Tourette Syndrome Essay -- Disorders Medical Health Essays

Tourette Syndrome Gilles de la Tourette Syndrome is one of a number of tic disorders usually first diagnosed in infancy, childhood, or adolescence. The Tic Disorders can be distinguished from one another based on duration and variety of tics and the age at onset. Tourette’s Disorder has duration of more than 12 months. The estimated incidence of Tourette’s ranges widely but is probably four to five individuals per 10,000. It occurs two to three times more frequently in males. Undoubtedly, there are numbers of other students with symptoms who have not been diagnosed. When diagnosed and treated early, many of the associated learning, emotional, and social disabilities it produces can be lessened or dealt with more effectively. The goal of any program for a person with Tourette Syndrome is to assist the person in learning and interacting productively in school and society. Toruette Syndrome is a multiple tic disorder, with motor and vocal tics present, but not necessarily concurrently, which begins in childhood and is a lifelong condition that seems to change in its manifestations and intensity. The cause of Tourette Syndrome is unknown. The basic defect is thought to be a biochemical abnormality in the ganglia of the brain. Diagnosis 1. Age of onset before the age of 18, usually between 6-7 years of age 2. Rapid, recurrent, repetitive, purposeless, and involuntary motor movements affecting multiple groups of muscles. 3. Multiple vocal tics (gr...

Describe a time when you had to convince a group/person of your idea Essay

â€Å"Don’t do this to me!† That was the Customer Service Manager’s reaction when I first presented my idea. With the increasing number of local skilled competitors in Latin America, our dominant position in 2011 was in jeopardy. They were simply closer and could offer a cheaper service. Therefore, I decided that we needed to establish a local technical team to cater to the clients. However, in the current economy, creating an infrastructure by hiring people didn’t seem the way to go. Then it hit me that by reaching agreements with skilled, local maintenance companies, we could share the training costs and appoint them as our official technical service. That way we would provide a cheaper and closer service, and those companies would get additional revenue. First I spoke to our Customer Service Manager. Bearing in mind that most of the work would be carried out in that department, I believed it was necessary for him to get involved rather than to impose this idea. Without his cooperation, it would simply not work. At first he was completely against the idea. He argued that an outsourced technical service would be a huge load of additional work, and that skills could only be achieved through long-term experience. I made him realize that at first it would need a lot of work, but that when they would become trained and self-sufficient, they would be a priceless help and would ease the extremely tight schedule our technicians were subjected to in Barcelona. We agreed it would be him who would establish the training requirements, no matter how demanding he thought it should be, and it would be up to me to get the expenses approved. We drafted together a proposal describing how this service would work, how it should be contracted through us and invoiced by us and how the training would be carried out. Our joint approval would be necessary to schedule and later pay for the outsourced services to keep a technical and a commercial control on it. Through contacts’ recommendations, I found two skilled engineers, one in ARGENTINA and another in PERU, that I thought met the requirements to represent my company. I negotiated a pre-agreement which involved competitive hourly rates, confidentiality and conditions of operation previously defined with the Customer Service manager. We also agreed that we would divide the training expenses. My boss immediately agreed to the idea but asked me to put together more information to economically justify the project, in order to approve the capital. Instead of speculating about potential sales and expected market response, I  decided to compare the real average costs of guaranteed services in the previous years to the theoretical costs if the agreements would have been in place. Thus, the difference justified by far the costs of training. We presented the complete document and, not only was it approved immediately, but the other heads of department were instructed to implement this idea in their own markets; and our Customer Service Manager proudly added â€Å"International† to his title†¦

Reduce the Amount of Junk Mail You Receive by 90%

If you’re interested in living a more eco-friendly lifestyle, heres something you can do that will help protect the environment and preserve your sanity: reduce the amount of junk mail you receive by 90 percent. According to information from sources such as the Center for a New American Dream (CNAD;  a Maryland-based nonprofit organization that helps people consume responsibly to protect the environment, enhance quality of life, and promote social justice) reducing the amount of junk mail you receive will save energy, natural resources, landfill space, tax dollars, and a lot of your personal time. For example: 5.6 million tons of catalogs and other direct mail advertisements end up in U.S. landfills annually.The average American household receives unsolicited junk mail equal to 1.5 trees every year—more than 100 million trees for all U.S. households combined.44 percent of junk mail is thrown away unopened, but only half that much junk mail (22 percent) is recycled.Americans pay $370 million annually to dispose of junk mail that doesn’t get recycled.On average, Americans spend 8 months opening junk mail in the course of their lives. Register Your Name to Reduce Junk Mail OK, now that you’ve decided to reduce the volume of junk mail you receive, how do you go about it? Start by registering with the Mail Preference Service of the Direct Marketing Association (DMA). It won’t guarantee you a life free of junk mail, but it can help. DMA will list you in its database in the â€Å"Do Not Mail† category. Direct marketers are not required to check the database, but most companies that send large volumes of bulk mail do use the DMA service. They realize there is no percentage in routinely sending mail to people who don’t want it and have taken action to prevent it. Get Off Junk Mail Lists You can also go to OptOutPreScreen.com, which can enable you to remove your name from lists that mortgage, credit card, and insurance companies use to mail you offers and solicitations. It’s a centralized website run by the four major credit bureaus in the United States: Equifax, Experian, Innovis, and TransUnion. Most businesses check with one or more of these companies before accepting your credit card or granting you credit for a long-term purchase. They are also a huge source of names and addresses for credit cards, mortgage and insurance companies that routinely send junk mail to attract new customers and solicit new business. But there’s a way to fight back. The federal Fair Credit Reporting Act requires credit bureaus to delete your name from their rented lists if you make the request. Contact Companies That Send You Junk Mail If you’re serious about ridding your life of as much junk mail as possible, then simply registering with these services may not leave enough space in your mailbox. In addition, you should ask all of the companies you patronize to place your name on their â€Å"do not promote† or â€Å"in-house suppress† lists. If you do business with a company by mail, it should be on your contact list. That includes magazine publishers, any companies that send you catalogs, credit card companies, etc. It’s best to make this request the first time you do business with a company, because it will prevent them from selling your name to other organizations, but you can make the request at any time. Keep Track of Your Name to See How Junk Mail Is Generated As an extra precaution, some organizations recommend that you track where companies are getting your name by using a slightly different name whenever you subscribe to a magazine or begin a new mail relationship with a company. One strategy is to give yourself a fictional middle initials that match the name of the company. If your name is Jennifer Jones and you subscribe to Vanity Fair, simply give your name as Jennifer V.F. Jones, and ask the magazine not to rent your name. If you ever receive a piece of junk mail from other companies addressed to Jennifer V.F. Jones, you’ll know where they got your name. If this all still seems a bit daunting, there are resources to help you get through it. One option is to use stopthejunkmail.com, which can provide further assistance or guidelines for reducing junk mail and other intrusions, from unwanted e-mail (spam) to telemarketing calls. Some of these services are free while others charge an annual fee. So do yourself and the environment a favor. Keep the junk mail out of your mailbox and out of the landfill. Edited by Frederic Beaudry.