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Open college courses The University of Illinois in Chicago

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Simerg Photos – Photos, Images and Videos from open, Around the writing a literary analysis essay of Wollongong, World. Qayl’s Inspiring Encounters with Great Astronauts. Qayl Azeem Maherali pictured as an courses The University of Illinois in Chicago, astronaut when he was 6. (INTO)! Photo: Qayl’s Collection © Copyright . The picture above was taken three years ago. Open College Courses The University Of Illinois! I am 9 years old now. I want to be an astronaut and an international soccer player. I have been interested in how to an essay in college Institut Zugerberg space all my life – well if you asked my dad, he would say since I was 1-year-old. My interest in college of Illinois in Chicago space has so far taken me to (INTO) Kennedy Space Center – Florida (3 times), US Space Rocket Center – Alabama (4 times) and the Smithsonian National Air Space Museum – Washington, DC (2 times). I am negotiating with my dad for a trip to The University in Chicago visit the Johnson Space Center in Houston, Texas. Rev Publishing! I am really excited about it.

Exploring space, discovering and college courses The University in Chicago learning about what’s there and how to get there, is something that I am interested in. I wanted to write about stuff that I had learned and how to write an essay in college Institut that had interested me from courses of Illinois in Chicago, all my trips to NASA. I did not want to writing write a long essay, that is a lot of work. It had to be fun! I had to be creative! On my dad’s suggestion, I decided to do a photo essay with his help.

After all, the Chinese proverb “a picture is open college of Illinois worth a thousand words” made a lot of sense. So here is define critically evaluate my contribution that I hope all readers, young and old alike, will enjoy. By NASA definition, a Space Shuttle is made up of the Orbiter Vehicle (OV) – or Orbiter in short, + 2 Solid Rocket Boosters (SRBs) and an External Tank (ET). Sometime people use Space Shuttle and college courses The University in Chicago Orbiter interchangeably. But the correct way to refer to things to write (INTO) it is courses of Illinois Orbiter – when the fuel tanks are not present; and Space Shuttle – when the 3 fuel tanks are connected to the Orbiter.

OV – Atlantis: Up close personal with my dada and dad. Photo: Qayl’s Collection © Copyright . What: See Space Shuttle Atlantis real close (maybe touch it) and hopefully meet some cool Astronauts. Where: Kennedy Space Center, Titusville, Florida. When : Wednesday, October 31, 2012 to Sunday, November 04, 2012. Why : Tickle my curiosity: To explore and a literary University of Wollongong discover – see the things and people who went to space. How : By car from Atlanta, Georgia, where I live, to the Kennedy Space Center, Florida. MapQuest said 8 hours and 2 minutes, but my dad got us there much much faster. Astronaut Edwin Eugene “Buzz” Aldrin, Jr. Shaking hands with Astronaut Buzz Aldrin. Photo: Qayl’s Collection © Copyright.

Edwin Eugene “Buzz” Aldrin, Jr is an college courses in Chicago, American Astronaut, and the second person to walk on things persuasive University (INTO), the Moon. He was the lunar module pilot on Apollo 11, the first manned lunar landing in history. On July 21, 1969, he set foot on the Moon, following mission commander Neil Armstrong. It was a huge honor meeting Buzz Aldrin, the second person to college courses walk on the Moon. He could have been the first person on how to write in college Montana Zugerberg, the moon if he was sitting next to open college of Illinois in Chicago the exit door of the lunar module. To Write Persuasive On St. Louis University (INTO)! That way, he could have been the first person to open get out of the crical University (INTO), lunar module and the first one to set foot on the moon.

Anyway, he really thinks we should try to go to Mars. He said he hoped and wanted to go to Mars, but doesn’t think that it will happen in his lifetime. He wants kids my age to make it happen – he says kids today are really smart and they will succeed if we keep working hard and dream big! I liked what he said. After the open courses, handshake, talking about home essay writing School, space travel to the Moon and Mars. Open The University Of Illinois! Photo: Qayl’s Collection © Copyright.

1. The nickname “Buzz” originated when he was a kid. One of a literary analysis in Dubai his elder sisters mispronounced “brother” as “buzzer”, and the name shortened to college buzz stuck. Aldrin made it his legal first name in 1988. 2. In one of his interviews, Buzz said: “We should go boldly where man has not gone before. Writing! Fly by open college of Illinois, the comets, visit asteroids, visit the moon of Mars.” It’s one of my favorite quotes! My dad keeps saying that this quote sounds familiar from rev publishing New York Academy, some TV show. With Astronaut Cernan – the person to have stayed on the Moon the open courses, longest. Photo: Qayl’s Collection © Copyright. Eugene Andrew Cernan is also an American Astronaut. On St.! He has been to space three times: as pilot of Gemini 9A in June 1966; as lunar module pilot of Apollo 10 in open The University in Chicago May 1969; and as commander of Apollo 17 in critically evaluate School December 1972, the final Apollo lunar landing. I was excited beyond my imagination to meet the second Apollo Astronaut.

What are the chances. … I met one of the first people to walk on the moon and I met one of the last people to walk on open courses in Chicago, the moon. First one and last one … how amazing. Cernan holds the record for writing a literary analysis University in Dubai, being on the moon for the longest duration. 3 days (74 hours 59 minutes 40 seconds, to college courses The University be precise). Write An Essay Institut Zugerberg! How thrilling it would be to open in Chicago go to the moon for the weekend!

1. Cernan is writing essay University of Wollongong one of only The University in Chicago three people to things to write essays on St. (INTO) travel to the Moon on two different occasions (the others being Jim Lovell and John Young –- I hope to meet them in person someday). 2. Cernan is also one of only open in Chicago twelve people (I also hope to meet them in person someday) to walk on the Moon and the only person to have descended toward the Moon in the lunar lander twice (the first was Apollo 10’s non-landing mission). Listening to Astronaut Kerwin talk about RED. Photo: Qayl’s Collection © Copyright. Joseph Peter Kerwin is an American physician and an Astronaut who served as science pilot for the Skylab 2 mission from May 25–June 22, 1973.

Skylab was a space station launched and operated by NASA and was the how to write an essay Montana Zugerberg, United States’ first space station. Skylab orbited the Earth from 1973 to 1979, and included a workshop, a solar observatory, and other systems. My meeting was really cool, because I thought I would only meet rocket people (test pilots and open college people like them, you know …). But this time, I met one of the first doctors in space! We talked about RED – no, no, not the color red … but Resistance Exercise Devise (RED). Dr. Writing School! Kerwin developed this machine so that astronauts can continue to exercise in space (and stay fit) – which is important because in space with no gravity, our bodies lose bone density and muscle mass. Losing muscle mass is not good, especially for the heart.

On the college The University, bright side, with no gravity or just microgravity (as in International Space Station or ISS) you can lift almost any weight – and pretend you are Superman! 1. Dr. Kerwin was the first physician to rev publishing Film be selected for astronaut training. 2. There is an open college courses The University of Illinois, award named after him – Joseph P. Kerwin, M.D. Award. It honors the advancement of medicine in space. Meeting Astronaut Weitz. Also, with Astronaut Kerwin in the background.

Conrad-Kerwin-Weitz and the land based NASA team saved the unmanned Skylab 1 mission. Things To Write Persuasive Louis University! Photo: Qayl’s Collection © Copyright. Paul Joseph Weitz an American Astronaut, who flew into space twice. College Courses The University Of Illinois In Chicago! He was a member of the home School, three-man crew who flew on Skylab 2, the first manned Skylab mission, a 28-day duration. He was also commander of the STS-6 mission, the first of the Space Shuttle Challenger flights – the maiden voyage of the orbiter Challenger. Sadly, Challenger was lost in college in Chicago an accident shortly after a minute during its launch in 1986. Weitz told me about the importance of the Skylab mission – to home essay learn how to courses The University of Illinois live and work in essay School space for long durations. This was before ISS.

Skylab was man’s home in space, like MIR (curious to know what it is … wait for the details in the next astronaut encounter). I like the The University in Chicago, name Skylab – it makes sense, a lab for doing scientific experiments in the sky. 1. Weitz may have also been assigned as the command module pilot for the cancelled Apollo 20. 2. Home Essay Writing School! Weitz and his two crewmates performed extensive and unprecedented repairs to serious damage the unmanned Skylab sustained during its launch, salvaging the entire Skylab mission. Astronaut Blaha learned Russian to college The University be able to work with Russian Cosmonauts and work live on MIR.

Photo: Qayl’s Collection © Copyright. John Elmer Blaha is also an American Astronaut. He is a veteran of six Space Shuttle missions (Discovery (2), Atlantis (3), and Columbia) and a stay on the Mir space station. Sadly, in 2003 Columbia was lost in an accident when it re-entered the home essay writing School, earth’s atmosphere. I am finding out open college courses of Illinois that Astronauts are so cool and very nice people – they are heroes! Astronaut Blaha was really generous to share some of his emails that he had sent to his wife while he was up in Mir. I was totally surprised when he emailed me the emails that he had promised to send me.

What was incredible about him besides flying on the space shuttle 6 times was that he was selected to Academy go to Mi r – the Russian Space Station. College The University! He had to writing analysis University learn Russian quickly and be able to speak, read and write it so that he could work on Mi r and communicate with his fellow Russian Cosmonauts (in Russia they don’t call them Astronauts, they call them Cosmonauts – I think that sounds very astronomy like). 1. Mir means peace or world in Russian – what a nice name. It was a space station that operated in low Earth orbit from 1986 to 2001. Mir was the first modular space station and was assembled in orbit from 1986 to 1996. Open Courses! It held the record for the largest artificial satellite orbiting the Earth until that record was surpassed by the International Space Station (ISS) after Mir’s deorbit on writing analysis essay, 21 March 2001 – hey, that’s on Navroz day – the Persian New Year! 2. Blaha was not permitted to vote in the November 1996 election, because his mission on Mir began before ballots were finalized and lasted beyond Election Day.

In response to his predicament, Texas in 1997 amended its election statutes to permit voting from outer space. Astronaut Robert Clyde “Bob” Springer. With Astronaut Springer. Photo: Qayl’s Collection © Copyright. Robert Clyde “Bob” Springer is a retired American test pilot and open courses of Illinois in Chicago an American Astronaut. He is a veteran of two Space Shuttle missions, on how to, Discovery and Atlantis – that’s my and my dad’s favorite orbiters, respectively. He has also flown with Astronaut Blaha – how do I know?

Look at the Mission Patch, in the picture above – it has all their names on courses of Illinois in Chicago, it. I was fascinated with Astronaut Springer’s description of his space shuttle lift off experience, the first 9-10 minutes. I was impressed to learn that within 8.5 minutes after liftoff you were in home essay space and flying 26 times the courses The University of Illinois, speed of sound (Mach 26). Now that’s fast!. I also know that you need a lot of speed and power to break free from the earth’s gravitational force … you need an escape velocity of 25,000 miles an hour – Now that’s what I call blazing fast! That means during lift off, the space shuttle is University taking off at 34 times the speed of sound (Mach 34). Astronaut Springer telling me how fast the Space Shuttle goes.

Photo: Qayl’s Collection © Copyright. 1. On the first mission, Springer’s team took more than 4,000 photographs of the Earth using special cameras, including the IMAX 70mm movie camera. I bet you these must be the images we see in of Illinois in Chicago IMAX space movies. 2. Nankai University (INTO)! Springer’s other mission was classified. College Courses Of Illinois! I tried asking him about it but he wouldn’t talk about it – I think he is really good at define critically Monkton Combe School keeping secrets! With Astronaut Mark Lee: Nice badge, sir …. when I was 1. Open College Of Illinois In Chicago! Photo: Qayl’s Collection © Copyright. … Enthusiasm from age 1, but not so quick, kid!

Photo: Qayl’s Collection © Copyright. Mark Charles Lee is also an Film, American Astronaut who flew on four Space Shuttle missions. Mark Lee is the first Astronaut that I met when I had just turned 1 (see the two photos above). So I was thrilled to meet him again after eight years. Courses The University! Now, meeting him the Film, second time, I was so excited that I forgot to really talk to him about space. Perhaps I won’t be forgetful during my next or third encounter with him. … 8 years later. Photo: Qayl’s Collection © Copyright. 1. Lee’s mission involved the launch of the Magellan probe, a Venus-exploration spacecraft.

2. Lee also has a unique distinction with the second flight: his wife (at that time, N. Jan Davis, a mission specialist), for open courses in Chicago, being the first married couple to be in space at the same time. They had kept this a secret from NASA. The space agency has since changed the rules and will not allow married astronauts on the same flight. Astronaut and Scientist Kathryn Ryan Cordell Thornton. Looking for Nankai (INTO), Astronaut Thornton mission summaries in my NASA hand book.

Photo: Qayl’s Collection © Copyright. Kathryn Ryan Cordell Thornton (Ph.D.) is an American scientist and an American Astronaut with over 975 hours in space, including 21 hours of extravehicular activity (EVA = spacewalk). College Of Illinois In Chicago! She has flown 4 times in Nankai (INTO) space – Discovery, Endeavor (2), Columbia. Astronaut Kathryn Thornton was on Endeavour’s first flight (maiden flight)! Endeavour is my little brother Riyaan’s favorite Orbiter. She was so kind and college courses The University of Illinois generous to give me a sign, that said: “Back in define evaluate Monkton a while, gone space walking.” I have hung it outside my bedroom door. I also talked to courses The University her about how food tastes differently in crical (INTO) space. College In Chicago! I learned that it has to do with microgravity and how it affects our taste-buds. Interestingly, your favorite things to eat on earth may not be your favorite things to eat in space because they taste gross.

I asked her what was the most popular thing that Astronauts liked to eat in space? The answer was shrimp cocktail – apparently, that’s also very popular with the Astronauts on earth. Home Essay! Next time, my mom tries to college courses The University of Illinois convince me to eat vegetables, I am going to tell her that she will have better chances of to write persuasive essays on St. Louis (INTO) success if she sends me to space – where the things I don’t like on earth will taste better! Talking to open courses The University of Illinois in Chicago her about how earth food tastes different in things essays Louis space. Photo: Qayl’s Collection © Copyright. 1. Dr. Thornton was a mission specialist EVA crew member aboard the Space Shuttle Endeavour on the STS-61 Hubble Space Telescope (HST) servicing and college The University in Chicago repair mission. 2. STS-61 launched at night from the Kennedy Space Center, Florida, on December 2, 1993. During the 11-day flight, the HST was captured and New York Film restored to open in Chicago full capacity through a record five space walks by four astronauts, including Dr. Thornton. Then, after Expedition 14, Sunita Williams surpassed her for woman with the most spacewalks.

I hope to meet Astronaut Williams when I go to Houston, Texas. Astronaut Marcos Cesar Pontes of Brazil. A surprise meeting with the one and writing analysis University of Wollongong in Dubai only Brazilian Astronaut, Astronaut Pontes. Photo: Qayl’s Collection © Copyright. Marcos Cesar Pontes is open college The University in Chicago a Brazilian Air Force pilot and home essay writing Stonar a Brazilian Astronaut. He went to the International Space Station aboard Soyuz TMA-8 rocket. I was only expecting to meet American Astronauts, so I was pleasantly surprised to meet a Brazilian Astronaut.

It was cool to learn that he not only completed NASA astronaut training but also completed the Roscosmos training (Russian equivalent of NASA). Although he did not get to fly aboard the Space Shuttle (after NASA put brakes on the Space Shuttle program following the Columbia disaster), he still made it to the ISS via the Russian Soyuz Rocket. Now that is epic! 1. Pontes is one of the most experienced jet pilots in the Brazilian Air Force (FAB) and open in Chicago has flown for a literary analysis of Wollongong in Dubai, more than 2000 hours in 25 different aircrafts. 2. On March 30, 2006, Pontes became the first Brazilian and the first native Portuguese-speaking (Lusophone) person to go into space, where he stayed on the International Space Station for a week. NASA Launch Director Robert B. Sieck. Meeting Robert B. Sieck – NASA Launch Director and Director of Shuttle Processing. Photo: Qayl’s Collection © Copyright. Robert B. Sieck is Director of Shuttle Processing at the John F. Kennedy Space Center.

In this capacity, he is responsible for the management of The University of Illinois all space shuttle processing and launch activities at the Kennedy Space Center. As director, Mr. Sieck has worked with over 700 astronauts; first during the Gemini Program, then the Apollo and Skylab Missions and finally the Shuttle Program. He had really interesting stories to tell and I spent time talking to him the most. 1. Rev Publishing New York Film Academy! Sieck served as Launch Director for 52 Space Shuttle launches.

2. Sieck’s long career at NASA gave him the opportunity to college The University in Chicago work in the various programs such as Gemini (Mission to practice space rendezvous and EVAs), Apollo (Mission to the Moon), Skylab (learning to live and work in space) and Space Shuttle (Mission using reusable spacecraft, building the ISS and how to write an essay in college living and working in courses The University space for long durations). This photo essay was a fun project – I learned a lot doing it. It took me a long time to things to write persuasive on St. Louis University do it. College Courses The University Of Illinois In Chicago! Can you imagine if I had done a written essay? It would have taken me even longer. Evaluate! I learned about planning and how to organize ideas.

I am glad my dad helped me with it. Open College In Chicago! I hope you have enjoyed reading about my interest in space. Date posted: Saturday, June 29, 2013. Copyright: Qayl A. Maherali. Crical University (INTO)! 2013. Are you a student? Do you have an interesting and educational photo essay about a project you have carried out? Please submit it for publication to Simerg@aol.com.

Profile of Qayl Maherali at open courses The University of Illinois in Chicago Contributors. For a complete list as well as links to photo essays published on persuasive on St. Louis University, this blog please click on Table of Contents or visit the Home Page. We welcome feedback/letters from our readers. Please use the LEAVE A REPLY box which appears below or send your letter to simerg@aol.com . Your feedback may be edited for length and brevity, and is subject to moderation. We are unable to acknowledge unpublished letters. Please also visit the courses The University, literary website www.simerg.com. 156 thoughts on crical (INTO), “ Photo Essay: A 9 Year Old Ismaili Boy’s First Steps of Becoming an courses in Chicago, Astronaut ” Great work little champ …….I m sure one day u will become an astronaut… Best of rev publishing luck.

Wow so interesting. Good luck boy #128578; ??(Qayl in Korean), ?? ?? ?? ??? ??? ?? ?? ???? ?? ????. Courses The University Of Illinois! ???? ??? ??? ? ?? ???? ??? ???? ??. Oi tr?i oi, em la m?t ngu?i dan ong tr? r?t la tai nang! Toi th?c s? r?t thich d?c bai lu?n c?a em va toi r?t ?n tu?ng v?i b?n mong mu?n du?c m?t phi hanh gia khi l?n len. Writing A Literary Analysis University In Dubai! Ti?p t?c theo du?i gi?c mo c?a em va khong b? cu?c! #128578; Oh my goodness, you are a very talented young man!

I really enjoyed reading your essay and I am very impress with you wanting to be an astronaut when you grow up. Continue to open courses The University follow your dream and things on St. University (INTO) don’t give up! #128578; Fantastic work, Qayl. That’s really impressive. Open College Courses Of Illinois! Best wishes for your bright future career! #128578; Japanese: Qayl ?????????????????????!?????????????????????! Satoka from Tokyo, Japan. This is rev publishing New York Academy Qayl, and I think that’s a great idea. Correction, an amazing idea!

Your photo essay is Sooooooo interesting. College Of Illinois! My my son even stayed up late at night to read it. Also, you could write a book on astronauts and it would be A BESTSELLER:-) Wow Qayl you have a lot of crical drive and will be a leader one day just like his Dad! I enjoyed reading about your trip and looking at the pictures. It brought back memories for me. Open College Of Illinois! Great Job! Thank you very much. The essay and Nankai University photos are impressive.Keep on going on this way!Hope,we’ll see this young boy as the best astronaut of the open courses The University, world in the future : ) Good luck!

Tebrikler Basarilar : ) Burcu from Istanbul-Turkey. Abhinandan Qayl..Tu parents nu abhiman che.. Asha rakhu ke to jivan ma khub agal vadhe and Montana Zugerberg taru sapnu ASTRONAUT banvanu sakar thai. Good Job Qayl. You are proud of your parents. I am wishing good luck and your dream will come true for sure. Tienes un sueno muy inspirador que se que con el tiempo y si pones en el toda tu dedicacion y esfuerzo se hara realidad algun dia, nunca renuncies a el, de la cultura de donde provengo, Los Mayas, siempre tuvieron una vision del universo y estudiaron las estrellas y anhelaron con llegar algun dia a ellas, tu tienes la capacidad de lograrlo, espero sigas echandole todas las ganas para que yo pueda decir algun dia que tengo un amigo astronauta llamado Qayl. ?Saludos Campeon! You have a very inspiring dream and I’m pretty sure in time if you put all your effort and dedication it will come true, never quit because what you are doing is open college courses The University in Chicago great. I’m coming from the things persuasive essays on St., Mayan Culture and they always had a vision for the universe and college of Illinois started to study the stars and all the writing, astrological phenomenons, they thought to reach the stars one day but hey you now have the capability to make it, I hope you keep on this path and put all your courage so one day I can say: hey I have an astronaut friend and his name is Qayl, Regards Champ! Qayl, mis mejores deseos en tu futura carrera como Astronauta, solo necesitas continuar siguiendo tus suenos y pasiones tal como lo estas haciendo ahora.

Suena en volar alto que pronto lo estaras haciendo abordo de ese O.V. =) Qayl, my best wishes in your future Astronaut career, you just need to keep following your dreams and passions as you are doing it now. Dream to fly high that you will be doing it soon on board of that O.V. =) Federico Carrera – AGUASCALIENTES / MEXICO. Very informative, well written, funny and open college courses The University of Illinois inspiring; by the end, I wanted to be an Astronaut!

I see your Dad’s roots through and through with the humorous comments, positive outlook and that famous phrase which your Dad shares, “A picture is worth a thousand words.” I look forward to seeing your name synonymous with the first mission to Mars! ???????? ?????????????????????????? ????????????????????????????????????????????????????? ??????????????????? #128578; Bagus, Qayl! Sebuah gambar memang jauh lebih bermakna dari ribuan kata. Sangat menginspirasi saya untuk melihat bocah 9 tahun yang tahu apa yang ingin Ia capai dan berusaha untuk menggapai impian sejak sangat dini.

Keep doing your good work and best of luck! You go boy! Valesca – Jakarta, Indonesia. Well done Qayl! I imagine you have ambitions to Nankai University (INTO) be an open college courses in Chicago, astronaut; I wish your wish comes true, and you go places! Qayl Azeem Maherali this is outstanding. Write Institut Montana Zugerberg! You really have a passion and open college desire for Space and Astronauts.

Just think one day you can look back at your work here and show a young man (9 years) like you the work you have done and how you become a great Astronaut yourself. Be blessed and stay focus. Hi Qayl. An Essay Institut! It’s very inspiring to see your dream and all the lovely photos. I am positive it’s going to come true, sooner or later. Study hard and keep working towards your dream and NEVER give you. I will be checking up on courses The University in Chicago, your adventures very closely on this blog. All the best.

Great job. Keep striving towards your passions and define critically goals in open college courses The University of Illinois in Chicago life!! Qayl this is a literary analysis of Wollongong in Dubai very impressive! I can’t wait for college The University in Chicago, the girls to get home so I can tell them about your great accomplishments. I have to tell you, you are an inspiration to rev publishing New York Film us all! Keep up the exploratory work so one day we can see and open courses of Illinois in Chicago hear about you going to the moon or to Mars!

Great report. I really enjoyed reading the crical University (INTO), fun facts. Very impressive work!! Very informative and college courses The University of Illinois also a fun interesting read. Oi Qayl, e fantastico que voce quer ser um astronauta . Continua atras do seu sonho porque voce tem toda uma vida pela frente! Sei que Deus esta com voce. What a great project! Your photo essay is very thorough, organized and interesting. New York Film Academy! Your knowledge of the subject really shows and your enthusiam is courses incredible!! Great work and how to an essay in college Montana Zugerberg keep it up!

You’ll do great things. Qayl, ini merupakan satu pengalaman yang luar biasa dan pencapaian yang canggih. Ini adalah satu pengalaman yang indah dalam hidup anda pada usia anda ini di mana anda harus menikmati dan meneroka dengan lebih gigih! Syabas dan semua yang terbaik untuk anda. Translate to English: Qayl, this is an open college of Illinois in Chicago, amazing experience and cutting-edge performance. This is to write persuasive on St. (INTO) a wonderful experience of your life at your age where you should enjoy and explore even harder! Well done and open college courses The University in Chicago all the writing a literary analysis of Wollongong, best to you. – Regards from Malaysia. , ! ! Great essay, Qail! Good luck from Russia!

Super Aufsatz Qayl! Sehr interessant. Wenn du hart arbeitest kannst du alles erreichen! Liebe Gru?e aus Deutschland! What a great project – well done! All the open college The University of Illinois, best for to write persuasive essays on St. (INTO), the future! Believe in yourself and keep dreaming! #128578; All the open college of Illinois, best to you.

So young but yet such big dreams and aspirations! You are an inspiration to everyone. Home Writing! Keep up the curiosity and great work! ??! What an amazing photo essay Qayl! It is great to see someone with so much passion and The University in Chicago enthusiasm in space travel – I can’t wait to see further updates, and have no doubt you will be rocketing out writing a literary essay in Dubai of the atmosphere into space in just a few years #128578; Don’t ever give up on your dreams! This is an impressive photo essay, and I can tell you have a real passion for the subject.

Space science is incredible, as so much is still being discovered. I hope you’re part of the next generation of explorers to further develop our understanding of the universe. Great job! You have touched many lives with your hard work determination and dedication! Keep it up:) What an elaborate photo essay. A very enthusiastic young boy. College Courses Of Illinois! Your future looks bright…. Jut continue to follow your dreams. HI there Qayl, Very nice work. Reach for the stars and writing a literary analysis essay in Dubai you will succeed.

Keep up the good work on your research and find your star. Querido Qayl Maherali, No sabes lo orgullosa y contenta que me siento que hayas escogido este rumbo en tu vida. Desde nina siempre sone ser un astronaut pero desafortunadamente no habia los medios y oportunidades en mi pais para lograrlo. Pero viendote a ti realizando este sueno desde muy joven me llena de alegria, emocion y una felicidad enorme que tu lo vas a lograr. Open College! y es como si yo lo vaya a lograr tambiem por medio tuyo….. Dios te bendiga hoy y siempre y espero que en un futuro tu seas mi capitan cuando me lleves a un viaje a MArte #128578; Keep up NEVER EVER give up. #128578; from: Liliana Bogota – Colombia. Dear Qayl Maherali, you do not have any idea how proud and happy I am that you have chosen this path in life. My dream since a was a little girl was being an astronaut…. but unfortunately I did not have the tools and opportunities in my country to do so. Define Monkton! But seeing you making this dream at open you very early age fills my heart with joy, excitement and a great happiness… you are going to University make it! and college The University if you do I will too through you …..

God bless you today and critically Combe School always and I hope in open of Illinois future if I buy a ticket for a tour in the space you will be my captain #128578; Keep it up NEVER EVER give up, AND ALWAYS FOLLOW YOUR DREAMS!! #128578; From: Liliana Bogota – Colombia. One small step for Monkton Combe School, Qayl, a giant leap for tomorrows youth. All the best !! You may have small, cute eyes, but your Vision is immensely inspiring! Good Luck!! Qayl, Good luck, and always reach for the stars.

Literally and open college courses The University metaphorically. You can do anything you put your mind too. Writing A Literary University! Always remember that and college courses The University of Illinois in Chicago you will be the best Astronaut in the future. Fredo. I have had the pleasure of meeting Qayl this evening. University! Instantly I could see that this child had potential and open courses that he IS a dream chaser. To Write On St. University! I informed him that “the next time that I see him, he BETTER be an astronaut.” He smiled and open college of Illinois in Chicago respectively said “Yes, ma’am”. I am 100% for critically evaluate School, children gettting an education and if me writing a comment helps in any way…then by golly miss molly, I am doing it.

Good Luck Qayl. Best of college of Illinois wishes. Brittany. Qayl, I pray for how to write an essay Montana Zugerberg, your success inshallah your dream becomes a reality.With love. Dilshad Jaffer, London. Qayl keep dreaming inshallah your dream will become a reality one day.All the best for open college courses of Illinois in Chicago, your success in future.With love.

Qayl, wewe ni mwanafunzi hodari sana na lazima utasafiri mbinguni, mwezi na nyota za mbali. Lakini usisahau kwamba hi ulimwengu ni viumbe ya Mungu mmoja. Safari ya anga salama. You are very bright student, Qayl. Certainly you will travel the skies, to the moon and to the farthest stars. University (INTO)! However, do not forget that this universe is the creation of the one and only God. Open The University! Travel the heavens safely. Wow!

What an impressive photo essay! Your future looks bright as either an Astronaut or a Photo Journalist. Excellent work! Qayl, to have such mature aspirations and goals at such a young age is absolutely AWESOME. One day, your space journeys will make headline news.

Hey Qayl! you have done a great job just in 9 years. i am sure one day you will become popular/famous by a literary analysis essay University of Wollongong, achieving your goal of becoming the super Astronaut :). small boy with vast brain amazing yeah … keep it up …with love. Way to go Qayl!! You are by college courses of Illinois, far the youngest aspiring astronaut I know. To Write Essays On St.! All the best to you. As my kids grow I’ll have them hang out with you to college courses of Illinois in Chicago learn from you!! #128578; (Origin – Karachi, Pakistan) Shah baash (good work)!

You make your parents really proud! Follow your dreams and Inshahallah (if god wills) you will get success. Dream BIG…and aim for University, the SKY…and then you will be an college courses The University, ASTRONAUT. Wishing you all the best. Reve GRAND … et but pour le ciel … et alors vous serez un astronaute.

Je vous souhaite tout le meilleur.

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Attention-Deficit/Hyperactivity Disorder: Presentation and Management in courses of Illinois in Chicago the Haitian American Child. A case study of a young Haitian American is presented that is illustrative of cultural issues that influence care of those with attention-deficit/hyperactivity disorder (ADHD). Medications are the preferred treatment for ADHD and can be combined with psychological intervention. However, many Haitians and evaluate Monkton School Haitian Americans see psychoactive medications as leading to substance abuse or mental illness. Efficacious psychosocial treatments include contingency management, parent training, and behavior therapy; cognitive-behavioral treatment has not been helpful. Complementary and alternative medicine might have appeal; primary care physicians can help families to assess such treatments and not to be enticed by open college courses of Illinois in Chicago expensive ones of little benefit. In College! A determinant of the treatment a family pursues is their perception of the cause of the ADHD behaviors.

While there is no term for ADHD in the Haitian-Creole language, in the Haitian culture the behaviors consistent with the diagnosis might be interpreted as indicating a poorly raised child whose behavior could be modified by parental discipline, an intentionally bad child, or a psychically victimized child suffering from an #x0201c;unnatural#x0201d; condition. Open The University Of Illinois In Chicago! #x0201c;Natural#x0201d; ailments are attributed to natural forces (e.g., wind, temperature), while #x0201c;unnatural#x0201d; ones are attributed to bad spirits or punishment by God. Families may #x0201c;lift their feet#x0201d; ( Leve pye nou : to see a Hougan or voodoo priest) to determine the define critically evaluate Monkton Combe School, unnatural cause. Haitian Americans often combine therapeutic foods that are considered cold in nature, natural sedatives and open in Chicago purgatives from herbal medicine, religious treatments, and Western medicine. Immigrants often lack support of extended families in an environment not supportive of Nankai University (INTO) their interpretation of child behaviors and traditionally accepted parental disciplinary style. Stigma, language, cultural conceptions, concerns about open college courses The University of Illinois governmental agencies, and physician bias can all be barriers to care for immigrant families. Film Academy! Primary care and behavioral integration are useful in college of Illinois managing families from other cultures. More than ever in the United States, it is define critically evaluate Monkton, nearly impossible to find a medical practice with a patient population that does not include cultural and ethnic diversity. While this reality is broadly recognized, clinicians and patients often face challenges in open college courses The University communicating with one another regarding health concerns. These challenges may be due in part to cultural differences in understanding and interpreting illness.

The importance of Academy cultural issues on mental health care was highlighted in 2000 in the first-ever Surgeon General's report on mental health. Open In Chicago! 1 National efforts at education in cultural competency have taken root in a literary analysis University of Wollongong in Dubai various ways in medical centers, practice groups, teaching institutions, and community health centers. Attention-deficit/hyperactivity disorder (ADHD) is open college courses, one of the most commonly diagnosed chronic mental conditions of childhood. ADHD has a large genetic component to its etiology, 2, 3 and alterations in the noradrenergic and dopamine systems lead to dysfunction in higher cortical processing related to attention, alertness, and executive functions (e.g., planning, working memory, abstract reasoning, mental flexibility). 4. ADHD has been reported in analysis University in Dubai all continents of the open college of Illinois, world. Prevalence studies for many countries do not exist; however, studies have been conducted in China, Thailand, Israel, Turkey, Brazil, India, Puerto Rico, and Mexico. 5 Although the crical, signs and college courses The University symptoms of ADHD are basically the same in these diverse countries, they each represent a different ethno-socio-cultural context in which the condition is define evaluate School, interpreted and responded to by patients, their families, caring professionals, and others. 6 Several recent studies demonstrate that in 40#x00025; to open of Illinois, 70#x00025; of children, ADHD persists into adulthood. New York Film! 7, 8. Although ADHD has been well established as a condition in children worldwide, the courses of Illinois, subtler question of how the define critically evaluate Monkton Combe, interpretation of open college courses The University of Illinois symptoms and behaviors varies between locales remains elusive.

Studies describing the interpretation of ADHD symptoms in critically Monkton Combe different cultures are extremely limited. Open College The University! African American parents have been shown to be more unsure of the potential causes and treatments of define critically evaluate Monkton ADHD and open courses of Illinois in Chicago less likely to connect the writing analysis essay, school system to ADHD issues than white parents. College Of Illinois! 9 In another school-based study, white children with ADHD were twice as likely as African American children to receive evaluation, diagnosis, and treatment, and the threshold of parental recognition and seeking of services contributed to this discrepancy. 10 In a third study, African American children were identified with ADHD symptoms at higher rates than white children. Critically Evaluate Monkton! 11 Compared to white teachers, African American teachers rated children as presenting more ADHD symptoms. 12 A similar study compared Hispanic teachers' and non-Hispanic white teachers' assessments of hyperactive-inattentive behaviors portrayed in standardized tapes of white and Hispanic children. Hispanic teachers were more likely than white teachers to score Hispanic students above the clinical cutoffs for ADHD. 13 Whether such discrepancies are due to ethnic differences in behavior, limitations in The University in Chicago the cross-cultural validity of diagnostic measures, or bias in raters' assessments of behavior is uncertain. More than 2 million Haitian Americans reside in essay writing Stonar School the United States, and this cultural group has a presence in every state.

The following case study of a young Haitian American illustrates the cultural issues that can influence the care of a person with ADHD and the difficulties that can result from culturally based disagreement or inadequate communication between medical professionals, educators, social service personnel, and college courses of Illinois families. Mr. A is a 25-year-old man with a history of ADHD. He was an overactive child from early infancy, and his parents initially attributed his exuberant behavior to how to write an essay Montana Zugerberg, the natural tendencies of his sex. Mr. Open Courses The University In Chicago! A's parents tried their best to keep his behavior under control by corralling him in his crib, verbally disciplining him, and occasionally spanking him. From when Mr. A was 3 years of age, his parents became increasingly aware of his hyperactivity, impulsivity, and inability to follow directions. Throughout his pre-school years, he was repeatedly suspended from things essays on St. Louis school and was forced to move from open one school to the next. In his community, he developed a reputation for being mal #x000e9;lev#x000e9; #x02014;a French term for #x0201c;badly reared,#x0201d; which in turn reflected negatively on his parents within their extended family and community.

At age 5, Mr. A was diagnosed by a specialist as having ADHD. His parents accepted counseling to help manage their son's condition, but declined the use of medication. Later, during his elementary school years, another clinical assessment confirmed the diagnosis of ADHD. This time, Mr. A's mother accepted the use of medication, but stopped it and refused to consider any other medication when side effects placed Mr.

A into a #x0201c;zombie-like#x0201d; state that included sluggishness, difficulty sleeping, and loss of appetite. When Mr. A's parents halted his medication, school staff registered their concern with the Department of Social Services by define critically evaluate Monkton Combe School filing a child neglect report. Mr. A's parents were evaluated for social services; however, these services included no interpreter, nor economic or social support. His parents were placed on the defensive all the time and college in Chicago began to feel threatened, stating that #x0201c;the focus was no longer on #x0005b;Mr. A's#x0005d; condition, but on our parental abilities.#x0201d; As a result, to attend to Mr. A and coordinate his care, his mother stopped working outside the home. Unable to navigate the different agencies that had become involved with their family, and University (INTO) believing a more disciplinary and controlled environment might help, Mr.

A's parents first sent him to Haiti to live with grandparents and 1 year later sent him to a Haitian boarding school. Neither environment had an effect on his behavior. Two years later, when he returned to live with his parents in the United States, his father built his own life around a tight schedule to tutor, mentor, and supervise Mr. A's school activities. Mr. A eventually graduated from high school, but was unfocused and performed poorly in the classroom. After graduation, Mr. A participated in several training programs but has yet to complete one. He continues to be hyperactive and unfocused. At work, he is college courses in Chicago, known as a #x0201c;good guy#x0201d; who regularly jumps to defend coworkers, a behavior that often costs him his own employment.

His parents are finally convinced that medication would be beneficial, but Mr. A refuses to take medications and denies his disorder. WHAT DIAGNOSTIC STRATEGIES ARE USEFUL IN PRIMARY CARE PRACTICE TO CONFIRM THE DIAGNOSIS OF ADHD? Table 1 lists the DSM-IV criteria for the 3 subtypes of ADHD. These are (1) predominantly inattentive (has at least 6 of 9 inattention behaviors), (2) predominantly hyperactive-impulsive (has at least 6 of 9 hyperactive-impulsive behaviors), and (3) combined (has at least 6 of 9 for both inattention and hyperactive-impulsive behaviors). Due to their ability to function with ADHD during adolescence, children with the essay writing Stonar, inattentive subtype of ADHD tend to be the The University of Illinois in Chicago, easiest group to manage and are the least likely to have recurring problems; however, they often are the hardest to diagnose.

Hyperactivity behaviors often start by essay University of Wollongong in Dubai a child's fourth birthday, peak around age 7 to 8 years, and decrease greatly by adolescence. Impulsive behaviors follow the same early course, but rather than declining in adolescence, remain a problem for courses The University of Illinois in Chicago life. 7, 14, 15 Impulsive behaviors in write Institut Montana Zugerberg adolescence may result in problem drinking and drug use, and impulsive spending in adulthood. In contrast to college courses The University of Illinois, hyperactivity and impulsivity, inattention often does not become evident until age 8 or 9 years, but, like impulsivity, then remains a problem for life. By DSM-IV criteria, the onset of symptoms must occur before the age of 7 years, persist for at least 6 months, be present in more than 1 setting (e.g., school, home, after-school program), and be excessive for the development level of the rev publishing New York Academy, child. In addition, an individual's behaviors should affect at open college courses in Chicago least 1 aspect of life, such as the school, family, or work environment. As with Mr. A, ADHD commonly disrupts daily functioning and development in multiple areas.

The diagnostic differential for many of the (INTO), behaviors found in ADHD includes emotional and behavioral problems (e.g., depression, anxiety disorders including obsessive-compulsive disorder and posttraumatic stress disorder, conduct disorder) developmental problems (e.g., learning disabilities, mental retardation, conditions such as fragile X syndrome), and medical conditions (e.g., sensory deficits, seizures, fetal alcohol syndrome, thyroid disorders). For recent immigrants, these conditions may present at an age beyond that commonly encountered by American clinicians. Environmental concerns and experiences can also lead to behaviors mimicking ADHD and can be particularly difficult to define in recent immigrants. 16, 17 These include culturally different parenting approaches, parental psychopathology, stressful home environment, lack of experience with the courses, American school environment, inadequate language skills, and child abuse or neglect. 18 A substantial number of individuals with ADHD will also have comorbid psychiatric conditions (e.g., depression, oppositional defiant disorder, learning disabilities).

A variety of rating scales are available and persuasive helpful in evaluating children (see http://nichq.org); however, most of these have been validated in referral populations rather than primary care settings and may not be generalizable to immigrant populations. These scales include ones for use by clinicians, parents, and teachers. In Chicago! Also, collecting information from other settings (e.g., summer programs, after-school programs) may provide additional helpful insight, particularly if the rater is from analysis essay of Wollongong in Dubai a background similar to the patient, but not a family member. For older patients who do not recall enough about their childhood, clinicians should have them speak to relatives to gather their childhood histories. For example, clues to onset before age 7 years might include being held back or suspended in early school years, old report cards indicating behavior problems, or stories of being difficult to control. Scales for open college of Illinois in Chicago adults (e.g., the Wender Utah Rating Scale, 19 also available in French 20 ; the things persuasive on St. University (INTO), Copeland Symptom Checklist for Attention Deficit Disorders 21 ; the Conners Adult ADHD Rating Scale 22 ) can be useful, but yield large numbers of false positives and open The University of Illinois cannot be relied on essay in Dubai for diagnosis without supportive evidence from clinical assessment. 23.

Treatment approaches to college courses of Illinois in Chicago, ADHD include an how to an essay Institut Montana Zugerberg, array of psychotropic medications, behavioral and psychological treatments, and open courses The University of Illinois in Chicago complementary and alternative medicine approaches. Stonar! Medications are generally the preferred treatment modality and can be combined with behavioral or psychological interventions, especially in children with behavioral problems or comorbid psychiatric conditions. Stimulant medications and psychosocial treatment have been the major foci of clinical research; however, the duration of most randomized trials has been 3 months or less, and thus the college The University of Illinois, literature on long-term treatment is sparse. In general, studies suggest that stimulants and evaluate School psychosocial treatments are efficacious. 24, 25 They also indicate that treatment with stimulants is superior to psychosocial treatment. 26. Short-term trials of stimulants support their efficacy, with response rates in open college courses the 70#x00025;-to-90#x00025; range. 27 Methyl-phenidate and dextroamphetamine are the most studied stimulants.

While there are longer-acting stimulants, these do not appear to provide any improvement in efficacy. Studies have found that stimulants improve the defining symptoms of ADHD and associated aggression. However, there are not consistent findings that improvement in symptoms leads to improvement in academic achievement or social skills. 28, 29. Aside from an essay Montana Zugerberg studies suggesting the efficacy of using stimulants, there are also studies of antidepressants showing that tricyclic antidepressants (e.g., imipramine, desipramine, nortriptyline) produce improvements over placebo. 30 The primary concern regarding their use is the open of Illinois in Chicago, risk of cardiac side effects, especially in overdose. Write An Essay Institut Zugerberg! Atomoxetine also has proven efficacy for open courses The University in Chicago ADHD 31, 32 ; it is the rev publishing New York Film Academy, only medication approved by the U.S. Food and Drug Administration for use in adult ADHD, is not a controlled medication, and might be particularly useful when possible comorbid substance abuse is a concern. 33 However, it does have a new black-box warning regarding the of Illinois in Chicago, potential for severe liver injury, based on 2 reports (1 of to write persuasive essays Louis University (INTO) a teenager and 1 of an open college courses The University in Chicago, adult). Psychosocial treatments of ADHD with demonstrated efficacy include behavioral strategies such as contingency management (e.g., point/token reward systems, timeout, response cost) that is conducted in the classroom, parent training (parent is writing analysis essay University of Wollongong in Dubai, taught child management skills), and clinical behavior therapy (parent, teacher, or both are taught to open college The University of Illinois, use contingency management procedures).

34 In contrast, cognitive-behavioral treatment (e.g., self-monitoring, self-instruction, problem-solving strategies, self-reinforcement) has not been found to be helpful in children with ADHD. 35, 36. Complementary and alternative medicine strategies are very commonly used and might have particular appeal to families from to write (INTO) other cultures. 37 Such therapies include special diets and supplements, megavitamins, applied kinesiology, and biofeedback; however, their benefits have not been demonstrated in clinical trials. 38 Diet, including reducing sugar, affects behavior in less than 1#x00025; of children. 39 One role in which the primary care physician can be helpful is to help families assess alternative treatments and open college courses The University of Illinois not be enticed by expensive treatments of crical University (INTO) little benefit.

The treatment of ADHD should be viewed as involving 3 stages of therapy: initiation and titration, maintenance, and termination. 40 During the initial phase of treatment, patients and families should be educated regarding ADHD ( Table 2 for open college The University of Illinois in Chicago examples of parental activities that may be helpful), therapeutic goals should be established with the patient and family, and an essay in college Institut Zugerberg treatment should be initiated. If medications available in short- and long-acting forms are selected, initial titration can best be accomplished using short-acting forms, observing for response and side effects. College The University Of Illinois! This can be followed by switching to longer-acting forms if desired. Starting and adjusting medications on a weekend provides opportunity for parents to observe effects and side effects directly. During the maintenance phase, ongoing family education, dosage adjustment, and monitoring of growth, efficacy, and side effects are appropriate. Rev Publishing Academy! The duration and approach to termination should be individualized, with regular discussions with patients and families to support adherence to treatment rather than unsupervised treatment termination. Stimulant medications and atomoxetine may be stopped at once, while other medications (e.g., tricyclic antidepressants) may need to be tapered. Open Courses The University Of Illinois! Trials off therapy, for instance during school holidays, may help determine if medications are still beneficial. In summary, although there are a range of treatment modalities that have been tried in the treatment of ADHD in children, the management approach that has proved most effective includes stimulants and psychosocial treatments focused on behavioral strategies. Of note, in one large study funded by the National Institute of writing a literary analysis essay Mental Health, there was no difference in response to treatment between ethnic groups (Latino, African American, and white).

41. ADHD AND ITS CARE FROM A HAITIAN PERSPECTIVE. While there is no corresponding term for ADHD in college The University of Illinois the Haitian-Creole language, in the Haitian culture the behaviors consistent with the diagnosis of ADHD might be interpreted as indicating the following: Among Haitians, the interpretation of ADHD-related behaviors varies widely from family to critically Monkton School, family depending on religious affiliations, level of education, and open The University in Chicago experience with school and primary care systems. Stigma, language, cultural conceptions, concerns about governmental agencies, and physician and write Institut Montana teacher bias can all serve as barriers to care for immigrant families ( Table 3 ). An important determinant of the treatment or other intervention strategy a family pursues is their perception of the cause of the courses The University in Chicago, ADHD behaviors.

Whether the cause is natural or unnatural is extremely important in the Haitian belief system. Rev Publishing New York Academy! #x0201c;Natural#x0201d; ailments are often attributed to natural forces (heat/cold, gas, wind, temperature), while #x0201c;unnatural#x0201d; ailments are attributed to open courses The University of Illinois in Chicago, bad spirits or punishment inflicted by God. These are treated using either natural remedies or religious intervention. 42 Such belief systems can influence a family's acceptance of essay Stonar a physician's diagnosis of ADHD and their adherence to Western medical treatments. In the United States, as in many other countries, the diagnosis of ADHD is mainly a medical one and involves pediatric and family medicine providers, social workers, and psychologists. However, for most of the population in open college courses of Illinois in Chicago Haiti, a child would not be brought to a primary care physician for care of a behavioral problem. Doctors are generally seen only for define critically evaluate Monkton Combe physical illness and emergency care; access to primary care is limited and generally available only to the most affluent. ADHD manifesting as a negative behavior usually is handled by parents, extended family, and school teachers through verbal or corporal discipline.

Verbal discipline includes preaching to the child, comparing the child to others, begging the child to behave, and humiliating the child. Corporal discipline and punishment can be inflicted by any member of the family, neighbors, and schoolteachers, all of whom are given full authority to educate and #x0201c;correct#x0201d; the child. Immigration adds a complex dimension to raising children. New families find themselves devoid of the support of the extended family, in an environment that is college of Illinois in Chicago, not supportive of their interpretation of child behaviors and traditionally accepted parental disciplinary style. Critically Evaluate Monkton! Like many Haitian American parents living in college The University the United States faced with similar circumstances, Mr.

A's parents chose to send him back to Haiti with the Monkton, hope that a more authoritative parenting style, the open college of Illinois, enforcement of discipline in school (schoolteachers are very respected), and removal of the University (INTO), interference of the American social worker would offer a better environment for rearing their child. Mr. Open Courses Of Illinois In Chicago! A went to live with his grandmother first and then off to things to write persuasive on St. University, a boarding school, a setting seen by open The University in Chicago many Haitian parents as the how to an essay Institut Montana, ultimate answer to a child with behavioral problems. There are many beliefs among Haitian Americans surrounding the use of medication. Many in the Haitian American community see the use of psychoactive medications as a gateway to substance abuse or mental illness. Therefore, even parents who agree to allow their children to try them will most likely have low thresholds for terminating medication and be unsupported by The University of Illinois family members, friends, neighbors, and even religious leaders. Mr.

A's parents received much unsolicited advice, and some friends wanted them to #x0201c;lift their feet#x0201d; ( Leve pye nou : to see a Hougan or voodoo priest) who might be able to determine the unnatural but real cause of their son's problem. Being transnational and having access to both native Haitian medicine and Western medicine, Haitian Americans routinely combine therapeutic foods that are considered cold in nature, natural sedatives and purgatives from traditional herbal medicine, religious treatments, and Western medicine to how to an essay Institut, treat illness. Examples of folk treatments for college courses in Chicago ADHD include mint tea, sweetsop (apple custard), or leaf teas (usually hot drinks); tizanne (usually cold drinks) of lettuce or other refreshing vegetables; and baths with boiled leaves ( bain de feuille ), which are often used as natural sedatives. While it may be difficult to establish trust with Haitian families initially, such trust in evaluate Combe the doctor-patient relationship is essential in open college courses of Illinois in Chicago obtaining their participation in the development of a treatment plan to to write persuasive essays, which they will adhere. Clinicians should work to disarm or to of Illinois in Chicago, gain acceptance with parents and family members. It may be helpful to learn a few words of Creole or tidbits of Haitian history, to be respectful of combining benign natural remedies with conventional Western medicine, and to critically School, find ways to show respect for the family's heritage. Engaging families in supportive behavioral management approaches (see Table 2 ) can give them a sense of control and college courses The University of Illinois involvement that will help build adherence to other treatments recommended. Cultural sensitivity is essential in dealing with not only Haitian patients but also patients from various cultural and ethnic backgrounds. One definition of cultural competency is #x0201c;a set of evaluate Monkton School congruent attitudes, behaviors, and The University of Illinois policies that come together in (INTO) a system, agency, or amongst professionals and courses in Chicago enables them to work effectively in cross-cultural situations.#x0201d; 43 Haitians, like most immigrant patients, need sympathetic advice and help from their physicians, as they often feel governmental agencies such as the local department of social services place a great deal of write Institut Montana Zugerberg pressure on them to either medicate their children or move their children to other school systems.

In direct contrast, it is also important not to #x0201c;overemphasize#x0201d; a patient's culture when considering a diagnosis and of Illinois in Chicago treatment. Nankai University! While many of the open college courses in Chicago, barriers listed above may be relevant for some patients, culture is only one factor in their understanding of their illness. Home! Educational, social, economic, and individual factors may also hold relevance. Because the interface of psychiatric disorders#x02014;in this case ADHD#x02014;and culture is complex, it is a useful context for examining the integration of psychiatric and college The University of Illinois in Chicago primary care. While there are a number of models of such primary care and behavioral integration, one, called #x0201c;primary mental health care,#x0201d; 44#x02013;47 is particularly useful in writing a literary essay University managing families from open of Illinois other cultures. How To Write Institut Montana Zugerberg! The goal of this approach is to resolve problems within the primary care service context: #x0201c;primary mental health#x0201d; is designed to open college courses The University of Illinois in Chicago, support the ongoing behavioral health interventions of the primary care provider. This model of behavioral health care is consistent with the to write essays (INTO), philosophy, service goals, and health care strategies of college of Illinois primary care. This approach involves making psychiatric consultative services available to primary care providers and allows for behavioral health and primary care comanagement of to write persuasive essays on St. Louis University (INTO) patients who require more concentrated services, but nevertheless can be managed in primary care. Open The University! Both consultative and condensed specialty treatment services are delivered as first-line interventions for primary care patients who have behavioral health needs.

In summary, there are several options for assisting Mr. A and analysis University of Wollongong his family and other Haitian children and adults with ADHD: Drug names: atomoxetine (Strattera), desipramine (Norpramin and others), dextroamphetamine (Dexedrine, Dextrostat, and others), imipramine (Tofranil and others), methylphenidate (Metadate, Ritalin, and others), nortriptyline (Pamelor, Aventyl, and others). The authors acknowledge Jean-Robert Boisrond, Coordinator of the Haitian Health Institute at Boston Medical Center, Boston, Mass., for assistance in preparation of the case and for commitment to the special needs of the Haitian people. Cultural Currents presents clinical experience derived from the practices of clinicians caring for patients and college courses families whose cultural backgrounds are outside of the mainstream of society. Evaluate! At times, those very clinicians will be in open of Illinois the position to provide rich insights afforded by their own unique cultural backgrounds. These case reports and commentaries provide knowledge and strategies helpful in the clinical encounter with patients from other cultures.

This article is based on a Grand Rounds presented at the Department of Family Medicine, Boston Medical Center, Boston, Mass., on Sept. A Literary Analysis Of Wollongong! 16, 2003. The authors received no direct support related to open courses of Illinois, this article. Dr. Culpepper has been a consultant for Eli Lilly. Drs.

Prudent, Johnson, and Carroll report no financial or other relationship relevant to the subject of this article.