Play dough activity Essay

I discussed with my manager that i was going to carry out a play activity. The project i have chosen to do is the making of play dough. I have chosen this activity because i feel this is a great pastime and a great experience between me and the children. I say this because the children can actually take part in the making of the product. I think this activity will help them to learn about colours, shapes†¦ My manager confirmed the activity and she was really pleased with idea and she also thought this would be a great learning experience for the children. I already have a recipe on how to do play dough, but my manager confirmed one more time all the ingredients: flour, food colouring, salt, oil and water. I make the play dough activity with four Montessori children. The first thing i did it was to get all my materials ready: small basin, large spoon, flour, salt, oil, water, paint, shape cutters, rolling pin. In this activity children can develop Motor skills -Using play dough h elps a child practice using certain physical skills with the hands when they manipulate the dough with their fingers. Children can practice skills such as pinching, squeezing or poking while they play with the dough. Cognitive Development-Using play dough helps a child practice using imagination and other cognitive abilities such imitation, symbolism and problem solving. This helps the child learn more about his environment as he makes and mimics everyday objects with the play dough. Emotional Development-Using play dough may help a child to calm down when frustrated or angry. Holding and squeezing the play dough can produce a calming effect on the child and is useful for teaching anger management skills. Additionally, children may feel more comfortable expressing themselves in other ways while their hands are busy. Social Development-Using play dough may help a child develop social skills as she plays along with other children with the dough. Additionally, making play dough is an opportunity for a child to practice cooperation and sharing with a caregiver. Physical development. Using play dough may help a child to develop motor skills needed for writing and drawing. Language development. Because of the interactive nature of play dough use, children need to listen, understand the communication of others, speak, and practice their oral communication skills as they mold and manipulate their play dough  constructions. Science understandings. The tactile experience of manipulating play dough helps children develop a deeper understanding of how matter changes (physics) and encourages them to use scientific thinking as they observe changes, make predictions, and talk through differences in the materials they are using. Mathematics concepts. Mixing up a new batch of play dough with adults is one way in which play dough engages children in mathematical learning as they measure and count recipe ingredients. Discussions about shape, relative size (greater than, equal to, or less than), height, length, and weight provide additional opportunities for children to develop mathematical understandings. Literacy Learning. When paper and writing utensils are added to the play dough area, children can make signs, labels, and create stories related to their play efforts. Exploring and thinking- children used their senses, their minds and their bodies to find out about and make sense of what they see. They used the imagination to create new shape or different monsters from play dough; they are imitating in special the mothers in the kitchen when are cooking; are making gestures as adults ;are playing and talking about the experience. Identity and belongings-children build respectful relationships with others; they express their own ideas, preferences and needs, and have these responded to with respect and consistency; they feel that they have a place and a right to belong to the group; Well-being-i n the play activity children were happy and playful; they were interacting to each other; the group activity make them feel comfortable and contents. Communication-children used a range of body movements, facial expressions, and early vocalisations to show feelings and share information; they interact with other children by listening, discussing and taking turns in conversation; children used language with confidence and competence for giving and receiving information, they asked questions and request too. Through this activity i found the children had great fun. Children were very excited about the fact that they were going to help me make the play dough. They were full of all different questions. Over all i felt the activity went very well.

Contents of My Backpack

Although I am only at the beginning of my teaching career, I feel as if I have many things already stowed away in my Dakine green, black, and white plaid backpack. My items are similar to Mr. Goldman’s items in that they have very little to do with the topics that I teach but are able to transform my classroom environment, stay along the guidelines of time management, and allow students to learn at their own pace. The items that I have in my backpack include: a Nerf basketball, wireless mouse, pens and pencils with colorful erasers, 3 ring hole punch, dollar store multi colored star stickers, a small bust of George Washington, and a mustache mug. Not all of these items are essential teaching tools but some of them are used so frequently that I could include them in my curriculum. The Nerf basketball is used just about every day in my math class, it helps me get volunteers for questions, provides a reward to students, and encourages others to be supportive of their classmates. The last two coincide with a game I stole from a teacher in the district high school called ‘Math-sketball’. It’s a simple game where everyone works out the problem on the board and after the buzzer counts down students need to have their answer written on their scorecard. Those students who answer correctly get to line up for a free throw shot with the basketball, students cheer each other on to make the basket and if a student misses, classmates are there with words of encouragement. This mini failure of missing a shot and the support of their classmates to try again next time is important for the students. I teach 6th, 7th, and 8th grade math students in a Resource Room at a middle school. The wireless mouse allows me to use the technology in the room without being plastered to the wall which would allow students to get distracted with other things going on in the room or outside the windows. I am able to keep close enough to my students, check their progress with the material, as well as circulate around the room to keep an eye on drifters. My 3 ring hole punch is one of my best items. I use it to keep myself organized with binders, lessons, units, tests, and other materials, but I also use it to hole punch everything that I give the students. This helps them with their organization but doesn’t stop them from misplacing their homework. I will have to find a reasonable price for microchips that I can attach to homework assignments so it is never misplaced or lost in a locker. The dollar store multi colored star stickers are used as a reward for students who are ready for class, hand in assignments, score well on tests, or help out during the class without being asked. It’s a way to keep the students active and engaged without constantly reminding them to do something or not to do something. I am sure that over my teaching career more items will be put into the backpack and that some items will replaced or taken out of the backpack, but as long as my mustache mug doesn’t crack, chip, or shatter, that will be my staple item, how else will I be able to fuel up during the day?

John Updike’s A&P Essay

The nineteen fifties marked the era of differences between the parents and their children. Not until the nineteen sixties was there turning point in the nation. The generation gaps are the differences amongst the younger generation and their elders, and mainly amongst children and their parents. Generation gap still occurs today, in thing varying from behavior, to genres of music, and even in usage of language. The new generations try to express themselves as something different from the old, embracing new slang, trying to form a separation between themselves and the previous generation. In John Updike’s â€Å"A &P†, a teenage boy named Sammy works at a local store called A&P. Sammy is a young casher, that stands up to his boss and he stands up for three girls who are dressed in bathing suits. Sammy lives in a small town, where nothing really happens. There is a struggle within every teenager. Sammy doesn’t like his job at the store or the store itself, and he finds the customers to be like sheep. â€Å"All this while, the customers had been showing up with their carts, you know, sheep, seeing a scene, they had all bunched up on Stokesie†¦Ã¢â‚¬ (Updike 1170). The girls were like a pinball and the store is like the pinball machine, because Sammy could only see the girl’s heads as they went through the aisles, â€Å" the whole store was like a pinball machine and I didn’t know which tunnel they’d come out of†(Updike1169). Lengel is like a kingpin, because he is the manager of the store. Sammy’s observations on the people in the store build up on his internal conflict. According to Joseph Lostracco’s â€Å"Analyzing Short Stories†, Sammy shows an internal conflict between his limitation due to social class and the need to be admired (Lostracco 99). This conflict becomes a pparent when Sammy struggles between wanting to stand up for Queenie and her friends and the desire to be liked by others by not saying anything to Lengel. The other ‘market dwellers’ were shocked, with Queenie and her friends for walking into the store wearing bathing suits and no shoes. Sammy’s conflict occurs when his manager Lengel was telling the girls they couldn’t wear swimsuits out in public. Lengel found it to be inappropriate for women to be in swimsuits in public places, Lengel tells the girls â€Å"Girls this isn’t the beach† (Updike 1169). Updike states â€Å"Its one thing to have a girl in a bathing suit down on the beach, where what with the glare nobody can look at each other much anyway, and another thing in the cool of the A&P†¦.†(Updike 1168). According to Lostracco, Sammy’s  conflict becomes an external one between him and the grocery store manger. Sammy feels that if he comes to the girls’ rescue he will win their favor (Lostracco 99). Sammy feels like he can impress the girls, but the girls left before he quit. There is a conflict for approval in every culture. There were generation gaps going on during the nineteen fifties and nineteen sixties, the young people wanting different things from their parents. But the big turning point in culture was not during the nineteen fifties, but in the nineteen sixties. The Young people wanted to feel free, and be their own people. Queenie wanting to be part of the movement and Sammy is stuck between the two generations. Lengel claims that the girls are embarrassing themselves, where as Sammy states that â€Å"You didn’t have to embarrass them†(Updike 1170). Even if society is able to determine its own moral code and culture, it doesn’t fulfill everyone’s needs. According to Lostracco the tone achieved in â€Å"A&P† is based on humor at the expense of growing up. Updike handily illustrates the impulsivity of youth who yearn to be accepted (Lostracco 100). The three girls gets Sammy’s attention when they walked into the grocery store, wearing only their bathing suits. Sammy describes each of the girls in great detail, but goes in more detail with Queenie then with her friends. Queenie is the leader of her group, she’s confident. Sammy thinks that Queenie is ideal but not perfect, â€Å"She has sort of okay hair that the sun and salt had bleached done up in a bun†(Updike 1168). Sammy likes the girls and he thinks about them a lot- how they interact, and what they wear and goes into great detail of how they look. Sammy describes Lengel is strict, uptight and is you’re stereotypical boss. Lengel is a hard worker who is misunderstood and he takes Sammy’s place when Sammy quits his job. Sammy also sees Lengel as someone who doesn’t miss much-â€Å"Sunday school superintendent.† Lengel hides in his office all day. Lengel tries to explain to Sammy when he quits that he is hurting his parents, and that Lengel has known Sammy’s parents for years, â€Å" Sammy, you don’t want to do this to your mom and Dad†(Updike 1171). Sammy realizes that he doesn’t want to do this to his parents, but Sammy is his own person. Sammy rebels against the store, because how Lengel treated the three girls. Lengel criticizes the girls because they are wearing bathing suits. The bathing suits symbolize the girls’ neglect of the social rules of their small town. For Sammy the bathing suits symbolize freedom and a getaway from the world that he is  stuck in. Coming from two different generations Sammy and Lengel sees the girls wearing the bat hing suits from different sides. Lengel criticizing the girls symbolizing Sammy trying to find out who he wants to be. Sammy is a hero, because he stood up not only for Queenie and her friends, but also for something he thought was ok. The nineteen sixties had transformed the nation. The nineteen sixties was the turning point for the United States. According to Rennay Craats people demonstrated for the end of the war and racial discrimination (Craats 4). The nineteen sixties were full of huge protests, some of which turned violent. People protested racism, the war in Vietnam, and the government. The Civil rights movement had spread across the nation, as many young Americans protested to get the nations attention about the civil rights. Sammy was stuck between wanting to be his own person and wanting to make his parents happy. According to Lostracco, Sammy’s rebellion can see as a reaction to the basic morality he faces in his hometown, a very ordinary and uneventful small town (Lostracco 100). Queenie was ‘the leader’ of the group. Sammy realized how hard life was going to be for him after he quit his job, â€Å"My stomach kind of fell as I felt how hard the world was going to be to me hereafter†(Updike 1171). Sammy knew that he did what he thought was best for him, even though it might mean people being upset with him. Today the gaps are getting bigger due to the massive amounts of technology the younger g enerations use. During the nineteen sixties Americans took part took part in the social revolution. Taking part in peace, and social justice. Women were looking for equality, the younger generation looking to be different. Queenie and her friends wanted to be able to walk into the grocery store in the swimming suits and with no shoes, and having it be a problem. Today it is more acceptable for women to walk into grocery stores with shorts and a swimsuit on then it was in the nineteen sixties. Sammy had a reason to stand up to his boss Lengel and be his own person, because of how Lengel was criticizing the three girls. Generation gaps have been going gone for years. Sammy was trying to ‘find himself’, during the story. Sammy stood up for what he thought was right, and helped out the three girls. John Updike uses first person to describe the experience of the three girls in the store, and Sammy’s experience of working there. John Updike shows in A&P just because people believe in something doesn’t mean you have to believe in the same thing.  There is a co nflict that occurs in not just in teenagers but also the adults every day. Work cited Craats, Rennay. â€Å"History of 1960’s†. Weigl Publishers Inc., 2002. http://books.google.com/books?id=1tm_44Ln4EUC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false. November 14, 2012 Hawthorne, Nathaniel. â€Å"Young Goodman Brown.† Fiction 100 an anthology of short fiction. Thirteenth edition. New Jersey,2012. Lostracco, Joseph. â€Å"Analyzing Short Stories.† Seventh edition. Revised printing. 1992.

Changes in China During the Sui, Tang, and Song Dynasties Essay

China’s development had started at a very early point in human history and continued to grow through millennium until the collapse of the Han Dynasty in 221. When China reunified it experienced political, social, and economical changes over a period of 700 years and 3 dynasties. Those dynasties were the Sui, Tang, and Song. The Sui Dynasty, founded by Yang Jian in 581, was responsible for unifying China for the first time in 400 years. The capital was re-established at Chang’an . Yang Jian turned Chinese religion from Confucianism to Buddhism and Daoism. The strength of both belief systems were evident as monasteries for both were built in the capital and Buddhist monks were appointed as key advisers in the government. A major accomplishment of the Sui Dynasty was the construction of the Grand Canal. The Canal linked the Yellow and Yangtze Rivers and provided for political, social, and economic uses. Politically, the Canal was used as an imperial highway for the emperor to inspect the kingdom and used as a means to rapidly deploy troops to the various provinces. The Canal was used socially for quick communications throughout the country. It also facilitated shipments of grains, rice, and other needed commodities from rural south China to the over-populated northern region. The Sui Dynasty came to an end in 618 after Emperor Sui Yangdi’s murder. Li Yuan, a general under the Sui, took control of the empire during the instability that followed the murder and established the Tang Dynasty. The Tang Dynasty began in 618 and continued to build on the accomplishments of the Sui. The main feature of the Tang was the expansion of the Chinese empire. The Dynasty expanded their influence over the area south of the Yangtze River and took control of Tibet. The Xinjiang province was established in the northwestern section of the empire. Significant diplomatic and economic relations began between China and other country-states in Southeast Asia. Chang’an had been restored to its former self as the population numbered 2,000,000 and goods from all over the world were bountiful. The Tang reintroduced civil service exams to the empire. The candidates for civil service were all male and came from the rural gentry class. Those who successfully completed the exam were referred to as scholar-gentry. Buddhism’s influence rose even more during the Tang and helped China reached a pinnacle for poetry and sculpture. Silk Road trade increased dramatically under the Tang, although maritime trade still played a critical role in the empire’s economy. Even through all of these accomplishments, the Tang created their own demise. Various problems arose from inside the central government and eventually lead to a revolt. The revolution was suppressed but China never fully recovered. The government control of the landlords had significantly weakened and the nomads north of China saw their opportunity to invade. These factors along with a speculated drought lead to the end of the Tang Dynasty in 907. China entered a period of turmoil after the end of the Tang Dynasty, similar to the period that occurred in between the Han and Sui Dynasties. The only difference is that the period after the Tang did not last as long. In 960, Song Taizu managed to sign the majority of the military commanders that brought an end to the Tang into a cooperative agreement. The commanders in the northwestern region and in Tibet did not take part in the cooperative. China lost its control over Tibet as a result. Song Taizu decided to move the capital to Kaifeng to decrease the risk of a hostile takeover of the capital. The Khitan people from the north were unable to be contained which lead to Song Taizu moving the capital again, this time further south to Hangzhou. Civil service exams initiated during the Tang came to full fruition under the Song. Buddhism lost its power and influence to give rise to State Confucianism. Private commerce was a major aspect of the Song Dynasty and allowed for greater economic expansion and prosperity. All was well until the Jurchen from Manchuria forced the Song Dynasty to pay tributes. As a means of protection and retaliation against the Jurchen, the Song formed an alliance with the nomadic people from the Gobi Desert, the Mongols. After the Mongols defeated the Jurchen they turned their attention towards and conquered the Song Dynasty in 1279. The Sui, Tang, and Song Dynasties built on top of each other for a better version of traditional China. They also each single-handedly made a contribution to the development of the country as a whole. The Sui had the Great Canal, the Tang developed the diplomatic relations, and the Song expanded economically. All of three dynasties and their accomplishments helped lay the ground for today’s China.

Virginia Mason Hospital

What were reasons for implementing lean management at Virginia Mason Hospital? Lean thinking begins with driving out waste so that all work adds value and serves the customer’s needs. Identifying value-added and non-value-added steps in every process is the beginning of the journey toward lean operations. In order for lean principles to take root, leaders must first work to create an organizational culture that is receptive to lean thinking. The commitment to lean must start at the very top of the organization, and all staff should be involved in helping to redesign processes to improve flow and reduce waste. Although health care differs in many ways from manufacturing, there are also surprising similarities: Whether building a car or providing health care for a patient, workers must rely on multiple, complex processes to accomplish their tasks and provide value to the customer or patient. Waste —of money, time, supplies, or good will — decreases value. And the CEO of VM realized several reasons for them to implement lean management to improve the poor performance of the old system: 1. The path to better quality and safety is the same as the path to reduced cost. 2. VM’s old system is full of waste (non-value-added activities), need to systematically reduce and eliminate that waste. 3. Improvement is not coming from a technological arms race. What is VMPS and what are its main principles? The Virginia Mason Production System (VMPS) is a management method based on manufacturing principles that seeks to continually improve how work is done. Using this method, Virginia Mason (VM) identifies and eliminates waste and inefficiency in the many processes that are part of the health care experience, making it possible for VM staff to deliver the highest quality and safest patient care. By streamlining repetitive and low-touch aspects of care delivery, staff and providers spend more time talking with, listening to and treating patients. Virginia Mason’s vision is to be the Quality Leader in health care. This vision requires adopting a paradigm shift from expecting errors and defects, to believing that the perfect patient experience is possible. Key to accomplishing this is understanding that staff who do the work know what the problems are and have the best solutions. VMPS strategies range from small-scale ideas tested and mplemented immediately to long-range planning that redesigns new spaces and processes. VM uses several continuous improvement activities, such as Rapid Process Improvement Workshops (RPIWs) and kaizen events focused on incremental changes, as well as 3P workshops intended to completely redesign a process. VM has held 850 continuous improvement activities involving staff, patients and guests. VM leaders saw value in the TPS principles of mak ing quality and safety a top priority, relentlessly focusing on the customer, reducing waste (of which health care has an abundance), and engaging staff in continuous improvement. The idea behind VMPS is to achieve continuous improvement by adding value without adding money, people, large machines, space or inventory, all toward a single overarching goal — no waste. Explain main wastes of resources that VMPS targets. The idea behind VMPS is to achieve continuous improvement by adding value without adding money, people, large machines, space or inventory, all toward a single overarching goal — no waste. VMPS has six areas of focus: †¢ â€Å"Patient First† as the driver for all processes to eliminate †¢The creation of an environment in which people feel safe and free to engage in improvement–including the adoption of a â€Å"No-Layoff Policy† †¢Implementation of a company-wide defect alert system called â€Å"The Patient Safety Alert System† †¢Encouragement of innovation and â€Å"trystorming† (beyond brainstorming, trystorming involves quickly trying new ideas or models of new ideas) †¢Creating a prosperous economic organization primarily by eliminating waste †¢ Accountable leadership Instead of doctors waiting until the end of the day to go though a stack of patient records, they now write comments and recommendations immediately after seeing the patient before going to see the next one. The time saved increases the time a physician can spend with a patient. Most of the cost of medical care involves clogs in the flow of information — paper forms, lab results, phone messages, often leading to irritated patients. Two details on this list bear further explanation. The No-Layoff Policy is critical to the success of implementing lean management. People will more fully commit nd engage in improvement work if they are not worried about improving themselves out of a job. Attrition, typically steady in health care, will enable most organizations to reassign staff to other necessary work. A culture shift is important here as well: Staff, especially in health care, do not typically view themselves as working for the organization, but for their individual department and/or care team. In lean thinking, the patient/customer drives all processes, and staff/providers must come to understand that they work for the patient. This means they may be reassigned depending on the needs of the patients. Secondly, the defect alert system is a fundamental element of the TPS, known as â€Å"stopping the line. † Every worker in the Toyota plant has the power and the obligation to stop the assembly line when a defect or error is identified or even suspected. Workers pull a cord, a light goes on, music plays as a signal for supervisors to come and help, and the entire assembly line either slows or stops (depending on the degree of the defect resolution time) while line workers and supervisors assess and fix the problem, often preventing an error from becoming embedded in the final product. This typically happens many times a day. The theory behind stopping the line is that mistakes are inevitable, but reversible. Defects are mistakes that were not fixed at the source, passed on to another process, or not detected soon enough and are now relatively permanent. If you fix mistakes early enough in the process, your product will have zero defects. Mistakes are least harmful and easiest to fix the closer you get to the time and place they arise. The reverse is also true. What is patient safety alert system and how it works? Virginia Mason used VMPS to develop a Patient Safety Alert (PSA) system requiring all staff who encounters a situation likely to harm a patient to make an immediate report and cease any activity that could cause further harm. If the safety of a patient is indeed at risk, an investigation is immediately launched to correct the problem. Most reports are processed within 24 hours – a significant improvement from when reports took three to 18 months to resolve. Patient safety at VM has increased and professional liability claims have dropped. Explain the main results of implementing VMPS. Since adopting VMPS, Virginia Mason teams have achieved significant organizational and departmental improvements: †¢Reduced the time it takes to report lab test results to the patient by more than 85 percent. †¢Improved the percent of time nurses spend in direct patient care from 35 percent to 90 percent. †¢Reduced bedsores (a common problem in hospitals) from 8 percent to less than 2 percent, preventing 838 patients per year from acquiring bedsores. †¢Saved $1 million in supply expense in 2009. Reduced professional liability insurance 48. 9 percent from 2004 to 2009. †¢Reduced laboratory staff walking distance by 2. 8 miles and removed 357 hours of lead time from lab operations. †¢Pharmacy improved medication distribution from physician order to availability for administration from 2. 5 hours to 10 minutes and reduced incomplete inpatient medication orders from 20 to 40 percent to less than 0. 2 percent; bo th were achieved through process improvement and computer physician order entry (CPOE) implementation

Legal Brief Case Study Example | Topics and Well Written Essays - 500 words

Legal Brief - Case Study Example The verdict in this case, is to determine whether it is illegal to advertise through commercial emails using multiple domain names to avoid spam filter (Supreme Court of California). Internet is global networkings in computers, which enable millions of world populace to communicate and access information. Referring to a case on Reno v. civil liberties union (1997) 521 U.S. 844 for internet to operate, each connected entity must have a unique identity called IPA. However, because it is a bit difficult to recall IP addresses, internet community came up with domain names system to serve the same purpose. The domain names directly identify the individual or the organization (Supreme Court of California). In 2007, Craig E. kleffman filed a suit against Vonage holdings corp. in the District Court under section 17529.5 of Professions Code only to loss to Vonage (Supreme Court of California). Kleffman claimed that Vonage holdings had sent him eleven emails on the same subject from different domain names tracing back to Vonage marketing agent. By doing this, Vonage managed to trick the spam filter and internet service provider that was responsible for monitoring the number of sent emails from individual domain name. He concluded that Vonage deliberately created multiple domain names to reduce the number of emails from each domain name and at the same time tricked the internet service providers that the emails originated from different senders. Vonage use of several domain names is misleading and untrue because it does not identify the right sender. However, the case was dismissed because kleffman did not give any occurrence of misleading or false information in the content of any of the emails. Kleffman however, appealed to the court of apples, which under the California rule of court 8.548 the ninth Circuit, asked them to decide. â€Å"In accordance to section 17529.5(A)

Change Management Process Research Paper Example | Topics and Well Written Essays - 750 words

Change Management Process - Research Paper Example The change is beneficial in a number of ways, which aid businesses in realizing increased outputs, customer relations, and profits (Benjamin, & Levinson, 1993). The proposed change in this case is the adoption of IT and web based technologies in the operations of business, in a generalized capacity. Transition is a concept by which businesses have to encompass in operations. It is an obligation for proprietors to meet the customers’ expectations in the manner by which operations are conducted. The market in which businesses operate set the standards by which operators in the setting must uphold. Advances in technology, particularly in the IT department, such as the introduction of ecommerce in the business environment, have led to changes in how business and its management are conducted (Benjamin, & Levinson, 1993). With more consumers relying on IT and web technology in sales, marketing and advertising, incorporating IT into businesses is a change management process that is beneficial to the businesses. The management has the opportunity to learn the customers’ needs and wants, while the customers are provided with the opportunity to learn more about the enterprise, such as the products and services offered (Mento, Jones, & Dirndorfer, 2002). Adoption of IT in the business environment incorporates three major phases. The first step of the process involves preparation for the change. In this case, the preparation involves defining the change management strategy, making preparations revolving about the management team and developing the model to follow (Kettinger, Teng, & Guha, 1997). The second phase is change management, which incorporates defining the change management plans and taking the proper action to implement the plans. The final phase of the process is based on strengthening the change. The phase involves collection and analysis of feedback based on the plans implemented (Benjamin, & Levinson, 1993). Diagnosis and management of pitfalls and