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Bones, joints and muscles will become thinner, less dense, and weaker. Constipation and loss of of california a-g requirements Kingswood School bladder control will become more common. Ageing , Aging , Death 1707 Words | 5 Pages. 1.Is old age a positive or negative for write articles School you? Growing old is essay Moreton Hall School a positive for me. Growing old shows . that you have over come life's obstacles.
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Ageing , Death , Gerontology 601 Words | 3 Pages. Old Age Homes/ Day Care Centres/ Elder Residential Complexes For many older people who don't have a roof over . University School! their heads or a place to how to write articles for blogs Strathallan School call their own, HelpAge-supported old age homes amp; day care centres are safe havens where they can live their lives with dignity and interact with their peers. Short Articles (INTO)! A rising trend is being noticed among the urban elderly also, who move out of how to articles Strathallan their homes and into habitats especially catering to their needs, in order to spend their later years in comfort. Write Essay Moreton Hall! HelpAge. Ageing , Elderly care , Geriatrics 1671 Words | 5 Pages.
Old age and retirement STUDENT NAME AND ID : ADETOUN ADEDEJI ID NO. 21215708 The essay will be focusing on . Old age and retirement as a particular stage of for blogs Strathallan life course and persuasice House, exploring the disengagement and activity theories and psychological concept of this stage, as well as identifying the importance of for blogs School social institution in relation to persuasice essay Lime this life course. How To Articles Strathallan School! The age at which old age is Cesar Сolleges Switzerland thought to write for blogs Strathallan start varies in argumentative Cesar Ritz Сolleges Switzerland different cultures and historically. In western world old age generally. Ageing , Aging , Death 1056 Words | 2 Pages. Old Age Homes in India The dream of the people all over the world to live long lives is now becoming a reality . due to the socio-economic development of how to write people and advancement in sciences, particularly medical sciences. In India about 7.5% of the population is above 60 years and the life expectancy is increasing gradually. Argumentative Ritz Сolleges! Old age was never a problem in India.
Old age homes were alien in concept and elder abuse was considered a Western problem . Not any more. As life expectancy has increased from. Ageing , Aging , Death 1061 Words | 3 Pages. 2 IVAN ARGUELLO PROFESSOR T. WARE English 1301 DATE @ MMMM D, Y NOVEMBER 4, 2014 Live Long Enough A beginning always has to have a finish and surely . does life. We all know that age considers; youth ventures. How To Write Articles For Blogs Strathallan School! There's always a constant battle between the elderly and the youth.
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Atlantic slave trade , British Empire , British West Indies 975 Words | 5 Pages. ? Just a few kilometres from the world famous resting place of Nobel Prize winner Mother Teresa is a sprawling complex with freshly painted blue . and white buildings. Through the years, not too many people , even in Kolkata, had given the campus much regard, treating it as just another effort by Cesar Ritz, Christian missionaries to how to write articles School spread the good word. An elderly couple with a sister But on October 11, all of that changed and argumentative Braemar, Teresa's Missionaries of how to write articles School Charity suddenly found itself relegated, almost. Ageing , Family , Gerontology 1049 Words | 3 Pages. poem “Cheerios” is that with old age come more wisdom, but how Americans always over look what has already been established for . the newest attraction.
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Introduction General Statement There is a perception in society that the elderly are a burden because some of the elderly might not have planned and how to write, . prepared for argumentative persuasive Сolleges their post-retirement years and old age . Interpretation Some of the elderly may also be unhealthy, incapacitated and have a poor quality of life which means that society will now have to how to for blogs Strathallan bear the burden of articles of Exeter supporting them. Stakeholders However, such a stereotype that the elderly will always be a burden to society can be easily debunked. Ageing , Aging , Elderly care 797 Words | 3 Pages. The Old Age and Major Health Problems. The old age and major health problems For some reason people tend to assume that diseases and how to write articles Strathallan School, . sickness come along with old age “Once your start reaching old age , you start getting weak and sick”, is a perfect example of the typical stereotype for this matter. How To Moreton! This is not necessarily true. Most major health problems of old age result from pathology. How To For Blogs! Pathology is the presence of argumentative persuasive essay Cesar Сolleges disease and for the most part it lies outside of the aging process. How To Write Strathallan! The way a person lives his or her life while. Ageing , Aging , Coronary artery disease 561 Words | 2 Pages.
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or characters. Gabriel Garcia Marquez’s, “A Very Old Man with Enormous Wings”, gives two good examples on argumentative essay Ritz, symbolic and how to articles School, allegory meanings . through the characters and argumentative persuasive essay Cesar Ritz, their action. This story is how to write articles for blogs School blended with normal humanity, fantasy, and magical realism. The story can bring different meanings to readers depending on your view on life. After an ugly storm went through Pelayo’s town, He found his whole yard ruined with the weathers destruction. Write An Explanatory Essay Moreton School! An old man with enormous wings had fallen from the sky, and. Ageing , Death , Elderly care 922 Words | 3 Pages. Argumentative essay on legal driving age. legal age to drive.
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But the company has to face a lot of challenges from various parties who criticized Wal-Mart in write various. Accusation , Corporate social responsibility , Employment 661 Words | 3 Pages. “seniors.” She has noticed that some senior citizens have become not just regular patrons – but patrons who come for breakfast and stay on essay Lime House, until about 3 PM. . Many of these older customers were attracted initially by a monthly breakfast special for for blogs Strathallan people aged 55 and older. The meal costs $1.99, and refills of College coffee are free. Every fourth Monday, between 100 and 150 seniors jam Lisa’s McDonald’s for articles School the special offer. But now almost as many of them are coming every day – turning the fast-food restaurant. Ageing , Consultative selling , Crowd 1232 Words | 4 Pages. Health Sector Elder abuse refers to the mistreatment of older people by those in a position of trust, power or responsibility for their care. Argumentative Essay Introduction University Of Massachusetts — UMass Boston! . This is a global problem that is likely to intensify in view of the increasing number of older people and the changing socio-economic and environmental conditions worldwide (Randel et al. 1999). Throughout the for blogs School, experience of HAI, access to a-g requirements Kingswood health care has always been of articles for blogs Strathallan major Concern to elderly. Help Age International has strongly emphasized: “Access to Health services.
Abuse , Health care , Health care provider 2715 Words | 8 Pages. Ageism: Old Age and of Exeter, Older Citizens. “Ageism- Our Older Citizens” Over the course of my life I have heard many people say that ageing is an write for blogs Strathallan inevitable part of life that you will . just have to get use to and adjust to it. Switzerland! I have even heard many people say that aging is an incurable disease. Not many people now-a-days have a positive attitude about write for blogs Strathallan aging. Many of us are obsessed with the tough that we should try to prolong out essay Braemar lives as long as possible and that any signs of aging will only hurt us in the long run. In this paper I will. Ageing , Ageism , Aging 1659 Words | 4 Pages. IName What is your name? How should I address you? What should I call you?
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individual. However, there are some general guides: The law states that the age where a man can get married is from an explanatory essay Moreton School 20, and that the . age where a woman can get married is from 18. At these age , everybody is physically and spychologically old enough to give birth, to how to write articles Strathallan School bring up and to persuasice essay House School take care of how to write for blogs their children. Moreover, their general knowledge about introduction University — UMass Boston life is pretty enough for them to live on their own. However, those are not the best ages since a couple needs a stable job to make enough money for their living. Age , Alimony , Family 1162 Words | 3 Pages.
problems faced by students while studying. over the write for blogs, world face a number of problems which dishearten them. It leads to sheer desperation among the student community giving rise to . student unrest. Student life has probably become more difficult than at any time before. There are so many issues they have to deal with - study, time, money, relationships, job hopes, and more. Parents previous experience and education does not always equip them in dealing with such pressures.
Many students will not admit their problems due to various reasons and this. Anxiety , Education , Extracurricular activity 1026 Words | 4 Pages. ?LITERATURE REVIEW 1. Human Resources in the Recession: Managing and Representing People at Work in Ireland; . William K Roche, Paul Teague, Anne Coughlan, Majella Fahy. The effects of the Irish recession on the manner in which people are managed at work and on how they are represented by trade unions is the subject of this study. This study examines how human resource managers and unions (where they are found) have faced the challenges. First of persuasice House all, the impact of the write articles for blogs Strathallan School, international financial and economic. Business cycle , Human resource management , Human resources 1174 Words | 4 Pages. Age Differences o How does differences in age effect communication in the workplace? For the persuasive Cesar Ritz Switzerland, first time in Strathallan history, there . are four generations of people working side by side in the workplace. Argumentative Essay University Of Massachusetts Boston — UMass! Think about your place employment and the different people who work there. It is sometimes hard to get your point across to someone in a different age generation.
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Alcohol , Alcohol law , Alcoholic beverage 1563 Words | 5 Pages.
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Plagiarism - What it is and how to avoid it. Plagiarism is a serious academic offence. Each year a number of cases of plagiarism are brought to the attention of the Dean of Arts and the President#146;s Office. Strathallan. Depending on persuasive essay Ritz Сolleges, the severity of the Strathallan offence, students found guilty of an explanatory essay, plagiarism may lose credit for the assignment in question, be awarded a mark of zero in the course, or face suspension from the University. Most simply, plagiarism is intellectual theft. Any use of another author#146;s research, ideas, or language without proper attribution may be considered plagiarism. Because such definitions include many shades of accidental or intentional plagiarism, these need to be described more fully. This is the most obvious case: a student submits, as his or her own work, an essay that has been written by someone else. Usually the original source is a published journal article or book chapter.
The use of unpublished work, including the work of another student , is just as serious. In such cases, plagiarism cannot be avoided by paraphrasing the original or acknowledging its use in footnotes . The work is the articles property of another author and should not be used. Persuasice Essay House School. See Example #1. A student may also lift portions of another text and use them in how to articles School his or her own work. Argumentative Essay College. For example, a student might add her or his own conclusions or introduction to an essay. Or a student might scatter his or her own comments through a text taken substantially from how to write School, another source. These practices are unacceptable.
Even with some attribution, the bulk of the work has been done by another. See Example #1. In many cases, a student will lift ideas, phrases, sentences, and paragraphs from a variety of sources and stitch them together into an essay. These situations often seem difficult to assess. Most essays, after all, are attempts to bring together a range of essay House School, sources and write for blogs Strathallan, arguments. But the line between plagiarism and original work is not difficult to draw. See Example #2. Lazy plagiarism crops up in many student essays, and is usually the result of sloppy note-taking or research shortcuts. University Of California A-g Requirements Kingswood. Examples include:
inadvertent use of another#146;s language, usually when the student fails to distinguish between direct quotes and general observations when taking notes. In such cases, the presence of a footnote does not excuse the use of another#146;s language without quotation marks. use of footnotes or material quoted in other sources as if they were the results of your research. sloppy or inadequate footnoting which leaves out sources or page references. Although it may not be the student#146;s intention to how to Strathallan deceive, it is often difficult for instructors to Kingswood distinguish between purposeful and accidental plagiarism. See Example #3. This is not intended to discourage students from pursuing specific interests.
If you want to use a previously completed essay as a starting point for new research, you should receive the instructor#146;s approval and provide her or him with a copy of the original essay. If you want to use substantially similar essays to satisfy the requirements of two related courses, you should get approval from all the instructors concerned. It is not hard to draw the distinction between original and how to, thoroughly plagiarized work. But the grey areas between these extremes are more vexing. Students should avoid any hint of dishonesty by maintaining good research habits and how to write an explanatory School, paying attention to a few basic rules of writing and documentation. Most written assignments begin with the collection of research notes -- a combination of ideas or quotes from other sources, and the student#146;s own ideas. Whether you keep notes on index cards, in a loose-leaf binder, or on articles Strathallan School, old envelopes in a desk drawer, it is important to record and argumentative essay College, organize them in such a way that vital information is not lost.
Keep careful and complete track of sources. Accurately copy the write articles for blogs Strathallan School author, title, and other information about the essay Ritz Switzerland source publication, including the how to Strathallan number(s) of the page(s) from which notes or quotes were taken. Distinguish carefully between your ideas and the ideas of argumentative Braemar College, others. This is a simple question of how to write for blogs School, intellectual honesty. If you use another#146;s conclusions, acknowledge them. If you come to the same conclusions as another on your own, you should still acknowledge the argumentative persuasive essay Cesar Ritz Сolleges Switzerland agreement. Distinguish carefully between your own words and those of others. If necessary, highlight or use coloured index cards for directly quoted material. As you begin to tie your ideas together in written form, consider the following: Begin by organizing your essay in write articles an original manner . Avoid mimicking the pattern or order of argumentative essay Cesar Ritz, argument used by others. Remember: this is your humble contribution to a debate or a body of research; it is not (in most case) an attempt to School summarize or paraphrase the work of university of california a-g requirements Kingswood School, others.
As you weave the how to write School ideas and language of others into university of california a-g requirements School, your work, make clear choices about the use of quoted material . In other words, either quote directly, or state the idea(s) in your own language. Do not mess around with close paraphrases or purely cosmetic changes. Write Strathallan School. See Example #4. Read the articles University of Exeter (INTO) first draft carefully . Is the distinction between your work and the work of others clear and unambiguous? You might even take an early draft and highlight all those passages that summarize, paraphrase, or quote other sources. Is there enough of your own work left in the essay? Many cases of plagiarism occur in the documentation rather than the body of the essay.
You should have a clear idea of the variety of purposes a footnote (or endnote) may serve, and many different ways you can acknowledge the work of others. For specific cases See Example #5 . Also note the following: Always record your source of the information; never use or rely on another author#146;s footnotes. The footnote should allow the how to articles Strathallan School reader to find or check the material being cited. Provide exact page numbers for direct quotes, and a range of page numbers for short articles University of Exeter, more general points.
If you included more than one source or reference in a footnote, the relevance or order of the various sources should be clear to the reader. Once your essay is complete, consider each portion that is drawn from another source, and ask yourself the following: Is the idea or argument expressed entirely my own? Is the general language or choice of words (including even phrases or rough paraphrases) my own? If either answer is no, the work must be credited to the original author. And if the answer to write Strathallan the second question is no, the passage should either be quoted directly or rewritten in persuasice Lime School the student#146;s own words and Strathallan School, credited directly. Complete or Near-Complete Plagiarism. Despite minor changes to the text, the passages are substantially unchanged. In the first case, the plagiarist also lifts the footnote from the original. Note that the argumentative introduction University — UMass use of even very brief passages (such as the wings of aspiration) constitutes plagiarism.
Use of such passages throughout an essay would constitute complete plagiarism ; use of such passages occasionally would constitute near-complete plagiarism . [This example is drawn from a longer discussion regarding plagiarism in the graduate school essays of how to articles, Martin Luther King Jr. Students interested in a well-illustrated discussion of student plagiarism, might want to consult this: Becoming Martin Luther King -- Plagiarism and Originality: A Round Table, Journal of American History (June 1991, pp. 11-123. The example used below is on p. 25.] The second case illustrates a more typical instance of student plagiarism.
Even the footnote to essay Lime House School the original does not excuse the substantial use of the original#146;s language. It is Eros, not Agape, that loves in proportion to the value of its object. By the pursuit of value in its object, Platonic love is let up and away from the world, on wings of aspiration, beyond all transient things and write Strathallan, persons to the realm of the Ideas. Agape, as described in the Gospels and Epistles, is spontaneous and #145;uncaused#146;, indifferent to human merit, and creates value in those upon whom it is bestowed out of pure generosity. It flows down from God into this transient, sinful world; those whom it touches become conscious of their own utter unworthiness; they are impelled to forgive and love their enemies. because the God of grace imparts worth to them by the act of loving them.* [footnote* is to Anders Nygren, Agape and Eros . (New York, 1932), pp. 52-56] As Nygren set out to contrast these two Greek words he finds that Eros loves in proportion to the value of the Cesar object. By the pursuit of how to articles Strathallan, value in its objects. Platonic love is let up and away from the world, on wings of university a-g requirements, aspiration, beyond all transient things and persons to the realm of the Ideas. How To Strathallan. Agape as described in the Gospels and Epistles, is spontaneous and uncaused, indifferent to human merit, and creates value in those upon whom it is bestowed out of pure generosity. It flows down from God into argumentative essay Braemar College, the transient, sinful world; those whom it touches become conscious of their own utter unworthiness; they are impelled to forgive and love their enemies, because the God of write articles Strathallan School, Grace imparts worth to them by the act of loving them.*
[Footnote* is to Nygren, Agape and Eros , pp. 52-56] The strike officially began on argumentative Boston, May 29, and on June 1 the manufacturers met publicly to plan their resistance. Their strategies were carried out on two fronts. How To Write For Blogs Strathallan School. They pressured the proprietors into holding out indefinitely by refusing to send new collars and cuffs to any laundry.
Also the manufacturers attempted to undermine directly the union#146;s efforts to weather the argumentative persuasive essay College strike. How To Strathallan School. They tried to create a negative image of the union through the press, which they virtually controlled. They prevented a few collar manufacturers in other cities from patronizing the unions#146; cooperative laundry even though it claimed it could provide the same services for 25 percent less. Under these circumstances, the collar ironers#146; tactics were much less useful. The strike began on May 29, and on June 1 the manufacturers met publicly to plan their response. They had two strategies. They pressured the proprietors into holding out indefinitely by refusing to send new collars and cuffs to any laundry, and they attempted to short articles of Exeter undermine directly the union#146;s efforts to weather the write articles Strathallan strike. They also tried to create a negative image of the union through the newspapers, which they virtually controlled.
They prevented a few collar manufacturers in other cities from using the unions#146; cooperative laundry even though it could provide the same services for persuasice essay House, 25 percent less. Under these circumstances, the collar ironers#146; tactics were much less useful. 1. 1. Carole Turbin, And We are Nothing But Women: Irish Working Women in Troy, pp. 225-26 in Women of America . Edited by Mary Beth Norton (Boston: Houghton Mifflin, 1979). Here two sources are combined to write for blogs Strathallan create a new passage. As it stands, the passage is clearly plagiarized. If a footnote were added acknowledging the sources, the substantial use of the language of the university Kingswood School original passage would still open the student to charges of plagiarism. An example of an honest and acceptable use of the information derived from these sources is provided at the bottom of the page. Note that the how to School acceptable version uses the facts of the original sources, but organizes and expresses them in the student#146;s own language. Despite the strong public opposition, the Reagan administration continued to install so many North American men, supplies, and facilities in Honduras that one expert called it the USS Honduras , a [stationary] aircraft carrier or sorts. (Walter LaFeber, Inevitable Revolutions (New York, 1989), 309.)
By December 1981, American agents--some CIA, some U.S. Special Forces--were working through Argentine intermediaries to set up contra safe houses, training centres, and base camps along the Nicaraguan-Honduran border. (Peter Kornbluh, Nicaragua, in Michael Klare (ed), Low Intensity Warfare (New York, 1983), 139.) Despite strong public opposition, by December 1981 the Reagan Administration was working through Argentine intermediaries to essay introduction Boston Boston install contra safe houses, training centres, and write for blogs Strathallan School, base camps in Honduras. One expert called Honduras the USS Honduras , a stationary aircraft carrier or sorts. In the early 1980s, the Reagan Administration made increasing use of Honduras as a base for the contra war. The Administration set up a number of military and training facilities--some American, some contra, and some housing Argentine mercenaries--along the border between Nicaragua and university a-g requirements Kingswood, Honduras. The country, as one observer noted, was little more than a [stationary] aircraft carrier, which he described as the USS Honduras . 2. 2. Write Strathallan School. See Walter Lafeber, Inevitable Revolutions (New York, 1989), p. 307-310 (quote p. 309); and Peter Kornbluh, Nicaragua, in Michael Klare (ed), Low Intensity Warfare (New York, 1983), 139. In this example, the student may have made a sincere effort to write an original passage, but sloppy research and documentation raise the possibility of university Kingswood School, plagiarism. Note the how to articles School characteristic errors: confusion of original and student#146;s language, quotation marks in the wrong place, improper or incomplete footnotes. Despite the write Hall School strong public opposition, the Reagan administration continued to install so many North American men, supplies, and how to Strathallan, facilities in university of california a-g requirements Kingswood Honduras that one expert called it the USS Honduras , a [stationary aircraft carrier of sorts. (Walter LaFeber, Inevitable Revolutions (New York, 1989), 309.)
By December 1981, American agents--some CIA, some U.S. Special Forces--were working through Argentine intermediaries to set up contra safe houses, training centres, and base camps along the Nicaraguan-Honduran border. (Peter Kornbluh, Nicaragua, in Michael Klare (ed), Low Intensity Warfare (New York, 1983), 139.) Despite strong public opposition, the Reagan Administration continued to install so many North American men, supplies, and facilities in Honduras that one expert called it the USS Honduras, a stationary aircraft carrier or sorts. Articles. 3. In December 1981, American agents--some CIA Special Forces--were working through Argentine intermediaries to set up contra safe houses, training centres, and base camps along the Nicaraguan-Honduran border. 4. 3. Walter Lafeber, Inevitable Revolutions (New York, 1989), p. 309. 4. Argumentative Persuasive Braemar. Michael Klare (ed), Low Intensity Warfare (New York, 1983). Students anxious about committing plagiarism often ask: How much do I have to change a sentence to be sure I#146;m not plagiarizing? A simple answer to this is: If you have to ask, you#146;re probably plagiarizing.
This is important. Avoiding plagiarism is not an exercise in inventive paraphrasing. There is no magic number of words that you can add or change to make a passage your own. Original work demands original thought and organization of thoughts. In the following example, although almost all the words have been changed, the student has still plagiarized. An acceptable use of write articles for blogs, this material is also provided below. Shortly after the two rogues, who pass themselves off as a duke and a king, invade the raft of Huck and Jim, they decide to university of california School raise funds by performing scenes from Shakespeare#146;s Romeo and Juliet and how to write articles for blogs School, Richard III . That the presentation of Shakespeare in small Mississippi towns could be conceived of as potentially lucrative tells us much about the essay Cesar Switzerland position of Shakespeare in the nineteenth century. (Lawrence Levine, Highbrow, Lowbrow: The Emergence of how to write articles for blogs Strathallan School, a Cultural Hierarchy in short articles (INTO) America (Cambridge, 1986), p. 10)
Soon after the two thieves, who pretend they are a king and a duke, capture Huck and Jim#146;s raft, they try to articles make money by putting on essay Braemar College, two Shakespeare plays ( Romeo and articles for blogs Strathallan, Juliet and Richard III ). Because the argumentative College production of Shakespeare in tiny Southern towns is seen as possibly profitable, we learn a lot about the status of write School, Shakespeare before the twentieth century. As Lawrence Levine argues, casual references to Shakespeare in popular nineteenth century literature suggests that the identification of short articles University, highbrow theatre is a relatively recent phenomenon. 5. Note that this version does not merely rephrase or repeat the material from the passage cited above, but expands upon it and places it in the context of the how to for blogs Strathallan School student#146;s work. Varieties of Footnotes.
The use of sources can be clarified in a number of ways through careful footnoting. Argumentative Essay Cesar Switzerland. Consider the how to write Strathallan different forms of documentation and acknowledgement in the following: With the election of Ronald Regan, covert operations in House Latin America escalated rapidly. For Blogs. 6 The influx of American funds, notes Peter Kornbluh, determined the frequency and destructiveness of contra attachs. 7 In the early 1980s, the persuasice essay Lime House School Regan Administration increasingly used Honduras as a base for the contra war. The Administration set up a number of military and training facilities--some American, some contra , and some housing Argengine mercenaries--along the border between Nicaragua and Honduras. [T]he USS Honduras , as one observer noted, was little more than a [stationary] aircraft carrier. 8 These strategies seemed to how to articles represent both a conscious acceleration of American involvement in the region, and the inertia of argumentative persuasive essay Cesar Switzerland, past involvements and write articles School, failures.
9. 6. The following paragraph is university a-g requirements Kingswood School drawn from Walter Lafeber, Inevitable Revolutions (New York, 1989), p. 307-310; and Peter Kornbluh, Nicaragua, in Michael Klare (ed), Low Intensity Warfare (New York, 1983), pp. Articles School. 139-149. Note: FOOTNOTE 6 provides general background sources. 7. Essay. Peter Kornbluh, Nicaragua, in Michael Klare (ed), Low Intensity Warfare (New York, 1983), p. 139. Note: FOOTNOTE 7 documents a quoted passage, noting the exact page location. 8. Observer quoted in how to write articles Strathallan Walter Lafeber, Inevitable Revolutions (New York, 1989), p. 309.
Note: FOOTNOTE 8 documents a secondary quotation. 9. Peter Kornbluh, Nicaragua, in argumentative — UMass Michael Klare (ed), Low Intensity Warfare (New York, 1983), stresses the renewal of counterinsurgency under Reagan; Walter Lafeber, Inevitable Revolutions , stresses the ongoing interventionism of the U.S. (New York, 1989), p. 307-310. Note: FOOTNOTE 9 distinguishes your argument from articles School, that of Lime School, your sources. Dr. How To Write. Colin H. Gordon. (Department of History, UBC)
Professor Peter Simmons. (President#146;s Advisory Committee on Student Discipline, UBC)
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20 Best And Worst Fonts To Use On Your Resume. Before you even walk into a job interview you’ve made a first impression on the interviewer. How? Through your resume. According to a study conducted by the job search site TheLadders.com, recruiters spend only about six seconds scanning a resume. So it’s essential that your resume makes a great first impression — that it looks professional and well organized.
How do you do that? You start by using a resume font people can actually read (that#8217;s what this post is for), then you design a resume that stands out from the rest (here#8217;s how you do that). When you have both these things you go into Canva and how to design the thing for university Kingswood free in no time (here#8217;s how you upload fonts from this article into Canva and here#8217;s where you go in Canva to Strathallan, start your new resume design right now). Times New Roman is probably the short (INTO) most commonly chosen fonts for resumes — the very reason you should avoid it, and why it appears on our “Worst” list. So if you don’t want your resume to look like hundreds of others, you’ll want to choose something else. And Garamond is write articles Strathallan School a great alternative.
A timeless serif typeface like Times New Roman, Garamond’s precursors have been in use for around 500 years. The modern version has the benefit of giving your resume a classic, polished look that’s much more interesting that the overused Times New Roman. As a bonus, if you’re struggling to condense your resume to one to two pages (which is a good idea), Garamond can help you fit more text on a page without sacrificing readability by lowering the font size or crowding your design by introduction of Massachusetts Boston — UMass tightening up the spacing. How To Articles For Blogs Strathallan! This simple, sophisticated sans-serif typeface, designed in England in the 1920s, will give your resume a look that is both classic and essay Braemar College modern. It’s used widely in the UK (across the British Railways system, by the BBC) and how to articles for blogs Strathallan School elsewhere. University! You might also notice that Gill Sans is very similar to Strathallan, the custom lettering featured on the famous, WWII-era “Keep Calm and short Carry On” poster, rediscovered at how to write School, a British bookstore in argumentative of Massachusetts — UMass, 2000 and subsequently popularized with many replicas of the design. You’ll find this font distributed with Mac OS X and some Microsoft software as Gill Sans MT.
Cambria, a serif font, is part of a suite of write Strathallan School, typefaces called the ClearType Font Collection, which has been widely distributed with Microsoft Office programs. These typefaces (Calibri, Cambria, Candara, Consolas, Constantia, and argumentative introduction of Massachusetts Boston Boston Corbel) were designed specifically to perform well on computer monitors. The studio that created Cambria describes it as “the ‘new Times New Roman”…designed specifically for on-screen reading, while still remaining applicable for print,” thanks to write articles for blogs, its sturdy letter construction that retains legibility even at small sizes. This makes Cambria a good choice for both online and printed resumes. Persuasice Essay House! Wikimedia Commons/Hans Hoogglans. Although it has been the default Microsoft Word font since 2007, Calibri is still not used as often as Arial, which landed on our “Worst” list for that reason. This font has other things going for it, though; professional resume writer Donna Svei points out articles for blogs Strathallan, that typing in write an explanatory Moreton Hall School, Calibri at a 12 pt. size will produce around 500 to 750 words, the ideal length of write articles for blogs, a two-page resume. Our third and last selection from Microsoft’s ClearType Font Collection, Constantia’s rounder letterforms make it look more friendly and less stuffy than many serif typefaces. It’s also suitable for persuasive essay Cesar Ritz Сolleges use both on-screen and in printed documents, making it useful for when you need to for blogs, distribute your resume in both digital and hard copy form.
Originally designed for corporate use, Lato is sans-serif font created to look neutral in body copy but have some unique traits at larger sizes. University Of Exeter! The font’s designer describes Lato as “serious but friendly” — perfect for resumes. How To Write Articles For Blogs! It comes in a wide range of weights and styles, though the “hairline,” “thin,” and “light” weights will be too hard to write an explanatory essay Hall School, see at small sizes. It’s available for download (free for both personal and commercial use) and for web use on Google Fonts. Articles For Blogs Strathallan School! Didot is university of california a-g requirements Kingswood School a distinctive serif font with an upscale look (perhaps a product of its Parisian roots). This classy typeface can lend some style to your resume and how to write for blogs School seems to be particularly popular for industries like fashion and persuasive Cesar Ritz Switzerland photography. However, its delicate serifs display most clearly at larger sizes, so you’ll do best saving Didot for headings rather than body copy. Wikimedia Commons/Pierre Rudloff. How To Write Articles For Blogs! This Swiss sans-serif typeface is considered by short articles many designers and typographers to be the king of fonts. It even has its own self-titled documentary film.
Thanks to its modern, clean lines and exceptional clarity, Helvetica is widely used in everything from major corporate logos (BMW, American Airlines, Microsoft) to New York City’s subway signs. To give your resume a clean and contemporary look that’s still professional, try Helvetica. How To Articles! It’s included with Mac operating systems, but if you’re wanting to use it with Windows, you’ll have to purchase it. Georgia is another alternative to write an explanatory Moreton, Times New Roman. This serif font has letterforms with thicker strokes that make it easy to read even at small sizes. How To Write Articles! Plus, because it was created specifically for clarity on computer monitors, it looks great viewed on any digital document, such as if you’re sending your resume as a PDF. This versatile sans-serif font has a very clean, crisp appearance that will give any resume an updated look. It has multiple weights that you can use to differentiate the various sections and features of your resume, but you should probably avoid the persuasice essay Lime House “book” and “light” weights, as well as any condensed versions — they can be hard to read. Avenir Next is articles for blogs School another good option; it was released as a follow-up to Avenir to improve the font’s on-screen display capabilities.
Dribbble/Mario Leo Fasolo. Surprised this one is on the list? There’s nothing wrong with the font in itself, it’s just that it has been (over)used and abused. Since everyone else is using it on their resumes, yours won’t stand out. Plus, Times New Roman is School hard to read at School, very small sizes and doesn’t display particularly well on screens.
Like Gill Sans on our “Best” list, Futura was created in the 1920s. Except this sans-serif typeface was designed in essay Lime House, Germany and how to articles for blogs School is more geometric in form. Although it’s a clean, attractive font, the overall appearance is somewhat stylized and atypical. With quirks like unusually tall lowercase letters and a jarring contrast between sharp and round letter shapes, Futura leans more toward decorative and interesting (a.k.a, a display font, meant to be used sparingly) than practical for text-heavy documents like resumes. In the overused category, Arial is Times New Roman’s sans-serif equivalent. Using a font that’s so common (and, some would say, boring) may be perceived as a lazy choice — not putting much thought or effort into university of california a-g requirements Kingswood, your resume. How To Articles Strathallan! Plus, Arial is basically an adaptation of essay Braemar College, Helvetica that’s a little looser and more irregular in its construction. There’s nothing wrong with conventional fonts, but there are better sans-serif choices out there than Arial.
Designed to replicate the look of how to articles for blogs Strathallan School, a typewriter and later adapted for use on actual electric typewriters, this font makes it look like — you guessed it — you typed your resume on a typewriter. Which you didn’t — unless you haven’t updated your resume in how to an explanatory essay Moreton Hall School, 30 some-odd years. Plus, because this is a monospaced typeface (every letter is spaced equally, as opposed to how to Strathallan School, most other proportionally spaced fonts) it can look a little unnatural, particularly for persuasive Cesar Ritz whole pages of text. Tempted to put your name at the top of your resume in a script that looks like handwriting to give it a little personality? Don’t do it! And especially don’t use Brush Script, which has been so overused that it now looks cheap and dated rather than retro and nostalgic (it was designed in how to for blogs School, 1942).
While certain creative industries will offer some leeway in playing with the appearance of your resume, when in doubt, it’s always a safe bet to stick to conservative font choices (which means no scripts or other display fonts). Unless you’ve been living under a rock for the past several years, you’ll know that using Comic Sans is considered the cardinal sin of font choices. It was created in 1994 to persuasice Lime, replicate the look of how to for blogs Strathallan, comic book speech bubbles, and that’s about articles (INTO) all it’s appropriate for. The casual, almost childish look of the font makes it distracting in how to articles Strathallan, any serious context. And in case you’re wondering why anyone would use Comic Sans on a resume, according to university of california a-g requirements Kingswood, this manager, it does happen. Just remember: it’s a good rule of how to for blogs Strathallan, thumb to stay far away from any font that might possibly come across as fun, flowery, flashy, or funky. Century Gothic has a sleek, modern look, but it’s probably a little too irregular for resumes. Additionally, the thin letters of this font’s regular weight can be hard to read, particularly at university a-g requirements School, small sizes. There’s really no good reason anyone should want to use this on a resume, but people seem to like it. Articles For Blogs Strathallan! So if you’re tempted to (INTO), give your resume an adventurous or exotic air with Papyrus, resist. This font is so cliche (probably second only to Comic Sans) that is has become something of a joke — Fast Co.
Design puts it this way: “as everyone who has written a school project over the last decade will tell you, Papyrus is the font you use to spell out the write articles School word #8220;Egypt.#8221; Want to argumentative Braemar College, make a bold, confident impression with your resume? You don’t need a bold, heavy font to how to articles for blogs, do it. Impact is most likely intended for use in all caps for essay College headlines, but because it includes lowercase letters, people are sure to use it for body copy, where it’s almost impossible to read. Yes, Trajan Pro has a dignified, important feel, but it would be more appropriate etched into stone than typed on your resume. That’s because the typeface was inspired by the letterforms carved into Trajan’s Column, a monument dedicated to the Roman emperor of the same name.
The font only has capital letters and small caps (no lowercase option), which makes it unsuitable for typing out readable sentences on your resume. So it’s probably a good idea to leave Trajan to how to articles, the movie posters (more than 400 of them), particularly those starring Russell Crowe. For resumes, a font size of persuasive College, 10 to how to for blogs Strathallan, 12 pt. Short University (INTO)! (depending on the particular font, but no smaller than that) is standard. Larger sizes are acceptable for headings or subheadings. Remember that everyone viewing your resume on how to write articles for blogs, a computer will have different fonts installed, and you don’t want your carefully chosen typeface automatically replaced with a substitute that messes up the document’s appearance and university a-g requirements Kingswood School formatting. That’s why it’s a good idea to always save and send your resume as a PDF, which preserves the articles original appearance (unlike a MS Word document). Do you have a favorite (or least favorite) font for resumes? Share in the comments below. Bring great design to your entire workplace.
Janie is a freelance writer and essay Moreton School graphic designer and how to for blogs the owner of Design Artistree Creative Studio. After college, she built on her background in persuasice Lime House, art to how to write articles Strathallan, explore design. and loved it. Now, she enjoys finding ways to combine the craftsmanship of traditional fine arts with the essay introduction — UMass Boston digital possibilities of graphic design. Build Your Brand: How to Choose The Right Fonts. Articles For Blogs Strathallan! 60 Free Sans Serif Fonts to Give Your Designs a Modern . 60 Free Serif Fonts to persuasice essay Lime House School, Give Your Designs a Traditional . 60 Free Calligraphy Fonts to Bring Charm to Your Design.
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Pathophysiology, diagnosis, and management of polycystic ovary syndrome. Polycystic ovary syndrome (PCOS) was first reported in 1935 by Stein and Leventhal who described seven women dealing with amenorrhea, hirsutism, and enlarged ovaries with multiple cysts (Stein and Leventhal, 1935). This syndrome was given the name Stein–Leventhal syndrome after these two physicians for sometime. In the how to write, 1960s, however, the term polycystic ovary syndrome (PCOS) was first introduced and gradually started to replace its former name. It is now recognized as a common complex heterogeneous endocrine disorder in reproductive-age women associated with reproductive, metabolic and psychological features. This syndrome is primarily characterized by irregular menses, hyperandrogenism, and polycystic ovaries (Azziz et al., 2004). Given the fact that one out of five women of reproductive age is affected by this syndrome, and studies which suggest that 5% to 10% of females 18 to 44 years of argumentative essay University — UMass Boston age are affected by PCOS, it is deemed to be the how to write articles for blogs, most common endocrine abnormality among women of reproductive age in the US. In Saudi Arabia, the prevalence of PCOS is still unknown although it is Ritz, believed to be similar to the other studies. In addition, it is a chronic disease with manifestations across the lifespan of women and represents a major health and economic burden.
Therefore, the write for blogs Strathallan, aim of this research is to how to essay Hall School, review this subject in depth taking in consideration the pathogenesis, clinical features, diagnosis, complications and management. Material and Methods. This study was performed by a literature search of English-language studies which was conducted on write for blogs PubMed (from 1994 to 2016) and CENTRAL (Cochrane Central Register of Controlled Trials) using the terms, ‘PCOS’, ‘polycystic ovary syndrome’, and ‘polycystic ovary disease’. Polycystic ovary syndrome is the most common endocrine disease in women of child-bearing age. Additionally, World Health Organization (WHO) has declared PCOS to be the leading cause of type 2 anovulatory infertility.
Based on studies performed in Greece, Spain and the USA, the prevalence of PCOS using the National Institutes of Health and National Institute of Child Health and Human Development (NIH/NICHD) criteria indicate that PCOS affects 4%–8% of women of reproductive age. That percentage increases up to even 18% according to University (INTO), the guidelines of the Rotterdam consensus (Azziz et al., 2004) (Asuncion, 2000) (Diamanti-Kandarakis, 1999) (Knochenhauer, 1998). Write School! Recently, there has been variations of the prevalence of PCOS depending on the diagnostic criteria used. Normally, females of essay introduction of Massachusetts — UMass reproductive age experience cycles of hormonal activity that repeat at how to write articles Strathallan about one-month intervals. With every cycle, a woman’s body prepares for a potential pregnancy, whether or not that is the woman’s intention. The term menstruation refers to the periodic shedding of the uterine lining. Averagely, the menstrual cycle takes about 28 days and occurs in phases: the follicular phase, the ovulatory phase (ovulation), and the luteal phase. Short Articles University Of Exeter! There are four major hormones (chemicals that stimulate or regulate the activity of cells or organs) involved in the menstrual cycle: follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen, and progesterone. During the follicular phase of the menstrual cycle, which starts on the first day of a woman’s period, two hormones; follicle stimulating hormone (FSH) and luteinizing hormone (LH), are released from the how to write for blogs School, brain, specifically the pituitary gland, and travel in the bloodstream to the ovaries. These hormones stimulate the primary maturation of around 15 to 20 eggs in persuasive essay Braemar College the ovaries, each in its own “shell,” called a follicle. As well as triggering an increase in the production of the female hormone estrogen.
As this follicular phase progresses, one follicle in one ovary becomes dominant and produces estrogen while continuing to mature suppressing all of the other follicles in the group. The second phase, or ovulation, begins on the 14th day after the follicular phase started. Write For Blogs School! The rise in estrogen from the dominant follicle triggers a surge in the amount of luteinizing hormone that is produced, which causes the dominant follicle to argumentative persuasive essay, release its egg from the articles Strathallan School, ovary into the fallopian tube. Argumentative Ritz Сolleges Switzerland! During the last phase, known as luteal phase, the empty follicle, once harboring the how to, egg, develops into a structure called the corpus luteum, which secretes the hormone progesterone. Progesterone prepares the uterus for the implantation of a fertilized egg. If the egg is argumentative essay College, not fertilized, it passes through the uterus, and the lining covering it breaks down and for blogs School sheds, and the next menstrual period begins. The pathophysiology of PCOS results from a primary defect in the pituitary function, as well as, defects in insulin secretion and persuasive essay College action, and ovarian function. Increased luteinizing hormone (LH) and gonadotropin–releasing hormone (GnRH) levels relative to follicle-stimulating hormone (FSH) was the first laboratory abnormality identified in classic PCOS. Raised LH levels will lead to an increase of androgen production and secretion by ovarian theca cells. How To Write Articles School! The increase in LH seems to be the result of abnormal sex steroid feedback rather than the cause of androgen excess.
Patients with PCOS are less susceptible to suppression of LH by luteal phase hormones, where the modest rise in androgen levels in patients with PCOS absurdly stimulates LH pulsatility. Moreover, use of antiandrogen treatment lowers the elevated LH pulse frequency of House School PCOS to a normal level, suggesting that androgen excess interferes with the hypothalamic inhibitory feedback of female hormones, principally progesterone (Rosenfield and Bordini, 2010). In spite of this, about half of the patients with PCOS, especially obese patient, do not have elevated LH levels or abnormal gonadotropin response to GnRH agonist testing. Furthermore, around half of PCOS patients with a verified ovarian source of hyperandrogenism were revealed to have normal LH levels and LH responses to a GnRH agonist test, also suggesting that their ovarian dysfunction is independent of LH excess. Another major influence in the pathophysiology of PCOS is the how to write articles for blogs Strathallan School, association with insulin and its function; In the Braemar College, ovary, insulin helps to how to articles for blogs Strathallan, regulate ovarian function, and acts in conjunction with LH to enhance androgen production which can lead to anovulation (Gonzalez, 2012). Etiology and risk factors. A detailed pathogenesis of PCOS has not been clarified yet.
Which is University (INTO), one of the reasons for articles for blogs Strathallan School defining it as a syndrome rather than a disease whereas a syndrome is a cluster of symptoms which cannot be explained under a common etiologic factor. However, the individual susceptibility probably depends on essay introduction University — UMass Boston prenatal androgen exposure, genetic factors, ethnic origin and environmental risk factors (Zhang et al., 2012). The interaction of a number of how to articles for blogs School genetic and environmental factors determine the heterogeneous, clinical, and how to an explanatory Moreton School biochemical phenotype, which is why PCOS is described as an write for blogs School oligogenic disorder (Barber and Franks, 2010). Although the genetic etiology of PCOS is yet undetermined, a family history of PCOS is argumentative essay Ritz, relatively common; however, familial links to PCOS are unclear. Nonetheless, based on the aggregation of cases in families, PCOS is considered a heritable disorder and resembles an write articles for blogs Strathallan autosomal dominant pattern (Diamanti-Kandarakis, Kandarakis and Legro, 2006). Hence, a family history of argumentative introduction University of Massachusetts Boston Boston PCOS is considered a risk factor. Write Strathallan School! As for Kingswood School ethnic factors, hirsutism is more rarely observed in write articles Strathallan individuals of of california Asian origin (approximately 10%) compared with the how to Strathallan, Caucasian race (approximately 70%). Environmental risk factors, such as obesity, seem to amplify genetic predispositions (Zhang et al., 2012). Obesity is a prevalent characteristic of PCOS (Shannon and Wang, 2012), ranging from 12.5% to argumentative persuasive essay, 100% (Mirzaei and Kazemi, 2008), with a collective estimated prevalence of 49% (Graff et al., 2013). These environmental factors implicated in for blogs Strathallan School PCOS (e.g., obesity) can be aggravated by poor dietary choices and physical inactivity; infectious agents and toxins may also play a role (Diamanti-Kandarakis, Kandarakis and Legro, 2006). The reproductive and metabolic features of PCOS are sometimes reversible with lifestyle modifications such as weight loss and exercise (Shannon and Wang, 2012).
Clinical features of PCOS. The clinical presentation of PCOS varies widely. These considerably distinctive features, displaying a varying degree of expression in each individual, emphasize the phenotypic variability of PCOS, and is in fact another reason why it is considered as a syndrome. A-g Requirements Kingswood School! Women with PCOS may present with an array of serious clinical implications including reproductive manifestations (hirsutism, infertility and pregnancy complications) (Boomsma et al., 2006), psychological problems (reduced quality of life, poor self-esteem, depression, anxiety) (Deeks, Gibson-Helm and Teede, 2010), and metabolic implications (insulin resistance, metabolic syndrome, impaired glucose tolerance (IGT), diabetes mellitus type 2 (DM2) and potentially cardiovascular disease (CVD)) (Sir-Petermann et al., 2013) (Meikle, 2006). Presentation of PCOS may vary across the articles School, life cycle of the patient due to the heterogeneous nature of PCOS and the wide spectrum of clinical features. Generally, PCOS is a chronic condition that usually begins in adolescence then transitions to include infertility and increase metabolic complications over short University of Exeter (INTO) time. However, when combined with obesity, metabolic implications of PCOS such as IGT, DM2 and the metabolic syndrome can present in adolescence (Coviello, Legro and Dunaif, 2006). Reproductive features of PCOS. Clinical hyperandrogenism primarily includes hirsutism, acne and write Strathallan male pattern alopecia. PCOS is a common cause of hirsutism occurring in approximately 60% of cases. Hirsutism is defined in persuasice essay females as male type terminal hair growth and distribution (Norman et al., 2007).
Acne affects one third of articles for blogs School cases and is not particularly specific for PCOS (Norman et al., 2007). Studies have shown that androgen levels are elevated in woman with acne, although the argumentative persuasive Cesar Ritz, severity of articles acne has not been positively correlated with any particular hormone with the exception of the adrenal androgen, dehydroepianandrosterone sulfate (DHEA-S) (Karrer-Voegeli et al., 2009). Conversely, in many PCOS women hirsutism is not associated with acne, which might be due to variable local androgen bioactivity. An enzyme called 5-?-reductase controls the androgen activity in the hair follicle by argumentative persuasive essay Cesar Ritz converting free testosterone to the more potent dihydrotestosterone (DHT). How To Write Articles! This enzyme has two isoforms: type 1 is introduction University Boston — UMass, located in the sebaceous glands and pubic skin and type 2 is present primarily in the hair follicle, genital skin, and adult scalp. This explains the different clinical manifestations seen in hyperandrogenic women when the for blogs Strathallan, degree of hirsutism is argumentative introduction of Massachusetts — UMass, not well-matched with the how to articles for blogs School, severity of the acne (Archer and Chang, 2004). Male pattern hair loss (androgenic alopecia) is a genetically determined disorder characterized by the gradual conversion of terminal hairs into indeterminate, and finally into vellus hairs. Essay Lime House School! The incidence of androgenic alopecia in write articles for blogs PCOS is not clearly defined, but several reports vary from a prevalence of of california 40-70%. It is less frequently seen in PCOS cases, as it generally requires a familial predisposition. Ovarian abnormalities and Infertility. Most of the women suffering from PCOS will seek gynecological counseling due to menstrual irregularity, with 70% to 80% of women presenting with oligomenorrhoea or amenorrhoea.
Oligomenorrhoea occurs usually in adolescence, with onset later in for blogs School life often associated with weight gain (Brassard, AinMelk and Baillargeon, 2008). Furthermore, these ovarian abnormalities have been thought to increase the risk for infertility. Infertility was one of the main symptoms originally attributed to PCOS according to the understanding of Stein and Leventhal (Stein and Leventhal, 1935). The consequent epidemiologic studies implied that about 90% to 95% of women attending infertility clinics with anovulation, have been diagnosed with PCOS, which is the most common cause of University of Exeter (INTO) anovulatory infertility. (Hull, 1987) In a large population of 1,741 women affected by PCOS, primary infertility was reported in 50% of women, while secondary infertility was reported in 25% of women (Dungan, 2008). On the other hand, there is write articles for blogs Strathallan School, currently a debate on the legitimacy of the relationship between PCOS and infertility. Research has concluded that 60% of women with PCOS are fertile (defined as the ability to conceive within 12 months), although time to conceive is University (INTO), often increased. Psychological features of PCOS.
There are very few studies to date that have explored the psychological aspect of PCOS, since most research has focused primarily on the biological and physiological features of the syndrome. However, these psychological features do, in fact, compromise quality of life and adversely impact on mood and how to write Strathallan psychological well-being. (31) Some of these concerns include the how to School, negative body image due to obesity, acne and excess hair. Moreover, women with PCOS deal with low self-esteem, anxiety and it may even lead to depression. Write Articles For Blogs Strathallan! The other challenge for patients is dealing with psychosocial impact of mood disturbance and reduced psychological well-being on how to write School motivation and the ability to implement and sustain successful lifestyle changes that are critical in this condition. (32) Metabolic features of PCOS. Actually, obesity is considered a serious growing epidemic disorder in the world population, especially in the childhood and teenage years. Women with PCOS represent a cohort of people with a high prevalence of overweight (BMI .25 kg/m2) and obesity (BMI .30 kg/m2) compared to healthy women, up to 61% of prevalence,93 with a typical central distribution of adipose tissue, although there is how to articles Strathallan, a wide variability in argumentative persuasive essay Ritz the estimates of how to articles School obesity in PCOS women across different countries and ethnicities.13 In the Western countries, such as Australia, USA, and UK, the PCOS women have the highest prevalence of overweight and obesity,94,95 compared to Chinese PCOS women (only 20% has a BMI of 25 kg/m2 or greater).96 The causal role in the association between obesity and PCOS has yet to be determined but cultural, lifestyle, and ethnic factors take part in these conditions.
Recent literature has found that greater adiposity was described in persuasive College more severe reproductive phenotypes (characterized by hyperandrogenism associated with chronic anovulation),49 and lean women had milder reproductive phenotype compared with those who were overweight;97 so obesity can exacerbate the PCOS reproductive phenotypes. How To Articles For Blogs Strathallan School! It also appears that obesity could have a bidirectional relationship with PCOS, as women with PCOS are more inclined to weight gain and excessive weight gain increases PCOS prevalence, unmasking a latent PCOS condition, but this yet remains to be clarified. Insulin is argumentative essay, a hormone produced by the pancreas to control the articles for blogs School, amount of a-g requirements Kingswood School sugar in the blood. It helps to how to School, move glucose from blood into university of california Kingswood cells, where it’s broken down to write Strathallan, produce energy. Insulin resistance (IR) is a physiological condition where the argumentative persuasive essay Сolleges Switzerland, body’s cells are resistant to the effects of insulin. Articles School! As a result, the body therefore has to produce extra insulin to compensate. High levels of insulin stimulate the ovaries to produce too much testosterone, which interferes with the development of the follicles i.e. the sacs in an explanatory Moreton the ovaries where eggs develop, which in turn prevents normal ovulation.
Insulin resistance have also been found in some cases to how to articles, lead to weight gain, which may exacerbate many of PCOS symptoms, because having excess fat causes the body to produce even more insulin. Insulin Resistance, considered an essential etiological factor of PCOS, was traditionally attributed primarily to obesity. Although the demonstration of insulin resistance is persuasice essay Lime School, not required to make the diagnosis of PCOS, it is how to write, clear that hyperinsulinemic insulin resistance plays a prominent role in PCOS. The prevalence of insulin resistance in PCOS ranges from 50%–70%57–60 and occurs independently of obesity. Metabolic syndrome is not a disease, but rather a clustering or “constellation” of abnormal conditions. Although there are several definitions of what is required to be diagnosed with metabolic syndrome, most health care professionals use criteria from the National Heart, Lung, and Blood Institute (NHLBI) and the American Heart Association. Consistent with the increased prevalence of insulin resistance, metabolic syndrome is also more common in argumentative persuasive Cesar Ritz Сolleges Switzerland women with PCOS. A meta-analysis (32) has shown that women with PCOS have higher levels of triglycerides (TG), LDL cholesterol and write articles for blogs Strathallan total cholesterol (TC), and lower HDL cholesterol.
levels compared with control women, regardless of body mass index (BMI). Lean women with PCOS were also more likely to have metabolic syndrome than lean women without PCOS (OR 3.00, 95% CI 1.24–6.78).62 The components of metabolic syndrome are associated with insulin resistance and are summarized in an explanatory essay Moreton Table 3.63. A specific abnormal pattern of insulin receptor phosphorylation, namely increased serine phosphorylation and reduced tyrosine phosphorylation, appears to be responsible for insulin resistance observed in write PCOS. As reported by the main scientific societies,13,15,49 women with PCOS present an increased prevalence of classic risk factors for cardiovascular disease (CVD) such as hypertension, dyslipidemia, diabetes, and obesity and nonclassic risk factors such as C-reactive protein (CRP), homocysteine, and persuasice essay tumor necrosis factor-?.50 PCOS at how to articles for blogs Strathallan any age is characterized by greater odds for elevated CVD risk markers and these elevated makers can occur without obesity but are magnified with obesity.13. In 2004, a worldwide case-control study of write essay Moreton Hall School patients from how to write articles School 52 countries was published, the INTERHEART study,51 that found nine potentially modifiable risk factors, accounted for over 94% of the argumentative essay Ritz Switzerland, population-attributable risk of a first myocardial infarction in women; the nine factors included smoking, hypertension, dyslipidemia, diabetes, visceral obesity, psychosocial factors, decreased consumption of how to write School fruits and vegetables, regular consumption of alcohol, and regular physical activity. Essay Of Massachusetts — UMass! The majority of these occur in the PCOS woman. It is Strathallan School, estimated that the prevalence of each risk factor is approximately double for women with PCOS when compared with controls, while it is 1.5 times higher in BMI-matched studies beginning in adolescence and it is found in e. Since PCOS is argumentative persuasive, considered as a lifelong multisystemic and multifaceted disorder, the reproductive and metabolic alterations characterizing the syndrome may be also associated with an increased risk of the development of cancers, such as the endometrial, ovarian, and breast cancer, which recognize potential hormonal and/or metabolic pathogenetic mechanisms. The potential mechanisms which could promote the onset of neoplastic diseases in these women, particularly endometrial cancer, include the chronic anovulatory state, resulting in an unopposed estrogen action, associated with hyperandrogenism.117.
At present, based on articles Strathallan the most recent meta-analysis,118 women with PCOS of all ages seem to be at an increased risk of endometrial cancer. In particular, the risk of endometrial cancer may be even higher in the premenopausal subgroup of women with PCOS, while overall the risk of ovarian and breast cancer was not significantly increased.118 These current results are consistent with previous reviews published on cancer in PCOS116,119,120. Unfortunately, as with studies of cardiovascular risk, the assessment of cancer risk in PCOS women is complicated by the presence of various potential confounding factors such as obesity, T2DM, inflammation, and metabolic syndrome, which are highly represented in PCOS populations. Obesity is a recognized risk factor for endometrial cancer and the authors of the most recent meta-analysis118 acknowledge that the increased risk of Ritz Сolleges Switzerland this cancer could be attributed, at least in part, to increased prevalence of obesity in PCOS women. The same issue applies to how to write articles School, T2DM, another possible confounding factor that is most representative in PCOS women and associated with an higher risk of endometrial cancer, possibly secondary to hyperinsulinemia, hyperglycemia, and inflammation.122 Therefore, there is uncertainty as to whether increased endometrial cancer risk is due to different metabolic risk factors or PCOS itself, which is characterized by many metabolic and reproductive complications that could be responsible for an increased oncology risk on argumentative persuasive endometrium. Nonetheless, it is generally accepted that PCOS women with amenorrhea are at greater risk for endometrial hyperplasia and cancer;13 therefore, ESHRE/ASRM Consensus Workshop Group has established a proper endometrial surveillance with ultrasound and/or biopsy to assess endometrial thickening in Strathallan School women which experience extended period of amenorrhea, based on clinical suspicion and presentation, and in these women periodic progestogen withdrawal is an explanatory, also recommended, at how to for blogs School least four episodes per persuasice Lime School year.13 There is limited and write articles for blogs Strathallan School contradictory evidence regarding the risk of short University (INTO) ovarian131 and how to School breast cancer121 in women with PCOS; so currently, the ESHRE/ASRM consensus statement13 does not recommend routine surveillance strategy and/or clinical care to short of Exeter, detect ovarian and breast cancer in women with PCOS. How To Write Articles For Blogs Strathallan School! There is also insufficient evidence to evaluate any association of PCOS with vaginal, vulvar, and cervical cancer. Diagnostic criteria outlined in Table 1 have been modified on four occasions since the of california a-g requirements Kingswood School, National Institute of Health first defined the syndrome in 1990 (2), highlighting the complex nature of the disorder. In 2003, the Rotterdam criteria were published and further revised in 2004 (3), followed by the Androgen Excess Society criteria in how to School 2006 (4), subsequently modified by the Androgen Excess and PCOS Society (AE-PCOS) in 2009 (5). How To Write Essay Hall! Today, the Rotterdamcriteria are the how to, most widely utilized guideline requiring any two of the following three features: androgen excess –identified clinically or biochemically; chronic anovulation; or polycystic ovarian morphology (3). Despite frequent amendments to diagnostic criteria, the features first described by Stein and of Massachusetts Boston — UMass Boston Leventhal continue to be recognized in the various classification systems.
In particular, ovarian dysfunction manifesting as either oligomenorrhoea amenorrhoea and hyperandrogenism can be considered the. hallmarks of the syndrome (6), having been consistently recognized throughout the literature. Importantly, all diagnostic criteria have similarly identified PCOS as a diagnosis of write articles for blogs Strathallan exclusion with the need to argumentative introduction — UMass Boston, rule out various differentials as identified in Table 2. Three tools can be used to Strathallan, diagnose PCOS (Table 2). In 1990, the National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health (NIH) hosted a panel of experts who developed the first known criteria for PCOS.8,13 Over the persuasive essay, next decade, it was discovered that ovarian morphology was a key component in the diagnosis. The European Society Human Reproduction and Embryology (ESHRE) and the American Society for Reproductive Medicine (ASRM) sponsored a workshop in how to Strathallan Rotterdam. Argumentative Essay University! During the workshop, polycystic ovarian morphology on pelvic ultrasound was added to the NICHD/NIH criteria. It was then decided that only two of the three criteria had to be met for a diagnosis of PCOS. 8,13 In 2006, the write articles, Androgen Excess Society (AES) suggested that the NICHD/NIHS criteria could be used with modifications that included the Rotterdam tool.
The AES defines PCOS as a disorder primarily involving androgen excess, along with various combinations of phenotypic features (e.g., hyperandrogenemia, hirsutism, oligo-ovulation/anovulation, and/or polycystic ovaries) that may promote a more accurate diagnosis.8,13 In 2012, the NIH sponsored an evidence-based methodology on polycystic ovary disease. The expert panel concluded that each criterion has its own strengths and weaknesses; however, the use of multiple criteria was considered confusing, impeding progress in understanding PCOS.14 If PCOS is suspected, a complete medical history, physical examination, blood tests, and a pelvic ultrasound should be performed.5 A medical history and physical examination provide the physician with information about unexplained weight gain, menstrual cycle abnormalities, male-pattern hair growth, skin changes, and elevated blood pressure (BP). University! Blood is drawn to assess hormone, glucose, and lipid levels, and a pelvic ultrasound is performed to scan for write School ovarian cysts.5,13,15 During the assessment period, other potential causes associated with reproductive, endocrine, and metabolic dysfunction should. be excluded. Physicians should rule out adrenal hyperplasia, Cushing’s syndrome, and hyperprolactinemia before a PCOS diagnosis is confirmed.5,13 After PCOS is diagnosed, studies show that more than 50% of patients develop prediabetes or diabetes, and there is an increased risk of myocardial infarction (MI), dyslipidemia, hypertension, anxiety, depression, endometrial cancer, and sleep apnea.4 Moreover, pregnant women with PCOS should be informed of the increased rates of miscarriage, gestational diabetes, pre-eclampsia, and premature delivery.4. The treatment of PCOS in adolescent girls should aim to achieve ovulation, normalize the menstrual cycle, reduce and of Exeter if possible eliminate hirsutism and acne, achieve weight loss, as well as to treat hyperlipidemia and hyperglycaemia in how to articles for blogs order to lower the risk of cardiovascular disease. Most protocols in puberty also aim to reduce the androgen excess. However, most importantly, a healthy diet combined with exercise should be proposed as the how to write essay Moreton School, number one priority, especially in overweight adolescent women. Obesity was closely related to IR; for this reason, weight loss represented a fundamental preliminary approach in the treatment of obese/overweight PCOS women. Write! In fact, weight loss resulted in the restoration of spontaneous ovulation and higher fertility rate.145 Losing weight not only contributes to the prevention of the clinical manifestations of the PCOS, but also improves the young girl’s self-esteem . Similarly, the use of cosmetics as well as hair removal, used in conjunction with androgen suppression therapy, could be effective in the treatment of argumentative essay introduction University — UMass Boston hirsutism.
However, lifestyle modification programs are related to a low compliance and a high dropout rate. How To For Blogs Strathallan School! To overcome this problem, the feasibility and the efficacy of a structured exercise training program was evaluated in obese anovulatory PCOS patients.146 The structured exercise training resulted in articles of Exeter (INTO) a higher menses frequency and the ovulation in how to write articles for blogs comparison with diet. Successively, lifestyle modifications resulted more efficacious than clomiphene cictrate (CC) and metformin in terms of articles pregnancy rate, resulting in 12.2%, 14.4%, 14.8% and 20% of how to articles for blogs Strathallan pregnancies after CC, metformin, CC plus metformin, and lifestyle modification, respectively.147. Available guidelines recommended CC as the first-line treatment of anovulatory infertility in women with PCOS.16 CC is an estrogen modulator, efficacious, simple to persuasice Lime House School, administer and to manage, safe and cheap. Specifically, CC was effective in increasing pregnancy rate compared to placebo (OR 5.8, 95% CI 1.6–21.5).148. According to the standard protocol, CC is administered for 5 days from how to articles Strathallan second or third day of the menstrual cycle, starting from 50 mg/day and increasing up to 250 mg/day. Short University (INTO)! “Managed care” studies showed that the most effective dosage is write for blogs, 100–150 mg/day and over 75% of ovulations occur already within a dosage of 100 mg/day.149 Alternative protocols for CC administration were proposed in patients with known CC resistance. Extended CC regimen resulted in argumentative essay Braemar College higher ovulation and pregnancy rates in how to write Strathallan School comparison with gonadotropins ovulation induction, suggesting that in CC-resistant PCOS patients a further period of CC administration might be preferable.149 In our practice, CC (at a dosage of 100 mg/day, and for not more than six cycles) remains a valid therapy for inducing ovulation in infertile PCOS patients. Aromatase inhibitors (AIs), such as estrogen modulators, were approved by the Food and articles (INTO) Drug Administration as first-line adjuvant therapies for estrogen-receptor–positive breast cancer.150 Several data150 evaluated the how to for blogs Strathallan, efficacy of AIs, and in particular of essay introduction University letrozole, as first-line therapy for inducing ovulation in infertile patients affected by how to write School PCOS. Letrozole was usually administered at a dose of persuasice Lime House School 2.5 mg/day, for 5 days from the third to the seventh day of the menstrual cycle. More recently, a meta-analysis of RCTs showed that letrozole is related to significantly higher live-birth rates than CC (OR 1.64, 95% CI 1.32–2.04).151 Furthermore, the how to for blogs School, quality of the introduction, evidence was considered low due to the poor study transparency in reporting methods and in consideration of the more favorable results in the trials reporting live birth as primary end point. Excellent results of AIs in terms of cumulative live-birth rate and how to for blogs School singleton pregnancy was reported in the largest multicenter randomized double-blind parallel controlled trial (Pregnancy in PCOS trial II, PPCOS II) comparing letrozole to CC.152.
To date, letrozole remains an off-label drug.153 Studies are needed to validate the efficacy/safety of AIs over CC in further settings and to clarify its role in well-codified strategies and algorithms for persuasive essay Cesar ovulation induction in how to write articles for blogs Strathallan PCOS.150 Thus, the how to essay Hall School, use of AIs in Strathallan clinical and nonexperimental settings should be probably avoided. Metformin belongs to insulin-sensitizing drugs commonly used in treating T2DM. Because IR is a common condition in PCOS women, metformin was introduced in clinical practice in the treatment of these patients.154. Metformin is available in two formulations: immediate- and extended-release, which are administered orally. Even if no dose-finding study is available, metformin administration at incremental doses from 500 to university of california Kingswood School, 2,500 mg/day was proposed to treat women with PCOS.154 Several systemic and how to articles for blogs School local effects were demonstrated to explain the persuasice Lime, reproductive benefits due to metformin administration.154. In practice, metformin seemed to restore the ovulatory function after almost 3 months of treatment; thus it could be recommended in PCOS patients who absolutely wish to avoid multiple gestations and/or in patients who do not tolerate CC and/or in those who do not have an imminent reproductive need.154 On the how to write for blogs, basis of literature data and on our experience, metformin (at a dosage of 1,700–2,000 mg/day, and for at least three cycles) should be used in selected cases of oligoanovulatory PCOS patients who wish to avoid multiple gestation and/or in how to essay Moreton School patients who do not tolerate CC, are CC-resistant and/or in those who do not have an how to write for blogs Strathallan School imminent reproductive need and/or in those undergoing IVF. Oral contraceptives are the basis of hormone therapy, as they contribute to an explanatory essay, the reduction of how to write for blogs Strathallan hyperandrogenemia, hirsutism and acne [34-36]. A combination of 35mg ethinyl estradiol and 2 mg cyproterone acetate is usually administered. The latter is an antiandrogen, particularly effective in persuasice Lime House the reduction of testosterone and D4-androstendione and the normalization of the LH/ FSH ratio. However, it seems to have a negative effect on the lipid profile, causing a significant increase of triglyceride levels .
Newer combinations of contraceptives are now available containing progestogens (e.g. How To Articles Strathallan! desogestrel), which are as effective as antiandrogens without impairing the lipid profile. Finally, a combination of 30mg ethinyl estradiol and an explanatory Moreton Hall drospirenone is also advisable. How To Articles For Blogs! Its main advantage is that it does not cause weight gain due to its mild diuretic effects. With the focus on essay of Massachusetts — UMass menstrual disorders in how to write articles for blogs Strathallan the absence of hirsutism, adolescent girls can also use progestogens for essay Cesar Ritz a limited number of days each month. While other substances with hormonal or antiandrogenic effect, such as spironolactone, flutamide, finasteride and GnRH agonists, are also effective, their use, however, not being indicated during adolescence. Metformin, aimed to manage insulin resistance, is widely used in the treatment of PCOS, in daily doses ranging from 500 mg to 2000 mg.
It has been shown to reduce hyperandrogenemia by articles for blogs Strathallan increasing the levels of SHBG. In obese women with PCOS, it can also induce weight loss by reducing insulin resistance. Lastly, metformin is persuasice House, beneficial in adolescent girls with PCOS with regard to ovulation, the normalization of the menstrual cycle and even loss of how to write for blogs weight [38,39]. Thiazolidinediones have been associated with a reduction in the levels of androgens and insulin resistance and the reappearance of ovulation in patients with PCOS. In a number of studies, rosiglitazone and pioglitazone are reported to be effective in restoring normal menstrual cycles and reducing insulin levels in women with PCOS [40,41]. More recently, a new agent, myo-inositol (MYO) has been added as a crucial treatment for the PCOS women with infertility, increasing the essay House School, possibilities to conceive. Myo-inositol is a vitamin B-like substance that can function as the basis of a number of signalling and secondary messenger molecules in insulin signalling pathways. Myo-inositol seems to correct the mal-functioning insulin pathways and reduce the signs and symptoms of insulin resistance .
If diet and exercise are not effective, additional weight reducing medication can be discussed. Orlistat inhibits the intestinal absorption of fat and sibutramine acts directly on the appetite center of the how to write articles School, brain. Both cause additional weight loss of 3% and 8.5%, respectively [43,44]. However, there is not yet sufficient evidence regarding the safety of argumentative persuasive Ritz these drugs in adolescence . Management of the long-term complications. The long-term risks observed in women with PCOS are not the write for blogs, same in all PCOS patients but they vary according to different phenotypes and results were negatively affected by obesity and lifestyle factors.
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