sense to you, or maybe you were tired, sick, or distracted that day. If this is the case, you should schedule for the next test as soon as possible. So if you're likely to improve your SAT scores every time you take the test, should you just keep taking it over and over again until you hit perfection? Can You Take the SAT an Unlimited Number of Times? How many times can you take the SAT? Technically, you can take the SAT as many times as you want! There are no restrictions for registering for and taking the test. There are 7 test dates throughout the year, so the only limit that stands in your wayis time. Many schools allow you to use Score Choice, or to pick and choose which scores from which test dates you want to send as part of your college application. Not all schools support the use of Score Choice, however, and they take it on good faith that you'll send all your scores. Some notable schools with a "send all scores" policy include Yale, Stanford, Cornell, Carnegie Mellon, and the University of California. So if you can use Score Choice to send only some scores and keep the rest private, and you have the time and money to keep retesting, then technically you could take the SAT as many times as you want. But if your schools don't use Score Choice and you are expected to send all your test scores along with your application, how many times retaking the SAT is too many? How Many SAT Tests Is Too Many? If you're applying to schools that require all scores, like the ones mentioned above, I would recommend not taking the SAT more than six times. If you take the SAT this many or more times, you might be sending the signal that you're not taking the test seriously enough to prep each time or that you have a lot of trouble improving your scores. The SAT is meant to test all students on a level playing field and determine their readiness for college, so it wouldn't look all thatstrong to have to take the testmore than six times to perform well. While real test experience is valuable, you also will gaina lot from focused and purposeful test prep. Perhapsyou keep retaking the SAT and your scores are not improving as much as you'd like. Rather than asking, "How many times can I take the SAT?" you should reconsideryour test prep approach. Are you really uncovering and targeting your weak spots and filling in your knowledge gaps? Are you timing yourself when you take practice tests to practice your pacing? Are you familiar with the best strategies for analyzing the Reading passages or writing the essay? By honing your approach to test prep and really putting in the time and effort to study, you should be able to achieve your target scores within a few administrations of the SAT. Besides what excessive retesting indicates about how you're prepping for the SAT, it also might not be the best idea for a few other reasons. Planning your SAT testing schedule is all about balance. Reasons Not to Overtake the SAT First, it's important to take control of your test prep, diagnose your strengths and weaknesses, and figure out what you need to do to improve your scores. Apart from this, you're probably also taking other tests, like finals or the SAT Subject Tests, along with all your schoolwork, community service, and clubs or sports that require your attention. You wouldn't want to drop the ball at this point in your high school career by diverting attention away from these other pursuits, as these are also all key parts of your college application. Plus, unless you're superhuman or highly skilled at meditating, sitting for the SATtends to involve stress and anxiety.Getting real test experience is helpful in teaching you to regulate your nerves, calm yourself down, and focus, but you also don't need to put yourself through this too many times. Taking the SAT more than six times could potentially become a waste of time, money, and energy. Again, while you can definitely have a fluke testing experience and score much lower than you should, you also don't want to treat any tests as throwaway tests. It's important to take every test seriously so you can get a real sense of your skills and scoring capacity. You can use this same mindsetwith practice tests - by simulating testing conditions and timing yourself, you can build on your testing experience and figure out what you need to learn and practice to boost your scores. Like with everything else you're involved in through school and outside of school, taking the SAT is all about balance. If you set and stick to a study plan and testing schedule, then you'll be able to find the happy medium between testing too often andtesting too little. Belowis one common guide that works for a lot of high school students. SAT Study Plan and Testing Schedule Guide This timeline is effective for a lot of students and gives you time to prep and retake the SAT a few times to hit your target scores. Rather than scouring for test dates to figure out how many times can you take the SAT, you can have everything planned out in advance. 1.Study for the SAT the summer before junior year. You can use online prep, answer SAT Questions of the Day, print official practice tests, try sample questions, and study from books. 2. Register for and take your first real SAT test in the fall of junior year. Depending on how you do, you can later register for the test again. 3. If you're retaking the SAT, you can prep during the winter of junior year and take the SAT again in the spring. You might also be taking SAT Subject Tests at the end of the school year. If you still aren't scoring where you want to score, then you can sign up to take the SAT in the fall of your senior year. 4. Put a lot of effort into test prep the summer between junior and senior year. Figure out what you were missing on the first two administrations of the test, learn the concepts, and apply them through practice problems. You want to do everything you can to prepare, as this test in the fall will likely be your last chance. 5. Take the first available test senior year, before you get too busy with schoolwork and your summer studying is fresh in your mind. This would be in October for the SAT. If you feel this test did not go well, you might be able to retake it one more time, depending on your college deadlines. This is also not an ideal time to take the SAT, as you'll be busy finishing up and sending off the rest of your application. If you're not sure if your scores will be sent to your colleges in time, definitely call or email the admissions office and ask if they'll accept these scores.They might wait for your scoreseven if they arrive after the stated deadline, but you can't bank on this unless they've told you this explicitly. Ambitious students who feel they can achieve a high score even earlier in their high school career might choose to push this schedule forward a year.You could start prepping as a 9th or 10th grader, take the SAT throughout sophomore year, and be all set with yourscores before youeven start the rest of the application process. If you're a strong, academically achieving student, you might already have the math, reading, and writing skills you need to score highly on the SAT before you even reach junior year. Just like with your test prep, it's important to reflect on what works best for you. As everyone has different preferences, strengths, and weaknesses, there's no one size fits all approach to studying for and taking the SAT. This testing schedule works for a lot of students, but ultimately it's up to you to decide on and stick to the schedule that will allow you to perform your best. To Sum Up: How Many Times Should You Take the SAT? Around four times of sitting for the SAT (sometimes more, sometimes less) should likely be enough for you to reach your target scores, along with many more practice tests and effective test prep on your own. Don't underestimate the power of prep in helping you master the SAT. In the end though, you shouldn't be afraid to take real tests, as they are valuable training experiences and you can almost always improve your scores or make up for an off day. Give yourself enough test dates so you don't run out of opportunities to take the test, and find the balance between retesting, studying, and accomplishing your goals in time for your college deadlines. What's Next? What's a good SAT score for 10th grade? 9th grade? What about overall for your college applications? These articles explore this topic of when to take the SAT even further, revealing what your early test scores indicate about your future performance. Are you aiming for a perfect 1600? This full scorer shares his strategies for scoring an 800on both Math and Reading and Writing. While most schools place a great deal of importance on the SAT or ACT, there are actually some schools now that have test optional or test flexible policies. Before you design your plan, make sure you understand the requirements of your colleges. Want to improve your SAT score by 160 points? Check out our best-in-class online SAT prep classes. We guarantee your money back if you don't improve your SAT score by 160 points or more. Our classes are entirely online, and they're taught by SAT experts. If you liked this article, you'll love our classes. Along with expert-led classes, you'll get personalized homework with thousands of practice problems organized by individual skills so you learn most effectively. We'll also give you a step-by-step, custom program to follow so you'll never be confused about what to study next. Try it risk-free today:

Differences and connections between groupware and ordinary databases, Essay

Differences and connections between groupware and ordinary databases, and why they matter - Essay Example Various researchers have categorized groupware applications into 3 categories including conferencing tools, communication tools and collaborative management and working tools. In this scenario, communication tools comprise FAX, email and voice mail. The second category conferencing tools comprise voice, data and video conferencing, chat rooms and message boards. Finally, collaborative management systems and tools comprise project management systems, electronic calendars and workflow systems. Moreover, various researchers categorize groupware applications into 2 categories with respect to time and place. In this scenario, an application that is used by all the staff members of an organization simultaneously is acknowledged as synchronous groupware application. Additionally, staff members can make use of similar application at different times using asynchronous groupware systems. The place connected types are collected, groupware that is utilized by people in same place as well as distance.Additionally, at the present, businesses, no matter what their working and operational structure is, as well experience the power of the augmented data and informational flow. In addition, businesses are continually receiving and transferring tons of data and information files through posts, telephones, online messengers, emails, and faxes. Normally, organizations use these tools to communicate with their clients as and suppliers, experts or for negotiations. In this scenario, the longer their collaboration with a supplier or client is, the more data and information they would be able to interchange. As well, as the business grows the figures of clients and suppliers also grow. Consequently, the amount of information rises at an exceptional rate. Thus, if these valuable data and information are not arranged it will cause many problems. Besides, they are certain that all of their staff workers work hard? In other words, organizations require high level quality and time-frames of their work. In situations of data and informational chaos, this is quite a complex job. In addition, generation of a variety of reports as well turns out to be a time-consuming task (MetaQuotes Software Corp., 2011) and (Computer Networks IT, 2011). Furthermore, the ineffective collaboration between a business system and government reduces the working competence of our staff members and nonmanufacturing overheads augment. Additionally, an organization turns out to be less well-organized, as their staff spends a greater amount of their time on technical tasks. Consequently, every client costs more and every working hour of organization’s workers formulates fewer investments into their company's efficiency. In this scenario, organizations make use of groupware applications for a multiplicity of causes. However, one main reason is to avoid the customary issues of having workers in dissimilar places who require performing tasks on similar function. In addition, by logging in to a communication network or intranet server, workers in diverse places are able to access the same application as well as get advantage from a variety of

Quanitative Research Method Paper Proposal Example | Topics and Well Written Essays - 1250 words

Quanitative Method Paper - Research Proposal Example g on a number of endogenous and exogenous variables such as employers’ preferences, employees’ willingness to accept such relationships and even time related economic pressures such as the current global economic recession. The strategic competition has compelled organizations to adopt far reaching policy changes on employee relations with refers to both its operational strategy and the mission related corporate governance principles in order to achieve horizontal and vertical synergies which is associated with its organizational goals and objectives. Therefore the limitations that have cropped up against government and institutional efforts to curtail informal individualization of the employment relationship are many. The literature review of this dissertation is based on the theoretical constructs, conceptual paradigms and empirical evidence. The legal relationship between the employer and the employee defines the very essence of the employment relationship (Healy, 1999). However it has been pointed out by critics that the existing labor legislation and social security provisions do not adequately cover up the requirements of employees. In fact the employment relationship has become more or less an individual arrangement devoid of universal contractual obligations as found in International Labor Organization’s (ILO) documents. This phenomenon has acquired a new dimension under different disguises and ruses adopted by employers and imposed on unsuspecting employees. The former tends to arrange an individualistic relationship with the latter on the basis of immediate benefits of employment while the latter agrees more or less due to personal compulsions. Despite the general vagueness of many labor laws and social security provisions in the US employers have got in to recruitment drives with the intention of sign in employment contracts on this particular premise, i.e. they come to a mutual agreement on their individual understanding of the law. For

Peter Paul and Mary - Blowin in the Wind Essay Example for Free

Peter Paul and Mary Blowin in the Wind Essay Peter, Paul, and Marys â€Å"Blowin in the Wind† is actually quite appealing to a mainstream audience, due to the simple arrangement and catchy hook. The accompaniment is easy to follow and understand, which makes it accessible to listeners that do not necessarily have a music education. Also, the tight vocal harmonies between two men and one woman are very interesting, because that sort of setting is not typical for popular music fare. Also, for being a folk song, the twang or accent is very subdued, which would possibly turn off some listeners who might be averse to folk tunes. Theres a good deal of vocal inflection in Marys voice, which pulls on the listener emotionally. For someone who does not particularly prefer folk music, the song is actually quite pleasant, and the strong lyrical content is definitely worth a second glance. Conversely, Bob Dylans version is more spoken, and contains a more rubato vocal performance. Also, the inclusion of the harmonica heightens the folk quality to the song. Moreover, Bob Dylans diction is much more â€Å"country,† with hard â€Å"Rs,† â€Å"jist† in the place of just, and â€Å"yesn† in the place of yes. Those minor shifts create a rustic feeling, where Peter, Paul, and Marys diction was more refined, for the folk style. These two different takes on one song make a lasting difference, in terms of the presentation of the material. Peter, Paul, and Marys version of the single sold a phenomenal three hundred thousand copies in the first week of release. So, perhaps it is safe to say that folk songs can be popular, they just have to be presented in such a way that appeals to a wide audience, while still staying true to the roots. It is not an easy task to fulfill, but Peter, Paul and Mary have proved that it can be accomplished.

Hacking satellite cards :: essays research papers

Writing a "Private 3M Script" First it is important to define the term "3M." The term "3M" simply refers to a script's ability to unlock all of the channels, based on the saying "All for one, and One for all!" from the "3 Musketeers," (which came from the old days of hacking cable boxes where all channels were viewable through one channel). Anyway, "3M" now is just a generic term for a card that has all channels open and no stealth or write protection. In stealth scripts, the "3M" code refers to the actual part of the code that enables the video.All scripts that open all of the channels are 3M's, however most people are referring to scripts that auto-update on their own, when they refer to a 3M. The card auto-updates because it has no commands blocked, and it appears to be a normal subbed card, as much as possible. The EASIEST type of 3M to write is to modify a valid bin file, by editing it in BasicH. Before you can write a script to modify the card, you need to be able to edit a bin file manually to make those changes. If you read through this page carefully you will find everything you need to know to modify a valid bin file with unique jump points and a 3M code. After you are done editing your valid bin file you will have a private 3M that auto-updates, with private jump points. To remove simply do a 1-STEP clean in BasicH or BasicU. If you follow the directions you should have a fairly safe 3M to use. If you have a private 3M (that does not have code in any regions that have been changed ago updates) your card would still be running today no matter HOW long they've been you installed it. They can only send a "killer" ECM that will loop your cards if they have 8 known bytes in a row that they can hash. In order to ZAP your card with an ECM your card needs to be detected as being "hacked." In order to do this they need to know you card's "signature," and your signature is based on the "extra&quo t; data that is on your card: the jump points and 3M code. If they don't know your jump points or how exactly you broke up your 3M code then it is not possible for them to target you since they won't know the "signature" of your card. Hacking satellite cards :: essays research papers Writing a "Private 3M Script" First it is important to define the term "3M." The term "3M" simply refers to a script's ability to unlock all of the channels, based on the saying "All for one, and One for all!" from the "3 Musketeers," (which came from the old days of hacking cable boxes where all channels were viewable through one channel). Anyway, "3M" now is just a generic term for a card that has all channels open and no stealth or write protection. In stealth scripts, the "3M" code refers to the actual part of the code that enables the video.All scripts that open all of the channels are 3M's, however most people are referring to scripts that auto-update on their own, when they refer to a 3M. The card auto-updates because it has no commands blocked, and it appears to be a normal subbed card, as much as possible. The EASIEST type of 3M to write is to modify a valid bin file, by editing it in BasicH. Before you can write a script to modify the card, you need to be able to edit a bin file manually to make those changes. If you read through this page carefully you will find everything you need to know to modify a valid bin file with unique jump points and a 3M code. After you are done editing your valid bin file you will have a private 3M that auto-updates, with private jump points. To remove simply do a 1-STEP clean in BasicH or BasicU. If you follow the directions you should have a fairly safe 3M to use. If you have a private 3M (that does not have code in any regions that have been changed ago updates) your card would still be running today no matter HOW long they've been you installed it. They can only send a "killer" ECM that will loop your cards if they have 8 known bytes in a row that they can hash. In order to ZAP your card with an ECM your card needs to be detected as being "hacked." In order to do this they need to know you card's "signature," and your signature is based on the "extra&quo t; data that is on your card: the jump points and 3M code. If they don't know your jump points or how exactly you broke up your 3M code then it is not possible for them to target you since they won't know the "signature" of your card.

Pain Measured Visual Analogue Scale Health And Social Care Essay

The reappraisal of related literature is a indispensable facets of scientific research. Its entails the systematic designation, contemplation, critical analysis and coverage of bing information in relation to the job of involvement. The intent of reappraisal of literature is to obtain comprehensive cognition and in depth information about the effectivity of ambulation on improve maternal comfort decrease of hurting perceptual experience, result of labor during first phase of labor. The intent of reappraisal literature is to obtain comprehensive cognition and in depth information about the effectivity of ambulation on maternal comfort, hurting perceptual experience & A ; result of labor. The literature gathered from sole reappraisal is depicted under the undermentioned header. Section A: Literature related to trouble perceptual experience during first phase of labor. Section B: Literature related to assorted maternal places for maternal comfort, hurting perceptual experience and result of labor during first phase of labor. Section C: Literature related to ambulation to better maternal comfort, result of labor and cut down hurting perceptual experience. Section D: Literature related to non pharmacological hurting alleviation methods during first phase of labor for maternal comfort, hurting perceptual experience and result of labor.Section A: Literature related to trouble perceptual experience during first phase of labor.Campbell & A ; Kurtz ( 2004 ) conducted a descriptive survey characterized the labor hurting at two phases of cervical distension with selected group 78 labouring female parents and compared the hurting experienced at 2 phases of dilation ( 2-5 centimeter and of 6-10 centimeter ) with adult females in Greenville. Stage ‘s of hurting measured by Visual Analogue Scale, Present Pain Intensity, and the McGill Pain Questionnaire, and 1 experimental step, the nurse-rated Behavioural Index of Pain. The survey consequences revealed that there was important addition in hurting with increased dilation occurred for all female parents both prim and multigravidas. He concluded that labor hurting was equalin primi gravida th an the multigravidas. Lopez & A ; Pires ( 2000 ) conducted the randomized control trail survey was designed to measure the relationship between the parturients place and her abdominal and lumbar ( uninterrupted and contraction ) hurting during the first phase of labor. A homogenous group of 100 parturients was selected in obstetric section of a general infirmary, Argentina. Samples were indiscriminately assigned to alternately presume the horizontal or the perpendicular place for 15-min periods. Positions were safely selected by the parturients. Therefore, the female parent adopted ( a ) a self-elected place, ( B ) recumbent ( or erect ) , ( degree Celsius ) a self-elected place, ( vitamin D ) erect ( or recumbent ) , and so on. Pain strength was measured by the Argentine Pain Questionnaire ‘s Present Pain Intensity and the Huskisson ‘s ocular parallel graduated table. The findings revealed that a bulk of parturients felt less abdominal and lumbar hurting, either uninterrupted or due to contra ctions, during recumbency. The consequence was more singular when dilation exceeded five centimeters and less intense during the first half of the first phase of labor. He concluded that place may helpful to cut down the hurting degree during first phase of labor. Mikolajczyk, Sundaram & A ; Beaver Fraser ( 2010 ) conducted a study survey in aimed to analyze labor forms in a big population and to research an alternate attack for naming unnatural labour patterned advance. The survey were selected sum of 26,838 parturient, who had a singleton term gestation, self-generated oncoming of labor, vertex presentation, and a normal antenatal result in Maryland. An interval-censored arrested development method was used.The consequences revealed that Nulliparous adult females had longest and most gradual labor curve and get down the active stage after 5 centimeter of cervical dilation and may non needfully hold a clear active stage and multiparous adult females of different paras had really similar curves. Researcher concluded that active stage of labor may non get down until 5 centimeters of cervical dilation in multiparous and even later in nulliparous and after 6 centimeter distension merely the advancement in all gestation during labor. Niven & A ; Gijsbers ( 2004 ) conducted the exploratory survey aimed to analyze the nature, beginning, and effectivity of hurting get bying schemes used during childbearing with 51 British adult females was assessed around the clip of birth. Pain was measured by ocular parallel graduated tables and the McGill Pain Questionnaire. Analysis of informations obtained in an drawn-out semi-structured interview. Subjects were found to utilize a scope of schemes during labor, many of which they had antecedently used to get by with hurting. In findings that the entire figure of schemes used in labor was negatively correlated with degrees of labor hurting.Section B: Literature related to assorted maternal places for maternal comfort, hurting perceptual experience and result of labor during first phase of laborAndrews CM & A ; chrzanowski ( 1985 ) Conduct a randomised clinical test to measure the maternal comfort by supplying assorted unsloped places in 40 laboring adult females ‘s randoml y assigned to either unsloped recumbent place. During the stage of maximal incline of labor. When the cervical distension from 4cm to 9cm, Every hr during the stage of maximal incline. The research worker examined each sample vaginally to find her cervical distension and assessed her degree of comfort by utilizing maternal comfort appraisal tool the adult females in unsloped place group had significantly shorter stage of maximal incline of in labor and easing uterine contractions & A ; increasing comfort to the female parent. Bauer et Al ( 1987 ) Conducted a comparative survey to measure the effects of standing place and supine place on self-generated uterine contractions and other facets of labor in 20 normal term female parents they were given by standing and supine place frailty versa with the clip continuance of 30 proceedingss the research worker examined each sample every 30 proceedingss for cervical distension and hurting perceptual experience. The research worker found that the strength of contractions was significantly higher in 15 out of 20 female parents in standing place frequence of contraction diminished and Reduced continuance of labor.the research worker concluded that there is no inauspicious effects and complications in standing place during labor. Carlson ( 1999 ) in an article a survey by supplying different maternal places to measure the comfort position foetal out semen & A ; duet ion of labor. In 80 gravida I unsophisticated female parents. The places chosen by female parents. The research worker found that the different places improved maternal comfort & A ; fetal out semen. & A ; cut down length of labor. Chen shin-zon ( 2003 ) in an article stated that a survey to measure the effectivity of sitting place on labour hurting during first phase of labour.the research worker found that in sitting place the increased resting force per unit area in the sitting place is of some importance in the supplementing the down ward bringing force and increasing bearing down force per unit area in the sitting place could assist to significantly shorten the continuance. Gupta et Al ( 2000 ) In an article stated survey To measure the safe birth good maternal & A ; fetal out come by supplying unsloped places at Birmingham adult females ‘s infirmary Edgbaston, UK the places adopted natively by adult females during birth has been described as early 1882 by Engel am. The research worker found that by supplying assorted unsloped places [ like keeping Rope, delivering chair, hardhearted, crouching ] the female parent will hold safe birth decreased perinatal jobs. Liu ( 2003 ) conducted a descriptive survey to measure the cut down continuance of labor by supplying up right places in 68 primi gravida female parents between the age of 18 to 25 old ages were assigned to three groups. One group used a 30 grade unsloped place with no bearing down instructions and 2nd group used a 30 unsloped place with bearing down instructions the research worker found that the unsloped place enhanced the descent caput with shorter continuance of labor in both first and 2nd phase of labor. May berry et Al ( 2003 ) in an article stated descriptive survey to measure the facilitating advancement of labor by supplying assorted unsloped places. At New York university. The survey sample is 74 laboring healthy adult females. Supplying unsloped places for all adult females. The research worker founded that easing advancement of labour decrease of vaginal hemorrhage better neonatal out semen. Miquelutti et Al ( 2007 ) conducted a explanatory survey to measure the effectivity of unsloped place during first phase of labor during first phase of labor to better obstetrical and perinatal result. The research worker allotted 50 four adult females for experimental group. They were given unsloped place and other 50 three adult females in control group they were given supine place.the difference between two groups were evaluated by utilizing I†¡2 will coxon and fishers exact trials significance was p & lt ; 0.05 hazard ratio is 95 % . The research worker concluded that the unsloped place during first phase of labor will cut down continuance of labor. Roberts et Al ( 2005 ) stated that systematic reappraisal to cut down instrumental bringing by supplying up right places during labour.in Centre for perinatal wellness in Sydney.the survey participles were 281 gravida I female parents in that 166 experimental group provident up right places & A ; its control group in accumbent place each trail is analysed by utilizing meta analytic techniques. The research worker concluded that the up right place during labour important decrease of instrumental bringing & A ; continuance of labour perinatal injury & A ; bleeding. Roberts & A ; Malasonos ( 2003 ) conducted a randomised clinical test by supplying sitting in a chair and a side lying to measure the maternal comfort & A ; uterine efficiency among 19 gravida I female parents alternated between these two places at 30 minute interval for as long possible during labour locating place during early labor [ cervical distension less than 6cm † ] and prevarication on their side in late labor [ cervical distension greater than 6cm † ] . The research worker found the uterine efficaciousness less in the locating place than in side lying place and besides locating place will better maternal comfort. Sandi ( 2001 ) conducted dual blind survey to measure the continuance of labor by supplying unsloped place in selected parturient at the Negress oriental provincial infirmary the research worker provided 45 degree unsloped place the aestivator found that Reduce maximal length of labor in both first & A ; 2nd phase of labor and good new born out comes. Streamer et Al ( 2005 ) conducted that Randomized control test of evaluate the rotary motion of fetal caput by supplying Hands & A ; Knee places for occipito posterior place to occipita anterior during labor. In 13 labour units in university attillated infirmary survey participates were 147 laboring adult females with a occipito posterior place in that 70 were custodies keep place at least 30 min over per 1hour the experimental group and 77 were control group. ( No custodies knee positioning ) The research worker used extremist echography to happen out fetal caput rotary motion. Head rotary motion following one hr. The research worker conclude that the experimental group had important decrease in relentless back hurting, changing of fetal caput to occipito posterior to occipito anterior place and other results like decreased operative bringing and decreased perennial injury and besides good foetal out semen. And the control group have the comparative hazard of operative bringing. vino kiln spectators ( 2003 ) stated that instance control survey to measure the maternal and neonatal out come by supplying assorted places. At section of OBs & A ; gynecology of the university infirmary viema between 1997 -2002 entire survey participants were 714 drudging adult females. 307 adult females were control group supplying supine place & A ; 307 were experimental group supplying unsloped places ( crouching & A ; other alternate birth places. The analysis was restricted to 37 hebdomads normal sized fetus & A ; cephalic persecution with out any medical ( or ) obstetrical hazard the research worker found that unsloped place associated with good effects such as a lower rate of episiotomy, and decreased usage of medical analgesia & A ; Pitocin.Section C: Literature related to ambulation to better maternal comfort, result of labor and cut down hurting perceptual experience:Hemmiki et Al ( 1985 ) conducted a pilot survey to measure the maternal comfort & A ; length of labor by s upplying ambulation vs. oxytocin disposal. The research worker selected 50 seven female parents indiscriminately assigned control group & A ; experimental group.the research worker used as randomized control test for this survey. the research worker provided ambulation for experimental group & A ; oxytocin for control group. In experimental group 60 % of the adult females in the ambulation delivered their babes with out Pitocin. The average length of first and 2nd phase of labor was reduced and besides they had positive results on the other manus the control group.they are experienced stronger contractions before forcing and besides enduring from strong contractions. The research worker finds that ambulation will better maternal comfort, out semen of labor & A ; diminishing length of labor. Lawrence et Al ( 2009 ) conducted a randomised clinical test to measure maternal comfort & A ; lessening length of labor by supplying walking and unsloped places at Townsville infirmary Queensland Australia with the sample of 3706 pregnant gravida I female parents they were utilizing random and quasi random trying for comfort and experimental group in experimental group who are different unsloped place and walking the research worker concluded that the first phase of labor about one hr shorter than in a recumbent places and other results labour it will increase good being of female parents & A ; fetus Lupe et Al ( 1986 ) in an article stated that assess the consequence of ambulation during first phase of labor to cut down length of labor.and besides it will rush the advancement of labour.ambulation will better maternal satisfaction, and besides it will better maternal and fetal out semen. The research worker reported the ambulation reported the ambulation during labor will better greater maternal comfort and ability to digest labors and ability to digest labor hurting, lessening usage of anesthesia and analgesia. Read ja mitter et Al ( 1981 ) conducted a comparative survey to measure the effectivity of ambulation versus oxytocin disposal on better labour advancement. The research worker selected 14 female parents ( who failed augmentation in active stage of labor ) assigned eight female parents in experimental group, they were given ambulation and six female parents in control group, they were given oxytocin extract.the research worker used telemetry to supervise maternal and fetal status in foetus bosom rate and activity in female parent station of the caput, cervical distension, uterine activity contraction, frequence and efficaciousness. The consequences included labour advancement significantly better in ambulatory group the research worker concluded that ambulation is effectual than oxytocin. Souja et Al ( 2006 ) in an article a survey to measure to cut down the length of the first phase of labor by supplying ambulation and unsloped places at Brazil the research worker used Randomised control tests carried to measure the consequence of ambulation the research worker found that the ambulation in the first phase of labor will better maternal comfort & A ; cut down the length of labor. Stewart & A ; caldera ( 1984 ) conducted a survey meta analysis to measure the effectivity of maternal position on the advancement of labor. The research worker selected 275 labour adult females are indiscriminately assigned as control group and experimental group, control group were non given any specific place and experimental group were given ambulation. Radio telemetry was used to place fetal bosom rate the consequences included in ambulatory group shorter stage of labor and had maternal satisfaction, relived from hurting. The research worker concluded that there were significantly shorter labour stage of labour stage in ambulation group. William et Al ( 1980 ) conducted a clinical test to measure the effectivity of ambulation during first phase of labor on improve maternal and fetal result. The research worker selected 48 parturient female parents as experimental group they were given ambulation and another 55mothers are control group they were non given any ambulation. The consequences include the experimental group ( who are given ambulation ) shows improve maternal comfort, cut down hurting and better maternal and fetal result. The research worker concluded that the ambulation in first phase of labor will better maternal and fetal out semen. Wilson mi et al ( 2009 ) conducted a comparitive survey to measure the maternal comfort & A ; cut down instrumental bringing at Royal Hallam shire infirmary U.K on 1052 gravida I female parents. The research worker divided in to two groups. Ambulation for experimental group extradural anesthesia for control group the research worker found that there is difference in experimental group than control group ambulation will better maternal comfort & A ; Reduce length of labor.Section D: Literature related to non pharmacological hurting alleviation methods during first phase of labor for maternal comfort, hurting perceptual experience and result of labor.Labreque & A ; Novmen ( 2000 ) conducted a randomized survey to measure the effectivity of non pharmacologic attacks to relief the low back hurting. The probe selected a sample of 30 four adult females by utilizing three non pharmacological attacks line intradermal saline H2O injections, trans cutaneal electrical nervus stimulations, stand ard attention including back massage, whirl pool bath and broad mobilization. The research worker indiscriminately assigned 1 of 3 interventions. The research worker used ocular parallel graduated table.The adult females ‘s were self evaluated both strength and effectual. The research worker used to measure satisfaction by utilizing labour a aristocracy graduated table and bringing satisfaction index. The consequences included. The adult females received intradermal unfertile H2O injections group. Unpleasantness of hurting lower than standard attention group. While the teens group ( P= 0.01 and P= .003 ) similar consequences were observed for strength P= .01 and unpleasantness P=.03 hurting assessed merely earlier bringing.The research worker found that there is no important difference between all 3 group but first group has received back hurting during labor. Lee & A ; Chang Jiang bent ( 2000 ) conducted a quantitative survey to measure the effectivity sp6 G-Jo on labor hurting and bringing clip in labour the research worker selected randomized clinical test at university attached infirmary with the sample size of 75 labour adult females indiscriminately assigned n=36 were experimental group n=39 were control group harmonizing to para, cervical distension, rupture of membranes and labour phase. the research worker include 30 proceedingss acupressure on sp6 acupoint was performed labour hurting was measured four times utilizing structured questionnaire and ocular parallel graduated table. instantly after intercession and 30-60minutes after intercession there were significantly difference between the group in subjective labor hurting tonss at all clip points instantly after intercessions ( p=0.012 ) 30 proceedingss after intercession ( p=0.021 ) and 60 proceedingss after intercession ( p=0.012 ) the entire labor was significantly shorter in experimental group. The research worker concluded that sp6 G-Jo was effectual in diminishing labor hurting Simkin & A ; Ohra ( 2004 ) Conducted a qualitative survey to measure the effectivity of non pharmacological methods on labor hurting alleviation maternal satisfaction other obstetric labor. By giving non pharmacologic hurting alleviation methods. At North America in selected infirmaries. The probe used five non pharmacological methods. Those are continuos labour support, touch, bath massage, maternal motion and posters. And intra cuticular H2O blocks for back hurting alleviation. The probe found that all methods are effectual to cut down labor hurting.Increase, maternal comfort and out semen of labor. Toumarie & A ; Theauyomeau ( 1982 ) In an article on G-Jo on labor hurting alleviation.the research worker used randomized control test for survey to use G-Jo over lumbosacral country during first phase of labour the research worker found that the G-Jo will relief from labour hurting during first phase of labour death usage of anodynes. Water & A ; Raiser ( 2002 ) Conducted a survey to measure the effectivity of ice massage on labor hurting the research worker selected Hispanic and white pre labour adult females as a survey sample. The research worker used ice massage of the G-Jo energy meridian point big bowel and ( L 14 ) to cut down labour hurting during contractions ( L 14 ) is located at median mid point of tegument between pollex and forward finger. The research worker chosen pre & A ; post prove design and which used 100 mm ocular parallel graduated table and MC Gill pain questionnaire ranked numerically, verbally to mensurate hurting degrees. Participants noted a hurting decrease mean on the VAS of 28.22 on the left manus & A ; 11.93 millimeter on the right manus. The research worker concluded that ice massage is a safe, effectual, not invasive method of cut downing labour hurting.

Obsessive Compulsive Disorder

IntroductionThroughout history, our conceptualization of obsessive compulsive disorder (OCD) has been changing alongside changes in the way we have viewed the world. With the dawning of the Renaissance in Western Europe, religious explanations based on demonic possession were superseded by a more humanistic understanding. By the early seventeenth century, the obsessions that drove Shakespeare's Lady Macbeth to suicide were recognized to be a product of her guilty mind, for which there was no medical cure.Obsessions and compulsions were first described in the medical literature of the early nineteenth century. They were viewed as an unusual expression of melancholia. By the beginning of the twentieth century, with the development of psychoanalysis, the focus shifted onto psychological explanations based on unconscious conflicts, but this did not provide a useful strategy for treatment. The subsequent application of learning theory to OCD led to the development of effective behavioural treatments in the 1960s and 1970s.Compared with the pace of these historical developments, modern understanding of OCD has expanded with dramatic speed. The development of effective medical treatments of OCD has revolutionized the outlook for sufferers and propelled OCD to the forefront of scientific attention. With the growth of research into the epidemiology, psychopharmacology, neurobiology, neuropsychology and genetics of OCD, reviewed throughout this publication, the emphasis has once again swung back toward a medical model. As we enter the twenty-first century, we now recognize OCD as a common, treatable form of major mental disorder.After the pioneering epidemiological catchment area (ECA) studies carried out by the National Institute of Mental Health in the early 1980s reported that the prevalence of OCD was substantially higher than expected, (Robins, Holzer, & Weissman, 1984) repeated population studies using similar methods have demonstrated a lifetime prevalence of 2-3% worldwide (Weissman, Bland & Canino, 1994).   Taiwan and India were the only exceptions, with rates below 1%. If these estimates are accurate, then OCD affects more than 50 million people in the world today. The prevalence does not appear to be influenced by socioeconomic status, educational achievement, or ethnicity. The disorder is more common than schizophrenia, and about half as common as depression. Yet the illness remains largely under-recognized, and the psychosocial and economic costs to society from untreated OCD are high (Hollander, & Wong, 1998).   It is not surprising that the World Health Organization has now recognized OCD as a public health priority.While there is little doubt that the ‘hidden epidemic' of OCD exists, the actual prevalence of clinically relevant disorder has been called into question. In the ECA studies lay interviewers were trained to make DSM-III diagnoses using the Diagnostic Interview Schedule (DIS). However, clinical reappraisal of DIS -positive cases resulted in less than 25% continuing to meet the criteria for OCD (Nelson & Rice, 1997).One explanation is that the rates of illness reported in the original ECA studies may have been exaggerated. Alternatively, the findings may reflect variability in the severity of the disorder over time.Obsessive compulsive disorder is more common in women, although the differences are not as obvious as in depression or other anxiety disorders. An average female to male ratio of 1.5:1.0 is accepted for the community at large, although the ratio appears roughly equal in the adolescent population, reflecting perhaps the earlier onset in boys. In particularly in males, having obsessions and compulsions or magical thinking, poor social adjustment, and an early chronic course, predicted a worse outcome.A more recent 5-year prospective follow-up study of 100 OCD patients showed that in spite of the introduction of modern treatments, outcomes were similar to Skoog and Skoog's cohort, wit h only 20% reaching full remission of their OCD, 50% showing partial remission, and the remainder unchanged or worse over 5 years. Less severe illness and being married were associated with a better outcome (Steketee Eisen & Dyck, 1999).Most patients suffer a mixture of different obsessions or compulsions. Surveys have consistently identified contamination fears as the most common obsession, with concern about harm to others, pathological doubt, somatic obsessions and the need for symmetry also occurring frequently. Half of all OCD patients admitted for treatment suffer compulsions in the realm of repetitive checking or excessive cleaning and washing. 20 Key themes have been identified that underlie most symptoms. These include abnormal risk assessment, pathological doubt and incompleteness.Patients with OCD usually retain full insight into the absurdity of their symptoms, although this is not always the case (Insel & Akiskal, 1986). The DSM-IV singles out patients with poor insight as a meaningful subgroup. These individuals have more complex symptomatology, which makes diagnosis more difficult, and tend to be more severely ill. They have only a limited sense of the excessiveness and irrationality of their thoughts and behaviours and are therefore difficult to engage in treatment. They may appear to be deluded (and hence receive inappropriate treatment) but longitudinal studies show they do not go on to develop schizophrenia-like illnesses. In a cohort of 475 patients with OCD, (6%) displayed lack of insight.Mild forms of obsessional behaviour, such as repetitive checking or superstitious behaviour commonly occur in everyday life. They only meet the criteria for OCD if they are time-consuming, or associated with impairment or distress.Recurrent, intrusive thoughts, impulses and images also occur in other mental disorders thought to share a relationship with OCD: for example, the preoccupation with bodily appearance, in body dysmorphic disorder; with a feared object, in specific phobia; with illness, in hypochondriasis; or with hair-pulling, in trichotillomania. A diagnosis of OCD should only be contrast; men predominate in surveys of OCD referrals, possibly reflecting a greater severity in males.Women during pregnancy and the puerperium are particularly at risk of developing the disorder. In a study by Neziroglu et al of 59 mothers with OCD, experienced their symptoms for the first time during pregnancy. In many cases, pre-existing obsessional tendencies are unmasked and exaggerated by the events surrounding childbirth.Obsessive compulsive disorder is considered to be one of the most strongly inherited mental disorders (Pauls, Alsobrook, & Goodman, 1995). Approximately one-fifth of nuclear family members of OCD sufferers show signs of OCD, and the younger the sufferer the more likely they are to have a first-degree relative affected. The clustering of OCD and Tourette's syndrome (TS) within families suggests a common inherited factor.Th e course of the illness can vary from a relatively benign form in which the patient experiences infrequent, discrete episodes of illness interspersed with symptom-free periods, to malignant OCD, characterized by unremitting symptoms and substantial social impairment.In a 40-year prospective follow-up study, reported by Skoog and Skoog, the authors managed to locate and examine 144 out of 251 OCD patients who had previously been admitted as inpatients under their care between 1947 and 1953. 1Given that effective treatments for OCD were not developed until the end of the study, much of the data is naturalistic. The authors found that roughly 60% showed signs of general improvement within 10 years of onset of illness, rising to 80% by the end of the study.However, only 20% achieved full remission even after nearly 50 years of illness; 60% continued to experience significant symptoms; 10% showed no improvement whatsoever; and another 10% had worsened. In 60% of cases the content of the obsessions shifted markedly over the follow-up period (Pauls, Alsobrook, & Goodman, 1995).One-fifth of those who had shown an early, sustained improvement subsequently relapsed, even after 20 years without symptoms, suggesting early recovery does not rule out the possibility of very late relapse. Intermittent, episodic disease was common during the early stage of illness, and predicted a more favourable outcome, whereas chronic illness predominated in the later years.Early age of onset, made if there are also unrelated obsessive-compulsive symptoms, in which case more than one diagnosis may be warranted. Activities such as preoccupation with eating, sex, shopping and gambling are not considered genuine compulsions because they are not egodystonic, and the individual usually only tries to resist because of the adverse consequences.Reference:Hollander E, Wong C, 1998). Psychosocial functions and economic costs of obsessive compulsive disorder, CNS Spectrums (3 (5) suppl. 1:48-58.Insel T, Akiskal H, 1986. Obsessive compulsive disorder with psychotic features: a phenomenological analysis, Am J Psychiatry 143:1527-33.Nelson E, Rice J, 1997. Stability of diagnosis of obsessive-compulsive disorder in the Epidemiological Catchment Area Study. Am J Psychiatry 154:826-31.Pauls DL, Alsobrook JP, Goodman W et al, 1995). A family study of obsessive compulsive disorder, Am J Psychiatry 152 : 76-84.Robins LN, Holzer JE, Weissman MM et al, 1984 Lifetime prevalence of specific psychiatric disorders in three sites, Arch Gen Psychiatry (1984) 41 :949-58.Steketee G, Eisen J, Dyck I et al, (1999) Predictors of course in obsessive compulsive disorder, Psychiatr Res   89 (3):229-38.  Weissman MM, Bland RC, Canino GL et al, 1994. The cross national epidemiology of obsessive-compulsive disorder, J Clin Psychiatry 55 :5-10.