Information Technology Infrastructure Library (ITIL) Essay

Information Technology Infrastructure Library (ITIL) - Essay Example Equally important, IT must deliver services that promote effectiveness in the use f information systems. (Thibodeau 16-16) A large part f the challenge is the fact that organizations continually implement new business processes, discard flawed ones, or extend and modify current practices. Business systems that automate and actuate these business processes are continually in flux. But that's only the beginning. IT managers are also haunted by the specter f rapid, unceasing, technological churn, especially when the option f not adopting the latest innovations might put them at a competitive disadvantage. Moreover, today's business systems, radically different from their less-sophisticated precursors, are extremely complex and highly networked, and must support a new breed f multicompany, business-to-business applications. Web services, commonly defined as Internet-based applications that perform some type f business task, add yet another twist. (McLaughlin 39-42) As either a supplier or user f Web services, system or service failure has the potential to damage brand equity, as well as customer (internal or external) and trading partner confidence. Ultimately, it falls to in-hou... Thankfully, there are techniques that can mitigate risk, reduce complexity, and lessen IT costs. To date, the best approach involves the use f some combination f industry standards and proven process models. The term "IT Service Management" encapsulates all f the standardized processes and best practices that can be systematically applied across the entire range f IT services and support functions, to deliver superior services, while reducing risks and effectively managing costs. The use f standards and process models, however, while necessary, is not sufficient for delivering critical business systems. Organizations must apply the various approaches in an architected and deliberate manner, based on practices that have proven themselves in the field time and again. Introduction to ITIL It has been long understood that the value f IT services to the enterprise is reduced if delivery is inadequate and costly, or if implementation puts the business at risk. It is equally well known that the ability to deliver high-quality, low-cost IT services is enhanced if those services are based on proven methodologies and best practices. (Steinberg 22-30) To that end, the Central Computer and Telecommunications Agency (CCTA) is a U.K. government agency chartered with development f best practice advice and guidance on the use f information technology in service management and operations. Beginning in the mid-1980s, the CCTA surveyed the leading information technology companies from around the world to document and validate best practices in the disciplines f IT service management. The IT Infrastructure Library, more commonly known as ITIL, captures and codifies the

Joubert Syndrome with Orofaciodigital Defects

Joubert Syndrome with Orofaciodigital Defects A report of Joubert syndrome in an infant, with literature review ABSTRACT Joubert Syndrome and related disorders (JSRD) are a group of rare autosomal recessive disorders with a hallmark molar tooth sign (MTS) visible on axial magnetic resonance images of the brain. Joubert syndrome with Oro-facial-digital defects (JS-OFD) represents a rare subtype of JSRD. This syndrome is often difficult to diagnose because of its wide range of genotypic-phenotypic variations. Despite its profound oro-facial manifestations, dental literature describing the syndrome is scarce. This is a case report of an 8-year-old boy who reported to the out-patient department of pediatric dentistry with the chief complaint of abnormal front teeth. The child exhibited facial dysmorphism, strabismus, polydactyly of hands and feet along with oro-dental features of a high arched palate and high lingual frenum attachment. MRI report stated the presence of molar tooth sign. Key Words: Joubert syndrome and related disorders, Oro-facial-digital syndrome type VI, molar tooth sign INTRODUCTION Joubert syndrome (JS) was first described by Marie Joubert in 1968 in four siblings with agenesis of the cerebellar vermis who presented with episodic hyperpnoea, abnormal eye movements, ataxia and intellectual disability [1,2]. Several years later, it was discovered that JS results from maldevelopment of the midbrain and cerebellar vermis, producing a pathognomonic MTS on MRI [3]. The common term Joubert Syndrome and Related Disorders (JSRD) was then coined for the group of conditions presenting with the MTS [4]. The incidence of this clinical entity has not been precisely determined, however, it may range between 1/80,000 and 1/100,000 live births [2] with only about 200 cases that have been reported worldwide[5]. CASE REPORT An 8 year old boy reported to the outpatient Department of Pedodontics and Preventive Dentistry at the Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bangalore for the evaluation of abnormal front teeth. History revealed that he was a second child of a second degree consanguineous marriage. Figure I is the pedigree chart depicting the patient’s family history. The mother reported delayed attainment of developmental milestones and the child being a â€Å"slow-learner†. On intra-oral examination, the child was in the early mixed dentition stage; the teeth present were first permanent molars, permanent mandibular central incisors, erupting maxillary permanent central incisors , primary left central incisor, primary canines of all the quadrants, primary mandibular lateral incisors and first and second primary molars of all the quadrants. The crown of the primary left central incisor (61) was conical in shape and a developing anterior cross-bite was noticed due to palatally erupting 11 and 21. A high-arched palate and high lingual frenum attachment were also seen. Extra-orally, the patient exhibited facial dysmorphism in form of depressed nasal bridge, broad nasal tip, upper lip notch and his upper lip was short compared to the broad and thick lower lip. Prominent bilateral epicanthal folds, widely spaced eyes (hypertelorism) and a unilateral squint (strabismus) of the right eye were profound facial characteristics. His cranial morphology and hair were apparently normal. Bilateral post-axial polydactyly of both the hands and feet were noticed. The remainder of the systemic evaluation was insignificant. However, the patient showed poor muscular control due to delayed gross as well as fine motor development. On review of the patient’s medical records, it was seen that the possibility of Joubert Syndrome was considered on detection of inferior vermian agenesis and polydactyly on antenatal ultrasonography performed at 28 weeks of intra-uterine life. Eye movements and respiration were reviewed and found to be normal. Foetal MRI was done at another medical center and they considered the possibility of Dandy-Walker anomaly. At 5 months of age, neurologic evaluation was conducted and nystagmus along with very brisk deep tendon reflexes (DTRs 3+ category) was noticed; following which, magnetic resonance imaging (MRI) of the brain was advised. The MRI reports indicated complete agenesis of the cerebellar vermis which resulted in median approach of the two cerebellar hemispheres. Superior cerebellar peduncles appeared thin and distinctly defined across the pontomesencephalic cisterns giving the characteristic â€Å"molar tooth sign†. Also the 4th ventricle was slightly dilated and h ad assumed a â€Å"bat-wing† appearance. Inspite of the all the MRI findings being suggestive of â€Å"Joubert sydrome†, neither was any definitive diagnosis made nor any neurological follow-up maintained. With respect to dental treatment rendered, the patient was found to be lacking cooperative ability, but keeping in mind the extreme sensitivity to the respiratory depressant effects of anesthetic agents, sedation and GA was ruled out. Considering this inability, after extraction of his primary central incisor (61), a lower inclined plane appliance was planned to correct the developing cross-bite. Patient did not cooperate for fabrication of a fixed appliance. Upper and lower primary impressions were made, a removable lower inclined plane appliance with Adams clasps on 75 and 85 was fabricated and delivered to the patient. However, the patient showed poor compliance with the appliance and refused to wear it beyond the third day. Following this, we considered the correction of the cross-bite by constructing a bonded resin-composite inclined plane [6, 7]. The labial surface of the mandibular incisors was etched with 37% phosphoric acid (Scotchbondâ„ ¢ Multi-purpose Etchant, 3M, USA) for 15 seconds, rinsed and dried. An adhesive system (Adperâ„ ¢ Single Bond 2, 3M, USA) was applied and cured for 20s using a visible light cure unit (_______). Composite resin (Filtekâ„ ¢ Z350XT, 3M, USA) was formed into an inclined block 45 degree to the longitudinal axis of the teeth. The height was adjusted so as to maintain the only contact between both arches at the level of these incisors. The inclined plane was polished using a polishing disc. The child was motivated to maintain good oral hygiene and the parents were instructed regarding the maintenance of a soft diet. The child was recalled after 1 day and then 1 week to clinically evaluate the treatment progress. At 1 week interval, edge-to-edge bite was achieved while complete correction of the crossbite took place in 2 weeks. Following this, the composite inclined plane was removed using a diamond point at low speed, the enamel surface was polished and topical fluoride application was done. The child is under regul ar follow-up at our hospital. DISCUSSION The spectrum of Joubert Syndrome and Related Disorders (JSRD) comprises all disorders presenting the molar tooth sign (MTS) on brain imaging. JSRD include Joubert syndrome [OMIM#213300], along with any related condition(s) presenting with the MTS, like Varadi-Papp syndrome (or Orofaciodigital type VI, [OMIM%277170]), COACH syndrome [OMIM#216360], Dekaban-Arima syndrome [OMIM%243910], Malta syndrome and a few cases with Senior- Loken syndrome [OMIM#266900]. Till date no major gene has been consistently associated with Oro-facio-digital Syndrome type VI (OFD VI) however, mutations in the TMEM216 gene are known to be seen occasionally[]. All JSRD genes isolated so far, encode for proteins of the primary cilium and thus these disorders fall in the â€Å"ciliopathies† group of disorders [9]. Previously in literature, JS-OFD has also been referred to as Oro-facio-digital Syndrome type VI (OFD VI) or Varadi-Papp Syndrome [10, 11,12]. However, recently, Brancati et al. have discouraged the continued use of such eponyms in favor of a more practical, clinical-genetic classification. They have proposed a classification of JSRDs into six subgroups based on the main organ(s) involvement and the established genotype-phenotype correlates [2]. They classified JSRDs into: Pure JS JS with ocular defect (JS-O) JS with renal defect (JS-R) JS with oculorenal defects (JS-OR) JS with hepatic defect (JS-H) JS with oro-facio-digital defects (JS-OFD) . A diagnosis of JSRD should be suspected in all infants presenting with hypotonia, abnormal eye movements (in particular oculomotor apraxia, but also nystagmus) and developmental delay. The occurrence of abnormalities in the respiratory pattern, i.e. hyperpneas alternating with periods of apnea, reinforces the clinical suspicion of the disease. In these children, a brain MRI is sufficient to confirm or exclude the diagnosis, based on the detection of the MTS. Once a diagnosis of JSRD has been made, children should enter a diagnostic protocol to assess the possible multiorgan involvement[2]. Presence of MTS is considered pathognomic for diagnosis of JS-OFD (or OFD VI). MTS is characterized by presence of a hypoplastic or completely absent cerebellar vermis, which is indicated by the hallmark â€Å"Molar Tooth Sign† found on axial view of brain MRI scan. MTS has not been described in any other type of oro-facial-digital syndrome and its presence allows differentiation of OFD VI from other types [9]. In addition, several other oral, dental and digital malformations are typical of JS-OFD. These have been enlisted in Table I. Recently, Poretti et al. [9] have suggested a diagnostic criterion for OFD VI. The criterion being MTS and one or more of the following: tongue hamartoma(s) and/or additional frenula and/or upper lip notch; mesoaxial polydactyly of one or more hands or feet; hypothalamic hamartoma. These criteria allow the diagnosis to be made even in the absence of oral findings and/or polydactyly. The validity of these criteria needs to be reassessed in additional cohorts of patients and after the identification of major genetic determinants of OFD VI. Along with presence of the pathognomic MTS, our patient showed bilateral postaxial polydactyly of hands and feet. Mesoaxial hand polydactyly is extremely rare and specific for OFD VI among the JSRD phenotypes, but not consistent in OFD VI because different forms of polydactyly have been previously reported [13,14,15,16]. Moreover, it is to be noted that the syndrome is known to show a high degree of genotypic-phenotypic variations and it’s often difficult to arrive at a conclusive diagnosis. Thus, it can be said that the reported case probably represents variability within OFD VI. Compared with other JSRD subgroups, the neurological findings and impairment of motor development and cognitive functions in OFD VI are significantly worse, suggesting a correlation with the more severe neuroimaging findings [9]. Steinlinet al. [17] suggested that outcomes in JS can be divided into three courses: first, children who die young; second, patients who survive but have severe developmental delay with the development quotient (DQ) being less than 30 along with a variety of visual and motor handicaps; and third, patients whose developmental quotients fall within the mildly delayed range (60-85). A remarkable finding in the case reported was, the level of cognitive development; with intelligence quotient (IQ) being 90 which falls in the â€Å"average† IQ range according to the Stanford-Binet Intelligence Scale: Fifth Edition (SB5)[18]. So far, normal cognitive functions (without formal IQ assessment) have only been reported in one patient, attending a regular school [ 19]. Despite the fact that Joubert syndrome is very rare in India, an early diagnosis is necessary for genetic counseling and treatment planning. Treatment is mainly symptomatic and includes possible medico-surgical supportive interventions. Also, the diagnosis is important for future procedures that require anesthesia. Of particular caution is that these patients are sensitive to respiratory depressant effects of anesthetic agents like opiates and nitrous oxide. Hence, anesthesia using inhalational induction, controlled ventilation, avoidance of opioids, and close postoperative monitoring is recommended 20]. The prognosis is almost always poor, leading to early death and those who survive usually require supportive care throughout life. Annual evaluation of the growth status, vision and general wellness is recommended. Periodic neuropsychological follow-up should be maintained. REFERENCES Joubert M, Eisenring JJ, Andermann F: Familial dysgenesis of the vermis: a syndrome of hyperventilation, abnormal eye movements and retardation. Neurology 1968, 18:302-303. Brancati F, Dallapiccola B, Valente EM. jJoubert Syndrome and related disorders. Orphanet J Rar Diseases 2010 5:20. Maria BL, Hoang KB, Tusa RJ, Mancuso AA, Hamed LM, Quisling RG, Hove MT, Fennell EB, Booth-Jones M, Ringdahl DM, Yachnis AT, Creel G, Frerking B: Joubert syndrome revisited: key ocular motor signs with magnetic resonance imaging correlation. J Child Neurol 1997, 12:423-430. Gleeson, J. G., Keeler, L. C., Parisi, M. A., Marsh, S. E., Chance, P. F., Glass, I. A., Graham Jr, J. M., Maria, B. L., Barkovich, A. J. and Dobyns, W. B.. Molar toothsign of the midbrain–hindbrain junction: Occurrence in multiple distinct syndromes. Am J Med Genet 2004, 125A:125–134. Choh SA, Choh NA, Bhat SA, Jehangir M. MRI findings in Joubert syndrome.Indian J Pediatr.2009; 76:231–5. Bayrak S, Tunc ES. Treatment of Anterior Dental Crossbite Using Bonded Resin-Composite Slopes: Case Reports. Eur J Dent 2008; 2:303-307. Sari S,Gokalp H,Aras S. Correction of anterior dental crossbite with composite as an inclined plane. Int J Paediatr Dent2001 May; 11(3):201-8. Edvardson S,Shaag A,Zenvirt S,Erlich Y,Hannon GJ,Shanske AL,Gomori JM,Ekstein J,Elpeleg O. Joubert syndrome 2 (JBTS2) in Ashkenazi Jews is associated with a TMEM216 mutation. Am J Hum Genet. Jan 8, 2010; 86(1): 93–97 Poretti A, Vitiello G, Hennekam RCM, Arrigoni F, Bertini E, Borgatti R, Brancati F, D’Arrigo S, Faravelli F, Giordano L, Huisman TAGM, Iannicelli M, Kluger G, Kyllerman M, Landgren M, Lees MM, Pinelli L, Romaniello R, Scheer I, Schwarz CE, Spiegel R, Tibussek D, Valente EM, Boltshauser E. Delineation and Diagnostic Criteria of Oral-Facial-Digital Syndrome Type VI. Orphanet J Rar Diseases 2012, 7:4. 10. Patra S ,Purkait R,Samanta T,Bhadra R. Varadi Papp syndrome, an unusual variant of oral-facial-digital syndrome: Report of a rare case. Ann Indian Acad Neurol. 2013 Apr-Jun; 16(2): 289–291. Z Adà ¡m, Z Papp Prenatal diagnosis of orofaciodigital syndrome Varadi-Papp type.JUMOctober 199615:714. Atahan Guven, M., Ceylaner, S., Prefumo, F. and Uzel, M. (2004), Prenatal sonographic findings in a case of Varadi–Papp syndrome. Prenat Diagn, 24:989–991. Rabah M. Shawky,Heba Salah Abd-Elkhalek Elabd,Shaimaa Gad,Radwa Gamal,Shaimaa Abdelsattar Mohammad. Oral–Facial–Digital Syndrome type VI with self mutilations, Egypt J Med Hum Genet (2014), http://dx.doi.org/10.1016/j.ejmhg.2014.05.006 Mauceri L, Greco F, Baieli S, Sorge G. Varadi-Papp syndrome: report of a case. Clin Dysmorphol 2000; 9:289–90. Al-Gazali LI, Sztriha L, Punnose J, Shather W, Nork M. Absent pituitary gland and hypoplasia of the cerebellar vermis associated with partial ophthalmoplegia and postaxial polydactyly: a variant of orofaciodigital syndrome VI or a new syndrome? J Med Genet 1999; 36:161–6. Haug K, Khan S, Fuchs S, Ko ¨ nig R. OFD II, OFD VI, and Joubert syndrome manifestations in 2 sibs. Am J Med Genet 2000; 91:135–7. Steinlin M, Schmid M, Landau K, Boltshauser E. Follow-up in children with Joubert syndrome. Neuropediatrics 1997, 28(4): 204-11. Kaufman, Alan S.IQ Testing 101. Ed. Springer Publishing, New York; 112,2009. Munke M, McDonald DM, Cronister A, Stewart JM, Gorlin RJ, Zackai EH. Oral-facial-digital syndrome type VI (Varadi syndrome): further clinical delineation. Am J Med Genet 1990, 35:360-369. Habre W, Sims C, D’Souza M. Anaesthetic management of children with Joubert syndrome.Paediatr Anaesth1997; 7:251–3.

The Internet is More of a Help than Hindrance :: essays research papers

We are all familiar with internet. Since it was born to affirm the development of society, it rapidly changes our life so much. How does it impact on us? What do you think its value could be a help or a hindrance? Let?s discover the answer by now. Everyday, imagine how man people in the world using internet? What does it used for? Why it is a help? 1. a help ? super human it is clever because it obtains a marvellous mind( memory) Eg: it is a perfect teacher with incredible ability at the same time it can teach thousands students with various range of knowledge. it helps you to find information and solve the problems about politic, business, health? ? super speed Using internet your time is saved by second. Its special term is "what you see is what you get? Imagine that how long it takes you to market to buy goods? Instead just log in internet you can buy clothes, food, banking, booking the ticket while you can relax and do other jobs as well. ? super accurate It is intangible spy. From the internet you are able to monitor exactly what is happening in the moon? Even watch the news in America. Thus, I honestly suggest that internet makes your life easier and more convenient with faster speed and effective work. 1. A hindrance On the other hand it is hindrance when people use it for the dark purpose. For example, children are likely to play game which is resulted less effort in study, others like to copy available resources down as their idea. Moreover, according to ABC news, last year two students were suicide as they surfing internet. It causes a shock for numerous of students. As a result, internet is murderer. Other example is after watching the horror and sex films the teenagers and adult like to do the same as the film did. It poisons the human nature.

Astronomy Final

The age of the cluster can be estimated by viewing a cluster of stars on the HR diagram in reference to where they end on the main sequence. 2. Seasonal variation of a planet depends on the frequency with which any given side of the planet changes it's position with respect to the star. For a planet like Uranus, which has a high tilt (73 deg), the same side always faces the sun and hence it's always summer on one side and winter on the other. Thus we can conclude that seasonal variation is directly related to the tilt of the planet. 3. a.Among the given planets, D has the minimum tilt – So the answer is D, which shows max seasonal variation. b. A planet will be geologically active if it has a high density, since that would assure wide vvariety of rocks and minerals and ores and less amount of hot gases; so among the planets, A has the highest density and is the most geologically active. 3. The younger surface would go to Moon A due to the fact that Moon B possesses many crater s, which are clearly visible as the picture represents (this is clearly shown by the illuminated spots).Genesis shows that the craters were developed over time. Since moon A has far less craters, this mearns it was recently formed thus making it the younger moon. 4. a. The Hubble Expansion: As the distance increases, the apparen't brightness of the object decreases meaning it becomes darker the farther away it gets. This technique determines the relative distances of ssimilar objects. In addition, a phenomenon called the Doppler effect can be used to determine the velocity of an object.The sonic Doppler effect is caused by compression of sonic wave fronts, which can be generalized to electromagnetic radiation and other wavelike phenomena. The magnitude of an object's Doppler shift is a function of its radial velocity relative to the observer. Velocities of various objects, such as stars and galaxies, have been tabulated in our vicinity. An almost straight line with positive slope wa s obtained when the distance was plotted for various galaxies against their velocities. This shows us that the farther away an object is, the greater the velocity.This lends support to the Big Bang theory–if the universe does indeed expand in a manner consistent with the Big Bang model, then two objects that are close to each other should have smaller relative velocities than in comparison with distant objects. b. Cosmic Microwave Background (CMB): This is the result of theorized energetics, which was discovered in 1965 by Penzias and Wilson. Their discovery showed microwave radiation emanating from all directions in our observable locality of the universe. As predicted by the Big Bang Model, the universe is filled with plasma at high temperatures.As a result, hydrogen can only exit as plasma with an ambient temperature of about 3000K. c. Primordial abundance of light elements: This is the observed abundance of elements in the universe. Examinations through the spectra of var ious objects shows us that helium makes up about 23% of observable mass in the universe, which is entirely too large to be accounted for by stellar fusion. Since stellar nucleosynthesis makes the abundance of lighter nuclei hard to explain, the Big Bang model theorizes that the nuclei were created during the fierce explosion. . Due to the numerous negative effects on the body, human space travel remains physiologically difficult. Many of these affects are due to long-term weightlessness. Examples include: muscle atrophy, skeletal deterioration, slowing of cardiovascular functions, red blood cell production decrease, balance disorders, and weakening of the immune system. In addition, without the appropriate protection, space exposure becomes a sever threat due to the environmental differences between space and earth – especially the lack of oxygen and pressure.Interstellar space travel consists of many problems, which makes human travel extremely difficult – even in the future. One problem is the amount of fuel needed for long-duration flights. In addition, we have to worry about the damaging effects of galactic radiation. Also consider the loneliness and boredom of generations of humans spending their entire lives aboard a spacecraft. In order to get to the nearest star system beyond our Solar System (Alpha Centauri), we would have to travel 4. 3 ly with a constant flight velocity of 50 km/s; which is roughly about 25,000 years.Although that velocity would allow us to escape the Solar System, it would still take 250 centuries to reach our closest star system. It is very unlikely that humans will be able to equip themselves with the technology, at least anytime soon, to make contact with extraterrestrial life. Even if we took into account the many factors in the Drake equation, galactic civilizations are probably spread out like small islands tthroughout space. Even if the average lifetime of extraterrestrial civilizations is 1 million years, our most optimistic estimates suggest that each is separated by ~300 ly.Additionally, thousands of sorties would have to be launched toward candidate star systems for any hope of successful extraterrestrial contact. In summary, although it may never become feasible, interstellar space flight is both uneconomical and impractical now and anytime in the foreseeable future. 6. Galileo Galilei was a very influential astronomer because he defended his beliefs in a time when the Roman Inquisition was in power. Galileo defended his idea of heliocentrism against the Inquisition and was put on house arrest. This did not stop him from doing what he loved.While on house arrest, he made observations and continued his work. His contributions to astronomy include the discovery of three moons of Jupiter, the idea that the nature of each planet is unique, identification of sunspots, and his continued examinations of the Milky Way and sea tides. 7. As of March 23, 2012, 763 exoplanets (extrasolar) within our Milky Way have been discovered by satellites such as the Kepler. Consequently, these satellites have been flying through space, uncovering hundreds of new planets within our galaxy.Recently, two planets (Kepler 62e and 62f) have been discovered, which orbit a sun ssimilar to ours but cooler. These planets are at just the right distance that allows water to remain liquid – an essential must for a planet to support life. In addition, these planets are very ssimilar to the size of Earth. Because of their size and orbits, it is highly likely that they are either rocky or watery. The two planets are located 1,200 light-years away in a five-planet system orbiting a star dubbed Kepler-62. 8. The milky is a flat disk surrounded by a halo with a bulge at the center.Within the disk, lay clouds of gas and dust that amount to around 15% of the mass of stars. Although we cannot see the nucleus due to all the scattered dust – radio, infrared, and x-ray telescopes allow us to se e through the dust and show us that the core contains a dense swarm of gas and stars and a massive black hole. A majority of the gas and dust clouds lie within the disk. In addition, bright stars gather into spiral arms winding in an outward direction. The location of our solar system is about 26,000 ly from the center, lying on the inner edge of the spiral arm. 9. D C B A

I Really Enjoy Family Time.

Griselda Soto English 99 Dennis Pearson 04/16/13 I really enjoy family time. Family is not an important thing, it’s everything. There are people who put work first, or anything else before their family. I personally think there is nothing more important than family. Because, what is the purpose to live just to work? In the end of our lives, we are not going to be able to take anything with us. There is nothing else I enjoy more than spending quality time with my daughters.I believe that by spending quality time with them, I can take advantage of the situation and teach them good values. Even I learn a lot from them because they always teach me the importance of appreciating little things in life. One of the things I love the most from them is that they always remind me that I have to live life to the moment. Unlike most adults, children find joy in almost everything as riding a bike, reading a book, or even by drawing a picture. That is one of the main reason I enjoy so much s pending time with my daughters. They always give me joy.When I see My daughters smile it's when I know they are having fun, for me that worth more than all the money in the world. My daughters always amuse me and fill me with joy. They taught me that no matter what you do, as long as you use your imagination everything could be fun. So I always do my best to put in first place what really matters in my life because life goes in the blink of an eye. That's why I put first what is truly meaningful in my life. I have learned a lot from my daughters, for example: To always take advantage of any situation.