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If you're thinking of altering it for whatever reason -- a desire to be more descriptive or visually contemporary -- here are some key considerations.
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The material ranges from extra tidbits like getting to see what the characters (including the dog!) are actually thinking –to altering the very outcome of the story, by choosing between happy, sad, or "random" endings. .
At the same time, both psychotherapy and empirical research show that people are capable of altering their emotional states, attitudes and thinking in positive, healthier directions.
Then alter your future thinking to alter your future actions.
In the end, I suspect it depends on whether you believe our fates are sealed at birth or if you think that it is a key part of human nature to be able to display a plasticity in behaviour and in ways of thinking in the face of altered circumstance.
The men who hired the first of those women quite likely weren't thinking about altering the prevailing concepts of photojournalism.
Now I'm thinking I might add Belgian privacy campaigner to my list of alter egos.
Diagnosis of delirium requires the presence of: acute onset of mental changes and fluctuating course, inattention, and disorganized thinking and/or altered levels of consciousness as measured by the Confusion Assessment Method (CAM) Rating Scale.
Identified criteria of the confusion assessment method for the intensive care unit (CAM-ICU): I, acute onset of changes or fluctuations in the course of mental status; II, inattention; III, disorganized thinking; IV, altered level of consciousness.
The CAM or CAM-ICU is a highly sensitive and specific method that evaluates subjects for the presence of four items: acute onset of cognitive changes fluctuating in course, inattention, disorganized thinking, and altered level of consciousness.
The CAM-ICU uses standardized nonverbal assessments to evaluate four features of delirium: acute onset or fluctuating course, inattention, disorganized thinking and altered level of consciousness.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com