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Mamma Mia: A Feasibility Study of a Web-Based Intervention to Sample Reduce the Risk of Postpartum Depression and Enhance Subjective Well-Being. Currently, 10-15% of women giving birth suffer from symptoms of postpartum depression. Due to a lack of knowledge of this condition and the stigma associated with it, as well as few treatment options, a large proportion of postpartum women with depression remain untreated. Internet-based interventions have been found effective in treating depression, anxiety, phobias, and addictions. Sample Job Evaluation Report Examples Pdf? Hence, we developed such program (#x0201c;Mamma Mia#x0201d;) with the Resume aim of reducing the risk for Disciplinary Form Employee postpartum depression and enhance subjective well-being. Mamma Mia is based on positive psychology, metacognitive therapy, and couples therapy. It starts in gestational week 22, and lasts until 6 months after birth. Sample Clerk Resume? During pregnancy, Mamma Mia is Sample Report - 8+ In Word,, delivered weekly (every Monday).

After birth, Mamma Mia is delivered three times per week for six weeks. The remaining weeks, the program is delivered more sporadically. In total, Mamma Mia consists of 44 sessions. Sample Clerk Resume? The program is individualized, interactive, and tunneled (ie, the user is guided through the program in a pre-determined manner). The purpose of the present study was to pilot test the intervention in order to assess the feasibility and acceptance among program users. The present paper reports a feasibility study that combined quantitative survey data with semi-structured interviews. Participants (N=103) were recruited via hospitals, well-baby clinics, and Facebook. Due to time constraint in completing the current study, our results were based on Tag Cards Template Svg File - Future I, participation in one of the two phases: pregnancy or maternity.

Participants in the pregnancy phase were surveyed 4 and 8 weeks after intervention enrollment, and participants in the postnatal phase were surveyed 2 and 4 weeks after intervention enrollment. The survey assessed perceived usefulness, ease-of-use, credibility, and unobtrusiveness. All measures were filled in by participants at both measurement occasions. Data were analyzed by Sample, running descriptives and Sample Report - 8+, frequencies with corresponding percentages. Binomial tests were carried out to investigate whether demographics differed significantly from a 50/50 distribution. Sample Clerk? Paired sample t tests were used to examine differences between time 1 and 2. Four participants were interviewed in Template - Future | Things, the qualitative follow-up study, where they were given the opportunity to address and elaborate on similar aspects as assessed in the survey. More than two-thirds of users found Mamma Mia to be of Resume high quality and would recommend Mamma Mia to others.

By far, most also found the amount of information and Template - Future Class!, frequency of the intervention schedule to be appropriate. Mamma Mia was perceived as a user-friendly and credible intervention. Overall, the user acceptance of Sample Clerk Mamma Mia was good and our findings add to the feasibility of the program. The effect of Mamma Mia on My Document Blog. Science, depression and subjective well-being will be evaluated in a large randomized controlled trial, and if found to be effective, Mamma Mia could serve as a low-threshold prevention program. Postpartum Depression: Prevalence, Risk Factors, and Treatment. The postpartum period represents a vulnerable time, where the woman is at increased risk for mental disorders [1]. Studies typically report that 10%-15% of new mothers experience symptoms of severe emotional distress, frequently labelled postpartum depression (PPD) [2-4]. Postpartum depressive disorders vary in severity; ranging from the mildest kind seen in postpartum blues to moderate or major depression, to the most severe cases known as postpartum psychosis [3]. While only Clerk 0.2% of new mothers experience postpartum psychosis, postpartum blues affect as many as 50%-80% of postpartum women and it is Financial To Creditors Ojazlink, thus considered to be a fairly #x0201c;normal#x0201d; phenomenon.

Baby blues occurs during the Sample Resume first 7-10 days postpartum, and is assumed to arise due to hormonal reasons. Eventually, it wanes without treatment, especially with the support of family and friends and with the reassurance of health personnel that this reaction is quite normal [2]. Employee Notice. Employee Warning Report? The PPD falls under the category of major depressive disorder found in the diagnostic manuals (DSM-IV-TR; ICD-10). According to the manuals [4,5], description, symptoms, course, and Clerk, outcomes of PPD are similar to major depressive disorder. The only difference is the time of Cover Science Blog. Science Teacher its occurrence. The depression strikes in Clerk Resume, a woman#x02019;s life when she is expected to be as happy as can be, which obviously makes the experience of the depression particularly arduous. In order to fulfill a diagnosis of PPD, one must experience a period of at least 2 weeks of depressed mood or loss of interest in almost all activities, as well as experiencing at least four of the Computer Science Science Teacher following symptoms: change in appetite and Sample Clerk, weight, sleep, and psychomotor activity; decreased energy; feelings of Letter My Document worthlessness or guilt; difficulty thinking, concentrating, or making decisions; and recurrent thoughts of death or suicidal ideation, plans, or attempts [4]. Factors that put women at elevated risk for PPD include a personal history of depression, family history of Clerk Resume depression, negative life events, partner conflicts or low relationship satisfaction, low levels of social support, and certain baby characteristics [6,7].

The most common symptoms of PPD are tearfulness, feelings of hopelessness, inadequacy, guilt, inability to cope with and feel joy over Ojazlink, the arrival of new baby, agitation and anxiety, loss of appetite, poor concentration and memory, sleep disturbances, fatigue, social isolation, and suicidal ideation [8]. Women who suffer from PPD are less capable of Sample Resume carrying out Cover Computer Science My Document Teacher maternal duties, such as engaging in important developmental activities with the baby, like playing and talking, which may influence the child#x02019;s cognitive, and socioemotional development [9], as well as the Sample Resume infant#x02019;s attachment style [10]. Men have an Notice. Spanish Employee Warning Report increased risk of Sample depression when their partner is Sign Petition Photos, & Vectors, depressed [11], and children of depressed fathers are at increased risk of behavior problems [12]. Finally, many women risk experiencing less severe on-going symptoms long after the depression is considered over, and they are at Resume, risk for recurring depression [13]. The personal cost as well as the cost to society caused by PPD is large; thus, illustrating the Disciplinary Action pressing need for effective prevention and Clerk Resume, early intervention. According to the National Institute for Health and Clinical Excellence (NICE) guidelines [14], effective treatment of depression is to provide immediate support and information, problem-solving, and self-help. Several studies have also found cognitive-behavioral therapy [15], cognitive treatments [16], and Action Disciplinary Action Form 25 40, metacognitive therapy [17] to be effective. Clerk? However, a large proportion of those who suffer from PPD do not receive treatment, in part due to 25 40 Employee the stigma associated with the disorder as well as limited access to effective treatments [18].

Another important reason why PPD treatment may be hampered is the Resume under recognition of PPD. The under recognition is Bottle Tag Cards Template Class! I, not only due to the brief consultations with the Clerk Resume medical health professionals, but is also due to the difficulty in Sample Report - 8+ Pdf, distinguishing PPD symptoms from normal symptoms seen in new mothers, such as tiredness, change in Resume, eating habits, difficulty with concentration and sleeping. New mothers also report to be unfamiliar with what constitute PPD symptoms, and do not know that they suffered from PPD until it was over. All these factors combined cause many people to suffer #x0201c;in silence#x02019;#x02019;. In sum, barriers to effective treatment including lack of resources and Hardship Ojazlink, trained providers and social stigma associated with PPD [19] suggest a need for innovative approaches to public health prevention and promotion. Many Web-based interventions have been designed and documented to be effective in Resume, treating various mental problems including depression [20], anxiety [21], and stress [22].

Studies document that people with these mental disorders greatly benefit from Web-based interventions [23,24] and that Web-based interventions represent a low threshold service with a high reach [25]. More recently, two studies found support for the feasibility and usability of Web-based interventions targeting PPD [26,27], but there exist no randomized trials testing the Sign Stock Royalty-Free efficacy of PPD interventions. Web-based interventions have been found successful in reaching women of lower socio-economic status, a group typically found to be harder to reach [28]. Sample? It is also noteworthy that young women (ie, women in Cover Letter Computer Science My Document Teacher, childbearing age) are the ones who use Internet most frequently when it comes to acquiring health-related information [29]. Sample? A Web-based intervention can thus both prevent the development of depressive symptoms as well as reach out to the many people that suffer #x0201c;in silence#x02019;#x02019;, and it seems promising considering that many people prefer first line services (ie, local- and home-based services) rather than regional or specialist health care services. The Web-Based Intervention: Mamma Mia. Mamma Mia is an automated/unguided Web-based self-help intervention. The aim of Warning Spanish Mamma Mia is threefold: (1) to prevent PPD, (2) to treat pregnant women/new mothers with mild-to-moderate symptoms of depression, and Clerk Resume, (3) enhance subjective well-being. Overall, Mamma Mia consists of 3 phases (see Table 1 ). The pregnancy phase starts in gestational week 22 and ends in Disciplinary Form Employee, week 40 (estimated due date). The pregnancy phase consists of 16 sessions, which are delivered weekly.

The maternity phase starts when the infant is 1-2 weeks old and Clerk Resume, lasts for 6 weeks. This phase is the most intense phase as these weeks are considered to Warning Spanish Report comprise the most vulnerable time period for the new mother. Sessions are delivered three times per week, which make up a total of 18 sessions. Resume? The final phase is the low-intensity maternity phase, which consists of 10 sessions over 18 weeks. Petition Royalty-Free? These sessions are delivered with some variation (weekly at Sample, first, and then every other week). In total, Mamma Mia consists of 44 sessions over a period of 11 months. For each session, the Cover Blog. Science user receives an email with a hyperlink. By activating the Clerk link, the Form user gains access to Mamma Mia and proceeds in a predetermined/tunneled sequence of Web pages (ie, the tunnel information architecture) [30]. In terms of delivery methods and information architecture, Mamma Mia is similar to previous eHealth programs, and Sample Clerk, thus represents a well-tested approach to treatment [31-34]. The key components in Sign Petition Stock Royalty-Free & Vectors, Mamma Mia are (1) assessment of depressive symptoms, (2) metacognitive therapy, (3) positive psychology, (4) couples therapy, (5) breastfeeding, and (6) psychoeducation. These components are included because they are identified as important with regards to emotional distress during and shortly after pregnancy.

The same components (except for 5 and 6) are included in the partner version of the program. The most common screening-tool for PPD is the Clerk Resume Edinburgh Postnatal Depression Scale (EPDS), which assesses depressive symptoms during the last 7 days [35]. The program will monitor the Financial | Docoments Ojazlink participants#x02019; level of depressive symptoms over time (as measured by the EPDS). Depressive symptoms will be assessed on three occasions during pregnancy and four times after birth. After each assessment, the Clerk Resume participants will receive feedback based on their scores on the EPDS. The feedback is divided into#x000a0;three#x000a0;categories: (1) when there are no depressive symptoms, (2) when there are some depressive symptoms, and (3) when the score is indicative of severe depression. If the participant#x02019;s score suggest the Disciplinary Action Disciplinary Form presence of some/many depressive symptoms, the Sample Resume program will recommend the user to Financial Letter | Docoments Ojazlink speak to someone they trust about how they are feeling, and if necessary, seek professional help (the program suggests where one can seek professional help). The participant will repeatedly through the program be reminded that this is just a self help program, and if they are experiencing symptoms of depression it is Sample, important to get help. To decrease the symptoms of depression, the EPDS-score is additionally used to tailor a therapeutic component that is based on metacognitive therapy. Metacognitive therapy [17] is a recent development in Employee Notice. Spanish Warning Report Forms, understanding and Sample, treating mental health problems, which has been proven effective in Employee Warning Spanish Employee Warning, treating depression [36].

The approach is based on a specific theory proposed by Wells and Matthews [37]. The theory contends that those aspects of Clerk cognition that control mental processes create and maintain emotional or mental health problems. This mechanism leads to Forms patterns of worry, rumination, threat monitoring, high conceptual activity, and counterproductive coping behaviors, and it is referred to Sample as the cognitive attentional syndrome. In contrast to cognitive therapy, metacognitive therapy does not deal with the content of specific negative thoughts, feelings, or beliefs (eg, #x0201c;I am worthless and incompetent#x0201d;). Rather, it deals with the process of how people arrive at and respond to these negative thoughts, feelings, or beliefs (eg, self-evaluation). In other words, the product of the thinking process is not as important as the Employee Warning Spanish Employee Report process itself. It is an inflexible and recurrent thinking style in response to negative thoughts, feelings, or beliefs that causes problems and needs to be treated.

In consequence, a key aspect in Clerk Resume, metacognitive therapy is therefore to help people experience detached mindfulness, which is a disengaged and objective form of awareness in response to thoughts, feelings, and beliefs. A state of detached mindfulness helps the person to separate the self from her or his thoughts. Thus, the present program educates users about mindfulness exercises to Employee Spanish Employee Warning Report Forms reduce the functions of thoughts [38]. One such exercise is turning negative thoughts track, which is based on the acceptance and commitment therapy [39], and uses a combination of Clerk acceptance and mindfulness to help people distinguish themselves from thoughts, feelings, sensations, and memories. Other concrete tasks that aim to enhance mindfulness include #x0201c;the body scanning#x0201d; exercise and #x0201c;the gong#x0201d; exercise. Action Action 25 40? Both tasks are based on audiotapes that instruct the Sample Clerk Resume person to try to Job Evaluation Examples In Word, visualize and focus on either a sound (the gong) or a marble travelling up and down on one#x02019;s spine. Thoughts can come and go, one is Sample Clerk, only to Letter To Creditors | Docoments Ojazlink register that they are there, not evaluate them.

Positive psychology revolves around all that is good in life, and aspects that give meaning and enhance life satisfaction. Concrete tasks aimed at enhancing positive emotions, engagement, and a sense of meaning/purpose has been developed [40]. The basic idea for the different tasks is the assumption that the effect of Sample Clerk positive emotions extends beyond the immediate moment. Hardship Letter To Creditors Ojazlink? Peterson and Seligman [41] argue that engaging in the tasks may enhance well-being, a sense of skill, efficiency, mastery, mental hygiene, as well as a person#x02019;s social network. That is, a person#x02019;s fundamental needs may be strengthened, which in Clerk Resume, turn may lower the risk of mental disorders. Indeed, several studies have demonstrated that various #x0201c;happiness-tasks#x0201d; have not only I enhanced a person#x02019;s sense of life satisfaction, but also reduced the prevalence of depression [42,43]. Seligman et al [44] argue that these studies suggest efforts aimed at preventing/treating depression would benefit from including components based on positive psychology. Sample Clerk? One of the crucial ingredients in the present program is exactly that. Tasks that aim to Template | Docoments Ojazlink enhance or facilitate gratitude, socializing, doing acts of kindness, optimism, and pleasant activities are included. The different tasks are described in Sample Clerk Resume, some detail below.

The gratitude component involves assignments such as counting one#x02019;s blessings, writing down 3 good things that happened during the day, writing a letter of gratitude, and saying #x0201c;thank you#x0201d; more often than usual. In order to increase socialization and thus strengthen the social network, which in Bottle Tag Cards Template - Future Class! | Things, turn facilitates social support, one is Sample Clerk, encouraged to initiate social interaction with friends and relatives. Assignments include calling a friend and inviting him/her out and Template | Docoments Ojazlink, mapping one#x02019;s social network. One is also advised on Clerk Resume, how to get new friends, and strengthening existing relationships (eg, find out Petition Stock Photos, Royalty-Free Images & Vectors about a friend#x02019;s plan and follow-up the next week by asking how it went, or give compliments to a partner or friend). In terms of acts of kindness, one is Sample Clerk Resume, encouraged to do acts of kindness to others, keeping track of such acts, and plan them ahead of time. Examples of kind acts are provided, while one is Bottle Tag Cards Template Svg File - Future Class! | Things I, also encouraged to figure out such acts for oneself. The #x0201c;best possible self#x0201d; exercise is intended to increase optimism [45,46]. Resume? Here, the person is encouraged to envision scenarios of a future life in Employee Warning Warning, which many goals and dreams have been actualized and where much personal potential have been met. Assignments in the coming week will ask the person to elaborate on Sample Clerk Resume, the scenarios, to recognize what one has already achieved that is in line with the best possible life scenario, challenge and turn around obstructive thoughts, and break major goals down into achievable sub-goals and milestones. The final positive psychology task is based on Financial Hardship To Creditors Ojazlink, cognitive behavioral therapy [47], and is intended to facilitate the engagement in pleasant activities.

The program starts by prompting the person to Clerk compile a list of activities that make her/him feel good. Cover Science Blog.? In the subsequent weeks, the person is asked to schedule one or more of these activities. She or he is also asked to determine a goal for Sample Clerk Resume one of the activities. By including such a goal, one is implicitly encouraged to repeat the activity over time. A recent study suggests relationship dissatisfaction to be the strongest predictor of maternal emotional distress during pregnancy [48,49]. Hence, a unique component of the Financial Hardship To Creditors Ojazlink program is Clerk Resume, dedicated to enhancing communication between partners and facilitating healthy conflict resolution, which in turn is expected to improve relationship satisfaction. The couple#x02019;s therapy is mainly based on a course that has been evaluated as an online program [50]. The course is Template Svg File | Things, based on Sample Resume, cognitive behavior therapy. Five video clips are presented with the aim of enhancing communication skills, facilitating conflict resolution, and encouraging the expression of positive feelings toward each other.

Following each video clip, one is encouraged to make use of the techniques that have been introduced. Disciplinary Disciplinary Form 25 40 Employee? An example of a task is to let one#x02019;s partner know when he or she made you feel appreciated; this task is Sample, intended to Bottle Tag Cards Template Svg File Class! | Things I facilitate the Resume expression of positive emotions between partners. Another task that targets healthy conflict resolution is #x0201c;the active listening#x0201d; task. This task requires that the partner that holds an object is the one talking. The other partner listens. When the person is finished talking, he or she gives the object to the other person and he/she repeats what was said. This task is intended to encourage listening and to raise awareness in Wine Bottle Tag Cards Svg File Class! | Things I, terms of Sample how one typically and ideally communicates in Job Evaluation Report Examples Pdf, a relationship.

Research suggests a relation between breastfeeding and Sample Clerk Resume, depressive symptoms [51-55]. Formative research done prior to the development of Mamma Mia aimed to discover the topics that were most important with regards to well-being and depressive symptoms [56,57]. These studies confirmed that breastfeeding difficulties were strongly linked to depressive symptoms of postpartum. Hardship Letter Template | Docoments Ojazlink? Hence, a component in the program focuses on breastfeeding, both normalizing difficulties associated with it, providing useful advice and assistance, as well as informing of the optional use of Sample Clerk substitute. Every session in the program includes information regarding topics such as emotional lability in pregnancy, changes and Form. Action Form 25 40 Employee, challenges in the partner relationship, the importance of social support, the fetus and the infant#x02019;s development, birth etc. Short video clips are available to demonstrate and explain the Sample Clerk infant#x02019;s state regulation system (sleep-wake cycles), and this information is integrated with issues related to the infant#x02019;s capacity to sleep and rest, soothability, interaction/communication etc. The intention is that the program will provide the woman with relevant information adjusted to her own progress through pregnancy and after the Form. Form 25 40 Employee child is born. Before disseminating Mamma Mia, we found it pertinent to investigate the feasibility of the program. Therefore, we pilot tested the intervention to observe how it is used and perceived by its users, and how this relates to the operation and future development of Mamma Mia. Consequently, the objectives with the present study were to (1) examine user acceptance of Clerk Mamma Mia, (2) examine how it was perceived among end-users, and (3) identify potential issues with use, acceptance, and program-specific needs that might provide added value to Mamma Mia and its operation and future development. Survey Design and Data Collection.

The present study combined quantitative survey data with semi-structured interviews to assess the feasibility and acceptance among program users. Survey data were collected by means of Web-based questionnaires at two measurement points (T1 and T2). Due to time constraint in completing the current study, our results were based on Cover Teacher, participation in Sample, one of the two phases: pregnancy or maternity. Participants in Sign Petition Photos, Royalty-Free Images & Vectors, the pregnancy phase were surveyed 4 and 8 weeks after intervention enrollment, and Sample Resume, participants in the postnatal phase were surveyed 2 and 4 weeks after intervention enrollment. Furthermore, program usage was continuously monitored by means of log server registrations. Six items were rated on a scale from Disciplinary Form. Disciplinary Action Form Employee 1-7 in order to assess a person#x02019;s belief that using Mamma Mia is useful and helps increasing well-being [58]. Four items were rated on Clerk Resume, a scale from 1-7 to measure a person#x02019;s belief that using Mamma Mia is Wine Tag Cards - Future Class! | Things, free of effort [58]. Four items were rated on a scale from 1-7 to assess whether Mamma Mia is considered credible and trustworthy. User Satisfaction is measured in terms of how users rate the overall quality and Clerk Resume, satisfaction of the program, and whether they would recommend it to others.

Four items were rated on Sample Job Evaluation - 8+ Examples Pdf, a 1-7 scale [59]. Four items were rated on a 1-7 scale to Sample Resume assess whether users have the opportunity to use Mamma Mia seamlessly as part of their daily routines. Estimated means of all the measures were reported in Table 4 [60]. Technical problems were measured using a single yes/no option (#x0201c;Have you experienced any technological problems in using Mamma Mia?#x0201d;). Participants that responded #x0201c;yes#x0201d;, were provided an additional open-ended question, #x0201c;Please describe the technological problems you have been experiencing?#x0201d;

Improvements were assessed using a single open-ended question, #x0201c;If you could improve anything in Wine Bottle - Future, Mamma Mia, what would that be?#x0201d; Participants were recruited at 5 health care clinics and Sample Clerk Resume, 2 hospitals. Here, midwives/public health nurses handed out a brochure and offered to try Mamma Mia. We recruited primarily women, and their partners through the women. The reason why we did it this way is because women often go to the follow-ups at Sample Report Examples In Word,, the well-baby clinics and hospitals by themselves. Potential participants had to Sample take home the brochure and send an email to the administrator of the Wine Bottle - Future | Things I program to register for Sample Resume participation. Upon registration, participants were enrolled consecutively from February to May 2012. Participants were also recruited on Facebook (30% of the total sample). In order to Employee Warning Forms be included in the study, one had to be in gestational week 22 or 2-3 weeks after birth, or one had to be the partner of Clerk a women in gestational week 22 or who had given birth within the Hardship Letter To Creditors Template last two weeks. Clerk Resume? The two inclusion criteria we applied were that all participants had to be 18 years or older, and they had to be able to read and understand Norwegian. A total of 103 users were recruited from February to May in 2012.

By far, most participants were female (82%) and the mean age was 31.4 years (SD 4.3; range 20-41 years). Female participants were on Sign Petition Royalty-Free, average slightly younger (mean 31.1, SD 4.4) than male participants (mean 33.4, SD 4.0). However, this difference in age between female and male participants was non-significant ( t 54 =-1.1, P =.28). Furthermore, binomial tests of 50/50 proportions (all P values, P #x0003c;.02) confirm that most participants were ethnically Norwegian, had 4-5 years of college or university education, currently employed, and had no previous children ( P#x02264; .02). Most participants who were recruited were in Clerk, their pregnancy and multinomial tests of equal categories show further that most participants were currently in a relationship ( P#x02264; .01). For more information on participant characteristics, please see Table 2 . Missing data ranged from 4% (41/103)-32% (33/103). Interview Design and Data Collection. A total of 103 participants were recruited to test the Svg File | Things I usage of Sample Resume Mamma Mia, among which a random subset of 10 was invited to take part in an interview. Four participants (3 women; 1 man) agreed to do the Letter Template | Docoments in-depth, semi-structured, tape-recorded interview.

The participants were interviewed in turn, and Sample, it was decided that it was not necessary to interview additional participants after the 4 interviews had been completed as the analyses reached a satisfactory saturation point (ie, the same themes emerged). An interview schedule was developed with open-ended questions with prompts and follow-up questions employed to elicit a breadth and depth in - 8+ Examples In Word, Pdf, responses [61]. The interview schedule asked participants to describe how they viewed Mamma Mia in terms of its appeal, usability, strengths and opportunities, limitations, and challenges. Clerk Resume? The interview schedule also addressed the participants#x02019; fidelity to Notice. Warning Report the program, and why there had been a high/low degree of fidelity. Participants were encouraged to discuss both positive and negative feedback.

Participants were also encouraged to Resume think aloud in terms of how to best market the Employee Notice. Warning Report program, and the final question was an open question, where participants could raise issues that had not been addressed in the interview. All the interviews were conducted by the first author, and they were conducted in her office. They lasted approximately 1 hour. The data were transcribed verbatim. All four (P1-P4) participants had higher education and were married/cohabitant. Three participants had previous children. Two participants had tested pregnancy phase, and two had tested the maternity (including high and low intensity) phase. In total, 78.6% (81/103) participants were engaged with Mamma Mia, while 21.4% (22/103) participants did not initiate the use of Clerk Mamma Mia. In the pregnancy phase, the average number of completed program days was 7.4 (SD 6.9).

Median number of completed program days was 6. In the maternity phase, the average number of completed program days was 11.5 (SD 11.8). Svg File - Future Class!? The median number of completed program days was 5. The program lasted for 11 months. Due to time constraint in completing the current study, however, we chose to study adherence within a limited time frame. Consequently, users have not been given the Clerk Resume chance to complete the program. Thus, usage data may not accurately reflect adherence. The response rates varied from 25% (6/24)-58.6% (44/75) (see Table 3 for Employee Notice. Employee details).

The response rate was higher in the pregnancy phase compared to the maternity phase. Overall, 65% (67/103) of responders rated Mamma Mia to Sample Clerk Resume be of high quality. Moreover, almost 2 out of 3 responders would recommend Mamma Mia to others. A total of 43% (44/103) reported that the information presented in Action Form. Disciplinary Form 25 40, Mamma Mia was relevant to them. Sample Clerk? In terms of the quantity of information in each session (ie, program day), users reported that the amount of information was appropriate. It does not seem to Sign Stock Photos, Images be too much content during sessions, rather some found it a bit too little. In the Sample Clerk pregnancy phase of Mamma Mia, 78% (58/75) reported that one session per Job Evaluation Report Examples, week was appropriate, while the Sample Clerk Resume rest found one session per week to be too rare. In the maternity phase, 67% (16/24) found three sessions per week to be appropriate, while 33% (8/24) found it a bit too much. Table 4 illustrates how participants rated Mamma Mia in terms of usefulness, ease-of-use, credibility, unobtrusiveness, and satisfaction.

The theoretical range goes from 1 through 7 for all five scales. Generally, ratings were high, indicating good user acceptance. Paired sample t tests were performed to compare ratings across time (T1 and T2), and results suggested that the Wine Tag Cards Template Class! ratings were stable over time. Therefore, Table 4 reports the figures from T1 only. A total of 47 improvements were suggested by the participants. Figure 1 is a word cloud based on the text users have provided with common words removed (such as prepositions). A word cloud gives greater prominence to Sample Resume words that appear more frequently in the source text. As can be seen, words like #x0201c;information#x0201d;, #x0201c;adjustment#x0201d;, #x0201c;platform#x0201d;, #x0201c;independence#x0201d;, and #x0201c;multiparous#x0201d; were the most prominent. Warning Spanish Employee Report? If we re-contextualize the words within the source text, a few clear categories become emergent.

First, 36% (17/47) comments were related to individualization or tailoring of intervention content. Based on these 17 comments, five reported that the program should be adjustable to Sample Clerk gestational week or number of weeks after giving birth. Five participants commented that Mamma Mia should adjust its information to whether one is giving birth for the first time or not. Finally, 6 participants also noted that Mamma Mia should adjust the couples#x02019; therapy so that (1) users without partners can skip the Sign Petition Stock Photos, Royalty-Free Images & Vectors couple#x02019;s therapy and Sample Resume, (2) that the couples#x02019; therapy can be repeated so partners more easily can manage to follow it together. Regarding (1), one participant actually reported feeling #x0201c;down#x0201d; when faced with the couples#x02019; therapy as it merely acted as a reminder about a recent sensitive event (ie, most likely a breakup). Although such cases may not occur very frequently, they pose a real threat to the well-being of the Financial Hardship Letter To Creditors | Docoments individual and act counterproductive to the objective of Mamma Mia. Regarding (2), it is not exactly clear, based on participants#x02019; comments, what actions can be taken to help couples follow the couples#x02019; therapy together. It could mean that the program should be isolated from Mamma Mia as a stand-alone component or it could simply mean that better coordination in the program would be helpful. Sample Resume? But this quickly becomes speculative and further testing is warranted.

Second, 28% (13/47) comments were concerned with improvements to the information provided in Mamma Mia. It seems that users have a two-fold opinion. On the one hand, some users request more information, especially about the baby in utero and about mothers#x02019; emotional and physical development during pregnancy. On the other hand, some information seems redundant or familiar, especially for women who already have children. The latter may be an important cue for increasing adherence. In a recent study by Tonkin-Crine and colleagues [62], they interviewed participants to identify reasons for not engaging with a Web-based intervention for chronic illness. What they found was that participants who already knew much about their chronic illness found a lot of the information superfluous, and hence dropped out. Participants suggested that more information should be optional or adjusted according to the level of Job Evaluation Examples In Word, knowledge of the participant, which inevitably leads to some form of Resume individualization or tailoring. The third emergent category is related to technological development. Employee? A total of 23% (11/47) comments mentioned that program adherence was made difficult by not being available for iPad or smartphones. This means that these participants report that Mamma Mia should ideally be platform independent.

Platform independence ensures the accessibility and ubiquity of Sample Resume Mamma Mia as participants can take the program on-the-go or wherever they are. In conclusion, we have identified three main categories of suggested improvements which account for 87% of the variation in participants#x02019; responses. The remaining residual of 13% does not add up to any further coherent or meaningful categories. Typically, the Teacher residual consists of individual responses such as #x0201c;discovered typos#x0201d; or #x0201c;option for chatting with health personnel#x0201d;. Reflective Practice and Participant Feedback. The first lesson from the present study is that not all participants seem to read information about Mamma Mia very carefully during recruitment. It is Sample, estimated that roughly 10% of the Sign Petition Stock Photos, Royalty-Free & Vectors participants that were recruited, had passed the gestational week 22 or were more than 2-3 weeks passed giving birth. Consequently, participants sign up even though they are passed the point of registration. This results in #x0201c;confusion#x0201d;, #x0201c;misunderstandings#x0201d;, and questions about #x0201c;where can I adjust the program to my gestational week?#x0201d; At least two participants also had to be re-registered from the prenatal phase to the postnatal phase of Clerk Resume Mamma Mia, because they signed up late in their final trimester. The second lesson is that including hospitals and health care clinics require greater amounts of Disciplinary Form. Action Employee time and effort. The key factors that can promote or inhibit the use and implementation of Mamma Mia in health care settings are not known at this point in time.

However, the Sample Resume overall impression during recruitment was that hospitals and health care clinics experienced difficulties recruiting the numbers expected and needed. Only 61.2% (63/103) participants were recruited at hospitals and health care clinics despite the Action Form. Disciplinary Action fact that 925 brochures were handed out and 9 meetings were held about Mamma Mia, at the very same hospitals and health care clinics. Consequently, RBUP (Centre for Child and Adolescent Mental Health) started recruiting participants online after the Clerk Resume recruitment had started at Disciplinary Action, hospitals and health care clinics, and with less time and less effort they managed to recruit 35% (36/103) participants. Also, due to the slow recruitment, the Sample question #x0201c;Where were you recruited for the user survey of Mamma Mia?#x0201d; was included late into the recruitment period. Out of 7 responses, only 1 reported being recruited at | Docoments, a health care clinic. The remaining 6 participants were either recruited via their private or social network or RBUP. We were interested in Resume, the women#x02019;s qualitative experience of Mamma Mia, and in the issues they themselves raised in relation to it. The analyses relied upon organizing sections of the data into Sign Photos, Royalty-Free Images recurrent themes [61]. In accordance with Braun #x00026; Clarke [63], our approach is based on a thematic analysis, as opposed to a theoretical analysis; our themes were identified in an inductive manner, making the themes strongly linked to the data; and we took a semantic approach in that we did not look for a deeper meaning beyond what the participant said. Sample Clerk? Furthermore, we followed Kissling#x02019;s recommendation [64] to let the data itself suggest names for Financial To Creditors Template | Docoments the themes, and Sample Clerk Resume, took direct quotes from the transcripts to illustrate the kind of data classified by each theme.

In an attempt to increase reliability and validity, two researchers analyzed the data, first separately, then jointly. Additionally, the qualitative analyses were carried out without knowledge of the quantitative survey. The themes could largely be categorized either as strength or weakness, or both. Thus, the Sign Stock Photos, findings are presented below in terms of Sample Clerk strengths and weaknesses for each theme. The accessibility of the program was largely mentioned as one of the strengths of the program. The opportunity to complete the sessions at home or at work, depending on when one had the time was greatly appreciated. This is in line with previous research [65]. Participants appreciated that the information was concise and brief, and it was easy to understand.

Moreover, it was presented to them at an appropriate time; they received the information when they felt they needed it. The women enjoyed that the program was organized according to a tunneled sequence; that is, they were guided through the Spanish Employee Report program and had to complete one module before proceeding to the next. Sample Resume? As one participant said #x0201c;to me, the program felt like a safe guidance that contained the Letter Science My Document Teacher information I needed when I needed it#x0201d; (P1). The frequency of the sessions was found to be appropriate, although it was suggested that the preparation phase of the Sample Clerk Resume program could ideally have had more frequent sessions. The interviewees expressed enthusiasm with regards to the information and exercises that targeted the relationship with partner and sensitivity with regards to the infant#x02019;s signals.

As one participant said: #x0201c;With Mamma Mia, you get the knowledge you won#x02019;t get anywhere else#x0201d; (P2). Moreover, they enjoyed how the program was not a mere channel for information that provides general advice, but it #x0201c;raised#x0201d; questions that stimulated to Disciplinary Action Disciplinary Action Form self-reflection and it provided helpful exercises in an interactive manner. These aspects made learning fun, and stimulated to change. Participants expressed confidence in the program, and the program was reported to Sample Resume be credible. Confidence and credibility were enhanced by the brochure, which described how the program had been developed by experts in the field.

It was emphasized in two of the interviews how it was of great importance that health personnel whom they trusted were the ones who conveyed information regarding the program. One participant (P1) expressed how she felt #x0201c;that the program was developed and Action Form. Action Form Employee, provided as part of the Sample public health care system#x0201d;, and thus she felt that the program was a good thing for her. The major reason for high fidelity was the participants#x02019; curiosity in terms of what was to come in the program. Another reason why participants completed the program was that completing the sessions proved to be break and Disciplinary Action Form. Disciplinary Action 25 40, a #x0201c;time-out#x0201d; for multiparous women in a hectic everyday life. As one woman said #x0201c;the program provided an opportunity to take the Sample time to connect with the baby in my tummy#x0201d; (P3). Ordinarily they would not have taken the time to focus inward on the fetus, and so the program facilitated contact and attachment with the unborn baby. A final reason for completing the program was the desire to be confirmed; confirmed that she was #x0201c;doing the right thing#x0201d; for Sign Petition Royalty-Free her baby (P1). A major limitation had to do with a lack of flexibility. As one participant said, #x0201c;my main complaint is the inflexibility in terms of when you can start with the program, you should be able to start up regardless of where you are in your pregnancy#x0201d; (P2). All interviewees expressed a desire to be able to go back and repeat a previous session. The inability to use the program on tablets and smart phones was also mentioned as a major limitation.

Finally, because of its emphasis on the relationship with the partner, the program was viewed as targeting the Sample Clerk Resume nuclear family, and other family constellations (such as single mothers) would likely not find the program to be adjusted to their needs. As one participant said, #x0201c;a friend of mine, who is about to become a single mom#x02026;she sort of chose to have this baby on her own. She went to Denmark and had a donor. I thought many of the themes in the program would be good for her, but then I thought, no, no, it wouldn#x02019;t work, cause the program is really custom-made for the #x0201c;standard person#x0201d; for the nuclear family#x0201d; (P1). Although the information provided throughout the program was largely emphasized as one of the strengths in the program, it was mentioned that the follow-up phase (10 weeks postpartum and Sign Petition Royalty-Free Images, onward) could have contained more information regarding the baby#x02019;s development and attachment etc. The inaccessibility for tablets and smartphones was a major limitation and reported as a barrier of use. The interviewees were encouraged to describe how the program could be further improved, and expectations emerged as a common topic.

Specifically, they wanted the Sample program to focus more on expectations with regards to breastfeeding. They wanted to learn more about how breastfeeding can be challenging, and Action Disciplinary Form 25 40, that there are alternatives if it turns out to Sample Resume be too problematic. Furthermore, it was suggested that addressing expectations with regards to the postpartum period as a whole would be very useful. Sign Photos, Royalty-Free Images & Vectors? Many new mothers plan to do too many things after having a baby, and Mamma Mia could therefore serve as a useful reminder that having a baby is both unpredictable and inherently hectic in and of itself. The purpose of the present study was to assess the Sample feasibility and acceptance among program users with regards to the Web-based intervention Mamma Mia, as well as to identify potential issues that could be improved.

The typical user in our study was a well-educated employed woman, living with a partner and being pregnant for Computer Science Blog. Teacher the first time. On an average, users in the pregnancy phase completed 7 sessions, while users in the maternity phase completed 12 sessions. The user-survey and Sample, interviews identified critical internal and external success factors for initiation and continued use of Svg File - Future | Things Mamma Mia (ie, factors that promote or inhibit intervention adoption) [66]. Internal factors refer to Sample Resume the strengths and Hardship Template, weaknesses internal to the intervention such as its information quality, while external factors refer to the opportunities and threats presented by the external environment to the intervention such as technological changes or lack thereof. Importantly, the aspects emphasized by the interviewees were in line with findings from the questionnaires.

The main internal strengths were the quality and relevance of the Sample Clerk Resume information provided in the program. Wine Tag Cards Template - Future Class!? More than two-thirds of users found Mamma Mia to be of high quality and would recommend Mamma Mia to others. By far, most also found the amount of information and Clerk, frequency of the intervention schedule to be appropriate. Moreover, Mamma Mia was perceived as a user-friendly and credible intervention. In terms of internal weaknesses, it was mentioned that the program sessions could be more frequent during the pregnancy phase, and in the maternity phase there could be more information regarding the Sign Petition Photos, Royalty-Free & Vectors baby#x02019;s development and attachment. Opportunities and Threats for Real Implementation.

Mamma Mia is operated on Clerk, a stable platform and there were few reports of technical problems. In line with previous research [63], the accessibility of the program in terms of allowing users to complete the sessions at home or at work emerged as an important advantage of the program. Health care workers that conveyed the information regarding Mamma Mia emerged as both an Petition Stock Photos, Royalty-Free Images external threat and potential strength. They constituted strength in terms of Sample enhancing the credibility of the Letter To Creditors Template program, which in turn made the participants more eager to try the program. However, as described earlier, many health care workers failed to inform potential participants about the program, which posed a fundamental barrier to Resume initiation of the Sign Petition Royalty-Free program. In order to achieve a successful dissemination of Mamma Mia, it is necessary to Clerk have credible sources (ie, health care workers) that are committed to the program. More research is needed in order to determine how this form of commitment can best be achieved. The main external threat, however, was the inaccessibility for Disciplinary Action Form. Action Employee tablets and smartphones. As many failed to understand that the intervention starts in gestational week 22 one has to take great care to communicate clearly when the intervention starts when releasing Mamma Mia among potential end-user. Communication and Sample, marketing plans have to Disciplinary Form. 25 40 ensure that users are registered at Sample Resume, the right time according to gestational week, and one has to carefully plan how to implement Mamma Mia during point of care in health care settings.

Findings suggest a need for Warning Report improvements in mainly three domains: (1) making Mamma Mia available for iPads and smartphones to increase accessibility, (2) provide more information, and (3) individualization to gestational week, couples versus singles, first-time parents versus second-time parents. The most common barrier of use was the inaccessibility for tablets and smartphones. Sample? In turn, improvements were made such that the final version of Mamma Mia is Financial Template Ojazlink, available for iPads and smartphones. More frequent program sessions during the pregnancy phase as well as more information regarding breastfeeding, sleep, child development, and Resume, attachment were requested, and all of these requests were taken into Financial Hardship To Creditors | Docoments account and Clerk Resume, incorporated in the final revision of the program. All interviewees expressed a desire to be able to go back and repeat a previous session.

Thus, the Letter To Creditors Template final version of Clerk Resume Mamma Mia includes a #x0201c;personal#x0201d; home page, which gives an overview of all the sessions one has completed, and all the sessions that are to come. After a program session has been completed, one can go back and repeat it as often as one likes. In terms of individualization , there is a definite long-term goal to adjust Mamma Mia to Petition Royalty-Free Images the needs of single parents, parents who have premature infants, parents with previous children, as well as non-Norwegian speakers. Participants in the present study also requested an improved flexibility in Sample, terms of program initiation. Participants wanted the program to be adjusted to their respective gestational week. This request has not been accommodated, however. Sample - 8+ Pdf? Mamma Mia starts in Sample, mid-pregnancy because it is considered optimal to promote relationship satisfaction and prenatal attachment early (but not too early when the risk of miscarriage is still high) when the goals are to prevent depression and enhance well-being.

In consequence, the program initiation continues to be limited to Sign gestational week 22. The main concern with the present user study has to do with generalizability. Due to the use of a convenience sample the findings may not be representative for all mothers (eg, ethnically diverse users, fathers or partners, and users with lower socio-economic status). There was a substantial dropout from the treatment program in this study. However, treatment dropout is Sample Clerk Resume, common to most Internet-based programs [67]. Particularly, for comprehensive multi-session interventions, like Mamma Mia (ie, for Computer Science My Document Science each session added), an Sample Resume opportunity for dropout is also added [33]. Importantly, however, we were able to deliver and test a substantial number of program sessions. As in all qualitative research, a potential confounding variable in this study is the influence of the interviewer on the respondents. As the interviewees were aware that the interviewer had a professional interest in Tag Cards Class! I, Mamma Mia, it may have influenced the responses in different ways. For instance, the participants may have wished to come across in a socially desirable manner, and Sample Clerk, hence were likely to give positive feedback.

On the other hand, they may have felt that the interview was the perfect opportunity to communicate directly what could be improved to the developers of the program. As the interviewees all gave nuanced feedback, it is likely that they felt comfortable being honest in the interview setting. Sign Photos, Royalty-Free & Vectors? It is important to note that while additional nuances would probably be captured with a larger sample; the main themes described herein would remain [61]. Resume? Moreover, the Computer themes from the interviews were in line with the findings from the quantitative data, which adds to the reliability of the findings. It is of essence that participants are invited to use Mamma Mia when they are in gestational week 22, which is why follow-ups in hospitals and well-baby clinics are thought to be the Sample best settings to recruit women. That way midwives and doctors can inform women of the program when they are close to gestational week 22. In the Financial Hardship To Creditors | Docoments Ojazlink present study, the primary setting for recruitment was the hospital and well-baby clinics, and yet only Clerk Resume 60% (62/103) of participants were recruited there. Moreover, several participants had failed to understand that the intervention started in gestational week 22. It is not clear what inhibited successful/efficient promotion of Wine Bottle Class! | Things Mamma Mia in hospitals and Clerk, well-baby clinics; nevertheless, it is clear that one has to find an efficient way to organize and Cover Letter My Document Blog. Science, deliver Mamma Mia which is Clerk, unobtrusive to health care personnel.

A more comprehensive monitoring of the recruitment process may have revealed the sticking points and thus been informative for further evaluation studies as well as real world implementation of Mamma Mia. We were able to deliver a substantial number of sessions, and the high scores on measures of usefulness, ease-of-use, credibility, unobtrusiveness, and user satisfaction suggest a high level of acceptance. Findings from the user survey and interviews were consistent, which add to the reliability of the results. The recruitment process revealed that Mamma Mia was more appealing to pregnant women, rather than women who have just given birth. This is advantageous and not surprising as the program is designed to follow women through both the pregnancy and postpartum months.

There is a challenge in attracting several segments of the population such as more ethnically diverse users, fathers or partners, and Job Evaluation Report - 8+ Examples In Word,, users with lower socio-economic status. In order to further increase user acceptance of this and similar programs, making such programs more adaptable to Resume individual needs and preferences seems to be a key factor. The study revealed certain barriers of use, and improvements have been made to eliminate these in the final version. Overall, the user acceptance of Mamma Mia was fairly good and our findings add to the feasibility of the program. We find it appropriate to Disciplinary 25 40 proceed to the next step of Sample Clerk evaluation: a randomized controlled trial to test the effect of Mamma Mia on Employee Warning Notice. Spanish Employee, well-being and Sample, postpartum depressive symptoms.

Mamma Mia was developed by Changetech AS in collaboration with RBUP for NKS (The Norwegian Women's Public Health Association).

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Tip Sheet: An Admissions Dean Offers Advice on Writing a College Essay. Periodically, in a feature called “Tip Sheet,” The Choice will post short items by admissions officers, guidance counselors and others to help applicants and Sample their families better understand aspects of the admissions process. As an inaugural post in this series, Martha C. Merrill, the dean of Employee Notice. Spanish Forms, admission and financial aid of Connecticut College, and a graduate of the class of 1984, encourages incoming high school seniors to begin contemplating their college essays this summer. Clerk? She also offers perspective on what she looks for in an applicant’s essay. Prospective students will often ask me if a good essay will really get them accepted. The truth is that while no essay will make an unqualified student acceptable, a good essay can help a qualified applicant stand out from the competition. A good essay just might be what turns a “maybe” into Cover Letter Science Science Teacher a “yes.” The college application process takes time, preparation and creativity, which is a lot for any active senior to Clerk, handle. Summer, however, typically offers about 10 weeks free of classes and homework and many of the other stresses that come with high school. The pressure of the looming college application deadline is still months away, which allows students the To Creditors Template | Docoments freedom to Sample Resume, play around with different ideas, test different angles and Financial Template | Docoments solicit feedback from friends and Sample Resume family. Another reason to focus your summer energy on crafting a quality essay: at this point in the admission process, it is one of the few things you can still control.

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It doesn’t have to Cover Computer Science Teacher, be a life-changing event to Clerk Resume, be interesting and Sign Petition Stock Royalty-Free & Vectors informative. Don’t rely on “how to” books . Use them to get your creative juices flowing, but don’t adhere too rigidly to their formulas, and Sample Resume definitely don’t use their example topics. While there are always exceptions, the “what my room says about me” essay is way overdone. Share your opinions, but avoid anything too risky or controversial . Your essay will be read by a diverse group of individuals from a wide range of backgrounds, so try to appeal to the broadest audience possible. Tell a good story . Show me why you are compassionate; don’t tell me you are. Ojazlink? Show me that you have overcome great difficulty; don’t start your essay with “I have overcome great difficulties.” Don’t repeat what is already in your application . If you go to Sample, a performing arts school and Sample Report Examples all of Clerk, your extracurricular activities and awards relate to dance, don’t write about Financial Hardship Letter, how much you love dancing. Tell me something I couldn’t know just from Sample reading the Wine Tag Cards Template | Things other parts of your application. Finally, don’t forget about the Clerk Resume supplements . The supplement questions are very important – you should plan to spend as much time on them as you do on your essay.

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Here in Texas, it’s called the Sign Petition Photos, Images Texas Academy of Mathematics and Science (TAMS). It’s a two-year program at the Univ. of North Texas in Denton for high school juniors #038; seniors; it has about 400 students total. Basically, the Resume students take their first two years of college, and Cover My Document Blog. Science Teacher get credit for their last two years of high school. My wife and I have two children, both graduated from Clerk TAMS. Best thing is, the state covers tuition, fees, and books; only cost to us was room #038; board and Sign Stock Photos, Royalty-Free Images a program fee. check it out by googling “tams”. Sample Clerk? I have some PDFs I could email you, too, if you’re interested.

Dripping Springs, TX. All nicely said but if all this was true there would have been the huge numbers of essay coaches or books we have out Sample Job Evaluation Report - 8+ Examples today. Ask the entrants to any Ivy league school about whether they used coaches or guides and you will get a different answer. it would be good to start thinking about this college application essay… (still a year away) Ms. Merrill’s Top Ten tips are an Sample, excellent guideline for the college admissions essay. Cover Science Blog. Teacher? I’m currently a college sophmore and vividly recall going through this process. One additional tip I would add is keep it lite.

I think college admissions panels are tired of reading about how you spent your summer wielding a hammer for Habitat for Humanity or ladling soup in a homeless shelter. Forget the essay – play a sport and be really, really good at it. If you are also a decent student that will be your ticket. Trust me — athletes have a huge competitive advantage in Clerk the college admissions game. The admissions people won’t come right out and say it, they’ll say things like “We try for balance in every class”, but if Amherst doesn’t beat Williams, Yale doesn’t beat Harvard, etc. etc., they will get a lot of pressure. If the Job Evaluation Report Examples In Word, violin section is a little off one night, or the Sample Resume lead in the play is a bit weak, it won’t really matter. I’m not cynical, just realistic.

I would avoid grammatical errors such as Martha’s “I can tell the difference between the voice of a 40-year-old and a high school senior” and Mary’s (reader 1) double error: “As a faculty member who regularly catches students plagiarizing on class assignments, the application essay is a hint at that student’s future approach to writing assignments.” I’m certain that Martha meant “I can tell the Wine Bottle | Things difference between the voice of a 40-year-old and Sample that of a high school senior,” and that Mary meant “As a faculty member who regularly catches students plagiarizing on My Document Science Teacher, class assignments, I note that the Resume application essay is a hint at students’ future approaches to Warning Notice. Spanish Employee Forms, writing assignments.” the best thing you can do is try out a lot of Resume, ideas. my english teacher senior year made us write a different personal essay every day for Sample Report Pdf, the first month of school. i never would have thought of my ultimately successful topic if i hadnt been for being forced to do so much writing. if you really feel you must start over the summer, try out lots of Sample Resume, ideas and dont commit. ask an Form. Disciplinary Action Employee, english teacher or recent ivy grad for advice, your parents may not have the best sense of a relevant and not trite topic. once you have your topic, draft and fine tune. i went through at Sample Resume, least 40 full drafts. luckily my topic answered every essay question i came across. finally, i think the mundane topics advice is risky. true, you can have a very good essay on Sign Petition Stock Royalty-Free, a mundane topic, but you also run the risk of Sample Clerk, sounding like everyone else and Sample - 8+ being trite. if you are writing about your subway ride as a metaphor for your dreams in Sample Clerk Resume life, it had better be a really sparkling, innovative essay. These tips, while a good guide, are confusing. If some of the best essays she’s read include what your life is Financial Letter Template Ojazlink, like from the Clerk POV of a goldfish on the kitchen table, then what’s wrong with a creative essay on Tag Cards Template - Future, what my room says about me?

That story can be equally as creative. As a 60-year-old graduate student who has also been a journalist for Sample, 11 years and Financial Letter | Docoments recently published a book about my life, I believe in the power of personal story. Not all teens have found their “voices” yet, and so they try on others for size, so of course that will come through the essay. But your voice is unique. It’s you. Don’t try to be anybody else. So… Keep it simple, be honest, use more verbs than nouns and avoid adjectives and Resume adverbs as much as possible. Tell how an experience you had made you feel and what you learned from Action Form. Disciplinary Action Form 25 40 it. Describe what sets your heart on fire.

As the Sample Clerk parent of two college-aged sons, I could not agree with this advice more. Disciplinary Form. Action Form 25 40 Employee? One wrote about a challenge that he overcame and the other about being compassionate. Both essays were about events that happened in their everyday school lives. Clerk Resume? Both were written in active voice and were little windows into their characters. Neither used the words challenge or compassionate. I am convinced that it was the Employee Warning Notice. Report strength and sincerity of Sample, their essays that opened the doors at the top schools that said “Yes” to Employee Notice. Spanish Employee Warning Report, my sons.

The essays were the differentiating factor in all the numbers that are part of an Sample Clerk Resume, application. I encourage other parents to suggest that their kids just be themselves in their essays – small is good, generalities are boring, tell about something that makes you you. Oh, and read The Gatekeepers – – it offers the best insights into Warning Warning Report the college admissions process of any of the dozens of books I read on Clerk, the topic. I wonder if, at the most competitive colleges/universities, anything makes a difference beyond sociology: My daughter is a National Merit Finalist (actually won a National Merit Scholarship at a school she chose not to Cover My Document Science, attend), had an “unweighted” GPA over 3.9 at Sample Clerk Resume, a magnet International Baccalaureate program, had an SAT score of 2290 with an Examples In Word,, 800 in critical reading (only took it once), had three “5” scores on AP exams before her senior year and every SAT II over 700. She was accepted at every small college she applied. Rejected at Harvard, Yale, wait-listed at Columbia (and then told there is no place) and at Clerk, Duke….but then, 25 of 26 applicants from her (public) school were rejected from Yale…the one acceptance: a superb musician, triple-legacy, Presidential Scholar.

She IS an athlete, but not good enough to play at the schools that rejected her (and plans to Sign Petition Royalty-Free, at the small college she will attend). Oh…she’s upper middle class white (and competing in a major metropolitan area against many white legacy kids at these top schools). “been through it” might think himself realistic for advising that everyone get ‘really really good’ at a sport, but being a non-sports person with a non-sports kid, our (IMO rather more sure-fire) resolution to this particular problem is – – apply only to technical colleges; they do not require essays. Tongue only partly in cheek… Not all Ivy League admits use coaches or guides- I didn’t. I took a risk in writing my application three years ago- I wrote a genuinely personal essay. It was frightening for me to Sample Clerk, do bec it revealed things about my background that I wasn’t sure Harvard could handle. But it was a risk that paid off. So, my perspective is- take a risk, expose yourself, share why admission truly matters to you. Thank you, Ms. Merrill.

As a parent whose daughter is at the very very beginning of Stock Photos, Royalty-Free, this process, I’d love to see more advice on the admissions process from you — please keep it coming! And thank you NYT for passing along practical, applicable information. Most college admission officers agree that a student’s character is the Resume most difficult thing to measure on the application. College essays are the place for students to reveal their personal stories in an authentic, engaging and Stock Images & Vectors sincere way . In addition to what has already been mentioned, it’s important to read the essay prompts carefully and understand the intent of the question. Jeannie Borin, M.Ed. Some advice that not every student would need, but could be helpful to many: 1 – Don’t try to sound too “intellectual,” if that means stuffing the essay with high-brow vocabulary that you would never use in an ordinary conversation. If you sound like you’re trying to impress the reader with this vocabulary, you probably are – negatively.

2 – If you were sweating and stewing with your essay, try another draft version in a “devil may care” frame of mind. That is, just write it quickly with whatever comes into your head (on the topic) without caring if the Sample Clerk essay is good and Wine Template Svg File | Things I bad. Then let a trusted person compare the Sample Clerk Resume versions. Sometimes the latter turns out to have the better “flow,” and you can improve on that in the editing process. It’s a little cynical to suggest that all Ivy League admits use coaches and guides. Sample Examples? A friend currently at Clerk Resume, Yale was told by a college counselor that her essay was terrible (it read too much like a “story” and didn’t have a “message”), and she sent it anyway. I wrote my essay on Hardship Ojazlink, my own and got into a school famous for its English program. Probably the best advice is to stay far away from “moral of the story” lines. Resume? I’ve seen plenty of books that praise essays about the writers’ overcoming of obstacles, blah blah blah, with all their lines about “through my experience, I learned…” I would get pretty darn bored of that if I were an admissions officer. Neither of my children used a coach or had special classes. We checked the grammar and Images spelling on their essays and let them focus on Clerk Resume, their interests in and out of school.

One is at an Ivy one is at a small, tier one school. I expect the one going to the small school will get the better education. Some advice that not every student would need, but could be helpful to many: 1 – Don’t try to sound too “intellectual,” if that means stuffing the essay with high-brow vocabulary that you would never use in an ordinary conversation. Job Evaluation Examples Pdf? If you sound like you’re trying to impress the reader with this vocabulary, you probably are – negatively. 2 – If you were sweating and Clerk stewing with your essay, try another draft version in a “devil may care” frame of mind. That is, just write it quickly with whatever comes into your head (on the - Future I topic) without caring if the essay is good and bad. Then let a trusted person compare the versions. Sometimes the latter turns out to have the better “flow,” and you can improve on that in the editing process. P.S. Clerk Resume? – Sorry, forgot to tell you great post!

Barbara’s #2 is a great solution to any time one gets ‘writer’s block’. From Thank You notes to funding proposals, it works. Wine Bottle? Also, the ‘trusted person’ who reads and Sample Clerk Resume edits the outcome of the Employee Spanish Report Forms “devil may care” effort can be oneself – but not until the next day. Read the Clerk essay to someone else. Read it as if you are telling a story. You will hear what sounds clumsy, and Action 25 40 Employee you will see if it captures attention. I suggest that a good deal of time and Sample Resume money would be saved if admissions officers would simply put all those applicants who seem to meet standards for a college education into a lottery. That random choice is fair and is better than officers playing God as to Wine Template Svg File | Things, who is fit to adorn their insitution,

My College Admissions Essays: 1. What work of art, music, science, mathematics or literature has surprised, unsettled or challenged you? : A 64-slice CT scanner that the local hospital that I volunteered at Clerk Resume, had just gotten. 2. What’s your favorite word and why?: Determination (Probably not the “best” choice but it really is and I think I showed it was genuine) 3. Choose any topic of your choice: I wrote a descriptive essay of my trip to the Eiffel Tower and how I was blown away by the beauty and grandeur of the structure. Sample - 8+ In Word, Pdf? And this was also an essay that I had used in an English class for a writing contest and Sample Resume my teacher had rated the paper as an A+ so hey, it was probably my best writing. Currently at the University of Virginia as a 3rd year student. Admissions does sometimes seem like a lottery… And Doc? Does your daughter’s school mascot happen to be a rocket?

I think I go to the same school, based on the information you gave. As someone who was admitted to some Ivy Leagues and Cover Computer Science My Document Blog. Teacher waitlisted at Clerk, some Ivy Leagues, and who played a sport but was not recruited, I must say that the essay was probably the key in helping me stand out from the thousands of Images, middle-class, white, suburban applicants. The essay is really one of the only aspects of the Sample application in which you can show who you really are. Job Evaluation Report - 8+ In Word, Pdf? Resumes are nice, but they show what you do–which is Resume, meaningless unless this provides insight into who you are and how your character’s been shaped by what you do. I’m sure many people would probably make blanket statements that are hard to understand…”don’t write about To Creditors, something too grandiose” “don’t write about something too mundane” “don’t make it too intellectual-sounding” “don’t make it sound like intellectualism is Sample Resume, not a part of your life”–but the Sample Report - 8+ In Word, best advice I can give is figure out a writing style that works for you, and Resume run with it. If you look hard enough, you will find people in your life who know you well enough to give you tips on Sign Photos, Royalty-Free Images, your writing style while staying true to yourself and Sample Resume making it genuine. Take this advice with a grain of Sample Report Pdf, salt.

Consider it carefully and remember…colleges are not looking to accept your neighbor, or your English teacher, or your friend’s mom who works at a newspaper. They are looking for true insight into your character, and Clerk Resume you should seize this opportunity to reveal what it is that makes you who you are.

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It is a peak so remote, few climbers have heard of it even today. Getting to the mountain would require a two-week trek through dense jungle riven with plunging gorges and inhabited by venomous snakes. Hilaree was hooked immediately. We were planning our expedition before we left Kathmandu. I had learned of Hkakabo in the 1980s, when I picked up a yellowed copy of Burma’s Icy Mountains by British explorer Francis Kingdon-Ward. Report In Word, Pdf! It described his 1937 expedition into the region and his audacious attempt to climb Hkakabo Razi solo. He reached almost 16,000 feet before being stymied by an insurmountable “granite wall … beyond my powers.” The Rawang were not immune to the vagaries of the Clerk, jungle. A toddler was brought to us with infected insect bites. A tribal elder told me, “Everyone here either gets better on Wine Tag Cards Template - Future | Things I, their own or dies.” Kingdon-Ward’s “powers,” as I learned from Sample Resume, reading his many other books, were protean.

A brilliant botanist, lyrical writer, indefatigable plant hunter, and purportedly a British spy, Kingdon-Ward was one of those hard-as-iron adventurers in the mold of polar voyager Roald Amundsen or Amazonian explorer Percy Fawcett. Kingdon-Ward could tramp through jungle for Employee Warning Spanish Warning Forms, months on rice and tea, writing in his journal at Resume, night beside a campfire. From 1909 to 1956, he made more than 20 expeditions into Job Evaluation Report - 8+ Examples In Word, Pdf, Central Asia, during which he survived a fall off a cliff and Sample Clerk Resume one of the Action Form. Disciplinary Action Form Employee, century’s worst earthquakes. Along the way he collected hundreds of plants and named many, including species of rhododendrons and lilies that now adorn gardens worldwide. I was entranced by Kingdon-Ward’s journeys and was determined to Clerk, make the Action Disciplinary Action 25 40 Employee, first ascent of Hkakabo Razi. So in the fall of 1993, I enlisted my climbing buddies Steve Babits, Mike Moe, and Keith Spencer. Resume! We called ourselves the Wyoming Alpine Club. Mike had been my best friend since high school in Laramie, and I’d met Keith and Steve at the University of Wyoming. Since then, Mike and I had done several first ascents in the Rockies and the first kayak descent of the Niger River in West Africa.

At that time the military junta controlling Burmalater renamed Myanmarhad declared the north off-limits to foreigners. Disciplinary Action Disciplinary Form! We naively planned to avoid this obstacle by accessing the mountain from Tibet, illegally crossing the border, traveling light and fast with no porters. We flew to Lhasa with our rucksacks and proceeded to sneak across eastern Tibetalso closed to foreignershitching rides in the backs of trucks and talking our way past checkpoints. It took more than a month just to get near the base of the mountain. Sample Clerk! Mike and Steve had to return home, leaving only Notice. Spanish Employee Warning Report Forms Keith and me to climb. We ran out of food on the north side of Hkakabo and had to Clerk, descend to Employee Notice. Spanish Warning Report Forms, a Tibetan village. Clerk! There we were promptly arrested by Disciplinary Disciplinary Form Employee, the Chinese military, interrogated, and jailed. We signed a four-page confession of “misconduct” and Sample Resume were deported. Two years later, to Stock Photos, Royalty-Free, my chagrin, the Myanmar government granted Japanese mountaineer Takashi Ozaki permission to climb Hkakabo Razi. Ozaki was an unstoppable Himalayan veteran, having made the first full ascent of the Resume, north face of Everest in 1980. (He would die climbing there in Letter Science Science Teacher, 2011.) He made two failed attempts on Hkakabo in 1995, but in Resume, September 1996, after two months of climbing, Ozaki summited with Tibetan-born mountaineer Nyima Gyaltsen. He told the Asia Times, “I can say absolutely that Hkakabo Razi is one of the most difficult and dangerous mountains in the world.

I was never scared before, like this time.” Ozaki published a detailed account of his expedition, but he did not measure the summit elevation with a GPS, which left the mountain’s exact height undetermined. The climbers hired a caravan of motorcycles in the northern town of Putao to transport their gear and supplies across Kachin state. They rode for three days before the Wine Bottle Svg File Class! | Things I, wet and muddy route became passable only on foot. Young and convinced of our invincibility, Mike, Keith, and I talked about returning to Resume, Hkakabo. (Steve had moved on to different adventures.) But it was not to Employee Warning Spanish Employee Report, be. Mike died on an expedition in 1995, along with his brother and two others. Clerk! A bowhead whale tipped over their boat in the Arctic Ocean, and they all perished from hypothermia. Mike left behind a wife and three kids. None of us ever quite recovered. Still, Keith and Employee Warning I continued doing expeditions and often ice climbed together.

On January 2, 2009, we were on the fifth pitch of an Clerk icefall in north Wyoming. I was belaying him from a small alcove in the ice. He was cheerfully climbing 15 feet below me when we heard a deafening roar. A section of ice above us had cut loose. Seconds later tons of ice crashed down. Keith was killed, his neck broken by the impact.

There was no reason why I lived and Keith died. We’d taken the safety precautions. He didn’t do anything wrong, and I didn’t do anything to Job Evaluation Report - 8+ Examples Pdf, save myself. Sample Clerk! There was no moral, aside from the Cover Letter Blog. Science Teacher, inescapable truth that mountains are dangerous, and occasionally inflict horror and sorrow on those who dare to climb them. Lounging on our lunch ledge in the sun on Hkakabo Razi, slurping down hot noodles with Cory and Renan, I am reminded of my lost friends. Mike was funny like Cory, who’s kept us going through some of the trip’s worst moments with perfectly timed wisecracks.

Keith was quiet like Renan, always taking in the grandeur around him, always the Resume, calm voice in the midst of crisis. During these past weeks I’ve spent with Cory and Renan, it’s been a bit like looking back in time at myself and my dead friends. Computer My Document Blog. Science! I recognize in these two younger men the same passion for climbing mountains, the same determined toughness, the same boundless ambition, and at moments the Resume, same sense of being bulletproof that Mike, Keith, and I had 22 years ago. Our resolve replenished, we begin to study the crenellated ridge before us that leads to Sample Job Evaluation Report - 8+ Pdf, the summit. Because the mountain has remained largely unexplored, we are climbing with little knowledge of the terrain. Even satellite images don’t reveal the true difficulty of the climb. From the lunch ledge, the route ahead looks more demanding than what we’ve encountered so far. Along their 151-mile jungle trek, the team stayed in the homes of local Rawang who live in Myanmar’s far north. Unlike Nepal, where commercial climbing is Resume, well established, the people here encounter few foreign mountaineers. Hkakabo’s west ridge is a two-mile-long saw bladea series of stone towers separated by sharp cols of snow.

Unlike on some mountains, where you can shoot right up to the summit, we have been climbing up and down the jagged ridgeline the whole wayup a tooth of rock, rappelling down the - 8+, backside, balancing across a bridge of snow, then up the Clerk, next craggy pinnacle. We try to identify a potential route, but the spiked ridge weaves like a serpent’s tail so we can’t see all the obstacles. We do, however, spot a notch that looks like the best location to bivouac for the night. Bottle Svg File Class! | Things! We pack up and start moving, trying to stay on the sunny side of the ridge. It takes us four hours to Sample Resume, reach the notch. We are so fatigued that we can barely stomp out a tent platform. Our faces are rimed with ice from breathing so hard. While trying to shove the poles into our tent, the wind lifts it like a kite. We throw in our packs, guy it down, and pile inside. “The shiver bivvy begins,” says Cory as he zips the tent, closing off the Job Evaluation Report In Word, Pdf, screeching blackness that has descended on the mountain.

We knew this night was going to be misery. At camp 3 we could see that the Sample Clerk, ridge became technical and Tag Cards Template - Future Class! I treacherous. So we ruthlessly cut the weight of our packs, bringing only bare essentials, hoping it would be enough to get us to the top and Sample back down. We left our winter sleeping bags and carried only the Disciplinary Disciplinary Action Form 25 40, thin overbag shells. We have one stove, one fuel bottle, one pot, one spoon, two instant pasta meals, and the three of us are crammed into Resume, a two-person tent. Sitting knee-to-knee, our backs pressed against Sign Petition Photos, Royalty-Free, the tent, we set our stove on our boots and nearly asphyxiate ourselves boiling water from snow. One person holds the stove, another the pot.

We are wearing everything we have. Only our headlamps and Sample Clerk runny noses stick out from beneath the hoods of Cover Letter Science My Document Blog. Science, our parkas. Renan says little, which is normal. But even Cory is quiet. We have been sleeping with each other for weeks, like poor brothers in Sample Resume, one bed. We know each other’s secrets. I know Renan is dealing with the betrayal of a friend.

I know Cory’s struggling to Sample Report - 8+ Examples In Word,, stay married and be a world-traveling photographer. Sample Clerk! They know I’m haunted by memories of my dead friends, that this mountain is my white whale. My thoughts drift to how close we are to our goal and our team’s ugly fight and the toll it’s taken on my friendship with Hilaree. The past weeks spent with Cory and Renan have been like looking back in time at Letter Computer My Document Science, myself and my two dead friends. Resume! In these two younger men I see the same passion for climbing, the same sense of being bulletproof we had 22 years ago. Just getting to the foot of Hkakabo Razi took a month. Employee Notice. Spanish Report! The very thing that Hilaree and I had wished for on the slopes of Everestremotenesswas the very thing that threatened our expedition from the beginning. First we had to cross most of Myanmar. From Yangon we took an overnight bus to Sample Clerk, Bagan, then a ferry up the Irrawaddy River to Action Form. Form 25 40, Mandalay, where we got on a train that bucked and swayed as if it would derail at any moment. In Myitkyina we boarded a plane where a fellow passenger checked an AK-47 as carry-on luggage. On arrival in Putao, the Sample Resume, northernmost town in Kachin state, we spent five days “under arrest” while our climbing permits were batted back and forth among officials.

Finally, we loaded our gear onto a caravan of motorcycles and set off for three days, crashing through streams and churning through mud until the trail became passable only on foot. Then began the 151-mile trek to the base of Hkakabo through the wet, dark jungle. The dense forest canopy cast a dim green glow. For two weeks we moved along this tunnel-like track, always rising steeply or plunging suddenly, from one local enclave to the next, exactly as Francis Kingdon-Ward had done 77 years earlier. We slept in the bamboo homes built on stilts of the Rawang people. Although Kachin state is known for Financial Hardship Template, its jade and gold mines and for illegal logging, people this far north mainly raise pigs and Sample Clerk chickens and Sign Petition Stock Royalty-Free grow little plots of rice. On the first day trekking in the jungle Hilaree was almost struck by a snake. She saw it coiled on the trail at Resume, the last moment and Financial Hardship Letter To Creditors Template | Docoments leaped over it. Poised to strike, the serpent’s flat head floated side to Sample, side, its black tongue squirting in and out.

We all kept our distance except Cory, who knelt down and began snapping photos. “White-lipped pit viper,” he declared. It was one of a dozen snakes toxinologist Zoltan Takacs had warned us about before we came to Myanmar. If one of us were bitten, the venom could cause bleeding from the nose, eyes, gums, and To Creditors Ojazlink rectum and could be fatal. We carried two antivenoms, one for Sample Clerk Resume, vipers, the Letter To Creditors Template | Docoments Ojazlink, other for cobras and kraits, but Takacs had warned us that relying on antivenom in the jungle was dicey. Far less dangerous were the leeches. They would drop down onto Sample Clerk Resume, our necks as we pushed through wet branches or suck onto our feet and legs during stream crossings. All day we’d pluck their blood-engorged bodies off our skin, leaving bites that didn’t fully heal for Warning Notice. Spanish Employee Report Forms, weeks. And then there were the spiders. We continually pushed through cobwebs the size of fishing nets.

Some held spiders baring fangs so large they were visible from Clerk Resume, a few feet away. Buddhist prayer flags surround a stupa in Dahongdam, the Wine Svg File - Future, last village on the jungle trek to the base of Hkakabo. Though Myanmar is 90 percent Buddhist, most communities the Sample Clerk, team encountered on the route were Christian. The Rawang were not immune to the vagaries of the jungle. Tag Cards Template | Things I! In one village a distraught mother brought a screaming child to us, her tiny body swollen from infected bites. Hilaree and Emily smeared antibiotic cream on her arms, legs, and face. When I asked what would become of the child, a tribal elder told me, “Everyone here either gets better on their own or dies.” The legs of one of our youngest porters, a schoolgirl of about 12, were so welted with bites that her skin was as bumpy as a toad’s. She was one of three girls of similar age whom we shamefully hired, along with their brothers, parents, and Sample Clerk grandparents, to carry our gear.

We hired anyone we could find. They all hefted loads with practiced efficiency. We’d recruit porters from Cover Blog. Science, one village to Resume, help us get to the next village up the trail. Form. Disciplinary Action! Some would work for Sample Clerk Resume, a few days, others just for a few hours. Sometimes they’d abandon us without a word, slipping away in the night. The truth is, we had brought far too much stuffcameras and lighting equipment, laptops, extra batteries, even two drones to get aerial footagethe paraphernalia of a modern expedition. Employee Spanish Employee Report! But it was all useless without enough strong backs to carry it. So we began leaving bags of Sample, gear in the villages we passed through until we were down to Template - Future Class!, a quarter of our initial load. At almost any other time, we would have encountered plenty of locals along this trail willing to make $15 a day, twice the local wage. But when we arrived in the fall of 2014, Hkakabo Razi had improbably become front-page news.

On September 10, 2014, three weeks before our team left the United States, an Associated Press headline read: “Search for missing climbers begins in Myanmar.” An eight-man, all-Burmese expedition had set out for Clerk, Hkakabo to put one of its citizens atop the country’s highest peak. It was a matter of national pride. On August 31, after two weeks of climbing, two team members signaled from somewhere near the summit. They were never heard from again. An enormous search effort was mounted. Porters were recruited from local villages to supply the search teams. Choppers buzzed over - 8+ In Word,, the jungle between Putao and the mountain. Then one of the helicopters, with two pilots and a passenger, disappeared. The search for the climbers was suspended, and a search for the helicopter ensued.

Nine days later, the helicopter’s passenger stumbled out of the Sample, jungle and led rescuers to the pilots: One was alive but severely burned, the Job Evaluation Report Pdf, other dead. After decades of quiet obscurity, Hkakabo Razi had claimed three lives in one month. Porters take a break on a bed of bamboo leaves. In some villages, the team hired entire families, even grandparents, to carry gear. Sample! Most were Rawang people who live in remote valleys near the Tibetan border. Another American climbing team was partly behind this sudden Burmese attention to the mountain. The year before, Andy Tyson, a Teton-based guide, had led an American-Burmese expedition to a neighboring peak called Gamlang Razi. After studying modern Russian topographic maps, as well as images from Google Earth, Tyson had determined that Gamlang might actually be higher than Hkakabo. Tyson’s team made the first ascent of Gamlang Razi in September 2013.

Using a survey-grade GPS, they measured its height at Financial Letter Template, 19,259 feet. Although this was still 37 feet lower than Hkakabo’s 1925 British survey height of 19,296, it was higher than the 18,671 feet that Russian surveyors had calculated in the 1970s and Sample Clerk 1980s. “No one in Notice. Spanish Report, Burma wanted to believe that Gamlang was higher than Hkakabo,” Tyson told me last year, noting that Hkakabo is Clerk Resume, a long-revered symbol of national pride, and a foreigner calling its prominence into question embarrassed some Burmese. Bottle Svg File Class! I! (Tragically, Andy Tyson was killed in a plane crash in April.) In fact the Burmese expedition had set out to prove that Hkakabo Razi was still the country’s highest peak. Before disappearing on the upper reaches of the mountain, their ill-fated climbers had transmitted a GPS reading of 18,996 feet.

In my own research, I had contacted Robert Crippen, an Earth scientist for NASA. We discussed the Clerk, various methods for measuring Gamlang and Hkakabo. “The real bottom line is that errors of 30 meters [100 feet] or more might not be evident, and this is Form Employee, about the difference in these peaks,” he said. “So we have evidence, but no proof, for Sample Resume, which one is higher.” The highest mountain in Cover Science My Document Blog. Science, Myanmar would remain a mystery until someone stood on the summit of Hkakabo with a GPS. If one of us were to slip off the ridge, the only way to save his life would be for the next climber on the rope to quickly jump off the opposite side, both men praying in Clerk Resume, the millisecond that the rope wouldn’t sever. Renan, Cory, and Sample Job Evaluation Report - 8+ Pdf I pass the spoon, each of Clerk Resume, us gulping down hot soup, while the wind punches at the tent like a boxer working a heavy bag. When the pot has cooled, we hand it around and swill the Spanish Report, last of the liquid. We pack snow inside the Sample Clerk Resume, pot, put it back on the stove, and Cover Letter Science Blog. Science keep melting snow until each of us has a full hot water bottle, which we will sleep with on Sample Resume, our chests.

It is so cold we would prefer to just stay locked together around the Job Evaluation - 8+, purring stove all nightscrew the toxic fumesbut we don’t have enough fuel. We turn off the stove knowing that the next hours will feel like several days. We arrange our ropes and packs underneath ourselves and try to find some way we can all stretch out. If we lie on our sides, it’s just possible. “Nothing I like more than spooning with two really smelly dudes,” Cory quips. We are so smashed together that none of us can move without elbowing or kneeing each other. We don’t expect to sleep. Clerk! We expect to Sign Petition Stock Royalty-Free Images, suffer.

We pull our balaclavas down over our faces like knights closing their visors in preparation for Resume, battle. We put our mittens beneath our hips to Employee Warning Report, insulate them against the snow. Renan and I are on the outside, up against the frost-covered tent walls, while skinny Cory is in the middle. It’s like being buried together inside a small tomb. Sample Resume! We lie there for hours, each of Financial Hardship To Creditors, us floating in our own dark thoughts. “I’m freezing,” I say in the black of night. I have been trying to Sample Clerk, hold it in for Form, a couple of hours. Sample Resume! My back has been against the tent wall for so long the Wine Tag Cards Template Svg File - Future, cold has penetrated through to my chest. “I need to start the stove or something.” “Get in the middle, I’ll take the outside,” says Cory. Clerk Resume! We trade places, and I don’t get warm, but I don’t get any colder.

We stay in this position for as long as we can stand it. In the darkest, coldest hour, I start imagining someone finding our bony bodies lined up in the snow like crooked logs. Stock & Vectors! Finally, finally, daybreak comes. Back in Clerk Resume, the jungle, two days before reaching base camp, we met a bone-weary, hollow-eyed Japanese team that was retreating from Hkakabo as if returning from the front lines of an epic battle. Financial To Creditors | Docoments! We’d heard about Clerk Resume, them and had been concerned that they’d summit ahead of us, rendering all our efforts meaningless before we even got to see the mountain. Sample Job Evaluation - 8+ Examples In Word, Pdf! But they’d been delayed by the rescue of the Burmese climbers. Eventually, they had made their own attempt via the west ridge, which was also the route we intended to take. Their team leader, Hiro Kuraoka, was injured.

He had slipped among the boulders and badly bruised his buttocks. Despite lying in a sleeping bag with a bulging hematoma on Sample Clerk Resume, his backside, Hiro was animated and generous, explaining their route in detail and showing us numerous photos of the topography from Sample Report Examples In Word,, various camps. He said they had been stopped several hundred feet from the summit by a razor’s edge of snow and sharp, insurmountable pinnacles. Like two military platoons passing in the night, we exchanged supplies. We gave Hiro a bottle of ibuprofen, and he gave us stove fuel and ropes. His team was defeated but alive, which in Sample, the end is all that really matters. After nearly two weeks of trekking, we finally climbed out Petition Stock Photos, of the Sample Resume, fetid jungle onto Wine Tag Cards Svg File | Things I, the rising southern flank of Hkakabo. The tropical humidity gave way to Clerk, a bracing alpine mist, and we dug into our bags for fleeces and down jackets. We’d all lost weight and Warning Notice. Employee Warning Forms were tired from the arduous trek. And we were running out of time.

In planning the Sample Clerk, expedition, we had agreed to be home by Thanksgiving. Disciplinary Form. Disciplinary Action Form! In Kingdon-Ward’s time, the end point of an Clerk expedition was rarely based on a preset date, but in our modern age, time is the least available commodity. We had just 10 days before we had to begin our hike out. Disciplinary Action Form. Disciplinary 25 40 Employee! I knew Ozaki had needed 25 days from base camp to Clerk Resume, climb the mountain. Blocked by tooth-like rock spires, Mark turns back from the ridge leading to Hkakabo’s snowy summit.

To go on, the team would’ve had to spend a night without food, a tent, or sleeping bags. “We’d have lost digits, if not our lives,” says Cory. Over the next week, we put in three camps up the spine of the west ridge, but under time pressure and faced with the difficulty of the terrain, relations among the Wine Bottle Tag Cards Svg File Class! | Things I, team were fraying. I was especially concerned when Hilaree reached camp 2 dangerously hypothermic. We got her warm, but it was a cautionary moment. The next day, climbing to camp 3, neither Emily nor Hilaree appeared comfortable on the steep, exposed faces of ice and snow and Sample Clerk Resume moved slowly. In retrospect we should have expected this slower pace.

Emily is a national sport-climbing champion but had little experience climbing this kind of mixed terrain. Hilaree is a renowned ski mountaineer with some challenging alpine climbing expeditions on her resume. But Cory, Renan, and Disciplinary Form. Disciplinary Form 25 40 Employee I have deeper backgrounds in this type of environment. Cory had been the first American to summit Pakistan’s 26,362-foot Gasherbrum II in winterand survived an Sample Clerk avalanche in the process. Renan had been part of the team that summited India’s 20,702-foot Meru Central via the Shark’s Fin, a brutal climb many thought impossible.

And over 35 years of climbing, I’d done first ascents in Action Disciplinary Form 25 40 Employee, Antarctica and the Rockies, Alps, and Himalaya. Clerk Resume! These experiences didn’t change any of the inherent dangers, but it did mean we three were able to move faster and implicitly trust each other with our lives as we tried for the summit. That night, at Employee Warning Notice. Spanish Warning Report Forms, camp 3, Renan and Cory both privately expressed concerns about climbing any farther with the entire team. We spent the Sample Clerk, next day in our tents acclimatizing, and there was no way around the painful conversation. In his soft-spoken way, Renan noted that the climbing was going to get more dangerous. It was also pointed out that three people moving fast had the Hardship Template | Docoments, best chance of summiting in the brief time we had left. Emily readily agreed that she was in over her head. But Hilaree was deeply offended and insisted that she should go for Clerk, the summit.

I explained it was an issue of Bottle Tag Cards Template - Future | Things I, safety for the whole team, but Hilaree was wounded. “I’m going to say one thing,” she said, her voice welling with emotion as she left the tent, “[Expletive] you, Mark, for the vote of Clerk, confidence.” This expedition was sponsored by a grant from National Geographic’s Expeditions Council and Sample - 8+ In Word, The North Face. Nothing is Clerk Resume, more damning in the mountains than hubris, yet hubris is fundamental to climbing mountains. All serious mountaineers possess big egos. Disciplinary Form 25 40 Employee! You cannot take on the risks and constant suffering of big mountains without one. We may talk like Buddhists, but don’t be fooled, we’re actually narcissistsdriven, single-minded, masochistic narcissists. Nearly all of us, on some mountain at some time, have defied logic and refused to Sample, turn around, as Hilaree was doing now. Sample In Word,! Some of Clerk Resume, us have been lucky enough to survive those misguided moments. This may sound harsh, but I’m at a season in my climbing career where openness and honesty trump polite silence, even with my friends. We were all weary, light-headed from the - 8+ Examples In Word, Pdf, thin air, and fearful of what lay ahead, and the conversations over Resume, the next hours devolved into shouting, accusations, and recriminations. Eventually, Cory couldn’t stand the rancor and said Hilaree could take his place on the summit team.

Renan and I were concerned but reluctantly agreed to the new plan. At three the next morning, as we began to Notice. Employee, rope up, with a freezing Tibetan wind howling, Hilaree made the correct decision. She said it was too cold for her, reasoning that if she had a second bout with hypothermia, she might endanger the team. She told Cory to go instead. “Why do we do this?” Cory asks, struggling like a contortionist to put his boots on inside the tiny tent. “Really!

Why?” His hands are too numb to tie the laces. “Because it’s so much fun,” Renan says drily, pressing his elbows against the snapping tent walls. After 39 days of boats and trains, snakes and leeches; after clawing up the sheer faces of Hkakabo’s west ridge; today is Clerk, summit day. We each take slugs of steaming tea until the pot’s empty, then reluctantly crawl out of the Letter Science My Document Blog., tent into Resume, the battering wind. Spindrift is whirling around us. The sun is a distant cold ball.

We click on our crampons, rope up, and start climbing. Our feet and Employee Notice. Spanish Report Forms fingers are numb, but moving beats trembling in the tent. Our blood starts pumping, and Resume warmth gradually returns to our cores. All serious mountaineers have big egos. You cannot take on the risks and constant suffering of big mountains without one. We may talk like Buddhists, but don’t be fooled, we’re actually hard-driving narcissists. Together we traverse the first of a series of large rock spires.

To either side, a mile below us, is an ocean of Wine Svg File - Future Class! | Things I, clouds. If one of Resume, us were to slip off the lance-like ridge, the Employee Warning Notice. Employee Warning, only way to save his life would be for the next climber on the rope to quickly throw himself off the opposite side, both men praying in Sample Clerk Resume, the millisecond of potential oblivion that the rope isn’t pulled taut over a knife-sharp rock and severed. This is the To Creditors | Docoments Ojazlink, depth of trust required in mountain climbing. This is how you transcend yourself and bond with your climbing partners. It is the reason we climb. We gather on a little point of snow to reassess. “I’m scared,” Cory says. Clerk! “I’m really [expletive] scared. I think we should turn around.” His naked honesty is strangely comforting. He’s saying what we all feel. Letter Blog. Science Teacher! But Renan and I aren’t ready to turn back.

I lead down around a snowcapped block, up through a narrow hallway between two slabs of rock, hook along a crescent of snow, and suddenly the entire route to Sample, the summit appears before me. I am aghast. We knew we had one more deep notch in the ridge to negotiate, but I see now that it is filled with massive stone teeth, like the jawbone of a dinosaur. It would take us hours, well into the night, to climb through this wind-gnashed maw. To summit would require another night on the mountain, but this time without a tent, stove, food, or water.

We would be perched on a ledge on the side of the mountain in the wind in the dark, and we would freeze to Letter Computer Science My Document Science Teacher, death. It is the point of no return. I realize we will not reach the top. Sample Clerk Resume! We will not measure the height of Hkakabo Razi. We will not solve the mystery of Myanmar’s tallest mountain. I have been carrying a photo of Mike Moe and Keith Spencer for the entire expedition. In it, Mike and Keith are standing on a mountain wearing puffy down coats, helmets, and wide grins. I so fiercely wanted to place this picture on Sign Photos, Royalty-Free Images, the summit. But it is not to be. I paw out a little hole and place the photo in the snow. I take a GPS reading at our high point, 18,841 feet, then climb slowly back along the ridge to Renan and Cory.

They already know our expedition is over. All we want now is to get down alive.