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industry versus inferiority.

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Q: A school-age child is very concerned about being good at games and athletic activities in which she participates Erikson would say that she is experiencing?
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Who won the isle of wight high jump for girls in 09 at the age of 10?

Name: Sophie WatkinsSchool: Solent Middle SchoolAge: 10, but then won in yr 6 at the age of 11More info: Sophie won high jump 2 yrs in a row- 09/10. She came first place with a medal. Sophie is yet to compete in 2011, she hopes she wins again!


Some cute funny non-perverted English anime like fruits basket please... if possible description of anime please?

Excerpted from Anime News Network ~Ouran High School Host Club ;"Genres: comedy, drama, romance, slice of life Themes: bishounen, crossdressing, host club, male harem, school, twinsAge rating: Teenagers (May contain bloody violence, bad language, nudity)Plot Summary: Haruhi is a poor tomboyish student at a school for the ultra-wealthy, able to attend because of a scholarship, and unable to even afford a uniform. One day, she stumbles across the decidedly peculiar but very popular Ouran Host Club. She tries to leave, but accidentally breaks a vase, and unable to pay for it, she's told that she'll have to stay and do odd jobs. That is, until they decide she would be more valuable as a club member. Not realizing she's female due to her appearance, they fix her up and give her a male uniform. She's an instant hit, so they decide to have her keep up the charade even after they find out the truth. Haruhi, being average almost to a fault, doesn't know what to make of the unconventional activities of the Host Club (or of the even more unconventional members), but having little choice, she plays along. Before long, real bonds are formed, friends made, and Haruhi finds herself accepted in a way she could never have been otherwise in this affluent school. "Azumanga Daioh ;"Genres: comedy, slice of life Themes: schoolAge rating: Older Children (May contain mild bad language, bloodless violence)Plot Summary: Azumanga Daioh is about high school life through the eyes of six girls with unusual personalities: Chiyo (the 10-year-old genius), Osaka (the resident airhead), Sakaki (the shy one prone to cat bites), Tomo (the loose cannon), Yomi (the short-tempered one) and Kagura (the resident jock). "


White blood cell count - series?

IndicationThe White Blood Cell (WBC) Count measures two components: the total number of WBC's (leukocytes), and the differential count. The differential count measures the percentages of each type of leukocyte present. WBC's are composed of granulocytes (neutrophils, eosinophils, and basophils) and non-granulocytes (lymphocytes and monocytes). White blood cells are a major component of the body's immune system. Indications for a WBC count include infectious and inflammatory diseases; leukemia and lymphoma; and bone marrow disorders.ProcedureHow the test is performed: Adult or child: Blood is drawn from a vein (venipuncture), usually from the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and a tourniquet (an elastic band) or blood pressure cuff is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the tourniquet to distend (fill with blood). A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. During the procedure, the tourniquet is removed to restore circulation. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding. Infant or young child: The area is cleansed with antiseptic and punctured with a sharp needle or a lancet. The blood may be collected in a pipette (small glass tube), on a slide, onto a test strip, or into a small container. Cotton or a bandage may be applied to the puncture site if there is any continued bleeding. How to prepare for the test: Adults: No special preparation is necessary. Infants and children: The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experience, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age: infant test or procedure preparation (birth to 1 year) toddler test or procedure preparation (1 to 3 years) preschooler test or procedure preparation (3 to 6 years) schoolage test or procedure preparation (6 to 12 years) adolescent test or procedure preparation (12 to 18 years) How the test will feel: When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing. What the risks are: Risks associated with venipuncture are slight: excessive bleeding fainting or feeling lightheaded hematoma (blood accumulating under the skin) infection (a slight risk any time the skin is broken) multiple punctures to locate veins Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.ResultsInterfering factors: Acute emotional or physical stress can increase WBC counts. There are various types of white blood cells (WBCs) that normally appear in the blood: neutrophils (polymorphonuclear leukocytes; PMNs), band cells (slightly immature neutrophils), T-type lymphocytes (T cells), B-type lymphocytes (B cells), monocytes, eosinophils, and basophils. T and B-type lymphocytes are indistinguishable from each other in a normal slide preparation. Any infection or acute stress will result in an increased production of WBCs. This usually entails increased numbers of cells and an increase in the percentage of immature cells (mainly band zcells) in the blood. This change is referred to as a "shift to the left" People who have had a splenectomy have a persistent mild elevation of WBCs. Drugs that may increase WBC counts include epinephrine, allopurinol, aspirin, chloroform, heparin, quinine, corticosteroids, and triamterene. Drugs that may decrease WBC counts include antibiotics, anticonvulsants, antihistamine, antithyroid drugs, arsenicals, barbiturates, chemotherapeutic agents, diuretics and sulfonamides. Normal values: WBC: 4,500 to 10,000 cells/mcl Note: cells/mcl = cells per microliter What abnormal results mean: Low numbers of WBCs (leukopenia) may indicate: bone marrow failure (for example, due to granuloma, tumor, fibrosis) presence of cytotoxic substance collagen-vascular diseases (such as lupus erythematosus) disease of the liver or spleen radiation High numbers of WBCs (leukocytosis) may indicate: infectious diseases inflammatory disease (such as rheumatoid arthritis or allergy) leukemia severe emotional or physical stress tissue damage (for example, burns)Reviewed ByReview Date: 02/13/2011David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


Sigmoidoscopy?

DefinitionSigmoidoscopy is an internal examination of the lower large bowel (colon) and rectum, using an instrument called a sigmoidoscope.Alternative NamesProctoscopy; Proctosigmoidoscopy; Rigid sigmoidoscopyHow the test is performedDuring the test, you are positioned on your left side with your knees drawn up toward your chest. A gastroenterologist or surgeon will perform the test. First, the doctor does a digital rectal exam by gently inserting a gloved and lubricated finger into the rectum to check for blockage and to dilate (gently enlarge) the anus.Next, the sigmoidoscope -- a hollow tube through which the doctor can see-- is inserted into the rectum. Air is introduced into the colon to expand the area and help the doctor see better. The air may cause the urge to have a bowel movement.The sigmoidoscope is advanced, usually as far up as the sigmoid colon or descending colon. Then, as the scope is slowly removed, the lining of the bowel is carefully examined. The hollow channel in the center of the scope allows for the passage of forceps for taking biopsies or for other instruments for therapy.Sigmoidoscopy may be done using a rigid or flexible scope. Ask your doctor which procedure you are having.How to prepare for the testYou must sign an informed consent form. You will wear a hospital gown.On the morning of the procedure, eat a light breakfast and then use a cleansing enema about 1 hour before the sigmoidoscopy.Infants and children:The preparation you can provide for this test depends on your child's age, previous experiences, and level of trust. For general information regarding how you can prepare your child, see the following topics:Infant test or procedure preparation (birth to 1 year)Toddler test or procedure preparation (1 to 3 years)Preschooler test or procedure preparation (3 to 6 years)Schoolage test or procedure preparation (6 to 12 years)Adolescent test or procedure preparation (12 to 18 years)How the test will feelThere will be pressure when the scope or fingers are introduced into your rectum. There may be a feeling of the need to have a bowel movement during the procedure. There may be some bloating or cramping caused by the air or by stretching of the bowel by the sigmoidoscope. Biopsies cause no discomfort.After the test, you will expel the air that was introduced.Why the test is performedThis test can help diagnose:Bowel obstructionCauses of diarrheaColon polypsDiverticulosis (the presence of abnormal pouches on the lining of the intestines)Inflammatory bowel diseaseThis test can also be used to:Determine the cause of blood, mucus, or pus in the stoolConfirm findings of another test or x-raysTake a biopsy of a growthTo screen for colorectal cancerNormal ValuesNormal findings show that the lining of the sigmoid colon, rectal mucosa, rectum, and anus appear normal in color, texture, and size.What abnormal results meanAbnormal results can indicate:Anal fissuresAnorectal abscessBowel obstructionCancerColorectal polypsDiverticulosisHemorrhoidsInflammatory bowel diseaseInflammation or infection (proctitis)What the risks areThere is a slight risk of bowel perforation (tearing a hole) and bleeding at the biopsy sites (the overall risk is approximately 1 in 1,000).ReferencesU.S. Preventive Services Task Force. Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2008 Nov 4;149(9):627-37.Weinberg DS. In the clinic. Colorectal cancer screening. Ann Intern Med. 2008 Feb 5;148(3):ITC2-1-ITC2-16.