Thursday, December 26, 2019

Family Nurse Practitioner Personal Statement - Free Essay Example

Sample details Pages: 3 Words: 950 Downloads: 6 Date added: 2019/02/06 Category Nursing Essay Level High school Tags: Nurse Practitioner Essay Did you like this example? Growing up in a rural community helped develop my core beliefs of family, community, compassion, honesty, and loyalty. It also taught me that anything deserving requires hard work. Becoming a Nurse Practitioner through Lincoln Memorial University will provide a lifelong career that has meaning and value to me. Don’t waste time! Our writers will create an original "Family Nurse Practitioner Personal Statement" essay for you Create order My goal is to provide advanced care in a rural underserved community where I can form close bonds with my patients and families in need of healthcare and gain their trust as a respected practitioner. I believe education and prevention play a huge role in primary care and that would be a main focus of mine while practicing. Lincoln Memorial University believes that a major cornerstone of meaningful existence is service to humanity and that speaks volumes to me. The community I grew up in gave me so many opportunities and helped mold me into the person I am today. Ultimately, I want to give back to rural communities in the way they’ve given to me and really impact people’s lives who need it most. My interest in nursing started during high school when I took a health science class. I volunteered at a nursing home and soon discovered through the interactions with the patients how comforting a conversation, smile, or helpful hand could be. I developed close relationships with some of the patients and will always cherish not what I did for them, but what they taught me about life. At this time I realized how important the connection I made with these patients was, and it solidified my desire to pursue nursing. During my two and a half years of bedside nursing in critical care, I have learned a great deal about myself. There are many experiences I have to reflect on but one will always stand out to me. I had a patient and family who had been waiting all day for the results of a lung biopsy. Finally, around 1600 the doctor came in and broke the news that the patient had stage 4 lung cancer and three months to live. I could see the shock and numbness flood the patient and family members’ bodies. The doctor continued talking very quickly giving them their options and then just walked out of the room as if nothing had happened. The family was in such a state of shock they hadn’t even heard their â€Å"options.† I explained everything to them on a more personal level and just sat with them for a moment trying to help them process the information. They were very appreciative that I had taken the time to do so. This experience alone made me realize I wanted to do primary care. Making relationships with my patients and building trust through holistic quality care is extremely important to me. It is so easy to become desensitized to these types of situations and become too busy to take time to sit down with patients and listen to their stories, but I like to remind myself that each patient is going through a very vulnerable and possibly life-changing experience. They deserve the same type of respect I would give a family member going through the same situation. I love being a nurse but have a desire to learn more. Obtaining an advanced degree will increase my overall understanding of the whole picture of the disease process. For example, learning what goes into education, prevention, diagnosing and treating of patients. As a family nurse practitioner education and prevention would be a main focus of mine. Chronic diseases are a major cause of death and many of these are preventable. As a critical care nurse, I have seen a lot of chronic diseases that have progressed to late stages and always wonder if there would have been a different outcome had prevention played a role in this patient’s life early on. A lot of time as an Advance Practice Registered Nurse would be devoted to education and health promotion through counseling sessions on important topics, regular check-ups, and routine screenings. I have a particular interest in cancer prevention and screenings because personally, I have seen many family members get diagnosed at late stages. This is something I want to help prevent for other families by appropriately educating and screening. Having interactions with nurse practitioners on my unit and seeing how much knowledge they have, not only of the health concern but also of the patients themselves has left an impression on me. To truly treat patients holistically in every aspect is what I aspire to do. Ultimately rural communities have my heart as I am from a rural community. Volunteering with Remote Area Medical has allowed me to see what serving an underserving population looks like as they offer free clinics to people who have no insurance. For some of these patients, it is the only access they have to healthcare all year. As a family nurse practitioner, I would want nothing more than to provide healthcare to these types of populations. With little to no access to healthcare, these people need the most help. It would be so rewarding to make this kind of impact on a community. When time would allow I would also love to travel internationally for medical missions and be a leader in a global society. My upbringing, work, and education thus far have helped define who I am, and who I would like to become. I have selected your program because of your excellent academic reputation, your dedication to current and future research and your commitment to educating healthcare providers serving in rural communities. I feel I am ready to succeed in your program and that I have the skills necessary to excel.

Wednesday, December 18, 2019

HIV Essay - 2213 Words

The HIV virus is a complex mix of various epidemics within several countries and regions of the world. It is unquestionably the most crucial public-health crisis of our time. Research has extended our understanding of how the virus reproduces, controls, and hides in a contaminated person. Even though our perception of pathogenesis and transmission of the virus has become more refined and prevention options have lengthened, a cure or protective vaccine remains intangible. In 1981, The New York Times published a detailed article about an outbreak of an unusual form of cancer among gay men in New York and California. It was primarily referred to as the â€Å"gay cancer†, but medically known as Kaposi Sarcoma. Around the same time, emergency†¦show more content†¦Over decades, the virus gradually spread across Africa and later into other parts of the world. The human immunodeficiency virus (HIV) epidemic has spread to every country in the world and has infected 59 million persons worldwide, including 20 million who have already died. CDC estimates that about 56,000 people in the United States contracted HIV in 2006 (1). HIV is the virus that leads to acquired immune deficiency syndrome, or AIDS. In terms of fatalities, with more than 35 million deaths, the AIDS epidemic now ranks alongside the influenza pandemic of the early 1900s and the Bubonic plague of the fourteenth century(4). Many people dont have any indication of the virus when they first become infected with HIV. Some have flu-like signs, called HIV sero-conversion syndrome, a month or two after exposure to the virus. This illness may cause a variety of symptoms, as well as, diarrhea, enlarged liver or spleen, fever, enlarged or swollen lymph nodes, headache, muscle pain, nausea and vomiting, neurologic symptoms, rash on the abdomen, arms and legs and face, sore throat, and thrush, a common fungal infection of the mouth caused by Candida, a yeast-like fungus (8). These symptoms typically disappear in a week to a month and may beShow MoreRelatedHiv : Hiv And Hiv2192 Words   |  9 PagesThe number of individuals in South Africa infected with HIV is larger than in any other single country in the world. The 2007 UNAIDS report estimated that 5,700,000 South Africans had HIV/AIDS, or just under 12% of South Africa s population of 48 million. In the adult population the rate is 18.5%. Page 2 HIV stands for Human Immunodeficiency Virus. It’s the virus that causes HIV infection. The human immunodeficiency virus causes HIV infection and over time acquired immunodeficiency syndrome. AIDSRead MoreHiv And Its Effects On Hiv Essay1528 Words   |  7 Pagesthere are good happenings in life, there are bad happenings as well. Overtime there have been new diseases and viruses that strike us unexpectedly and for the worst. One of the many epidemic viruses that shook our world was the virus known as HIV. When the virus HIV first hit the globe it was horrifying and everyone around the world was petrified for his or her life. For instance, folks believed it would be another plaque sequence where many people died like the drop of a dime. In fact, the virus wasRead MoreHiv And The Transmission Of Hiv1354 Words   |  6 PagesEpidemiology: HIV is known to be transmitted through blood products, semen and vaginal secretions, making the transmission of HIV infection most commonly through sexual contact and IV drug use. HIV can enter the body through contact with the bloodstream or by passing through delicate mucous membranes, such as inside the vagina, rectum or urethra (The Centers for Disease Control and Prevention: HIV/AIDS, 2015). The transmission routes for HIV make unprotected sexual intercourse with an infected partnerRead MoreHiv And The Hiv Epidemic1129 Words   |  5 Pageseventually dying alone due to an unwillingness to report their illness for fear of consequence or prejudice, and this allowed the HIV virus flourish. Several countries responded efficiently and effectively to the presence of the HIV virus in their midst, while other countries maintained an attitude of ignorance. The latter position contributed to a huge expanse of the HIV epidemic in some countries, namely South Africa and Iran. In contrast, those countries that effectively addressed and managed theRead MoreHiv And The Treatment Of Hiv1510 Words   |  7 PagesIntro: There have been 30 drugs approved to treat Hiv, but currently there are no cures for this virus. The treatment for Hiv can help people live with the virus while taking care of your physical, mental health, and overall well being. Starting treatment as soon as possible it can help your health circumstances and strengthen your immune system. Getting tested for HIV is very important to decrease the spread of the virus and save many lives. Getting tested to know your status in order to avoidRead MoreHiv And Its Effects On Hiv964 Words   |  4 Pages HIV does not make people dangerous to know. You can shake their hands and give them a hug. Heaven knows they need it.† (Diana, 1987) Princess Diana declared these words at an Aids Center in London as she sat on the bed of a patient and held his hand. She did this to destroy the notion that a majority of the population believed that the virus could be spread through casual contact (Thompson, 2007). HIV remains for human immunodeficiency infection. The infection can lead to acquired immunodeficiencyRead MoreThe Epidemic Of Hiv And Hiv1361 Words   |  6 PagesThe first cases of AIDS that were reported in the United States began in the early 1980s. Today, more than 1.1 million people are living with HIV. In response to this HIV epidemic, at least 35 states have implemented HIV-specific criminal laws that penalize HIV-positive people for exposing others to the vi rus. These laws impose criminal penalties to HIV positive people that knowingly and potentially expose others to the virus. The Ryan White Comprehensive AIDS Resources Emergency Act, also knownRead MoreHiv Epidemic : Hiv And Hiv1781 Words   |  8 PagesSince its identification approximately two decades ago, HIV has increasingly spread globally, surpassing expectations (1). The number of people living with HIV worldwide is estimated to be 36 million, with 20 million people having died from the disease, giving a total number of 56 million being infected (1). In 2000 alone, 5.3 million people were infected with HIV and there is potential for further spread. HIV infection rates vary all over the world with the highest rates in Sub-Saharan AfricaRead MoreHiv And The Prevalence Of Hiv Essay1092 Words   |  5 Pages HIV In Adolescents Shavon Q Frasier Delaware Technical and Community College Abstract According to the CDC, In the United States the prevalence of HIV in adolescents from age 13-24 is estimated to account for 22% of all new cases (cdc.gov 2016). Of those cases, the most new cases occurred among gay and bisexual males. Furthermore young African American and Latino gay and bisexual males have been affected in higher numbers than any other group. Addressing HIV in our youth entailsRead MoreHiv And Aids : Hiv / Aids Essay924 Words   |  4 Pages2.1 HIV/AIDS HIV is a latent virus that attacks and compromises the immune system and exposes the body to diseases and infections. AIDS is a disease of the immune system caused by a retrovirus known as HIV that makes the individual highly vulnerable to life threatening infections and diseases such as TB (FANTA, 2004). 2.1.1 TRANSMISSION OF HIV According to FANTA, there are three primary routes of HIV transmission; 1) Unprotected sex with a person carrying the HIV virus. 2) Transfusion of contaminated

Tuesday, December 10, 2019

Approaches to Health Informatics Samples †MyAssignmenthelp.com

Question: Discuss about the Approaches to Health Informatics. Answer: Overview According to the propositions of Right to Information, the government officials of diverse fields are entrusted with the responsibility to convey correct and authentic information to the general public (Kellermann and Jones 2013). This proposal would provide an insight into the different approaches towards the aspect of health informatics. The major highlights of the proposal are the development of aims and objectives, which would guide the researcher to deduce new facts from the scholarly articles on the proposed research topic (O'Leary 2013). Moreover, methodology would enhance the preconceived knowledge of the researcher in terms of accumulating essential data for the execution of the research (Panneerselvam 2014). Aim The aim of this proposal would be to expose what proportion of the medical staffs are not using RiskMan to report incidents along with the evaluation of the part of the experience of using the system is leading to staff not reporting incidents via RiskMan so that the effectiveness of the RiskMan can be identified. Objectives To identify what proportion of the medical staffs are not using RiskMan to report incidents To evaluate what part of the experience of using the system is leading to staff not reporting incidents via RiskMan To recommend strategies for increasing the use of RiskMan Research Questions "What proportion of the medical staff is not using RiskMan to report incidents?" "What part of the experience of using the system is leading to staff not reporting incidents via RiskMan?" Research Hypothesis H0: A huge proportion of medical staffs not use RiskMan to report incidents H1: A huge proportion of medical staffs use RiskMan to report incidents Literature Review In this chapter, various aspects of health informatics are discussed. Taking into consideration different and wide ranging sources would broaden the perspectives of the researcher regarding levying proper and correct information to the general public (Toennessen et al. 2013). One of the major highlights of this chapter would be the theoretical application of RiskMan, which is assistance in terms of spontaneous reporting of the hazardous instances. The revelations of the book entitled, Guide to Health Informatics would form an integral element in terms of outpouring the scholarly viewpoints on health informatics (Coiera 2015). Herein, lays the correlation with the word guide. Effective consideration of the revelations of the book would help the healthcare professionals to convey correct and authentic information to the service users. For this, certain technological considerations need to be followed by the healthcare organizations. Assistance from the book, Organizational aspects of health informatics: managing technological change would help the researcher to shed light on the practices adopted by the healthcare professionals for reporting the instances (Lorenzi and Riley 2013). Hilbers et al. (2013) depicts that utilization of RiskMan proves beneficial in terms of mitigating the intensity of the risk factors for the personnel as well as the service user. Adherence and compliance to the computer legislations, such as Data Prot ection Act (1998) helps in maintaining the safety and security of the official data as well as the personal belongings of the service users. Installation of security software in the profile of the service users can be correlated to the action of managing the technological changes for ensuring that the service users get the access to correct and authentic health related information (Zheng et al. 2014). Within this, one of an essential change is the adoption of the RiskMan software, which helps the healthcare personnel to mitigate the intensity of the risk factors through quantitative risk analysis (Lyapina et al. 2015). The advancement of science relates to the increased access to the health related information. Maeda et al. (2012) portray that an evidence of this is the wearable technology, which helps the service users to interact with the healthcare professionals at any point of time. The installation of the software in the watches worn by the service users aligns with the phrase of human-in-the-loop (Holzinger 2016). Maintenance of an integrated structure for the utilization of the software enhances the value of the preconceived approach towards health informatics (Kavaler and Alexander 2012). Delving deep into the aspect of informatics, the main motive is to inform people and upgrade their knowledge. Alexander and Kavaler (2012) affirm that in view of the earlier sentence, the field of health can be considered as a part of the informatics. Herein, lays a contrast between the generalization and categorization of the aspects of health and informatics. Theoretical application within this motive acts as medium for reducing the risks and adding quality to the living standards of the people (Coiera 2015). Maeda (2012) moreover argues that the generalization of people in the earlier sentence contradicts the limitation of Australia. Research Methodology Mackey and Gass (2015) stated that research methodology provides an overview of the research process so that the research result can be obtained in a systematic way. This section thus comprises of research philosophy, data collection process, data analysis technique, ethical consideration and the research limitations. Research Philosophy For every research, the researcher follows a certain philosophy, which helps in the establishment of authentic facts and conclusions (Sarantakos 2012). Mainly there are three kinds of philosophies, such as positivism, post-positivism and interpretivism. In case of the current research, the researcher would choose positivism and interpretivism (Taylor, Bogdan and DeVault 2015). Wahyuni (2012) portrays that the reason behind this selection is to deduce new facts from the real and scientific facts gathered from the scholarly articles on health informatics. Data Collection Data are collected in a research in order to obtain desired research result. () depicts that data can be collected through two methods- primary data collection and secondary data collection (Leening et al. 2012). Primary data are collected directly through the respondents of the research and collected through interviews and survey. On the other hand, secondary data are collected through sources like articles, peer journals, companys websites, statistical data in magazines and newspaper excerpt (Bryman and Bell 2015). In this research, the primary quantitative data is utilized for collecting data (Palinkas et al. 2015). Within this, 35 medical staffs from different hospitals and care homes would be surveyed regarding their use of RiskMan for reporting hazardous incidents. Survey questionnaire forms would be distributed to the staffs prior to the discussion session. Along with this, interview would be conducted on five managers of these hospitals in order to gain an insight into the ma nagerial approach on the use of software for levying information to the service users regarding healthcare. Overall, both the quantitative and qualitative data collection method would be chosen by the researcher for carrying out this research (Panneerselvam 2014). Data Analysis The collected data for the research is analyzed through two ways- quantitatively and qualitatively (Eriksson and Kovalainen 2015). The primary data are analyzed through quantitatively; on the other hand, secondary data is analyzed through qualitatively. Qualitative data analysis methods highlight the process of analyzing the sources relevant to the research topic are also referred for linking the anticipated findings with the developed objectives (Maxwell 2012). In this research, both the qualitatively and quantitatively methods is utilized in analyzing the primary and secondary data collection. Ethical Considerations Every research is conducted through the consideration of certain considerations by the researcher. Emerging successful in this direction adds value to the roles and responsibilities of the researcher as an individual (Miller et al. 2012). The major drive behind this is the conscious approach towards the preservation of dignity and sentiments of the samples (Silverman 2016). In this research, the researcher would adhere to the propositions of Data Protection Act (1998), which would enable the researcher to refrain from any kind of pressurization regarding the surveys and interviews. In other words, the samples would be at liberty to withdraw the process at once when they feel uncomfortable. This liberty aligns with the individuality of the samples and preservation of this individuality is the credit of the researcher in terms of maintaining research ethics (Flick 2015). Research Limitations Researchers make efforts to carry out the research in an efficient and effective manner. However, owing to the circumstances, the researcher fails to execute the research in great depth (Faden et al. 2013). Mainly in a research, there are two kinds of limitations, time and financial. Countering this, both are interrelated with each other. Lack of financial flexibility compels the researcher to encounter difficulties in terms of adopt only one method for data collection and analysis. This limits the scope and arena of the research. This is also applicable for the time constraints, which compels the researcher to compromise with the quality of the research (Baskerville and Wood 2016). In the case of this research, the lack of financial and time constraints would result in the achievement of negative outcomes, which acts as an interplay with the basic right possessed by the humans. Conclusion This report emerges successful in providing an insight into the different and wide ranging approaches towards health informatics. This has been carried out by developing a proposal, which consists of the aims, objectives, literature review and methodology regarding the execution of the research in an effective manner. The limitations highlighted acts as an obstacle in this efficient execution; however, application of rational and conscious approach towards these constraints would broaden the perspectives and approaches towards levying correct and authentic information to the public for upgrading their living standards. References Alexander, R.S. and Kavaler, F., 2012. Risk Management: An Institutional Imperative.RiskManagement in Health Care Institutions, p.1. Baskerville, R.L. and Wood-Harper, A.T., 2016. A critical perspective on action research as a method for information systems research. InEnacting Research Methods in Information Systems: Volume 2(pp. 169-190). Springer International Publishing. Bryman, A. and Bell, E., 2015.Business research methods. Oxford University Press, USA. Coiera, E., 2015.Guide to health informatics. CRC press. Creswell, J.W., 2013.Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications. Creswell, J.W., 2014.A concise introduction to mixed methods research. Sage Publications. Eriksson, P. and Kovalainen, A., 2015.Qualitative Methods in Business Research: A Practical Guide to Social Research. Sage. Faden, R.R., Kass, N.E., Goodman, S.N., Pronovost, P., Tunis, S. and Beauchamp, T.L., 2013. An ethics framework for a learning health care system: a departure from traditional research ethics and clinical ethics.Hastings Center Report,43(s1), pp.S16-S27. Flick, U., 2015.Introducing research methodology: A beginner's guide to doing a research project. Sage. Gale, N.K., Heath, G., Cameron, E., Rashid, S. and Redwood, S., 2013. Using the framework method for the analysis of qualitative data in multi-disciplinary health research.BMC medical research methodology,13(1), p.117. Hilbers, E.S., de Vries, C.G. and Geertsma, R.E., 2013. Medical technology at home: safety-related items in technical documentation.International journal of technology assessment in health care,29(01), pp.20-26. Holzinger, A., 2016. Interactive machine learning for health informatics: when do we need the human-in-the-loop?.Brain Informatics,3(2), pp.119-131. Kavaler, F. and Alexander, R.S., 2012.Riskmanagement in health care institutions. Jones Bartlett Publishers. Kellermann, A.L. and Jones, S.S., 2013. What it will take to achieve the as-yet-unfulfilled promises of health information technology.Health Affairs,32(1), pp.63-68. Leening, M.J., Kavousi, M., Heeringa, J., van Rooij, F.J., Verkroost-van Heemst, J., Deckers, J.W., Mattace-Raso, F.U., Ziere, G., Hofman, A., Stricker, B.H.C. and Witteman, J.C., 2012. Methods of data collection and definitions of cardiac outcomes in the Rotterdam Study.European journal of epidemiology,27(3), pp.173-185. Liamputtong, P., 2013.Qualitative research methods. Lorenzi, N.M. and Riley, R.T., 2013.Organizational aspects of health informatics: managing technological change. Springer Science Business Media. Lyapina, M., Yaneva-Deliverska, M., Deliversky, J. and Kisselova, A., 2015. EUROPEAN AND INTERNATIONAL STANDARDS ON MEDICAL DEVICES FOR DENTISTRY.Journal of IMABAnnual Proceeding Scientific Papers,21(1), pp.713-717. Mackey, A. and Gass, S.M., 2015.Second language research: Methodology and design. Routledge. Maeda, H., 2012. Histology in forensic practice.Forensic Science, Medicine, and Pathology,8(1), pp.62-63. Maxwell, J.A., 2012.A realist approach for qualitative research. Sage. Miller, T., Birch, M., Mauthner, M. and Jessop, J. eds., 2012.Ethics in qualitative research. Sage. O'Leary, Z., 2013.The essential guide to doing your research project. Sage. Palinkas, L.A., Horwitz, S.M., Green, C.A., Wisdom, J.P., Duan, N. and Hoagwood, K., 2015. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research.Administration and Policy in Mental Health and Mental Health Services Research,42(5), pp.533-544. Panneerselvam, R., 2014.Research methodology. PHI Learning Pvt. Ltd. Sarantakos, S., 2012.Social research. Palgrave Macmillan. Schmidt, F.L. and Hunter, J.E., 2014.Methods of meta-analysis: Correcting error and bias in research findings. Sage publications. Silverman, D. ed., 2016.Qualitative research. Sage. Smith, J.A. ed., 2015.Qualitative psychology: A practical guide to research methods. Sage. Taylor, S.J., Bogdan, R. and DeVault, M., 2015.Introduction to qualitative research methods: A guidebook and resource. John Wiley Sons. Toennessen, B., Swart, E. and Marx, Y., 2013. Patient safety culture-knowledge and knowledge needs of medical students.Zentralblatt fur Chirurgie,138(6), pp.650-656. Wahyuni, D., 2012. The research design maze: Understanding paradigms, cases, methods and methodologies. Zheng, Y.L., Ding, X.R., Poon, C.C.Y., Lo, B.P.L., Zhang, H., Zhou, X.L., Yang, G.Z., Zhao, N. and Zhang, Y.T., 2014. Unobtrusive sensing and wearable devices for health informatics.IEEE Transactions on Biomedical Engineering,61(5), pp.1538-1554.

Tuesday, December 3, 2019

Venom(2015) by Bullet For My Valentine free essay sample

After the flop that is Temper Temper in 2013, this Welsh Metalcore decided to try to redeem themselves by going back to what made them good in the first place: Thrash metal inspired melodic metalcore music. This is a band that I have been listening to since their debut album in 2006 The Poison and they still have left me to listen to them today. Although Venom may not be a good explamation why I like these guys, it is part of the reason why. If this is the first time hearing of this band, I highly recommend you check them out sometime. Venom is the bands fifth full length album going back to their thrash inspired roots when compared to their more softer approach on Temper Temper. From the singles you may have gotten before this like No Way Out or You Want a Battle(Heres a War), you can tell theyre not pulling any punches from here on out. We will write a custom essay sample on Venom(2015) by Bullet For My Valentine or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Matt Tuck, the lead singer, has a very iconic voiceat least with his clean vocals but whatever. That can translate to what you hear from this album with the mostly ballad-like style of metalcore which was also done by other bands like Killswitch Engage and All That Remains. The instrumentation, while fairly typical for metalcore, is surprisingly fast and heavy at times that this could rival stuff from their first two albums(The Poison and Scream Aim Fire), as shown in songs like the previously mentioned No Way Out and Broken. The solos are decent at worst and can even rival the likes of massive shredders like Micheal Romeo, Marty Friedman and John Petrucci, somehow. While not the most diverse album Ive seen, that probably be The Poison, you should expect a ballad of any sort in here somewhere. The first of which being track #7, Venom. Not entirely speed heavy and relies mostly on Matts clean vocals which can work really well for ballads and always has as far as Im aware. For a metal core album, there are a surpising lack of breakdowns that I can at least make out to be as such. Yeah sure, they had many songs with no breakdowns like Tears Dont Fall, All These Things I Hate, Bittersweet Memories, etc. although they were still highly prominent in their music, this is not really much of a complaint though, just something I noticed. I can say I like this album quite alot here. You may not but I will consider this their comeback album. I give this an 8.5/10, I am the Grim Reaper, signing off.