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battle cry dom essay Byline: By HUGH BROGAN; Hugh Brogan is the author of ''The Longman History of the essay, United States of America.'' Lead: LEAD: BATTLE CRY OF FREEDOM The Civil War Era. By James M. McPherson . Illustrated. 904 pp. New York: Oxford University Press. $30; after July 1, $35. BATTLE CRY OF FREEDOM The Civil War Era. By James M. Admission! McPherson. Illustrated. 904 pp. New York: Oxford University Press. $30; after July 1, $35. No doubt someone in the Library of Congress knows exactly how many books have been published on the Civil War, but everyone knows, without counting, why a new one is to be greeted somewhat warily. The Civil War is the most worked-over topic in United States history, one of the most written about in the history of the world.
It is therefore a particular pleasure to report that ''Battle Cry of Freedom'' easily overwhelms all such doubts. It is the best one-volume treatment of its subject I have ever come across. It may actually be the best ever published. It is comprehensive yet succinct, scholarly without being pedantic, eloquent but unrhetorical. It is gcse compellingly readable. I was swept away, feeling as if I had never heard the case studies, saga before. It is most welcome.
I am conscientiously bound to report that it is not quite perfect. The maps are accurate and intelligent, but they are printed on a gray ground that makes the gray lines and essay gcse, arrows of the Southern forces hard to see. ''These defenders of the South doth protest too much'' is a horrible solecism. And there never was such a place as the ''Kingdom of Palermo.'' I can think of nothing else to complain about. It is easier work to summarize James M. McPherson's many merits as a historian. Of these the greatest is phd thesis surely his literary skill. It shows in essay, little things and great. For instance, he knows how to use precise details to bring the past, even the overfamiliar past, to vivid life again.
I was aware that the Army of the Potomac suffered shocking ill health (largely from bad sanitation) until Gen. George McClellan took it in hand, but I had never heard that in 1861, in the western Virginia theater of war, the Confederates suffered as badly because their farm-boy recruits went down with measles and mumps, to which they had never before been exposed. Unfairly (these children's complaints are killers for adults), ''measles and mumps'' has a slightly ludicrous ring; precisely because of phd thesis on ofdm, that I shall never again forget how Robert E. Lee was dealt his first defeat, and how West Virginia got its statehood. Mr. McPherson is wonderfully lucid. Again and again, hopelessly knotty subjects (for example, Lincoln's relations with the radical Republicans) are painlessly made clear. Above all, everything is in a living relationship with everything else. This is magic. Accounts of the Civil War usually sacrifice either detail (often important detail) to narrative flow, or narrative to detail.
Mr. Essay Gcse! McPherson does neither. Omitting nothing important, whether military, political or economic, he yet manages to ethics, make everything he touches (say, Union finances or the essay gcse, prisoner-of-war camps) drive his narrative forward. And though no one could write less like those ostentatious Civil War buffs (Bruce Catton springs to mind) whose prose is unrelentingly oratorical, at times he adds to the reader's pleasure either by studies quiet touches of humor or by gcse literary contrivances so bold as to force themselves on our attention. The supreme example is his omission of Lincoln's assassination. One moment the President is making a speech, with John Wilkes Booth snarling in the crowd (''Now, by essays against God, I'll put him through. That is the last speech he will ever make''). In the next sentence a new chapter begins; Good Friday, 1865, is already in the past and Mr. McPherson is pressing on to describe the very last incidents of the essay gcse, war.
It is breathtaking, almost insolent; but it is right. Everybody knows the story of the murder. Lincoln's sudden disappearance from the book gives us something of the shock that his contemporaries felt when he died - and it experience resume, the author has no space at essay gcse his disposal for redundant details. The book is opened with equal, though less obtrusive, skill. This is admission not only an account of the Civil War, it is a volume in the Oxford History of the United States, and so it begins with a masterly description of the republic at midcentury - a divided society, certainly, and a violent one, but not one in which so appalling a phenomenon as civil war is likely. So it must have seemed to most Americans at essay the time. Slowly, slowly the remote possibility became horrible actuality; and Mr. McPherson sees to it that it steals up on his readers in the same way. This is historical writing of the highest order, conveying perhaps the most important lesson of all: that we are not always masters of our fate, even when we most need to be. Essays! It is for gcse, this and similar reasons that the ethics case studies, Civil War must still be accounted a great and essay gcse, necessary theme, mattering more to citizens of the United States than any other in their past. Essays Abortion! In the right hands, it teaches inescapably the essay gcse, dreadful truth that it is possible for no more than ordinarily sinful men and women, and for politicians of conspicuous ability and patriotism, and for a country enjoying unrivaled prosperity and freedom, to make deadly and irretrievable blunders.
Americans did it to themselves. Nobody else can be blamed. Unless every generation receives the lessons of the Civil War in all humility they may commit such blunders again (as indeed the war in naturalism essay, Vietnam showed). Essay! But the story has often been perverted to teach other lessons (the wickedness of studies, capitalists or damyankees, the righteousness of the gcse, Southern cause) or to emile, teach no lessons at all, to gcse, be an entertainment for vocabulary, drum-and-trumpet hobbyists. Worst of all, it has been pridefully asserted that, since it belongs to a world now remote, it is gcse unimportant and irrelevant. It is a very good thing that ''Battle Cry of essays abortion against, Freedom'' is now available to refute all such heresies. I do not think that this epic of doom, this tale of a disaster perhaps implicit in the failure of the Founding Fathers to put slavery into the way of extinction, can be fully conveyed except in narrative form. Mr. McPherson argues that narration is the essay gcse, only mode by which what he calls the contingent factor in the Civil War can be made clear.
For he does not think Northern victory was inevitable. The Confederacy had the it experience, simpler war aim - to survive until the essay gcse, Union gave up in despair. The Northern will to college admission vocabulary, go on fighting was thus the essential precondition of victory, and if Antietam, or the Gettysburg campaign, or the election of 1864 had gone the other way, as they easily might have done, that will might have cracked. Gcse! Only after the fall of Atlanta and Sheridan's defeat of Jubal Early had insured Republican victory in 1864 did the defeat of the South become certain, or so Mr. McPherson thinks; and by his narrative he argues his readers into thinking so too. Admission Vocabulary! Events, he reminds us, are frequently unpredictable, and frequently they master men. The lesson is not new, but he handles it freshly, and so rebukes a generation of historians infatuated with theory, structure, numbers and essay, the mere accumulation of data. On only one matter of importance did I feel inclined to take issue with Mr.
McPherson. His seventh chapter bears the title, ''The Revolution of 1860,'' by which he refers to college essay online, the election of Abraham Lincoln. Chapter Eight, which deals with secession, is called ''The Counterrevolution of 1861.'' Here, I think, he lets his vocabulary run away with him. ''Revolution'' is a much abused word. In politics it must surely mean something more than a victory in a regular election. No one can deny that the Republicans stood for something new in American history, but the forces they represented - liberalism, urbanism, industrial capitalism, nationalism - had been steadily gaining ground for decades, and some of the groups that gave them victory at the polls, especially the Western farmers, had been around for essay, longer than the Republic.
True, these forces had been held in check for a few years by Southern obstruction, but in against, 1860 all they actually did in revenge was to gcse, elect Lincoln, and they were much assisted by resume the collapse of the Democratic Party. They were not given time to essay gcse, attempt more, for their vic-tory was immediately followed by the real revolution of 1860 -the planters' revolution - the ethics case studies business, secession of South Carolina and her sister states, which were as committed to breaking up a long-established Government as the Bolsheviks were in 1917, and more so than the French revolutionaries of 1789. They could only be defeated by war and the emancipation revolution (or counterrevolution); as Lincoln said, ''We must free the essay gcse, slaves or be ourselves subdued.'' The work of dismantling racial segregation in the North was begun; the national Government was greatly strengthened to meet the needs of war; and the complete Republican economic program was passed into law. It Experience Resume! It was indeed the second American Revolution; but it would not have happened nearly so fast, even under so astute and patient a President as Lincoln, if the South had remained in the Union. In short, to my mind the election of 1860 was only a step on essay, the way to revolution (just as the election of 1932 was), not a revolution itself. To be sure, Jefferson Davis said it was an college admission vocabulary abuse of language to call secession a revolution. He and his followers had left the Union ''to save ourselves from gcse a revolution,'' an resume assault on property in slaves.
But Davis was not a very wise man or an accurate reasoner. He had helped launch an onslaught on the old American political structure, which had sheltered slavery so comfortably; it is hardly surprising that others - abolitionists, Republicans, blacks - for their own purposes enlarged the essay, gap thus opened. As Davis contemplated the ruined postwar South, he should have acknowledged his responsibility. But I don't think he ever did. Disagreements on points of emphasis do not deserve much emphasis themselves. ''Battle Cry of naturalism essay, Freedom'' is in every respect a deeply satisfying book. Its illustrations are particularly good. The scholarship is as up-to-date and gcse, complete as anyone could reasonably wish. Resume! If at various places it is surprising not to find reference to a particular scholar or treatise, it is on the whole much more surprising to see how much reading and reflection Mr. McPherson has been able to cram into essay a life of no more, presumably, than the usual number of hours per day. The notes at without the bottom of the page (hooray!) will help explain to scholars why Mr. McPherson is essay gcse so often able to make fresh sense of on ofdm, old puzzles.
The bibliographical note at the end will provide the novice with an excellent guide to further reading. And at essay gcse only $30 until July, the book is even cheap, or at least wonderful value for the money. LINCOLN: THE RIGHT IDEAS, THE RIGHT GENERALS. It Experience Resume! James M. McPherson, the author of ''Battle Cry of Freedom,'' has a different explanation of the outcome of the Civil War. The North's victory, he said, ''is often attributed to its superior resources. But the greatest population doesn't always win - after all, Vietnam won. In certain campaigns, the South was outgeneraled. For example, at Gettysburg it wasn't only Southern mistakes that resulted in the Confederate defeat but Union leadership.'' In a telephone interview, he said that the President as Commander in essay, Chief as well as political leader played a strong role during the ethics studies business, war. ''Lincoln held the essay gcse, North together, picked the right generals and, finally, moved in world without, the direction of gcse, defeating slavery under his war powers,'' Mr.
McPherson said. All along, he believed slavery was morally wrong. Union victory insured that the Northern vision would become the American vision.'' Mr. McPherson, who is a professor of phd thesis on ofdm, history at essay Princeton University, has a family connection to the Civil War, although none that he knows of to James B. McPherson, a Union general who was killed when he inadvertently rode behind Confederate lines and then refused to surrender. The ancestors he knows about were somewhat less exalted. ''One remained a private and the other took an examination when he was 19 and became a lieutenant in the 22d U.S.
Colored Troops. He ended up a captain. That's how a lot of young soldiers were commissioned - as white officers of black regiments.'' ''Battle Cry of naturalism, Freedom,'' which is part of the Oxford History of the gcse, United States being written under the college essay online, general editorship of gcse, C. Vann Woodward, covers the era from the Mexican-American War to college essay vocabulary, Appomattox, but it is the essay gcse, slavery issue that compelled Mr. McPherson's interest. His first book, published 22 years ago, was about the abolitionists and blacks.
He is now in San Marino, Calif., doing research at without the Huntington Library for his next book, titled ''Abraham Lincoln and the Second American Revolution.'' HERBERT MITGANG.
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Sample Fiction Essays Essays and essay, Research Papers. Fiction Essay Thiago De Souza Liberty University Abstract In this essay , “The Rocking Horse Winner” and “The . Lottery” are compared and contrasted. Their different themes and different characters have some similarities. The things the characters do and want ultimately brings them to their very own downfall. Throughout this essay , I talk about how these characters are just like every ordinary person and how our society is well represented by the different themes in admission essay, each of these stories. Essay Gcse? One. A Story , Difference , Irony 1209 Words | 4 Pages.
ENG 102-D18 FICTION ESSAY Professor Penner Matthew Kinsman 11 April 2011 Thesis Statement: In the phd thesis, stories “The Lottery” . and “Young Goodman Brown”, one can see how the author reflects the mood of the gcse, piece through the essays abortion against, setting of the piece. Outline: I. Comparisons A. Not in modern times B. Gcse? Dialogue reveals setting II. Contrasts A. One bleak B. Admission Essay Online Vocabulary? One hopeful III. Conclusion statement A. Relevance B. Timelessness . Allegory , Fiction , Goodman 777 Words | 3 Pages. Engl 102 Fiction Essay Thesis and essay, Outline Thesis: In both “The Lottery” by it experience resume, Shirley Jackson and “The Most Dangerous . Essay Gcse? Game” by Richard Connell, the authors write to emphasize the sanctity of life through the conflicts endured by their main characters both implicitly and explicitly.
I. Introduction A. Thesis Statement B. “The Lottery” by emile zola naturalism, Shirley Jackson brief description C. “The Most Dangerous Game” by Richard Connell brief description II. Characterization A. “The Lottery”. Bloodlust! , Richard Connell , Short story 1009 Words | 4 Pages. ? Fiction Essay English 102: Literature and Composition Summer 2011 MLA Style . Gcse? Perseverance Played Out “The Rocking-Horse Winner” and “The Most Dangerous Game” In D.H. Lawrence’s “The Rocking-Horse Winner” and Richard Connell’s “The Most Dangerous Game”, the reader is world without art essay, given insight into the lives of two males: Sanger Rainsford in Most Dangerous Game, and a boy, Paul, in Rocking-Horse. Equally Lawrence and Connell are wickedly clever in their details.
Boy , D. Gcse? H. Lawrence , Hunting 1286 Words | 4 Pages. Short Story Essay English 102-D25 Composition and Literature Spring ’13 D Joy Culwell New Braunfels, TX Prentice Hall Reference . Guide-MLA Outline and Thesis Statement I. On Ofdm? Introduction a. Conflict/Plot/Structure b. “The Child by Tiger” by Thomas Wolfe c. Essay? “The Most Dangerous Game” by Richard Connell d. Thesis i. Essays Abortion? These two stories have showed many similarities and differences; some of which are straight forward but others require paying a little more. Richard Connell , Short story , The Most Dangerous Game 1322 Words | 4 Pages. Fictional writing is gcse, any type of writing that is not factual. Phd Thesis On Ofdm? Fictional writing most often takes the form of a story meant to convey an authors point . in view or simply to entertain. The outcome of this may be a short story, novel, or drama. Fiction has different types of characteristics that make up the fictional writing, like character, plot, and setting. These characteristics are what make the imagery of fictional writing so astonishing and magical.
Character is a figure in the story that. Character , Fiction , Narratology 954 Words | 3 Pages. Sample essay Topic: Test anxiety causes university students to gcse underperform in their examinations. Discuss. NOTE: The . Emile Essay? essay is in the left column.
In the right hand column there are short notes indicating the various academic writing skills present in gcse, the essay . Essay | Comment | This essay examines the relationship between test anxiety in university students and on ofdm, their performance in examinations. Typically universities use examinations to essay test part or even all the knowledge of students, particularly. Academia , Anxiety , Bachelor's degree 2517 Words | 7 Pages. Sample essay Argue either in favour or against the impact of the internet on case people's lives in the last decade. As an . avenue of entertainment and communication, and as a research and essay gcse, reference tool, the abortion, internet has had a huge impact on the modern societies of developed nations. Essay? At the same time, there is concern that the disadvantages and negative influences may outweigh the zola naturalism essay, benefits to the society. This essay argues that, in the last decade, the advantages of the internet far outweigh the. Family , History of the Internet , Internet 1326 Words | 4 Pages.
Form ------------------------------------------------- Top of Form help REGISTER! Bottom of Form Essay Forum / Writing . Feedback / | | five paragraph essay about where should company spend his money on art or environment ------------------------------------------------- Top of gcse, Form AliAkbarzarei | Dec 15, 2012, 01:03pm #1 | a five paragraph essay about where should company spend his money on art or environment I just studying about writing and emile zola, it's just a. Air pollution , Art , Environmentalism 926 Words | 4 Pages. ?Example of the Narrative Essay Why I learned English Many families reflect diverse cultural backgrounds that come together. Gcse? My family’s . Emile Naturalism Essay? roots are intertwined with several ethnic and cultural backgrounds. My mother’s parents are American, but her ancestors are originally from gcse England and Germany. My father’s mother is Peruvian, but his father is Egyptian. I grew up in Peru with my parents in a quiet neighborhood of Lima. My paternal grandparents lived down the street from us, but my maternal grandparents. Cat , Computer , E-mail 2464 Words | 7 Pages.
Sample Essay: Paralysis in Dubliners. Sample Essay for English 4950 Keycode: 2390 1 Paralysis in it experience resume, Dubliners A heavy theme found throughout the essay, entirety of . Dubliners is the feeling of paralysis that is emile zola essay, felt by the characters in the stories. Reading the essay, stories and zola, analyzing them individually hints at essay gcse the idea of resume, paralysis but it is also easy to overlook it. Upon reading all of the stories of Dubliners, the idea of paralysis is a common theme. Gcse? This feeling of paralysis in Dublin and Ireland as a whole is a feeling that Joyce was trying. Dublin , Dubliners , Encyclop?dia Britannica 1489 Words | 4 Pages. ?Running head: FICTION ESSAY Fiction Essay Kijuana Lipscomb, APA Professor Christopher . Robinson ENGL 102-D04 Fiction Essay From a different perspective of using symbolism and emile zola naturalism, literary tone, Shirley Jackson, author of “The Lottery” and Nathaniel Hawthorne, author of “Young Goodman Brown”, both uniquely and cleverly depicts the hidden agendas and battles found within man.
Jeremiah 17:9 clearly states, “The heart is essay, deceitful. Who can know it (Jeremiah 17 (King James Version))?” This passage. Allegory , Goodman , Mosses from an Old Manse 825 Words | 4 Pages. ? FICTION POEM ESSAY Fiction Poem . Essay Liberty University FICTION POEM ESSAY This poem deals with a man, who believes he has no real self-identification. However, in the midst of zola naturalism essay, his affliction, and the pain of essay gcse, being loss he finds his purpose and most of all his self worth. When reading The Lamb poem, it reminds me of essays abortion, how I felt when I first met the Lord. Gcse? I felt.
God , Islands of the Forth , Jesus 787 Words | 3 Pages. ? Sci-Fi Formal Essay Quote: I don't try to describe the future. I try to world without prevent . it. Ray Bradbury Science Fiction is a popular and essay gcse, interesting genre’s to zola naturalism essay read. It is a genre that helps childhood dreams of essay gcse, living in other worlds come to life, It is known as the literature of it experience resume, ideas because of the concept of imagination used in the stories e.g. time traveling, space travel, alien races, dystopias, utopias etc. It brings us to essay an imaginative. Future , Novel , Past 1346 Words | 4 Pages. 05/08/2015 Sample Academic Essay Sample Academic Essay Knowing How to Live Alone Introduction . Hook Alone one is never lonely, says the poet and essays abortion, author Mary Sarton in praise of living along. Most people, however, are terrified of living alone. They are used to living with others Connecting children with parents, roommates with Information roommates, friends with friends, husbands with wives. Essay Gcse? When the abortion against, statistics catch up with them, therefore, they are rarely prepared.
Chances are high that most adult men and women. Infantry battalions of the United States Marine Corps 753 Words | 3 Pages. ENG 102 fiction essay instruction. ? Fiction Essay Instructions In Module/Week 3, you will write a 750-word (about 3–4-pages) essay that compares . and gcse, contrasts 2 stories from the it experience, Fiction Unit. Before you begin writing the essay, essay , carefully read the guidelines for developing your paper topic that are given below. Review the essays abortion, Fiction Essay Grading Rubric to see how your submission will be graded. Gather all of your information, plan the direction of essay gcse, your essay , and organize your ideas by developing a 1-page thesis statement and outline. Character , Emotion , Essay 755 Words | 2 Pages. SAMPLE ESSAY | . | |WHAT IS AN ESSAY ? It’s a brief text that discusses a matter, expresses a point of view, or persuades us to accept a thesis on without art essay any | |subject whatever. | | . Amnesty International , Capital punishment , Crime 944 Words | 5 Pages.
gains confidence and control over both and ultimately dominates them. Essay? Works Cited Johnson, Greg. “Studies in Short Fiction .” Gilman’s . Gothic Allegory: Rage and Redemption in “The Yellow Wallpaper” Vol. 26 Issue 4: 521-530. Academic Search Complete. Web. February 18, 2011 Dear Sara, I am writing this letter to tell you what I thought about your character analysis essay over ethics business “Greasy Lake.” Over all the essay gcse, paper was very descriptive and gave the name of a “bad character” to the protagonist.
As Time Goes By , Charlotte Perkins Gilman , Marriage 1486 Words | 4 Pages. ? Sample of it experience, essays , letters and memorandum Letter of Enquiry English Language Society Tunku Abdul Rahman University College . 77 Lorong Lembah Permai Tiga 11200 Tanjong Bungah Penang 15 June 2013 Manager Paradise Hotel 23 Jalan Gembira 11200 Tanjong Bungah Penang Dear Sir ACCOMMODATION FOR THE ENGLISH LANGUAGE CAMP I am writing on behalf of the English Language Society of Tunku Abdul Rahman University College. Gcse? We would like to enquire about your accommodation at your hotel. . Bursa Malaysia , Economy of Malaysia , English language 751 Words | 4 Pages. disquisition, monograph; More 2. formal an attempt or effort. a misjudged essay synonyms: attempt, effort, endeavor, try, venture, . trial, experiment, undertaking his first essay in telecommunications a trial design of emile essay, a postage stamp yet to essay be accepted. verbformal verb: essay ; 3rd person present: essays ; past tense: essayed; past participle: essayed; gerund or present participle: essaying e?sa/ 1. attempt or try. essay a smile Origin late 15th century (as a verb in world, the sense ‘test the. Definition , Essay , Gerund 608 Words | 4 Pages. ? Sample 1: Prompt: Your academic interests, personal perspectives and life experiences will add much to Gallaudet’s diverse community. . Describe a personal experience that shows what you will bring to Gallaudet’s diverse community While attending Atlanta Area School for the Deaf, Ms.
Jennifer observed my social skills and chose me to essay gcse assist a student from abroad. His name was Akeem. I was told to teach him American Sign Language. On Ofdm? Akeem was born in Africa and came to the United States. American Sign Language , Family , High school 1516 Words | 4 Pages. Dystopian Fiction Comparative Essay. girl, Clarisse, he must hide and run from a government that hunts him down “So it was the hand that started it all . Gcse? . . It Experience? His hands had been infected, and . soon it would be his arms . . . His hands were ravenous”(42).. They are both works of dystopian fiction where controls are used to essay gcse keep their inhabitants ignorant and “civilized”. However when it comes to contrasting the types of controls used, we can say “Minority Report” uses more technology to limit civilian’s everyday life by phd thesis on ofdm, inserting machines. Dystopia , Fahrenheit 451 , Minority Report 685 Words | 3 Pages.
fantasies’.1 They are stereotyped into vacuous roles such as the romantic interest, damsel in distress and femme fetale. Essay? Female characters are given little . to no agency by white male writers and this is overt in 20th century hard-boiled American crime fiction . College Online Vocabulary? In the works of gcse, Dashiell Hammett and Raymond Chandler, female characters exist only to serve as foils to re-emphasize the hyper-masculinity of the Continental Op and Phillip Marlowe, their respective detective protagonists. I put emphasise on the. Crime fiction , Dashiell Hammett , Detective fiction 2419 Words | 8 Pages. ? Sample Essay Answer Use the organization and layout of this essay , in conjunction with the essay . rubric and worksheet, as a template for the in-class essay exams. Question: Compare and admission vocabulary, contrast the Chinese and Japanese attitudes and policies regarding modernization beginning at the time of sustained European contact but concentrating on gcse the period between 1840 and 1910. How did their status change in college online, the eyes of the essay gcse, Europeans? By 1840, Europe had at on ofdm least nominal domination over much of the. China , Government of Japan , Great power 1156 Words | 2 Pages. ?Rebekah Frost LAL 153: Online Summer 2015 Unit 7: Literary Analysis Essay Literary Analysis Essay Final Draft Due: 6-20-15 . “Brownies by gcse, ZZ Packer, Literary Analysis Essay Racism Among Our Youth Brownies is a short story about 4th graders who go on college essay vocabulary a summer camping trip near the southern suburbs of gcse, Atlanta in Georgia.
Laura, an African American girl, also known by her nickname ‘Snot’ to the other girls, narrates the story. The Narrator explains how her Brownie troop took a dislike on each. African American , Black people , Race 866 Words | 3 Pages. to look deeper and college admission, past the established facades. This also forces the audience to essay question the actual safety and security offered in essays abortion against, cities; and whether or . not crime is embedded in gcse, the very roots of all cities.
It is common for hard-boiled crime fiction to abortion against establish male protagonists who are able to defend themselves in the corrupt and lawless cities. Gcse? In L.A. College Admission Essay Online? Confidential, the essay gcse, three main protagonists are all men. It Experience Resume? In fact, the whole Police Department is operated by policemen. The role women play in.
Crime , Crime fiction , Detective fiction 1347 Words | 4 Pages. ?AN ESSAY Speculative texts through the creation of distinct worlds can challenge or reinforce understanding of essay, ourselves and how we live . in the world Utopian and Dystopian composers employ the creation of phd thesis, distinct worlds as a medium to covertly express political concerns. The fictional worlds created by Aldous Huxley and Ursula K. Le Guin in “Brave New World” and “The Dispossessed” elucidate prevalent social issues of their respective contexts, provoking alternate understandings of essay gcse, humankind. Brave New World , Capitalism , Communism 1639 Words | 5 Pages. crime-writing genre consists of a wide array of subgenres and hybrids, these texts all focus on a criminal investigation using this as a platform/vehicle to . explore and comment on the values and ethics case, the social context in which it was composed. In doing so, crime fiction texts do not just tell a crime story; they make insightful social comments to inform responders. This is essay, evident in P.D.
James’ “The Skull Beneath The Skin” (Skull) which not only follows an investigation but also comments on the justice and the emerging. Gender , Gender identity , Gender role 1862 Words | 5 Pages. ? Sample College Essay #1 The sun sleeps as the desolate city streets await the morning rush hour. Against? Driven by an inexplicable . Essay Gcse? compulsion, I enter the building along with ten other swimmers, inching my way toward the cold, dark locker room of the Esplanada Park Pool. One by one, we slip into resume, our still-damp drag suits and make a mad dash through the chill of the morning air, stopping only to gcse grab pull-buoys and kickboards on our way to the pool. Emile Zola Naturalism? Nighttime temperatures in coastal California dip into.
Camping , Demographics , Family 2422 Words | 6 Pages. Sample Portfolio Essay #1 My time at essay gcse Isothermal has greatly affected my life in many ways. Thanks to art essay my time spent at . Isothermal, I have decided that upon completion of my education, I hope to be able to work as a Spanish educator at K-12 and essay, college level and as a Spanish-English translator. I have decided on these careers because of my love for the Spanish language and the fact that Spanish educators and translators are in essays abortion against, high demand. I also believe that these are career choices with which I. Academic degree , Competence , Four stages of competence 2563 Words | 7 Pages. ? Sample Writing Essays 3. The idea of a minimum wage has been around for gcse, quite a while. If increasing the minimum wage helps . every one, no one would oppose an increase. In your opinion, who are helped and who are hurt by phd thesis on ofdm, an increase in the minimum wage?
In my opinion, more people are hurt by a minimum wage increase than are helped by gcse, it. Increasing the minimum wage helps some low wage workers in the short run but is phd thesis, detrimental to the majority of essay, society in the long run. On Ofdm? An increase in. Economics , Employment , Foreign direct investment 881 Words | 3 Pages. Biblical Worldview Essay The Book of Romans, written by the Apostle Paul, addresses the teachings on the natural world, the importance of . human identity, speaks on human relationships and culture and what is expected of us as Disciples in order to enforce God’s intent, God’s law in essay, this world.
Romans works as guidance for a life free of sin and helps us see that with God we are provided the opportunity to shape the world we are currently living in. The natural world; in Romans 1:20, the Apostle. Apostle , Christianity , Epistle 933 Words | 3 Pages. Sample Undergraduate Psychology Essay. SAMPLE UNDERGRADUATE PSYCHOLOGY ESSAY NB This is not a perfect essay . It was graded at 60% (A 2.1) and the . bibliography is missing! Drawing on Freudian and Attachment Theories assess the Relationship between early year's experiences and essays, criminality. Psychological theories have attempted to explain the reasons for and how criminality occurs.
The psychoanalytic perspective involves two major theories - Freud's theory of the Sexual Stages of Development and essay, the Theory of Attachment purposed by Bowlby. Crime , Criminology , Developmental psychology 1600 Words | 5 Pages. cared deeply for his family - Tessie while also hopeful cared more about herself 3. Imagery - Paul: fortunate and hopeful - Tessie: . College Essay Vocabulary? unfortunate and unpleasant 4. Summary: Paul is more successful Compare Contrast Essay : The Rocking-Horse Winner/The Lottery By: Michaela Rhea Gates Gambling, whether for life or money, is risky and success is not guaranteed, even if you ‘win’. Two different tales both involving risk. In “The Rocking-Horse. Gambling , Horse , Horse racing 781 Words | 3 Pages. Stacey Jones Short fiction paper 11/06/12 Shirley Jackson “The Lottery” Shirley Jackson’s “The Lottery” is a chilling tale of a small . town whose people had to gcse participate in a lottery each year. The first onset of this reading depictures a story of studies, hope. The first few paragraphs shows truth in what you would think is gcse, going to world be a heartfelt happy story; it was clear and sunny, with the fresh warmth of a full summer day; the essay, flowers were blossoming profusely and essays against, the grass was richly green. Fiction , Narrative , Rajm 1108 Words | 3 Pages. An essay about the science fiction film genre.
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Sample essay The use of emile zola, sample essay is a good way to relax your nerves. Essay Gcse? The beginners who have some . problems in addressing an essay find such narrative essay very useful. Emile Naturalism? It is not at all difficult to essay get access such studied papers. The university and emile zola naturalism essay, college archives are usually full of such instances. All you must do is to select the essay gcse, theme and then, as per Customessays.co.uk, you can check out the latest dissertations available online or otherwise. While you are sifting through such short. Concepts in metaphysics , Creative writing , Doctor of Philosophy 525 Words | 2 Pages. ?Modern Fiction is an naturalism essay by Virginia Woolf. The essay was written in 1919 but published in 1921 in with a series . of short stories called Monday or Tuesday. Essay? The essay is a criticism of writers and literature from the previous generation.
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?????,???????????: - ????????(probability sample ,??random sample )? - ????(the sampling frame)???????????????????? - . Essay? ?????(The Sample Size)? - ????(the sample design),???????????? - ???(the rate of response),?????????????????? ¦ ?????????? - ????????the sample frame(????)? - ??????????????????????,???????????????????? - ???????,?????,??????,???????????? ¦ The Sample Frame ?????????????????????????,????????????,????????????????the sample frame ? - ???????????: . Cluster sampling , Random sample , Sample 386 Words | 4 Pages. Argumentative Essay Social responsibility is an ideal topic for resume, debate; there have been mixed results for gcse, companies and world art essay, individuals who have . pursued social responsibility. There is also the question of whether social responsibility should be motivated by a perceived benefit.This type of essay is based on philosophical theories on the necessity of essay, social responsibility backed up with facts about previous social responsibility efforts. For example, an essay could be about without art essay how giving support to gcse disaster. Essay , Essays , Qualitative research 555 Words | 3 Pages. Essay Writing, Sample Essay Topic: Philosophy Essay in zola naturalism essay, German - 1220 Words.
Essay writing, sample essay topic: Philosophy Essay In German - 1220 words Formulierung des . Problems (Zusammengefasst): Man nehme an, dass es einen Hgel gibt auf dem eine Straenbahn fhrt und am Ende des Hgels eine Strae verluft. Nehmen wir an auf der Strae genau auf den Straenbahnschienen steht ein Schulbus voll mit kleinen Kindern und pltzlich versagen die bremsen der Straenbahn und sie rast auf den Schulbus zu. Es ist klar das alle Kinder sterben, wenn die Straenbahn den Schulbus trifft. Zwischen. 1230 Words | 4 Pages. ?SUPER SIZE ME SAMPLE INTRO: Super size Me, produced in 2003 and directed by Morgan Spurlock, is essay gcse, presented to viewers as an amusing . informative documentary that aims to tell its audience of the fast food industry and the dangers of its products. Against? While the documentary looks at gcse all fast food chains, it zeroes in on the multi-billion dollar corporation McDonald’s, making it the main subject of the documentary. Through well thought out film techniques such as selection of detail, film language. Fast food , Fast food restaurant , French fries 795 Words | 3 Pages.
Fiction Essays Introduction to Literature Class Professor Lay Fall 2009 Saint Louis Christian College 1 . Fiction Essays 2 Table of Contents 1 Everyday Use Victoria Mallory 3 2 The Swimmer Scott Worley 8 3 Bartleby, the Scrivener Nathan Diveley 13 4 The Open Boat Megan Sabourin 18 5 Bartleby, the Scrivener Michael Womble 23 6 Everyday Use Jessica Diveley 28 7 Separating Laura Hocking 33 8 Where. Boleslaw Prus , Essay , Fiction 32773 Words | 97 Pages. Is Reading Fiction is a Waste of phd thesis, Time? English Diagnostic Essay Is Reading Fiction is a Waste of gcse, Time? ! ! Reading ?ction is not a waste of . time. There are many reasons why ?ctional books are good to read, but some of the main reasons are: reading ?ctional literature increases emotional awareness, enhances learning, and reading is good for the mind.! ! ! Fiction is full of emotion. The avid reader feels many emotions and essay, experiences lives through the characters in the book. As William Styron said, “A great book. Consciousness , Emotion , Great Depression 479 Words | 3 Pages. is it useful to distinguish between science fiction and essay, speculative fiction?
?GENY0002 SESSION 2 2013 Academic Skills Plus Essay 2 Atwood writes: “What I mean by zola, ‘science fiction ’ is those books . that descend from gcse H. G. Wells’s The War of the world, Worlds, which treats of an invasion by tentacled, blood-sucking Martians shot to Earth in metal canisters – things that could not possibly happen – whereas, for me, “speculative fiction ” means plots that descend from Jules Verne’s books about submarines and balloon travel and essay gcse, such – things that really could happen but just hadn’t. Definition , Fiction , Genre 1778 Words | 4 Pages. Fiction Essay: Young Goodman Brown. sinners. Goodman Brown's loss of faith has blinded him from college online vocabulary seeing this only allowing him to view the world in memory of the evil he viewed in the woods. Gcse? . Work Cited Hawthorne, Nathaniel. College Essay Online? Young Goodman Brown. Gcse? Literature: An Introduction to Fiction , Poetry, Drama, and Writing. By X. J. Kennedy and Dana Gioia. New York: Pearson Longman, 2007.
90-99. Print. . Allegory , Evil , Mosses from an college admission essay online vocabulary Old Manse 1346 Words | 4 Pages. ?LIT02 ELEMENTS OF FICTION The six major elements of fiction are character, plot, point of view, setting, style, and theme. . 1. Essay? Character -- A figure in a literary work (personality, gender, age, etc). E. Phd Thesis On Ofdm? M. Gcse? Forester makes a distinction between flat and round characters. Flat characters are types or caricatures defined by a single idea of quality, whereas round characters have the three-dimensional complexity of real people. 2. Plot –- the major events that move the action in a narrative.
It. Emilio Aguinaldo , Fiction , Literature 1721 Words | 3 Pages.
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sample resume making Upon several occasions throughout your career you will need to provide your potential employer with important information about your background and gcse, your qualifications. The most common method to provide information to emile, potential employers is to create a resume. A resume can create a vivid word picture of yourself. The World Wide Web (WWW) has recently became more popular, and is often considered the newest form of popular media by gcse many people. In fact, making your resume available on the World Wide Web is comparable to broadcasting it on national television during prime time hours. The most obvious benefit you will immediately receive by making your resume available on the Web is that you will reach an unlimited number of college online vocabulary people and have opened new doors to audiences you would otherwise probably have never reached before. Many companies will visit college resume lists searching for potential employees.
If you have your resume on paper but not on the Web, they will undoubtedly never see it. Another benefit of essay creating an electronic resume is cost. Many colleges provide space on their web server for their students' resumes free of charge. Resume! Using college web servers, students can practically eliminate paper and printing costs. Rather than performing mass mailings of your resume, you can reduce the number of printed copies you will need and reserve these for companies you are particularly interested in.
Other benefits you will receive by creating an HTML resume include: the ability to provide electronic links to your reference and essay, previous employers as well as providing links to previous jobs or projects you have been involved with the ability to make updates immediately available ease of maintainability the ability to show that you can adapt to, and use new technology as it becomes available (a plus to many employers) simply making your resume look more professional. By creating your resume using HTML and making it available on the World Wide Web, you will improve your chances of it experience getting a job that best suits your interests as well as your employer's interests. Writing Your Resume in HTML Format. CREATE YOUR RESUME ON A WORD PROCESSOR AND PRINT IT. When writing your resume, consult English books, writing guides, or take advantage of career services provided by many universities. Be sure to have someone proofread and review your resume. Many instructors in the English department of a University will gladly proofread your resume, but be sure to give it to him/her enough in advance to provide enough time to review it and so that it will not be an inconvenience to him/her.
Remember to be courteous and essay gcse, thank them; after all, they are doing you a big favor. It is much better to case studies, have a professor see your mistakes while you have the chance to correct them than for a potential employer to see them. It is gcse, important that your resume be grammatically correct as well as in essays against the correct format. Your resume is essay, often the first impression an employer will receive. It will be easier to htmlify your resume if you have already created it. By creating your resume first you can focus on formatting it rather than trying to create it and format it at emile naturalism the same time. SAVE YOUR WORD-PROCESSED RESUME IN TEXT (.txt) FORMAT.
This can usually be done by essay using the save as option found under the file utilities of your favorite word processor. If you are unable to locate a save as feature for ethics case business, your word processor consult your user's manual or contact customer support. After selecting save as choose text or Ascii text from the available list of formats. By saving your resume in text form, you will be able to add HTML formatting tags more easily. Although you could save your file in other formats, saving in text format will make it easier to essay, edit because text file format does not save any formatting information. Other file formats embed formatting information like boldface, italics, and indentations as part of the file. When you view or edit word processor formatted files you will see formatting information that is unreadable by HTML browsers, thus you will need to delete it before you will be able to proceed.
Editors allow you to change files without embedding formatting options such as boldface, italics and underscoring into the file. Many editors are available to use. Some of the essays most common are: edit on DOS machines and essay, PCs; emacs and vi on UNIX workstations; and edit on VAX/VMS machines. You can also use your favorite word processor to open a text file. For more information on the editor you will use, consult your system administrator or read your user's manual. Which editor you should use depends upon the type of naturalism system you are using and your preference between the editors on your system. Make sure you use an editor that you are familiar with.
By using an unfamiliar editor you will find yourself spending most of your time trying to learn to use the editor rather than actually creating your resume. Throughout the remainder of this document I will base the steps on the DOS editor and a generic word processor. To open your resume, first open the gcse editor by typing edit at a DOS prompt, or the appropriate command for the editor you intend to use. Resume! Next, choose the Open File option from the FILE menu. Fill in the filename you choose earlier or use the browse feature to locate the file. Elements of an HTML document are denoted using HTML tags. Essay! An HTML tag usually consists of on ofdm a left angle bracket ( ). Tags are also usually paired (e.g. ltP and lt/P), the first is used to identify the beginning of the element and the second (usually lt/tagname) identifies the end of the element.
Some tags may also contain additional information. This information should be placed inside the angle brackets. For example, to display a paragraph using full justification use ltP ALIGN=justifygt. HTML documents have a minimum requirement of gcse tags. These tags are required by HTML browsers in order to recognize a file as a HTML file. The following is a summary of the required HTML tags: The required HTML tags must be placed in the appropriate order inside and HTML file. The following HTML is it experience, a simple example of the minimum HTML document. Using indentation can greatly improve the essay gcse looks of abortion your HTML, make it easier to read, and make it much easier to essay gcse, maintain.
Although indentation is not required, you should always use it to improve your HTML. The benefits greatly outweigh the college essay vocabulary extra time it takes to write your HTML. Gcse! HTML browsers ignore extra white-space therefore the indentation will not be visible when the document is viewed using a HTML browser. Here is the emile zola essay previous example written using indentation to make it easier to essay, read. ADD ADDITIONAL HTML FORMATTING TAGS AS NECESSARY. The use of additional HTML tags will greatly enhance the appearance of phd thesis your resume.
HTML contains numerous tags to use, in addition many new tags will be added in the future. I could not possibly cover every tag here. However, I will briefly describe some of the commonly used and most useful tags. For advanced options, or a more detailed list you should obtain a copy of the latest HTML reference manual. This manual can be found on the world wide web at http://www.sandia.gov/sci_compute/html_ref.html. The following table contains many of the most common and essay, most useful HTML tags.
You can use any of these tags by essay vocabulary simply placing the essay begin tag, the text to format, and the end tag directly in your HTML document. College Vocabulary! You will find it useful to view your document as you make changes. See step 9 for instructions on how to gcse, view your current HTML document. By doing this, you will become familiar with the effects of the it experience resume tags. In order to ensure no word processor formatting options are saved into your file you should save your resume as a text file. Essay Gcse! However, when you choose your filename you should give it the .html or .htm extension. Phd Thesis! To do this choose save as from the essay file menu. Next you should choose the art essay text or ASCII text format from the available format list. Essay Gcse! Finally, type your filename in the filename input box as filename.html or filename.htm where filename is the name you wish to world without art essay, call your file (e.g. resume.html).
CREATE AND/OR ACQUIRE ANY IMAGES YOU WANT TO USE IN YOUR RESUME. While creating images can be very fun and essay, exciting, it is also very time consuming. There are many tools available to help you create your custom images such as Paint Shop Pro, Photoshop, Corel Draw, and MsPaint. For information on how to use these tools you should consult your user's manual. An alternative to creating custom images is to find a non-copyrighted image on the world wide web and copy it. One method of locating useful and free images is to view clipart collections available on the web such as Caboodles of Clipart. Another method of locating useful images is to use the Yahoo search engine and search for the image. To do this simply type image:keyword in the Yahoo's search box and click on world without art essay the search button. This type of searching is very time consuming and often does not result in any useful images.
If you are unable to create or locate the image you desire and feel that your resume would be incomplete without it, you should consider hiring a Graphics Artist to create the gcse image for without, you. Although images can improve the appearance of your resume, you should use them sparingly. Essay! Often the quality of your resume decreases proportionally with an increase in the number of images you add. Any graphics you use (except for a background) should be relatively small in studies business size. Most web developers agree that large images take longer to load and will in turn drive impatient viewers away from essay, your page. In addition, you should keep the content of your images on world without a professional level unless the essay gcse image directly relates to your job qualification. For example it is acceptable to have cartoons you've created on your resume if you're applying as a cartoonist. However, you should consider placing any such images on a second page and case, creating a link to it. ADD HTML IMAGE TAGS AS NECESSARY FOR EACH OF THE IMAGES YOU PLAN TO USE IN YOUR RESUME, AND SAVE YOUR RESUME (SEE STEP 6).
To insert an image into your HTML resume open your resume in your editor, then use the ltIMG SRCgt tag to specify the location and essay gcse, filename of studies business your image. For example, to display an image called computer.gif that is essay gcse, 32x45 in size, use the following tag: ltIMG SRC=directory/computer.gif ALT=Computer WIDTH=32 HEIGHT=45 BORDER=0gt. All images should be in the .GIF or .JPG file format. If you see a gray box with three small dots in it rather than your image, then the studies business browser was unable to load your image. Possible causes of essay this problem are: you used an incompatible file format, the essay vocabulary image does not exist, you did not specify the correct filename or had a typographical error in the directory/filename, or the essay gcse file permissions were set incorrectly (UNIX workstations require that you set the file permissions of an image to 770. See your system administrator or consult a UNIX reference manual for help with setting file permissions). Be sure to resume, save your resume after you make any changes. OPEN YOUR HTML RESUME IN A HTML BROWSER. Open your HTML browser by essay gcse clicking on its Windows Icon, or by typing its execution command at zola naturalism essay the command prompt. There are many browsers available for use such as Netscape, Microsoft Explorer, and ICOMM. Consult your user's manual for gcse, help with using your HTML browser.
Open your resume by clicking on the Open File option on college essay online the File menu. Next, type the filename you choose earlier in the filename input box or using the browse feature to locate the file, then click on gcse the ok button. Your resume should be displayed in essays against the browser window. Viewing your resume in an HTML browser is an excellent way to essay, ensure the content of your resume. REPEAT STEPS 5 THROUGH 9 UNTIL YOU ARE SATISFIED WITH THE APPEARANCE OF YOUR RESUME. After reviewing your resume in an HTML browser, you should revisit steps 5 through 9 above and make any necessary changes. Once you are familiar with the process of creating a HTML document, most of these steps can be performed as necessary in any order. Emile Zola Naturalism Essay! You should get your resume to a point that you are satisfied with before preceding.
In order to ensure that you have not made any mistakes in the uniform resource locator (URL) addresses, you should click on essay gcse each of the links you've created using your HTML browser. Links that do not work are nicknamed broken links. Broken links are highly unprofessional and will affect the impression a potential employer has on your resume. Broken links are usually the result of a typographical error or a link to a web site that no longer exists. Because the web is constantly changing, you should only create hypertext links to sites that are relatively stable. In order for your resume to be visible to essays abortion, the rest of the world, you must have current internet provider. Many universities provide the resources for students to install their resumes. Contact your University Webmaster to obtain information. You can often locate the Webmaster through an email address on the universities main web page. After you have completed your HTML resume, copy it and essay, all of the admission essay online images you have used to the directory your web provider specifies. After installing your HTML resume you should always test it.
Visit the URL your web provider supplies to insure it was installed properly. You should always respond to potential employers that contact you as soon as possible. Gcse! In addition you should always mail a paper copy of essays abortion your resume to any potential employers. By showing sincere interest, you will increase an essay employer's impression. The Source For Java Development. Java Report . March/April 1996. Java Report is a relatively new magazine for software developers using the it experience Java environment. Java is a relatively new software developing environment that allows software developers to implement more complex features such as Net-based electronic transactions and essay gcse, delivering interactive content across the Web. Java Report combines programming tips, new technology, application trends and corporate issues to bring the reader a broader range of information.
In one of the articles Philip David Meese does an excellent job of explaining to zola, the reader how to create his/her first Java application. His article was well written and essay gcse, was equivalent in content to a small course. The article The Java Tutor provides clear and concise information as well as easy to understand example code. I strongly agree with Mr. Emile Zola Naturalism! Meese's confidant statement by the time you finish reading this article, you'll be able to develop a Java application. An entire section of Java Report is devoted to Product Review. Essay! In this section the authors review Java related products and provide information to the reader.
This information was the equivalent of a Consumer Reports article. This section is business, a great source of information about gcse individual products. In general, Java Report is a great source of information relating to studies, the use and development of Java applications for any software developer. However, some of the technical articles may be beyond the scope of the average reader. Rampe, David. Essay! Cyberspace Resumes Fit the phd thesis Modern Job Hunt. The New York Times . 3 February 1997, sec. Essay! C6.
In his article Cyberspace Resumes Fit the Modern Job Hunt David Rampe discusses the advantages and disadvantages of an without art essay HTML resume. The article, which appeared in The New York Times' Taking In the Sites section provides some very useful information regarding resumes. Gcse! Some of the topics Mr. Ethics Business! Rampe discusses includes the searchability of HTML resumes, electronic filling, industry jargon, and essay gcse, the dehumanization of the process. Mr. Rampe also discusses the importance of writing your HTML resume in the proper fashion, to phd thesis, the computer. He states that you must resolve mentally to address your resume to 'Dear Computer. Essay Gcse! ' and just ignore the dehumanization of it all. In addition, the article provides the URLs for eleven electronic sources to help the reader get started.
Each of the sources listed are excellent sources of it experience information and should be reviewed by anyone who decides to create and HTML resume. Rampe also discusses cookie-cutter forms available on the World Wide Web to help the least experienced computer user create his/her HTML resume. In general, Mr. Essay Gcse! Rampe provides an ample amount of information and resources necessary to create an HTML resume. Without Art Essay! Rampe provides both the essay gcse pros and the cons of an HTML resume in an unbiased fashion, leaving the reader to decide the business necessity of an essay gcse HTML resume. Sandia National Laboratories. HTML Reference Manual , 2 January 1996. Sandia National Laboratories' HTML Reference Manual is, in my opinion, the most complete and useful source of HTML information. Without! Although the manual is currently over a year old, the information it contains is gcse, accurate, precise and it experience resume, very helpful. The HTML Reference Manual begins with and essay gcse, introduction to HTML in general, then lists important terms and definitions. Case! Next the authors validate the document's content by discussing the gcse conformance guideline RFC 1866, commonly referred to as HTML Version 2. The authors also discuss the importance of it experience Sandia requirements for specific HTML elements.
Next the authors discuss the general breakdown of HTML into: General HTML syntax, HTML Comments, HTML Elements, Uniform Resource Locators (URL), Special Characters, and Internal Icons. Finally, the authors break down over one hundred HTML elements into a description, minimum attributes, all possible attributes, elements allowed within, allowed in content of, and essay gcse, variations. In addition the document contains an art essay easy to use index which allows the reader to jump directly to any element of interest. The HTML Reference Manual provides the most complete reference manual available. In addition it is well written, well organized and very easy to use.
This document is an essay excellent source of information for it experience resume, both the novice and expert HTML programmers. Authors Note: Windows, DOS, Paint Shop Pro, MsPaint, Yahoo, Café, Netscape, ICOMM and essay, Microsoft Internet Explorer are copyrighted by their respective owners.
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Case Study: A Patient With Type 2 Diabetes Working With an Advanced Practice Pharmacist to Address Interacting Comorbidities. Advanced practice pharmacists in the field of diabetes work collaboratively with patients’ medical providers, often in primary care settings or in close proximity to the providers’ practices. They help to integrate the essay gcse, pharmaceutical, medical, education/ counseling, and direct patient care activities necessary to meet patients’ individual self-management and diabetes care needs. Patient education and self-management behavioral change are underpinnings of pharmaceutical care, and not only as they directly relate to against the use of medications. Pharmacists, especially those who are certified diabetes educators (CDEs), frequently provide diabetes patients with education not only on medications, but also on the overall disease state, nutrition, physical activity, decision-making skills, psychosocial adaptation, complication prevention, goal setting, barrier resolution, and cost issues.
In addition to these substantial education responsibilities, advanced practice pharmacists who are Board Certified–Advanced Diabetes Managers (BC-ADMs) play an expanded role that encompasses disease state management. This includes performing clinical assessments and limited physical examinations; recognizing the need for additional care; making referrals as needed; ordering and interpreting specific laboratory tests; integrating their pharmacy patient care plans into patients’ total medical care plans; and entering notes on patient charts or carrying out other forms of written communication with patients’ medical care providers. Depending on state regulations and physician-based protocols, some advanced practice pharmacists can prescribe and adjust medications independently or after consultation with prescribing clinicians. The clinical activities of BC-ADM pharmacists are not carried out independent of referring, collaborative practitioners. Rather, they are complementary to and serve to enhance the diagnostic, complex physical assessment, and gcse management skills of medical providers. The following case study illustrates the pharmacotherapeutic challenges of diabetes with other comorbidities, which can lead to potential drug-drug and drug-disease interactions. Although it does not offer detailed solutions to such problems, this case does describe the process of patient care and problem resolution as approached by advanced practice pharmacists. B.L. is a 58-year-old white woman who has been referred to the pharmacist clinician for pharmacotherapy assessment and diabetes management. Her multiple medical conditions include type 2 diabetes diagnosed in emile zola naturalism, 1995, hypertension, hyperlipidemia, asthma, coronary artery disease, persistent peripheral edema, and essay gcse longstanding musculoskeletal pain secondary to a motor vehicle accident. Ethics Case Business! Her medical history includes atrial fibrillation with cardioversion, anemia, knee replacement, and multiple emergency room (ER) admissions for asthma.
B.L.’s diabetes is currently being treated with a premixed preparation of 75% insulin lispro protamine suspension with 25% insulin lispro preparation (Humalog 75/25), 33 units before breakfast and 23 units before supper. Essay Gcse! She says she occasionally “takes a little more” insulin when she notes high blood glucose readings, but she has not been instructed on the use of an insulin adjustment algorithm. Her other routine medications include the fluticasone metered dose inhaler (Flovent MDI), two puffs twice a day; salmeterol MDI (Serevent MDI), two puffs twice a day; naproxen (Naprosyn), 375 mg twice a day; enteric-coated aspirin, 325 mg daily; rosiglitazone (Avandia), 4 mg daily; furosemide (Lasix), 80 mg every morning; diltiazem (Cardizem CD), 180 mg daily (per cardiologist consult); lanoxin (Digoxin), 0.25 mg daily (per cardiologist consult); potassium chloride, 20 mEq daily; and fluvastatin (Lescol), 20 mg at bedtime. Medications she has been prescribed to take “as needed” include sublingual nitroglycerin for it experience resume chest pain (has not been needed in the past month); furosemide, additional 40 mg later in essay gcse, the day if needed for swelling (on most days the additional dose is needed); and it experience albuterol MDI (Proventil, Ventolin), two to four puffs every 4–6 hours for shortness of breath. She denies use of nicotine, alcohol, or recreational drugs; has no known drug allergies; and is up to date on her immunizations. B.L.’s chief complaint now is increasing exacerbations of gcse, asthma and the need for phd thesis on ofdm prednisone tapers. She reports that during her last round of prednisone therapy, her blood glucose readings increased to the range of 300–400 mg/dl despite large decreases in gcse, her carbohydrate intake. She reports that she increases the frequency of admission essay, her fluticasone MDI, salmeterol MDI, and albuterol MDI to four to five times/day when she has a flare-up. However, her husband has been out of work for more than a year, and their only source of income is essay, her Social Security check. Against! Therefore, she has been unable to purchase the fluticasone or salmeterol and so has only been taking prednisone and essay albuterol for recent acute asthma exacerbations. B.L. reports eating three meals a day with a snack between supper and bedtime.
Her largest meal is college admission online, supper. Essay Gcse! She states that she counts her carbohydrate servings at each meal and essay online is “watching what she eats.” She has not been able to exercise routinely for gcse several weeks because of bad weather and her asthma. The memory printout from her blood glucose meter for the past 30 days shows a total of 53 tests with a mean blood glucose of 241 mg/dl (SD 74). Phd Thesis On Ofdm! With a premeal glucose target set at 70–140 mg/dl, there were no readings below target, 8% within target, and 91% above target. Essay! By comparison, her results from the same month 1 year ago averaged 112 mg/dl, with a high of world without art essay, 146 mg/dl and essay gcse a low of phd thesis, 78 mg/dl. B.L. is well-appearing but obese and is in no acute distress. A limited physical exam reveals: Weight: 302 lb; height 5?1?
Blood pressure: 130/78 mmHg using a large adult cuff. Pulse 88 bpm; respirations 22 per minute. Lungs: clear to auscultation bilaterally without wheezing, rales, or rhonchi. Lower extremities +1 pitting edema bilaterally; pulses good. B.L. reports that on the days her feet swell the gcse, most, she is active and in an upright position throughout the day.
Swelling worsens throughout the day, but by the next morning they are “skinny again.” She states that she makes the decision to take an extra furosemide tablet if her swelling is excessive and ethics case studies painful around lunch time; taking the essay gcse, diuretic later in art essay, the day prevents her from sleeping because of nocturnal urination. For the gcse, sake of college admission essay, brevity, only abnormal or relevant labs within the past year are listed below. Hemoglobin A 1c (A1C) measured 6 months ago: 7.0% (normal range: 5.9%; target: 7%) Creatinine: 0.7 mg/dl (normal range: 0.7–1.4 mg/dl) Blood urea nitrogen: 16 mg/dl (normal range: 7–21 mg/dl) Sodium: 140 mEq/l (normal range: 135–145 mEq/l)
Potassium: 3.4 mg/dl (normal range: 3.5–5.3 mg/dl) Calcium: 8.2 mg/dl (normal range: 8.3–10.2 mg/dl) • Total cholesterol: 211 mg/dl (normal range 200 mg/dl) • HDL cholesterol: 52 mg/dl (normal range: 35–86 mg/dl; target: 55 mg/dl, female) • LDL cholesterol (calculated): 128 mg/dl (normal range: 130 mg/dl; target: 100 mg/dl) Initial LDL was 164 mg/dl. • Triglycerides: 154 mg/dl (normal range: 150 mg/dl; target: 150 mg/dl) Liver function panel: within normal limits. Urinary albumin: 30 ?g/mg (normal range: 30 ?g/mg) Poorly controlled, severe, persistent asthma.
Diabetes; control recently worsened by asthma exacerbations and essay treatment. Dyslipidemia, elevated LDL cholesterol despite statin therapy. Persistent lower-extremity edema despite diuretic therapy. Hypokalemia, most likely drug-induced. Hypertension JNC-VI Risk Group C, blood pressure within target and stable. Coronary artery disease, stable. Chronic pain secondary to previous injury, stable. Status post–atrial fibrillation with cardioversion. Status post–knee replacement. Financial constraints affecting medication behaviors. Insufficient patient education regarding purposes and role of specific medications.
Wellness, preventive, and routine monitoring issues: calcium/vitamin D supplement, magnesium supplement, depression screening, osteoporosis screening, dosage for daily aspirin. Strand et al.1 proposed a systematic method for college admission vocabulary evaluation of and intervention for a patient’s pharmacotherapy, using a process called the Pharmacist’s Work-Up of Drug Therapy (PWDT). Essay Gcse! The PWDT has been modified by subsequent authors,2–4 but the process remains grounded in the following five questions: What are reasonable outcomes for this patient? Based on current guidelines and literature, pharmacology, and pathophysiology, what therapeutic endpoints would be needed to achieve these outcomes? Are there potential medication-related problems that prevent these endpoints from being achieved? What patient self-care behaviors and medication changes are needed to address the medication-related problems? What patient education interventions are needed to college enhance achievement of these changes?
What monitoring parameters are needed to essay gcse verify achievement of goals and detect side effects and toxicity, and how often should these parameters be monitored? Clinical outcomes are distinctly different from therapeutic or interventional endpoints. The former refers to the impact of treatment on patients’ overall medical status and quality of life and should emphasize patient-oriented evidence that matters (POEMs) rather than disease-oriented evidence (DOEs). Therapeutic endpoints include the anticipated and desired clinical effects from case drug therapy that are expected, ultimately, to achieve the desired outcome(s). As such, therapeutic endpoints are used as surrogate markers for achievement of outcomes. Essay Gcse! Commonly, more than one endpoint will be needed to achieve an outcome.
For example, near-normal glycemic control and it experience resume normalization of blood pressure (endpoints) would be necessary to significantly reduce the risk of end-stage renal disease (outcome). Therapeutic endpoints should be specific, measurable, and achievable within a short period of time. Achievement of clinical outcomes usually cannot be determined except by long-term observation or retrospective analysis. Outcomes and endpoints for any given patient should be determined collaboratively between patient and provider before selecting or initiating pharmacotherapy or nonpharmacological interventions. Essay! Taking the time to zola naturalism essay identify these components up front (and periodically revise them later on) helps ensure that subsequent medications or strategies are appropriately directed. It further ensures a common vision and commitment for ongoing patient care and self-management among the care team (including the patient), thus maximizing the potential for optimal disease control and patient satisfaction. The outcomes and endpoints for a patient such as B.L. are numerous and obviously would not be addressed or attained in a single session. Therefore, after desired outcomes and endpoints are determined, they should be prioritized according to medical urgency and gcse patient preference. Implementation and goal setting related to against these priorities can then be undertaken, thus establishing a treatment plan for the eventual attainment of the full list.
During ongoing and follow-up visits, this care plan should be reviewed and modified as indicated by changes in patient status, preferences, and medical findings. Examples of desired outcomes and endpoints for B.L. are given in Tables 1 and 2. Essay! For the on ofdm, sake of brevity, these tables are not intended to essay gcse be inclusive. Medication-Related Problems and Proposed Interventions. With agreement between patient and clinician concerning desired outcomes and endpoints, the next logical step is to evaluate whether the current treatment plan is likely to achieve those goals, or, if treatment is to on ofdm be initiated, which therapies or interventions should be selected. According to Strand et al.,1 a medication-related problem is essay gcse, any aspect of a patient’s drug therapy that is interfering with a desired, positive patient (therapeutic) outcome or endpoint.
The PWDT proposes a systematic and without art essay comprehensive method to essay identify, resolve, or prevent medication-related problems based on the following major categories: No indication for a current drug. Indication for world art essay a drug (or device or intervention) but none prescribed. Wrong drug regimen (or device or intervention) prescribed/more efficacious choice possible. Too much of the correct drug. Too little of the correct drug. Adverse drug reaction/drug allergy. Drug-drug, drug-disease, drug-food interactions. Patient not receiving a prescribed drug. Routine monitoring (labs, screenings, exams) missing.
Other problems, such as potential for essay overlap of adverse effects. Once problems are identified, resolutions must be developed, prioritized, and implemented. Patient or caregiver input is ethics studies, especially helpful at this stage because the individual can describe subjective as well as objective data, expectations or concerns that may be affecting drug therapy, and gcse deficits in drug knowledge, understanding, or administration. Resolutions may result from case studies business numerous strategies, including dose alteration, addition or discontinuation of medication, adjunct medications, regimen adjustment, complementary therapies, instruction on medication administration or devices, disease or medication education, development of “cues” as compliance reminders (e.g., pill boxes), and essay identification of essay vocabulary, ways to avoid, detect, or manage side effects or toxicities. Needless to say, the involvement of essay, patients and family or caregivers is art essay, critical for gcse successful implementation of most resolution strategies and for phd thesis optimal disease management. Because of the essay, extent of without, B.L.’s medication-related problems and potential interventions (Tables 3 and gcse 4), it was agreed to tackle first her asthma exacerbations and emile zola naturalism essay high blood glucose levels. Essay! To this end, B.L. was counseled about the role of maintenance asthma medications versus rescue drugs. The root of her confusion between these agents was easy to understand—because the prednisone and fluticasone were both called steroids, it seemed likely that the tablets were a cheaper and easier way to take the medicine.
Likewise, since albuterol and phd thesis on ofdm salmeterol were both called bronchodilators, it seemed that the albuterol was the cheaper way to take the gcse, medicine. Having grasped the concept of asthma prevention, she was willing to convert to a product combining fluticasone and salmeterol (Advair Diskus) for maintenance/prevention and to reserve the albuterol for quick relief of acute symptoms. Free samples of the new product were dispensed, and phd thesis on ofdm B.L. was enrolled in the manufacturer’s indigent drug program for subsequent supplies. She was further instructed on the use of a peak flow meter and gcse advised to monitor her readings and symptoms. At the next visit, these data will be used to determine her maximal expiratory effort (“personal best”) and to construct an asthma action plan. B.L.’s insulin was changed to a basal-based regimen utilizing bedtime glargine (Lantus) insulin and premeal lispro (Humalog) insulin. On Ofdm! Education was provided on this dosing concept. She and essay the pharmacist discussed how this regimen can give greater flexibility in dosing, especially for responding to world without art essay changes in diet, exercise, and disease exacerbations or medications. She was also given an essay initial supplementary adjustment algorithm (sliding scale) to correct for any temporary elevation of emile naturalism, blood glucose.
She agreed to test four times daily and to record her blood glucose results, carbohydrate intake, and insulin doses. At the next visit, these data will be used to modify the adjustment algorithm and to construct a prospective algorithm for matching premeal bolus insulin to the anticipated carbohydrate intake (insulin-to-carbohydrate ratio). The final interventions for this visit were to increase the dose of potassium chloride and change the gcse, fluvastatin to atorvastatin (Lipitor) to case studies further reduce B.L.’s LDL cholesterol. Medication education for essay gcse atorvastatin was provided, and patient questions were answered. Other medication-related problems and interventions identified for B.L. are listed and without briefly discussed in gcse, Tables 3 and 4. For the sake of brevity, these lists are not inclusive nor are all pharmacotherapy issues discussed.
Monitoring for college admission essay vocabulary Effectiveness, Side Effects, and Toxicity. The last step in essay, the PWDT process is to develop a plan to evaluate the patient’s progress in attaining desired outcomes, therapeutic endpoints, and behavior changes; to assess effectiveness of pharmacotherapy; and to identify side effects, drug interactions, or toxicity issues that need to be addressed. The monitoring/follow-up component is the phd thesis on ofdm, most tedious aspect of the PWDT. For each medication or intervention, key parameters must be identified as markers for effectiveness, for side effects, for drug interactions, and for toxicity. In addition, the time frame and process for assessing those parameters must be determined. Finally, the gcse, desired range for the parameter must be listed or a “decision point” must be identified to signal that additional action will be required. It should be noted that only a limited number of world without, parameters are selected for a given patient. For example, it is not necessary to list and monitor for every possible side effect with equal intensity and frequency. Essay! Selection of the monitoring parameters is based on without art essay the positive effects (efficacy) that are most important to the care of that patient, as well as the gcse, adverse effects (side effects, toxicity, or drug interactions) that are most important to essays abortion against avoid for the safety of that patient or to which that patient is most prone. Because the monitoring component is usually extensive, examples listed for B.L. in Table 5 have been limited to gcse three of the essay online vocabulary, medication or regimen changes that were made at the first pharmacist visit: switching from fluvastatin to gcse atorvastatin; switching from two shots of premixed 75/25 lispro to bedtime glargine with premeal lispro; and substituting the combination inhaler product for her fluticasone and salmeterol MDI prescriptions.
Because atorvastatin and abortion fluvastatin differ chemically, the gcse, monitoring parameters for this change are similar to college admission essay online those for initiation of a new medication. Monitoring for the new insulin regimen (basal insulin with premeal bolus) focuses primarily on glycemic control patterns and hypoglycemic episodes. Essay Gcse! Because B.L. has previously used the two ingredients of her new inhaler product (fluticasone and salmeterol) without adverse effect, monitoring of studies business, her new asthma therapy is focused on effectiveness, tolerance of inhalation of its dry powder formula, and use of the administration device. Diabetes patients with multiple co-morbidities have concerns about all of their problems, not just the diabetes; therefore, BC-ADM pharmacists must comprehensively explore all the gcse, ramifications of ethics business, comorbidities as well as patients’ feelings, expectations, and concerns for essay total health. B.L. is a good example of abortion against, this; even though her referral was for “diabetes management,” her greatest concern at this visit was her asthma exacerbations. As can be seen in gcse, this case, each coexisting disease or coprescribed drug has a domino effect, affecting other diseases or drugs and ultimately affecting quality of life. With input from ethics case business B.L., the gcse, pharmacist clinician was able to college admission online vocabulary develop a PWDT that addresses her diabetes as well as her other health care needs.
B.L. was able to essay leave the health center with a few achievable self-care goals and medication changes that address her acute concerns and with the knowledge and confidence that, at each subsequent visit, additional progress will be made toward her personalized health status goals. Examples of B.L.’s Desired Outcomes. Examples of emile zola, B.L.’s Therapeutic Endpoints. Examples of B.L.’s Medication-Related Problems. Examples of B.L.’s Interventions (Prioritized and to be Implemented Accordingly)
Examples of essay gcse, B.L.’s Monitoring Plans. Peggy Yarborough, PharmD, MS, BC-ADM, CDE, FAPP, FASHP, NAP, is a professor at Campbell University School of Pharmacy in Buies Creek, N.C., and phd thesis a pharmacist clinician at Wilson Community Health Center in Wilson, N.C. For information concerning POEMs and DOEs: a multitude of gcse, literature on this topic is available through Internet sources. Search for “patient oriented evidence that matters” using a medical topic browser. 2017 by abortion, the American Diabetes Association. Diabetes Spectrum Print ISSN: 1040-9165, Online ISSN: 1944-7353 .