Dual Diagnosis

Dual Diagnosis
Further Testing
However the willingness of doctor can have an immense impact when they are working with dual
diagnosis (Werner, 2012). Studies have shown that having preconceived attitudes can result in the
unknowing to work with certain individuals (Werner, 2012). In addition studies have that the biggest
factor of working with dual diagnosis is that of the willingness. In which the willingness plays a
since the interest in working with/helping individuals can be a factor (Werner, 2012). Additionally, a
study was conducted on 476 participants to determine if willingness and having a bias would be a
contributing factor (Werner, 2012). What the researchers discovered was three specific results
(Werner, 2012). The first result was that the study ... Show more content on Helpwriting.net ...
Studies have shown special education students who are dual diagnosis will be treated with
insufficient care (Jamie & Knowlton, 2007). Nevertheless there is hope and it's called a visual aid
(Jamie & Knowlton, 2007). Research has determined that the different types of visual aid that are
helpful with students who are dual diagnosis are icons, comic strips, visual cues, choice boards and
token boards for doing a decent job (Jamie & Knowlton, 2007). With seeing that students can be
taught using visual aide a recent study was conducted on the effectiveness of using visual aids
(Jamie & Knowlton, 2007). The recent study was conducted on children who has been diagnosed
with dual diagnose and show signs of mental retardation (Jamie & Knowlton, 2007). In the study
there were three specific ideas that the researchers where able to concluded (Jamie & Knowlton,
2007). The first result was that it was discovered that visual cues do indeed help immensely when
they are being involved in helping students (Jamie & Knowlton, 2007). The second result was that
in addition to visual cues the visual schedules, rating scale and comic strips were all helpful with
special educated individuals with dual diagnosis (Jamie & Knowlton, 2007). And the last result from
the study was that when a student becomes more satisfied the more they would need to push their
selves to the next level (Jamie & Knowlton,
... Get more on HelpWriting.net ...

Homework
Guffey–SEEFER, Business English, 11e – 70 points WORKSHEET, CH. 3, NOUN PLURALS
FILL IN THE BLANKS WITH THE CORRECT PLURAL FORMS FOR THE NOUNS SHOWN
IN PARENTHESES. |1. |Every day we must send many (copy) of (fax) to our suppliers. | | |2. |A
flood of computer (virus) is causing (worry) for businesspeople. | | |3. |The (Murphy) and the (Ross)
plan to vacation on Maui. | | |4. |All (entry) must be submitted on official contest (form). | | |5. ...
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|All woman and children who applied received complimentary passes to home games. | | |14. |The
prices of potatos and tomatos vary, but the prices of loafs of bread remain fairly constant. | | |15. |Did
you notice that turkies, avocadoes, and steaks are on sale this weekend? | | |16. |Both of his son–in–
law made long journeys to attend his graduation. | | |17. |Although the stock market had its ups and
downs, our two CPAs continued to invest. | | |18. |Because the Lopez sold both propertys, they had to
register two bill of sale. | | |19. |Some of the goose flying south for the winter landed in bunchs on
the lawn of the Kennedys. | | |20. |All knifes, glass's, and china dishs had to be washed separately. | |
Guffey–SEEFER, Business English, 11e WORKSHEET, CH. 3, POSSESSIVE NOUNS
UNDERLINE ANY INCORRECT POSSESSIVE FORM AND TYPE A CORRECTED FORM IN
THE SPACE PROVIDED. TYPE C IF THE SENTENCE IS CORRECT. |1. |In five years time,
social networking has totally changed the way company's interact with | | |

Dual Organisms
LICHENS (fungus) – are dual organisms because they have a symbiotic association between two or
more entirely different types of microorganism, usually a fungus and algae
Scientific name/general classification – orange sea lichen Caloplaca marina (G)
Kingdom: fungi
Phylum: ascomycota
Class: lecanoromycetes
Order: teloschistales
Family: teloschistaceae
Genus: caloplaca
Species: c. marina
Physical stats 13,500 to 17,000 species
The body is termed the thallus and the general shape allows for classification into 4 categories
Foliose (Parmelia physodes: grows on twigs (A)) – flat leaf like structure, lobes, about 1 cm
diameter, silvery–grey on top, black bottom, (Peltigera polydactyla: grows on soil (B)) – lobes are
semi–erect, ... Show more content on Helpwriting.net ...
Each lichen consists of an association between a fungus and a species of algae lichens can reproduce
sexually, but most commonly asexual reproducers
Most lichens are dispersed by vegetative propagation.
The lichen thallus is brittle when it is dry, fragments get broken off and eaten by animals or carried
in the wind
Near the thallus there is production of soredia a powdery mass that is dispersed by the wind
Sexual reproduction occurs when the fungal ascomata produce spores that germinate the living algae
in contact with the ascomata
Lichen algae reproduce by mitosis and simple cell division.
Ecological role
Lichen are good measures of air quality because they are very sensitive to pollution especially sulfur
dioxide sensitivity is so great that it can be possible to calculate the amount of sulfur dioxide in the
atmosphere by mapping the build up or death of lichens in an area. very sensitive to nuclear
radiation and can be used to monitor radioactive contamination. lichens have antibiotic properties
and are used to treat various

Dual Diagnosis Paper
Creating a plan and executing each step of the plan might sound simple to do, but for many
individuals, many of them must have the next step of maintenance just in case they deviate from the
plan (Miller & Rollnick, 2002). Maintenance is the next step in change in which the individual must
either maintain their steps in change or relapse and change their ways (Miller & Rollnick, 2002).
This step is also the last step and the longest step for individuals in which finishing this step might
take up to months or even years to accomplish (Miller & Rollnick, 2002). Also in this step the
individuals might relapse and go back to their previous ways in which at that time the clients would
want to know why they relapsed or ways to prevent it (Miller ... Show more content on
Helpwriting.net ...
Dual diagnosis will almost consist of three prevalent characteristics such as substance abuse, several
metal illnesses and proper treatment (Drake, 2007). In addition, dual diagnosis also allows clients
and doctors to discover further new knowledge specifically of dual diagnosis such as the most
exposed to different individuals who are dual diagnosed the better treatment the doctor can provide
(Werner & Stawski, 2012). Furthermore the more knowledgeable the doctors are at treating
individuals whom are dual diagnosed the better they are to provide their clients with the eight to
nine stages (depending on the individual) of change (Miller & Rollnick, 2002). However, with all of
this new knowledge, there are issues that pertain to dual diagnosis, which is that having a typecast
on the individuals will cause the doctor to provide worse treatment as if they didn't have an opinion
of those clients (Werner, 2012). In addition, there must be work done on treating children who are
dual diagnosed since many doctors don't even know that children can be dual diagnosed and treated
just like adults (Jamie & Knowlton, 2007). Therefore, in the spectrum of dual diagnosis, there are
endless amount of information to help us to become more knowledgeable but it is not until we are
attaining firsthand experience that we can fully be able to help in dual

Duality And Sensitivity Essay
6 Duality and Sensitivity
The optimal solution for a linear programming problem can be calculated by utilizing the simplex
method. Yet, we may still ponder on whether we have truly discovered the optimal solution of our
linear model. Furthermore, we could be concerned on what to do with the surplus of resources at our
hands. In addition, the parameters that we utilized to formulate our model may not reflect the actual
parameters. Those values may have been simply estimates that would guide us in identify a best
possible outcome. Therefore, we are required to conduct further analysis and determine if indeed we
have achieved optimization. In linear programming, analyzing the concept of duality and sensitivity
is extremely useful. It gives us reassurance that our optimal solution would be feasible in reality. If it
was not the best solution, we can now focus on how to reach the optimal solution and optimize our
given objective.
The first issue that we may encounter is whether we utilized our surplus of resources wisely as we
optimize our objective function. All linear programming problems have an associated linear
programming problem called the dual [4]. We call our main problem the primal and the associated
problem the dual. Analyzing the relationship of the optimization of both problems will give us good
insight in weather resources were utilized wisely. The dual problem can be formulated by alternating
our primal problem. If the primal problem's objective

Dual Enrollment
What are your future plans and how do you propose to achieve them?
Ever since I was a younger girl, I have always dreamed of becoming successful and accomplishing
my goals. All the way back in Elementary school, I would feel ecstatic for those days when my
teacher would bring out all the science laboratory materials. Hearing my teacher exclaim to all the
curious minded students, "today we are conducted a science experiment" would make me feel
extremely content. I've always had a passion for science, I have big goals and aspirations towards
becoming successful in that field. After what seemed to be an incredibly long day for me at age
eight, I would plop myself down on the dinner table chair to eat a lovely meal that my mother
cooked up. I ... Show more content on Helpwriting.net ...
Graduating from college will be one of the biggest accomplishments of my life, I would set a
milestone not only in my personal life but to my younger family members. I will feel remarkably
prideful for myself when I accomplish this because I know following my dreams and slowly
amounting to success was certainly possible. To attain these goals, scholarships and financial aid
will save me by a landslide. For my senior year, I decided to attend Valencia College through the
Dual Enrollment program which allowed me to get a head start in college by taking free courses and
receiving free book access. Dual Enrollment will ultimately be one of the best decisions I have made
as I am getting ahead and am getting closer to finishing my Associate's degree. By finishing my
Associate's at Valencia I will not only be saving myself money, I will be utilizing excellent Valencia
resources that will push me through my rigorous mathematical and science classes while still being
close to home and having my family's support. After Valencia, my plan is to transfer to University of
Central Florida through the direct connect program and pursue my degree there. I am currently
unsure on the exact major I will be

Dual Enrollment
Furthermore, one of my most challenging experiences was maintaining a 3.0+ GPA in school while
attending Oakland Community College in the Dual Enrollment Program. It was a tough situation to
be in, due to the excessive amount of work I had to do for both high school and college. Every week
I had to complete a chapter of my book, which consisted of long sections using words that I have
never even heard of in my life, the prolonged chapters were followed by a required one to two–page
essay that was due the next week or else it was considered late. Now keep in mind that these essays
were a huge part of my overall grade, so I am embarrassed to say that out of the ten chapters, about
four or five of them were late, but the reason for that is because ... Show more content on
Helpwriting.net ...
Most of the things I learned from this experience was a sense of purpose, cooperation, and
expansion of knowledge dealing with the various forms of discrimination, as well as oppression. As
the semester passed, I felt like I was finally advancing towards a career field that fits me. The
topic/subject made it to my list of fields I may want to pursue when I attend a University, which is
another benefit gained from my class. Like many other high school students, my mind ponders on
the thought of what I truly want to pursue in college, so this was a huge step for me. Oakland
Community College gave me the opportunity to test the waters and depict an idea of what attending
a University may be like, so that is to say how much one can really learn from an experience like
mine. Another thing I learned was that not everything can be done at the last minute, the way you
imagined it should be. There should be an excessive amount of planning and thought that goes into
completing certain assignments and projects, I remember staying up on some nights just to complete
two to four essays. As guilty as I am, sometimes working under pressure motivates and builds my
energy up. There times when I would try to work on the assignments during my break at my job and
even start on the outline of my

Dual Federalism
Federalism is the federal principle or system of government. The framers who were worried about
the government having too much power mainly because Government can pose a threat to individual
liberties. The constitution then provides a division of powers, which means it assigns certain powers
to the National Government, such as Dual federalism, cooperative Dual federalism is based on the
relatively optimistic belief that a clear division between federal and state authority. Dual federalism
lasted from 1789–1901 and then came back into play in 19060's When the depression came the
president came and made government more of a cooperative system. The article on Dual Federalism
on Study.com says "Dual federalism has been nicknamed 'layer–cake ... Show more content on
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Cooperative federalism was ued primarily during the time of the depression to make government run
better. Through cooperative federalism it almost gives the bigger government the power to make
smaller government comply. For example, the works progress helped put millions into work during
the 1930's. Regulatory federalism is a term used to describe the emergence of federal programs
(started in the mid 1960s).Regulatory federalism also includes congresses legislations on states to
meet their standards. An example of regulatory federalism happens to be the no child left behind act.
Which is an example of how all states and government must make sure that every kid gets the
correct education. "New Federalism typically involves the Federal government providing block
grants to the states to resolve a social issue" says Business Dictionary. New federalism lasted from
1937–1997 when the supreme court did not void an act. New Federalism started when a "Plan
implemented under the Nixon administration that transferred some powers previously held by the
federal government back to the state level. Under Franklin Roosevelt's New Deal some powers were
removed from the state level, so the states regain some of its authority" Says

Essay On Mental Health Treatment Program
Program Structure
This Mental Health treatment program and/ or organization focus on co–occurring diagnosis and
structures to develop co–occurring disorder treatment services. This program is a non–profit,
privately owned organization. It provides social services in Miami, FL. This mental health treatment
program and organization will provide comprehensive behavioral healthcare to homeless women
who have severe, persistent mental illness, or with co–occurring substance abuse and mental illness'.
The organizations Mental Health treatment program stakeholders are accredited and affiliated, in
which this aide the program to express its values, carry out its mission, develop strategies and
improve the quality of care on a continuous basis. ... Show more content on Helpwriting.net ...
Integrating treatment specialist staff such as psychiatrist can develop treatment plans to treat both
serious mental illnesses and substance abuse disorders so that the population served, "homeless
women" do not get confused going back and forth to different mental health and substance abuse
treatment programs. Secondly, the mental health program will also implement clinical treatment
integration. Integrated clinical treatment specialists have an understanding about substance abuse
disorders and mental illnesses; there will also be an understanding how both disorders affect an
individual's way of functioning. The clinical treatment specialist's team is staffed as nurses, Therapy
and Substance Abuse Counselors and Case Managers. They are trained in psychopathology,
assessment, and treatment strategies for both mental illness' and substance abuse disorders. These
skills are found to be effective in treating individuals with co–occurring disorders. These treatment
specialists would have experience with how short and long term substances affect people with co–
occurring disorders. Regier, (1990) noted, "56 percent of people that has serious mental illnesses
have a co–occurring substance use disorder within their lifetime." Structuring the proposed mental
health program to implement Therapy and Substance
Abuse Counseling to be in place to support dual disorder program is important. According to Regier,
(1990) "Integrated treatment specialists with skills in

Dual Citizenships
The title of this article immediately shows the claim, "one person, one passport, one road to
injustice." The article starts out with facts and injustices about dual citizenships. Although some
countries allow them, the countries that don't, often cause problems for people who want a dual
citizenships for work, family, etc. Although the United States allows dual citizenships, when the
other country does not, the person is forced to pick a country. A premise brought up is how in the
past, people would be born in one place, their whole family would be there, and they would live
there for the rest of their lives. Times are different now. These days, people travel for work, family,
and pleasure, making life harder for countries that don't allow

Dual Tracer
The world of healthcare is always striving to improve practices and procedures. The nuclear
medicine world is no different. This article discuses many different parathyroid protocols. The
article focuses on single and dual tracer methods in order to determine which test is more accurate in
localization of parathyroid adenomas. The article also, attempts to determine if single or dual phase
studies are more accurate in localization of parathyroid adenomas. Having a parathyroid disorder
can be a major problem for many adults throughout the world. "Primary hyperparathyroidism is the
most common cause of hypercalcemia in otherwise healthy adults" (Caveny, Klingensmith, &
Wolfe, pp 104, 2012). Caveny and the other authors discuss how imaging the ... Show more content
on Helpwriting.net ...
Table 2 in the article shows the localization success for all of the protocols tested. The single tracer,
dual phase test had correct localization percentages of 59% and 73%. The dual tracer, single phase
test had correct localization percentages of 98% and 90%. The dual tracer, dual phase test had
correct localization percentages of 92% and 88%. These results gave the authors the conclusion that
the dual trace, single phase test was the most accurate in localizing the parathyroid adenomas. This
protocol was the most accurate, and also, had the additional benefit of needing "only 1 imaging
session and reduces the overall procedure time" (Caveny et al., pp 109,

Dual Federalism Vs Dual Federalism
C.J. Diehl
Ms. Crouse
U.S Government
10/23/17
How come we can go from Pennsylvania to New Jersey without paperwork but pay a different
amount of state tax for purchases made in the different state? The answer is federalism, federalism is
having or relating to a system of government in which several states form a unity but remain
independent in internal affairs. These discissions were made in the Federalist Papers written by the
Founders. The federalist papers were a collection of eighty–five essays written to the newspapers in
the 1780's to encourage the remaining states who had yet to ratify the constitution. Alexander
Hamilton, James Madison, and John Jay under a pseudonym wrote to persuade the remaining
colonies that ... Show more content on Helpwriting.net ...
The states have the power to change anything they want drinking age, tax, driving age, schooling
but there are some things that they can't do such as coining money, have external affairs, or declare
war they are all powers that are left to the national government. The idea of a federalistic
government is that there are levels of government there is national level, state then local and
depending where you are in the United States you need to follow those rules. The power is not
always divided equally though. Even though states have right given in the 10th amendment if the
nation wants a state to change something they can refuse funding until they change what they want
to be changed. This happened in 1980 when New Jersey changed their drinking age to 19 and the
state was at an all time high with 18–20 year olds losing their lives 88 young people died while
intoxicated on New Jersey roadways that year.
In 1995 the government withdrew highway funding due to the fact that people who drive
motorcycles were not required by law to wear helmets while driving this was established and then
reinstalled in 1991. President Clinton then passed a law that eliminated the speed limit and the
helmet law now still three states have no rules against wearing helmets.
President Nixon wanted to decrease the demand for

Dual Identity And Dual Identity
With the end of my first term in Cambridge approaches, I will as a future reference, leave this
(relatively) short review. If in any case when you have access to this paper, it will have precedence
over what I said or implied. The first term in Cambridge was in many ways a crossroad for me. For
the first time ever; I got to test and refine my skills in English, socialise with people from diverse
culture and background, and in a true sense be independent and manage my own life. In most ways,
I did successfully transform into the new environment which I have admired for ages. I established a
dual identity – a persona that enjoys vibrant and active social life and sports. I am very certain that
at this stage, my friends over home shall have no clue how I have changed. Was this a dual identity?
I myself is confused to answer this question, but what I do know is that the potential I had,
suppressed by the abhorrent culture back home, was finally broke loose from the oppression and
started to act upon myself. Though I have somewhat expected it, I admit I failed to predict how
extensive the change will be. However what I firmly believe is that this second chance that was
given to me, I will try to utilise as best as I can. I have said a lot that I should try out and explore.
Until now, it was just words; because of my long life back at home, I didn't have the opportunity to
fully explore the outside world. Now is the time – this will continue. Relations with other Koreans is

Dual Diagnosis
Introduction
What is Dual Diagnosis? Research has come close to answering what is dual diagnosis and how it
pertains to individuals experiencing both substance abuse/dependence and severe and persistent
mental illnesses (Drake, 2007). One significant aspect of dual diagnosis before examining it more
closely is that on the information that we already know that pertains to dual diagnosis (Drake, 2007).
After we can gather the general knowledge and the current information of dual diagnosis the next
significant aspect is how we can approach dual diagnosis when it relates to individuals (Drake,
2007). Lastly as soon as we can develop an approach to helping individuals the next step is to create
testing when research is done on dual diagnosis to ... Show more content on Helpwriting.net ...
Additionally, creating a plan allows the clients to become more motivated to successfully
accomplish each step with their own determination (Miller & Rollnick, 2002). For several of us
creating a plan can be simple to do, but executing each step is might be the toughest but there is a
solution which is that of the next step which is action (Miller & Rollnick, 2002). The action step can
be simple or difficult since is it all depends on the individualized action (Miller & Rollnick, 2002).
For clients the best way for them to execute each step of their plan is to commit to action which
could be for them to not over deliberate each step or to be self–motivated (Miller & Rollnick, 2002).
However creating and executing each step might sound simple to do, but it might be a reasonable
idea to incorporate the next step of maintenance just in case certain steps are deviate from the plan
(Miller & Rollnick, 2002). For maintenance it is the next step in change since it allows the
individuals to either maintain their current steps of change or revert to another way (Miller &
Rollnick, 2002). This step of maintenance could be one of longest steps since it could be up to
months or even years to accomplish depending on the individual (Miller & Rollnick, 2002). When
the client has fully executed a plan and accomplished their goals they will ultimately face

Dual Relationship
Statement one and two are essential when conducting a dual–relationship with a patient. Statement
one, includes discussing the limitations of the proposed relationship. This could include situations
such as, outside of our therapy session we cannot discuss that content as friends (Kenyon, 1999, p.
63). Though that may be an unrealistic example, it is still an illustration of a rule set to differ
between the two relationships. Statement two discusses serving the all clients with respect, integrity
and keeping their welfare into consideration always (Kenyon, 1999, p. 63). This is a huge
responsibility to all patients but is something you will need to be constantly re–evaluating in a dual–
relationship. Asking yourself questions throughout the process is imperative. For example, the
question of, is my professional or personal image of this person affecting the quality of care I can
give them? Statement eight is the most important as it deals with the probable ethical conflicts that
can rise from dual or multiple relationships. The statement most certainly discourages having dual–
relationships but does not firmly forbid them (Kenyon, 1999, p. 64). Ramona, Jessica and Della are
excellent examples of how there are times dual–relationships can be unavoidable (Kenyon, ... Show
more content on Helpwriting.net ...
I would need to do some soul searching to figure out if I could remain objective. If possible, I would
err on the side of referring the patient to another provider. However, such as in Della's situation,
sometimes referring a patient out is not always feasible as it might significantly extended time to get
care (Kenyon, 1999, p. 63). That would be a prime situation to evaluate does that patient consent to
having you as a part of their care plan and can you as the provider remain objective. Knowing your
limitations is salient and this reigns especially true in having

Crossing Point Check Grouping Plan
b) The minor street stream is by and large in a solitary stream, with the stream differing from low
non congested stream to high congested stream conditions; c) The crevice acknowledgment of minor
street drawing nearer activity might be given a uniform dispersion and near zero chances to join the
principle movement stream; d) The minor street movement stream rises immediately from low
stream to a most extreme pinnacle esteem, which is kept up until the end of the pinnacle time frame
after which it falls quickly to low stream and to zero. 3.4.1.2. Intersection Counts Intersection
checks are utilized for timing movement signals, outlining channelization, arranging turn denials,
figuring limit, investigating high crash convergences, and assessing clog The manual number
strategy is generally used to direct a convergence tally. A solitary onlooker can finish a crossing
point include just light activity conditions. The crossing point check grouping plan need be
comprehended by all eyewitnesses before the number can start. Each crossing point has 12
conceivable developments. The convergence developments are through, left turn, and right turn. The
onlooker records the crossing point development for every vehicle that enters the intersection.
3.4.1.3 Straight Roads Traffic relying on a straight street is finished by activity enumerators who
remain by the roadside, checking and ordering the vehicles as they pass. The enumerator in this
manner record vehicles moving

The Issue Of Providing Mental Health Services For Veterans...
SOWK 641– Fall 2016
Assignment#2: Article Reviews
Mary Marrone
USC School of Social Work
October 6, 2016
Course Instructor: Dr. Finney
Key Points Both articles identify the issue of providing mental health services for veterans with an
extra emphasis on those that served in Afghanistan and Iraq (OEF/OIF veterans). It is no surprise
that returning veterans suffer from both visible/invisible (physical and mental) wounds. Most
veterans have this "high" expectation that they are going to receive quality care from both the DoD
and VA. Unfortunately reality steps in where veterans are slapped in the face because they are
receiving a lack of poor quality care all while jumping through Beuracractic hoops. The challenges
faced to access these services include resistance, stigma, lack of professionalism, and geographic
and/or regional disparities in the distribution of services resources and/or benefits, and the system
simply refusing to change. The articles address the prevalence of the issue of mental health and
claims the importance of policy reform at all levels of society.
Gaps in Research The research is limited in that there is enough on just the narrative of substance
abuse and enough research on mental illnesses, but research is limited when it comes to dual
diagnoses. There are inconsistencies within the research, where researchers fail to address advocacy
at the state and federal levels; therefore not addressing the snowball effect of the poor

Hypertension ( Htn ) Is A Major Public Health Issue...
Hypertension (HTN) is a major public health issue affecting 70 million African–American males in
the United States (CDC,2015) and predisposing them to cardiovascular diseases (Scranton,
Goldstein, & Stecher, 2013). The WHO (2013) defines HTN as a systolic blood pressure of equal or
greater than 140 mm/Hg or a diastolic blood pressure of equal or greater than 90 mm/ Hg. In
addition, a large portion of patient's diagnosed with HTN also have a diagnosis of erectile
dysfunction (ED), both of which when left untreated can have a negative impact on quality of life.
ED has been defined by Adebusoye et al., (2012), the lack of sufficient sexual intercourse due to
inability of a penile erection in male. Compounding the high incidence of HTN and ED among
African–American males, is the problem of non–adherence to prescribed anti–hypertensive
medications. Real or perceived ED associated with the adverse side effects of anti–hypertensive
medications is a chief reason for non–adherence to anti–hypertensive medications among males
(Kakkavas et al., 2013). This research study will use The Health Belief Model to investigate the
correlation between African–American males with dual diagnoses' of HTN and ED who are non–
adherent to anti–hypertensive medications. More specifically, this study will scrutinize the adverse
side effects of anti–hypertensive medications in relation to complications of untreated HTN, one of
which is ED. The results of this study could be used to educate

Dual Careers
In chapter 10: "Gender Issues and Dual Careers" of the textbook, Career Counseling: A Holistic
Approach, Vernon Zunker addresses gender issues, particularly with women and dual–career
couples, in the workplace. This paper analyzes two relevant articles: 1) Pearl Jacobs' and Linda
Schain's Professional Women: The Continuing Struggle for Acceptance and Equality and 2) Pamela
Stone's Opting Out. Both articles discuss the issues women face in the workplace and provide
counselors, employers, and women with facts and tools to help achieve the goal of gender equality.
In Stone's Opting Out, she discusses the findings and implications of a study she conducted on a
sample of professional women forced to restructure their careers after having children. ... Show
For example, the behavior of men and women in the workplace was surprisingly found to be similar.
While differences may have existed in the past, those differences are disappearing. According to
Walston, this is due to more fearless women in the workplace insisting on credit for their
accomplishments. Women are actively working to shatter the "glass ceiling". Once can assume with
the continuation of dual–earner households and shared roles, there will be no place for gender
stereotyping in the future workplace. Therefore, if employers are recognizing the shared work and
family roles of both genders, while aware of the fact that businesses with family–friendly policies
have more reliable employees, then they should be putting effort into more gender research and
implementing effective family–friendly policies. After all, a work environment with gender equality
benefits the entire workforce and increases productivity. While some of these policies have major
kinks to work out, recent research shows these problems will be resolved in

Dual Immigrants
It is not recommended that Lars come to the U.S. on his tourist visa. The problem with using
coming on tourist visa and getting married immediately is the legal concept of dual intent. At the
time a person enters the U.S. they cannot have both (1) the intent to return to their home country and
(2) at the same time, intend to remain in the U.S. as the spouse of a U.S. citizen. An entry as a tourist
legally requires that you are entering with the intention of returning to your permanent home abroad,
not to enter as a tourist, get married, and remain here to apply for a green card. If you file within 30
days, there is a rebuttable presumption that you wanted to stay in the U.S.. If you file more than 30
days but less than 60 days after entry into

Dual Eligibles
The "Dual Eligibles" beneficiaries constitute about 9.2 million of the entire population, of which
most of them are below ages 65 years and disable, and suffer from chronic illness. They are made up
of 20% of the Medicare beneficiary, and 17% of Medicaid. The expense on this unique group can be
estimated to be about 29% and 39% for both medicare and medicare according to New England
Journal (2013). The current expenditure on this beneficiaries is estimated at a about $319 billion and
each beneficiary incurs on the average $33,400. The steady increase in the expenditure incurred by
this group of beneficiaries and the fragmentation in organizing and financing the dual eligibles
triggers the interest of healthcare policy maker who are ... Show more content on Helpwriting.net ...
CBO analyzed results from six demonstration projects, testing various forms of disease management
or care coordination. It found that although the interventions reduced hospitalizations, the resulting
savings were less than the cost of providing the additional services. Another reason why policy
maker are concern is due to sharp practices by provider, they shift costs from one program to the
other, exploring the loopholes in the payment structure which can lead to greater fragmentation in
care and risk of patient. An instance is when patients shifted from a nursing home, where Medicaid
is paying the benefits, to a hospital, where Medicare pays, mainly to maximize provider
reimbursement. Center for Medicare and Medicaid (CMS) refers to "Dual Eligibles" as a general
term that describes individuals who are enrolled in both Medicare and Medicaid. This include
Medicare Part A and Part B and receive full Medicaid benefits and assistance with Medicare
premiums or cost sharing. Medicare Savings Program (MSP) are of the following categories:
Qualified Medicare Beneficiary– Helps pay for Part A and/or Part B premiums, deductibles,
coinsurance, and copayments; Specified Low–Income Medicare Beneficiary – Helps pay for Part B
premiums; Qualifying Individual (QI) – Helps pay for Part B premiums;

Dual Language Learners Are Children Learning Two Or More
Dual language learners are children learning two or more languages at the same time, as well as
those learning a second language while continuing to develop their first (or home) language (Dual
language learning, 2008). The number of children being raised in bilingual homes is large and
growing, however the mechanism of language development in children from bilingual homes is not
well described or understood (Hoff et al., 2011). A large body of research has refuted the opinion
that dual language input may confuse children, and other research indicates that children exposed to
two languages can distinguish those languages from infancy, learn two phonological systems, two
vocabularies and two grammars (Kova´cs & Mehler, 2009a; Petitto, ... Show more content on
Helpwriting.net ...
The goals for students in dual language education programs include high levels of bilingualism and
biliteracy, academic achievement, and cross–cultural competence for all students (Lindholm–Leary,
2012). Dual language immersion programs integrate language and academic content instruction in
English and a partner language to promote bilingualism and biliteracy.
Heritage languages refer to the languages spoken by immigrants and their children and has recently
come to be used broadly by those concerned about the study, maintenance, and revitalization of
non–English languages in the United States (Montrul, 2012). Heritage language learners contain a
heterogeneous group ranging from fluent native speakers to non–speakers who may be generations
removed but who may feel culturally connected to a language (Deusen–Scholl, 2003). A heritage
language program is any language development program that is designed or tailored to address the
needs of heritage language learners, and heritage language programs may be at any level or setting
and vary in terms of their approaches to teaching, populations they serve, and other factors (Chao,
1997). Heritage language programs have three major educational contexts: community–based
program, K–12, and higher education. Heritage language schools are often created out of a
community's desire to pass on their language and culture from one generation to the next in order to
maintain connections within families and communities

The Dual Coding Theory Of The Human Mind And Its Functions
Assignment introduction
Psychology is the scientific study of the human mind and its functions, including how it influences
our behaviour. Cognitive psychology is the study of human mental processes and their role in
thinking, feeling and behaving. It studies processes like attention, language use, memory, thinking,
problem solving, perception and creativity. Memory is the mental capacity to retain and revive
events, facts, impressions etc or recall and recognise previous experiences. We can remember
information for seconds, hours, weeks, months or years after the physical stimuli that was present
has ceased to occur or exist. This study will be based upon the dual coding theory (Pavio 1971)
which was a theory that explained the powerful ... Show more content on Helpwriting.net ...
Bower studied the effect of creating a visual image to assist verbal recall. In one experiment, the
participants were given out 100 different cards, one at a time which each had two unrelated words
on it , like 'cat' and 'tree'. The participants either had to remember the pair or create a visual scene in
which both objects were featured. When the participants were given a cued recall test (given the first
of each pair of words), the group who created a visual scene recalled 80% of the target words,
whereas those who did not remember an image could only recall 45%. It was proven that the images
which were more unusual were easier to remember, for example it would be better to visualise a cat
living inside a tree, rather than a cat climbing up a tree as the first scene is more unlikely and
bizarre.
Experimental Hypothesis:
Individuals are more likely to recall words if it is given in picture form rather than just the word
shown alone.
Null Hypothesis:
Being shown images compared to just being showing the word does not change an individual's
ability to recall the word.
Method
The method of the study was to test whether being shown images to remember a word improves
recall of the given words in lab conditions.
Design
The design of this experiment was independent measures under lab conditions to ensure that the
most valid and comparable results were provided. Before the controlled experiment took

Disadvantages Of A Divergent Problem
Divergent Problem Statement
A divergent problem has been proposed by the South African Provincial Administration (SAPA) to
my firm. After an extensive screening of different transport options, SAPA has decided to build a
railway, 80 km long between its two major cities with objectives of relieving the traffic on roadways
linking the two cities and stimulating economic development. A choice between the two types of
gauges is to be made. One is the existing Cape gauge 1,067 mm, the other, a Standard Gauge of
1,435 mm. In order to solve the problem, pros and cons of each type looking mainly at cost, safety,
and performance which measures the comfortability and maintenance of the track will be addressed
starting with Cape gauges and later, Standard gauges.
Cape Gauge
Pros ... Show more content on Helpwriting.net ...
Having a uniform gauge gives convenience not only to engineers responsible for construction but
also to passengers as there may be no break–of–gauge needed, where Ilie (2012) demonstrated that a
break–of–gauge is seen as an obstacle to the smooth flow of traffic which would consequently add
delays, cost, and inconvenience. Assuming the 80 km distance to have mountainous regions, the
Cape gauge could be the optimal choice in this situation. History research shows that narrow gauges
were used in mountainous regions. These gauges are also a substitute to places where standard
gauge trains would need tunnels or bridges (http://www.gaugemaster.com/narrow–gauge.html).
Difficulty in finding the manufactures is eased as the existing ones are already producing Cape
gauge

Implications Of Dual Language Immersion
Dual language education benefits both English dominant students and English language learners
with a goal of helping students to become bilingual, bicultural and biliterate. This paper will explore
the Implications of Dual Language Immersion programs in US schools. While dual–language
education has existed in the United States for roughly two centuries, and it reached its height of
popularity in the 1970s, the use of dual–language education in public schools has declined
significantly in recent decades due to legislative actions that have sought to limit its use. When used,
dual–language education is generally seen as a way to ensure that non–English–speaking students,
or students who are not yet proficient in English, are given equitable opportunities to succeed in and
complete their education. While schools and teachers may use a wide variety of dual–language
strategies, each with its own specific instructional goals, the programs are typically designed to
simultaneously develop English fluency, content knowledge, and academic language–the
knowledge, skills, and cultural proficiencies needed to succeed in an academic program.
The overview of Dual Language Programs which there are four main types, one of them are two–
way dual language programs are made up of ELLs fluent in the partner language and English–
speaking peers. Developmental, or maintenance, bilingual programs which enroll primarily students
who are native speakers of the partner language. Foreign language

Group Decision-Making Paper
Research by Kouzes and Posner (2012) indicated that competence is one of the most desired
characteristics in a supervisor. In addition, research by Brauckman and Pashiardis (2011) confirmed
the need for principals to be competent in promoting cooperation and trust with all stakeholders.
Decision Making Group decision making requires leadership from all members. Our team's
effectiveness was aided by accepting compromise and valuing all contributions throughout the
process. We made decisions by asking for agreement whenever a decision was necessary or a when
a group member wanted to facilitate. No one member of the group dominated, however the African
American and female members of the group seemed less proactive in taking leadership roles. ...
Complete EDUC 915 Quantitative Analysis1 (Summer 2017) 7. Complete EDUC 919 Professional
Writing & Research (Summer 2017) 8. Participate in the ACSI Conexus online discussion board for
teachers (every month) 9. Study Indonesian language with a tutor to enable communication with
Indonesian teaching colleagues (one day a week at school) 10. Network with AP Capstone teachers
regarding starting a Capstone program at Mountainview. Conclusion Effective leaders can be
developed over time through study and practical experience. Some individuals may be born with a
greater propensity towards leadership, but even these individuals must take advantage of leadership
experiences in order to hone their skills. The Bible gives us examples of men and women who
appeared to be unlikely leaders, but were molded by God to guide God's people in times of need.
Moses the murderer led the Israelites to the Promised Land and David the adulterer became the
greatest king of Israel (Exodus & 2 Samuel). What set these men apart was not their genius,
speaking ability or military prowess but rather their dependence on God. The kings that followed
David failed to ensure that Israel remained faithful to the Lord and this resulted in the division of the
kingdom and exile of the nation (1&2 Kings). Christian leaders of today can look to the example of
Moses and David to encourage perseverance and commitment to following God's leading. Indeed,
God will always provide the means for His people to succeed in the roles where He places them (2
Corinthians

Dual Objectives
James Manson Wood once said," Education today, more than ever before, must see clearly the dual
objectives: education for living and education for making a living. College education is what a
person makes it, it can help them achieve their hopes and dreams, or people can go because you
have to to make a good living. Texas Tech University, home of the Red Raiders, is repeatedly among
the best agricultural schools in the country, and it will help me achieve my goals of becoming a large
animal veterinarian in the future.
College education today can be very pricey, especially considering that you have to pay for
everything, even applications. To even send in an application and be considered for Texas Tech
University it cost 75 dollars. Meal plans, dorms, and parking can add up to thousands and thousands
of dollars a semester. Classes are really expensive too, the average cost is 38,016 dollars per year.
This may seem overwhelming, but fortunately there are ways to help you with the cost. You can get
scholarships in high school from many different organizations such as sports, or 4h and FFA. Also at
Texas ... Show more content on Helpwriting.net ...
You have to do applications, to taking and submitting SAT and ACT scores to the colleges you want
to and are considering going to. To get into Texas Tech you have to have letters of recommendation,
ACT and SAT scores, high school transcript, and applications sent in by certain times. It is very
important to make good in all your high school classes, because if your in the top ten percent of your
graduating class you automatically get accepted into Texas Tech. It is also important to make high
scores on your ACT or SAT, because if your not in the top of you class those scores can get you into
school and can even get you into school for free. It can be very stressful and takes a lot of time and
effort to be accepted and even be considered to go to Texas Tech

Evidence Based Intervention
Evidence–Based Intervention Brief
By: Mary Marrone
1. Intervention Name: Integrated Treatment for Co–occurring Disorders
2. Brief Description: Due to the chicken and egg dilemma surrounding co–occurring disorders, for
years researchers have faced the challenge of what to treat first, in other words identifying the main
issue. Now after twenty years and being given the title of an evidence–based practice, researchers
have come up with a holistic approach in treating co–occurring disorders. Researches coined this
evidence–based practice as integrated treatment, which is basically a marriage between health and
mental health services/treatment/interventions.
3. Primary Outcomes of the EBI: While currently this is the new shift in healthcare ... Show more
content on Helpwriting.net ...
Overview of the Assumptions of the Intervention (This Includes Limitations): The research is
inconsistent, researchers have failed to acknowledge numerous issues, the lack of advocacy at the
state and federal levels, which leads to lack of funding, therefore leading to a low number of these
systems being implemented, which leads to disparities in services/treatment/interventions, which
overall leads to poor quality of patient care. There is currently an issue with getting veterans to seek
these services because they have a whole other added element to their illness (es)...

Dual Branding
1. What are the conceptual underpinnings of a dual–brand strategy? A dual brand strategy is the
association of two or more already well recognized trademarks in a synergistic retail setting
designed to benefit each, is one of the fastest growing areas in franchising. Numerous systems are
learning that they're significantly more effective in presenting their products and services to the
public when they do so in association with another brand. A company may use dual branding when
they want to increase the market share, saturating the market by filling all price and quality gaps and
catering to brand switchers users who like to experiment with different brands, a dual brand strategy
also may be applied when two companies want to ... Show more content on Helpwriting.net ...
* Catering to brand switchers users who like to experiment with different brands. * Keeping the firm
managers on their toes by generating internal competition. | * Brand cannibalization. * Difficult to
manage two different brands, due to splitting in spend. * Possibility of blurring brand identity in the
eyes of the consumer. * Duplication of roles of the corporate. | Going all the way to china is quite
risky for Best Buy, but for a company to succeed and survive needs to expand, and a dual–brand
strategy is not a bad choice to start with. BIBLIOGRAPHY
http://www.slideshare.net/idealajay/dual–branding
http://www.holmeslofstrom.com/z_pdf/articles/franchise_operations/The%20Dual%20Branding.pdf
http://prezi.com/caazpf19abys/best–buy–and–dual–branding–strategy/ Best Buy Inc. – Dual
Branding in China, Niraj Dawar; Ramasastry Chandrasekhar
–––––––––––––––––––––––––––––––––––––––––––– [ 1 ].
http://www.slideshare.net/idealajay/dual–branding [ 2 ]. http://prezi.com/caazpf19abys/best–buy–
and–dual–branding–strategy/ [ 3 ].
http://www.holmeslofstrom.com/z_pdf/articles/franchise_operations/The%20Dual%20Branding.pdf
[ 4 ].

Dual Federalism
1. What is federalism?
Federalism is a system of government in which power is divided between a central government and
several regional governments. An example of federalism in the United States is the division between
the national government and the states.
2. How are these systems of government different: unitary, federation, and confederation? Unitary
government is a system of government in which a single government holds the power to govern the
nation. Authority is centralized with state and local governments administering authority delegated
from central government. The United States had a unitary government when the British government
imposed a central, unitary authority to tax and administer the subordinate colonies. Examples:
United ... Show more content on Helpwriting.net ...
There is a block grant which is a broad grant of money given by the federal government to a state
government. The grant specifies the general area in which the funds may be spent but leaves it to the
state to determine the specific allocations. There is also a matching grant which is a grant of money
given by the federal government to a state government for which the federal government provides
matching funds, usually between one and two dollars, for every dollar the state spends in some area.
The major difference between a block grant and a matching grant is in a block grant the federal
government usually states spending levels, while in the matching grant allows for major program
expansion but creates a "moral hazard" in which people behave differently and often take more risks
when they do not have to pay all the costs of their

Dual Relationship Of Dual Relationships
Dual relationships in therapy practice are identified as an ethical issue and a boundary violation
(Sawyer, and Prescott, 2010). According to Sawyer and Prescott (2010), this is based in part on the
concepts that the relationships are not equal, the client is vulnerable, and that the primary
responsibility of the clinician is to make care of the client the first priority. Dual relationships are
defined by Syme (2003), as 'arising in any situation where a therapist assumes more than one
significantly different role either simultaneously or sequentially with a client'. This type of
relationship typically refers to two roles overlapping each other. A type of a dual relationship that I
could imagine occurring is taking on family or friends as clients. This is a dual relationship because
the therapist is acting as a professional and as a friend or family member to the client. An example
of this would be as follows, Susan is attempting to enroll her 6 year daughter into an elite private
school. The school requires that an intellectual assessment be completed before the final enrollment
stages are complete. Susan asks her brother, a licensed child psychologist to perform the assessment.
The results revealed that there were some low– performance areas and the little girl's IQ was not up
to par with the school's requirement. For this reason, the school decided not to move forward with
the enrollment process. Susan was upset with her psychologist–brother for not making

Dual Eligibles
Why Are Policy Makers Concern About Dual Eligibles? Dual eligibles are individuals who are
entitled to Medicare Part A and/or Part B and are also eligible for Medicaid benefit. Policy makers
are moving rapidly to develop and test reforms aimed at better coordination of resources, cost
management, and improve quality of care for people dually eligible for Medicare and Medicaid.
Policy makers are more concern about the cost these set of beneficiaries incur at both state and
federal level and how care is poorly coordinated. Especially, during the advent of ACA. Other areas
of great concern to policy makers are poor coordinated funding by both Medicaid and Medicare,
need to enact laws that will alleviate poverty of beneficiaries, ... Show more content on
Helpwriting.net ...
Some of the likely direct benefit of better coordinated care would be; reduction in the need for acute
care services such as hospitalizations and over utilization of emergency room. Developing
coordinated medical homes to prevent, diagnose and treat disease early will save health care cost.
Also, CMS estimates shows that, 45 percent of hospitalizations of dual eligibles from either
Medicare skilled nursing facilities or Medicaid nursing facilities in 2005 could have been avoided if
health care are well

Running Head: Dual Relationships1. . Dual Relationships
Running head: DUAL RELATIONSHIPS 1
DUAL RELATIONSHIPS 11
Dual Relationship Issues in Social Work Clinical Supervision
Melissa Harcrow
WNMU School of Social Work
Definition of Problem The ethics of social workers engaging in possible conflicts of interest in the
case of boundary and dual relationships presents major challenges for the clinical social work
supervisor. After the many mistakes in this realm during the formative period of social work during
the 20th century the National Association of Social Workers (NASW) and the American
Psychological Association (APA) have defined various code of ethics and practice standards in order
to shield vulnerable clients from over–confident, manipulative, or confused ... Show more content
on Helpwriting.net ...
It centers on a holistic approach to psychotherapy and the client's relationship to his or her
environment. Clinical social work views the client's relationship with his or her environment as
essential to treatment planning." (NASW, 2008) Through the lens of the Code of Ethics, various
guidelines have the potential to be impacted through this practice if attention to method,
transference/countertransference, mindfulness and competence are not examined. The three primary
ethical principles that have the potential to be impacted would be;
1) Social workers practice within their areas of competence and develop and enhance their
professional expertise, 2) Social workers recognize the central importance of human relationships,
and 3) Social workers respect the inherent dignity and worth of the person. To ensure that all three
potential conflicts are not present, a supervisee should research and interview potential clinical
supervisors prior to engaging in a contractual relationship. Secondly, a supervisee should partner
with their potential supervisor to discuss, evaluate, and plan for potential pitfalls within the
relationship through a very objectively written contract with accountability built in to ensure that
potential issues are proactively addressed. And finally, a

Benefits of Creating Dual Language Programs Essay
Dual language is a form of education in which students are taught to read and write in two
languages. The majority of dual language programs in the United States teach in English and
Spanish, although there are emerging programs that teach in Mandarin, Japanese and Hindi. The
programs start of mostly in kindergarten sand 1st grade and continue throughout primary education,
in addition some dual language programs depending on the grade continue through middle and high
school. Even Hayward's own Burbank elementary and Winton middle school are offering dual
language programs. Each level of teaching uses a different language ratio in which class is
instructed the classes start off with a 90:10 ration and later as years pass the ration becomes ... Show
Lindholm–Leary, 2007). Dual language programs were started around forty years ago. The first
school district to start using it was Dade County Public Schools in Miami, Florida in 1962 in the
following years programs spread into Washington D.C., Chicago, Illinois, and San Diego,
California. There are an abundance of dual language programs nation–wide where Spanish is the
most popular language taught with, 94% of instruction throughout the country ( Dual
Language,2014). There have even been bills that have supporting Bilingual Education in the United
States Civil Rights Act of 1964, The Bilingual Education Act of 1968, Lau v. Nichols of 1974,
Phyler v. Doe of 1982 and Executive Order 13166 of 2000 lastly No Child Left Behind Act of 2001.
One of the biggest benefits in creating more dual language programs would be that the English
language learners will be able to advance more in their academics. The transition from traditional
bilingual education toward English language immersion is an easier switch which ultimately helps
ELLs catch up with their English speaking peers. This not only benefits the students who are ELL
but their peers who at the same time are learning Spanish. English language learners become more
fluent in

Dual Immersion Program : A Innovative Bilingual Education...
Dual Immersion Program is one of the innovative bilingual education program, meaning what
develops the high levels of academic proficiency in the students on both learning languages
(Thomas and Collier 2002; Lindholm–Leary 2001)4. Other common used terminology used for one
of the variations of this type of program model is Dual Language Program, Dual Language
Immersion, Two–way Dual Language, One–way Dual Language, Partial Immersion, Full
Immersion, etc.
The instructional model of DIP promotes the development of bilingualism, biculturalism, and bi–
literacy in English, and another global language (in this case, Spanish, Mandarin and Vietnamese).
According to TAC §89.1225 (h)(i)(k), academic subjects are taught to all students through both ...
Nowadays, in USA exist two major variants of the DIP models referred to as the 90:10 and the 50:50
models. The principle distinguishes between these two variations is the distribution of languages for
instruction. The amount of time spent in each language varies across the grade levels in the 90:10,
but not 50:50, design.
1. In the 90:10 model, at the kindergarten and first grades, 90% of the instructional day is devoted to
content instruction in the target language (for example, Spanish or French or Korean) and 10% in
English. All content instruction occurs in the target language, and English time is used to develop
oral language proficiency and some pre–literacy skills. At all next grade levels the portion of the
target language has gradually increased oppositely to English language what portion of the
instruction has decreased. For example, students might be studying academic subjects as
mathematics, social studies and science in the target language, and language arts in both languages.
In the 5–6 grades, the students' instructional time becomes equal between English and the target
language.
2. ln the second model, used in AISD , 50:50 model, students receive 50% of their instruction in
English and the other half in the target language all years of the elementary school. At first, the
literacy instruction of the starts students in their primary language and then add on the

The Importance Of Bilingual Education
The number of language–minority children in the public schools have increased tremendously over
the last ten years. Bilingual Education has continued to grow relentlessly. The number of children
who have enrolled in dual language (DL) programs only continues to increase. Truly though, are DL
teachers ready to teach children in bilingual classrooms? Have these teachers received the
appropriate training so that their instruction would work effectively for the bilingual children?
According to Baker, the outcome of the staff professional development program should benefit the
teachers by increasing "their understanding of second language acquisition" and developing
"effective curriculum approaches in teaching language minority students as well being aware of the
students' language and cultural background (Baker, 2011). In the article " Dual Language Teachers'
Use of conventional, environmental, and personal resources to support academic language
development," Lucero carefully considers the DL teachers' instructional practices with their
potential to improve bilingual academic language outcomes for students. Since the allocation of
resources is a significant factor impacting teacher instructional practices, this aspect is divided into
three common types of resources composed of the conventional, environmental, and personal areas.
Conventional resources involve curriculum, facilities, teacher certification, plus professional
development sessions. Environmental

Dual Vagina
So. A woman with two vaginas exists. Pornhub is probably drooling over the opportunity to get such
a creature on its website and surely, your imagination is hardly tame right now. The possibilities
with having two vaginas really is endless, but for the sake of this article, (and all of our sick minds)
let's rope it in a bit. Here are just five things you didn't know about this dual vagina wielding female.
1. SHE DIDN'T KNOW SHE HAD TWO VAGINAS
One would think that having two vaginas would be fairly obvious right? Well, according to YouTube
star Cassandra Bankson, that's just not true. It was only recently that she found out she had two
vaginas. A trip to the doctor for some back pain was the route of the shocking reveal. From then on,
she's been understandably famous. PornHub has yet to make her any offers.
2. SHE CAN GET PREGNANT IN BOTH VAGINAS
If you'd like to get technical here for a bit, the official title of ... Show more content on
Helpwriting.net ...
SEPTUM COVERS HER G–SPOT; PORNHUB DISSAPOINTED
If PornHub ever wants to get a good close up of her G–Spot (assuming PornHub makes her an offer)
they will have to deal with the septum. Apparently, the septum conveniently separates the two
vaginas while simultaneously covering her G–spot. For those who always thought the G–spot was a
myth, well, sorry to break it to you. She was probably just lying to make you feel better.
4. SHE HAS A HIGHER RISK OF MISCARRIAGE
One would think that having two vaginas would double the chances of bearing children, but in fact,
it's quite the opposite. She states that the uteri are abnormally small, which increases the risk of
miscarriage and premature babies. On the upside, pregnancies have been known to ruin many a
career on Pornhub. So she's got then going for her, which is nice.
5. HER SEX LIFE IS GOOD
At the end of the day, through all the inconveniences, Cassandra's sex life is good. Not great, not
bad, but good. Her lucky boyfriend has even chimed in saying he pays equal attention to both
vaginas. What a

Advantages And Disadvantages Of Caravans
The days are now longer, warmer – and sunnier. Our thoughts have turned to getting away from it
all, excited at the prospect of waking to a new view somewhere else – perhaps in a friendly B&B, a
local hotel, or a quaint holiday cottage, hidden down a narrow winding lane beneath the trees. There
are those though who prefer roughing it in a tent, and getting truly back to nature – and there are
those who prefer the luxury of a caravan, with plug in power, air conditioning and flush loo – and
the added option of changing your view as often as you wish.
No–one knows exactly how many caravans there are in the UK. I do know I have followed a great
many of them on their way to the beautiful New Forest; and it's not just caravans you'll follow, but
... Show more content on Helpwriting.net ...
The standard rule of thumb is 85% of the cars unladen weight, which is listed in your owners
manual. Mine for example weighs a rather portly 1950 kg, therefore the largest weight towable is
around 1600 kg.
Anyone who passed their car test before the 1st January 1997, is entitled to drive a vehicle and
trailer combination up to 8250 kg. After this date, the maximum combined weight is 3500 kg, unless
you first pass an additional test to qualify for category B+E – in both cases it's important to note that
the trailer weight must not exceed that of the towing vehicle. License regulations are quite complex
– so go to dvla.gov.uk for the latest information or call them on 0115 901 2515 / 6.
If you own or are thinking of buying a modern trailer or caravan, it will be fitted with the latest 13–
pin Euro socket which powers all your lighting and battery powered appliances. In the past you will
probably have had a 7 or 8–pin socket, which only provided for your lighting requirements; a
separate 7–pin socket was needed for your caravans 12V electrical comforts – the interior lighting,
small but handy fridge and essential sockets for the travel hair dryer. It is important to check your
tow vehicle is wired similarly to your trailer or

Dual Language
Dual Language
Guadalupe Silva
Lakeland College
Table of Contents
Abstract 2
Features of Dual Language Education Programs 4
Assessment and Accountability 6
Curriculum 6
Instruction 7
Staff Quality 10
Professional Development 12
Program Structure 14
Family and Community 16
Support and Resources 17
Conclusion 18
References 20
Abstract
What is Dual language? Dual language is a form of bilingual education that teaches students, as

young as pre–k programs, literacy and content in their native speaking language. These programs
typically start in kindergarten and continue for the next few years, many are now continuing into
middle school ... Show more content on Helpwriting.net ...
The rationale for including these students in high–stakes tests it to hold them to the same high
standards as their peers and to ensure that their needs are not overlooked. (Coltrane, 2002) Effective
schools use assessment measures that are aligned with their school goals and vision as well as with
the appropriate school curriculum. The goal is for students to feel as if they are significant part of
the learning process. At a young age, students need to feel the importance of their education and
take pride in the work that they do. At times this is not possible, because they simply don't
understand what is being taught due to language barriers. It is important to analyze and interpret
data in significant ways to achieve program accountability and improvement. In order for successful
outcomes, the staff needs to be taught as well and provided with professional development that is
focused on assessment and interpretation of data. Not only is the assessment and accountability, the
curriculum, and the professional development of staff important, but with

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