How to Organize and Run Effective Meetings Essay -- Workplace Meetings

INTRODUCTION Workplace meetings can be considered as essential but one of the most inefficient components of a corporate environment. Project managers can significantly influence the project performance by proactively influencing and controlling the dynamics of project meetings. This can ultimately generate highly valuable outputs in achieving team integration and consensus. ISSUES WITH MEETINGS Experts widely concur that there are too many meetings than required and most meetings are a waste of valuable time (American Marketing Association, 2011). Meetings can tend to get long and futile. Unfortunately, most of the meetings are hampered by vague agendas and directionless discussions. An attitude of low commitment creeps in and leads to dwindling participation. POSSIBLE SOLUTIONS Detrimental effects of unproductive meetings on a project are generally overlooked. In this essay I will attempt to examine meeting dynamics, including the five Ps (purpose, product, participants, process, and probable issues) and develop a reference cookbook for organizing and running meetings. INITIATION PHASE Strategy Meeting: The purpose is to analyze if a suggested business need fits with the organization’s strategic framework and vision (Tammy Adams, 2008). Products of this meeting include developing an initial draft of the business case, aligning it to overall organizations strategies. The participants should be low in number and include senior executives, sponsors and business process experts who would analyze the direction of the project. The process should focus on dividing the meeting in short segments and focus on individual items at a time. The possible issues could stem from to not presenting the complete data for the busine... ...p://www.the-program-manager.com/project-management/how-to-organize-an-effective-meeting/ PMI. (2004). Quickbooks. (2009, December 16). Project Closeout Meeting Agenda - DOC. Retrieved 4 12, 2014, from docstoc: http://www.docstoc.com/docs/19614443/Project-Closeout-Meeting-Agenda Schwalbe, K. (2012). Information Technology Project Management. Boston MA: Cengage Leaning. Tammy Adams, J. M. (2008). Project Meeting Facilitator: Facilitation Skills to Make the Most of Project Meetings. San Francisco: Jossey-Bass. UGM Consulting. (2009, July 23). Strategy Design and Facilitation: The UGM Consulting Approach. Retrieved 4 12, 2014, from UMGConsulting: http://www.ugmconsulting.com/Effective%20strategy%20design.pdf Vick, J. (2012, January 12). Project Management: How to Run Team Meetings. Retrieved 4 12, 2014, from Youtube: https://www.youtube.com/watch?v=xW0CjH95K3Q

The Vampire Diaries: The Struggle Chapter Seven

â€Å"Next time,† Stefan said quietly, â€Å"I won't leave.† Elena knew he meant it, and it terrified her. But just now her emotions were quietly coasting in neutral, and she didn't want to argue. â€Å"He was there,† she said. â€Å"Inside an ordinary house full of ordinary people, just as if he had every right to be. I wouldn't have thought he would dare.† â€Å"Why not?† Stefan said briefly, bitterly. â€Å"I was there in a ordinary house full of ordinary people, just as if I had every right to be.† â€Å"I didn't mean that the way it sounded. It's just that the only other time I've seen him in public was at the Haunted House when he was wearing a mask and costume, and it was dark. Before that it was always somewhere deserted, like the gym that night I was there alone, or the graveyard†¦Ã¢â‚¬  She knew as soon as she said that last part that it was a mistake. She still hadn't told Stefan about going to find Damon three days ago. In the driver's seat, he stiffened. â€Å"Or the graveyard?† â€Å"Yes†¦ I meant that day Bonnie and Meredith and I got chased out. I'm assuming it must have been Damon who chased us. And the place was deserted except for the three of us.† Why was she lying to him? Because, a small voice in her head answered grimly, otherwise he might snap. Knowing what Damon had said to her, what he had promised was in store, might be all that was needed to send Stefan over the edge. Then he'll never know, she promised herself. No matter what I have to do, I'll keep them from fighting each other over me. No matter what. For a moment, apprehension chilled her. Five hundred years ago, Katherine had tried to keep them from fighting, and had succeeded only in forcing them into a death match. Butshe wouldn't make the same mistake, Elena told herself fiercely. Katherine's methods had been stupid and childish. Who else but a stupid child would kill herself in the hope that the two rivals for her hand would become friends? It had been the worst mistake of the whole sorry affair. Because of it, the rivalry between Stefan and Damon had turned into implacable hatred. And what's more, Stefan had lived with the guilt of it ever since; he blamed himself for Katherine's stupidity and weakness. Groping for another subject, she said, â€Å"Do you think someone invited him in?† â€Å"Obviously, since hewas in.† â€Å"Then it's true about – people like you. You have to be invited in. But Damon got into the gym without an invitation.† â€Å"That's because the gym isn't a dwelling place for the living. That's the one criterion. It doesn't matter if it's a house or a tent or an apartment above a store. If living humans eat and sleep there, we need to be invited inside.† â€Å"But I didn't invite you intomy house.† â€Å"Yes, you did. That first night, when I drove you home, you pushed the door open and nodded to me. It doesn't have to be a verbal invitation. If the intent is there, that's enough. And the person inviting you doesn't have to be someone who actually lives in the house. Any human will do.† Elena was thinking. â€Å"What about a houseboat?† â€Å"Same thing. Although running water can be a barrier in itself. For some of us, it's almost impossible to cross.† Elena had a sudden vision of herself and Meredith and Bonnie racing for Wickery Bridge. Because somehow she had known that if they got to the other side of the river they'd be safe from whatever was after them. â€Å"Sothat's why,† she whispered. It still didn't explain how she'd known, though. It was as if the knowledge had been put into her head from some outside source. Then she realized something else. â€Å"You took me across the bridge. You can cross running water.† â€Å"That's because I'm weak.† It was said flatly, with no emotion behind it. â€Å"It's ironic, but the stronger your Powers are, the more you're affected by certain limitations. The more you belong to the dark, the more the rules of the dark bind you.† Stefan looked at her. â€Å"Yes,† he said, â€Å"I think it's time you knew. The more you know about Damon, the more chance you'll have of protecting yourself.† Of protecting herself? Perhaps Stefan knew more than she thought. But as he turned the car onto a side street and parked, she just said, â€Å"Okay. Should I be stocking up on garlic?† He laughed. â€Å"Only if you want to be unpopular. There are certain plants, though, that might help you. Like vervain. That's an herb that's supposed to protect you against bewitchment, and it can keep your mind clear even if someone is using Powers against you. People used to wear it around their necks. Bonnie would love it; it was sacred to the Druids.† â€Å"Vervain,† said Elena, tasting the unfamiliar word. â€Å"What else?† â€Å"Strong light, or direct sunlight, can be very painful. You'll notice the weather's changed.† â€Å"I've noticed,† said Elena after a beat. â€Å"You mean Damon's doing that?† â€Å"He must be. It takes enormous power to control the elements, but it makes it easy for him to travel in daylight. As long as he keeps it cloudy, he doesn't even need to protect his eyes.† â€Å"And neither do you,† Elena said. â€Å"What about – well, crosses and things?† â€Å"No effect,† said Stefan. â€Å"Except that if the person holding onebelieves it's a protection, it can strengthen their will to resist tremendously.† â€Å"Uh†¦ silver bullets?† Stefan laughed again shortly. â€Å"That's for werewolves. From what I've heard they don't like silver in any form. A wooden stake through the heart is still the approved method for my kind. There are other ways that are more or less effective, though: burning, beheading, driving nails through the temples. Or, best of all – â€Å" â€Å"Stefan!† The lonely, bitter smile on his face dismayed her. â€Å"What about changing into animals?† she said. â€Å"Before, you said that with enough Power you could do that. If Damon can be any animal he likes, how will we ever recognize him?† â€Å"Not any animal he likes. He's limited to one animal, or at the most two. Even with his Powers I don't think he could sustain any more than that.† â€Å"So we keep looking out for a crow.† â€Å"Right. You may be able to tell if he's around, too, by looking at regular animals. They usually don't react very well to us; they sense that we're hunters.† â€Å"Yangtze kept barking at that crow. It was as if he knew there was something wrong about it,† Elena remembered. â€Å"Ah†¦ Stefan,† she added in a changed tone as a new thought struck her, â€Å"what about mirrors? I don't remember ever seeing you in one.† There was nothing to do but hold on to him, and Elena did. â€Å"I love you,† she whispered. It was the only comfort she could give him. It was all they had. His arms tightened around her; his face was buried in her hair. â€Å"You're the mirror,† he whispered back. It was good to feel him relax, tension flowing out of his body as warmth and comfort flowed in. She was comforted, too, a sense of peace infusing her, surrounding her. It was so good that she forgot to ask him what he meant until they were at her front door, saying good-bye. â€Å"I'm the mirror?† she said then, looking up at him. â€Å"You've stolen my soul,† he said. â€Å"Lock the door behind you, and don't open it again tonight.† Then he was gone. â€Å"Elena, thank heavens,† said Aunt Judith. When Elena stared at her, she added, â€Å"Bonnie called from the party. She said you'd left unexpectedly, and when you didn't come home I was worried.† â€Å"Stefan and I went for a ride.† Elena didn't like the expression on her aunt's face when she said that. â€Å"Is there a problem?† â€Å"No, no. It's just†¦Ã¢â‚¬  Aunt Judith didn't seem to know how to finish her sentence. â€Å"Elena, I wonder if it might be a good idea to†¦ not see quite so much of Stefan.† Elena went still. â€Å"You, too?† â€Å"It isn't that I believe the gossip,† Aunt Judith assured her. â€Å"But, for your own sake, it might be best to get a little distance from him, to – â€Å" â€Å"To dump him? To abandon him because people are spreading rumors about him? To keep myself away from the mudslinging in case any of it sticks on me?† Anger was a welcome release, and the words crowded in Elena's throat, all trying to get out at once. â€Å"No, Idon't think that's a good idea, Aunt Judith. And if it were Robert we were talking about, you wouldn't either. Or maybe you would!† â€Å"Elena, I will not have you speaking to me in that tone – â€Å" â€Å"I'm finished anyway!† Elena cried, and whirled blindly for the stairs. She managed to keep the tears back until she was in her own room with the door locked. Then she threw herself on the bed and sobbed. She dragged herself up a while later to call Bonnie. Bonnie was excited and voluble. What on earth did Elena mean, had anything unusual happened after she and Stefan left? The unusual thing was their leaving! No, that new guy Damon hadn't said anything about Stefan afterward; he'd just hung around for a while and then disappeared. No, Bonnie hadn't seen if he left with anybody. Why? Was Elena jealous? Yes, Elena immediately deduced that Alaric Saltzman's eyes were hazel. She got off the phone at last and only then remembered the note she'd found in her purse. She should have asked Bonnie if anyone had gone near her purse while she was in the dining room. But then, Bonnie and Meredith had been in the dining room part of the time themselves. Someone might have done it then. The very sight of the violet paper made her taste tin at the back of her mouth. She could hardly bear to look at it. But now that she was alone shehad to unfold it and read it again, all the time hoping that somehow this time the words might be different, that she might have been mistaken before. But they weren't different. The sharp, clean block letters stood out against the pale background as if they were ten feet high. I want to touch him. More than any boy I've ever known. And I know he wants it, too, but he's holding back on me. Her words. From her diary. The one that had been stolen. The next day Meredith and Bonnie rang her doorbell. â€Å"Stefan called me last night,† said Meredith. â€Å"He said he wanted to make sure you weren't walking to school alone. He's not going to be at school today, so he asked if Bonnie and I could come over and walk with you. â€Å"Escort you,† said Bonnie, who was clearly in a good mood. â€Å"Chaperone you. I think it's terribly sweet of him to be so protective.† â€Å"He's probably an Aquarius, too,† said Meredith. â€Å"Come on, Elena, before I kill her to shut her up about Alaric.† Elena walked in silence, wondering what Stefan was doing that kept him from school. She felt vulnerable and exposed today, as if her skin were on inside out. One of those days when she was ready to cry at the drop of a hat. On the office bulletin board was tacked a piece of violet paper. She should have known. Shehad known somewhere deep inside. The thief wasn't satisfied with letting her know her private words had been read. He was showing her they could be made public. She ripped the note off the board and crumpled it, but not before she glimpsed the words. In one glance they were seared onto her brain. I feel as if someone has hurt him terribly in the past and he's never gotten over it. But I also think there's something he's afraid of, some secret he's afraid I'll find out. â€Å"Elena, what is that? What's the matter? Elena, come back here!† â€Å"Okay,† said Meredith loudly, â€Å"senior privilege. You!† She rapped on the only closed door. â€Å"Come out.† Some rustling, then a bewildered freshman emerged. â€Å"But I didn't even – â€Å" â€Å"Out. Outside,† Bonnie ordered. â€Å"Andyou ,† she said to the girl washing her hands, â€Å"stand out there and make sure nobody comes in.† â€Å"But why? What are you – â€Å" â€Å"Move, chick. If anybody comes through that door we're holding you responsible.† When the door was closed again, they rounded on Elena. â€Å"Okay, this is a stickup,† said Meredith. â€Å"Come on, Elena, give.† Elena ripped the last tiny shred of paper, caught between laughter and tears. She wanted to tell them everything, but she couldn't. She settled for telling them about the diary. They were as angry, as indignant, as she was. â€Å"It had to be someone at the party,† Meredith said at last, once they had each expressed their opinion of the thief's character, morals, and probable destination in the afterlife. â€Å"But anybody there could have done it. I don't remember anyone in particular going near your purse, but that room was wall-to-wall people, and it could have happened without my noticing.† â€Å"But why would anyonewant to do this?† Bonnie put in. â€Å"Unless†¦ Elena, the night we found Stefan you were hinting around at some things. You said you thought you knew who the killer was.† â€Å"I don't think I know; Iknow. But if you're wondering if this might be connected, I'm not sure. I suppose it could be. The same person might have done it.† Bonnie was horrified. â€Å"But that means the killer is a student at this school!† When Elena shook her head, she went on. â€Å"The only people at that party who weren't students were that new guy and Alaric.† Her expression changed. â€Å"Alaric didn't kill Mr. Tanner! He wasn't even in Fell's Church then.† â€Å"I know. Alaric didn't do it.† She'd gone too far to stop now; Bonnie and Meredith already knew too much. â€Å"Damon did.† â€Å"That guy was thekiller ? The guy thatkissed me?† â€Å"Bonnie, calm down.† As always, other people's hysteria made Elena feel more in control. â€Å"Yes, he's the killer, and we all three have to be on guard against him. That's why I'm telling you. Never, never ask him into your house.† Elena stopped, regarding the faces of her friends. They were staring at her, and for a moment she had the sickening feeling that they didn't believe her. That they were going to question her sanity. â€Å"Yes. I'm sure. He's the murderer and the one who put Stefan in the well, and he might be after one of us next. And I don't know if there's any way to stop him.† â€Å"Well, then,† said Meredith, lifting her eyebrows. â€Å"No wonder you and Stefan were in such a hurry to leave the party.† Caroline gave Elena a vicious smirk as Elena walked into the cafeteria. But Elena was almost beyond noticing. One thing she noticed right away, though. Vickie Bennett was there. Vickie hadn't been to school since the night Matt and Bonnie and Meredith had found her wandering on the road, raving about mist and eyes and something terrible in the graveyard. The doctors who checked her afterward said there was nothing much wrong with her physically, but she still hadn't returned to Robert E. Lee. People whispered about psychologists and the drug treatments they were trying. She didn't look crazy, though, Elena thought. She looked pale and subdued and sort of crumpled into her clothing. And when Elena passed her and she looked up, her eyes were like a startled fawn's. It was strange to sit at a half-empty table with only Bonnie and Meredith for company. Usually people were crowding to get seats around the three of them. â€Å"We didn't finish talking this morning,† Meredith said. â€Å"Get something to eat, and then we'll figure out what to do about those notes.† â€Å"I'm not hungry,† said Elena flatly. â€Å"And whatcan we do? If it's Damon, there's no way we can stop him. Trust me, it's not a matter for the police. That's why I haven't told them he's the killer. There isn't any proof, and besides, they would never†¦ Bonnie, you're not listening.† â€Å"Sorry,† said Bonnie, who was staring past Elena's left ear. â€Å"But something weird is going on up there.† Elena turned. Vickie Bennett was standing at the front of the cafeteria, but she no longer seemed crumpled and subdued. She was looking around the room in a sly and assessing manner, smiling. â€Å"Well, she doesn't look normal, but I wouldn't say she was beingweird , exactly,† Meredith said. Then she added, â€Å"Wait a minute.† Vickie was unbuttoning her cardigan. But it was theway she was doing it – with deliberate little flicks of her fingers, all the while looking around with that secretive smile – that was odd. When the last button was undone, she took the sweater daintily between forefinger and thumb and slid it down over first one arm and then the other. She dropped the sweater on the floor. â€Å"Weird is the word,† confirmed Meredith. Students crossing in front of Vickie with laden trays glanced at her curiously and then looked back over their shoulders when they had passed. They didn't actually stop walking, though, until she took off her She did it gracefully, catching the heel of one pump on the toe of the other and pushing it off. Then she kicked off the second pump. â€Å"She can't keep going,† murmured Bonnie, as Vickie's fingers moved to the simulated pearl buttons on her white silk blouse. Heads were turning; people were poking one another and gesturing. Around Vickie a small group had gathered, standing far enough back that they didn't interfere with everyone else's view. The white silk blouse rippled off, fluttering like a wounded ghost to the floor. Vickie was wearing a lacy off-white slip underneath. There was no longer any sound in the cafeteria except the sibilance of whispers. No one was eating. The group around Vickie had gotten larger. Vickie smiled demurely and began to unfasten clasps at her waist. Her pleated skirt fell to the floor. She stepped out of it and pushed it to one side with her foot. Somebody stood up at the back of the cafeteria and chanted, â€Å"Take itoff! Take itoff!† Other voices joined in. â€Å"Isn't anybody going to stop her?† fumed Bonnie. Elena got up. The last time she'd gone near Vickie the other girl had screamed and struck out at her. But now, as she got close, Vickie gave her the smile of a conspirator. Her lips moved, but Elena couldn't make out what she was saying over the chanting. â€Å"Come on, Vickie. Let's go,† she said. Vickie's light brown hair tossed and she plucked at the strap of her slip. Elena stooped to pick up the cardigan and wrap it around the girl's slender shou lders. As she did, as she touched Vickie, those half-closed eyes opened wide like a startled fawn's again. Vickie stared about her wildly, as if she'd just been awakened from a dream. She looked down at herself and her expression turned to disbelief. Pulling the cardigan around her more tightly, she backed away, shivering. The room was quiet again. â€Å"It's okay,† said Elena soothingly. â€Å"Come on.† At the sound of her voice, Vickie jumped as if touched by a live wire. She stared at Elena, and then she exploded into action. â€Å"You're one of them! I saw you! You're evil!† She turned and ran barefoot out of the cafeteria, leaving Elena stunned.

Shirley Graham Du Bois Activist, Composer, Writer

Shirley Graham Du Bois is known for her  civil rights work and for her writings especially about African American and African historical figures. Her second husband was W.E.B. Du Bois. She became something of a pariah in American civil rights circles with her later association with communism, leading to much neglect of her role in black American history Early Years and First Marriage Shirley Graham was born in Indianapolis, Indiana, in 1896, daughter of a minister who held positions in Louisiana, Colorado and the state of Washington. She developed an interest in music, and often played piano and organ at her father’s churches. After she graduated from high school in 1914 in Spokane, she took business courses and worked in offices in Washington.   She also played organ in music theatres; the theatres were whites-only but she remained backstage. In 1921, she married and soon had two sons. The marriage ended – according to some accounts, she was widowed in 1924, though other sources have the marriage ending in divorce in 1929. Evolving Career Now a single mother of two young boys, she traveled with her parents to Paris in 1926 when her father was en route to a new job in Liberia as president of a college there. In Paris, she studied music, and when she came back to the states, she briefly attended Howard University to study music there.   From 1929 to 1931 she taught at Morgan College, then returned to her studies at Oberlin College. She graduated with a bachelor’s degree in 1934 and earned her master’s degree in 1935. She was hired by the Tennessee Agricultural and Industrial State College in Nashville to lead their fine arts department. After a year, she left to join a project of the Works Project Administration’s Federal Theatre Project, and served as director in 1936 to 1938 of the Chicago Negro Unit where she taught and directed plays. With a creative writing scholarship, she then began a Ph.D. program at Yale, writing plays that saw production, using that medium to explore racism.   She did not complete the program, and instead went to work for the YWCA.   First she directed theatre work in Indianapolis, then went to Arizona to supervise a theatre group sponsored by the YWCA and USO at a base with 30,000 black soldiers. Racial discrimination at the base led to Graham becoming involved in activism for civil rights, and she lost her job over that in 1942.   The next year, her son Robert died at an army recruiting station, receiving poor medical treatment, and that increased her commitment to work against discrimination. W.E.B. Du Bois Looking for some employment, she contacted civil rights leader W.E.B. Du Bois whom she’d met through her parents when she was in her twenties, and who was almost 29 years older than she was.   She had been corresponding with him for a few years, and hoped that he could help her find work.   She was hired as the NAACP field secretary in New York City in 1943.   She wrote magazine articles and biographies of black heroes to be read by young adults. W.E.B. Du Bois had married his first wife, Nina Gomer, in 1896, the same year Shirley Graham was born.   She died in 1950.   That year, Du Bois ran for Senator in New York on the American Labor Party ticket.   He had become an advocate of communism, believing it was better than capitalism for people of color globally, while recognizing that the Soviet Union also had faults.   But this was the era of McCarthyism, and government, beginning with the FBI keeping track of him in 1942, pursued him aggressively.   In 1950, Du Bois became chairman of an organization to oppose nuclear weapons, the Peace Information Center, which advocated for petitions to governments globally.   The U.S. Justice Department considered the PIC as an agent of a foreign state and when Du Bois and others refused to register the organization as such, the government filed charges.   W.E.B. Du Bois was indicted on February 9 as an unregistered foreign agent.   On February 14, he secretly married Shirl ey Graham, who took his name; as his wife, she could visit him in jail if he was jailed, though the government decided not to jail him.   On February 27, their marriage was repeated in a formal public ceremony.   The groom was 83 years old, the bride 55.   She had, at some point, begun giving an age about ten years younger than her real age;   her new husband talked of a marrying a second wife â€Å"forty years† younger than he was. Shirley Graham Du Bois’ son, David, became close to his stepfather, and eventually changed his last name to Du Bois and worked with him.   She continued to write, now under her new married name. Her husband had been prevented from attending a 1955 conference in Indonesia of 29 non-aligned nations that was the result of years of his own vision and efforts, but in 1958, his passport was restored.   The couple then traveled together, including to Russia and China. McCarthy Era and Exile When the U.S. upheld the McCarran Act in 1961, W.E.B. Du Bois formally and publicly joined the Communist Party as a protest. The year before, the couple had visited Ghana and Nigeria. In 1961, the government of Ghana invited W.E.B. Du Bois to head up a project to create an encyclopedia of the African diaspora, and Shirley and W.E.B. moved to Ghana.   In 1963, the United States refused to renew his passport; Shirley’s passport was also not renewed, and they were unwelcome in their home country.   W.E.B. Du Bois became a citizen of Ghana in protest.   Later that year, in August, he died in Accra in Ghana, and was buried there.   The day after his death, the 1963 March on Washington held a moment of silence in honor of Du Bois. Shirley Graham Du Bois, now widowed and without a U.S. passport, took a job as director of Ghana Television.   In 1967 she moved to Egypt.   The United State government permitted her to visit the U.S. in 1971 and 1975.   In 1973, she sold her husband’s papers to the University of Massachusetts to raise funds.   In 1976, diagnosed with breast cancer, she went to China for treatment, and died there in March of 1977. Background, Family: Mother: Etta BellFather: Rev. David A. Graham, minister in the African Methodist Episcopal churchSiblings: Education: Public schoolsBusiness schoolHoward University, musicOberlin College, A.B. in music, 1934, M.A. in 1935Yale Drama School 1938-1940, Ph.D. program, left before completing the degree Marriage, Children: Husband: Shadrach T. McCanns (married 1921; divorced in 1929 or widowed in 1924, sources differ).   Children: Robert, DavidHusband: W.E.B. Du Bois (married February 14, 1951, with a public ceremony February 27; widowed 1963). No children. Occupation:  writer, musical composer, activist  Dates:  November 11, 1896 – March 27, 1977Also known as:  Shirley Graham, Shirley McCanns, Lola Bell Graham

Psychedelic Rock The Defining Music Genre Of The 1960 S

Psychedelic Rock: The Defining Music Genre of the 1960’s â€Å"Through all of history, mankind has put psychedelic substances to use. Those substances exist to put you in touch with spirits beyond yourself, with the creator, with the creative impulse of the planet.† says Ray Manzarek, a member of the psychedelic band the Doors. The mid-to-late 60s marked a point when drugs were commonplace throughout life, and music was one of them. Psychedelic rock was often underground and was outshined by the previous British Invasion era, but nevertheless has its roots in the British and American music industry. Not only did bands such as Pink Floyd and the aforementioned Doors shape the way music is looked at by the audience, but shaped how other artists†¦show more content†¦These compositions were usually longer in length than the usual pop songs, which made them less radio-friendly. They were usually over five minutes in length, so the genre kept more obscure than the more radio-friendly pop genre. Psychedelic rock has also branched off to many different subgenres, such as space rock, acid rock, and psychedelic pop. Hard rock, heavy metal, progressive rock, and experimental rock can also be said to have emerged due to psychedelic rock (â€Å"Psychedelic Rock†). Often considered the first of the psychedelic rock bands, the 13th Floor Elevators released their debut album The Psychedelic Sounds of the 13th Floor Elevators in 1965 (â€Å"Psychedelic Rock†). These bands wildly experimented with their sound, which attracted many other new musicians to the genre, and even bands who had established other sounds started to become attracted to the psychedelic rock genre. Bands from the earlier British Invasion era also moved towards the psychedelic rock genre. Bands such as the Beatles and Rolling Stones, with albums Revolver and Their Satanic Majesties Request, respectively, marked a more psychedelic move. The genre later died off in the mid-70s, after many years of declining numbers of fans and material a fter the original heyday of psychedelia. However, for it’s time, the genre affected many, musicians or not. It’s the early 60s. Everything is in the air: love, war, drugs, and sex. A group of teenagers from Cambridge - Roger ‘Syd’ Barrett, Roger Waters,Show MoreRelatedDefining the Humanities Essay1179 Words   |  5 PagesDefining the Humanities Defining the Humanities The purpose of this paper is to differentiate the humanities from other modes of human inquiry and expression. I will define the humanities of a cultural event of music and how music was an expression of what I know about the humanities, art, style, genius, and culture from the 60s. 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Risk And Quality Management Superphone For Brilliant Phones

Risk and Quality Management: SuperPhone for Brilliant Phones: Planning and implementation of the new Superphone Jessica Hutzelmann, Rafael Garcia, Arman Abshar, Andrew Gajich, Kasandra Comeau Table of Contents TASK 1: QUALITY METRICS: IDENTIFICATION AND MANAGEMENT†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 2 1.2 Define Software Requirements†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.... 2 2.2 Display Design†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 2 3.3 Assemble Phone†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.... 2 4.3 Phone Performance†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 2 5.2 Evaluate prototype†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 2 TASK 2: COST OF QUALITY ANALYSIS†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.... 3 Cost of†¦show more content†¦Risk Priority Matrix:............................................................................................................................... 10 TASK 4: RISK RESPONSE STRATEGY†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...........11 TASK 5: PARETO DIAGRAM†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..........12 TASK 6: SOLUTION IDENTIFICATION†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.13 TASK 1: QUALITY METRICS: IDENTIFICATION AND MANAGEMENT This table represents five work packages that were chosen from level 2 of the WBS provided. We have determined these to be critical to the project’s success. For each of the five work packages, we have developed three quality specifications to focus on. Work Package Quality Specifications 1.2 Define Software Requirements 1. Must be 50-60 milliseconds response time 2. Must be lag free 3. Must be able to run java and html 2.2 Display Design 1. Display must function in landscape and portrait mode 2. Nighttime display option (to be less straining on eyes) 3. Multitask split screen to control different phone functions 3.3 Assemble Phone 1. Assemble in India 2. Assembly line work at least 50,000 units/day (depending on current demand) 3. Assembly line workers must be properly trained 4.3 Phone Performance 1. DL speed at least 133.281 mbps or higher 2. Touchscreen sensitivity shouldn’t fade after at least 2 years use 3. Charging battery to full shouldn’t

Unilateral Neglect After Stroke Health And Social Care Essay Free Essays

Behavioral Inattention Test is a common standardised measuring for one-sided disregard and has been widely used as the chief results in many neglect surveies. A systematic reappraisal was conducted in the undermentioned database from January 1997 to June 2012: PubMed/Medline ( 1965+ via EbscoHost ) , PsyhcINFO ( 1806+ ) , Science Direct, CINAHL ( Cumulative Index to Nursing and Allied Health Literature, 1982+ ) , Cochrane Collaboration ‘s registry of tests and PEDro ( Physiotherapy Evidence Database ) .The reappraisal included articles of randomized controlled tests about neglect schemes among stroke patients that addressed Behavioral Inattention Test as primary results in the intercessions. We will write a custom essay sample on Unilateral Neglect After Stroke Health And Social Care Essay or any similar topic only for you Order Now Meta-analysis was done. Consequences Twelve RCTs were identified in our reappraisal harmonizing the inclusion and exclusion standards. The qualities of the surveies were good with average Physiotherapy Evidence Database ( PEDro ) mark of 6.08 A ± 0.81. Different intercessions have been studied in RCTs ; Prism Adaptation ( PA ) appeared to be the most common, with 5 out of 12. The meta-analysis showed that for immediate effects of neglect intercessions, the BIT conventional subtests has a statistically important average consequence size of 0.76 ( 95 % CI, 0.28-1.23 ; p=0.002 ) whereas the BIT Behavorial subtest showed no statistically important average consequence size of 0.37 ( 95 % CI, -0.19-0.91 ; p=0.17 ) , and the BIT ( Total ) showed a modest statistically important average consequence size of 0.55 ( 95 % CI, 0.16-0.94 ; p=0.006 ) . However, the meta-analysis showed that there was no statistically important average consequence size on durable effects for all BIT results. Among all intercessions, Prism Adaptation ( PA ) appears to be more effectual when compared to others based on the BIT results after pooled analysis. Decision Prism Adaptation ( PA ) appeared to be the most common and effectual scheme among rehabilitation intercessions on one-sided disregard and rTMS possibly is a promising attack for intervention of one-sided disregard. Rehabilitation intercessions have positive immediate effects on one-sided disregard as measured by the BIT conventional subtest than that on the behavioral subtest. As shown by the short durable effects, effects of rehabilitation intercessions are frequently transeunt and frequently can non be generalized across clip to daily working. All surveies faced the same failing of lower power with smaller samples and restriction in sightlessness design. More strict surveies should be done before coming to a steadfast decision. Keywords Systematic reappraisal, Stroke, Unilateral Neglect, Rehabilitation, Treatment, Behavioural Inattention Test 1. Introduction Unilateral disregard ( ULN ) is a heterogenous perceptual upset that follows intellectual hemispherical lesion [ 1 ] , particularly after right hemisphere stroke. The most typically characteristic of disregard is failure to describe or react the stimulation presented from the contralateral infinite, including stimulation from the ocular, somatosensory, audile and kinesthesia stimulation even comprehending their ain organic structure parts [ 2 ] . The reported incidence varies from 10 % to 82 % following right-hemisphere shot and from 15 % to 65 % following left-hemisphere shot [ 3 ] . Capable choice standards, lesion site, the nature and timing of the appraisal and deficiency of understanding on appraisal methods are all responsible for the variableness in the reported rate of happening of one-sided disregard after shot [ 1, 4 ] . As disregard involved upset in directing attending, stand foring infinite and commanding motion, it became an obstruction for recovery from shot. Neglect h as a important negative impact associated with functional recovery at place discharge [ 5, 6 ] . Recently more research workers have put attempts on researching the underlying mechanism and the curative methods about the enormous challenge. Different intervention attacks and assessment battery have been developed to measure and rectify disregard. Recent literature shows that interventions for one-sided neglect autumn under two types of behavioural attacks. They are either enrolling the hemiplegic side or limbs to cut down a spacial penchant over the ipsilesional infinite, or bettering consciousness of the contralesional infinite to advance patients ‘ attending [ 7, 8 ] , Up to now, more than 18 methods were put into pattern in these Fieldss [ 9 ] . Surveies based on these attacks have reported changing consequences based on a big figure of outcome steps. Despite the reported quality is moderate for RCTs in neglect rehabilitation [ 7 ] , some attacks appear to be more promising. There were besides remarks that the effects of these new interventions are frequently task-specific or transeunt and frequently can non be generalized to daily working [ 8, 10, 11 ] . It is difficult to state which attack is the optimum rec ommendation for clinical pattern due to deficient grounds [ 9 ] . In add-on, professional healers seldom use these scientifically proved interventions [ 12 ] . The appraisal of ULN in the clinical scene has normally involved in â€Å" pencil-and-paper † undertakings, including line bisection, cancellation undertakings, copying, and pulling [ 13 ] , many RCTs used some of the undertakings as results. The Behavioural Inattention Test ( BIT ) is a criterion-referenced trial for one-sided disregard or ocular inattention in patients enduring from shot or encephalon hurts [ 14 ] . The trial is divided into two classs: the conventional and the behavioural subtests. This survey used the conventional subtest, which is made up of 6 points: line crossing, missive cancellation, star cancellation, figure and form copying, line bisection, and representational drawing. A cancellation subscore was calculated by adding the first 3 cancellation undertakings together and pulling subscore by adding the staying 3 undertakings. This reappraisal aimed to consistently reexamine the updated grounds from RCTs on the effectivity of rehabilitation intercessions for one-sided disregard as measured by the Behavioral Inattention Test ( BIT ) or its conventional ( BIT-C ) and behavioural subtests ( BIT-B ) . 2. Methods 2.1. Database We searched the undermentioned electronic databases: PubMed/Medline ( 1965+ via EbscoHost ) , PsyhcINFO ( 1806+ ) , Science Direct, CINAHL ( Cumulative Index to Nursing and Allied Health Literature, 1982+ ) , and Cochrane Collaboration ‘s registry of tests. We besides hand-searched the bibliography of all surveies ordered in full text. Date of publication was restricted between January 1997 and June 2012. 2.2. Search schemes We used the undermentioned footings for seeking databases ( Cerebrovascular accident OR shot ) AND ( Neglect OR visuospatial disregard OR ocular disregard OR one-sided disregard OR hemisphere neglect OR visuo-spatial disregard ) .We included merely RCTs for grownups with age ( 19 old ages + ) published from: 19970101-20120630, restricted to English linguistic communication. 2.3. Inclusion and exclusion standards Inclusion standards We included: ( 1 ) all RCTs aimed at place the effectivity of any type of rehabilitation intercession to rectify disregard in grownup shot patients as diagnosed with one-sided disregard by clinical scrutiny and/or classical neuropsychological trials ; ( 2 ) Given our intent, we merely considered the surveies which addressed the Behavioral Inattention Test ( BIT ) [ 15 ] as the primary results. The BIT included the conventional subtest ( BIT-C ) and/or the behavioural subtest ( BIT-B ) every bit good as the entire mark of BIT ( BIT ( Total ) ) or both. Exclusion standards: ( 1 ) Observational survey, and instance study every bit good as cross-over design surveies ; ( 2 ) Full text is non available ; ( 3 ) with sample size less than 5 in each group ; and ( 4 ) every bit rated as 4 or less out of 10 by the Physiotherapy Evidence Database ( PEDro ) . 2.5. Quality appraisal The 2 referees ( Nicole, Y.Y.H and Kenneth, F.N.K ) appraised all documents harmonizing to the Physiotherapy Evidence Database ( PEDro ) graduated table. It was developed specifically for measuring the quality of surveies aimed at comparing the effectivity of rehabilitation intercessions [ 16, 17 ] which has been proved to be a valid step of the methodological quality of clinical tests. It was valid to sum PEDro scale point tonss to obtain a entire mark that can be treated as interval degree measuring and subjected to parametric statistical analysis [ 18, 19 ] . There are 11 points in the PEDro graduated table: The first standards point eligibility is non scored which was used as a constituent of external cogency, the other 10 points obtained a entire mark from 10 ( RCT that satisfies all points ) to 0 ( RCT that does non fulfill anyone ) . The PEDro graduated table classify surveies as of high or low qualities based on a cut-off mark at 6 out of 10. High quality means articles that obtain a mark equal to or higher than 6 and low quality surveies score less than 6. 2.4. Data extraction and analysis Each included survey was carefully assessed for inclusion standards, and the necessary information and features of each included survey was ab initio summarized and extracted by the first writer ( first referee ) and was listed on a tabular array. The abstract every bit good as these sum-ups was independently checked and confirmed by a 2nd referee who is the 2nd writer of the manuscript. In instance of dissensions between the referees, the sentiment of the 3rd referee was sought. We calculate Cohen ‘s vitamin D on single consequence sizes for included surveies and compare the comparative effectivity. Meta-analysis one the overall intervention effectivity will be done with Review Manager 5.0. Standardized average difference ( SMD ) was taken as the consequence size and its 95 % assurance interval was computed. Test of heterogeneousness was used to measure the possible heterogeneousness across surveies. If heterogeneousness existed, random-effect theoretical account was used. Otherwise, the fixed-effect theoretical account was used alternatively. The sensitiveness analysis was besides used to measure the impact of the overall intervention effectivity by excepting one test one time at a clip. 3. Consequences Figure 1 shows the choice procedure. The hunts chiefly yielded 201 commendations from 1997 to 2012. After taking extras, 153 commendations were obtained. Based on the rubric and abstract of the articles, 32 potentially relevant articles were obtained. And they were so carefully evaluated by the referees. We identified 25 clinical tests [ 20-44 ] which entered the eventually assessment. Reasons for the exclusion of the other 7 articles were: ( 1 ) they were merely reviews or mechanical surveies, instance studies or other clinical survey design such as multiple-baseline design, cross-over design, ( 2 ) absence of a control group, and ( 3 ) the sample is less than 5 in each group. Finally, 12 articles were included in our reappraisal [ 21, 22, 25-27, 30, 32, 35, 36, 39, 40, 44 ] and other articles were excluded as the BIT was non used as the primary outcome step. Fig 1: Overview of literature hunt and choice procedure The overall quality of the 12 RCTs is just to good ( Table 1 ) . The average sum mark was 6.08 A ± 0.81, with a scope from 5 to 9. 4 of them ( 33.3 % ) were identified with just quality when cut-off line was set at 6 out of 10 based on the PEDro graduated table. Table 1: PEDro tonss of included surveies Items Surveies Eligibility 1: Random allotment 2: Concealed allotment 3: Baseline comparison 4: Blind topics 5: Blind healers 6: Blind assessors 7: Adequate followup 8: Intention-to-treat analysis 9: Between-group comparings 10: Point estimations variableness Mark Quality Nysa et Al. 2008 yes 1 0 1 1 0 0 1 0 1 1 6/10 Good Serino et Al. 2009 yes 0 0 1 1 0 0 1 0 1 1 5/10 Carnival Turton et Al. 2010 yes 1 1 0 0 0 1 1 0 1 1 6/10 Good Mizuno et Al. 2011 yes 1 1 1 1 0 1 1 0 1 1 8/10 Good Ladavas et Al. 2011 yes 1 0 1 1 0 1 0 0 1 1 6/10 Good Robertson et Al. 2002 yes 1 0 1 0 0 1 1 0 1 1 6/10 Good Luukkainen-Markkulaa et Al. 2009 yes 1 1 1 0 0 0 1 0 0 1 5/10 Carnival Fong et Al. 2007 yes 1 0 1 0 0 1 1 0 1 1 6/10 Good Tsang et Al. 2006 yes 1 1 1 0 0 1 0 0 1 1 6/10 Good Harvey et Al. 2003 yes 1 0 1 1 0 0 1 0 1 0 5/10 Carnival Koch et Al. 2012 yes 1 1 1 1 1 1 1 0 1 1 9/10 Good Ferreira et Al. 2011 NO 1 0 1 0 0 0 1 0 1 1 5/10 Carnival Features of the included surveies Descriptions of the 12 articles included in the reappraisal are listed in Table 2. Two surveies [ 40, 44 ] used double-blinded design and others largely were single-blinded tests. Table 2: Features of included surveies Surveies Methods Interventions BIT based Consequences Type Study design Control Groups topics ( N ) shot continuance Treatment government Duration Immediate Long-run Nysa et Al. 2008 Dad single-blind RCT Placebo ( impersonal goggles ) n=16 PA gp=10 CT gp=6 a†°Ã‚ ¤ 4 tungsten Wore brace of goggles fitted with wide-field point-to-point prismatic lenses shifted their ocular field 10A °/0A °rightward and make some fast pointing motions 30min/session four-day-in-row Sessionss 4d BIT-Ci-i?†° BIT-Bi-i?†° follow-upi1m Serino et Al. 2009 Dad single-blind Pseud-RCT Placebo ( impersonal goggles ) ni20 PA gp=10 CT gp=10 a†°?1 m have oning prismatic lenses, which shifted their ocular field 10A °/0A °rightward and indicating motions 30 min/session 10 day-to-day Sessionss within 2 hebdomad 2w BITi+i?†° BITi+i?†° follow-upi1m Turton et Al. 2010 Dad single-blind RCT Placebo ( level field glass ) ni36 PA gp=17 i1 drop-outi?†° CT gp=19 i1 drop-outi?†° a†°?20 vitamin D wore 10 diopters, 6 grade prisms utilizing index finger to touch a bold vertical line on screen one time a twenty-four hours, each working twenty-four hours 2w BITi-i?†° BITi-i?†° follow-upi8w Mizuno et Al. 2011 Dad double-masked RCT Placebo ( impersonal spectacless ) ni38 PA gp=18 CT gp=20 a†°Ã‚ ¤ 3m wore prism spectacless shifted ocular field 12A ° to right and repeat pointing undertakings 20 min/session command, 5 yearss / hebdomad 2w BIT-Ci-i?†° BIT-Bi-i?†° BIT-Ci-i?†° BIT-Bi-i?†° follow up until discharge Ladavas et Al. 2011 Dad single-blind Pseud-RCT Placebo ( impersonal spectacless ) ni30 TPA gp=10 CPA gp=10 CT gp=10 a†°?2m Wore wide-field prismatic lenses bring oning a 10a- ¦ displacement ocular field to right and repeat pointing undertakings 30 min/session one per twenty-four hours, 10 Sessionss 2w TPAi?s BIT-Bi+i?†° BIT-Ci+i?†° CPAi?s BIT-Ci-i?†° BIT-Bi-i?†° No followup Robertson et Al. 2002 LA single-blind RCT silent person device n=40 LA+PT=19 i2 drop-outi?†° PT=21 i2 drop-outi?†° Lanthanum: 152.8A ±142.4 Platinum: 152.1 A ±117.9 utilizing a semi-automatic device for limb activation combined with perceptual preparation 45 min/ session one time a hebdomad 12 Sessionss 12w BIT-Bi-i?†° BIT-Bi-i?†° follow-upi18-24m Luukkainen-Markkulaa et Al. 2009 LA single-blind RCT traditional ocular scanning preparation ni12 LA gp=6 CT gp=6 a†°Ã‚ ¤6 m arm activation trainingiDetermined by the single manus and arm motor position assessed by WMFTi?†° Entire 48 hours of therapy 3w BIT-Ci+i?†° BIT-Ci+i?†° Follow-upi6m Fong et Al. 2007 TR TR+EP single-blind RCT conventional OT ni54 TR gp=19 TR+EP gp=20 CT gp=15 a†°Ã‚ ¤8 tungsten Trunk rotary motion was performed in three different places: supine lying on a pedestal, unsupported sitting on a pedestal, and standing in a standing frame 1 hour/session 5 times /week 30d BIT-Bi-i?†° BIT-Ci-i?†° BIT i-i?†° BIT-Bi-i?†° BIT-Ci-i?†° BIT i-i?†° Follow-up= 60d Tsang et Al. 2009 EP single-blind RCT conventional OT ni34 EP gp=17 CT gp=17 EP: 21.5A ±21.67 Connecticut: 22.18 A ± 15.87 underwent occupational therapy with particular spectacless barricading the right half ocular field 30min ADL +30min NDT for UL/day 4w BIT-Ci+i?†° No followup Harvey et Al. 2003 VF RCT Same activities Without feedback ni14 VF gp=7 CT gp=7 5-25 m experimenter-administered pattern of rod raising with justice centre grids for proprioceptive and ocular feedback 1h/d with 3di?†º so 10 yearss of homebased intercession 3d / 2w BIT-Ci+i?†° BIT-Bi-i?†° BIT-Ci+i?†° BIT-Bi-i?†° follow-upi1m Koch et Al. 2012 Terbium double-blind RCT fake spiral angled 90A ° ni18 TBS gp=9 CT gp=9 a†°?1 m ( 43A ±16d ) 3-pulse explosions at 50 Hz repeated every 200 millisecond for 40 s i80 % AMT over the left PPC 2 essions/di15min intervalli?†º 5 d/week 2w BIT-Bi+i?†° BIT-Ci+i?†° BIT i+i?†° BIT-Bi+i?†° BIT-Ci+i?†° BIT i+i?†° follow-upi1m Ferreira et Al. 2011 Military policeman VST single-blind RCT Conventional PT without any intervention for disregard ni15 MP gp=5 VST gp=5 CT gp=5 a†°? 3 m Volt: The protocol included 4 undertakings: 2 directed to the extrapersonal infinite and 2 turn toing peripersonal disregard ; Military policeman: included 4 undertakings: 2 undertakings of motor imagination and 2 of ocular imagination. 1h/session Twice per hebdomad 5w VST: BIT-Ci+i?†° Military policeman: BIT-C ( – ) VST: BIT-Ci+i?†° Military policeman: BIT-Ci-i?†°follow-upi2m Abbreviations: PA=prism version ; LA=limb activation ; TR= bole rotary motion ; EP=eye patching ; VF=Visuomotor feedback ; TBS=Theta-burst stimulation ; MP=mental pattern ; VST= ocular scanning preparation ; BIT= Behavioral Inattention Test ; BIT-C= BIT conventional subtest ; BIT-B= BIT behavioural subtests ; OT=occupational therapy ; PT=physiotherapy Participants This reappraisal encompassed 277 topics with one-sided disregard. All of them were grownups with right encephalon harm due to stroke ; most of the topics had a diagnosing of first individual right hemisphere stroke. The continuance from the shot oncoming covered from acute stage ( a†°Ã‚ ¤4w ) to chronic stage ( a†°?6m ) , but most surveies were conducted in the subacute and chronic stage after shot. All surveies used similar inclusion and exclusion standards including age, diagnosing of shot ( the lesion location based on CT or MRI ) , right-handed, presence of one-sided disregard identified by either a clinical scrutiny or a standard disregard appraisal battery, and free of any other confusing neurological shortages or rational damages. Interventions Among the 12 surveies included, five [ 27, 32, 39, 40 ] implemented the effectivity of prism version ( PA ) . There were differences in the PA process, one survey [ 27 ] used insistent PA for a short period, and another survey used different feedback schemes in PA ( Terminal prism version, TPA and Concurrent prism version, CPA ) .During TPA, merely the concluding portion of the indicating motion is seeable and prism version relies most strongly on a strategic recalibration of visuomotor eye-hand co-ordinates. In contrast, for CPA the 2nd half of the indicating motion is seeable, and therefore version chiefly consists of a realignment of proprioceptive co-ordinates [ 39 ] . All the five surveies used the same control methods with impersonal goggles. There were two [ 21, 30 ] articles applied limb activation, other articles used different intercessions: visuomotor feedback, practical world, insistent transcranial magnetic stimulation ( Theta-burst stimulation ) . Compared to a old reap praisal [ 45 ] , there was no new intercession reported in this reappraisal in the clip period except the uninterrupted Theta-burst stimulation ( cTBS ) . We included a RCT utilizing rTMS with high quality for the first clip. All surveies investigated individual intervention, except one RCT survey [ 26 ] investigated the effectivity of combinations of two different therapeutics ( trunk rotary motion and eye-patching ) . Duration of intervention period ranged from 3-day [ 29 ] to 5-week [ 38 ] , but for half of the surveies the intervention frequence was 30 min per session, 5 Sessionss per hebdomad, and 2 hebdomads for a entire 10 Sessionss. All intervention were conducted in infirmaries except one [ 22 ] survey involved self-administered home-based pattern for two hebdomads. Outcome measuring In all surveies the results included functional activities and badness of disregard. The functional results included the Functional Independence Measure, the Barthel Index, upper limb motor maps ( the Wolf Motor Function Test and the Modified Motor Assessment Scale ) every bit good as the Stroke Impairment Assessment Set. Apart from the BIT, the result for neglect badness included the Catherine Bergego Scale ( CBS ) , the Bell Cancellation Test, reading and computerized ocular hunt undertakings, and paper-and-pencil disregard trials. There were three surveies [ 32, 35, 36 ] utilizing BIT entire tonss, three surveies [ 27, 39, 40 ] utilizing both the BIT-C and the BIT-B individually as results, two surveies [ 26, 44 ] utilizing both the BIT entire, the BIT-C and the BIT-B as results. Merely one survey [ 21 ] utilizing the BIT-B entirely as the result. Effectss of rehabilitation intercession 1. The optimum intercession for disregard Cohen ‘s vitamin D on single consequence sizes was calculated as the difference between the pre- and posttest agencies for the individual intervention group, divided by the SD of the pretest scores. There were more than one paper about PA, so we pooled the consequence size of PA prior to relative comparing on all consequence sizes. The consequences showed that for immediate effects, PA was the highest one when measured by BIT-C and BIT-B, while CBT was the highest in BIT entire graduated table ; all attacks showed low consequence size in the durable effects ( Table 3a A ; 3b ) . Table 3a: Immediate consequence size of each attack Results Survey Approach Effect size BIT-C Ladavas et Al ( 1 ) . 2011 Ladavas et Al. ( 2 ) 2011 Mizuno et Al. 2011 Dad 1.31 [ -0.26, 2.88 ] ( pooled ) Ferreira et Al. 2011 VST 1.16 [ -0.24, 2.56 ] Harvey et Al. 2003 VF 1.15 [ -0.25, 2.55 ] Tsang et Al. 2009 EP 0.71 [ 0.02, 1.41 ] Fong et Al ( 1 ) . 2007 TR 0.50 [ -0.19, 1.19 ] Luukkainen-Markkula 2009 LA 0.27 [ -0.87, 1.41 ] Fong et Al ( 2 ) .2007 TR+EP 0.19 [ -0.48, 0.86 ] BIT-B Ladavas et Al ( 1 ) . 2011 Mizuno et Al. 2011 Dad 0.86 [ -0.45, 2.18 ] ( pooled ) Fong et Al ( 1 ) . 2007 TR 0.16 [ -0.52, 0.84 ] Fong et Al ( 2 ) .2007 TR+EP 0.15 [ -0.52, 0.82 ] Robertson et Al. 2002 LA -0.08 [ -0.70, 0.54 ] BIT ( Total ) Koch et Al. 2012 Terbium 1.46 [ 0.39, 2.53 ] Serino et Al. 2009 Turton et Al. 2010 Dad 0.55 [ 0.16, 0.94 ] ( pooled ) Fong et Al ( 1 ) . 2007 TR 0.40 [ -0.28, 1.09 ] Fong et Al ( 2 ) .2007 TR+EP 0.18 [ -0.49, 0.85 ] Table 3b: durable consequence size of each attack Items Survey Approach Effect size BIT-C Mizuno et Al. 2011 Nysa et Al. 2008 Dad 0.52 [ -0.07, 1.11 ] ( pooled ) Luukkainen-Markkula 2009 LA 0.38 [ -0.76, 1.53 ] Fong et Al ( 1 ) . 2007 TR 0.26 [ -0.52, 1.03 ] Fong et Al ( 2 ) .2007 TR+EP 0.25 [ -0.47, 0.97 ] BIT-B Fong et Al ( 1 ) . 2007 TR 0.26 [ -0.51, 1.03 ] Fong et Al ( 2 ) .2007 TR+EP 0.22 [ -0.50, 0.94 ] Mizuno et Al. 2011 Nysa et Al. 2008 Dad 0.03 [ -0.55, 0.60 ] ( pooled ) Robertson et Al. 2002 LA -0.23 [ -0.85, 0.40 ] BIT ( Total ) Fong et Al ( 1 ) . 2007 TR 0.27 [ -0.50, 1.05 ] Fong et Al ( 2 ) .2007 TR+EP 0.24 [ -0.48, 0.96 ] Koch et Al. 2012 Terbium 1.97 [ 0.79, 3.14 ] Serino et Al. 2009 Turton et Al. 2010 Dad -0.06 [ -0.57, 0.44 ] ( pooled ) 2. Effectss of rehabilitation intercession versus any control on BIT steps In order to see the overall effectivity of rehabilitation intercessions on disregard, we applied a meta-analysis on all BIT consequences refer to standardised average difference ( SMD ) and 95 % assurance intervals ( CI ) utilizing random-effects theoretical accounts. The comparing consequences of both immediate and durable effects based on BIT were summarized in Table 4 and inside informations of single intercessions are presented in wood secret plan ( fig 2a A ; 2b ) . Table 4 Effectss of rehabilitation intercession versus any control on BIT steps Result or Subgroup Surveies Participants Statistical Method Effect Estimate 1.1 immediate effects 13 547 Std. Mean Difference ( IV, Random, 95 % CI ) 0.57 [ 0.29, 0.84 ] A A 1.1.1 BIT-C 9 209 Std. Mean Difference ( IV, Random, 95 % CI ) 0.76 [ 0.28, 1.23 ] A A 1.1.2 BIT-B 6 183 Std. Mean Difference ( IV, Random, 95 % CI ) 0.37 [ -0.16, 0.91 ] A A 1.1.3 BIT ( Total ) 5 155 Std. Mean Difference ( IV, Random, 95 % CI ) 0.55 [ 0.16, 0.94 ] 1.2 durable effects 9 400 Std. Mean Difference ( IV, Random, 95 % CI ) 0.21 [ 0.01, 0.41 ] A A 1.2.1 BIT-C 5 117 Std. Mean Difference ( IV, Random, 95 % CI ) 0.37 [ 0.00, 0.74 ] A A 1.2.2 BIT-B 5 145 Std. Mean Difference ( IV, Random, 95 % CI ) 0.04 [ -0.29, 0.37 ] A 1.2.3 BIT ( Total ) 5 138 Std. Mean Difference ( IV, Random, 95 % CI ) 0.36 [ -0.21, 0.92 ] Fig 2a Rehabilitation intercession versus any control, result: immediate effects Figure 2b rehabilitation versus any control, result: durable effects Immediate consequence of rehabilitation intercession Fig.2a showed the forest secret plan of the immediate effects of the included surveies. The meta-analysis showed that there was important heterogeneousness across the surveies, the random consequence theoretical account was chosen. The BIT-C had a statistically important average consequence size of 0.76 ( 95 % CI, 0.28-1.23 ; p=0.002 ) . The BIT-B showed no statistically important average consequence size of 0.37 ( 95 % CI, -0.19-0.91 ; p=0.17 ) , and the BIT ( Total ) showed a statistically important average consequence size of 0.55 ( 95 % CI, 0.16-0.94 ; p=0.006 ) . The sensitiveness of each test on the average consequence size was besides assessed by excepting one test one time at a clip. The overall consequence was the same even when any one of the tests was eliminated. Durable consequence of rehabilitation intercession Fig.2b showed the forest secret plan of the durable effects of the included surveies. The meta-analysis showed that there was no statistically important on all results of the BIT-C, BIT-B, and BIT ( Total ) .The impact of each test on the average consequence size was besides evaluated by excepting one test at a clip. The consequence was still non-significant ( p gt ; 0.05 ) even when one of the tests was eliminated. Pooled consequence of PA on disregard Since there was more than one survey on the consequence of PA, we pooled the consequence size of each result ( Table 5 ) . No statistically important consequences were found both immediate and durable effects in all results with important heterogeneousness. Table 5: PA intercession on Disregard Result or Subgroup Surveies Participants Statistical Method Effect Estimate 2.1 immediate effects 5 216 Std. Mean Difference ( IV, Random, 95 % CI ) 0.89 [ 0.27, 1.51 ] A A 2.1.1 BIT-C 3 74 Std. Mean Difference ( IV, Random, 95 % CI ) 1.31 [ -0.26, 2.88 ] A A 2.1.2 BIT-B 3 74 Std. Mean Difference ( IV, Random, 95 % CI ) 0.86 [ -0.45, 2.18 ] A A 2.1.3 BIT ( Total ) 2 68 Std. Mean Difference ( IV, Random, 95 % CI ) 0.59 [ -0.02, 1.19 ] 2.2 durable effects 4 125 Std. Mean Difference ( IV, Random, 95 % CI ) 0.15 [ -0.20, 0.51 ] A A 2.2.1 BIT-C 2 47 Std. Mean Difference ( IV, Random, 95 % CI ) 0.52 [ -0.07, 1.11 ] A A 2.2.2 BIT-B 1 16 Std. Mean Difference ( IV, Random, 95 % CI ) -0.04 [ -1.06, 0.97 ] A A 2.2.3 BIT ( Total ) 2 62 Std. Mean Difference ( IV, Random, 95 % CI ) -0.06 [ -0.57, 0.44 ] 4. Discussion Our systematic reappraisal indicates that there is modest grounds back uping prism version and oculus patching to cut down one-sided disregard in patients with shot, as shown by the BIT-C both in immediate and durable effects. Other surveies proved positive effects with usage of ocular scanning preparation [ 36 ] , visuomotor feedback [ 22 ] , and TBS [ 46 ] . Since Koch et al [ 44 ] , Merely reported the entire mark of BIT and entire tonss of BIT-C and the BIT-B was non available, it is impossible to pull the decision that rTMS was better than prism version in bettering the public presentation of undertakings from the BIT-C and BIT-B for neglect patients. Harmonizing to this reappraisal, the PA seems slope to had the highest consequence size in immediate effects, but the 95 % assurance interval of consequence size crossed over nothing point, so it is no statistically important when it come to the decision. prism version, a bottom-up intercession affecting sensory-motor malleability, was foremost described by Rossetti et al [ 46 ] based on the phenomenon of visuo-motor version. And has been widely used as a paradigm to show visuomotor short-run malleability [ 47 ] .the process consists of have oning an optical prisms and a series of insistent perceptual-motor indicating motions. The possible nervous mechanism underlying the curative consequence is that prism version reduces left spacial disregard by easing the enlisting of integral encephalon countries responsible for commanding normal visuospatial end product by ways of short-run sensori-motor malleability. This technique have produced some betterment in a broad scope of disregard sym ptoms particularly the ocular 1s [ 48-50 ] . However, some opposite consequences were reported [ 51, 52 ] , The inconsistent consequences likely due to the incomparability of intervention setup, continuance of the intervention, differences in the undertakings used to measure prism version effects and the post-stroke continuance. Similar to PA, oculus patching is another underside up compensational intercession for disregard. In our reappraisal, Tang [ 25 ] reported that the 4 hebdomads application of right hemi-visual field patching demonstrated a important consequence with consequence size of 0.71. This technique concentrates the patients ‘ attending on the contralesional infinite by barricading the ipsilesional ocular field, which lessens the disinhibition to the pointing mechanism of the ipsilesional side ensuing from interhemispheric instability. But more good quality RCTs is needed for measuring the existent impact on disregard. The theta-burst stimulation ( TBS ) is a sort of insistent transcranial magnetic stimulation ( rTMS ) which showed comparatively high consequence size as measured by the BIT entire tonss in our reappraisal. Transcranial magnetic stimulation ( TMS ) has become a popular method to excite the human encephalon, Insistent stimulation ( rTMS ) has particularly gained involvement for its curative potency to modify cortical irritability [ 53 ] , which throw visible radiations on the usage of the inter-hemispheric competition theoretical account in explicating the recovery after neglect upset in shot patients [ 54-57 ] . Harmonizing to these surveies, the insistent Transcranial Magnetic Stimulation ( rTMS ) induced and repaired the interhemispheric instability ( a neglect-like behaviour ) in the left or right posterior parietal cerebral mantle in healthy worlds. Based on these findings, some surveies were conducted to research whether this attack may be utile in advancing clinical recovery fr om disregard and the consequence is assuring [ 57-60 ] . Compared to traditional standard cognitive intercession, rTMS can speed up clinical recovery and more effectual in bettering standard trials. And it seemed that the severely patients at baseline benefited more from the intercession. However, the different result measurings and clinical test methodological restriction made it impossible to pull any decision based on robust grounds. This reappraisal can non reply inquiry refering the best beginning clip for neglect rehabilitation intercession, because that most participants of the included surveies were recruited in either the subacute or chronic stages. Merely few surveies implemented rehabilitation to pretermit within one month after stroke [ 26, 27 ] . As most of the self-generated recovery after shot was happened in the first month [ 61 ] , in order to avoid the confounding of self-generated recovery, farther research is necessary to find the effects of an earlier rehabilitation against natural recovery of one-sided disregard after shot. Neglect is the best individual forecaster of long-run functional damage and hapless result in the early phase [ 62, 63 ] , and recent surveies on the mechanism of neglect emphasized more on the secondary alterations of remote web related to attending [ 64 ] . A survey [ 65 ] based on neuroimaging showed that at two hebdomads after shot, the usually functional connectivity be tween left and right dorsal parietal cerebral mantle was disrupted and the grade of dislocation correlated with the badness of left spacial disregard. So it is sensible that patients should get down neglect intercession every bit shortly as possible in the acute phase in order to avoid erudite no-use occurred over the neglect side by increasing multisensory inputs or stimulation to the ipslateral encephalon parts and decelerate down the secondary alteration in the encephalon relation to pretermit. For farther research, we recommend earlier intercession and adequate follow up to maximise the benefit and proctor persist consequence of disregard rehabilitation and functional results. Our reappraisal indicates that the BIT conventional subtests and the BIT entire mark may be used to mensurate the immediate effects on one-sided disregard as the entire average consequence size on immediate effects was 0.76 and 0.57 severally, which can be consider as clinically important [ 66 ] . The BIT behavioural subtests should non be used entirely as an result as we could non establish any satisfactory consequence in the BIT-B as the consequence size is excessively little ( average immediate consequence size=0.37, average durable consequence size=0.04 ) to make any statistical important consequences. Restrictions of the reappraisal The reappraisal exists some restrictions. The quality of the included surveies limits the determination of this reappraisal. Although there was an betterment in the coverage quality as the average sum mark in this reappraisal was 6.08 A ± 0.81 ( ranged from 5 to 9 ) as rated by the PEDro, which is higher than that of the antecedently reported mark 4.56 A ± 1.54 with a scope from 2 to 7, obtained from the overall RCTs in another reappraisal of neglect rehabilitation [ 7 ] . The intention-to-treat analysis is non satisfied by any of the surveies. The sightlessness design is still the most failing of these RCTs. The heterogeneousness of surveies included meant this meta-analysis is less powerful and could non place a conclusive optimum intervention approach.in add-on ; extended hunt may acquire more surveies to beef up the decision. Decision Prism Adaptation ( PA ) appeared to be the most common and effectual scheme among rehabilitation intercessions on one-sided disregard and rTMS possibly is a promising attack for intervention of one-sided disregard. Rehabilitation intercessions have positive immediate effects on one-sided disregard as measured by the BIT conventional subtest than that on the behavioral subtest. As shown by the short durable effects, effects of rehabilitation intercessions are frequently transeunt and frequently can non be generalized across clip to daily working. All surveies faced the same failing of lower power with smaller samples and restriction in sightlessness design. More strict surveies should be done before coming to a steadfast decision. 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My Last Day in Haiti Essay Example For Students

My Last Day in Haiti Essay Everyone has their story. I remember when I left my country Haiti. It was a sad day in my life. I was very unhappy. I just thought that leaving my country wasn’t a good decision for me. In addition, traveling to another country wasn’t easy for a couple reasons. First, I was going to meet different people, and I didn’t know anything about the other country. However, I had my purpose to move forward to another country for many reasons. For example, my education and my financial situation were two of them. Unfortunately, I was feeling sad that day because I was going to miss my family members, my friends, and my culture. First of all, I was going to miss my family members because most of them live in Haiti. In addition, I was afraid for numerous reasons because I had my favorite aunt that I grew up with in Haiti. My aunt was a part in my life because she always cared for me during 22 years. I couldn’t imagine leaving my beloved aunt was going to be easy for me. As well I felt my sadness in that day, and made me cry. She tried to give me her sympathy. I couldn’t accept it because she was my adored aunt. Unfortunately, the time was passing and I took my new life in charge. I just followed my purpose to move on. On the other hand, I started my new life, and forgot every negative idea. Second of all, people usually have trouble when they leave their country because they are going to miss their friends. I was sad that day because I was going to miss my beloved friends. They were amazing. They were coming to see me on my last day in Haiti in my family house. When they arrived, they talked to me and gave me their advice to make me comfortable. They tried to make me enjoy that day, but I couldn’t even feel it. We ate our breakfast together, and I still felt sad in my heart. I thought about how close us to each other. I started to cry, and I couldn’t be happy. As they spoke to me, they kept telling me everything was going to be well. I kept my head outside the window of my house, and stopped talking to them because they augmented my melancholy. They were my beloved friends. They were amusing and fantastic to me. After being with my friends, my aunt, my friends, and I went to the supermarket to say my last goodbye to the seller and the manager. At this moment, I realized how much I was going to miss my culture. I gave the seller and manager big hugs accompanied to a kiss. They missed me. I hawk to buy a big fish with plantain on that moment so that I could remember them. I was going to miss my food custom very much because I liked to enjoy with my family and friends. I thought about my favorite food which was rice and bean. I obliged to say goodbye with my culture. Finally, we got to the airport, then we had to say some more goodbyes including one to my aunt that I felt so attached with because I was living whit her. Scanning my bags didn’t take long and very soon I couldn’t see anyone I knew except my siblings. I boarded the flight and flew to Miami. This was a big plane but I had bigger things to worry about, my siblings. I had a bad depression about leaving my country. These three clues made me sad on my last day in Haiti: my family, my friends, and my culture. I had so many reasons to feel that sadness. I remember everything that I saw in the airport. I was the first to see my dad in twenty-two years, and it was the second time in my life. At the end of my journey, I was very happy when I saw my dad. It was getting pretty dark outside; at least the journey was over