Transcranial Magnetic Stimulation vs. Electroconvulsive Therapy

Transcranial Magnetic Stimulation vs. Electroconvulsive Therapy Bipolar Disorder Treatment Print Transcranial Magnetic Stimulation vs. Electroconvulsive Therapy Both TMS and ECT can be used to treat severe depression By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial policy Marcia Purse Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on June 24, 2019 Joe McNally / Hulton Archive / Getty Images More in Bipolar Disorder Treatment Medications Symptoms Diagnosis Dr. Kira Stein of the West Coast TMS Institute talks with author Andy Behrman about electroconvulsive therapy (ECT), a standard treatment for severe depression as well as transcranial magnetic stimulation (TMS), another treatment for severe depression. Note that Dr. Stein is speaking of these two therapies potential utility in treatment-resistant major depression. However, ECT is also used to treat bipolar depression, mania, catatonia, and schizophrenia, using TMS for these conditions is considered off-label as it has not been approved by the FDA.   What Are ECT and TMS? Andy Behrman: How does TMS work differently from electroshock therapy (ECT)? What are the advantages of TMS over medication and ECT? Dr. Kira Stein: ECT works by applying direct electric currents to the patients head while they are sedated and immobilized, intentionally causing a therapeutic seizure in order to reset the brain. ECT is associated with short-term cognitive effects that often, but not always, preclude independent living during the period of time ECT is delivered. Other potential side effects of ECT include headache, muscle aches, nausea, transient changes in heart rate, blood pressure, and transient arrhythmias. Long-term memory deficits, although rare, are also a potential complication of ECT. As a result, ECT is rarely considered as a first, second, or even a third-line treatment, except for very aggressive and rapidly deteriorating cases of depression, or depressions that also have psychotic symptoms. The invasive nature and risks of ECT usually require patients to take a temporary leave from work and psychotherapy and employ caregivers or hospitalization. Unlike ECT, however, TMS does not involve the application of direct electrical currents to a patients head. TMS is designed to activate the brains healing process more gently by magnetically stimulating a very discrete part of the brain while avoiding global seizures and cognitive dysfunction. TMS involves few side effects, thereby enabling patients to remain awake and comfortable during treatments. Magnetic stimulation also enables patients to live independently, continue to go to work daily and to participate in remission-promoting activities such as psychotherapy and exercise. These ongoing pursuits are extremely difficult to do during a course of ECT, and many people feel ECT is too extreme for their level of depressive symptoms. Deciding Between TMS and ECT Andy Behrman: ECT has always been considered a last resort. Do you feel its the last stop in attempting to stabilize a patient with depression? Dr. Kira Stein: Every day we are learning new and better ways to treat depression. There is always hope, and I would never say that any treatment is a patients last stop. New psychotherapies, medications, brain stimulation techniques and even nutritional augmentations are developing all the time. Unfortunately, the oversimplification and stigmatization of ECT by the media has led treatment-resistant and severely depressed patients to reject it, even when the benefits of ECTs very robust 80 to 90 percent response rate and the potential for rapid action clearly outweigh the risks. ECT is a very valuable and appropriate option for patients suffering from extremely acute and dangerous cases of depression which either have not responded toâ€"or do not have the time to respond toâ€"medication, TMS, or other interventions. Andy Behrman: Should TMS ever be considered for patients who have not responded to ECT? Dr. Kira Stein: Yes, some people who have not responded to ECT have been shown to respond to TMS. How ECT and TMS Effect Your Brain Andy Behrman: The goal of medication is to alter brain chemistry. Is it fair to say that electrical or magnetic stimulation do the same thing? Dr. Kira Stein: It appears that medications, TMS, and ECT all ultimately cause changes in neurotransmitter levels and receptors, as well as increased levels of healing proteins such as brain-derived neurotrophic factor (BDNF). The prefrontal cortex is known to be the part of the brain with the highest level of abnormal connections in depression. It is thought that TMS and ECT normalize frontal lobe activity and connectivity with deeper brain structures. While the knowledge base about the effects of psychiatric treatments has grown in recent years, there is so much more we still have to learn.

A Report On The Hpv Vaccine - 858 Words

Kelsey Hearing Mrs. Simmons English 3H: 01 14 December 2015 Rough Draft/ HPV Shots, Shots, Shots Errybody Each year in the United States, about six million cases of the human papillomavirus (HPV) infection are diagnosed, and three-fourths of those cases are detected in young men and women between the ages fifteen to twenty-five (Ballaro). Luckily, this epidemic can easily be prevented by receiving an HPV vaccine. Despite the claim that the HPV vaccine was created just for profit, the HPV vaccine is an essential vaccine for preadolescent, adolescent, and young adults to receive in order to prevent HPV and the variety of cancers that it is known to cause. HPV is an infection that approximately twenty million Americans have, making it the†¦show more content†¦This vaccine was considered a break through due to the fact it was the first vaccine developed to fight against cancer. The HPV vaccine, commonly called Gardasil, only endured six months of testing before being approved. Typically, vaccines go through several years of evaluation be fore it is made available to the public. The research found that the vaccine is nearly 100% effective at its job; however, it only works when given prior to exposure to the illness (Ballaro). For this reason, it is recommended that people should receive the vaccine at age eleven or twelve. Originally, the vaccine was only available for women between the ages of eleven and twenty-six (Ballaro). This was most likely due to the fact that women are more susceptible to develop cancers from an HPV infection. In 2014, the vaccine was approved to be given to men between the ages of eleven and twenty-one (Frey). Men up to age twenty-six can receive the vaccine if their immune system is compromised or if they have had sex with another man as gay and bisexual men are 17 times more likely to develop a cancer from HPV than straight men. (Frey; McGill). The vaccine is given in three shots and all are essential to receive total protection. Another type of vaccine, Cervarix, was created in 2009 to prevent HPV types 16 and 18. Cervarix does not protect from genital wart like Gardasil does and it is only available for women (Frey). Both vaccines can save

Euthanasia Dying with Dignity Essay - 3326 Words

Euthanasia: Dying with Dignity Someday, a loved one may be faced with tough times or a terrible tragedy that leaves them in pain and agony for the rest of their life. It may not happen today, tomorrow, or even next month, but it is always a good idea to have a well thought out plan. A terminal illness could strike at any minute such as Lou Gehrig’s disease, or a car accident could leave someone paralyzed and miserable for the rest of their life. Permitting euthanasia would give the people the right to die with dignity and give them the option to not have to go through the pain, suffering, and stressful effects of a terminal illness. The Hippocratic Oath has been a major road block in legalizing the euthanasia process. Even though the†¦show more content†¦There is also non-voluntary euthanasia which is illegal worldwide because it is the termination of life in children. The third type of euthanasia is involuntary euthanasia, which World War Two brought about when the N azi’s built the death camps, also known as concentration camps. Auschwitz was one of the most common Concentration Camps known for the involuntary euthanasia usage. It is the voluntary euthanasia that has been around for centuries and has more support. Euthanasia was dated back to the fifth century BC to the first century AD when the Ancient Greeks and Romans supported the process. They only used it in cases where the person had prolonged pain and in complete agony. Even though there was a Hippocratic Oath, stating a doctor can do no harm, they still went through with the procedure at the request of the patient. As time went on through the Middle Ages, Christians showed more opposition in the area, so voluntary death became a very rare practice. Euthanasia was dropped after the fall of Rome. Thomas Aquinas’ arguments on suicide began to change opinions as well because it was his belief that life was God’s gift and suicide violates God’s authority over life. Centuries passed and decades have gone, the topic of euthanasia was still a tender topic. Ohio enters the years 1995 and 1996; the people tried to push a bill to legalize euthanasia in the state, but were turned down quickly. It was not until 1915 when Doctor HaiseldenShow MoreRelatedDying with Dignity (Euthanasia)2463 Words   |  10 PagesBy Valbona H.Bajrami Table of contents Introduction..................................................................................................................................3 History of euthanasia†¦Ã¢â‚¬ ¦............................................................................................................4 Medicine...................................................................................................................................5 Ethics.........................Read MoreLegalization Of Euthanasia Dying With Dignity1883 Words   |  8 Pages Hira Khan Instructor Vacca ENGL 1301 11/17/2014 Words: 1920 words Legalization Of Euthanasia-Dying With Dignity Have you ever come across a word that if uttered can shake your soul? Give you goosebumps and make you repent your sins? The five-letter word â€Å"Death† completely fits this description. Death is unpredictable and you never know when you might be isolated from the world and be buried in a graveyard, the dark and gloomy underground arena where hiddenRead MoreEuthanasia: Not Morally Acceptable Essay1646 Words   |  7 Pagesfollowing essay, I argue that euthanasia is not morally acceptable because it always involves killing, and undermines intrinsic value of human being. The moral basis on which euthanasia defends its position is contradictory and arbitrary in that its moral values represented in such terms as ‘mercy killing’, ‘dying with dignity’, ‘good death’ and ‘right for self-determination’ fail to justify taking one’s life. Introduction Among other moral issues, euthanasia emerged with modern medical advancementRead MoreEuthanasia Is The Termination Of A Person s Life813 Words   |  4 Pages1. Background In the societies around the world the term Euthanasia has been refuse during decades. Most of people have made their own opinion about it, based in not liable information like rumours or something that read in somewhere. The purpose of this report is give a brief explanation about Euthanasia, touching the main aspects such as classification, legal, ethical and religious aspects and human rights related with dying people in order to explain this term and allow each person to decide ifRead MoreEuthanasi The Procedure Of Euthanasia890 Words   |  4 PagesEuthanasia is generally misled in correlation to assisted physician suicide in which a person wants to end their suffering because of unbearable pain that they are experiencing but unable to function on doing so and no more hopes besides dying peacefully. Dees starts a complex process through a five steps articulation of the implementation of Euthanasia for the patient who is undergoing the process in which all five steps is within th e patient’s rights and their dignity for their advance directiveRead MoreEuthanasi A Gentle And Easy Death1240 Words   |  5 Pagesright and life? B. According to the Oxford English Dictionary, Euthanasia is â€Å"a gentle and easy death.† 1. Euthanasia is not suicide. Suicide is taking one’s own life because one does not want to live C. Today, I will go over the countries and states that allow Euthanasia, the types of Euthanasia and conditions that patients need to be under to pursue euthanasia, and if it is our rights to pursue euthanasia. I believe that Euthanasia (under strict conditions) should be legalized in all states becauseRead MoreEuthanasia And The Right Of Life And Euthanasia1558 Words   |  7 PagesTo speak of Right to Life and Euthanasia, first it should be defined by at least two notions: Euthanasia and the Right to Life, the first are definitions as those shown below: Some authors see that the concept or the notion of Euthanasia is too ambiguous, which can lead us to understand very different and even contradictory things. Let s refer to it: 1. A normed use: Death without physical suffering or which causes voluntarily Another use is the Factual painless death or death in a stateRead MoreEuthanasia Essays : Euthanasia And Euthanasia1432 Words   |  6 PagesDoes euthanasia assists patients to die with dignity? From fresh to dying, is the humanity multiplies the development natural law. Along with medicine progress and life enhancement, the people besides pay attention to eugenics, simultaneous starts to pay attention to the euthanasia. Since this century 50 ages, regarding euthanasia, many countries’ medical arenas, educational world, and ethical groups have been arguing about the euthanasia argument for many years, although many person of ideas haveRead MoreI Am Not A Supporter Of Euthanasia1481 Words   |  6 Pagesprognosis, I would like to have the option to die with dignity. Thesis Statement: A terminally ill person should have the option to die with dignity—something that is currently only afforded to the terminally ill in five U.S. states via aid in dying laws. Ethos While I am not someone on the front lines of this issue, I have been a supporter of death with dignity as well as have done some research on the topic. I am not a supporter of euthanasia, which is a crime, but I am a supporter of giving theRead Moreâ€Å"To Save A Man’S Life Against His Will Is The Same As Killing1616 Words   |  7 Pagesthe Oxford Dictionary Euthanasia is the painless killing of a patient suffering from an incurable and painful disease or in an irreversible coma. Euthanizing should be legal in all fifty states. The decision of being euthanized should solely be up to the patient and no one else. Euthanasia should not be seen as an easy way to escape living, but as a way to help relieve extreme pain, alleviate family of medical expenses, and allow patients to gain a sense of control and dignity before it is too late

Differentiating Organisms Using a Gram Stain Free Essays

Amanda Lab Report 1 Microbiology Laboratory Title – Differentiating Organisms using the Gram Stain Introduction The experiment conducted was based upon the known attributes of two different groups of bacteria, those that are gram positive, and those that are gram negative. Using a specific staining procedure, it is possible to differentiate the two types under a microscope The gram stain method of differentiation is possible because of differences in the cell membrane between the two categories of bacteria. Gram positive cells have an extra thick layer that is made of highly-crosslinked peptidoglycans, which impart different properties. We will write a custom essay sample on Differentiating Organisms Using a Gram Stain or any similar topic only for you Order Now This layer makes the cells less susceptible to decolorization by Ethyl Alcohol. Using this property, cells with a thinner peptidoglycan layer can be stained a different color than gram positive cells within a culture. The primary color is applied to the culture and imparts a purple color to all bacteria in your sample. Adding Gram’s iodine, a mordant used by the method’s namesake, makes the violet color more intense, and creates a bond with the primary stain that makes it less soluble. The third step is to add a decolorizing agent, Ethyl Alcohol. In gram negative cells the alcohol makes the outer cells porous, which allows the primary stain to be washed away. The gram positive cells have pores that are actually dried out by the alcohol, which makes the primary stain fix into the membrane, and not get washed away. The final stain is the counter stain that lends a different, pinkish color to the gram negative cells that have been washed of the primary stain. Methods The method used in this experiment was derived from Cappucino and Sherman (2011) as detailed in experiment 10 with substitutions for the unknown bacteria. Aseptic lab technique was followed. One slide of the #7 unknown bacteria and one slide which included both unknown #7 and unknown #2 were prepared using the following stain technique. The initial smears were made from broth cultures using a loop, air dried, and then heat fixed. The smears were covered with crystal violet stain and allowed to absorb for one minute, before gently rinsing with a controlled stream of water from a squeeze bottle. Next, Gram’s iodine was applied to the smears with a dropper and left to sit for one minute before rinsing with water. Next, the 95% Ethyl Alcohol mixture was dropped slowly onto each smear and allowed to run off until the alcohol appeared clear and then gently rinsed with water. Lastly in the staining procedure, Saffranin was dropped onto the smear until it was covered, for 45 seconds. The smears were rinsed with water final time, then placed between sheets of bibulous paper to dry. Each smear was viewed under the light microscope using oil immersion at 1000x magnification. These smears were compared to smears prepared in the same fashion, of the known bacteria E. coli, B. cereus, S. ureus, and a mixed smear containing both E. coli and S. aureus. Results Experiment 10 Observations Bacteria| E. coli| B. cereus| S. aureus| Mixture of E. coli and S. aureus| RepresentativeField| | | | | Shape| Bacillus| Bacillus| Cocci| Cocci, Bacilli| Arrangement| Single, some clustered by the stain| Strepto| Variable, mostly staph| cluster| Cell Color| pink| purple| purple| Purple/pink| Gram Reaction| -| +| +| +/-| Un known Bacteria Observations Name| Unknown #7| Unknown #2| Mixed Field| Representative Field| | | | Shape| Bacillus| cocci| Bacillus/Cocci overlap| Arrangement| Strepto| staph| cluster| Cell Color| Purple| purple| Purple| Gram Reaction| +| +| +| * Table 1 shows how the three different cells were observed after staining. The only pink and gram negative bacteria were the E. coli which were rod shaped and collected in a strepto arrangement. Bacillus cereus was purple in color, appeared rod shaped characteristic of bacilli and was gram positive, appearing purple as expected. The other gram positive and purple bacteria, Staphylococcus aureus were spherical in shape, and clustered into large groups with some lone cocci visualized. The mixture in Table 1 showed a good contrast between the pink rods of E. coli and the purple circles of S. aureus. * Table 2 shows Unknown # 7 as a rod shaped, chain forming, purple bacteria. Unknown #7 was visualized as a clustering purple, spherical organism. Both appeared gram +. The mixture of the two showed the same shapes, but in this case the rods and spheres tended to cluster and were more difficult to observe as they were the same color. But rods and spheres could be clearly discerned upon careful examination. Table 1 served as a control for table 2, as each the unknowns in Table 2 were going to be one of the Table 1 organisms, barring contamination. If a bacteria was visualized in Table 2’s data that was not present in Table 1, there was an obvious error which could be corrected by redoing the slides. The information for Table 2 came from observations on Thursday following the original day for the unknowns on Tuesday, as we observed contamination on the slides from gram negative bacteria that should not have been present with gram positive stains. Discussion B. cereus and S. aureus appeared purple upon observation through the microscope. This is consistent with knowledge about the two bacteria that indicate they are gram positive bacteria. The purple coloration means that their outer layers are of the more highly cross linked type with more peptidoglycan, which gives their cell membrane shape and firmer structure. This also makes the membranes open to dehydration without weakening. When the decolorizing agent was applied in this experiment, the cell walls of the gram positive organisms shrank up, not allowing the primary stain to leave. They remained purple even after treatment with Saffranin. E. coli’s outer layer also has peptidoglycan but it is much thinner, and surrounded by lipids. When the decolorizing agent was applied to the slide containing this bacteria, it’s membrane let the stain wash easily out of the thin membrane. The saffranin as the second stain was then picked up easily, giving the E. oli a pink shade. The results of the study show that unknown # 7substance was B. cereus. The purple color and gram positive reaction ruled out E. coli as the identity of the unknown. Rods arranged in strips were observed in the unknown # 7, so B. cereus became the leading contender. When unknown #2 and unknown # 7 were mixed, a contrast between the rods and spheres could be observed, which made it clear that unknown #7 showed a clear bacilli structu re. Contamination on Tuesday of the experiment led to misleading results. Because unknown #2 had been visualized as purple cocci, and unknown #7 had been visualized as purple bacilli, when unknown #2 and unknown # 7 were mixed, it was unclear as to what the pink gram negative bacteria appearing in the slide were. The pink bacteria clung to the purple bacteria in the slide. It was decided that the unknown #2 had been mixed up with another unknown during testing, or the aseptic technique had been compromised. The unknowns were heat fixed and stained a second time, visualized individually and in a mix . The final results were unambiguous. It is unclear whether the gram-negative bacteria were E. coli or another gram negative bacterium as the pink structures were behind the purple structures in the slide and were very translucent. It also possible the pink bacteria were a result of decolorizing the bacteria for too long with ethyl alcohol during the staining process, or the pink bodies were contaminant material and not cells at all which happened to take on the Saffranin stain by chance. Literature Cited Cappuccino, J. G. , and N. Sherman (2011) Microbiology: A Laboratory Manual. Pearson Benjamin Cummings (San Francisco). How to cite Differentiating Organisms Using a Gram Stain, Papers

Osmosis Jones Penetrating the Membrane Essays - Chemistry

Osmosis Jones: Penetrating the Membrane By Emma Nicholas Jeffrey O'Hara First Lab Report 40811 Tuesday, Wednesday, Thursday at 12:45pm-3:45pm July 17, 2013 Theresa Gburek Abstract: The objectives in the osmosis lab include the following; how concentration gradients influence the direction of net water flow during osmosis. Also, how a selectively permeable membrane allows selective diffusion of various substances. In addition, how to create serial dilutions for use in laboratory experiments. Lastly, how to generate hypotheses and test them experimentally. The methods used in this lab include the creation of dilutions and the preparation of dialysis tubing. An important part of this experiment is the use of solutions with known concentrations of solute. Dialysis tubing is a kind of membrane that allows water to pass through it, which lets us observe osmosis in action. The results are presented in a graph displaying the gradual increase of weight throughout the osmosis experiment with the exception of a malfunctioned dialysis tubing in which case a portion of the experiment was disrupted. Concluding that throughout osmosis the weight of the bag increases becaus e of the exchange of molecules between the membrane and surrounding water. Introduction: Living organisms are made up predominantly of water. Proteins, sugars and many other biologically important molecular are dissolved in this solvent. Plasma membranes, however, are made up of lipids, which are hydrophobic. Thus, the plasma membrane is able to compartmentalize cells and organelles in an aqueous environment. It is, however, selectively permeable: some substances can flow freely across the membrane, some require assistance, and some cannot cross it at all. Transport proteins help move some molecules through membranes. Diffusion is the simplest form of flow across membranes. Osmosis is the form of diffusion in which water, not the solutes dissolved in it, flow across the membrane. During the time lapse of this experiment, questions and hypotheses were either asked and or addressed. (E.g.) Temperature, viscosity and concentration gradients will affect the rate at which molecules move across a membrane. However, what happens when the solutes reach equilibrium? What are the differences between hyper- and hypotonic solutions? What happens when two solutions have the same concentration? Our hypothesis on osmosis is as follows; increased concentration gradient will change water flow due to osmosis. "Many desalination plants around the world rely on reverse osmosis membranes, which enable water molecules to separate from brine with the application of power" (Winters, 2010). "RO [reverse osmosis] can treat for a wide variety of health and aesthetic contaminantsRO [reverse osmosis] also can be effective for treating health contaminants such as arsenic, asbestos, atrazine (herbicides/pesticides), fluoride, lead, mercury, nitrate and radium" (Harrison, 2006). Materials and Methods: For this experiment, the following materials are required, sucrose, 4 15cm lengths of dialysis tubing, 8 10cm pieces of waxed dental floss, 4 400mL beakers, 25mL graduated cylinder, tags, ring stand, wax pencil, balance, distilled water, scissors and compound microscope. The procedure for this experiment begins with obtaining the required materials (which are listed above). First step is to tie one end of the dialysis tubing with the waxed dental floss. Then prepare the sucrose solution that will fill the dialysis tubing. Measure out the amount of sugar using a balanced scale, adding the appropriate amount of sugar in the solution to obtain the desired sucrose content. Before beginning the test, mix up a 0% solution, 15% sucrose solution, 30% sucrose solution and a 90% sucrose solution. Then fill four different dialysis tubing with the prepared sucrose solutions, and then tie off the top. Weigh each tube before the experiment. Place each of the filled tubing into the corresponding labeled beaker. After the passing of 5 minutes, remove each bag from its beaker, then weigh and record the weight changes. Repeat this step for the next 30min. In this experiment the independent variable is the percentage of sucrose solution. Decreasing and increasing the percentage of sucrose altered this variable. The dependent variable is the weight of the tubing contents. During our osmosis lab, there was no positive control. However, our negative control was the dialysis tubing filled with only water (i.e.) 0% sucrose solution. Results: The Y-axis represents the amount of grams each tube weighed. The X-axis represents the time at which the bags were weighed. This represents the recorded quantitative

Understanding Parenthetical Elements

Understanding Parenthetical Elements A parenthetical element is a word or group of words that interrupts the flow of a sentence and adds additional (but nonessential) information to that sentence. This element can be long or short, and it can appear at the beginning, the middle, or the end of a clause or sentence. John, the second batter in the lineup, is a fast runner.Mildred is an excellent cook, as a matter of fact.Just this once, you should try mustard on your peanut butter sandwiches.The dog, after guarding the chewed-up toy for more than an hour, finally got tired of waiting for me to play with him. Types of Words or Word Groups that Can Be Parenthetical Elements: Appositives Example: The book, a 758 page monster, was required for my history class. Relative clauses Example: My professor, who eats lunch every day promptly at noon, was not available for discussion. Prepositional phrases Example: The turkey, after moments of deliberation, ate the bug. Phrases as examples Example:  Foods that are hot or spicy, e.g. jalapenos or hot wings, make my eyes water. You might think of the parenthetical element as a sudden thought that pops into your head as you are making a statement. Because it provides additional or supporting information to a complete sentence, the main part of the sentence should be able to stand alone without the words stated in the parenthetical element. The name parenthetical might cause confusion because it resembles the word parentheses. In fact, some parenthetical elements are so strong (they can be quite jolting) that they require parenthesis. The previous sentence provides an example! Here are a few more: My sister (the one standing on the chair) is trying to get your attention. The strawberry tart (the one with the bite taken out of it) belongs to me. Yesterday (the longest day of my life) I got my first speeding ticket. Punctuation for Parenthetical Elements The examples above show that parenthetical elements are usually set off by some form of punctuation in order to avoid confusion. The type of punctuation used actually depends on the degree of interruption caused by the interrupter. Commas are used when the interruption is least emphatic. If the sentence containing the parenthetical element flows pretty smoothly, then commas are a good choice: My friend, who doesn’t like to wear socks, is trying to give me his tennis shoes. Parentheses are used (as stated above) when the interrupting thought represents a bigger diversion from the original message or thought. Pizza is my favorite food (the brick oven kind is best).I think Ill go home now (the walk will do me good)  before I fall asleep on the job. But there is one more form of punctuation that you may use if you use an interrupting parenthetical element that really jolts the reader from the main thought. Dashes  are used for the most emphatic interruptions. Use dashes to set off a parenthetical element for a more dramatic effect.   My birthday party- what a surprise!- was a lot of fun. The frog- the one who jumped on the window and made me jump a mile- is now under my chair. I bit my lip- ouch!- to keep from speaking my mind.

How to Make LinkedIn Work for You

How to Make LinkedIn Work for You On July 30th, I was interviewed by the charismatic Pete Mockaitis of Awesome at Your Job on â€Å"Making LinkedIn Work for You.† We covered lots of ground, including Two keys to crafting an eye-grabbing LinkedIn profile Who needs a LinkedIn profile and who maybe doesn’t What to do to be both searchable and likable on LinkedIn How to make an impact with your LinkedIn Summary How to grow your LinkedIn network past 500 people quickly and responsibly The case for making recommendations I won’t spend a lot of time talking about this interview, because you can both listen to it and get a full transcript at this link: Making LinkedIn Work for You with Brenda Bernstein To view the transcript, scroll down to this section of the article and click on the + sign: Or listen here: document.createElement('audio'); https://theessayexpert.com/wp-content/uploads/2018/07/326_-_Making_LinkedIn_Work_for_You_with_Brenda_Bernstein.mp3 What I will say, because I want you to get all the goodies you can get from this podcast, is that I talk about everything from Big Bird and my Sesame Street failures to the lessons we can learn from bamboo trees. Oh and I talk about blenders. That’s a lot of Bs from Brenda Bernstein! I also threw a little neuroscience in there about how to create an impression before you even meet someone in person. And there’s more! I highly recommend listening to or reading this interview, even if you’ve listened to my podcasts before. The tidbits on my favorite things and life lessons are especially charming, if I do say so myself, plus you get to learn about how to make LinkedIn work for you! 🙂 Hit the â€Å"Connect† too soon 🙠 Really liked what you had to say! Working on updating my LinkedIn profile to focus on my day job while mentioning my joy being a professional musician on the side. Thank you for the tips you offered on this podcast interview with Pete! Log in to Reply Brenda Bernstein says: August 29, 2018 at 9:49 pm Thanks for your comment and for connecting with me on LinkedIn, Sten. That balance between two careers can be tricky. Let me know if you are interested in my LinkedIn Profile Review service! Log in to Reply