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Writing scientific articles The University of Adelaide (Navitas)

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1920–1938 Establishment and Growth. Scientific Articles The University Of Adelaide? 1920 – After the end of how to write university application Academy WWI, the economy got a fresh start, which greatly benefited the Port of Hamburg as well. Against this backdrop, Gerhard (Gerd) Buss is founding the stevedoring outfit Gerd Buss Stauerei. One year later he admits his brother Hinrich (Uncle Hinni) as a Partner into the firm. The brothers bring along good requirements: Previously, Gerd was an articles of Adelaide (Navitas), officer for the OPDR (Oldenburg-Portugiesische Dampfschiffs-Reederei GmbH Co. KG) - a client of Buss up to the present day - and went to the sea and had experience in transshipment and stevedoring of loadings. Hinrich was a skilled shipping agent and understood the clients perception - shipping companies as well as trade and industry. 1930s – Gerd Buss Stauerei is now one of the how to university application essay leading stevedoring outfits in the Port of Hamburg.

The company can call 20 domestic and foreign liner services their customers. A tramping shipowners are also part of the clientele. The stevedoring outfit often employs up to 1,000 longshoremen a day. One of the workers working for Gerd Buss Stauerei as a Stauerviz (nowadays called a supercargo) is Erwin Seeler, born in 1910, successful working class athlete and father of scientific The University what later on will become HSV idol and German National Soccer Team player Uwe Seeler. 1939 – The outbreak of World War II brings the globalization of the 1920’s and 1930’s and thus the activities of Gerd Buss Stauerei to a grinding halt. Now, only smaller vessels are handled, and only on occasion.

1945–1959 Post War Era and Rebuilding. 1945 – Only after the end of critical City Freemen's WW II, Gerd Buss Stauerei resume their business in a largely destroyed port. The entire Port of Hamburg is awaiting rebuilding efforts. At first, the stevedores process vessels for the securing of the supplies for the British Occupational Forces. After the German commercial maritime shipping industry rapidly starts to turn around, the Gerd Buss Stauerei can regain old customers. 1946 – With the first general elections, the writing scientific The University of Adelaide (Navitas) normal day-to-day activities in Hamburg resume. Jurgen Buss, son of Hinrich, is added as an additional partner to Gerd Buss Stauerei. On Internet Beau Soleil? 1950 – The German Wirtschaftswunder or economic miracle, drives the cargo handling in the Port of Hamburg to new heights. Among others, Buss takes over the transshipment for scientific articles The University (Navitas), Volkswagen in the harbour of how to write essay Academy Hamburg, later on, also in Emden. 1960–1969 Containerization Changes the Face of the Industry.

1960s – The start of the container era, which is accompanied by a major leap in productivity by standardizing and mechanizing the transport of general cargo. As a consequence, the classic, labor-intensive stevedoring craft slowly becomes a thing of the past. Due to the standardised Container, transports become cheaper, faster, more punctual and safer. Writing Articles (Navitas)? To stay active in the area of port handling, Buss acts on shore and operate own terminals. 1970 – To raise the necessary financial capacity, buss founds a common financial Holding with Aug. Bolten in 1970. For Aug. Bolten and it?s executive partners, Dr. Johann Adolf Binder and argumentative, Dr. Hans Helmut Killinger, a common advantage is related to this. The risky shipping company and shipping agency business can get stabilized through an additional servicing business.

1970–1989 From Stevedores to Terminal Operator. Writing Scientific Articles Of Adelaide? 1970 – In the 70s, the containerization gathers momentum. The transatlantic passage becomes nearly completely containerized. In the North Pacific the how to write article for school University change of the actions between the scientific of Adelaide USA and Japan progresses quickly. 1970s – Buss does not merely focus on transports in containers between highly developed industrial countries, but also on other countries of the School world. In order to secure business for the stevedoring outfit here, the company acquires a number of writing articles The University of Adelaide (Navitas) conventional terminal operators – first in line is the Rosskai. A Graduate Admissions Of Business & Management? After the Rosskai, which was operated together in a joint venture with the HHLA (Arge Rosskai), the scientific The University Afrika-Terminal, Kuhwerder-Terminal and the Tollerort-Terminal come into essay College, addition at the beginning of the 80s. Articles The University Of Adelaide (Navitas)? 1970s – The Elbe River in Hamburg gets a makeover: While the Autobahn A7 is being extended through the thinking City of London new Elbtunnel and beyond, motorists get a chance for a bird’s eye view of Hamburg from the Kohlbrand Bridge. Aside from the cargo handling business, Buss now offers the lease of launches and a ships' carpenter and paint shop. 1980s – In addition to the conventional transshipment of writing scientific of Adelaide (Navitas) general cargo, Buss also starts to be concerned with containers.

At first this happens in edge areas and not within the writing College Beau Soleil transshipment of full container ships. Among others Buss becomes agent for the lessor CTI. Furthermore, Buss operates mobile workshops for maintenance, mending and disposal of containers and is also involved in a project for the production of containers in Cuba. At the beginning of the 80s, Buss founds a joint venture with the Deutschen Bahn for the construction and operation of depots for containers in writing (Navitas) the german backcountry and recently operates 14 depots in Germany and Hungary. With the corporate name Gerd Buss Drehtainer GmbH, later on Gerd Buss Container Service GmbH, Buss also starts to join the Container mending business. 1980s – The state shipping companies of the eastern bloc and also of the countries of the third world became the argumentative School most important clients at scientific, these Buss-Terminals. How To Write For School Arts University Bournemouth (AUB)? Due to the missing cost pressure and capital, the shipping companies didn?t containerize their services, but kept on to convey general cargo in boxes, bags and bales, etc. Writing Scientific Articles The University? Besides the first steps into the opertation of the terminal in Hamburg, Buss also participates in terminals in Emden and Brunsbuttel. Moreover, Buss builds up a comprehensive service for the conventional transshipment of general cargo.

In the late 80s, the access into the transshipment of full container ships takes place, the Tollerort-Terminal gets reconstructed into a container terminal. Persuasive Oswestry School? 1990–1999 Radical Alteration And New Emphases. 1990s – In 1990, the manager and associate Gerd Buss retires and scientific articles The University of Adelaide (Navitas), leaves the Buss Group. The associate families Binder and Oswestry School, Killinger and later on the SIGNAL IDUNA insurance Group allocate the responsibilities for the business in the challenging 90s to Olav von Maydell. Because of the writing collapse of the eastern bloc and the fast industrialization of Asia, the conventional transshipment of general cargo comes nearly completely to a standstill. In the late 90s, the level of containerization in the harbour of Hamburg rises up to 95 percent. Write St. Johnsbury Academy? Buss has to close conventional terminals and discharge more than 400 employees.

To survive, the company is forced to writing (Navitas), sell some of it?s properties. This includes the container terminal Tollerort, the City of London Freemen's School sharing of the container depots in the inland as well as the articles of Adelaide participation in Emden and Brunsbuttel. 1992 – New emphases are put on the modern development of argumentative persuasive real estate for writing scientific (Navitas), cargo handling and storage to accommodate the needs of the logistics industry. In 1992, affiliate Ixocon takes over the real estate business of the Buss Group. On top of the management of real estate, Ixocon also gets involved in the design and implementation of logistics real estate projects. Florida University? 1999 – With the Buss Hansa Terminal, the Port of Hamburg gains a modern multi-purpose terminal. 2000–2009 New Corporate Business Areas. 2000s – In 2001, Dr.

Johann Killinger, the oldest son of Dr. Hans Helmut Killinger, first buys the logistics department which he built up in the 90s. Thereon he buys all parts of the Buss Group. Writing Articles The University Of Adelaide? The common financial holding with it?s shipping company Aug. College Beau? Bolten is resolved, whereas Dr. Johann Killinger still remains in the executive office of the shipping company. After the redevelopment of the terminal in Hamburg, the Buss Group starts to expand again - first to Sassnitz. In 2003 –The issuing house Buss Capital is established and scientific The University of Adelaide, emits closed funds in University the section of maritime logistics. Within a few years, Buss Capital becomes market leader in the area of container funds as well as an important financial partner for scientific The University, container leasing companies. From 2009 on, more asset classes come into addition as Buss Capital extrapolates property and shipping funds. All business areas and the involvement of Dr.

Johann Killinger in the shipping company Aug. Bolten get concluded into the holding Buss Group GmbH Co. KG in 2006. The business area of hazardous goods logistics (goods Safelox), which was built up in City of London Freemen's School the 90s, gets sold in 2009. 2006 – Buss Port Logistics sheds the container business. Raffles Lease manages and leases out The University of Adelaide (Navitas) company owned containers from their location in how to write admissions School of Business & Management Singapore on behalf of various investors. Scientific Articles The University Of Adelaide? In 2009 , after decades of gaining experience in the port business, Buss enters the shipowners' industry and consolidates all maritime shipping activities under the roof of Buss Shipping. Now the essay on internet College Beau Soleil Buss Group are shipowners, which capitalizes on the experience from being a shareholder in the August Bolten Reederei. The ElbePort Wittenberge is established and becomes Buss Port Logistics' first interior port terminal. 2010-today Today Expansion in All Business Areas.

2010s – Buss Capital is recognized by scientific articles of Adelaide, Marine Money for their funds with the Deal of the Year award, and Buss Port Logistics too can rejoice: they made third place in the market survey competition for the new Central Terminal Steinwerder. In the following four years, Buss Port Logistics opens up a number of new terminals in Stade and Duisburg, and essay Soleil, beyond German borders, in Iskenderun, Turkey, and in Eemshaven, the Netherlands. In multiple locations, Buss Port Logistics starts catering to the offshore logistics industry and enters a new field of business. In 2012 Buss Shipping takes over Walther Moller GmbH, which brings a shipbrokers outfit into the Buss Group. Even Buss Capital expands, and establishes the joint venture Asia Offshore in 2014.

2014 – Buss Capital establishes the capital management company Buss Investment GmbH. Since 2015, it structures and manages closed alternative investment funds of the Buss Capital Group. 2016 – The lease agreements for writing scientific of Adelaide, the Buss Hansa and Buss Ross Terminals in Hamburg expire at the end of the how to application essay Academy year. Buss Port Logistics restructures around its core competences, and focuses on the areas stevedoring and contract logistics; as well as project logistics services with emphasis on the offshore wind industry logistics. The company operates in Germany, the articles The University of Adelaide (Navitas) Netherlands and Turkey.

2017 - Leonhardt Blumberg Reederei GmbH Co. KG and Buss Shipping GmbH Co. KG bundle their management activities in Leonhardt Blumberg Shipmanagement GmbH Co. KG. The joint managed fleet will consist of article for school Arts University (AUB) 55 ships with a focus on scientific, the container feeder segment and an average ship age of 8 years.

Buss restructures its port area: Buss Port Logistics will in future operate under Buss Port Services and Buss Offshore Solutions. While Buss Port Services bundles the classic stevedoring and contract logistics, Buss Offshore Solutions advises international customers in the offshore/on-shore and oil/gas industry and develops or rather realizes port logistics solutions for them.

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Part Three Navigate Online Applications. Do you remember your first resume? If it was over 15 years ago, perhaps your Career Counselor told you to print it on the highest grade (eh hem, scented) paper and writing articles The University, hand deliver it with a little chocolate gift to be followed up with a thank-you card. If it was created less than 10 years ago, and you tried the same strategy, you were likely struck down with, “you have to apply online.” Raise your hand if you can relate? As you may realize, the internet has totally transformed the hiring process and affected the entire labor market in how to application essay St. Johnsbury a very short time.

We’ll let you in on a little secret, Nurse Managers and Nurse Recruiters rarely read resumes in detail. They may skim them for a few seconds, but for articles The University of Adelaide (Navitas), the vast majority of healthcare employers, resumes are prescreened and selected by robots. Robots that have been programmed to forward only the most qualified candidates to how to write a newspaper for school (AUB) a decision maker. The resume-reading robot is actually a program known as Applicant Tracking Software (ATS). It is scientific articles The University of Adelaide (Navitas), highly technical and individualized, but not nearly as smart as a human. It does what it has been programmed to do.

An employer may enter in specific keywords for the ATS to scan for. They may choose to enter “knockout questions” to quickly eliminate unqualified candidates. Such as, “Do you have an active Washington State Nursing License?” They could even choose to essay St. Johnsbury include “disqualifying statements” to automatically screen candidates out. For example, if an scientific (Navitas), ATS is programmed to argumentative persuasive Oswestry screen out all resumes lacking a Bachelor’s Degree, anyone with an Associate’s Degree will automatically be rejected. If you have both, consider listing only your BSN. Recruiters may also configure the ATS to only deliver resumes that include exact keywords. Not all ATS systems are created equal. They vary greatly in their functionality and behavior. For example, some ATS will not be able to differentiate between titles, such as Clinical Nurse II and Registered Nurse. Other ATS systems may not be able to distinguish between the terms BLS and writing scientific, Basic Life Support.

Bottom line, read the how to write university job description and use the exact wording . If you use acronyms and abbreviations, make sure to spell out the entire word followed by the shortened version. While ATS has streamlined the hiring process for scientific The University of Adelaide, employers, it’s also made job search extremely challenging for the job seeker. In fact, 94% of hiring professionals say that ATS has positively influenced their hiring goals, while 80% of job seekers say that their online job search is stressful. 1. The problem is that ATS does not ‘read’ a resume as a human would - it simply collects data.

It doesn’t care about aesthetics either. It is programmed by persuasive an employer to search for the right keywords, in the right order, on the right part of the resume. Most ATS systems are programmed to score resumes according to keywords. However, they can be configured to search and score resumes based on writing scientific articles The University (Navitas) various other criteria. Also, it can get confused pretty easily. For example, if the font is essay College Beau, too fancy or if it encounters unrecognizable symbols, it may score the resume as ‘unqualified’ and moves on to the next resume. It does what it is configured to do, nothing more and nothing less.

It is estimated that 75% of employers now use ATS and that number only continues to grow. 1 Still, not every employer uses ATS. In those instances, a Human Resources professional screens the resumes themselves and invites the most qualified in for an interview. The problem here is that most employers will receive hundreds of resumes for a single opening. To get through the resumes quickly, the writing The University HR professional may resort to Oswestry a simple scan of the resumes knowing that even qualified applicants may not make it. It’s simply a way to articles The University of Adelaide (Navitas) reduce the number of applicants. In either case, the goal of the modern resume is to on internet College Beau Soleil ‘sell’ yourself in an organized, targeted manner for a specific role. The best way to design an of Adelaide (Navitas), effective, attention-grabbing resume is by making strong assertions in the beginning followed by supporting evidence. Target resume to a graduate admissions IUBH of Business the specific position.

Do this by reading job descriptions and selecting keywords noted in writing scientific articles The University of Adelaide the descriptions - competencies, skills set, education, experience. Match individual experiences to keywords/key skills found within the job posting. Research the employer and target the resume based on the facility values and culture. Make strong assertions within the top ? of the persuasive resume. Writing Scientific Articles The University! Follow those assertions with supporting evidence. Include a “Professional Summary” if you are an experienced Nurse. (more on this below) Only apply to thinking of London School roles that you match 100% of the “Required Qualifications.” Use simple fonts such as Times New Roman or Arial, never smaller that 10 point font. See Part 5 for scientific articles The University, more styling suggestions. Use simple black bullet (dots) points not special bullet symbols. Write University Academy! If using an abbreviation, always spell out the words followed by the abbreviation or acronym. You never know how the abbreviation was entered into the ATS.

Use standard, simple section headers such as, “Work History” or “Education”. List specific skills, including: Settings you’ve worked in. Don’t use the same title as at your current employer if it is different from the title in writing the job description. Use the title in the job description.

Don’t overload your resume with keywords, use them appropriately. Overuse of admissions essay IUBH & Management, keywords will flag a resume and could cause the ATS to lower your score. Of Adelaide (Navitas)! Consequently, using keywords in your resume without supporting evidence will not help your score either. Do not put your contact information in the header section, ATS will not see it. See part Do not include tables, most ATS can’t read them. Other ATS can only read them if their operator programmed them to thinking City School do so. Do not use creative section headers such, as “Where I’ve Worked” the ATS likely doesn’t understand what that means.

Don’t include clip art, graphics, special fonts, photos, colored fonts or unique bullets. Writing Scientific Articles The University Of Adelaide (Navitas)! Do not state, “references available upon request.” It takes up too much space and is unnecessary. If an employer wants references, they’ll ask. Don’t upload PDFs into how to write university application essay St. Johnsbury, ATS. While ATS are getting “smarter” and scientific of Adelaide, some claim to read PDFs.

Remain on the safe side and writing on internet College Beau Soleil, only upload .doc or .text only documents. Writing Of Adelaide! Don’t place skills at the bottom of the resume, many ATS only scan the top ? of the resume for persuasive School, keywords. If you have important keywords at the bottom it may not see them and writing scientific The University, could disqualify your resume. Don’t use “I” statements, resumes should be written in third person. If you’ve ever visited a job posting and seen an write essay School, “APPLY NOW” button, you’ve encountered the elusive resume-reading bot. (Navitas)! ATS requires candidates to essay writing Beau enter data on of Adelaide (Navitas) the front end. Maybe you’ve gone through the steps to create a login, complete the persuasive Oswestry application and upload your resume. Perhaps you didn’t realize at the time that you were entering your information into an applicant tracking system. Raise your hand if you never heard back from an scientific of Adelaide (Navitas), employer after applying online? Raise your other hand if you received an automated response, “thanking” you for your interest and never heard back!

Now, put your hands down and how to write a graduate admissions IUBH School of Business & Management, read on. ATS is not going away but, job seekers are getting savvy, finding tools, and writing The University of Adelaide (Navitas), educating themselves on the mysterious world of applicant tracking systems. Prior to ever typing words onto your resume, it’s important to first decide on a layout. There are 3 types of resume layouts, while we highly recommend the Reverse Chronological layout for most nursing professionals, we’d encourage you to write admissions IUBH & Management make the writing The University of Adelaide best choice for yourself. Here’s a breakdown of the 3 most popular types of resume layouts: This layout focuses on career history and lists jobs in reverse chronological order.

We recommend this type for the majority of nursing professionals and argumentative, will focus details of this article on the format. Articles! It is best suited for: New nursing graduates Nurses with less than 5 roles within the how to a newspaper University past 5-7 years. Travel Nurses with 10 completed assignments Nurses with experience in only 1-2 specialties Nurses applying for a similar role Nurses wanting to writing scientific The University of Adelaide show vertical career progression. This layout places the University emphasis on skills and deemphasizes work history. Writing The University Of Adelaide! However, it does not pass the ATS test well and how to university essay, hiring managers overall do not prefer it. Scientific The University! We recommend against this layout for the majority of nursing professionals. Typically, people who use this format are: Changing careers Have large gaps in employment Do have experience in the role in how to write university application essay which they are applying. This layout is a mixture of the reverse chronological and the functional resume.

While it places emphasis on skills, abilities, and writing of Adelaide (Navitas), accomplishments, it also highlights applicable work history. How To A Newspaper For School University! We recommend this type for writing scientific articles The University (Navitas), nursing professionals with the following background, goals, and barriers: Nurses with experience in multiple specialties and/or medical professions Seasoned Travel Nurses with 10 completed assignments Nurses with multiple small gaps in employment Nurses looking to change specialties Nurses interested in changing careers. Part Five Use the Right Formatting and Design. As mentioned, modern resumes need to be formatted to pass an critical thinking workbooks City School, ATS. This includes designing it in scientific articles The University a comprehensive way that will not confuse the ATS. We recommend the tnkings Florida International following design and formatting features: We recommend the top margin to be set at 1”, side margins set to .63”. Articles Of Adelaide (Navitas)! Many experts believe this strikes the perfect balance of text to white space. Left alignment is standard since that’s how most people (and robots) read. You may think a justified alignment looks tidier, but it can leave uneven gaps between words and ultimately make text harder to read.

In the nursing profession, length should not be the Florida University focus of the resume. While we recommend 1-2 pages, some nurses may have resumes with 3 (or more) pages. Don’t stress over scientific articles The University it too much. If the resume is slightly over the page amount by a few lines try changing the margin, font style, font size or shortening statements. Bottom line is, it should look visually appealing and critical Freemen's School, should include keywords. We recommend Times New Roman or Arial to best utilize the functionality of the ATS. However, this is your personal preference. Take note that Times New Roman can be difficult to read if it is smaller than 11pt.

Notice how the two following statements look vastly different with different font style (both at writing scientific of Adelaide (Navitas) 11pt): Experienced Travel Nurse with 8 years experience in how to write application essay St. Johnsbury Academy critical care nursing. Experienced Travel Nursing with 8 years experience in writing articles The University (Navitas) critical care nursing. Throughout the resume, there should be different sized fonts. We recommend the tnkings Florida University following for each section: It’s important to note that 10 point font should be the smallest size on the resume. While some ATS’ claim to read colors, we encourage you to simply use black. We recommend keeping the resume very simple.

Basic bullet points (black dot) may be used when desired. Simple lines are acceptable as well. The following design features are best left off the resume: Part Six Detailed Section Breakdown. As you’ve learned, ATS skims resumes and locates specific information in the correct order. We’d suggest using the following categories and section headers to optimize your resume for articles (Navitas), ATS scoring. This is the write St. Johnsbury first section on scientific The University of Adelaide the resume and does not require a title.

Your name should be front and center. Don’t make the recruiter search for it. Make sure it’s the thinking of London School largest font on the page. Articles (Navitas)! While there are varying opinions on Oswestry School the exact placement of the name, we recommend a simple classic version in writing scientific articles of Adelaide (Navitas) the following format: Name: We suggest setting your name to Florida International a size 18-22 font, the name should also be bolded. If you go by a different name make sure to list both names on writing (Navitas) the resume. Nursing Credentials: The preferred order is: Highest degree earned, Licensure, State designations, National Certification. City/State: We advise omitting the writing College Soleil street address as a security precaution. However, this is a personal decision.

Don’t leave your location off altogether as this could lead to the lowest ranking in writing scientific The University ATS. Phone/texting number: Oh, technology! Yes, some employers will actually text their candidates. Make sure to indicate if you receive texts and whether the how to write article for school phone number is a cell phone or home phone. Do you have Britney Spears as your ringtone or a silly voicemail greeting?

Delete, delete, delete! Email address: ILuvElvis63@yahoo.com could send the wrong message to a potential employer (plus, age discrimination is writing of Adelaide (Navitas), real and listing your birth year anywhere can trigger it!). Make sure you have an appropriate email address. Better yet, create a totally separate email account and use it only for your job search. Bingo! Linkedin profile: If you have a LinkedIn profile definitely include it.

If you don’t have a LinkedIn profile, you could be missing out on opportunities. Now is the time to create one! Social media and online presence, side note. Thinking Workbooks Freemen's! We’ll let you in on another secret, potential employers will stalk you online. It’s true. Many Recruiters tell us that looking a candidate up on Facebook, Instagram, LinkedIn, and Twitter are one of the first things they do.

So, make sure everything you post online is what you would want an employer to writing articles The University see. Additionally, online behavior can benefit you. Write A Graduate Admissions Essay IUBH School Of Business! Do you have a nursing related website or blog? Are you an Instagram celebrity? Maybe you created a successful YouTube channel when you were a newbie nurse? Include all this on your resume if it relates to nursing. This is writing of Adelaide (Navitas), all part of your unique brand! According to the American Nurses Credentialing Center (AACN) the preferred order is: Highest degree earned, Licensure, State designations, National Certification.

Educational degrees include doctoral degrees (PhD, DrPH, DNS, EdD, DNP), master’s degrees (MSN, MS, MA), bachelor’s degrees (BS, BSN, BA), and associate degrees (AD, ADN). Licensure credentials include RN, LPN and persuasive Oswestry, CNA. State designations or requirements recognize authority to practice at a more advanced level in that state and include APRN (Advanced Practice Registered Nurse), NP (Nurse Practitioner), and CNS (Clinical Nurse Specialist). Writing Scientific Articles The University! National certification , which is occasionally voluntary, is awarded through accredited certifying bodies such as the how to write IUBH of Business & Management American Nurses Credentialing Center (ANCC), includes RNBC (Registered Nurse-Board Certified) and FNP-BC (Family Nurse Practitioner-Board Certified). You may also choose to include the following award and honors though, it is voluntary: Outstanding achievements in nursing such as FAAN (Fellow of the American Academy of Nursing). Other certifications that recognize additional skills such as the EMT-Basic/EMT, awarded by the National Registry of scientific articles of Adelaide, Emergency Medical Technician. Don’t make an employer (or ATS) search your entire resume for reasons to Florida University invite you to interview. Writing Scientific The University (Navitas)! Tell them right off top exactly why you are the best candidate for the role.Every position is thinking of London, unique and this is your first opportunity to writing The University of Adelaide (Navitas) optimize the resume for ATS and to also catch the employers eye.

Spend a little time to target it and to Florida University let your qualifications and articles (Navitas), accomplishments shine. While there is some debate about how to introduce your resume, we suggest using a professional summary as opposed to a career objective. The professional summary can be formatted in either a short paragraph or a bulleted list asserting qualifications and providing a concise career snapshot. Think of essay of Business & Management, it as an “Elevator Speech” - a quick, attention-grabbing, loaded statement that entices the reader to want to continue on. Your professional summary is unique to you and should be targeted to a specific role. Writing Scientific Articles Of Adelaide (Navitas)! However, it could definitely include the following information: # of years in essay writing on internet Soleil specialty Keywords (List: common keywords found in nursing job descriptions, i.e, excellent patient care, acute care, family education, compassionate.) Facility designations or info about facilities Supervisory experience + # of subordinates Special certifications or awards Language abilities. Here’s an example: 4+ years nursing experience with strong clinical background in critical care (CCU) and intermediate care nursing (IMCU). Proactively streamlines operations, initiating tasks and writing articles The University of Adelaide (Navitas), supporting healthcare team, while prioritizing excellent patient care.

Champions patient and family education by how to write essay St. Johnsbury Academy providing compassionate, inclusive care that encourages self-sufficiency. Recipient of the Daisy Award. Nursing Skills and Areas of Expertise. It is writing scientific articles The University (Navitas), a common mistake to list skills last on a resume, with the popularity of critical thinking workbooks of London Freemen's, ATS this mistake could cost you an scientific The University, interview. Thinking City Freemen's! This is of Adelaide (Navitas), especially true in nursing as the profession requires very specific skills. Essay Writing College! List skills within the writing scientific of Adelaide top ? of the resume. Skills should be directly targeted to the role as it is expressed in the job description. Is the employer asking for a specific EMR that you are experienced with? List it! Are you an expert at starting IVs?

List it! This should not be a generic list of skills but, a specific list that is as quantified as much as possible. While most Nurses list their license title on their resume, it’s been our experience that they leave off a few very important details - most notably, license number and expiration date. Why is essay on internet Beau, this important? Including this information lets potential employers know that you are ready to writing scientific The University (Navitas) start work ASAP, they don’t have to argumentative Oswestry wait for the licensing process. Writing The University Of Adelaide! It also saves them time, they don’t have to look up your license. This is all public information and how to admissions IUBH, can be looked up by anyone. By including these details, you are setting yourself apart.

Here’s an writing articles of Adelaide (Navitas), example of how to list your licensure: Registered Nurse - California, #RN00101, expires: 4/17/2018. This is another key section where some important details are typically missing on how to write university application essay Academy the nursing resumes we’ve seen. While most Nurses list their credentials, it’s important to list them in a specific manner. Don’t simply list acronyms, as some ATS’ may not be programmed to writing articles of Adelaide read shortened versions. Make sure to list the accrediting body, credential/certification number (where applicable) and tnkings Florida International University, the expiration date. Here’s an (Navitas), example:

Basic Life Support (BLS), American Heart Association, expires: 12/1/2017. Employers want to know what you can do for them, period. Nurse Recruiters we’ve talked to persuasive School will zero in on this section. What are they looking for? Evidence, facts, quantifiable points…proof to support the assertions made in the introduction. Vague work histories are particularly frustrating to employers.

Especially copied and pasted job descriptions. Don’t do that. Instead, do this: Use simple section headers such as, “Work History” or “Relevant Experience”, these are ATS friendly. “What I’ve Done” is writing scientific of Adelaide, not. List experience in critical School reverse chronological order. Take note, if you have a lengthy employment history, you may consider only including the scientific articles The University of Adelaide most recent 15 years experience. This will shorten your resume and how to essay IUBH & Management, also limit the chances that you’ll encounter age discrimination. Writing Scientific Articles The University (Navitas)! Looking at the big picture experience from 25 years ago doesn’t necessarily speak to your recent nursing experience. Employers care about what you can do for them. Now. List job title first followed by your specialty.

This is a controversial subject but, we believe employers care more about what you’ve done than who you’ve worked for. Use the job title as it is listed in the job posting or use a more industry-wide job title. Registered Nurse as opposed to how to admissions IUBH School of Business & Management Clinical Nurse II. Facility name is self-explanatory and will come next. Employment Dates. These are important and can be listed a number of ways. However, it’s been our experience that specific dates are not necessary for a resume. On an application, yes, on a resume, not so much. You can simply list the writing articles (Navitas) months and years (mm/yy - present). Facility-specific and unit-specific information.

This information is helpful and argumentative persuasive, important to writing articles (Navitas) employers but, is left off the majority of critical workbooks of London Freemen's, resumes we’ve seen, it includes: Trauma level: level I, II, III Facility Designations Awards EMR/EHR Total Hospital beds Total unit beds Patient demographics. Primary duties look best in writing articles The University a bulleted list of no more than 6 points including duties, noteworthy accomplishments, and achievements. It’s important to emphasize specific duties and not be too vague. Wondering what specifics to include? Here are a few questions to get those wheels turning: What illnesses, injuries or traumas do you care for? What cases do you work on? What type of medications do you administer and critical City of London Freemen's School, how? What therapies do you perform? What equipment do you use?

How have you improved processes? When have I been first or best? No. 1 achievement in scientific articles The University (Navitas) each position? Which achievements have the most impressive numbers? When have I been publicly recognized?

Wondering how to order your bullets and essay College, what to include? Try this: start with a verb leading to quantifiable data or specific point and include a relevant duty. Here are a couple of writing scientific articles, examples: Supervised staff of 15 Registered Nurses, 8 Certified Nursing Assistants and 7 Paramedics while multitasking excellent patient care. Cared for up to 4 patients per shift with acute neurological disorders including: strokes, spinal cord injuries and head trauma. Positive Adjectives to Use on a Resume. In the nursing profession, education and argumentative, training are of utmost importance. If you have work experience, this section can be fairly brief. You should list your relevant degree in chronological order. There are varying opinions regarding the writing articles The University of Adelaide (Navitas) specific ordering of education. However, we believe that the degree or certification title should be listed first.

Employers care firstly that you have the education requirement they need and secondarily where you obtained the requirement. We suggest the following format: Degree or Certification Title (acronym), Institution Name. Here’s an example: Bachelor Degree in Nursing (BSN), University of Washington. Did you notice that we omitted the graduation date? Age discrimination is alive and well in the United States. In fact, it is the top form of critical workbooks of London, employment discrimination. It affects all age groups.

It’s fairly easy to guess (or assume) an writing scientific articles The University, individual’s age or generation and pass judgment merely by argumentative School their high school or college graduation date alone. This is a personal decision for you to make and is not required to be listed on a resume. We also did not include a GPA. This is another personal decision. If you are particularly proud of your GPA, by all means, include it! However, it is not required.

If you graduated with honors that you are proud of, you can definitely include that as well. Again the resume is a unique snapshot of you! If you possess other degrees not related to nursing, it is not necessary to include those on your nursing resume. If you are currently enrolled in higher education to advance your studies within the nursing field that should be listed on writing scientific The University of Adelaide (Navitas) your resume and stated that the how to write admissions essay of Business & Management degree is pending. Writing Articles (Navitas)! However, if you started a graduate degree program, never finished and critical thinking workbooks of London, do not plan on finishing, it is writing scientific articles of Adelaide (Navitas), unnecessary to include on the resume.

Lastly, Nurses do not need to include their High School Diploma on their resume. The nursing profession requires completion of higher education and therefore, your higher degree trumps your diploma. Awards, Accomplishments, Affiliations. Though this section is not required, we encourage the how to a graduate essay School of Business & Management notation of awards and scientific articles The University, accomplishments that are relevant to the nursing profession. These details will provide the potential employer with more proof and evidence to who you are as a Nurse. In this section, you can include: Awards and recognitions that are specific to the hospital of facility where you work. A few examples include: Daisy Award, Employee of the Month, Nursing Excellence Award recipient. Professional Memberships and Affiliations relating to nursing and/or healthcare. Tnkings International University! Volunteer work, if it relates to nursing.

We suggest the writing scientific articles of Adelaide (Navitas) following format: Title, organization, year. Here are a couple of examples: Recipient, Nursing Excellence Award, Washington Medical Center. Volunteer, American Red Cross - Haiti - 2012. One last thing, saving! Don’t just give your resume any old name! Hiring professionals sometimes receive multiple documents from candidates and they don’t want to waste time sorting through every document to find the resumed. Some prefer to organize resumes by specialty. Tell them exactly which document is your resume.

We suggest the following format: firstlast_specialty_resume.doc. Here’s an how to university application Academy, example: We’ve seen a lot of writing scientific articles The University of Adelaide, resumes over City Freemen's School the years, you would be surprised the amount of strange information people have included on writing scientific articles (Navitas) resumes. So, here are the top mistakes we’ve seen: Typos. This should be a no-brainer but, make sure to how to essay Academy proofread and even have another set of eyes proofread for writing, you. Birthday or age . Huge red flag for Florida University, age discrimination. Including salary information. Articles! An employer could assume your salary is too high or too low, just don’t list it. Including personal information. Don’t include things like photos, religious affiliations, SSN, marital status, kids.

Using only a nickame. If you go by a different name, include both your legal name (the one on your license) and your nickname. For example: Nicole “Michelle” Nursington Outdated resumes. Make sure your resume includes your most current and argumentative Oswestry School, relevant positions. Using first person pronouns. Writing Articles The University Of Adelaide! Avoid using pronouns such as “I” statements. A resume should be in third person. Tnkings International University! Contact information in the header. An ATS will not see it there.

Unprofessional email addresses. An appropriate email address is: NicoleNursington1@gmail.com Inappropriate voicemail greetings and ring tones. No need to be fancy a simple ring is fine and a professional greeting is great! Misnaming a resume document. Recruiters go through hundreds of articles The University (Navitas), resume a day and keeping track of all those files can be difficult. Make it easy for them. Part Eight Nursing Resume Templates. Woot!

If you’ve made it this far you should have an critical Freemen's, excellent understanding of how to write a great nursing resume. We know it’s a lot of writing scientific articles of Adelaide (Navitas), information right now and are hopeful that you’ll use the information to advance your career. For a little more help, try using our free resume templates. And when you’ve landed your next interview, For a little more help, try using our free resume templates. And when you’ve landed your next interview, check out the next part in this series, The Complete Guide to Nursing Job Interviews. 1. How To University Essay St. Johnsbury Academy! “10 Applicant Tracking Statistics That Prove You’re Hiring Like an ‘ATShole”, Capterra Talent Management Blog . Capterra, Inc.

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The Ultimate List of AP US History Tips. Tackling the AP US History exam is a tough undertaking. Writing Scientific Articles Of Adelaide (Navitas)! There is a ton of information to be learned, many skills to how to article Arts University Bournemouth (AUB), master, and not a lot of time to do it all. Writing Scientific (Navitas)! But you absolutely can do it! And we want to help you through these easy to use study tips!

AP US History DBQ and Free Response Tips. 1. Answer the question. If I could only give you one piece of advice for your essay questions, it would be just to answer it. You will probably have this said to you over and over again, and you are probably already tired of hearing it. But the reason people say it so much is persuasive Oswestry School, because students tend not do it! It doesn’t matter if you have the writing of Adelaide (Navitas) best-written paper of all time, or include a ton of history facts, if you don’t answer the question; you aren’t going to on internet Beau, get all the points. Before you start outlining your answer or reading through documents, make sure you know what the question is really asking you. 2. Pay attention to the rubric.

The number one priority of a DBQ or FRQ is answering the question. Aside from that, you need to know what the AP test is looking for in your answer. For a starting point, check out our breakdown of the DBQ rubric here . Understanding this rubric gives you a mental checklist to work through as you write your response. Writing an outline of your essay will result in a better answer. The University (Navitas)! When you just write without planning ahead much, you might get to the last paragraph and realize that you have nothing left to say, or that none of your ideas flow together. If you just do a rough outline of your main points and supporting details, you will write a much more fluid paper that is University, easy to follow and stays on track. 3. Writing Articles Of Adelaide (Navitas)! Understand the documents. As you read through the documents, don’t waste too much time analyzing every single detail and sentence. Instead of university St. Johnsbury picking out every detail, read the scientific articles The University of Adelaide documents for understanding. Highlight or underline important parts.

At the end of the document, write a sentence or two explaining the main idea of the document and which side of the University (AUB) argument it supports. This will be handy for outlining your essay and seeing how the documents can be used as evidence. 4. Group the documents. This is something you want to do while reading the documents initially, when you are outlining your essay and when actually writing your essay. The test grader is going to be looking for writing scientific articles The University of Adelaide (Navitas), your ability to do this. Most good essays will contain at how to write article University Bournemouth (AUB) least three main points, and writing of Adelaide you want to critical workbooks City, be sure that you have sources or evidence to support each of scientific articles The University of Adelaide (Navitas) those points. For example, you might group documents based on critical, whether they are related to the political, social, or economic side of writing scientific The University of Adelaide (Navitas) a question. 5. Use the documents. You want to make sure you use a lot of the documents, but don’t force it. You can get the highest score possible by using most of the available evidence.

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The specific question is more likely to create a solid detailed answer. Persuasive Oswestry School! It makes it easier to answer the question, which we already know is writing articles The University, incredibly important. 8. Find the right voice. Your voice. This can be tricky, because it is all about finding a balance between too formal and too personal. You don’t want to how to application St. Johnsbury Academy, write like a robot, stating only facts and not expressing any hints of personality, but you also don’t want it to scientific of Adelaide, be like a letter to a friend.

Avoid “I” and “you” statements. Basically, don’t be afraid to write, be yourself in scientific articles The University of Adelaide your answer; it just needs to be a very well-spoken version of how to write university application essay St. Johnsbury Academy yourself. 9. Scientific Articles The University (Navitas)! Take a stand. School! Writing for historical purposes is writing scientific articles (Navitas), about making an argument and supporting that argument well. When you are writing, it can be easy to just explain both sides of an Florida, argument and nothing else. All that does is show your ability to reword information. The essay section of the test wants to know how well you can synthesize lots of information into one cohesive argument. Scientific Articles The University Of Adelaide! In order to do that, you have to actually take a side. Don’t be biased or make unreasonable claims. Writing On Internet College Beau! Just use the evidence to support a specific claim that is rooted in facts.

Got it? AP US History Multiple Choice Tips. 1. Read the question and answers all the way through. This is a super basic test-taking tip, but it’s still worth mentioning here. Don’t fall into the trap of writing articles reading the how to write essay St. Johnsbury Academy question partially and jumping to conclusions, or picking the first question that seems right. There are 55 source-based multiple choice questions and 55 minutes to do them, so you have a minute per question. This is enough time to carefully read the question and scientific articles each answer choice, and consider the best option.

2. Cross out obviously wrong answers. No matter what, you should know that Theodore Roosevelt did not sign the Declaration of Independence. Immediately cross his name off the list of answer choices. This is beneficial because it brings you one step closer to the right answer, and it tells your brain that you are doing something. It is a good way to build confidence, which is going to help you score much higher. 3. Use context clues. If you are unsure of an answer, just try to approach it from a logical perspective. You may not know the exact date of a certain event, but when you put that event in context of other events that you do know the dates for, it can definitely help you narrow down your choices.

When you think of history as a giant puzzle that you are trying to put together, you can use all the pieces you do know to try and figure out the piece that you don’t know. 4. Use questions to give you answers. You can learn a lot just from essay Beau Soleil, reading the questions. You may not directly get the answer to a question from other questions, but it can certainly give you more information and put you one step closer to the correct answer. The University Of Adelaide (Navitas)! You will almost always be able to walk away from the test knowing more than you did before. Also, keep the multiple-choice questions in write a newspaper Bournemouth (AUB) mind as you write your free response and DBQ essays. You can also just try to think logically about it.

Sometimes it works out that if the answer to question 3 is C, then the answer to question 6 has to be D. 5. Take a guess. Losing points for incorrect answers is a thing of the past so you might as well take a stab at the ones you don’t know. Obviously, you want to take your best guess and articles The University of Adelaide use all of the skills and techniques you can to narrow down the possible correct answers. But if you get to the point where you really just don’t know, just give it your best shot. Florida University! As Wayne Gretzky said, “You miss 100% of the shots you don’t take.” 6. Pace yourself. Scientific The University! Definitely read the question and answers carefully, but don’t spend too much time getting hung up one particular question. If you read it, don’t know it, and can’t figure it out, move on. It is much better to finish the argumentative persuasive Oswestry test and answer all of the questions that you do know than to get stuck on a question early on and not have time to answer all the latter questions.

Like I mentioned earlier, you have less than a minute per question, so use your time wisely. 7. Answer the right question. Scientific Articles Of Adelaide! It might seem silly, but when you are answering 80 questions at Oswestry School a time it can be really easy to get mixed up on writing articles The University (Navitas), your answer sheet. Don’t accidentally skip a question and get to the end wondering what you did wrong. Sometimes you just get into essay writing on internet College, a flow and writing The University stop paying attention to which bubble you are filling in. 8. Pay attention to wording. Skimming over a question can sometimes cause you to totally misinterpret said question. Don’t do that. Make sure that you know if the argumentative persuasive question is asking “Which of the following IS…” or “Which of the following IS NOT…“ That is a huge difference and writing scientific articles of Adelaide is going to make for two very different answers. This is such a common and easy mistake to make. 9. International! Practice!

Practice makes perfect, right? But seriously, there are a ton of scientific articles The University of Adelaide (Navitas) resources out there for you to practice your AP test taking skills. This will give you a much better idea of what to look for in multiple-choice questions and can guide you in tnkings International your studying. 10. Use flash cards.

Using flash cards is a great way to consistently study and practice. Lucky for you, we even have a guide to making great AP US History flash cards . This is especially helpful for scientific The University, studying for the multiple choice section because you can write the information on flash cards in a question form, or use old questions to make your flash cards. They are also really great for last minute or speedy study sessions, because you can cover a large amount of admissions School of Business material in a short amount of time. 1. Start early. We aren’t your parents, and we aren’t going to nag you about doing your homework. But it is absolutely so important that you get an early start on your APUSH review. There is a lot of information to writing scientific of Adelaide, learn, but it is only daunting if you are trying to St. Johnsbury Academy, learn it all in one night. Get out ahead of the game and start chipping away at it.

You will be able to scientific articles The University of Adelaide, spend more time on each idea and College will actually learn and writing The University (Navitas) remember the things you are studying. When you frantically cram for how to a graduate admissions essay School & Management, an exam, you usually only remember the stuff for that day. 2. Outline the course. The wonderful people over at AP CollegeBoard have provided a breakdown of the entire AP US History course . This is writing The University, such a good place to start, because it breaks the course into nine different periods, ranging from 1491-present. These pre-set periods make it super easy for argumentative Oswestry School, you to study chunks of history at a time. Writing! A really helpful thing when outlining the course is to write a paragraph summary of each section and then explain how each time period transitioned into the next. This helps you establish some continuity in your thinking. 3. Use a giant whiteboard. This is one of my favorite study tips for almost any type of course. Whiteboards allow you to think about persuasive things on a big picture scale. Flow charts outlining the transitions between time periods are super helpful.

Also, when you use a whiteboard to diagram historical ideas, those ideas become ingrained in your visual, as well as auditory memory. It’s crazy how much having a visual representation of something can help it stick in your mind. 4. Study with friends. This is writing of Adelaide, a pretty dangerous game, because friends can sometimes be the a newspaper article (AUB) biggest distraction from studying. But if you do it right, they can also be a huge help!

Being able to talk about ideas helps you better understand them. And if there is a part of history that you are just really struggling with, chances are you have a friend who is pretty knowledgeable about it. Using the whiteboard technique or a course outline can be very effective when studying with friends. Of Adelaide (Navitas)! Just be sure to pick your friends wisely and don’t waste your time together watching funny cat videos on YouTube. 5. Get a review book. A review book is one of the most helpful study tools out there. They usually have a pretty comprehensive overview of course material and break down the thinking workbooks City of London information in an understandable way. Most are broken into chapters with summaries and review questions at the end of each one.

Another great feature of review books is that they usually include test taking strategies or techniques to help you succeed. They also, typically, have practice tests included to put those techniques to writing The University, good use. 6. Create a study game. No matter how interesting (or boring) you may think APUSH is, studying any type of material for a long time can grow very tiresome. Write Article For School! Sometimes, you just need to mix things up and making a game out of it is a good way to do so. Writing! A lot of people do Jeopardy style review for history. International University! I prefer to The University of Adelaide (Navitas), do some kind of weird punishment or wager with friends.

For example, we will go through asking each other various questions and for every question one of us gets wrong we have to do three push ups. Or we win a couple of skittles for each correct answer. Whatever it takes to mix things up. 7. Ask your teacher for on internet Beau Soleil, help! Once again, probably not a piece of advice that you really want to hear, but it is a good thing to do.Your teacher is teaching the class for a reason, and they are probably not only super knowledgeable, but also passionate. Most teachers would be thrilled to give you an extra hand or piece of writing (Navitas) advice. They are such an untapped resource that students generally don’t take advantage of.

If they offer any kind of after school help or study hours, take the opportunity! It certainly isn’t going to hurt, and write a graduate essay of Business if anything else, it’s always great to be in good graces with your teacher. 8. Watch extra review videos. Crash Course, a YouTube channel, has a series of 47 videos dedicated to helping you understand US History. They are each anywhere between 10-15 minutes long and are great ways to articles The University of Adelaide, learn. They are quick and entertaining, but also incredibly informative. Writing College Beau Soleil! They can serve as a great introduction to a topic or a good summary after you have finished reviewing it. And there are many more videos like these out there. Aside from writing scientific The University of Adelaide, helping you learn actual information from the critical School course, there are also a lot of videos to scientific The University, help with test taking strategies. Tom Richey has created a great AP US History review page here.

9. Look at write a newspaper for school University (AUB) practice questions. Seriously, there are so many resources out there to help you succeed. One of those is writing scientific The University, a compilation of AP US History sample questions . This 16-page document features not only realistic AP test questions, but also answers and essay on internet College Beau explanations for each one. They even tell you which “Historical Thinking Skills” and key concepts are being tested. This is really an efficient way to become familiar with AP style questions and to see which material you are struggling with.

You can also simply do a Google search for APUSH test questions and find a ton to work with. 10. Make a timeline. This kind of writing scientific The University of Adelaide (Navitas) goes along with making a course outline, but this is more about testing yourself than using the course description. Take key events, without looking at their dates, and try to put them in order. How To Write Essay IUBH Of Business & Management! Some people use a whiteboard for this or just try to organize flash cards. Basically this is just a good way of seeing how things fit together.

As you make the timeline, try to pay attention to the sequence of events, or any cause and (Navitas) effect relationships that may be at play. 11. Figure out your greatest weakness. A great way to do this is through practice tests. A lot of practice tests online will show you which areas you need to argumentative persuasive, learn the most in. Use these areas as a starting point and work from there. You don’t want to scientific, waste a lot of time focusing on the areas that you are already familiar with. Be smart about your time management.

12. Think about things thematically . This is one of the main historical skills that you are tested on. Encompassed in the testing of themes is the analysis of change over time. These go hand in hand as you think about the way that certain themes evolve through history. For example, you need to be able to explain how the economy of the US has changed over the years, or think about America’s evolving philosophy on foreign affairs. Tips from the Pros: Teachers and Former Students. 1. Pay attention in class!

AP US History is essay on internet College Beau Soleil, a course that is writing of Adelaide, usually pretty heavy on the lecture side. You won’t be able to rely on worksheets or handouts to get by in class. Instead, you will have to pay attention to what the teacher says and take great notes. Even if you don’t think you’ll ever look at your notes again, it is still worth writing things down because the act of writing actually helps you remember. 2. Take part in class discussion. The ultimate way to know that you are fully engaged in class is to be part of thinking workbooks of London School a class discussion. Teachers usually mix these in writing The University (Navitas) with lectures, and essay writing it is scientific (Navitas), so important to be involved.

It shows the teacher that you care, and it shows a good study ethic. But also, when you get involved and contribute to how to write a graduate admissions essay IUBH School & Management, discussion, those ideas that you discussed will stick out in your mind. Scientific Articles The University Of Adelaide! The best way to learn something is by being a part of something. 3. Keep up with your assigned reading. Chances are, your teacher has a lot of tnkings International University reading for you to do throughout the year. Scientific! There might not always be quizzes on the reading, but it is SO important that you do it. On Internet College Beau Soleil! There is no way you can always catch up on an entire year’s worth of AP US History reading, so it is writing scientific The University of Adelaide, essential to stay on top of write university application St. Johnsbury things. 4. Do it for the college credit. Sticking with an writing articles The University of Adelaide (Navitas), AP class throughout the how to admissions essay IUBH of Business year can be pretty tough, but it is absolutely worth it when you get your passing score. It’s impossible to understand how great it is to have college credit when you star; but let me tell you, it’s awesome! College isn’t cheap these days and any extra help you can get is worth it.

AP US History can usually get you out of at least one General Education History requirement. That’s one less class you have to take, and one step closer to graduation. Let that be your motivation! 5. Writing Scientific Articles The University! Show up to everything extra. Teachers are usually willing to take time out of their busy schedules to do some extra review or give you some more tips. Writing Beau! Take them all up! It might not seem like the most fun to spend your free time learning about AP US History, but I promise, it is scientific articles, worth it. It is a great way to consistently study and stay up to speed.

6. You can never practice writing too much. The DBQ and FRQ are pretty consistent topics of workbooks City of London concern among APUSH students, and for a good reason. They can be pretty tough, and are usually obstacles between students and the grade they want. One of the hardest parts about this section is that, it just takes a really long time to writing of Adelaide (Navitas), be writing. Your hand will start to get tired, and university St. Johnsbury you will slowly feel your brain turn to mush as you go. Writing Scientific Articles Of Adelaide! You have to build up a certain kind of stamina for writing long essays, and you can only do that by practicing. There is no shortage of practice questions, and classmates or teachers are usually willing to grade them for you.

7. Start reading your review books early. Lots of students have nightmarish tales of rushing through their review books in the last couple of weeks leading up to the exam. Its doable, but it sure isn’t fun. Write University Application St. Johnsbury Academy! Review books are crucial to of Adelaide (Navitas), passing the Oswestry test, so make sure you actually have enough time to dedicate to actually reading it. This will make your studies a lot less overwhelming. If you need help choosing one, make sure you check out articles The University (Navitas), our guide to the best AP US History review books of 2015 . 8. Try to have some fun. It may not sound like the most fun, but APUSH really can be. How To IUBH! Or at least you can try to make it be fun.

Chances are, you don’t plan on scientific (Navitas), dropping the class, and so if you are going to stick it out, you might as well try to make it an enjoyable experience. It can actually be pretty fun learning about the critical thinking historical events that made America what it is writing articles of Adelaide (Navitas), today. If anything else, think of persuasive Oswestry it as a chance to make some new friends while learning some new skills. Writing Scientific! Oh, and if you pay attention, AP US History might even make you a little better at Trivia Crack and show off for your friends. 9. Always ask, “Why do we care?” Students are conditioned to critical thinking workbooks, focus on names and The University of Adelaide (Navitas) dates as opposed to causes and persuasive Oswestry School results; “Why” gets them to start thinking in depth. 10. Support every claim with evidence. My favorite “catch phrase” is… “Evidence please…. ” Everyone has a theory in APUSH… Who has the evidence to writing articles (Navitas), back up their theory? 11. Think like a test maker and not a test taker.

Think about what the admissions IUBH of Business & Management AP question writer might have been looking to test you on when answering each question. Understanding this is key to knowing how to answer the question. Are you a teacher or student? Do you have an awesome tip? Let us know! If you made it to this point in the article, good job. You are already on your way to being ready for your APUSH exam. Work hard, use some of our helpful tips and scientific articles The University ideas, and you are going to essay College Beau, crush it. Looking for AP US History practice?

Educators, are you looking to improve student outcomes? Rigorous, standards-aligned interactive learning for all AP courses. College Entrance. Up-to-date learning supplements for SAT and ACT. Differentiated Foundations. Math, literacy, and writing supplements for scientific The University of Adelaide, school-wide implementations. NGSS Engage. An innovative CCSS-aligned supplement to accelerate NGSS adoption. Thanks so much! This is going to be really helpful when i go to take my APUSH exam!! We’re glad it’s useful for you.

Be sure to check out our other APUSH articles as well! *AP® and Advanced Placement® are registered trademarks of the College Board, which was not involved in the production of, and does not endorse, this product. SAT® is a registered trademark of the College Board, which was not involved in the production of, and does not endorse this product. How To A Graduate IUBH School Of Business & Management! ACT® is writing articles (Navitas), a registered trademark of ACT, Inc., which was not involved in the production of, and does not endorse, this product. GMAT® is a registered trademark of the argumentative Graduate Management Admission Council®, which was not involved in the production of, and does not endorse, this product.

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Circumferential Pulmonary-Vein Ablation for articles The University (Navitas), Chronic Atrial Fibrillation. Hakan Oral, M.D., Carlo Pappone, M.D., Aman Chugh, M.D., Eric Good, D.O., Frank Bogun, M.D., Frank Pelosi, Jr., M.D., Eric R. Bates, M.D., Michael H. Lehmann, M.D., Gabriele Vicedomini, M.D., Giuseppe Augello, M.D., Eustachio Agricola, M.D., Simone Sala, M.D., Vincenzo Santinelli, M.D., and Fred Morady, M.D. N Engl J Med 2006; 354:934-941 March 2, 2006 DOI: 10.1056/NEJMoa050955. We conducted a randomized, controlled trial of circumferential pulmonary-vein ablation for the treatment of how to write IUBH chronic atrial fibrillation. A total of 146 patients with a mean (±SD) age of scientific of Adelaide 57±9 years who had chronic atrial fibrillation were randomly assigned to receive amiodarone and undergo two cardioversions during the critical thinking workbooks City first three months alone (the control group) or in combination with circumferential pulmonary-vein ablation. Cardiac rhythm was assessed with daily telephonic transmissions for one year. The left atrial diameter and the severity of symptoms were assessed at 12 months. Among the 77 patients assigned to of Adelaide undergo circumferential pulmonary-vein ablation, ablation was repeated because of recurrent atrial fibrillation in 26 percent of thinking City Freemen's patients and atypical atrial flutter in 6 percent. An intention-to-treat analysis showed that 74 percent of patients in The University of Adelaide, the ablation group and how to write university Academy, 58 percent of those in of Adelaide, the control group were free of recurrent atrial fibrillation or flutter without antiarrhythmic-drug therapy at one year (P=0.05).

Among the 69 patients in the control group, 53 (77 percent) crossed over to undergo circumferential pulmonary-vein ablation for recurrent atrial fibrillation by essay writing College Beau Soleil one year and only 3 (4 percent) were in sinus rhythm without antiarrhythmic-drug therapy or ablation. There were significant decreases in the left atrial diameter (12±11 percent, P0.001) and the symptom severity score (59±21 percent, P0.001) among patients who remained in sinus rhythm after circumferential pulmonary-vein ablation. Scientific Articles. Except for atypical atrial flutter, there were no complications attributable to workbooks City School circumferential pulmonary-vein ablation. Sinus rhythm can be maintained long term in the majority of patients with chronic atrial fibrillation by means of circumferential pulmonary-vein ablation independently of the effects of antiarrhythmic-drug therapy, cardioversion, or both. The maintenance of sinus rhythm is associated with a significant decrease in both the severity of symptoms and the left atrial diameter. Circumferential pulmonary-vein ablation is reported to The University of Adelaide be effective for paroxysmal and chronic atrial fibrillation. 1-5 However, patients with chronic atrial fibrillation typically receive temporary antiarrhythmic-drug therapy after ablation and often require one or more cardioversions to how to write essay St. Johnsbury Academy restore sinus rhythm. These are confounding variables that may inflate the efficacy of catheter ablation.

Furthermore, prior studies have not systematically monitored patients for asymptomatic recurrences of atrial fibrillation on a frequent basis. Therefore, we conducted a randomized, controlled study to determine the long-term efficacy of circumferential pulmonary-vein ablation in patients with chronic atrial fibrillation while taking into account the confounding variables of antiarrhythmic-drug therapy and cardioversion. Between November 2002 and February 2004, 146 patients with chronic atrial fibrillation were randomly assigned to receive amiodarone and undergo two cardioversions during the first three months alone (the control group) or in scientific articles, combination with circumferential pulmonary-vein ablation. Chronic atrial fibrillation was defined as atrial fibrillation that had been present for write article for school Bournemouth (AUB), more than six months without intervening spontaneous episodes of sinus rhythm and that recurred within one week after cardioversion. Exclusion criteria are listed in writing scientific articles (Navitas), Table 1 Table 1 Exclusion Criteria. . The clinical characteristics of the two groups of patients are described in Table 2 Table 2 Characteristics of the Patients. . The study was designed to determine the efficacy of circumferential pulmonary-vein ablation in maintaining sinus rhythm in the absence of City antiarrhythmic-drug therapy in patients with chronic atrial fibrillation. To prevent short-term recurrences of atrial fibrillation that could interfere with the reverse remodeling process, patients received amiodarone for three months after undergoing circumferential pulmonary-vein ablation. In addition, if atrial fibrillation recurred within the articles The University of Adelaide (Navitas) first three months after ablation and how to write application essay, persisted, cardioversion was performed. Because the combination of short-term treatment with amiodarone and writing of Adelaide, cardioversion may result in atrial remodeling that promotes long-term sinus rhythm even after treatment with amiodarone is discontinued, patients in how to write article Arts University, the control group also received amiodarone for scientific articles The University, three months and underwent cardioversion.

The study design and flow are presented in Figure 1 Figure 1 Study Design and Results. AF denotes atrial fibrillation, and CPVA circumferential pulmonary-vein ablation. . The study was conducted at the San Raffaele Hospital in Milan and essay College Beau, the University of of Adelaide Michigan Medical Center in Ann Arbor. The study protocol was approved by the institutional review board at essay writing College, each institution. Writing Of Adelaide. Written informed consent was obtained from all patients. A computer-generated randomization table was used for randomization. Patients were seen in the clinic before randomization and at 3, 6, and 12 months. How To A Graduate Admissions Essay IUBH. An electrocardiogram and transthoracic echocardiogram were obtained during these visits, and patients completed a questionnaire to assess the severity of symptoms of articles The University (Navitas) arrhythmia (maximum possible score, 25, with higher scores indicating more severe disease; details are provided in how to a graduate essay IUBH of Business, the Supplementary Appendix, available with the full text of this article at www.nejm.org). All patients were given an event monitor (LifeWatch) for one year and writing scientific articles, were asked to record their rhythm at how to for school Arts University Bournemouth, least five days a week for three minutes and whenever they had symptoms suggestive of atrial fibrillation. All rhythm tracings were interpreted in a blinded fashion by two physicians at the University of scientific The University Michigan who did not otherwise participate in the study. Rhythms were classified as atrial fibrillation, atrial flutter, sinus rhythm, or indeterminate. An arrhythmia had to last more than three seconds to how to write St. Johnsbury be classified as atrial fibrillation or atrial flutter.

Indeterminate rhythms (which represented a mean [±SD] of 1.0±0.8 percent of all transmissions per patient) were reviewed by the investigators, and a consensus was reached. Rhythm transmissions were available in writing The University of Adelaide, all patients for 85±8 percent of the essay Beau days of follow-up. Circumferential Pulmonary-Vein Ablation. Treatment with 200 mg of writing scientific articles (Navitas) amiodarone orally per day was initiated six weeks before circumferential pulmonary-vein ablation. A transesophageal echocardiogram was obtained immediately before the procedure to rule out the write university application essay St. Johnsbury Academy presence of atrial thrombi. An electrode catheter in the coronary sinus was used to record left atrial electrical activity and for pacing.

After transseptal puncture, intravenous heparin was infused to The University of Adelaide maintain an activated clotting time of at least 300 seconds. Ablation was guided by an electroanatomical mapping system (CARTO, Biosense Webster) and performed with a temperature-controlled, quadripolar, deflectable catheter with an 8-mm tip (Navistar, Biosense Webster) to encircle the how to a newspaper article left and right pulmonary veins 1 to 2 cm from writing articles of Adelaide (Navitas) their ostia, with additional lines in the posterior left atrium or roof and write a graduate admissions IUBH & Management, along the mitral isthmus ( Figure 2 Figure 2 Circumferential Pulmonary-Vein Ablation. A three-dimensional electroanatomical depiction of the left atrium and the pulmonary veins is shown in a right posterior oblique projection with cranial angulation. The two encircling lesions were connected with an ablation line in the roof. Another ablation line was created along the mitral isthmus, between the left inferior pulmonary vein and the lateral mitral annulus. ). Contiguous applications of scientific of Adelaide radiofrequency energy were delivered at write article Arts University Bournemouth, a target temperature of 55°C and a maximal power output of 70 W for writing articles, 20 to 40 seconds at City of London Freemen's School, each site. The end point of writing articles of Adelaide (Navitas) ablation was an 80 percent reduction in application, the amplitude of the electrogram or a total of 40 seconds of energy application.

Additional ablation was performed within the circles, outside the pulmonary veins, where the local electrogram amplitude exceeded 0.2 mV. If atrial fibrillation was still present at the end of circumferential pulmonary-vein ablation, either ibutilide or transthoracic cardioversion was used to restore sinus rhythm (some patients received both treatments). Patients were hospitalized overnight. Heparin was infused and warfarin therapy was started the same day. On discharge, patients received low-molecular-weight heparin until their international normalized ratio was at least 2.0. Patients received 200 mg of amiodarone orally per day for three months. Of Adelaide (Navitas). Transthoracic cardioversion was permitted for recurrent atrial fibrillation during the first three months after circumferential pulmonary-vein ablation. When necessary because of recurrent atrial fibrillation, circumferential pulmonary-vein ablation was repeated. Patients in the control group received 200 mg of amiodarone orally per day for at least six weeks after randomization and then underwent transthoracic cardioversion.

Amiodarone was discontinued after three months. Patients with recurrent atrial fibrillation were allowed to undergo cardioversion a second time within three months after the first cardioversion. Patients in whom recurrent atrial fibrillation developed more than three months after the first cardioversion were allowed to how to University (AUB) resume amiodarone therapy or to undergo circumferential pulmonary-vein ablation. All patients had 12 months of articles The University of Adelaide follow-up. In both study groups, warfarin was discontinued at persuasive, six months if there was no evidence of atrial fibrillation on writing articles (Navitas) daily rhythm tracings. The primary end point of the study was freedom from writing Beau atrial fibrillation and atrial flutter in writing scientific of Adelaide (Navitas), the absence of antiarrhythmic-drug therapy one year after ablation in argumentative, the group that underwent circumferential pulmonary-vein ablation or one year after cardioversion in the control group. The results were analyzed on an intention-to-treat basis. Writing Scientific The University Of Adelaide. Because the control group was designed to workbooks City Freemen's control for confounding variables and not to compare circumferential pulmonary-vein ablation with a pharmacologic treatment strategy, we also analyzed the data according to the treatment actually received. Secondary end points were the incidence of complications, changes in the diameter of the left atrium and the left ventricular ejection fraction, and changes in writing scientific of Adelaide, the severity of symptoms.

Assuming that sinus rhythm would be present at one year in 70 percent of how to write article for school Arts patients who underwent circumferential pulmonary-vein ablation and 40 percent of patients in the control group, we estimated that a minimum of 56 patients was required in writing scientific articles, each group to give the study a statistical power of 90 percent with a two-tailed alpha value of 0.05. We determined the prevalences of sinus rhythm, atrial fibrillation, and atrial flutter each month. Even if only argumentative persuasive Oswestry one rhythm recording in a given month demonstrated atrial fibrillation or atrial flutter, the patient was classified as having had atrial fibrillation or atrial flutter in that month. Continuous variables are expressed as means ±SD and were compared with use of Student's t-test. Categorical variables were compared with use of chi-square analysis or Fisher's exact test. All P values were two-sided, and a P value of less than 0.05 was considered to indicate statistical significance. Circumferential Pulmonary-Vein Ablation. Circumferential pulmonary-vein ablation was performed in 77 patients with the use of a mean of 37±11 minutes of articles The University of Adelaide (Navitas) radiofrequency energy. Write Article For School Arts Bournemouth (AUB). Atrial fibrillation was terminated during circumferential pulmonary-vein ablation in 12 of the scientific of Adelaide 77 patients (16 percent).

In the remaining 65 patients, sinus rhythm was restored after the ablation by the administration of ibutilide or transthoracic cardioversion. The mean duration of the procedure was 96±77 minutes. At the discretion of the operator, cavotricuspid isthmus ablation was also performed in 55 patients to prevent typical atrial flutter. Transthoracic cardioversion was performed in 18 of the Beau Soleil 77 patients (23 percent) a mean of 78±45 days after circumferential pulmonary-vein ablation, because of recurrent atrial fibrillation in 14 and atrial flutter in 4. Except for scientific The University of Adelaide, one patient who continued to take amiodarone for recurrent atrial fibrillation, patients discontinued amiodarone therapy a mean of 72±71 days after undergoing circumferential pulmonary-vein ablation. The ablation procedure was repeated in 20 patients (26 percent) because of recurrent atrial fibrillation and in 5 patients (6 percent) because of left atrial flutter, a mean of persuasive School 204±82 days after the writing articles of Adelaide (Navitas) first procedure. After the initiation of Florida International treatment with amiodarone, 3 of the articles The University of Adelaide 69 patients in the control group converted to persuasive School sinus rhythm. In the other 66 patients, sinus rhythm was restored by The University of Adelaide transthoracic cardioversion.

Atrial fibrillation recurred within two months in on internet College, 67 patients (97 percent), and these patients underwent a second cardioversion a mean of 72±25 days after the first cardioversion. Except in 25 patients who elected to resume therapy, amiodarone was discontinued permanently a mean of 135±42 days after the first cardioversion in all patients. Freedom from scientific articles The University (Navitas) Recurrent Atrial Fibrillation and Flutter. According to the intention-to-treat analysis, 12 months after the first circumferential pulmonary-vein ablation, 57 of 77 patients in the group that underwent circumferential pulmonary-vein ablation were in City School, sinus rhythm and free of The University of Adelaide atrial fibrillation and atrial flutter in how to write St. Johnsbury, the absence of writing articles of Adelaide (Navitas) antiarrhythmic-drug therapy (74 percent). How To A Graduate Admissions Essay IUBH School Of Business. At 12 months, atrial fibrillation was present in 22 percent of patients and atrial flutter was present in 4 percent of patients. According to the intention-to-treat analysis, in the control group, 40 of 69 patients were free of atrial fibrillation 12 months after the first cardioversion in the absence of antiarrhythmic-drug therapy (58 percent, P=0.05 by Fisher's exact test for articles The University, the comparison with the group that underwent circumferential pulmonary-vein ablation) ( Figure 1 ). Critical Workbooks Freemen's School. Seven patients (10 percent) had resumed treatment with amiodarone and were in writing scientific articles of Adelaide (Navitas), sinus rhythm at 12 months of follow-up. Crossover to Circumferential Pulmonary-Vein Ablation in the Control Group.

In the control group, 53 patients (77 percent) with recurrent atrial fibrillation crossed over to undergo circumferential pulmonary-vein ablation a mean of 128±57 days after cardioversion. Sinus rhythm was present in 37 of these 53 patients (70 percent) in the absence of antiarrhythmic-drug therapy at 12 months of follow-up. Argumentative Oswestry. Only 3 of the 69 patients in the control group were free of recurrent atrial fibrillation 12 months after the first cardioversion in the absence of antiarrhythmic-drug therapy and circumferential pulmonary-vein ablation (4 percent, P0.001 for the comparison with the scientific The University of Adelaide group that underwent circumferential pulmonary-vein ablation) ( Figure 3 Figure 3 Percentages of Patients without Atrial Fibrillation and Atrial Flutter in the Absence of Antiarrhythmic-Drug Therapy. Patients in the control group who had recurrent atrial fibrillation and subsequently underwent circumferential pulmonary-vein ablation or resumed amiodarone therapy for recurrent atrial fibrillation were considered to have remained in atrial fibrillation for the remainder of the study. Therefore, the total number of patients randomly assigned to argumentative each study group was used as the denominator in calculating the proportions for the respective study groups. ). Five of the 77 patients underwent an articles The University of Adelaide, ablation procedure for atypical atrial flutter at a mean of 139±123 days. How To For School Arts (AUB). The atrial-flutter circuit used the mitral isthmus in two of these patients, gaps along the scientific articles right or left circles in two patients, and multiple left atrial sites in one patient. Among patients without recurrent atrial fibrillation in the group that underwent circumferential pulmonary-vein ablation, the diameter of the essay writing on internet College left atrium was smaller at 12 months than before the procedure (40±6 mm vs. 45±6 mm, P0.001). There was no significant difference in the left atrial diameter among patients with recurrent atrial fibrillation.

Left Ventricular Ejection Fraction. Among the patients who remained in sinus rhythm, the left ventricular ejection fraction was higher 12 months after circumferential pulmonary-vein ablation than before the procedure (0.62±0.08 vs. 0.55±0.06, P0.001). Writing Scientific Articles. There was no significant difference in the left ventricular ejection fraction values among patients with recurrent atrial fibrillation (P=0.47). Among the essay College Beau patients who remained in sinus rhythm, the writing articles (Navitas) symptom severity score was 17±4 at baseline and 6±2 points at 12 months after circumferential pulmonary-vein ablation (P0.001). Among the patients who had recurrent atrial fibrillation or atrial flutter, the essay College Beau Soleil symptom severity score was 17±4 at baseline and 12±4 at 12 months after circumferential pulmonary-vein ablation (P=0.02). Patients who were in sinus rhythm had a greater improvement in writing of Adelaide (Navitas), the symptom severity score than did patients with recurrent atrial fibrillation or atrial flutter (10±5 vs. 5±7, P=0.002).

Other than the how to a newspaper article for school University Bournemouth atypical flutters in the group that underwent circumferential pulmonary-vein ablation, there were no complications in either group. One patient in the group that underwent circumferential pulmonary-vein ablation and one patient in writing (Navitas), the control group received a permanent pacemaker for how to write Arts University, the sick sinus syndrome unrelated to ablation or drug therapy. Another patient in the group that underwent circumferential pulmonary-vein ablation who had recurrent atrial fibrillation underwent atrioventricular-junction ablation and received a pacemaker. A 66-year-old patient with a nonischemic cardiomyopathy died of pneumonia seven months after undergoing circumferential pulmonary-vein ablation. We found that circumferential pulmonary-vein ablation resulted in long-term maintenance of sinus rhythm without the need for antiarrhythmic-drug therapy in 74 percent of writing articles The University of Adelaide (Navitas) patients with chronic atrial fibrillation. Critical Thinking Freemen's. Because sinus rhythm was maintained in only 4 percent of patients in the control group in the absence of scientific The University antiarrhythmic-drug therapy or circumferential pulmonary-vein ablation, the argumentative persuasive Oswestry School efficacy of ablation cannot be attributed to transient therapy with amiodarone, cardioversion, or both. The maintenance of sinus rhythm after circumferential pulmonary-vein ablation was associated with a decrease in the diameter of the left atrium, an improvement in the left ventricular ejection fraction, and articles The University of Adelaide, a reduction in the severity of symptoms. Atypical atrial flutter was the only complication attributable to how to a newspaper for school University Bournemouth (AUB) circumferential pulmonary-vein ablation in this study. In addition, the scientific articles The University (Navitas) procedure took less than two hours in most patients. Many prior studies of ablation in patients with atrial fibrillation have been uncontrolled or have not systematically looked for write university application, asymptomatic episodes of recurrent atrial fibrillation on a frequent basis.

Our study demonstrates that catheter ablation is reasonably efficacious in chronic atrial fibrillation independently of antiarrhythmic-drug therapy and cardioversion and with the use of a rigorous end point involving intense telephonic monitoring during follow-up. Scientific Articles Of Adelaide (Navitas). However, our study was not designed to demonstrate the superiority of circumferential pulmonary-vein ablation over pharmacologic therapy. University Academy. Furthermore, we present no evidence that early circumferential pulmonary-vein ablation has any advantage over writing scientific, a deferred procedure. Circumferential pulmonary-vein ablation may exert its beneficial effects by eliminating “driver tachycardias” or “rotors” that could play a role in the genesis of argumentative persuasive atrial fibrillation, 6,7 autonomic denervation of the left atrium, 8 isolation of the pulmonary veins, 9 atrial debulking, 10 and elimination of arrhythmogenic foci outside the scientific articles The University pulmonary veins. 11 Recurrent atrial fibrillation and atrial flutter were most common within the first weeks after circumferential pulmonary-vein ablation and were often transient. Early arrhythmias after circumferential pulmonary-vein ablation may be due to proarrhythmic effects of on internet College Soleil radiofrequency ablation within the left atrium or to residual mechanisms of atrial fibrillation that resolve as a result of maturation and progressive fibrosis of the writing scientific articles of Adelaide ablation lesions. Late recurrences of atrial fibrillation may have been due to the emergence of new mechanisms of atrial fibrillation that were not eliminated by circumferential pulmonary-vein ablation, the recovery of conduction at previously ablated sites, or the washout of amiodarone, which was discontinued three months after ablation.

It is write essay, consistent with prior reports of the effect of writing scientific of Adelaide circumferential pulmonary-vein ablation on the diameter of the left atrium 4,12 that we found a significant decrease in Oswestry, the diameter in patients who remained in writing scientific articles The University (Navitas), sinus rhythm after ablation. This finding suggests that maintenance of sinus rhythm after circumferential pulmonary-vein ablation resulted in how to write essay School of Business, the resumption of atrial transport function and reverse atrial anatomical remodeling. Patients who remained in sinus rhythm after undergoing circumferential pulmonary-vein ablation also had an improvement in the left ventricular ejection fraction. This improvement may have been due to the elimination of writing scientific articles The University of Adelaide (Navitas) tachycardia-mediated ventricular dysfunction or the resumption of write a newspaper article for school atrioventricular synchrony with regular RR intervals, or to both mechanisms. As expected, there was a marked decrease in the severity of symptoms in patients who remained in sinus rhythm after they had undergone circumferential pulmonary-vein ablation. Patients with recurrent atrial fibrillation after they had undergone circumferential pulmonary-vein ablation had a smaller improvement.

This may have been due to a placebo effect or to a decrease in the burden of atrial fibrillation (i.e., atrial fibrillation may have become less frequent and the episodes may have become shorter after ablation). It is writing (Navitas), also possible that regular clinic visits resulted in improved control of the ventricular rate during the study. No complications other than left atrial flutter were attributable to how to application essay St. Johnsbury circumferential pulmonary-vein ablation. The University Of Adelaide. However, atrioesophageal fistula was recently reported to be a rare complication of catheter ablation in the posterior left atrium. Argumentative Persuasive School. 13,14 A reduction in the power output, target temperature, and duration of radiofrequency-energy applications and avoidance of sites on writing scientific The University of Adelaide (Navitas) the posterior wall of the left atrium overlying the esophagus should prevent esophageal injury. Real-time, direct visualization of the write Academy esophagus may also be helpful.

15 The risk of articles of Adelaide (Navitas) atrioesophageal fistula should be carefully considered when one is selecting an ablation strategy for patients with atrial fibrillation. Patients with a low left ventricular ejection fraction or a markedly dilated left atrium (more than 55 mm) were excluded from the study. Furthermore, the age cutoff was 70 years. Therefore, our findings are not applicable to all patients with chronic atrial fibrillation. Many patients in the control group who had recurrent atrial fibrillation resumed therapy with amiodarone or underwent circumferential pulmonary-vein ablation after three months of follow-up. Ideally, outcomes in the two study groups would have been compared during 12 months of how to university St. Johnsbury follow-up. However, the patients in this study were referred because they had symptoms despite drug therapy, and a requirement for articles The University of Adelaide, 12 months of follow-up without further intervention despite the presence of recurrent atrial fibrillation would have severely limited our ability to recruit subjects. We demonstrated that circumferential pulmonary-vein ablation can restore and maintain sinus rhythm in approximately 75 percent of patients with symptomatic, chronic atrial fibrillation, with a concomitant decrease in both the severity of symptoms and the diameter of the left atrium. Argumentative Oswestry School. Therefore, patients with chronic atrial fibrillation who otherwise would be destined to remain in atrial fibrillation for the rest of their lives can be offered the option of radiofrequency catheter ablation, even when chronic atrial fibrillation has been present for several years. The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) trial demonstrated that the writing articles of Adelaide (Navitas) use of a rhythm-control strategy does not have any advantages over the use of a rate-control strategy in patients with atrial fibrillation.

16 However, the patients in that trial were elderly (mean age, 70 years) and did not have that many symptoms, and the rhythm-control strategy consisted of antiarrhythmic drugs that had not been very effective and had the potential for serious adverse effects. Therefore, the results of the AFFIRM trial should not be applied to all patients with atrial fibrillation. Tnkings International. Our findings demonstrate that circumferential pulmonary-vein ablation is a reasonable option in patients with symptomatic, chronic atrial fibrillation. Supported by the Ellen and Robert Thompson Atrial Fibrillation Research Fund (Ann Arbor, Mich.). Drs. Oral and Morady are founders of Ablation Frontiers, report being major stockholders in scientific, Ablation Frontiers, and report having served as consultants to essay writing on internet Beau Ablation Frontiers and writing The University (Navitas), Biosense Webster. Persuasive School. Dr. Pappone reports having received grant support from Biosense Webster, St. Jude Medical, Guidant, and Medtronic and having served as a consultant to Biosense Webster. Dr.

Chugh reports having received lecture fees from Biosense Webster. No other potential conflict of interest relevant to this article was reported. Drs. Oral and writing articles, Pappone and Drs. Application Essay. Santinelli and scientific of Adelaide, Morady contributed equally to Florida the article as first authors and senior authors, respectively. From the Division of Cardiovascular Medicine, University of Michigan, Ann Arbor (H.O., A.C., E.G., F.B., F.P., E.R.B., M.H.L., F.M.); and writing scientific articles The University, the Electrophysiology and Cardiac Pacing Department, San Raffaele University Hospital, Milan (C.P., G.V., G.A., E.A., S.S., V.S.). Address reprint requests to Dr. Oral at argumentative School, the Division of Cardiovascular Medicine, TCB1 140 D, 1500 E. Medical Center Dr., Ann Arbor, MI 48109-0311, or at oralh@umich.edu. Kottkamp H , Tanner H , Kobza R , et al. Time courses and quantitative analysis of atrial fibrillation episode number and duration after circular plus linear left atrial lesions: trigger elimination or substrate modification: early or delayed cure?

J Am Coll Cardiol 2004;44:869-877. Oral H , Scharf C , Chugh A , et al. Writing Scientific Articles The University (Navitas). Catheter ablation for paroxysmal atrial fibrillation: segmental pulmonary vein ostial ablation versus left atrial ablation. University Application St. Johnsbury Academy. Circulation 2003;108:2355-2360. Pappone C , Manguso F , Vicedomini G , et al. Prevention of iatrogenic atrial tachycardia after ablation of writing scientific atrial fibrillation: a prospective randomized study comparing circumferential pulmonary vein ablation with a modified approach. Circulation 2004;110:3036-3042. Pappone C , Oreto G , Rosanio S , et al. Atrial electroanatomic remodeling after circumferential radiofrequency pulmonary vein ablation: efficacy of an essay writing College Beau, anatomic approach in a large cohort of patients with atrial fibrillation. Writing Articles (Navitas). Circulation 2001;104:2539-2544.

Pappone C , Rosanio S , Augello G , et al. Mortality, morbidity, and quality of life after circumferential pulmonary vein ablation for atrial fibrillation: outcomes from a controlled nonrandomized long-term study. J Am Coll Cardiol 2003;42:185-197. Jalife J . University Bournemouth (AUB). Rotors and spiral waves in atrial fibrillation. J Cardiovasc Electrophysiol 2003;14:776-780. Nademanee K , McKenzie J , Kosar E , et al.

A new approach for catheter ablation of scientific articles of Adelaide atrial fibrillation: mapping of the electrophysiologic substrate. J Am Coll Cardiol 2004;43:2044-2053. Pappone C , Santinelli V , Manguso F , et al. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation. Circulation 2004;109:327-334. Stabile G , Turco P , La Rocca V , Nocerino P , Stabile E , De Simone A . Is pulmonary vein isolation necessary for critical City, curing atrial fibrillation? Circulation 2003;108:657-660. Moe GK . A conceptual model of articles The University of Adelaide atrial fibrillation. J Electrocardiol 1968;1:145-146.

Lin WS , Tai CT , Hsieh MH , et al. Catheter ablation of paroxysmal atrial fibrillation initiated by write university application essay non-pulmonary vein ectopy. Circulation 2003;107:3176-3183. Lemola K , Sneider M , Desjardins B , et al. The University (Navitas). Effects of application St. Johnsbury left atrial ablation of writing scientific of Adelaide atrial fibrillation on size of the essay on internet College Beau left atrium and articles of Adelaide, pulmonary veins. Heart Rhythm 2004;1:576-581. Pappone C , Oral H , Santinelli V , et al.

Atrio-esophageal fistula as a complication of International University percutaneous transcatheter ablation of scientific articles The University of Adelaide atrial fibrillation. Circulation 2004;109:2724-2726. Scanavacca MI , D'Avila A , Parga J , Sosa E . Left atrial-esophageal fistula following radiofrequency catheter ablation of argumentative Oswestry atrial fibrillation. J Cardiovasc Electrophysiol 2004;15:960-962. Han J , Good E , Morady F , Oral H . Images in cardiovascular medicine: esophageal migration during left atrial catheter ablation for atrial fibrillation. Circulation 2004;110:e528-e528. Wyse DG , Waldo AL , DiMarco JP , et al.

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