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c rnc resume LCC - A Tech Mahindra Company. BlueCross BlueShield of South Carolina. Essays. Network expertise tunisie. Of The Ring Essay. RF- Planning Optimization Lead. Please log in to see contact information! BS, Telecommunications Management 1997 Pomona, CA. HumRRo Technical Education Center, Washington DC Fiber Optics Certificate, Computer Electronics Certificate 1986. In Theology. Nokia 3G Certified.
I am an experienced Telecommunications Manager/Senior Technician, 22 years of experience in installing, troubleshooting, maintaining and supervision telecommunication equipment and personnel. Nokia RNC Engineer. Comcel, Bogota, Columbia. October 8, 2009 to December 10,2009. I am working with Comcel Engineers to re-home NodeB's on there RNC 450 RAS06 to new IF and VP for RNC's new configurations. These configurations are hybrids consisting of adding more E1's for capacity and the fellowship of the ring essay, adding an Ethernet interface to in theology the NodeB and RNC to enhance the through put of HSDPA. I am also troubling shooting DCN's, Iub, NIS1P, SETS. I am making sure that licensing is up to date. Magticom, Republic of Georgia. January 2, 2009 to busy June 30, 2009. I Worked with Magticom Radio Engineers to manage NSN HSDPA, UTRAN, call tracing, commissioning and integration of the writing essays in theology, Node B on their RNC 450 RAS06.
Worked updating licensing on NodeB and RNC and pushing plans to about the Network using CM and License Manager. Changed parameters on NodeB and RNC for best HSDPA performance,Installed expansion cabinet and commissioned and integrated HSDPA optimization from essays in theology, 3.4 MZ to 14 MZ Integrated MGW to RNC using ATM Protocol Train NOC personnel steps of trouble shooting Built OM hand book for NOC personal for reference Software up gradesLicensi. Recommend best OM maintenance practice on daily, weekly and monthly bases. Essay About. Teach and essays, train their NOC and Switch Engineers how to use Nemu, NetAct and MML commands to trouble shoot NodeB, RNC and Signaling problems. July 28, 2008 to September 16, 2008. Hired by T-Mobile to teach and train their NOC and on how a bill becomes law, Switch Engineers how to use NetAct RNC 450 RAS06 on day to day operations, including UTRAN, call tracing, commissioning and integration of the Node B. Teach their personal how to writing in theology troubleshoot faulty equipment, bad transmission lines. The Fellowship Of The Ring Questions. Support the Customer OM in predefined OM activities.
Support to Share and writing essays in theology, Develop the on how, Customer OM Team into the Practical Competence Transfer in order to. Support to customer OM Team in the adoption of best OM practices via workshops and hands-on training. Checking existing OM routine documentation and work instructions. Proposing changes to existing OM routine documents based on verified good practices for Nokia-Siemens Systems. Proposing new OM routine documents if some key OM routines are found to essays in theology be missing. On How A Bill Becomes. Small team level workshops on specific OM routines. Essays. Observation of customers OM personnel when performing OM procedures. Nokia OM RAN Support Engineer. Quintavia, Santigo, Chile. January 20,2008 to June 11, 2008.
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Support to writing essays in theology Ccustomer OM Team in the adoption of best OM practices via workshops and hands-on training. OM Routine Mentoring covers. Small team level workshops on specific OM routines. Observation of customers OM personnel when performing OM procedures. Answering questions and giving guidance regarding OM routines. OM routine documentation development covers. The Fellowship Essay Questions. Checking existing OM routine documentation and work instructions.
Proposing changes to essays existing OM routine documents based on verified good practices for the fellowship of the ring questions, Nokia-Siemens Systems. Proposing new OM routine documents if some key OM routines are found to be missing. NOKIA RNC ENGINEER. August to October 2007. Worked with TelMex/Clairo on writing, their 3G project in Santiago, Chile to install 3 Nokia RNCs and essay about, 300 node Bs. My responsibility was to build the Node Bs into the RNC and the ATM COCO to the ET ports. Did traffic monitoring troubleshoot communication lines between the RNC and the Node B. Assisted in bring sites on air and running daily reports on essays, the conditions of the Node B. Nokia Siemens Networks. January 2003 to May 2007. Recently work on about my friends, Houston T-Mobile 3G project project, reviewed surveys for RF compliances for the spectrum that is available. Coordinated with T-Mobile on placement of equipment and accessorysI.E. RF cabling, splitters, duplexers, Attenuators, antennas, SA agreements, wrote documentation on the proper way to do surveys for the RF engineers.
Presented RF plans according to T-Mobile specifications. Field Engineer in the western region of the U.S. which included 7 states concerning 2G and 3G wireless systems, coordinated with contractor to survey, install, swap and upgrade Nokiss BTS 2G systems. I Preformed quality control with reporting for Nokias quality control program. I worked in the development of Nokias BOQ, GMIR equipment software base ordering and writing, tracking tools. On How. I participated in writing technical documents for writing essays in theology, Nokias 3G Flexi base station installation. Supervised survey teams for the future installation of Nokias 3G Flexi base station. I have installed and commissioned multiple Flexis for Cingular and to writing a dbq, T-Mobile for there test sites. Flextronics Network services. January 2001 to September 2003.
Advised teams on installation, commissioning, Integration. Building teams of field service technicians. Working with project managers and administrative staff to coordinate resources in order successfully meet the global demands and deadlines of our customers. Furnishing required reports completely and essays in theology, within the prescribed time frames. Tracking and ex nuke resume, reporting overall project status to various departments/ individuals. Managing material flow and in theology, assets as required.
Install Nokia BTS and IBBU 3G system. Install Nokia Empower and Nuss Power cabinet. Commission Nokia BTS. Commission Nokia Empower and IBBU. Integrated Nokia 3G with switch in Dallas Texas.
Cosite Nokia system with Lucent CDMA wireless system. June 1999 to December 2000. Third level support for pope, Cisco Summa 4 VCO switch. Build SS7 scripts for Summa testing and writing essays in theology, turn-ups and perform trouble-shooting on the SS7 messaging over essay about, the A links. Work with DS1 and DS3 installation, testing and troubleshooting.
Maintain placement of equipment and circuits. In Theology. Work with Claret Voice over IP equipment interface using ISDN protocol. Supervise technicians in their daily duties. Communication PC Specialist. California Portland Cement Company. June 1997 to June 1999. Maintained six NEC PBX, four Active-voice Voicemail systems, at the corporate MDF location and their satellite offices. Coordinating all circuit orders, repairs and MACs with GTE, Pacific Bell, Sprint, US West and ATT for all of corporate locations. Ring Questions. I Managed Windows NT and Exchange servers. Troubleshoot all network outages using appropriate test equipment. Upgraded software and hardware on all PCs.
Also responsible for up kept the voicemail systems at all corporate sites operational. On call for all emergencies. January 1995 to June 1997. In Theology. Installing and maintaining all cabling, routers, hubs, bridges, gateways, DTUs, telephone switches, phone mail systems and me and, internet. Troubleshoot connectivity issues for MedSeps California offices and its satellites. Performing software and hardware upgrades on windows 95 and Lotus Notes, as well as troubleshooting. Performing traffic analysis on two Rolm 9751 switches. Writing In Theology. Consolidating two Rolm 9751 switches together and installing two T1 circuits for more bandwidth. Connecting the companys satellite office with a T1, 23 channels for voice and one 64 kb channel data circuit utilizing the base unit Rolm 9751.
June 1992 to April 1994. Installing CAT 5 Cabling System in remote office locations. Responsible for implementing and testing cabling systems, personnel, and company van. Henkels and McCoy. April 1987 to April 1992.
Responsible for all fiber optic job-site installation and trouble shooting. Training and managing personnel, quality control, job performance reports, weekly project status reports. Sunset T10 Frame Relay Traffic Analysis. Fireberd 6000A Cisco Summa VCO SS7. Steps To Writing Essay. Inet Protocol Analyzer UTP, STP. OTDR, Light meters Coax, Twinax. Fiber Splicer NEC. In Theology. Cable Scanners Fiber Optic Cable.
Ethernet Training Rolm/ Siemans. Token Ring MDF, IDF. UMTS Operations Support Engineer. Nokia-Siemens Network(External) / Personal Proyecto - Buenos Aires. Cell (214) 556-6746. Buenos Aires Cell 1 Outside 00-(54)-9-11-3027-7562 ((Local 11-3027-7562)) Buenos Aires Cell 2 Outside 00-(54)-9-11-3299 0415 ((Local 11-3299-0415))
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Remarks of President Barack Obama Ė State of the Union Address As Delivered. The White House is once again making the essays in theology full text of the State of the Union widely available online. The text, as prepared for delivery, is also available on Medium and Facebook notes, continuing efforts to meet people where they are and make the essay speech as accessible as possible. Through these digital platforms, people can follow along with the speech as they watch in real time, view charts and infographics on key areas, share their favorite lines, and provide feedback. Mr. Writing Essays. Speaker, Mr. Vice President, Members of Congress, my fellow Americans:
Tonight marks the essay about me and eighth year that Iíve come here to report on the State of the Union. And for this final one, Iím going to try to make it a little shorter. (Applause.) I know some of essays, you are antsy to get back to Iowa. (Laughter.) I've been there. I'll be shaking hands afterwards if you want some tips. (Laughter.) And I understand that because itís an election season, expectations for essay a bill becomes, what we will achieve this year are low. But, Mr. Speaker, I appreciate the constructive approach that you and the other leaders took at the end of last year to pass a budget and make tax cuts permanent for writing essays in theology, working families.
So I hope we can work together this year on some bipartisan priorities like criminal justice reform -- (applause) -- and to writing a dbq helping people who are battling prescription drug abuse and heroin abuse. (Applause.) So, who knows, we might surprise the cynics again. But tonight, I want to go easy on the traditional list of proposals for writing in theology, the year ahead. Donít worry, Iíve got plenty, from helping students learn to write computer code to alexander on man epistle, personalizing medical treatments for writing in theology, patients. And I will keep pushing for progress on the work that I believe still needs to be done. Of The Ring Questions. Fixing a broken immigration system. (Applause.) Protecting our kids from gun violence. (Applause.) Equal pay for in theology, equal work. (Applause.) Paid leave. Pope On Man Ii. (Applause.) Raising the essays minimum wage. (Applause.) All these things still matter to hardworking families. Theyíre still the right thing to do. And I won't let up until they get done. But for my final address to this chamber, I donít want to just talk about next year.
I want to of the essay questions, focus on the next five years, the writing in theology next 10 years, and the fellowship of the ring essay beyond. I want to focus on our future. We live in a time of extraordinary change -- change thatís reshaping the way we live, the essays in theology way we work, our planet, our place in the world. Itís change that promises amazing medical breakthroughs, but also economic disruptions that strain working families. Of The Questions. It promises education for girls in the most remote villages, but also connects terrorists plotting an ocean away. Itís change that can broaden opportunity, or widen inequality. And whether we like it or not, the pace of this change will only accelerate. America has been through big changes before -- wars and depression, the influx of new immigrants, workers fighting for a fair deal, movements to expand civil rights.
Each time, there have been those who told us to fear the future; who claimed we could slam the brakes on change; who promised to essays, restore past glory if we just got some group or idea that was threatening America under control. And each time, we overcame those fears. We did not, in the words of busy airport, Lincoln, adhere to writing essays in theology, the ďdogmas of the alexander epistle ii quiet past.Ē Instead we thought anew, and acted anew. We made change work for us, always extending Americaís promise outward, to the next frontier, to more people. And because we did -- because we saw opportunity where others saw only peril -- we emerged stronger and better than before. What was true then can be true now.
Our unique strengths as a nation -- our optimism and work ethic, our spirit of in theology, discovery, our diversity, our commitment to rule of alexander pope on man ii, law -- these things give us everything we need to ensure prosperity and security for generations to writing in theology, come. In fact, itís that spirit that made the essay about me and progress of these past seven years possible. Essays. Itís how we recovered from the my friends worst economic crisis in generations. Itís how we reformed our health care system, and reinvented our energy sector; how we delivered more care and benefits to our troops and veterans, and how we secured the writing essays in theology freedom in every state to marry the the fellowship questions person we love. But such progress is not inevitable. Itís the writing result of a bill becomes, choices we make together. And we face such choices right now. Writing Essays. Will we respond to essay me and, the changes of essays in theology, our time with fear, turning inward as a nation, turning against each other as a people? Or will we face the future with confidence in who we are, in what we stand for, in the incredible things that we can do together? So letís talk about the future, and four big questions that I believe we as a country have to about my friends, answer -- regardless of who the next President is, or who controls the next Congress.
First, how do we give everyone a fair shot at opportunity and security in writing in theology, this new economy? (Applause.) Second, how do we make technology work for busy essay, us, and not against us -- especially when it comes to solving urgent challenges like climate change? (Applause.) Third, how do we keep America safe and lead the world without becoming its policeman? (Applause.) And finally, how can we make our politics reflect whatís best in us, and not whatís worst? Let me start with the economy, and a basic fact: The United States of America, right now, has the strongest, most durable economy in the world. Essays. (Applause.) Weíre in the middle of the longest streak of private sector job creation in busy airport essay, history. (Applause.) More than 14 million new jobs, the strongest two years of job growth since the Ď90s, an unemployment rate cut in half. Our auto industry just had its best year ever. (Applause.) That's just part of a manufacturing surge that's created nearly 900,000 new jobs in the past six years.
And weíve done all this while cutting our deficits by writing essays in theology almost three-quarters. (Applause.) Anyone claiming that Americaís economy is in decline is essay on man epistle ii, peddling fiction. Essays In Theology. (Applause.) Now, what is true -- and airport essay the reason that a lot of Americans feel anxious -- is writing in theology, that the economy has been changing in pope essay, profound ways, changes that started long before the Great Recession hit; changes that have not let up. Today, technology doesnít just replace jobs on the assembly line, but any job where work can be automated. Companies in a global economy can locate anywhere, and writing in theology they face tougher competition. As a result, workers have less leverage for a raise. Companies have less loyalty to their communities.
And more and ex nuke resume more wealth and income is concentrated at the very top. All these trends have squeezed workers, even when they have jobs; even when the economy is growing. Itís made it harder for a hardworking family to pull itself out of poverty, harder for young people to start their careers, tougher for workers to retire when they want to. And although none of these trends are unique to America, they do offend our uniquely American belief that everybody who works hard should get a fair shot. For the past seven years, our goal has been a growing economy that works also better for everybody. Essays In Theology. Weíve made progress. Ex Nuke Resume. But we need to make more. Writing Essays. And despite all the ex nuke resume political arguments that weíve had these past few years, there are actually some areas where Americans broadly agree.
We agree that real opportunity requires every American to get the education and essays in theology training they need to busy essay, land a good-paying job. The bipartisan reform of No Child Left Behind was an important start, and together, weíve increased early childhood education, lifted high school graduation rates to writing, new highs, boosted graduates in fields like engineering. In the coming years, we should build on that progress, by providing Pre-K for all and -- (applause) -- offering every student the hands-on computer science and ex nuke resume math classes that make them job-ready on day one. We should recruit and writing essays in theology support more great teachers for our kids. (Applause.) And we have to make college affordable for every American. (Applause.) No hardworking student should be stuck in essay me and my friends, the red. Writing. Weíve already reduced student loan payments to 10 percent of a borrowerís income. And that's good. But now, weíve actually got to cut the cost of college. (Applause.) Providing two years of community college at essay becomes, no cost for every responsible student is one of the writing essays in theology best ways to do that, and Iím going to keep fighting to get that started this year. (Applause.) It's the right thing to do. (Applause.) But a great education isnít all we need in steps to writing a dbq, this new economy. We also need benefits and protections that provide a basic measure of security. Writing. Itís not too much of a stretch to say that some of the only people in America who are going to work the same job, in the same place, with a health and retirement package for 30 years are sitting in this chamber. (Laughter.) For everyone else, especially folks in their 40s and 50s, saving for retirement or bouncing back from job loss has gotten a lot tougher.
Americans understand that at some point in their careers, in the fellowship of the ring, this new economy, they may have to essays in theology, retool and they may have to retrain. But they shouldnít lose what theyíve already worked so hard to build in the process. Thatís why Social Security and Medicare are more important than ever. We shouldnít weaken them; we should strengthen them. (Applause.) And for Americans short of retirement, basic benefits should be just as mobile as everything else is today. That, by the way, is on how becomes law, what the Affordable Care Act is in theology, all about.
Itís about filling the epistle ii gaps in employer-based care so that when you lose a job, or you go back to school, or you strike out and launch that new business, youíll still have coverage. Nearly 18 million people have gained coverage so far. (Applause.) And in writing essays in theology, the process, health care inflation has slowed. And our businesses have created jobs every single month since it became law. Now, Iím guessing we wonít agree on ex nuke resume, health care anytime soon. (Applause.) A little applause right there. (Laughter.) Just a guess. But there should be other ways parties can work together to writing essays in theology, improve economic security. Say a hardworking American loses his job -- we shouldnít just make sure that he can get unemployment insurance; we should make sure that program encourages him to about, retrain for a business thatís ready to hire him. If that new job doesnít pay as much, there should be a system of wage insurance in place so that he can still pay his bills. And even if heís going from job to writing in theology, job, he should still be able to save for retirement and take his savings with him.
Thatís the way we make the ex nuke resume new economy work better for everybody. I also know Speaker Ryan has talked about his interest in tackling poverty. America is about giving everybody willing to writing, work a chance, a hand up. And Iíd welcome a serious discussion about strategies we can all support, like expanding tax cuts for low-income workers who don't have children. (Applause.) But there are some areas where we just have to be honest -- it has been difficult to find agreement over ex nuke resume, the last seven years. And a lot of them fall under the category of in theology, what role the government should play in making sure the systemís not rigged in favor of the a dbq wealthiest and biggest corporations. (Applause.) And it's an honest disagreement, and the American people have a choice to make. I believe a thriving private sector is the writing essays in theology lifeblood of busy, our economy. Writing In Theology. I think there are outdated regulations that need to be changed.
There is red tape that needs to be cut. (Applause.) There you go! Yes! (Applause.) But after years now of record corporate profits, working families wonít get more opportunity or bigger paychecks just by letting big banks or big oil or hedge funds make their own rules at everybody elseís expense. (Applause.) Middle-class families are not going to feel more secure because we allowed attacks on collective bargaining to go unanswered. Food Stamp recipients did not cause the financial crisis; recklessness on Wall Street did. (Applause.) Immigrants arenít the principal reason wages havenít gone up; those decisions are made in the fellowship of the ring essay, the boardrooms that all too often put quarterly earnings over long-term returns. Itís sure not the average family watching tonight that avoids paying taxes through offshore accounts. (Applause.) The point is, I believe that in this new economy, workers and writing essays start-ups and small businesses need more of a voice, not less.
The rules should work for them. (Applause.) And I'm not alone in this. This year I plan to busy airport, lift up the many businesses whoíve figured out that doing right by their workers or their customers or their communities ends up being good for their shareholders. (Applause.) And I want to writing in theology, spread those best practices across America. That's part of a brighter future. (Applause.) In fact, it turns out many of our best corporate citizens are also our most creative. And this brings me to the second big question we as a country have to answer: How do we reignite that spirit of innovation to meet our biggest challenges? Sixty years ago, when the Russians beat us into space, we didnít deny Sputnik was up there. (Laughter.) We didnít argue about the science, or shrink our research and development budget. My Friends. We built a space program almost overnight. Writing In Theology. And 12 years later, we were walking on the moon. (Applause.) Now, that spirit of discovery is in alexander pope essay epistle ii, our DNA. America is essays in theology, Thomas Edison and the Wright Brothers and George Washington Carver. America is ex nuke resume, Grace Hopper and writing essays Katherine Johnson and a dbq Sally Ride.
America is writing essays in theology, every immigrant and entrepreneur from pope on man ii, Boston to Austin to Silicon Valley, racing to shape a better world. (Applause.) That's who we are. And over the past seven years, weíve nurtured that spirit. Weíve protected an open Internet, and taken bold new steps to get more students and low-income Americans online. (Applause.) Weíve launched next-generation manufacturing hubs, and online tools that give an essays in theology entrepreneur everything he or she needs to start a business in a single day. But we can do so much more. Last year, Vice President Biden said that with a new moonshot, America can cure cancer. Law. Last month, he worked with this Congress to give scientists at the National Institutes of writing essays in theology, Health the strongest resources that theyíve had in steps to writing essay, over a decade. (Applause.) So tonight, Iím announcing a new national effort to get it done. And because heís gone to the mat for all of us on so many issues over the past 40 years, Iím putting Joe in charge of Mission Control. Essays. (Applause.) For the steps to writing essay loved ones weíve all lost, for the families that we can still save, letís make America the country that cures cancer once and for all. Writing Essays. (Applause.) Medical research is critical. We need the same level of steps to writing a dbq, commitment when it comes to developing clean energy sources. (Applause.) Look, if anybody still wants to dispute the writing essays science around climate change, have at it. You will be pretty lonely, because youíll be debating our military, most of steps to writing essay, Americaís business leaders, the majority of the American people, almost the entire scientific community, and 200 nations around the world who agree itís a problem and writing essays in theology intend to solve it. (Applause.) But even if -- even if the planet wasnít at stake, even if 2014 wasnít the warmest year on about me and, record -- until 2015 turned out to be even hotter -- why would we want to writing essays, pass up the chance for airport essay, American businesses to writing essays, produce and sell the energy of the future? (Applause.)
Listen, seven years ago, we made the single biggest investment in clean energy in our history. Here are the results. In fields from Iowa to Texas, wind power is now cheaper than dirtier, conventional power. On rooftops from Arizona to New York, solar is saving Americans tens of millions of dollars a year on their energy bills, and employs more Americans than coal -- in jobs that pay better than average. Weíre taking steps to give homeowners the about me and my friends freedom to generate and store their own energy -- something, by the way, that environmentalists and Tea Partiers have teamed up to writing essays in theology, support. And meanwhile, weíve cut our imports of foreign oil by nearly 60 percent, and cut carbon pollution more than any other country on Earth. Ex Nuke Resume. (Applause.) Gas under two bucks a gallon ainít bad, either. (Applause.) Now weíve got to in theology, accelerate the transition away from old, dirtier energy sources. Rather than subsidize the busy airport past, we should invest in the future -- especially in communities that rely on fossil fuels. Writing In Theology. We do them no favor when we don't show them where the trends are going. Airport. Thatís why Iím going to writing in theology, push to change the way we manage our oil and coal resources, so that they better reflect the costs they impose on taxpayers and our planet.
And that way, we put money back into those communities, and put tens of thousands of Americans to work building a 21st century transportation system. About My Friends. (Applause.) Now, none of this is going to happen overnight. Essays In Theology. And, yes, there are plenty of entrenched interests who want to protect the status quo. But the jobs weíll create, the money weíll save, the ex nuke resume planet weíll preserve -- that is the kind of future our kids and our grandkids deserve. And it's within our grasp. Climate change is just one of many issues where our security is linked to the rest of the world. And thatís why the third big question that we have to answer together is how to keep America safe and strong without either isolating ourselves or trying to nation-build everywhere thereís a problem. I told you earlier all the talk of Americaís economic decline is writing essays, political hot air. Well, so is all the rhetoric you hear about ex nuke resume our enemies getting stronger and America getting weaker. Let me tell you something. Writing In Theology. The United States of America is the most powerful nation on Earth.
Period. (Applause.) Period. On How. Itís not even close. It's not even close. (Applause.) It's not even close. We spend more on our military than the next eight nations combined. Our troops are the finest fighting force in the history of the world. (Applause.) No nation attacks us directly, or our allies, because they know thatís the path to essays, ruin.
Surveys show our standing around the world is higher than when I was elected to this office, and when it comes to every important international issue, people of the world do not look to Beijing or Moscow to lead -- they call us. (Applause.) I mean, it's useful to on how law, level the writing in theology set here, because when we don't, we don't make good decisions. Now, as someone who begins every day with an intelligence briefing, I know this is a dangerous time. But thatís not primarily because of some looming superpower out there, and certainly not because of diminished American strength. In todayís world, weíre threatened less by evil empires and pope epistle ii more by failing states. The Middle East is writing essays, going through a transformation that will play out for ex nuke resume, a generation, rooted in conflicts that date back millennia. Economic headwinds are blowing in from a Chinese economy that is in significant transition. Even as their economy severely contracts, Russia is pouring resources in to in theology, prop up Ukraine and essay about my friends Syria -- client states that they saw slipping away from their orbit.
And the international system we built after World War II is now struggling to essays, keep pace with this new reality. Itís up to alexander pope on man epistle ii, us, the United States of in theology, America, to steps, help remake that system. And to do that well it means that weíve got to set priorities. Priority number one is protecting the American people and going after terrorist networks. (Applause.) Both al Qaeda and now ISIL pose a direct threat to our people, because in todayís world, even a handful of terrorists who place no value on human life, including their own, can do a lot of damage. They use the Internet to poison the minds of individuals inside our country. Their actions undermine and destabilize our allies. Writing Essays. We have to take them out./p
But as we focus on destroying ISIL, over-the-top claims that this is World War III just play into their hands. Masses of fighters on the back of pickup trucks, twisted souls plotting in apartments or garages -- they pose an enormous danger to civilians; they have to be stopped. But they do not threaten our national existence. (Applause.) That is the story ISIL wants to tell. Alexander Pope On Man Epistle. Thatís the writing in theology kind of propaganda they use to recruit. We donít need to build them up to show that weíre serious, and we sure don't need to push away vital allies in this fight by echoing the lie that ISIL is somehow representative of one of the worldís largest religions. (Applause.) We just need to call them what they are -- killers and fanatics who have to be rooted out, hunted down, and destroyed. Ring. (Applause.)
And thatís exactly what weíre doing. Writing. For more than a year, America has led a coalition of busy airport, more than 60 countries to cut off ISILís financing, disrupt their plots, stop the flow of terrorist fighters, and stamp out their vicious ideology. With nearly 10,000 air strikes, weíre taking out their leadership, their oil, their training camps, their weapons. Weíre training, arming, and supporting forces who are steadily reclaiming territory in Iraq and Syria. If this Congress is essays in theology, serious about winning this war, and wants to send a message to steps a dbq, our troops and the world, authorize the use of military force against ISIL.
Take a vote. (Applause.) Take a vote. But the American people should know that with or without congressional action, ISIL will learn the same lessons as terrorists before them. If you doubt Americaís commitment -- or mine -- to writing essays, see that justice is done, just ask Osama bin Laden. (Applause.) Ask the leader of al Qaeda in Yemen, who was taken out last year, or the perpetrator of the Benghazi attacks, who sits in a prison cell. When you come after Americans, we go after you. (Applause.) And it may take time, but we have long memories, and our reach has no limits. Airport. (Applause.) Our foreign policy hast to be focused on the threat from ISIL and al Qaeda, but it canít stop there.
For even without ISIL, even without al Qaeda, instability will continue for decades in many parts of the world -- in the Middle East, in Afghanistan, parts of Pakistan, in parts of writing essays, Central America, in Africa, and Asia. Some of these places may become safe havens for new terrorist networks. Others will just fall victim to ethnic conflict, or famine, feeding the next wave of refugees. The world will look to us to help solve these problems, and our answer needs to be more than tough talk or calls to essay about me and, carpet-bomb civilians. That may work as a TV sound bite, but it doesnít pass muster on the world stage. We also canít try to take over and rebuild every country that falls into crisis, even if it's done with the best of writing, intentions. (Applause.) Thatís not leadership; thatís a recipe for quagmire, spilling American blood and ex nuke resume treasure that ultimately will weaken us. Itís the lesson of Vietnam; it's the lesson of Iraq -- and we should have learned it by essays now. (Applause.) Fortunately, there is a smarter approach, a patient and disciplined strategy that uses every element of our national power. It says America will always act, alone if necessary, to protect our people and steps our allies; but on issues of global concern, we will mobilize the world to work with us, and make sure other countries pull their own weight.
Thatís our approach to in theology, conflicts like Syria, where weíre partnering with local forces and ex nuke resume leading international efforts to help that broken society pursue a lasting peace. Thatís why we built a global coalition, with sanctions and principled diplomacy, to prevent a nuclear-armed Iran. And as we speak, Iran has rolled back its nuclear program, shipped out essays in theology its uranium stockpile, and the world has avoided another war. (Applause.) Thatís how we stopped the spread of Ebola in West Africa. (Applause.) Our military, our doctors, our development workers -- they were heroic; they set up the platform that then allowed other countries to ex nuke resume, join in behind us and stamp out that epidemic. Hundreds of thousands, maybe a couple million lives were saved. Thatís how we forged a Trans-Pacific Partnership to open markets, and protect workers and writing essays the environment, and advance American leadership in Asia. It cuts 18,000 taxes on products made in America, which will then support more good jobs here in America. Essay Epistle. With TPP, China does not set the writing essays rules in questions, that region; we do.
You want to show our strength in this new century? Approve this agreement. Give us the tools to enforce it. It's the right thing to do. (Applause.) Let me give you another example. Fifty years of isolating Cuba had failed to promote democracy, and set us back in Latin America. Thatís why we restored diplomatic relations -- (applause) -- opened the door to travel and commerce, positioned ourselves to writing, improve the lives of the Cuban people. (Applause.) So if you want to consolidate our leadership and credibility in the hemisphere, recognize that the Cold War is over -- lift the embargo. (Applause.) The point is to writing, American leadership in the 21st century is not a choice between ignoring the rest of the world -- except when we kill terrorists -- or occupying and rebuilding whatever society is unraveling. Leadership means a wise application of military power, and rallying the writing essays in theology world behind causes that are right. It means seeing our foreign assistance as a part of our national security, not something separate, not charity. When we lead nearly 200 nations to the most ambitious agreement in history to fight climate change, yes, that helps vulnerable countries, but it also protects our kids.
When we help Ukraine defend its democracy, or Colombia resolve a decades-long war, that strengthens the international order we depend on. When we help African countries feed their people and care for the sick -- (applause) -- it's the essay a bill becomes law right thing to do, and in theology it prevents the next pandemic from reaching our shores. Right now, weíre on track to end the essay on man ii scourge of HIV/AIDS. That's within our grasp. (Applause.) And we have the writing essays chance to accomplish the same thing with malaria -- something Iíll be pushing this Congress to fund this year. (Applause.) That's American strength.
That's American leadership. And that kind of leadership depends on the power of our example. Ex Nuke Resume. Thatís why I will keep working to shut down the prison at Guantanamo. (Applause.) It is expensive, it is unnecessary, and writing essays it only serves as a recruitment brochure for our enemies. (Applause.) Thereís a better way. Busy. (Applause.) And thatís why we need to reject any politics -- any politics -- that targets people because of race or religion. (Applause.) Let me just say this. This is not a matter of political correctness. This is a matter of understanding just what it is that makes us strong. The world respects us not just for our arsenal; it respects us for our diversity, and our openness, and the way we respect every faith. His Holiness, Pope Francis, told this body from the very spot that I'm standing on writing essays in theology, tonight that ďto imitate the hatred and alexander essay on man ii violence of tyrants and murderers is the best way to take their place.Ē When politicians insult Muslims, whether abroad or our fellow citizens, when a mosque is vandalized, or a kid is called names, that doesnít make us safer. Thatís not telling it like it is. Itís just wrong. (Applause.) It diminishes us in the eyes of the world. It makes it harder to achieve our goals.
It betrays who we are as a country. (Applause.) ďWe the People.Ē Our Constitution begins with those three simple words, words weíve come to recognize mean all the people, not just some; words that insist we rise and essays fall together, and that's how we might perfect our Union. And that brings me to of the essay questions, the fourth, and maybe the most important thing that I want to say tonight. The future we want -- all of us want -- opportunity and writing essays in theology security for our families, a rising standard of living, a sustainable, peaceful planet for our kids -- all that is busy airport essay, within our reach. But it will only happen if we work together. It will only happen if we can have rational, constructive debates.
It will only happen if we fix our politics. A better politics doesnít mean we have to agree on everything. This is a big country -- different regions, different attitudes, different interests. Thatís one of our strengths, too. In Theology. Our Founders distributed power between states and branches of government, and alexander pope ii expected us to argue, just as they did, fiercely, over the size and shape of writing in theology, government, over commerce and foreign relations, over the meaning of liberty and the imperatives of security. But democracy does require basic bonds of trust between its citizens. Essay Epistle Ii. It doesnít work if we think the people who disagree with us are all motivated by malice. It doesnít work if we think that our political opponents are unpatriotic or trying to weaken America. Writing. Democracy grinds to a halt without a willingness to compromise, or when even basic facts are contested, or when we listen only to those who agree with us.
Our public life withers when only the most extreme voices get all the essay on how becomes law attention. And most of writing essays in theology, all, democracy breaks down when the essay about my friends average person feels their voice doesnít matter; that the essays in theology system is rigged in essay a bill becomes, favor of the rich or the powerful or some special interest. Too many Americans feel that way right now. Itís one of the few regrets of in theology, my presidency -- that the rancor and suspicion between the parties has gotten worse instead of essay a bill law, better. I have no doubt a president with the gifts of Lincoln or Roosevelt might have better bridged the divide, and I guarantee Iíll keep trying to be better so long as I hold this office. But, my fellow Americans, this cannot be my task -- or any Presidentís -- alone. There are a whole lot of folks in writing essays, this chamber, good people who would like to essay, see more cooperation, would like to see a more elevated debate in Washington, but feel trapped by the imperatives of getting elected, by the noise coming out of your base. I know; youíve told me. Essays. It's the worst-kept secret in Washington. And a lot of you aren't enjoying being trapped in that kind of steps to writing, rancor.
But that means if we want a better politics -- and I'm addressing the American people now -- if we want a better politics, itís not enough just to change a congressman or change a senator or even change a President. We have to in theology, change the system to reflect our better selves. Essay About. I think we've got to end the practice of drawing our congressional districts so that politicians can pick their voters, and not the other way around. Writing In Theology. (Applause.) Let a bipartisan group do it. (Applause.) We have to reduce the influence of money in our politics, so that a handful of families or hidden interests canít bankroll our elections. (Applause.) And if our existing approach to campaign finance reform canít pass muster in the courts, we need to work together to find a real solution -- because it's a problem. And most of you don't like raising money.
I know; I've done it. (Applause.) Weíve got to of the ring questions, make it easier to vote, not harder. (Applause.) We need to modernize it for the way we live now. Writing Essays. (Applause.) This is America: We want to make it easier for people to participate. And over the course of this year, I intend to ring essay questions, travel the country to push for reforms that do just that. But I canít do these things on my own. (Applause.) Changes in writing essays, our political process -- in not just who gets elected, but how they get elected -- that will only happen when the American people demand it. It depends on you. Ex Nuke Resume. Thatís whatís meant by a government of, by, and for essays, the people.
What Iím suggesting is hard. Itís a lot easier to be cynical; to accept that change is not possible, and politics is hopeless, and the problem is essay on how law, all the folks who are elected don't care, and to believe that our voices and actions donít matter. Writing Essays In Theology. But if we give up now, then we forsake a better future. Those with money and power will gain greater control over the decisions that could send a young soldier to war, or allow another economic disaster, or roll back the equal rights and voting rights that generations of Americans have fought, even died, to secure. And then, as frustration grows, there will be voices urging us to fall back into our respective tribes, to epistle ii, scapegoat fellow citizens who donít look like us, or pray like us, or vote like we do, or share the same background. We canít afford to go down that path. It wonít deliver the economy we want. It will not produce the security we want. But most of writing essays in theology, all, it contradicts everything that makes us the envy of the world.
So, my fellow Americans, whatever you may believe, whether you prefer one party or no party, whether you supported my agenda or fought as hard as you could against it -- our collective futures depends on your willingness to on man, uphold your duties as a citizen. To vote. To speak out. Essays. To stand up for others, especially the weak, especially the vulnerable, knowing that each of us is only here because somebody, somewhere, stood up for us. About. (Applause.) We need every American to stay active in our public life -- and writing essays in theology not just during election time -- so that our public life reflects the goodness and the decency that I see in the American people every single day. It is not easy. Our brand of about me and, democracy is hard. But I can promise that a little over a year from writing, now, when I no longer hold this office, I will be right there with you as a citizen, inspired by steps those voices of fairness and vision, of grit and good humor and kindness that helped America travel so far. Voices that help us see ourselves not, first and essays in theology foremost, as black or white, or Asian or Latino, not as gay or straight, immigrant or native born, not as Democrat or Republican, but as Americans first, bound by a common creed. Voices Dr. King believed would have the final word -- voices of unarmed truth and essay questions unconditional love.
And theyíre out there, those voices. They donít get a lot of attention; they don't seek a lot of fanfare; but theyíre busy doing the work this country needs doing. I see them everywhere I travel in this incredible country of ours. I see you, the writing essays American people. And in of the ring essay, your daily acts of citizenship, I see our future unfolding.
I see it in the worker on the assembly line who clocked extra shifts to writing in theology, keep his company open, and the boss who pays him higher wages instead of laying him off. I see it in the Dreamer who stays up late to finish her science project, and the teacher who comes in early because he knows she might someday cure a disease. I see it in the American who served his time, and made mistakes as a child but now is dreaming of starting over -- and airport I see it in the business owner who gives him that second chance. The protester determined to prove that justice matters -- and the young cop walking the beat, treating everybody with respect, doing the brave, quiet work of keeping us safe. (Applause.) I see it in the soldier who gives almost everything to save his brothers, the nurse who tends to essays, him till he can run a marathon, the community that lines up to essay my friends, cheer him on. Itís the son who finds the writing essays in theology courage to essay questions, come out as who he is, and the father whose love for essays in theology, that son overrides everything heís been taught. (Applause.) I see it in the elderly woman who will wait in line to cast her vote as long as she has to; the new citizen who casts his vote for airport essay, the first time; the essays in theology volunteers at about, the polls who believe every vote should count -- because each of them in different ways know how much that precious right is worth. That's the America I know. Thatís the country we love.
Clear-eyed. Big-hearted. Undaunted by challenge. Optimistic that unarmed truth and unconditional love will have the final word. (Applause.) Thatís what makes me so hopeful about essays in theology our future. I believe in change because I believe in you, the American people. And thatís why I stand here confident as I have ever been that the State of our Union is strong. (Applause.)
Thank you, God bless you. A Bill Becomes. God bless the United States of America.
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obesity issue essay OBJECTIVE. Radiologists can play an active role in writing essays children's health by increasing awareness of diseases associated with obesity. This article reviews key imaging findings in alexander pope obesity-related diseases, current issues in essays imaging obese children, and treatment strategies. CONCLUSION. There has been a well-documented pediatric obesity epidemic and a dramatic increase in clinical diseases associated with it. These serious health consequences affect nearly every organ system.
Despite the increasing prevalence of obesity and steps essay, the associated health hazards, pediatric obesity as a diagnosis is often overlooked by health care providers. O besity is a major threat to children's health today. The prevalence of obesity has been steadily increasing; over the past 25 years, the number of obese children has nearly tripled [1-3]. By body mass index (BMI) criteria (? 95th percentile for writing essays in theology age and sex), approximately 15% of children 6-19 years old are obese . Longitudinal studies now show that 60% of children who are overweight during preschool years are overweight at the age of 12 years . Data regarding trends show that children who are overweight anytime during childhood are more likely to continue to gain weight and to busy airport, reach overweight status by adolescence. Multiple other studies have shown that overweight during adolescence is a good predictor of essays in theology, overweight in busy airport essay adulthood. Some have claimed that pediatric obesity has emerged as a new chronic disease . Obesity is a disease that can lead to myriad comorbid conditions. It has been shown to substantially increase years of life lost , mortality , and health care costs [8, 9]. An American Academy of Pediatrics policy statement described the writing essays in theology significant health and financial burdens of pediatric obesity and the need for strong and comprehensive prevention efforts .
However, despite the gravity of the airport essay disease and its rising prevalence, primary care givers do not consistently diagnose obesity in children and miss significant opportunities for intervention [10, 11]. In addition, pediatric radiologists usually do not include obesity as a diagnosis on imaging reports . Childhood is a critical time for physicians to act as child advocates by attempting to prevent, identify, and treat obesity before these obese children become obese adults and the associated morbidity worsens. The serious complications associated with obesity occur in nearly every organ system. The purpose of writing essays, this article is to ring essay, increase awareness among radiologists of the diseases associated with pediatric obesity and of the need to use the radiology report to note obesity or large body habitus in writing order to increase awareness of referring physicians. Another way to emphasize the radiographic finding is to state that likely the specific condition is of the essay questions associated with pediatric obesity. Writing Essays In Theology. When clinicians treat the comorbid disease such as hypertension or gallstones and do not address the on how underlying disease of obesity, an opportunity to prevent other comorbid diseases is lost. Pediatric metabolic syndrome is essays in theology a group of risk factors in one person that includes obesity, insulin resistance, hypertension, and other metabolic abnormalities; it is present in nearly half of all severely obese children and it worsens with increasing body mass index or insulin resistance . Children have abnormal results of glucose tolerance tests, high triglycerides, and low HDL (high-density lipoprotein) cholesterol concentrations . Childhood obesity has been accompanied by an increase in the prevalence of type 2 diabetes .
Children with obesity-related diabetes face a much higher risk of many comorbid diseases, especially kidney failure , by middle age and on how a bill, death from cardiovascular events, when compared with adult onset of diabetes . As the prevalence of pediatric obesity increases, so does pediatric primary hypertension [17, 18]. Writing. Obese children have an approximately threefold higher risk for hypertension than nonobese children . Obese children with hypertension also frequently have other components of the metabolic syndrome, including dyslipidemia, insulin resistance, and a dbq essay, hyperinsulinemia . The metabolic syndrome is well recognized as posing a major risk for cardiovascular disease in writing essays in theology adults; however, substantial evidence now indicates that this syndrome begins in childhood, and ex nuke resume, therefore significant cardiovascular risk begins in childhood . In addition, obese hypertensive patients often develop left ventricular hypertrophy (LVH), which also increases the risk of cardiovascular morbidity and writing in theology, mortality  (Fig. 1A , 1B ). The fundamental impact of alexander essay on man epistle, weight control on the risk of disease and writing essays in theology, longevity is now well established. Essay About Me And My Friends. A recent analysis concluded that obesity has a detrimental effect on longevity and essays in theology, that the steady rise in life expectancy during the past two centuries may soon come to an end .
Obstructive sleep apnea syndrome (OSAS) is a significant problem in children and has adverse consequences for ex nuke resume growth and development ; it often results in neurocognitive deficits . Essays. OSAS is characterized by recurrent episodes of partial or complete obstruction of the upper airway during sleep, which disrupt the normal ventilation and the fellowship essay questions, sleep patterns . Obese children are more apt to have persistent OSA after tonsillectomy and adenoidectomy than are nonobese children  (Fig. 2A , 2B ). It is not clear whether the writing essays in theology mechanism of OSA is related to increased visceral fat having an effect on decreasing airway tone and predisposing the airways to collapse, or whether increased fat in the neck decreases the caliber of the airway. Cine MRI sleep studies can be used to evaluate both static anatomy abnormality and dynamic abnormalities that lead to essay law, functional collapse of the airway in these children  (Fig.
3A , 3B , 3C , 3D ). Nonalcoholic fatty liver disease is associated with obesity and insulin resistance . As the prevalence of obesity and insulin resistance in children has been increasing dramatically, so has pediatric nonalcoholic fatty liver disease [26, 27], which is writing essays now probably the most common form of chronic liver disease in ex nuke resume children . Nonalcoholic fatty liver disease is characterized by an abnormal accumulation of fat in the liver. It is usually asymptomatic and is often found incidentally when hepatic steatosis is documented on abdominal imaging . It may be associated with moderate elevations in levels of serum aminotransferases, triglycerides, and cholesterol. Although hepatic steatosis alone has a good prognosis , as fibrosis develops there is an increased likelihood of progression to writing essays in theology, nonalcoholic steatohepatitis, cirrhosis, and end-stage liver disease, even in the fellowship essay questions children [26-28]. Nonalcoholic fatty liver disease may be detected on both sonography and contrast-enhanced helical CT (Fig.
4A , 4B ). Nonalcoholic steatohepatitis is usually diagnosed at biopsy (Fig. 5A , 5B ). The presence of essays in theology, moderate to a dbq, severe (? 30%) steatosis is a contraindication for being a living donor; it also increases the risk of postoperative complications for the donor after resection . Unenhanced CT with a multivoxel study of attenuation values in multiple segments excels in the qualitative diagnosis of steatosis of 30% or greater and would serve as a useful tool in screening potential liver donors [30, 31]. Obesity is well recognized as a risk factor for the development of cholesterol gallstones in adults and children [32, 33]. Cholesterol stones are the essays most common type of gallstone. When bile is supersaturated with cholesterol, it can crystallize and form a nidus for stone formation (Fig. Ex Nuke Resume. 6A , 6B ). Dietary factors such as consumption of simple sugars and saturated fat have also been associated with a higher risk of writing essays in theology, cholesterol gallstone formation . Another complication of essay about, pediatric obesity and associated insulin resistance is polycystic ovary syndrome (PCOS). Like pediatric hypertension and writing in theology, nonalcoholic fatty liver disease, pediatric PCOS is increasing in prevalence with the rise in obesity in the fellowship ring children . In addition to polycystic ovaries (Fig.
7A , 7B ), PCOS is writing in theology associated with hyperandrogenism and associated symptoms (irregular menses, hirsutism, and acne) [34, 35]. Pediatric obesity has also been associated with premature adrenarche or the increase in adrenal androgen production. Evidence exists that prepubertal increases in adrenal androgens in the presence of obesity may be associated with earlier onset of sexual maturity [36, 37]. Premature adrenarche can also lead to a transient acceleration of growth and bone maturation [36-38]. Therefore, accelerated maturation may be noted on skeletal radiography of obese children ( Fig. 8 ). Slipped capital femoral epiphysis (SCFE) is a hip disorder in adolescents that causes symptoms of hip or knee pain. Pope Essay On Man Epistle Ii. It occurs when the writing essays in theology femoral head slips off the femoral neck along a weakened growth plate. SCFE is more likely to occur in boys and in overweight patients (Fig. 9A , 9B ). In addition, the possibility exists that SCFE occurs in younger children in steps to writing the presence of obesity, and essays, that early age of onset and obesity increase the risk for bilateral disease (Strife JL, unpublished data).
Adolescent tibia vara (Blount disease) is also related to obesity [39, 40]. Obesity predisposes to repetitive trauma, with abnormal force being directed on the medial tibial growth plate, which results in growth plate suppression . This leads to decreased growth and a varus deformity. Both metaphyseal-diaphyseal and anatomic tibiofemoral angle measurements show greater malalignment in overweight patients . Early degenerative arthritis of the knee may result. Essay About Me And My Friends. MRI shows features of failure of enchondral ossification of the medial growth plate, unossified medial epiphysis, edema of the medial epiphysis, varus deformity, and hypertrophy of the medial meniscus  (Fig.
10A , 10B , 10C ). Children and adolescents who are overweight are more likely than their normal-weight counterparts to have fractures . Dual-energy X-ray absorptiometry (DXA) shows that overweight children have a greater bone density, but it does not protect them from writing in theology, fractures. The cause is steps speculative, but it has been suggested that the overweight boy is likely to fall with a greater force than a nonoverweight boy and more likely to suffer a fracture. Finally, it is well recognized that the essays abnormal mechanical joint loading that occurs in obesity is a primary cause of steps, osteoarthritis , which has been documented as occurring in writing obese adolescents  ( Fig. 11 ). Idiopathic intracranial hypertension (pseudotumor cerebri) is pope on man epistle a condition characterized by increased intracranial pressure with no evidence of writing, a specific cause, such as a space-occupying lesion . Idiopathic intracranial hypertension occurs with significantly greater frequency in obese children and adults [45, 46] (Fig. 12A , 12B , 12C ).
Obesity is well recognized in adults to be a risk factor for venous thromboembolic disease [47, 48]. Although the same association has not yet been shown in children, it is airport essay reasonable to in theology, believe that obesity may pose an increased risk for the development of deep venous thrombosis and subsequent pulmonary embolism in children as well (Figs. 13A , 13B and 14A , 14B ). Obesity has also been shown to about me and, be independently associated with abnormal arterial function and structure, with an increased intimal-medial thickness in otherwise healthy young children . Intimal-medial thickness is writing in theology a noninvasive marker for early atherosclerotic changes and is related to the cardiovascular risk factors of obesity, especially hypertension, chronic inflammation, and the fellowship, impaired glucose metabolism . What are the causes of the pediatric obesity epidemic? The answers are complex and multifactorial, but the writing essays in theology epidemic has been recognized in other countries. Pediatric obesity has been associated with a sedentary lifestyle; increased television viewing; an increase in computer games; lack of physical activity; and dietary causes including increased fat content of food, large proportions, and high-calorie drinks. Pediatric obesity is essay a bill law also affected by sex, ethnicity, culture, and hereditary factors. One of the most striking findings is that a child who is overweight at 2 years has a greater than 50% chance of being overweight by adolescence, a tendency that will continue into adulthood.
Significant research is being funded that is directed to seeking associations and causes. Writing In Theology. More recently, it has been suggested that prenatal characteristics, including race, ethnicity, maternal smoking during pregnancy, and maternal prepregnancy obesity, exert an essay on how, influence on the child's weight status through an early tendency toward overweight that is then perpetuated as the child ages. Essays In Theology. Overweight prevention may need to begin before pregnancy or in essay early childhood [1, 51]. Treating pediatric obesity is now recognized as a significant health care issue. Minimal approaches promote healthy eating and lifestyle changes and advocate an increase in physical activity. Essays In Theology. However, selected interventional treatment through decreased caloric intake and steps to writing a dbq, increased physical activity has been minimally effective in achieving sustained weight loss in the markedly obese. Specific management also includes referring to specialists, dieticians, screening laboratories, and endocrinologists, and referring for preventive cardiology. Surgical weight loss has been advocated as the only treatment shown to achieve durable weight loss in writing essays in theology the obese patient. About Me And. Bariatric surgery has increased substantially among pediatric adolescents. Surgical treatment of pediatric obesity allows resolution of associated comorbidities and improved quality of life [52, 53].
Some have advocated an antiobesity campaign focusing on creating new social policies that encourage weight loss, such as adjustments in insurance premiums; compulsory exercise for students from elementary schools through college; health food choices in cafeterias; and an educational campaign to enable children, adolescents, and adults to essays in theology, make informed choices. The U.S. population has already shown the ability to shift to a healthier lifestyle. The examples cited include the pope on man national initiatives to writing in theology, reduce morbidity and mortality associated with motor vehicle accidents through the use of mandated seat belts, to reduce the spread of AIDS through the prevention of disease, and to reduce the incidence of lung cancer through an increased awareness of the consequences of smoking cigarettes. Some evidence exists as to the effectiveness of population-based interventions, the potential benefits of increased awareness, and essay me and, possibly the benefits of writing in theology, routine screening . Nevertheless, good evidence shows that maintaining a normal weight is a positive health goal, and law, efforts to reduce overweight should begin in childhood. Several difficulties may be encountered during imaging of obese patients. Larger radiation exposures occur in obese patients because higher doses are necessary to penetrate increased soft tissues.
Image quality can be compromised, resulting in nondiagnostic examinations in very large patients (Fig. 15A , 15B ). Writing Essays In Theology. This occurs during radiography, fluoroscopy, sonography, CT, and MRI. Obesity can also compromise the quality of an examination because of the patient's inability to move and cooperate with proper positioning for radiologic imaging and procedures. Finally, obese patients may exceed the steps a dbq essay weight and essays, size limitations for alexander essay on man ii standard imaging equipment, including CT, MRI, fluoroscopy, and interventional radiology equipment . Although the prevalence of childhood obesity has reached epidemic proportions, it is writing essays underrecognized and undertreated by pediatric primary care providers .
Preventing, recognizing, and treating obesity are some of the most challenging dilemmas facing pediatrics . A recent study in an outpatient pediatric academic center showed that in children who meet the criteria for obesity, providers of care document obesity in their clinical assessments in only 53% . Our study highlights the need for increased awareness and identification of obesity and the potential contributing role of the radiologist. If a problem is not recognized, it cannot be treated. Finding effective strategies to treat obesity through the timely identification of its presence by health care providers is essay on how law a crucial step in essays in theology recognizing the ex nuke resume disease and in its potential management. Despite the fact that the radiologists are aware of the clinically associated diseases, they rarely mention these associations in their reports. Writing In Theology. In so doing, radiologists miss their opportunity to be advocates and to identify children at essay, risk of serious health consequences.
Address correspondence to J. Essays. L. Strife ([email protected]). CME This article is available for CME credit. My Friends. See www.arrs.org for more information. FOR YOUR INFORMATION. This article is in theology available for CME credit. See www.arrs.org for more information.
Diseases Associated with Childhood Obesity. Copyright 2013-2016, American Roentgen Ray Society, ARRS, All Rights Reserved.
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2016-2017 Quebec MELS Merit Scholarship Program for Foreign Students, Canada. Applications are invited for Quebec Merit Scholarship Program available for foreign nationals to undertake doctoral research, postdoctoral and essays, short term research program in steps, Quebec. Candidates cannot apply directly to the agency they must be nominated by a University. Doctoral Research Scholarship is valued at essays in theology, $25,000 per year, postdoctoral fellowship is busy, valued at $35,000 per year and short-term research or professional development is valued at $3,000 a month. Only candidates nominated by a University may submit an application to the provincial competition. The deadline for writing in theology sending scholarship applications is November 1st, 2015. Study Subject(s): Scholarships are awarded all research sectors (health, humanities and alexander on man epistle, social sciences, arts and letters, natural sciences, and engineering) preselected by writing essays in theology, a Quebec university, the Reseau Trans-Tech, the China Scholarship Council (CSC), TERI University, the Ministry of Foreign Affairs of Mexico (SRE) or the National Science and a bill, Technology Council of Mexico (CONACYT) to begin or continue studies or research activities in Quebec. There is no privileged research sector. Course Level: Scholarships are available for pursuing doctoral research, postdoctoral and short term research program in Quebec. Scholarship Provider: Government of Quebec, Canada. Writing Essays. -Must meet all eligibility conditions at the closing date of the competition, namely, November 1st, 2015 (a different closing date has to be confirmed for the students preselected by CSC). -Must have been preselected by a university, the Reseau Trans-Tech (a CCTT), TERI University, the ex nuke resume, SER or CONACYT before September 23rd, 2015. -To the scholarship Quebec-China program must be preselected by the CSC before March 31st, 2016. Writing Essays In Theology. -Cannot have already received a Merit Scholarship for Foreign Students from MEESR, FRQNT or Quebec Research Fund Society and Culture (FRQSC). -Cannot be a Canadian citizen or a permanent resident of Canada. -Cannot have applied for essay permanent resident status under Canadian immigration law. -Restriction for programs of study: Double doctoral degree programs are not admissible and writing essays, Quebec-Wallonia scholarship applicants must have studied in a French-language university institution in Belgium at about me and, the time they are granted their scholarship. -Doctoral research (V1, 1B, 1C, 1I, 1M, 1W) scholarship recipients must have a Certificat d#8217;acceptation du Quebec (CAQ) issued by the ministere de l#8217;Immigration, de la Diversite et de l#8217;Inclusion du Quebecand a student permit issued by the Canadian Consulate valid for the entire duration of their scholarship. Essays In Theology. -Postdoctoral scholarship (V2, 2B, 2C, 2I, 2M) or short-term research or professional development scholarship (V3, 3B, 3C, 3I, 3M, 3W) recipients must have a working permit issued by ex nuke resume, the Canadian Consulate for the entire duration of their scholarship.
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Drawing Hobby For Kids Essays and Research Papers. Hobbies differ like tastes. If you have chosen a hobby according to your character and essays in theology, taste you are lucky because your life . becomes more interesting. The Fellowship Essay Questions? Hobbies are divided into 4 large groups: doing, making, collecting and writing, learning things. The most popular hobby is ex nuke resume, doing things. It includes a wide variety of activities from in theology, gardening to traveling, from chess to volleyball. Both grown-ups and children are fond of playing different computer games. This hobby is law, becoming more and more popular.
Making. Anton Chekhov , Comedy , Hobby 1094 Words | 3 Pages. ?Running Head: COMMUNICATION VIA ďTHE KID Ē 1 Interpersonal Communication as lost . from the movie ďThe Kid Ē COMMUNICATION VIA ďTHE KID Ē 2 The interpersonal communication in the movie ďThe Kid Ē is unique in some aspects. Russ, the middle aged character, has an indifference to essays in theology, everyone he communicates with at the beginning of the movie. As the pope essay on man epistle, movie progresses, you can see how Russís interpersonal communication. Communication , Graphic communication , Interpersonal communication 809 Words | 3 Pages. Duritz hides from his hurt and in theology, loneliness by working all the time, being thoughtless and insensitive to everyone he meets, and forgetting his feelings and of the essay, . that he ever had them. But he can't escape his feelings.
Duritz meets a pudgy, unhappy little kid named Rusty (Spencer Breslin) who turns out to writing, be none other than Duritz himself, circa 1968. At first, Duritz is essay a bill law, embarrassed by his younger self. He says, I look at him and in theology, all I see is awful memories -- memories I've been spending most of essay a bill becomes my life. Amy Tong , Dog , Marriage 891 Words | 3 Pages. Kids or No Kids Candance Bacco March 3, 2013 The title of my paper is writing essays in theology, called Kids or No Kids . . Today married couples have a big decision on whether or not they want kids . I start out to writing essay, my paper by talking about how important this decision is and how it effects other people.
Then I start to talk about all the pros of having kids . After that I point out all the cons of having children. The next part of the paper is writing in theology, all about the pros and cons of not having kids . As you will see there are a lot. Child , Debut albums , Form of the ex nuke resume, Good 1027 Words | 3 Pages. The most Unusual Hobbies in the World. What is writing essays in theology, a hobby ? Passion? Work? Holiday? Or all together? Hobby is busy airport, what a . In Theology? person likes to do in his spare time.
Many people spend a lot of time and airport, money for their hobby , but for someone a hobby is like a profession. And it even become a way of making money. The human imagination is truly boundless: people come up with all kinds of ideas and they do not hesitate to essays in theology, put them into practice. On How A Bill Becomes Law? Here are the writing, examples of the most unusual hobbies in to writing a dbq essay, the world. Essays? . Angelina Jolie , Death , Extreme ironing 854 Words | 3 Pages. DANCING What makes a good hobby ? Hobbies should be fun, upbeat, and affordable for everyone. . I realized that my hobby was dancing. Airport Essay? Yes, I know that to some people dancing is not considered a true hobby ; but the way I see it, if I enjoy dancing spend my precious time doing it, then I have every right to consider it as my special hobby . My hobby started only five years after I was born. My hobby is the writing in theology, fun but challenging life of dance. Right after I learned.
Dance , Dance music , Dance therapy 1052 Words | 3 Pages. Vegetable gardening as my favorite hobby Deepa George WGU February 20, 2013 Vegetable gardening as my favorite hobby . Hobby is an entertaining activity which provides pleasure and recreation. It is a way of essay about escaping from the stress and the monotony of oneís daily round of writing in theology duties. Ex Nuke Resume? Therefore, hobby is essential for the proper enjoyment of life. My favorite hobby is vegetable gardening because it provides me sense of pride, peace, and relaxation, promote healthy life style and save money. Bean , Cucumber , Fruit 913 Words | 3 Pages. Hobbies Hobbies are things you do in your spare time, this can take the form of writing in theology anything that you are interested in, it should . be invigorating and also be a form of relaxation, hobbies can also educational, enjoyable fun to me and, perform and exciting.
A hobby should be something you take pleasure in writing in theology, doing, something that you are good at, positively motivating and at no time be boring or depressing neither too stressful as this will create negative emotions. Some hobbies are social events in to writing, which you. Hobby , Hobby horse , Leisure 1366 Words | 4 Pages. the teachers behave with us like our affectionate elders, guiding us in every step of essays our life. My hobby A hobby is a . Ex Nuke Resume? special work which a person does for the sake of his amusement. It is our favourite recreation.
A hobby is in theology, generally an art in which a person is most interested. A hobby to one may be a profession to other. It always serves as a source of recreation. There are numerous hobbies . Some are fond of essay about my friends singing. Others like to writing essays in theology, draw pictures.
Some collect stamps and old coins while others. Collecting , Gardening , Hobby 1049 Words | 3 Pages. ? Hobby is ex nuke resume, a pursuit outside oneís regular work. It gives one joy and writing in theology, pleasure. Since it is a pleasure, one does not get tired of it. Hobb . y is used to pastime, making life more relaxing. Life without a hobby is steps a dbq, like food without salt. Hobby can add colors into our boring lives. In addition, hobby can also eventually become more compelling to human as it gives motivation.There is no actual definition to in theology, hobby . As long as the individual is happy, it could become their hobby . However there are a few hobbies which most people have.
Cooking , Culinary art , Erno Rubik 1096 Words | 3 Pages. My Hobby Role Play for English Communication. ___________________Date:_______________________________ My Hobbies The Role: You have a hobby . Essay On Man Epistle Ii? Letís talk about writing in theology it. Alexander Pope Essay On Man Ii? . Essays In Theology? A. Answer the question in alexander epistle, one word: What is your name? What is your favorite hobby ? Where did you learn to do it? How do you do the hobby with? What hobby would you like to learn? B. Make a new friend.
Talk about writing in theology your hobbies together. Ex Nuke Resume? C. Donít forget. Write down what you learned about your friends hobby . Writing Essays In Theology? Hobby Learned by Wants to ex nuke resume, My name is . 2007 singles , Educational psychology , High school 432 Words | 5 Pages. ? Drawing to writing, Painting ART/230 November 10, 2014 Berta Stead Drawing to Painting Just as writing needs a rough draft, painting . Questions? needs a drawing before expressing his or her ideas through the essays in theology, final product. Brainstorming is imagination, and drawing is putting it all down on ex nuke resume something a little more concrete. Through drawing , an artist can see what roams around in in theology, his or her mind. It is a way for a painter to busy essay, understand his or her inspiration as well as a painterís first connection with the subject. Drawing , Fresco , History of painting 892 Words | 5 Pages. Problem ď Kids will be kids .Ē Time and time again, this phrase has been used to writing essays in theology, dismiss the countless cases of essay my friends bullying that take . Writing In Theology? place in schools across the country.
Such a carefree attitude towards a violent and brutal problem like bullying is the fellowship ring essay, a disturbing trend to see. Every year thousands of kids fall victim to schoolyard and online bulling. A child who has suffered from essays, bullying is ď2 to 9 times more likely to commit or attempt suicideĒ (Teen Health) and more often then not, cruelty from peers. Abuse , Aggression , Bullying 881 Words | 3 Pages. Draft HOBBIES ARE FUN I have had many hobbies through out my life, snowboarding, mountain . biking, rock climbing in a dbq, Arizona, hiking, camping.
It seems the older I get though the less time and money, I have to do these fun activities. So whatís the deal, why do we feel the writing in theology, need to pursue these avenues? Because itís entertaining, it lets us forget about on how all our responsibilities, it lets us become that kid without a care in writing essays in theology, the world again. Busy? We are. Cycling , Doing It , Dune buggy 958 Words | 6 Pages. PLAY : HOBBIES AND INTERESTS TALENTED US ! SCENE 1 In the early morning, seven best friends are chatting about their hobby in writing, . the classroom. Law : Lisa, what are you doing? Do you like to dream alone? Lisa : No, I am just possing like a modelling. Law : Do you like to pope essay epistle, be a modelling? Lisa : No, I just like to pose like a model only.
I like to pose with my nice dress. Law : Oh, same with me. I like it too ! Lisa amp; Law : Oh, yeahhh. Writing In Theology? (being excited because they share same hobby ) Daus. 2007 singles , Amy Irving , Billboard Hot Dance Club Songs number-one singles 1211 Words | 4 Pages. ?My Favourite Hobby My favourite hobby is all kinds of technology like cars, trains, planes etc. Mostly it's cars. . Everything begun when I was small. My father was repairing his car and I was always helping him. I was asking him so many questions about it, because I was so interested in techniques. I even started making my own lamps and it worked! All of law my family was using it.
List 1: What kinds? 2:How did it begun and who introduced me to it? 3: Lamps. In Theology? 4: Why do. Automobile , Family , Future 612 Words | 3 Pages. A hobby is a regularly activity that is done for pleasure, typically, during one's leisure time. Hobbies can include: the . collection of to writing themed items and writing essays, objects, engaging in of the essay questions, creative and artistic pursuits, playing sports, along with many more examples. By continually participating in a particular hobby , one can acquire substantial skill and knowledge in that area. Generally speaking, a person who engages in an activity solely for fun is called an essays, amateur (or hobbyist), as opposed to a professional.
1:32 scale , Amateur , Collecting 2267 Words | 8 Pages. Exotic Hobbies around the World The dictionary definition of hobbies is an essay me and my friends, activity or interest pursued for delectation or . felicity and not as a main vocation. On par with this theory, many would delegate many evanescent pursuits such as eating, talking or joking as one. On contrary to normal beliefs, people earn money doing their hobbies , which in other words means that somebody managed to turn a hobby into a job. Did you know that there are so many millionaires in this world, who would never have. Amateur astronomy , Axel Erlandson , Collecting 1871 Words | 5 Pages. DRAWING GUIDELINES Shaping Space DRAWING GUIDELINES Types of drawin Freehand drawings , paintings or . Essays In Theology? sketches These are good for recording the general visual effect of essay me and a building or for making personal statements about how you feel about a place.
They can be of any size and in essays in theology, any medium you like. Scale drawings on graph paper These are useful for preliminary drawings , for recording measurements a s you carry out on how law, a survey, or for planning furniture layouts in rooms or buildings which have. Art materials , Drawing , House 1811 Words | 7 Pages. Engineering Drawing * Is the language of engineers and technicians. The accuracy and neatness of engineering drawing depends . on the quality of the instruments used. With good instruments, the drawing can be prepared easily, quickly and accurately. Therefore, the knowledge of different drawing instruments and materials, methods of using them and the preparatory works to be completed before commencing the drawing is very important. Uses of writing essays in theology Engineering Instruments 1. Drawing Board - A drawing. Adhesive tape , Curve , Curves 796 Words | 3 Pages. ? Compilation on Drawing 1 Name: John Carlo T. Gasic Course/Year/Section: BSCE 1G Instructor: . Busy Airport? Rosell A. Manzano Date: September 06, 2013 Drawing Instruments and Uses Drawing Instruments are used to prepare neat and accurate Drawings . To a greater extent, the accuracy of the Drawings depend on the quality of writing essays instruments used to prepare them.
Drawing Board: Drawing board is made from strips of well seasoned soft wood generally 25 mm thick. Angle , Drawing , Eraser 712 Words | 4 Pages. Hobby Lobby Ė Practice what you Preach An organization, in its simplest form, is comprised of people brought together to essay about, achieve a . common goal whether it be solving a problem, selling a product or providing a service. The existence of the organization is in theology, wholly dependent on the collective body of individuals involved and the fellowship essay, it is these individuals that are the essays in theology, driving force behind the success or failure of a company. Of The Questions? The relationships that connect the writing essays, people within the alexander on man, organization dictate. Edgar Schein , Management , Organization 1123 Words | 4 Pages. KEBANGSAAN TEMBAK, 09300 KUALA KETILTHEME : WORLD OF SELF, FAMILY AND FRIENDSTOPIC : FAVOURITE PASTIMEMY FAVOURITE HOBBY Good morning to all . Writing? judges, teachers, fellow contestants andaudiences. I would grasp this honour today to tell about my favourite hobby.A hobby is a kind of amusement, an interesting pursuit which fruitfullyoccupies our leisure hours. There are many kinds of hobbies like collectingthings, games and sports, photography, painting, reading or even gardening.Hobbies may be constructive. Commemorative stamp , Postage stamp , Stamp collecting 468 Words | 3 Pages.
Kids Need Sports Kids these days are stuck inside doors just playing video games, doing homework, watching television, and . thatís just wrong. Kids should be outside playing sports, getting some exercise while having fun. There are many reasons nowadays why kids arenít playing or end up quitting sports, such as their parents donít want them to play and get hurt, kids feel that they canít do the sport or wonít be any good at it. A other reason kids end up quitting sports because they donít like to. A Great Way to Care , Behavior , EBSCO Industries 981 Words | 3 Pages. What do childrenís drawings tell us about childrenís minds? The topic of childrenís drawings and their relation to a childís . cognitive processes, particularly thoughts is a topic of great interest. It is widely believed that children often express feelings, thoughts and messages which they cannot express through words through drawing pictures. This essay reviews previous research conducted on childrenís drawings and aims to assess what exactly it tells us about their minds and what messages they.
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Dangerous Hobbies Breanna Fowkes 401 November 6, 2013 Compare and . Contrast Essay Final Copy Breanna Fowkes 401 11/4/13 CC FC Dangerous Hobbies Everyone in essays, the world has a favorite hobby , whether it is alexander essay ii, art, reading, sports, fashion, anything, everyone has at least one that they enjoy above all the rest. Writing? Each hobby is chosen for a different reason, sometimes itís just because of the fun, other times the thrill, maybe. Arabian horse , Domestication of the horse , Draft horse 880 Words | 3 Pages. problem - a roller bag. Of The? He is writing essays in theology, able to get to becomes, school fast, but there are a few dangers between home and writing, school, such as an angry neighbour who's front lawn . got ripped up as a result of a game Greg and Rowley played last winter and woods full of the of the essay, Mingo kids , who are like wild animals. Mom notices Greg and Rowley have stopped hanging out and gives Greg some advice.
Greg, after reading a hundred editions of Slumber Party Pals, he realizes that girl friendships and boy friendships are different. He then. Family , Magic 8-Ball 2549 Words | 7 Pages. phenomenon of Hong Kong Kids I The Phenomenon of Hong Kong Kids . THE PHENOMENON OF HONG KONG KIDS II Abstract In recent years, children who born after 1990s are labeled ďHong Kong kids Ē. The comments towards ďHong Kong kids Ē are mostly negative. This paper is aimed to discover ďHong Kong kids Ē characteristic, and the cause of essays in theology this phenomenon. Essay Me And? Throughout examining ďHong Kong kids Ē, it can show out. Economy of the writing, People's Republic of busy essay China , Emotional intelligence , Hong Kong 1067 Words | 3 Pages. Tutorials | Site Map Technical Illustrations Basic Principles Of Perspective Drawing For The Technical Illustrator By Kevin . Hulsey Perspective Basics A thorough understanding of the principles of 1-Point and 2-Point Perspective is essential to creating an accurate, and visually appealing piece of art.
A lay-person with no technical understanding of the principles of perspective drawing will nonetheless have an intuitive negative reaction to a piece of art in writing, which something. Book of the fellowship of the Optics , Cartesian coordinate system , Illustration 1162 Words | 5 Pages. What Teenager Do For A Hobby ? Teenagers use a lot of their time for hobbies . There are many types of essays characters in teens. So . every teenager has different interests and hobbies . For example sports, collecting some things like marks, stamps and labels, reading books, writing, and cooking. Girls and about, boys are different.
For example, boys are interested in writing in theology, sports like football, basketball, volleyball and swimming. About? But girls prefer dancing, singing and going out with friends. Writing In Theology? Some girls like sports. Adolescence , Black Sea , Bulgaria 1774 Words | 6 Pages. My Hobby My full name is Zuebadreita Binti Badruldin but all my friends called me Reita. What I am going to tell here is alexander pope essay on man ii, not about my self . but basically is about my hobby . I know that everybody have their own interest or hobby and what I am going to share here is all about my hobbies , what I like to do most during my leisure time. First of all, I like reading.
I like to read novel and mostly a story about love and life. If I start to read the essays, novel, I canít stop reading it because itís make. 2007 singles , Cooking , Feeling 824 Words | 3 Pages. R2,MYSQL Operating Systems : MS Windows ------------------------------------------------- STRENGTH * Self Confident amp; Goal oriented . Alexander Pope Essay On Man Epistle Ii? * Punctual * Team spirit ------------------------------------------------- HOBBIES * Singing amp; Listening Music * Reading books or Newspaper * Making Friends ------------------------------------------------- PROJECT UNDERTAKEN Project Name : Business Solution Back End : SQL Server 2008 R2 Front. Microsoft , Microsoft SQL Server , Microsoft Windows 277 Words | 3 Pages.
act, speak and look a certain way. You are to be exactly like your parents, to say the least, holy like. Writing Essays? ďIt is ok for the members kids to act . a certain way yet if the preachers kids act like that then suddenly the parents are horrible people. How many times has a preachers kid been told no you can't do that because people won't like it. How many preachers kids have missed out on a normal childhood because the becomes, parents wouldn't let them enjoy anything because people might talk. You can't go. Christian terms , English-language films , Father 1065 Words | 3 Pages. Video Games as a Outstanding Hobby.
Surrounded by in theology many of ex nuke resume my notable hobbies , going out, spending time on the computer, sports, reading , music, etcÖ there is one that stands out . amongst the rest. On my free time I casually play computer, video, and/or casual games. Videogames are played for the sake of entertainment. Writing Essays In Theology? Whether they are played on a television or a computer they still attract millions of people to take part in this activity every day. In fact they are one of the alexander on man epistle ii, most popular leisure activities in the world. By playing.
Eve Online , Game , Gameplay 1191 Words | 4 Pages. Billy the Kid New Mexico has had many well-known legends throughout its history. Billy the in theology, Kid was arguably one of most . famous legends that New Mexico has ever had. Also known as William H. Bonney, Billy the essay, Kid became a prominent and feared outlaw due to his violent nature. His life is still a heated topic throughout America, due to his unnatural cruelness and pain. His disturbing acts of cruelty caused many tragedies captured many lives, including his own, making his life one to writing essays, remember. Alexander McSween , Billy the Kid , Boy 2295 Words | 6 Pages. Problem statement, Research, Data gathering, Objectives, Limitations, and the fellowship essay questions, Scheduling. Writing In Theology? 6. To Writing Essay? What kinds of graphics are used in writing, the ideation phase?
The . types of graphics used in ideation phase include charts, graphs, ideation sketches and essay, drawings , design drawings , analysis and concept models, and presentation graphics. 7. What is the designerís notebook? How is writing essays in theology, it used? A designerís notebook is similar to a diary and contains many notes and sketches that are organized to show the path of development. Computer graphics , Computer-aided design , Design 1029 Words | 4 Pages. cast your mind back to the last time you stood your ground as your nine-year-old begged for yet another pair of to writing a dbq essay trainers, or your 14-year-old threatened to . fail his exams unless he could go out with his friends midweek ? bankrolled by writing essays you? Pampered kids can grow up to questions, be dysfunctional within society Can you, hand on writing heart, say that you have never once given in to me and, the petulant insistence that everyone else I know has one, even when you knew, deep down, that you shouldn't? We all love our children.
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Adolf Hitler , Aryan race , Fascism 2759 Words | 7 Pages. Psychic Kids : Attention Seeking Children In the television series, Psychic Kids : Children of the Paranormal, directed by . Lisa Miller, psychic and medium Chip Coffey alongside Dr. In Theology? Lisa Miller, a clinical psychologist, help children and their families understand and cope with their childís psychic abilities. Within this documentary, a group of ďpsychic childrenĒ and their parents come together with Coffey and Miller to grasp an understanding as to how to handle their psychic abilities. The children. Childhood , Clairvoyance , Family 990 Words | 3 Pages. it will be inserted into the document.
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American films , American Old West , Billy the in theology, Kid 1021 Words | 3 Pages. Nazi Germany declared war on the freedom of its youth in on how a bill, Germany. But a group arose from the battlefields of war. They were called the ďSwing . Kids Ē. This was a group of youth children that rebel toward the Naziís with their swing music that originated in America. With this new era of swing music extra punishment was put toward the writing essays, youth from the Naziís.
Kids all over the world rebelled against this Nazi stand. In this movie Peter Thomas are two friends whose views of steps essay Nazi Germany change. Before. Adolf Hitler , Aryan race , Fascism 906 Words | 3 Pages. Instructional Strategies for Literacy Development in Kids. development in kids entails the nursery school level of literacy growth; emerging literacy, evolving reading, developing writing, early . appraisal, figurative tools just to mention. Writing Essays In Theology? Literacy development in ex nuke resume, young kids comprises Curriculum Goals, Curriculum Materials, Instructional Strategies and Encouraging Home-School Relations (Barbara amp; Hindman, 2010).
This paper majorly focuses on instructional strategies on literacy development in kids . Instructional Strategies for Literacy development in kids Instructional. Child , Childhood , Children's literature 1289 Words | 4 Pages. New Kid Being the writing, new individual to join a group is, most likely, an unenjoyable experience. Alexander Essay On Man Ii? When the group being joined is writing essays in theology, one in which . there is no option to essay a bill, remain distant from, becomes even worse. Specifically, in my life there was the dreaded task of changing schools my junior year in high school. Being forced into a new group of writing in theology people, a group that one must interact with on a daily basis is a difficult task. However, those that reach out and make sure that the transition goes smoothly, make. 2006 albums , Extracurricular activity , Feeling 915 Words | 3 Pages. Album Reviews Book Reviews Downloads Features Movie Reviews Music Video Reviews Single Reviews The Karate . Kid : Childrenís own self-help Filed under: Movie Reviews ó Leave a comment August 15, 2010 Starring Will Smithís son, Jaden Smith, along Jackie Chan, bring to the big screen the remake of 1984ís The Karate Kid , a cross cultural adaptation depiction and a vivid stand-up towards school bullying. Dre is a 12 year old who just moved to China due to his. Bullying , Film , Jackie Chan 561 Words | 4 Pages.
? When Good Kids Kill Studies show that parents are six times more likely to airport, kill their children than . children are to kill their parents. Writing? But these facts are changing. The number of adolescents in jail has doubled over the past ten years and steps to writing a dbq essay, 115,000 of these arrests were for violent crimes. Writing In Theology? Michael D. About? Kelleher, author of When Good Kids Kill, has looked into cases of teenage violence and writing essays in theology, why they happen. What happens when a good kid decides to murder? What. Capital punishment , Crime , Criminology 1786 Words | 5 Pages. HOBBIES In his leisure time, a man is free to do whatever he wants. Yet the best way to occupy oneself while at home or on holiday is to . indulge in a hobby . A hobby is a personís favourite activity, which he does for pleasure as contrasted with his job. Common hobbies are gardening, collecting stamps or other items, making art and craft, drawing and reading.
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Intrathoracic pulsion diverticulum in writing in theology, a horse. This is a report of me and my friends, a 12-year-old Swedish Warmblood gelding with a ruptured esophageal pulsion diverticulum associated with atypical clinical signs of writing essays, colic and septic peritonitis on presentation. The location of essay, this diverticulum at the hiatus was unique and was most likely responsible for the unusual presentation of this horse. Diverticule de Zenker intrathoracique chez un cheval. Ceci est un rapport d#x02019;un hongre de race Swedish Warmblood #x000e2;g#x000e9; de 12 ans pr#x000e9;sentant un diverticule de Zenker perfor#x000e9; associ#x000e9; #x000e0; des signes cliniques atypiques de coliques et de p#x000e9;ritonite septique #x000e0; la pr#x000e9;sentation. In Theology? L#x02019;emplacement de ce diverticule au hiatus #x000e9;tait unique et fort probablement responsable de la pr#x000e9;sentation inhabituelle de ce cheval.
(Traduit par Isabelle Valli#x000e8;res) A 12-year-old Swedish Warmblood gelding was presented to essay about, the William R. Pritchard Veterinary Medical Teaching Hospital, University of California #x02014; Davis, with a 1-day history of inappetence and signs of colic. On presentation, the horse seemed dull but the essays in theology results of physical examination were within normal limits except for decreased auscultable gut sounds. Abdominal examination per rectum failed to detect any abnormalities. It was difficult to alexander pope, advance a nasogastric tube beyond the level of the writing essays in theology gastric cardia, despite addition of lidocaine via the about me and my friends nasogastric tube.
This was later also noted by the referring veterinarian when recalling the initial examination of the horse. A gastric impaction was suspected; however, when the nasogastric tube finally entered the stomach, no excessive feed or gastric reflux was obtained. Results of abdominal radiograph examination and thoracic and abdominal ultrasound examinations were unremarkable. A complete blood (cell) count (CBC) identified a normal leukocyte count with lymphopenia [white blood cells (WBC) = 6610/#x003bc;L, reference interval (RI): 5000 to 11600/#x003bc;L; lymphocytes = 999/#x003bc;L, RI: 1600 to 5800/#x003bc;L], and an immature (band) neutrophilia (1190/#x003bc;L) with cytologic evidence of slight to writing in theology, moderate toxicity. Abdominocentesis revealed a turbid orange-tinged fluid and further analysis identified increased total protein concentration (34 g/L; reference value: #x0003c; 20 g/L), total WBC (86 860/#x003bc;L; reference value: #x0003c; 5000/#x003bc;L), and non-degenerate neutrophils (90% of total). Rare bacterial rods and cocci were noted intracellularly. Due to the presence of variable intracellular bacteria noted on cytology, the probability of a primary septic peritonitis was considered low and suspicion of pope essay on man ii, secondary septic peritonitis due to bacterial translocation from compromised or perforated bowel was suspected. Systemic peri-operative antibiotics and essays, anti-inflammatory medications were initiated; these included penicillin (PenOnePro; VetOne Pharmaceuticals, Meridian, Idaho, USA), 22 000 U/kg body weight (BW), IM, q12h, gentamicin sulfate (GentaVed 100; VEDCO, St. Joseph, Missouri, USA), 6.6 mg/kg BW, IV, q24h, and flunixin meglumine (Banamine; Schering Plough Animal Health, Union, New Jersey, USA), 1.1 mg/kg BW, IV. Alexander Pope Essay On Man? Tetanus toxoid (Tetanus Toxoid; Fort Dodge, Iowa, USA), 1 mL, IM was also administered.
Exploratory celiotomy was performed to identify a source of the peritonitis. During surgical exploration no compromised or punctured bowel was located and the source of the peritonitis could not be identified. There was no gross evidence of writing, enteritis or colitis and ex nuke resume, no fibrin accumulation around the abdominal viscera. A large amount of turbid, yellow peritoneal fluid was present. Essays? The bowel was thoroughly lavaged with sterile saline and returned to the abdominal cavity.
A closed negative suction drainage system (Snyder Hemovac 800 mL Wound Drainage Device; Zimmer, Dover, Ohio, USA) was placed to allow repeated abdominal lavages (1). The gelding recovered uneventfully from anesthesia and was treated with Plasma-lyte A (Baxter, Deerfield, Illinois, USA) crystalloids (4 mL/kg BW per hour, IV) and lidocaine (Lidocaine HCL 2%, Hospira, Lake Forest, Illinois, USA) continuous rate infusion (CRI) (1.3 mg/kg BW bolus, 0.05 mg/kg BW per minute CRI). The gelding was also continued on busy, flunixin meglumine (0.7 mg/kg BW, IV q8h), penicillin (22 000 U/kg BW, IM q12h), gentamicin sulfate (6.6 mg/kg BW, IV, q8h), polymyxin B (Polymyxin B; X-Gen Pharmaceutical, Northport, New York, USA), 3000 U/kg BW, diluted in 1 L of essays in theology, saline IV, q12h. Abdominal lavage (10 L of me and my friends, warmed lactated Ringers solution; Lactated Ringer#x02019;s Injection, Baxter Healthcare Corporation, Deerfield, Illinois, USA) was performed twice a day. The horse became febrile (38.4#x000b0;C to 39.1#x000b0;C) 12 h after surgery and experienced acute intermittent episodes of discomfort that included pawing and in theology, bruxism. The horse also continued to have a dull demeanor with an inconsistent appetite.
Metronidazole (Metronidazole; Teva Pharmaceuticals, Selleville, Pennsylvania, USA), 20 mg/kg BW, per rectum, TID was added to steps to writing, the antibiotic regimen. The horse was also started on oral ranitidine (Ranitidine tablets; Amneal Pharmaceuticals, Glasgow, Kentucky, USA), 6.6 mg/kg BW, PO, TID and omeprazole (Gastrogard; M#x000e9;rial LLC, Duluth, Georgia, USA), 1 mg/kg BW, PO, once a day as treatment for possible ulcers. Fecal output was decreased after surgery and the passage of a nasogastric tube was again difficult beyond the writing in theology level of the cardia but was eventually successful and to writing a dbq, the horse was given mineral oil via the tube. Rectal palpation detected no abnormalities. The horse continued to spike intermittent fevers (up to 40#x000b0;C) but his appetite improved. Thoracic auscultation was unremarkable and the intravenous catheter and abdominal incision showed no signs of infection.
Two days after surgery, a CBC identified marked leucopenia (2700/#x003bc;L, RI: 5000 to writing essays, 11600/#x003bc;L) with slight toxic band neutrophils. A respiratory panel on nasal swab was negative for equine herpesvirus-1 and #x02212;4, Streptococcus equi, influenza and equine arteritis viruses. An enteric panel for Salmonella and clostridia was negative. Three days after surgery a gastroscopy was performed to exclude gastric ulcers as a source of the to writing peritonitis and to assess the esophagus. The endoscopic examination was unremarkable. An abdominal fluid sample was obtained and showed marked improvement in the white blood cell count (14 000 cells/#x003bc;L) with 70% non-degenerate neutrophils and essays in theology, improved total protein concentration (26 g/L; reference value: #x0003c; 20 g/L). Glucose concentration was normal and no bacteria were present on direct smear. Lactate concentration was markedly elevated (1.22 mmol/L, reference value: #x0003c; 0.22 mmol/L). Alexander Pope Essay On Man Ii? The horse had an abdominal ultrasound examination the next morning; the results of the ultrasound examination were unremarkable except that the visualized lung field was considered to essays, be abnormal. Essay About? A repeat ultrasonographic examination of the essays thorax revealed bilateral pleuropneumonia with moderate fibrinous pleural effusion and consolidation of the cranio-ventral lung bilaterally. Careful auscultation of the thorax revealed friction rubs dorsally on ex nuke resume, the left with occasional crackles and absent lung sounds cranioventrally.
Increased bronchial sounds could be ausculted dorsally on in theology, the right hemithorax, with absent lung sounds cranioventrally. The pleural fluid was drained from the right thorax and was grossly orange-tinged and opaque. A chest drain (24 French) was placed in essay about me and my friends, the right hemithorax and the abdominal lavage system was removed. A total of 3 L of fluid were drained from the right hemithorax and writing, 2 L were drained from the left side using a teat cannula. The fluid was submitted for cytology and aerobic and the fellowship essay questions, anaerobic bacterial culture that included methods for detection of Mycoplasma. A coagulation panel was submitted and was unremarkable. A transtracheal wash was also performed and submitted for writing essays bacterial culture. The pleural fluid cytology identified a total nucleated cell count of 58 240/#x003bc;L and the fellowship of the questions, 76% degenerative neutrophils that contained short bacterial rods and cocci and writing, confirmed a septic pleuropneumonia.
The development of steps a dbq, bilateral pleuropnuemonia despite a reasonably strong broad-spectrum antibiotic regime lead to essays, the decision to promptly change the antibiotics prior to bacterial culture and essay about me and, sensitivity results: penicillin was discontinued and ceftiofur (Naxcel; Pfizer, New York, New York, USA), 2.2 mg/kg BW, IV, q12h was initiated. Gentamicin was increased to the maximum dose of 8.8 mg/kg BW, IV, q24h to account for the expanded extracellular fluid compartment in a horse with pleuropenumonia (2). Metronidazole concentration and writing essays in theology, frequency were increased (25 mg/kg BW, per rectum, q8h). The gelding was continued on intravenous flunixin meglumine (1.1 mg/kg BW, IV q12h). Gentamicin was replaced with amikacin (Amikacin Sulfate Injection; Teva Parenteral Medicines, Irvine, California, USA), 21 mg/kg BW, IV q24h after 24 h of diagnosis of pleuropneumonia because the culture results showed growth of Escherichia coli. Although susceptibility results were still pending, a higher percentage of equine E. coli isolates have been shown to be more susceptible to amikacin than gentamicin (3).
On the essay about me and following day repeat thoracic ultrasonography revealed marked accumulation of effusion in the left hemithorax; therefore, a chest drain (24 French) was placed, which released 12 L of serosanguinous and malodorous pleural fluid. Aerobic and writing essays, anaerobic bacterial cultures of the pleural cavity further identified small numbers of ex nuke resume, Enterococcus faecalis and essays in theology, Enterobacter sakazakii. Transtracheal wash also revealed Enterbacter sakazakii. Antibiotic sensitivity tests showed both species to be markedly resistant to antibiotics. The horse was treated for 3 d with ceftiofur, metronidazole, and amikacin along with pleural drainage. The Fellowship Essay Questions? The gelding continued to spike fevers (38.6#x000b0;C to essays, 40.3#x000b0;C), and had a persistently elevated heart rate (60 beats/min). Due to the susceptibility pattern of the cultured bacteria, ceftiofur was discontinued and replaced by ampicillin (Ampicilllin for Injection; Sandoz, Princeton, New Jersey, USA), 20 mg/kg BW, IV, q8h. Metronidazole (25 mg/kg BW) was instilled into the chest cavity through the left intra-thoracic drain.
The gelding continued to be febrile (39#x000b0;C), with an increased heart rate of 80 beats/min. Four days post diagnosis of pleuritis, 50 mL of malodorous, purulent fluid containing a moderate amount of plant material was collected from the left indwelling thoracic tube. A ruptured esophagus was suspected and, due to poor prognosis, the law horse was euthanized. On necropsy, pleuropneumonia, pleuritis, and writing, pericarditis were identified. Approximately 7 cm cranial to the gastro-esophageal junction, a 6 cm #x000d7; 1 cm linear, full-thickness defect through the esophageal mucosa was identified that had smooth edges and communicated with a large multi-chambered diverticulum filled with green to ring essay, grey malodorous feed material ( Figure 1 ). The diverticulum was lined by a 0.1 cm layer of pale yellow material (fibrin) overlying a layer of dense connective tissue. One pocket of the writing diverticulum extended cranially from the mucosal defect along the ventral aspect of the esophagus. This pocket was ruptured just to the left of the airport midline, leaking feed material into the dorsal aspect of the left thoracic cavity. The largest chamber of the diverticulum extended caudally from the writing mucosal defect, measured approximately 20 cm in diameter, and was located at the esophageal hiatus along the left side. On How Becomes? It dissected between and was adhered to the muscles of the diaphragm and essays in theology, the gastric serosa adjacent to the diaphragm. Essay About Me And My Friends? Multiple abscesses were noted within the wall of the writing diverticulum. There was moderate hypertrophy of the muscle layer of the distal third of the essay on how a bill law esophagus.
This horse was unusual in its atypical clinical presentation of an esophageal diverticulum (4,5). Essays In Theology? Esophageal diverticula can either be traction or pulsion. A traction diverticulum usually arises as an acquired lesion after healing of an espophageal wound and me and my friends, usually has a shallow body and in theology, wide opening. Traction diverticula are still able to transmit normal peristalsis; the wide neck rarely entraps feed and therefore seldom causes clinical signs. A pulsion diverticulum results from protrusion of the esophageal mucosa through a defect in the wall and usually has a flask-like body and a narrow opening predisposing it to impaction and essay a bill, subsequent rupture. Horses with esophageal diverticula typically show dysphagia, a history of intermittent esophageal obstruction, weight loss, saliva dripping from the writing essays nostrils, and diffuse swelling of the ventral aspect of neck.
The diverticulum is essay epistle ii usually located in the cervical esophageal region. Writing In Theology? A skin fistula or evidence of a wound over that area may also be present (5,6). An intrathoracic pulsion diverticulum was described in a 7-month-old colt that was presented after intermittent, chronic esophageal obstruction (7). The diverticulum was speculated to be congenital (7). The horse in our study was 12 years old with no history of prior esophageal obstruction, making a congenital abnormality very unlikely.
Alternatively trauma, potentially from previous nasogastric intubations or esophageal obstruction, could have caused the formation of the diverticulum in this horse. In human medicine, a diverticulum similar to the fellowship of the ring questions, the case presented here would be referred to as an epiphrenic diverticulum, a pulsion diverticulum located in writing, the distal 10 cm of the esophagus (8). Recently, and with the use of ambulatory manometry, epiphrenic diverticula have been more likely to be attributed to concurrent esophageal motor dysfunction (5,9). A barium swallow is used to me and, assess the size of the writing in theology diverticulum and of its neck, its location, and the distance from the gastroesphoageal junction (8). This type of diverticulum can be an busy incidental finding in patients, with 37% (10) to 65% (11) showing clinical signs of dysphagia and regurgitation as an indication for surgery. The main indication for surgical treatment in humans is aspiration pneumonia and writing in theology, therefore other clinical symptoms of respiratory disease such as night coughing, laryngitis, or pneumonia are also indications for ex nuke resume surgery (8,12). Due to the pathophysiology of motor dysfunction, a myotomy along with the diverticulectomy is performed by writing, a thoracoscopic approach (9). Ex Nuke Resume? In this horse, no history of dysphagia or respiratory dysfunction was present. The esophageal lining at endoscopy and necropsy showed no evidence of ulcerations to suggest a history of regurgitation. The diverticulum seemed to have expanded, however, to writing essays in theology, the point of rupture. Abscessation of the alexander pope essay ii diverticulum was probably due to the disruption of the mucosal lining of the diverticulum.
Septic peritonitis likely developed due to the location of the writing diverticulum between the pleural and peritoneal cavities. A Dbq Essay? It is also possible that one of the abscesses leaked into the peritoneal cavity. It is essays in theology less likely, but possible, that peritonitis developed secondary to ex nuke resume, septic pleuritis due to a communication between the peritoneal and pleural cavities. In the latter case, septic pleuritis with translocation of bacteria through a compromised wall of the writing essays esophageal diverticulum would have had to be present initially. However, the gelding had performed well under general anesthesia and showed unremarkable thoracic auscultation and ultrasound examination findings on law, presentation to the hospital. A diagnosis of diverticulum can be made with contrast radiography and endoscopy (5,13). In this case, endoscopic examination of the esophagus and stomach was performed 3 d post-presentation and writing in theology, the diverticulum was not detected.
It is possible that the diverticulum was empty of feed and small enough that it escaped detection on endoscopy or that the pulsion diverticulum opening was missed due to its size. In addition, in essay my friends, retrospect and in writing essays in theology, re-evaluation of the abdominal radiographs, images of the alexander pope on man ii distal esophagus did not show any evidence of a diverticulum. Endoscopy of the esophagus and stomach was performed on writing, day 3 of hospitalization to essay on how a bill, rule out perforating esophageal or gastric ulcers as a cause of the septic body cavities. The horse had been on broad-spectrum antibiotics since presentation, yet the pleuropneumonia continued to writing in theology, progress. Dechant et al (14) published a report of essay, a horse that was presented for acute onset of pleuritis and writing essays in theology, was diagnosed at postmortem with a ruptured esophagus secondary to esophageal ulceration. The horse showed none of the typical antemortem signs of esophageal ulcers. The horse was similarly treated for a severe and peracute pleuro-pneumonia, but had no historical risk factors associated with pleuropneumonia. The Fellowship Of The Ring Questions? The authors of writing, that study emphasized the importance of investigating internal sources of steps to writing a dbq, infection in persistent non-responsive pleuritis cases where there is no evidence of external trauma (14). We believe that the atypical history and clinical presentation of this horse contributed to advancement of an undiagnosed esophageal pulsion diverticulum to the point of its rupture. A contrast radiographic study to assess size and writing essays in theology, location of the diverticulum and possible diverticulectomy by thoracotomy or thoracoscopy would have been a possibility if an esophageal diverticulum had been suspected earlier on. To the authors#x02019; knowledge, this is one of the first reports to describe an busy airport essay intrathoracic pulsion diverticulum in writing, an adult horse.
A ruptured esophagus, although rare, has been described as a cause for persistent, acute, and severe pleuritis. In the present case, however, a compromised esophagus was associated with signs of alexander epistle ii, colic and septic peritonitis as the writing presenting clinical signs. The location of this diverticulum at the hiatus was unique and was most likely responsible for the unusual presentation of ex nuke resume, this horse. CVJ.