10 Intensifiers You Should Really, Absolutely Avoid

10 Intensifiers You Should Really, Absolutely Avoid 10 Intensifiers You Should Really, Absolutely Avoid 10 Intensifiers You Should Really, Absolutely Avoid By Mark Nichol You are not hereby forbidden to employ the following adjectives according to their casual connotations, but to strengthen your writing, try limiting usage to that which most closely reflects their literal meaning: 1. Absolute: The original sense of absolute is â€Å"ultimate,† but now it is weakly used as an intensifier (â€Å"It was an absolute riot!†). Minimize, too, usage in the connotations of â€Å"outright† and â€Å"unquestionable† and reserve it to mean â€Å"unrestrained† or â€Å"fundamental.† 2. Awesome: Originally, something awesome inspired awe. Now, the most mundane phenomena are exalted as such. Try devoting this word to truly spectacular sensations alone. 3. Fabulous: This adjective, derived from fable, once referred to sensory stimuli one might expect to encounter in a flight of fancy. It’s long since been appropriated to describe extravagant fashion sense or, more mundanely, notable accomplishments, but it is most potent when restricted to describing phantasmagorical phenomena. 4. Fantastic: Avoid using as a synonym for excellent; senses such as â€Å"unbelievable,† â€Å"enormous,† and â€Å"eccentric† are truer to the source. 5. Incredible: As with fantastic, usage of this word has strayed far from the original meaning of something that does not seem possible. Only if a story literally cannot be believed is it authentically incredible. 6. Magnificent: Something magnificent was originally grand or sumptuous, exalted or sublime, but the word has been diminished in impact by its exclamation in response to merely commendable achievements. Reserve usage to describe things of stunning impact. 7. Real: This term derives from the Latin term res, â€Å"thing, fact,† and should be used only to denote genuine, actual, extant, practical phenomena; minimize its use, and that of the adverb really, as a synonym for complete or completely. 8. Terrific: Terrific, originally referring to something terrifying, has long been rendered impotent by use as a synonym for great, but try to reserve it for such descriptions as â€Å"a terrific crash.† 9. Very: The most abused word on this list and one of the most in the entire English language comes from the Latin word for â€Å"true.† Consider restraining yourself from using it in writing except to convey verity, precision, and other adjectival connotations, rather than the adverbial sense of â€Å"exceedingly.† 10. Wonderful: Use when a sense of wonder is involved, or at least when there’s an element of surprise, not just to suggestion a reaction of delight. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:Addressing A Letter to Two PeopleDifference between "Pressing" and "Ironing""To Tide You Over"

History and Physical Examination Essays

History and Physical Examination Essays History and Physical Examination Essay History and Physical Examination Essay EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Putul Barua panent ID: 135799 sex: Male Room NO. : CCU4 Date of Admission/Date of Arrival: 01107/2013 Admitting/Attending Physician: Simon Williams, MD Admitting Diagnosis: 1 . ) Rule out myocardial infarction. 2. ) History of tuberculosis. 3. ) Hemoptysis. 4. ) Status post embolectomy. CHIEF COMPLAINT Tightness in the chest, shortness of breath, fast heart rate. HISTORY OF PRESENT ILLNESS Mr. Barua is a 42-year-old gentleman from Bangladesh who presents with chest ightness, shortness of breath, and tachycardia. Dr. J. K. McClean of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of whether his treatment for tuberculosis was adequate or whether there is another cause for his hemoptysis. The duration of his tuberculosis treatment was apparently adequate, according to his wife, but no records are available. In addition, he patient had thrombosis of the axillary artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. Nonetheless, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was given by the patients wife, Nupur, with the patient translating for her from the Hindi language. PAST HISTORY Tuberculosis in the past. Embolectomy at Hillcrest last year. continued) Page 2 SOCIAL HISTORY Married, with two daughters. Patient has been in the USA for 10 years. Patient has no recent history of smoking; He smoked in the past, but the amount is unclear. He is a restaurant manager for the Mariette Hotel chain. FAMILY HISTORY No known family history of diabetes, heart disease, or cancer. Mother died of a stroke. Father was killed in a MVA in Bangladesh. REVIEW OF SYSTEMS Negative other than as stated in HPI. PHYSICAL EXAMINATION V ital signs are WNL. Apparently he has had no chills, night sweats, or fevers. Generalized malaise and a lack of energy have been the main concerns. HEART: Regular rate and rhythm with Sl and S2. No S3 or S4 is heard at this time. LUNGS: Bilateral bronchi. No significant amphoric sounds are noted. ABDOMEN: Soft, nontender. No hepatosplenomegaly or masses are detected. RECTAL EXAM: Prostate smooth and firm. No stool is present for Hemoccult test. DIAGNOSIS Hemoptysis with history of tuberculosis. Room No. C Page 3 PLAN I have reviewed the chest x-rays available here and agree with the findings of bleb ormation in the right and left upper lobes. Despite the fact that the patient has had a high INR, because of his history of tuberculosis and hemoptysis, I believe obtaining sputum for TB is very, very important. We should rule out any other endobronchial lesion as the cause of his bleeding. I have discussed this matter with the patient and his wife. I have told them that there is the possibility of observing the condition via x-rays and repeated tests of his sputum. They understand that this is an option; however, they have decided that ecause of the concern regarding his repeated hemoptysis, they would consent to bronchoscopy. We will arrange for the patient to have a bronchoscopy done. He is off Coumadin. 135799 sex: Male Patient ID: Room No. : CCU4 Date ot Admission/Date ot Arrival: O Page 4 We will recheck the prothrombin time and INR tomorrow. Depending upon those results, we will proceed with bronchoscopy and further evaluation. Simon Williams, MD Pulmonology sw:tm D: 01107/2013 -r: 01/08/2013 CC: J. K. McClain, MD Cardiology

Nature Tourism Essay Example | Topics and Well Written Essays - 2750 words

Nature Tourism - Essay Example Motivation relates to the choice of destination and activities, which are expected to relate to trip satisfaction and subsequent travel related intentions. The theories of motivation are a way of understanding the tourist expectations formation, that is, the tourist behaviour. Do they accurately assess and analyse tourist behaviour If so, to what extent Some of the functions of attitude are knowledge, ego, defence, value expression, utility and social adaptation; these functions act as mediators between drives or motives and values or situations. The theory of tourism motivation explains the behaviour pattern and assists in the satisfaction of it's underlying cognitive and emotional motives. The two systems of emotions and cognition differ in the degree of control a person has over their generation and manipulation. The term cognition refers to the mental representations such as knowledge or beliefs. Emotions encompass drives, feelings and instincts. The two jointly contribute to tourism motivation process. Motive is a distinct type of learned or conceived action in the form of behaviour. Motivation contains results of a situation-person interaction. One and the same motive can generate situational different behaviour; while different motives can generate very similar behaviour. A person experiences a press or a pull, which usually appears in the guise of a threat of harm or promise of benefit. Both need and press, combine to form an equivalent group of behavioural situations. (Heckhausen, 1989.) When motives transform to motivation, the process of choosing specific destination and activities begin. "Motivation is based on feelings of competence and self determination." (Deci and Ryan, 1985.) Tourist motivation is a set of needs, which predispose a person to participate in a tourist activity. The important antecedents of individual motivation are cultural background, values, market communication, experience, and consumer self-perception. 3. Motivation of Nature Tourism People who live in cities are motivated to travel as tourists to areas of wilderness because they need to escape from an artificial monotonous environment. Gray's Travel Motivation Theory gives us two motives; first is the desire to go from a known place to an unknown place and the second is to go to a place which can provide the traveler with special facilities, that do not exist in the place of residence. This theory does not completely cover the aspects of nature tourism. It will be worthwhile to have a look at the Career Ladder Theory, which emphasizes that people have a range of motives for seeking out holiday experiences. With different levels, it allows for many motives. It is dynamic and covers the seven requirements, which are considered to be good to assess the theory of tourist motivation. These seven requirements are, it functions as a true theory; it appeals to different users; it is easy to