Cardiac Resynchronization Therapy For Advanced Chronic...

Proposal Title: Cardiac Resynchronization Therapy in Advanced Chronic Kidney Disease: Impact on Patient Centered Outcomes Background In the United States, over 5 million patients have heart failure (HF) and approximately 20 million patients have chronic kidney disease (CKD). Both conditions are linked by multiple risk factors including obesity, hypertension, diabetes mellitus, tobacco abuse, and increasing age. The presence of HF increases the risk of CKD and vice versa. Nearly one third of all patients with HF and 70% of Medicare patients with HF have Stage III CKD or greater and approximately 50% of dialysis dependent end stage renal disease (ESRD) patients will develop HF. Patients with medication refractory HF and CKD and their†¦show more content†¦Cardiac resynchronization therapy (CRT) emerged as an important treatment for HF patients with systolic dysfunction and a prolonged QRS duration. Although findings from landmark trials have led to widespread use of CRT in many patient cohorts, there has been considerable controversy surrounding its use in patients with advanced CKD because these patients are poorly represented in these trials. The few published studies exploring the use of CRT in advanced CKD have shown modest reduction in HF hospitalization or death, but those studies have been limited by their small size, retrospective nature, and lack of data on patient centered outcomes (e.g. functional status and quality of life). The lack of data regarding how CRT impacts outcomes among patients with advanced CKD is a major problem especially in light of the results of an unpublished analysis of the National Cardiovascular Data Registry (NCDR) Implantable Cadioverter Defibrillator (ICD) Database (which captures data on most patients who receive a CRT-D device in the United States) demonstrating that 37% of patients receiving a CRT device had advanced CKD (defined as CKD Stage III-V). There are no prospective studies that have evaluated, or are in the process of evaluating, CRT in patients with advanced CKD. This issue is further compounded by the potentially higher risk of procedural complications in such patients. Physicians

Lance Lowry in the Criminal Justice System - 879 Words

Lance Lowry began his 20 year career in Texas’s criminal justice as a cadet in 1994 in South Texas’s Police Academy. He worked as a police officer in Alice, TX, a town of about 20,000 starting in 1995. In 2000, Lance left police work to become a TDCJ Correctional Officer. From 2000-2003, Lance worked as Correctional Officer in Ellis Unit in Huntsville, Texas and then transferred to Holliday Unit, also in Huntsville. From the Holliday Unit, Lance worked at James H. Byrd Unit (Huntsville), which was formerly the diagnostic intake unit for DR inmates prior to being transferred to Polunsky. It was at Byrd Unit that Lance was promoted to Sergeant. He went to the Gib Lewis Unit in Woodville, Texas and he was promoted to Lieutenant. After one or†¦show more content†¦In 2007, a group of criminal justice experts got together and agreed reform was needed, and the legislature joined the discussion. Lance says that lock up numbers had been ballooning since the 1980s. Lots of prison violence prompted the solitary lock-up of prisoners in the 1980s, mostly a result of how the prison system was run. Turnkeys were used in the early 1980s. These were inmates who were given authority to do the job of guards, enforcing prison rules. They were chosen based on their ability to get things done. They were brutal and violent, and they were the ones in charge of â€Å"correcting† prisoners who messed up. William Wayne Justice put an end to the use of turnkeys in the mid 1980s, but problems escalated when he did because there was no proper control to replace turnkeys. Guards on duty then had already learned to relinquish their power to inmates. These guards had no proper training on the use of force. They had no experience handling trouble in the prison themselves. With no one in charge, violent prison gangs emerged to â€Å"keep the peace,† exponentially increasing the problems of prison violence that the elimination of turnkeys had hoped to fix. I asked Lance what was the first essential step in controlling a prison population is developing a staff of professionals through adequate training. Violence in prison has to be detected and addressed immediately for officers to maintain control. Lance is very critical of TDCJ’s

Probation Officer - 766 Words

Probation Officer Requirements If you ve ever wanted to know how to become a probation officer, keep reading find a job description, probation officer job requirements, online education and training, and general salary information for this popular career. Probation Officer Job Description Probation officers and parole officers are often lumped together when people think about them. They do have some common duties, such as working within the corrections system and being employed by county, state or federal corrections departments. Sometimes they even take on dual responsibilities, functioning as both probation and parole officers. Probation officers perform many duties specific to probation and deal with offenders who have been†¦show more content†¦Probation Officer Requirements, Qualifications and Training The majority of corrections departments require probation officers to have a bachelor s degree from a 4-year college or university. A bachelor s degree in corrections, criminal justice, psychology, social work or another related field is preferred. Some positions, such as federal and higher-level positions, require a master s degree in criminal justice, social work, counseling or a related field. Most departments require applicants to be at least 21 years of age, not to have been convicted of a felony, and to have strong writing and interview skills. Computer skills have become necessary as well due to the technological advancements in the field of probation and the court system. Some states require probation officers to have at least two years of corrections, parole, correctional treatment specialist or probation experience. Previous social work or counseling experience where the objective was to guide a subject through difficult situations is also looked upon highly. Probation officer training differs depending on the department but will usually include a six month to a year probationary period during which a new probation officer will work with a supervisor or experienced probation officer. The application and hiring process will also involve physical and psychological examinations, and there will be written tests and oral interviews. Most states require probationShow MoreRelatedInterview : Chief Probation Officer Essay733 Words   |  3 Pagesother relevant experience Joe Berlin, Chief Probation Officer (last 14 years), I ve been a P.O. for 28 years total. I started in Kalamazoo (1987 - 1990) and in Grand Rapids since August of 1990. 2. Describe exactly what you do and how you fit into the organization See last page (court hierarchy). As a Chief P.O. I have administrative responsibilities including personnel evaluations/discipline/work schedules. We have a total of 13 probation officers. I m also the liaison to all the Judges, ifRead More A Day with the County Juvenile Probation Officer Essay516 Words   |  3 PagesA Day with the County Juvenile Probation Officer I followed employees of the County Juvenile Probation Department for a day. I spent most of the day with the Victims Information Coordinator (VIC), although I did get to speak with many probation officers as well as the drug counselor in the department. I learned many things while I was visiting the department. nbsp;nbsp;nbsp;nbsp;nbsp;For the better part of the day, I spent time with Pat, the Victims Information Coordinator. She is the personRead MoreUnethical Behaviors Of Probation And Parole Officers2164 Words   |  9 PagesUnethical Behaviors of Probation and Parole Officers What is Probation and Parole? The duties of a probation and parole officer are pretty universal nationwide and an officer must carry a high ethical standard in order to be successful at the job as well as values such as honesty, fairness, and consideration of others. Probation is an alternative that permits the offender to live among society with certain restrictions that are ordered by the courts. When prisons are overcrowded, an offender canRead MoreProbation Officers Should Be Legal2964 Words   |  12 PagesProbation officers wear many different hats; some are those that they never dreamed about when becoming an officer of the court. Probation officers are the offenders’ friend, confidant, mental health counselor or even a parent to an offender that may be just turning 18, who has not had a parent influence. This feeling of someone looking out for the offender may make the offender feel more comfortable and willing to work with the officer. However, the probation officer needs to be able to establis hRead MoreThe Probation Officer And Offender Role2796 Words   |  12 PagesThe Probation Officer and Offender role has been widely examined, specifically in regards to the effective management of risk (McNeill, 2009, NOMS 2010). Within this, it is recognised that the relationship between these individuals is paramount to the effective management of risk and offending behaviour. There have been numerous working practices introduced throughout the years within the Probation Service to identify effective working practices including the Effective Practice Principles and latterlyRead Moreprobation officer1783 Words   |  8 Pagesï » ¿ Probation Officer Being a Probation Officer can be interesting and challenging at the same time. You can make a positive impact on one’s life. A Probation Officer’s main role is to make sure that those released into his care are properly rehabilitated and obey to the terms of their probation. The officer also educates those released on probation on what they can and can’t do during the probation period â€Å"Probation and parole can be very cost efficient. In 2010, Larry J. SiegelRead MoreCareer Of A Probation Officer1025 Words   |  5 Pagesresearch, I came to the conclusion that becoming a probation officer would be a more suitable career for me and the goals I want to accomplish. Probation officers serve as supervisors and mentors for offenders who are trying to get back on their feet. When a convicted offender is released on probation, the officers have to help set up counseling appointments, educational programs, employment opportunities, and housing. The duty as a probation officer is to make sure an offender attends any counselingRead MoreThe Bureaucratic System Of Public Administration1078 Words   |  5 Pagesburglary and sentenced to 6 months in prison, time in which he never served. In December 1990, Cartier assaulted and threatened to kill his then-girlfriends Rose Ryan. In March 1991, Rose Ryan filed for a restraining order, and Cartier’s probation officer, Tom Casey, issued a warrant for his arrest as a result. This warrant, however, was never followed through on and Cartier attacked Ryan on a subway with a pair of scissors. After being picked up for a previous warrant and for assaulting RyanRead MoreThe Cost Of A Cell Phone Network On Meaningless Crimes And Other People s Mistakes Essay1572 Words   |  7 Pagesis a low-level case where the person gets prosecuted, but not labeled as a high risk. With a misdemeanor, inmates could be put into the tracking reform program. The people who qualify for this would be breaking and entering, drugs, stalking, and probation for an entry level parole. â€Å"The program also provides an extra layer of supervision with the goal of enhancing public safety in the community† (Jackson 1). This program creates a safety net by monitoring the time and location of the inmate’s positionRead MoreEffective Supervision Requires Establishing Different Levels Of Supervision1747 Words   |  7 Pagesrequire a personal visit or personal contact with the officer (Alarid Del Carmen, 2012). Individuals on the administrative level are required to call in and leave a voicemail or mail in a residence verification and employment document (Alarid Del Carmen, 2012). A caseload is the number of individuals that one probation or parole officer is responsible for and can supervise effectively (Alarid Del Carmen, 2012). The number of people that one officer can supervise varies from state to state (Alarid

The Validity of Chinese College Entrance Exam Is Questioned Free Essays

Xiaoqi Jin (Jessica) Professor Karen College English Writing 23 July 2012 The validity of Chinese college entrance exam is questioned Introduction The Chinese College Entrance Exam is some ways like the SAT, except it lasts more than three times long as the SAT tests. It is offered just once a year and the result of the two days exam greatly affect the future of any Chinese student. The score determines whether you can receive the college education and what level of the education you can enroll in. We will write a custom essay sample on The Validity of Chinese College Entrance Exam Is Questioned or any similar topic only for you Order Now For most place of China, only a half of the students are eligible for the college education. One Chinese compared the exam to a stampede of â€Å"Thousands of soldiers and tens of thousands of horse across a single log bridge. † The time and difficulty it takes for all the soldiers to cross the bridge showcases the students rush to pass the exam. Only a few students qualify to sit and pass the exam. Most colleges rely on the composite score, rather than individual subject scores, the value of the entire exam is questioned by the study (Shum Zhang 55). History of the exam The exam is a national determinant in the academic council in China. Taken annually, the exam is a prerequisite in almost all education institutions in China universities. Students are required to take the exam in the last year of their high school education. No age restriction is placed on the individuals taking the exam hence the number of candidates’ increases as years go by (Hargreaves, Lieberman, Fullan 352). The exam helps the Chinese education system to develop a simple method of placing individuals in the correct course. Regulation of the number of students enrolled in the educational system aids regulating student population growth in the institution of education. The exam sets to enroll students with specified standards into higher education systems. The procedure The exam runs under equivalent rules as those of SAT. The exam runs to 2 or 3 days with papers offers in Mathematics, Chinese and a foreign language. The entrance exam also requires the candidate to handle papers in six other standard subjects, 3 being sciences and 3 being humanities. The program a student hopes to study determines the subjects examined. On an overall experience, the students go through a science integrity test, a general integrity test, and a humanity integrity test. The general procedure and requirements of the exam is set within the constitution of the republic of China. The student taking the exam has to have a high school diploma or its equivalent. Health is also an important factor the education system considers. The examination council does not allow for students enrolled in a higher education program to take the exam. Students applying for special courses such as the military are allowed to take the exam with special specifications (Shu 52). The advantages and disadvantages of the exam The exam is important to the Chinese people as it offers a fair platform for talents presented by the China students. Every student is considered equal before the marks, which makes it fair for students to enroll in colleges. The exam elevated the will of teenagers to accomplish in the academic sector. In a technological oriented country like China, the exam is important as it improves the level of education. Students strive to perform well as it determines their success. The exam works with individual groups within a community who associate with leadership of an area. This helps gain control over the set territory in the community. The exam helps the country deal with illegal behavior, either as a group or individually (Burger 177). The youth are vulnerable to becoming unproductive gang members as they have all characteristics that meet the gang demands. Various ethnic backgrounds have gangs operating on the streets. Young people become gang members for benefits such as protection, respect, money and power. The vulnerability of the youth provide an easy time for gang leaders, as the benefits are influential. The benefits are the main reason as to why individuals join the gangs. In most cases, the youth lack the benefits hence; do not hesitate on joining the gang. The community fails in supporting the youth realize success, safety, and financial security hence they opt to join a gang instead. On joining the gang, the youth gain a feeling of identity as they have relations through bonds created in the gangs. Placing the examination provides the students with an opportunity of leaving a better life (Burger 177). Geographical boundaries defined by cultural, social, and economic forces are the distinctive characteristics in taking the examination. Institutions protecting other institutions are common in identification of which class each education system relates to in the community. Characteristics common to various education institutions across boundaries include social adjustment problems, tribulations or trials of the members, handling the business, and the jobs offered to the members. Most of the youth have no choice but to join these institutions to further their studies. Poverty and unemployment is a significant contributor to the youth enrolling into these institutions. The reason is the same across boundaries as the youth enrolling in the youth lack needs due to effects of poverty, and unemployment. Once joining the institutions, the youth expect to have a bright future, which is not the case. The exam system makes the students concentrate of blue-collar jobs forgetting the skills they could deploy in practical oriented jobs. Youth that face challenges are prone to joining the job marketing to gain the advantages that come with joining the industry. The study comes with distinctive identities such as money, security, and popularity. Vulnerable youth with no financial support find refuge in deploying for the exam to match up to pressure from their peers. The educational system does offer individuals from different backgrounds the same environment of study. A less privileged youth falls into gang activity to secure comfort. The youth who are technologically advanced fall prey of joining gangs. The progress is visible in social networking sites. Social networking sites establish as a distinct with graffiti tags, signals, and colors, which attract the youth to joining. The study attracts individuals from one location as it becomes easy to find them online, and offline. Technology and study grows, and in China, the students elevate the ideas through sharing the ideas on the social networking framework (Shum Zhang 52). How does the exam affect the well being of the youth in China? The age of individuals allowed take the exam is not limited to teenagers as they come with the characteristics required to run activities. Teenagers are vulnerable to lack money, security, and power. They are willing to earn this at every cost. The exam controls teenagers easily as opposed to young adults who attain the benefits on their own. Age affects the performance of the exam by setting the limit of the people who can sit for the exam annually. Some gangs have different age sets for different jobs. Research shows that the benefits for the exam include protection, respect, money and power. Individuals who do not meet the exam targets suffer distortion from the leaders. Threatening is common against the members, and their family members if they do not meet the rules set by the exam. Research displays the benefits of passing the examination with the vulnerable wants that the youth lack. Youth from poor backgrounds lack the pleasures that come with constant financial supply. They become vulnerable to the conditions set by the educational systems (Hargreaves, Lieberman, Fullan 352). Conclusion Different examinations set to acquire different purposes. Taking the exam requires the individual to pass the set subjects. A target placed on the pass mark is keenly followed, failure to which the member faces consequences. A student who fails to acquire the pass mark result is subjected to passing the exam once more. China’s system of education may mimic the SAT certification but it plays a role in ensuring that the students acquire basic education before setting to study a higher program in the university. Enrolling the students to university through the examination is essential in setting pace for the right direction. Instilling the importance of knowledge through examination may sieve the success path of many students, but they elevate level to which students find education important. The rush for students to achieve excellent results remains a challenge as the pass mark rises according to the results. Works Cited Burger, Jerry M. Personality. New Jersey: Cengage Learning, 2010. Hargreaves, Andy, Ann Lieberman and Michael Fullan. Second International Handbook of Educational Change, Volume 2. New York: Springer, 2010. Shu, Hui. Sojourners in Transition: Chinese Women Undergraduate Students at an American University. New Jersey: ProQuest, 2008. Shum, Mark Shiu Kee and Delu Zhang. Teaching Writing in Chinese Speaking Areas. New York: Springer, 2005. How to cite The Validity of Chinese College Entrance Exam Is Questioned, Papers

The Most Dangerous Game Essay Example For Students

The Most Dangerous Game Essay Alex Tsountos English 12 Sept 30, 1996 Richard Connell The Most Dangerous Game Essay This paper will analyze the short story called The Most Dangerous Game by discussing the four main elements of a short story which are, setting, character, conflict, and theme. The story involves two main characters, Rainsford and General Zaroff. Rainsford is a celebrated hunter, who enjoys hunting animals. He does not believe that hunting animals is wrong until he meets a certain General Zaroff. General Zaroff, is also a man that loves to hunt, but over the years has grown dull with it. Mom. There are countless other examples of the stereotypical attitude of women being bearers of children and keepers of homes. A womans place is in the home as How about the infamous woman-walking-down-the-street- and-the-construction-workers-whistling example? What about the guy telling his coworker a blonde joke? How many men call women broads? What about the constant sexual harassment at work? Did you know that most sexual harassment at work and in general is never reported? How about the huge statistics on rape and violent crime against women? I dont think women consistently being harassed and degraded is beneficial to them gaining equal status among Women have the potential to get pregnant, which leads to maternity leave for employers. So, they are slightly more expensive to employ than men. Thats why quite often women are asked illegally at job interviews if they intend to marry. Women will remain as second class citizens in the work force as long as they are regarded as unstable workforce. They are regarded in that manner because to employers most women are likely to want pregnancy leave, likely to come in late if their kid is sick, likely to want Women still do not have control over their bodies. Abortion is illegal in many parts of the world. In North America, women won the right to have an abortion, but that right has been moving back inch by inch. With the recent election of a Republican congress in the United States and many anti-abortion groups lobbying for anti-abortion laws, the pendulum is swinging the other way. Women in North America are slowly getting there. If you compare the equality of women in our society, to say, the Middle East where women are not even considered persons, women here are more equal to men. But isnt that like being Bibliography: .

Sylvia Plaths Novel, The Bell Jar Is Often Considered A Literary Clas

Sylvia Plath's novel, The Bell Jar is often considered a literary classic for its description of the protagonist's angst ridden journey through depression. In the autobiographical novel, Esther Greenwood, Plath's protagonist, sinks into a profound depression after her third year at college during the 1950's. Esther battles not only a deteriorating mental stability, but also a lack of a sense of individuality, which leads to her major depressive disorder. Esther is a sensitive and intelligent woman who feels oppressed by the obvious social restrictions placed upon her, along with the pressure she feels regarding her future. Esther feels overwhelmed and powerless to break free of the emotional burdens of her inner world of alienation and depression. Her story of the overcoming of depression leads the reader through a story of dependency, self-criticism, and inefficacy all to become healthy once again. The novel begins in New York City, during the summer after Esther Greenwood's third year at college. Esther spends the month of June interning at a ladies' fashion magazine in Manhattan, after winning a scholarship for her writing. During her time as an intern, she becomes uninterested in the work, despite her initial expectations, and increasingly unsure of her own prospects. Esther shows the beginning signs of depression, with self-doubt along with paranoia, when faced with the possibilities of career and success as a writer. Essentially an outcast among the other 12 girls who won scholarships, Esther's numerous attempts at social conformity fail, as her image of herself is incomplete and contradictory. When returning home to the suburbs of Boston, her mother tells her she did not make a writing course she applied to, a devastating blow to Esther also grows disenchanted with her boyfriend, Buddy Willard. Her sleep and eating patterns decrease and become irregular as she falls deepe r into the stages of depression. She goes to see a psychiatrist, Dr. Gordon but he proves to be not much help to Esther's condition and advises shock therapy, which she comes to hate. Meanwhile, Esther is obsessively contemplating suicide. She decides to overdose on sleeping pills, but her death is prevented. She is taken to a city hospital and then, through the financial intervention of a benefactor, to a private psychiatric institution. She is treated by Dr. Nolan, a female psychiatrist whom Esther grows close to. . Esther undergoes a more successful procedure of shock therapy, after which she feels the bell jar of depression lifting. Esther's therapy allows her to recover from depression, and she leaves the hospital patched, retreaded and approved for the road. Esther, along with the reader, is aware of her mood disorder throughout the whole novel. She suffers from the psychological disorder of major depression. Her recurrent depression lasts until her treatment in the hospital, towards the end of the book. Esther's symptoms begin with anxiety, fatigue, and agitated behavior. Her disorder interferes with her sleep patterns along with the ability to concentrate and interact with others. Esther's emotions increase and seriously threaten her health and life when it leads to suicide attempts. Depression often leaves its victims with the sense that it will go on forever and they are helpless, but luckily for Esther, she receives therapy to overcome it. Her first psychiatrist diagnoses Esther as depressive, and he recommends electrical shock therapy to help her. This proves to be ineffective, and she comes to loathe it. After attempting suicide, she is placed in a private mental hospital under the care of Dr. Nolan. Dr. Nolan prescribes anti-depr essive medicine along with the discussing Esther's problems and a different type of shock therapy. Slowly, Esther's condition begins to become better. The novel ends with Esther happily describing herself as ready to enter the world freely. The novel of Esther?s triumph over her depression is both an informative book on depression along as entertaining and intriguing. The emotional burdens she faces at the time result not only in Esther's social and intellectual isolation, but also her impending mental breakdown. The classic provides the reader with a revealing look into the disorder of depression through the year in the life of Esther Greenwood. I would recommend this novel for any mature reader.

How to Make Friends in College

How to Make Friends in College Lets be honest: making friends in college can be scary. If youre heading to college for the first time, chances are you only know a few people, if that. If youre at a school where you feel like you dont have any friends, it might seem like its too late to focus on making new ones. Fortunately, your time in college is like no other. It is forgiving and built for you to learn and explore, especially when it comes to making friends. Challenge Yourself Making friends in college is a challenge. Know that making friends at school is going to require a little effort on your part. While friendships can blossom naturally, it takes some energy to go out and meet your soon-to-be-friends for the first time. So challenge yourself to step outside of your comfort zone. Do some of the social activities during orientation week sound lame? Yup. But should you go to them anyway? Most definitely. After all, do you want to experience a little awkwardness (the event) for long-term benefits (meeting people), or do you want to experience a little comfort (staying in your room) in exchange for long-term disadvantages (meeting people who might turn into friends)? A little effort now can pay off quite a bit later when it comes to making friends in college. So challenge yourself to try something new, even if it sounds unusual for you or a bit scary at first. Know That Everyone in College is New If youre a first-year student, nearly everyone in your class is brand new. Which means that everyone is trying to meet people and make friends. Consequently, theres no reason to feel awkward or shy about chatting up strangers, joining a group in the quad, or outreaching to as many people as possible. It helps everyone! Additionally, even if youre in your third year in college, there are still new experiences for you. That statistics class you have to take for grad  school? Everyone in it is new to you, and vice versa. The people in your residence hall, apartment building, and the club are all-new, too. So reach out and talk to folks whenever you find yourself in a new situation; you never know where your new best friend is hiding. Know That Its Never Too Late to Start Over in College   One of the best things about college is that its designed to help you grow. Just because you were focused on figuring out what you wanted to major in during your first two years doesnt mean that you cant, for example, join a fraternity or sorority your junior year. If you didnt realize your love of reading and writing poetry until you took that rockin course last semester, know that its not too late to join the poetry club. People come in and out of social spheres and cliques all the time in college; its part of what makes college great. Seize those kinds of opportunities to meet new people whenever and wherever you can. Keep Trying Alright, so this year you wanted to make more friends. You joined a club or two, looked at joining a sorority/fraternity, but its now two months later and nothings clicking. Dont give up! Just because the things you tried didnt work out doesnt mean the next thing you try wont work, either. If nothing else, you figured out what you dont like at your school or in certain groups of people. All that means is that you owe it to yourself to keep trying. Get Out of Your Room If you feel like you dont have any friends, it can be tempting to just go to class, maybe go to work, and then head home. But being alone in your room is the worst possible way to make friends. You have 0% chance of interacting with new people. Challenge yourself a little bit to be around other people. Do your work in the campus coffee shop, library, or even out on the quad. Hang out in the student center. Write your paper in the computer lab instead of your room. Ask some students in your classes if they want to make a study group together. You dont have to be best friends right away, but you will end up helping each other with your homework while also getting some time to get to know each other. There are tons of ways to put yourself in situations where meeting people and making friends can happen organically- but being in your room all the time isnt one of them. Get Involved in Something You Care About Instead of making friends being your motivating factor, let your heart lead the way. Find a campus organization or club, or even one in your neighboring community, and see how you can get involved. Chances are, along with the good work youll be doing, youll find some people with similar values as you. And chances are at least one or two of those connections will turn into a friendship. Be Patient With Yourself Think back to when you were in high school and the friendships youve maintained from there. Your friendships probably changed and morphed from your first day of high school to your last. College is no different. Friendships come and go, people grow and change, and everyone adjusts along the way. If its taking you a little time to make friends in college, be patient with yourself. It doesnt mean you cant make friends; it just means you havent yet. The only way you will end up definitely not making friends in college is to stop trying. So as frustrating  as it may feel and as discouraged as you may be, be patient with yourself and keep trying. Your new friends are out there!