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Abolitionism , Abraham Lincoln , American Civil War 1081 Words | 3 Pages. Hindi Nationalism This piece on Hindu nationalism, written by Alok Rai, deals with the a Hero, coming of modern Hindi in on Psychology Experiment the late 90s . and the early 20s. Alok Rai who is also known as a critical thinker, theorist and Beneath a Hero Essay, also the grandson of Premchand makes his readers aware of the process of modernization in of the Cherokee the case of language. In this essay we get to witness a connection between Hindi (old Hindi ) and “ Hindi ” (new Hindi ). Making of Hindi as a modern language connects to the programme of the imagining the. Braj Bhasha , Hindi , Hindi languages 1413 Words | 4 Pages. Leading Others (MM1051) Semester 2, 2014-2015 Individual Assignment – “ Leadership Development Essay ” Name: Shirley Chau Student . ID: 14125221D Tutorial class:TUT007 Introduction It’s generally accepted that effective leadership skill is seen as a more and more indispensable qualification at workplace.
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26/6/2013 Essay on “Advantage and Disadvantage of Telephone” in Hindi Essay on “Advantage and Disadvantage of . Telephone” in Hindi by Nilakshi Read this Essay on “Benefit and Loss of Telephone” in Hindi language. www.shareyouressays.com/113818/ essay -on-advantage-and-disadvantage-of-telephone-in- hindi 1/6 6/27/13 Essay on “Advantage and Disadvantage of Telephone” in roper and tierney model of nursing Hindi www.shareyouressays.com/113818/ essay -on-advantage-and-disadvantage-of-telephone-in- hindi 2/6 6/27/13 . 6th Marine Regiment , All rights reserved , Bihar 342 Words | 3 Pages. piece of a puzzle on its own is meaningless. But when all the pieces come together, a picture takes shape, and the puzzle makes sense. The same is true in . studying leadership . If you try to learn leadership by Truth a Hero Essay examples, only looking at a single theory or approach, you only of nursing and disadvantages, get one piece of the Truth Beneath a Hero Essay, overall picture. That's why Practicing Leadership , Third Edition features contributions from a variety of and Culture, disciplines, including psychology, management, communications, military science, the quality movement, political. Bankruptcy in the United States , Intelligence , Leadership 632 Words | 4 Pages. Running head: LEADERSHIP THEORIES AND STYLES Leadership Theories and Essay, Styles Shameka L. Evans Indiana . On Psychology! Wesleyan University Abstract Since the servant leadership concept was introduced by Robert K. Greenleaf in 1970, this style has been adopted by many successful leaders in a variety of contexts. Beneath! Is servant leadership style right for you? This paper helps to answer that question for fantasy theme, many leaders who may be interested in Truth a Hero examples serving others first or in serving rather than being served. Fred Fiedler , Leadership , Management 907 Words | 3 Pages. a counter argument.
What are the criticisms and does, arguments against Transformational Leadership ? Identify the sources and clearly articulate the . Truth! reasoning behind the criticisms. Adopt a position for or against Transformational Leadership and roper logan of nursing advantages and disadvantages, defend your position with argument Introduction This essay is based on the Transformational leadership theory and will be referred to as TL throughout this essay . This essay will look into criticisms and arguments against the theory and analyse the Truth a Hero Essay examples, reasoning. Charismatic authority , Fiedler contingency model , Leader 2050 Words | 6 Pages. What is the customer, Difference Between Leadership and Management? The discussion between the differences of Essay examples, leadership and . management has fuelled an ongoing heated debate. In acknowledging the vast differences between leadership and management, the aim of this essay is and Culture Cherokee thus to illustrate these differences whilst displaying that they overlap. I will also explore the Truth a Hero Essay, effects of their functions on roper and tierney and disadvantages, organizations and explain that a combination of elements from both leadership and management is the Truth Beneath a Hero, most productive. Control , Difference , Henri Fayol 1204 Words | 5 Pages. “ Leadership cannot be taught or learned” (Drucker, 1955). Critically evaluate this statement. Roper Logan Model Of Nursing! . Peter Drucker as one of the Truth a Hero Essay, best known writers and management consultants wrote that “ Leadership is of utmost importance.
Indeed there is no substitute for it. But leadership cannot be created or promoted. Antonia! It cannot be taught or learned.” (Drucker, 1955) He held the view that leadership is Truth Beneath a talent. The purpose of this essay is to. Fiedler contingency model , Fred Fiedler , Leadership 1561 Words | 5 Pages.
Leadership in Nursing. Definitions, Theories, and roper logan advantages, Styles of Essay examples, Leadership Developing future nurse leaders is one of the greatest . challenges faced by the nursing profession (Mahoney, 2001). Powerful leadership skills are needed by all nurses—those providing direct care to customer departmentalization, those in top management positions. Anyone who is looked to as an authority (e.g., a nurse taking care of a patient) or who is responsible for giving assistance to Truth Beneath a Hero, others is considered a leader (Mahoney, 2001). Departmentalization! A clinical nursing. Decision making , Health care , Leadership 1123 Words | 4 Pages. Leadership and Management: a Comparative Essay. debate on a Hero Essay examples, the similarities and differences between management and leadership . Weathersby (1999) argued that management is the allocation of . scarce resources against an organization's objective, the setting of priorities, the The History of the Essay, design of work and the achievement of results whereas leadership focuses on the creation of a common vision.
Schruijer and Vansina (1999) proposed that management is about doing things right and leadership is doing the right things. Both studies appear to view the management. Leadership , Management , Morality 711 Words | 3 Pages. ?Transformational Leadership : can achieve the goal and develop the organization. Introduction Transformational leadership . theory is one of the Truth Beneath, most important and widely accepted theories though it has some criticisms and arguments against it. James MacGregor Burns (1978) gave this new example of leadership ; he stated leadership is of nursing either transactional or transformational (Bass and Riggio, 2006, p.3). The leaders who stimulate and motivate followers to achieve the goal and Truth a Hero examples, develop their leadership quality. Charisma , Charismatic authority , Leadership 2230 Words | 7 Pages.
What is Leadership ? It means influencing, motivating and enabling other employees to contribute their best towards the effectiveness and . Fantasy Theme! success of the Essay examples, organization. It’s not only motivating and fantasy theme, influencing individual but the goals can only be attained by mutual cooperation and cohesive behavior. This essay will throw some light on Mr. Sunil Bharti Mittal. He is the Chairman and CEO of Bharti enterprises. A Bharti Enterprises is one of the India’s leading business groups like telecom, financial. Bharti Airtel , Leadership , Ludhiana 1796 Words | 4 Pages. focuses on Truth Beneath a Hero Essay examples, the Art of Leadership . Fantasy Theme! In particular, this essay begins by summarizing various approaches to leadership . and other key features and characteristics of Essay examples, effective leaders. The remainder of the paper considers which characteristics or approaches to leadership I should adopt in the future and why. Additionally, I discuss my career plans and The History Cherokee Civilization Essay, the steps that I must take in order to achieve my goals.
The Current Environment of the Art of Leadership A leadership approach is a “coherent. Leader , Leadership , Management 897 Words | 3 Pages. An Essay on the paper titled:Transformational Leadership in the Saudi Arabian Cultural Context: Prospects and Challenges by Dr. . Sami A. Khan and Dr. Deepanjana Varshney the Truth Beneath, writers started their research by stating thatLeadership became the does mean, key issue in Essay every organization and in order to define misery, meet the Truth Beneath Essay examples, changing demands of the businesses,organizations have to adopt transformational leader who can in?uence others to define misery, achieve greater goals. A Hero Examples! After that they mentioned the literature point of what does, view on leadership.
Arabian Peninsula , Leadership , Management 938 Words | 3 Pages. What is leadership ? Leadership can be defined, in various ways, depending on what Area of leadership is been . focused on. From a social and psychological point of View, Leadership is said to be a social influence, where leaders use their behaviour to motivate those who follow and a Hero, contribute to antonia mean, group goals. What is an effective Leader? An effective leader is one who thinks and acts quickly, understands and demonstrates the elements of teams and team works.
This essay will outline the social and examples, psychological. Big Five personality traits , Fiedler contingency model , Leadership 1425 Words | 4 Pages. 1. Customer! INTRODUCTION Leadership is a process by which a person influences others to accomplish an objective and directs the Truth a Hero Essay examples, organization in and disadvantages a . way that makes it more cohesive and coherent. This definition is similar to Truth Essay, Northouse's (2007, p3) definition “ Leadership is does a process whereby an Truth Essay examples individual influences a group of individuals to define misery, achieve a common goal”. Truth A Hero! Also many of the authors defined the term leadership according to Alan Keith of Genentech stated that, Leadership is ultimately about creating. Contingency theory , Fiedler contingency model , Fred Fiedler 1660 Words | 7 Pages. Name of the Candidate Name Surname Name of the Parent / Guardian Date of Birth (dd-mm-yyyy) Socio-Economic Details : Gender Nationality Marital Status Social . Status Male Indian Married SC TELUGU Telugu (For office use only) ID No. ENGLISH Hindi Sanskrit Candidate’s Latest Photo Female Others Un Married ST BC Rural PH Urban Others If any Specify : Area which you are living comes under whether Are you employed Yes No Please furnish Work Experience (if any) : Organisation Govt. Private. Distance education , Education , Employment 417 Words | 2 Pages.
Essay Josef Ackermann leadership style. ? Portfolio Essay : Final Draft Josef Ackermann (Deutsche Bank/Germany) Using Darling and Leffel’s (2010) framework, this . essay will evaluate on how Josef Ackermann demonstrated his leadership style as a Swiss banker, the former Chief Executive Officer (CEO) of Deutsche Bank and logan of nursing, Chairman of Zurich Insurance. As defined by Peter Northouse (2001), leadership is a process, in which an individual influences a group to achieve a common goal. And to achieve that goal, a visionary leader should. Bank , Deutsche Bank , Financial services 1261 Words | 4 Pages. Applying Leadership Theories Essay. The Importance of a Hero Essay, Leadership Styles Jennifer Sanchez Grand Canyon University – EDA 575 May 15, 2013 The following paper analyzes the Essay, . leadership styles of a principal in an urban school district. The three leadership styles discussed are directive, affiliative, and collaborative. Each of these styles has been utilize to create an environment which is effective and conducive for a quality education.
The Importance of Leadership Styles The school I have chosen as the subject to Beneath a Hero, my research. High school , Leadership , Management 1043 Words | 3 Pages. Centre for departmentalization, Language Study Pre-Sessional Course A 2013 WRITING TASK 4: Assessed Essay WRITING TASK 4 is your assessed essay . and you will need to Truth Essay, write an essay of 1200-1400 words. This is the same length as the essay in WRITING TASK 3. WRITING TASK 4 will form 80% of your mark for writing on the Pre-Sessional course. Please select a title from the departmentalization, list here: 1. Beneath Essay! Discuss the impact a particular theory has had on your area of study in terms of application, use and Essay on Psychology Experiment, limitations. 2. Explain the problems. Citation , Essay , Marketing 1150 Words | 4 Pages. scholars the opportunity to dissect how leadership is developed in the military.
People can look to the military for Truth Beneath examples, guidance on effective . leadership because officers “… are trained for high-stakes positions at what antonia mean a young age and are sometimes thrown into those roles with no warming.” (The Different Ways Military Experience Prepares Managers for Leadership , p. Beneath Essay! 82) According to Professor Michael Useem author of “Four Lessons in Adaptive Leadership ,” leadership development is customer best derived from the Beneath a Hero Essay, military. Army , Decision making , Leadership 2101 Words | 6 Pages. Academic Essay - Level 5 Leadership. ? Academic Essay – Level 5 Leadership Megan Palmer Centenary College Academic Essay – Level 5 . Leadership “The 5 is ambitious first and foremost for the cause, for define misery, the company, for the work, not him or herself. Beneath Essay! And they have the will to do whatever is necessary to make good of the ambition for that cause. Logan And Tierney! That is the essence of a Level 5,” Collins stated in a television interview to Truth, Charlie Rose in does antonia mean 2002 while promoting his then newly published book, Good to Great. About Jim Collins . Company , Form of the Good , Harvard Business School 1274 Words | 8 Pages. leadership Great leadership is a rare skill. It is Truth Beneath Essay examples much more rare than most people realize. For most people it doesn't come . naturally. It is amazing how many organizations are successful even though they have only marginally competent people leading them.
Many times this is because the structure of the organization helps make up for a leaders short comings. Sometimes it is because a particularly talented staff that makes up for Experiment, the leaders deficiencies. While great leadership skills can make someone. Fiedler contingency model , Leadership , Management 1389 Words | 4 Pages. ?Odysseus’ Leadership Qualities Leadership is a trait or characteristic that one does not have, but adapts to. A leader is a Hero . someone who is in charge, and roper advantages, guides and instructs a crew to reach their destination. Leadership is Beneath Essay something that you develop overtime from observations and experience. One of the define misery, greatest leaders in Truth a Hero Essay examples The Odyssey is Odysseus, because of his ability to make sacrifices, his trust in his men, and define misery, his role model-like qualities. Firstly.
Odysseus is a good leader because of his. Circe , Fiedler contingency model , Leadership 1064 Words | 3 Pages. ? LEADERSHIP Q/A It’s my pleasure to have this opportunity for a Hero Essay, a conversation with you. Could you please give us your brief . introduction. Name: Ajay Mathema Address: Currently working: 1. Could you please tell us your current projects that u are engaged in? Effective leadership is the ability to inspire followers to listen to and follow a vision; the define misery, ability to Essay, innovate and drive an organization or people towards new ideas and directions.
Leadership may be difficult to define misery, define. Fiedler contingency model , Leadership , Management 1236 Words | 5 Pages. Assignment Title: Leadership : Charismatic Individuals or Contingent Characteristics? Assignment Title: Leadership : . Charismatic Individuals or Contingent Characteristics? Leadership : Charismatic Individuals or Contingent Characteristics? An organisation regardless of its size, business environment, industry or structure relies on Essay examples, the ability of its leaders to motivate and influence the workforce to achieve common goals, deal with complex challenges and deliver sustainable results. Customer Departmentalization! The. Decision making , Goal , Job satisfaction 2203 Words | 7 Pages. ? Effective Approaches in Leadership and Management Jennifer Addison Grand Canyon University HLT-310V January 18, 2014 THESIS . Truth Beneath A Hero Essay! STATEMENT AND PURPOSE The nursing shortage and high turnover rate in nursing impacts the Essay on Psychology, economic life of Truth a Hero examples, every health care organization in customer America. The purpose of this paper is to define and discuss the approaches in leadership and management styles in relation to the nursing shortage and nurse turnover using theories, principles, skills, and Truth Beneath Essay examples, roles of the leader. Florence Nightingale , Health care , Leadership 1170 Words | 7 Pages.
Efffective Leadership Essay Unit 5. ?Effective Leadership Essay Brittany Schutten February 18, 2015 Leadership is Essay Experiment something hard to a Hero Essay, define but can . be easily identified. Through my professional career I have had the does antonia, opportunity to a Hero Essay examples, work with many people in leadership roles, but few that were true leaders. By leading by example, enabling others to act, motivating and inspiring them to achieve the fantasy theme, vision they outline, and Truth Essay, recognizing them for their accomplishments is what my leader does effortlessly. Due to all of these qualities and. Hero , Leader , Leadership 858 Words | 4 Pages. Ethical Values in Leadership Essay. ? Ethics Influencing Leadership and Personal Experience in fantasy theme Vision Within Leaders Samantha K Hill Warner Pacific College . Ethics Influencing Leadership and Personal Experience in Vision Within Leaders Ethics can be defined as moral principles that govern a person or a group behavior. There is so much behind ethical behaviors influencing leadership , such as what you believe is Truth examples right from wrong, what you genuinely believe in, your ideal standards, and what antonia, the voice of your conscience. Business ethics , Ethics , Leadership 1887 Words | 7 Pages. ?Zaynah Himani Storey - C104 Essay Enlightened leadership is spiritual if we understand spirituality not as some kind of Truth Beneath a Hero Essay examples, . religious dogma or ideology but as the domain of awareness where we experience values like truth, goodness, beauty, love and compassion, and what does, also intuition, creativity, insight and focused attention - Deepak Chopra What is the significance of being a good leader and what does it take to Truth Beneath Essay examples, become one?
When we think of leaders, we think of a strong individual who motivates. Fiedler contingency model , Leadership , Management 787 Words | 3 Pages. Leadership purpose reflective essay. ? After watching this interview, I feel that a well defined leadership purpose statement is the distinction between a good leader and a great . leader. Carolyn McKnight’s interview on fantasy theme, leadership purpose statements really opened my eyes to the power of these statements, and the time and energy one needs to put into creating a leadership purpose statement. At first it seemed that completing a statement this powerful would be a very daunting task. Beneath A Hero! After watching Mrs.
McKnight’s interview, I am confident. Fiedler contingency model , Leader , Leadership 1210 Words | 3 Pages. ? Leadership Whenever and wherever human beings are gathered together in mean large numbers, they need leadership . Truth Beneath Essay Examples! Even children . need their school prefects and schools captains! Men whether of the East or the West, require to be led and each group 'throws up' its own leaders in each succeeding generation. Whether in the school-room, or on the battlefield or in governmental deliberations, people who are natural leaders and fantasy theme, who are chosen to lead, always have the Beneath Essay, same qualities of roper logan and tierney of nursing advantages, character and of outlook. Fiedler contingency model , Leadership , Management 1109 Words | 3 Pages.
Netaji Subhashchandra Bhose Hindi Essay. Certificate Course in Audio-Radio Servicing, from Institute of Audio – Video Technology, Nagpur. Yr 1995. 5) Basic Computer course Personal Details: . Date of Birth : 28th March 1977. Truth Beneath! Father name : Mr.Sudhakar K. Chaware Languages Known : Hindi , Marathi amp; English. Marital Status : Married Hobbies : Music, Badminton, Horse Riding amp; Art. Extra Curricular Activities : 1. Experiment! Completed Disaster Relief Instructor Course, from National Civil Defence College, Nagpur (Central Government). 2008 , Bharti Airtel , Bharti Enterprises 691 Words | 4 Pages. Critical appraisal of the leadership role in planning a change in service delivery: Implementing audit within community nursing teams By . Introduction This essay will present a critical appraisal of the Truth a Hero, leadership role in planning a change in does antonia service delivery through the proposal of Beneath, embedding audit within a district nursing service as consistent with global quality initiatives and the role of audit in nursing care.
Specifically, the NHS leadership qualities framework (2001). Change management , Kurt Lewin , Leadership 2065 Words | 6 Pages.
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The Korean War: Tactics and Logistics. The Second World War officially ended in the year 1945. It was a devastating war that many hoped that it should be fitting to end all wars and for a change give the world a breathing space, to be granted that very elusive peace. Truth Beneath A Hero Essay? Yet, perhaps those who wished for a world in The History of the Cherokee, harmony after World War II may have underestimated mankind’s appetite of some leaders who wanted to be supreme rulers of the globe. So, five years after the guns were silenced in the Great Theater of Truth Essay examples war in Europe, another dangerous conflict is brewing in Korea.
Here, one can see a display of things to what does antonia mean, come because Vietnam and Afghanistan are still future events. In the examples, Korean War the world became witness to what happens when superpowers decide to play chess. Unfortunately, this game is not played the logan advantages, traditional way with wooden pieces and all. This time the chessboard is the Korean Peninsula and the pieces are either the native Koreans or imported as in soldiers coming in from all over the world. Truth Beneath Essay Examples? It is interesting to note that this is not a World War in the truest sense of the term, but the does mean, true players are global leaders who happened to a Hero, confine their violent resolution in a specific location, Korea. The United States, Russia, North and South Korea, United Kingdom, Canada, Australia and fantasy theme, other Asian nations were participants in this war of attrition. Truth Beneath A Hero Examples? The battle lines were drawn and it was named the 38th parallel. Fantasy Theme? This allowed for a little bearing in a very confusing time, hoping to Truth Beneath a Hero Essay examples, give a little bit of clarity in a very agitating situation. This paper seeks to understand the Korean War. This can be done by looking at a brief historical background before the war and the events that added fuel to the tension between two Korean governments.
Since the Korean War like many conflicts is so complicated this study focuses on tactics and logistics, and less on the historical figures that played a major role in this important period not only for Koreans but for Asians in customer, particular and a Hero Essay examples, the world in general. The Korean War was sometimes called the “Forgotten War” and this may be so because like Vietnam there are only a few people who understand its significance. Yet an “…outpouring of The History and Culture of the Civilization Essay books, articles and film in the last decade as well as an impressive memorial on Washington, DC’s Mal (and the realization that) …it would be practically impossible to Beneath a Hero Essay examples, understand the Cold War…” have created a revival of interest on this subject (Sandler, p. 1). Customer Departmentalization? The conflict in this area of the world does not surprise the experts and Beneath a Hero Essay, the grizzled veterans of war. In fact the professional soldier can easily read the of the, undercurrent of history and be able to predict what will happen in the struggle for power and supremacy.
This was eerily demonstrated by a seemingly prophetic Commodore Matthew Perry when he spoke these words in the year 1856, a century before the Korean War: The people of America will, in some form or other, extend their dominion and their power […] upon the eastern shores of Asia. And I think too, that eastward and southward will her great Russian rival […] The antagonistic exponents of freedom and absolutism must thus meet at last, and then will be fought that mighty battle on which the Truth a Hero Essay examples, world will look with breathless interest; for on its issue will depend the freedom or the slavery of the world (as cited in Huston, p. 200). It boggles the mind of the average person when analyzing as to how Commodore Perry was able to ascertain his claims. Antonia Mean? What is more amazing is the accuracy of his predictions.
It is like looking in a crystal ball and examples, seeing very clearly what will happen. And indeed what Perry prophesied came to pass. Russia became a superpower and just like what the Commodore had said, the The History and Culture of the Cherokee, Russian government exerted tremendous influence over China. And of examples course his final statement about the necessity of a crucial war that will showcase the of the Cherokee Civilization Essay, fight for freedom as opposed to absolutism was also played out just as he predicted. This can only mean that even before the first bullet crossed the 38th parallel, there are already forces at work even as far back as the late 19th century. Perry was able to read the signs and the saw the root cause of conflicts in this part of Asia. Yet it was only in the 1950s when the seed planted by those who wanted to control this region grew and blossomed into a passion that could only be satisfied with conquest. Commodore Perry was praised here because of his foresight, a very important talent that a general should possess. If only the leaders of the free world in Truth a Hero examples, the 1950s were as gifted, then things would have turned out differently. But as fate would have it, from the and Culture Cherokee, U.S. and UN side was able anticipate what is going to happen. Either they were blindsided by the Communists or they were preoccupied by their paranoia.
And that paranoia is brought about by the fear of Beneath Essay examples being overrun by a westward move by define misery, the Union Soviet Socialist Republic. Stanley Sandler remarked on this and he wrote: A Soviet thrust into Western Europe seemed a far more threatening contingency than a possible dust-up between two unattractive regimes in a bleak former Japanese colony that most Americans could not find on a map. But Americans […] would become acquainted with Korea in a war that would turn out Beneath a Hero examples, be the third bloodiest in Essay on Psychology Experiment, their history […] and which for Koreans themselves would prove the Truth Essay examples, greatest catastrophe in their national history (p. 2). It depends which side is asked. For the U.S. and UN Command, it was the North Koreans who drew first blood and attacked without warning nor any form of declaration of war. It seems that history is repeating itself once again for Americans just like in Pearl Harbor. But according to the communist-backed regime they were just retaliating from what the South has been doing for the past several months. The truth of the on Psychology, matter is that both sides were engaged in skirmishes that were serious prelude to war.
Sandler asserts that it was an, “…armed conflict between the Democratic People’s Republic of North Korea and the Republic of South Korea, which had been conducting mutual border raids for Truth Beneath a Hero, more than a year” (p. Essay On Psychology Experiment? 2). At any rate the U.S. led forces were caught by surprise that fateful day of June 25, 1950. Even if they will deny it, it is now clear that the North were prepared to launch an attack and the offensive move was purely intentional. Kim Il Sung the de facto leader of the newly established North Korean Regime began to make plans to invade South Korea. This plan was of course made in secret but nevertheless in a Hero Essay, close coordination with Russia’s Stalin and China’s Mao Tse-tung. According to Allan Millett the The History and Culture Civilization, origin of this plan can be traced back to a change in the policy of Kim Il Sung’s benefactor to Truth Beneath Essay, communize the whole Korean Peninsula (p. 102). It seems that Russia is no longer contented with being kept in check by departmentalization, a ridiculous 38th parallel and would like very much to gobble the whole Korean Peninsula. “The Soviets, however, came to realize that the Beneath Essay, goal of communizing the define misery, entire peninsula could not be achieved through such limited tactics, and decided to resort to more violent means” (Millet, p. 102). In December of Truth Beneath a Hero 1948 the Soviets made the first tactical move to befuddle the U.S. by withdrawing their troops unilaterally out of North Korea.
Then the Russian government turned around and invited the top brass of and tierney of nursing and disadvantages North Korea and China’s military for Truth a Hero examples, a buildup. The History And Culture Of The Cherokee? Millet bared that the troika agreed to “…build up the Truth Beneath Essay examples, strength of the North Korea People’s Army (NKPA), around 6 shock divisions, 8 combat and 8 reserve divisions, and 2 armored divisions and to complete the define misery, war preparations within 18 months (i.e., by June 1950)” (p. 103). Beneath Essay Examples? The NKPA was able to do all of these like clockwork revealing a tremendous level of preparedness and dangerous intent. Level of Preparedness. While the NKPA was psychologically and physically prepared to engage in battle the fantasy theme, ROK (Republic of Korea) army though prepared for future skirmishes and for another round of border raids was not truly ready for a full scale war. The South was not ready to face an enemy dead set in gobbling them up and desiring to unite the whole peninsula once again. It took at Beneath a Hero examples, least five days after the initial offensive of NKPA for the U.S. to make a coherent response. “On June 30, US President Harry S. Truman authorized US ground forces to stop the North Korean attack” (Boose, p. 4). This led to losses in customer, the early rounds of the fighting and led Boose to comment, “It was able to do little to delay the KPA, but additional forces were on Truth Essay, the way” (p.
4). Aside from Experiment differing interests and the reasonably defective intelligence from the Western nations – or they would have known of an Truth Beneath a Hero imminent attack – there is the psychological reason for being unprepared. Sandler made a comment why it was unlikely for roper logan of nursing and disadvantages, the Korean Peninsula to be plunged into Truth Beneath a Hero Essay such a bloody conflict. Roper Of Nursing Advantages? And he wrote: In looking back (before World War II) … it would be difficult to imagine a more homogeneous and united nation than Korea. […] they are of the same culture with minor north-south variations throughout the peninsula, and the Korean language – Hangul – is Truth Essay universal. Korean cultural homogeneity can be illustrated in logan and tierney model advantages and disadvantages, its place name, a source of confusion for a Hero, non-Korean UN personnel throughout the war: Inchon/Ichon, Masan/Musan, Paengnyong/Pyongyan/Pyonggang Pyongchang, Taejon/Taechon, Pukchong/Pukchang…(p. 3). That and the eighteen month head start is creating a great advantage for customer departmentalization, the NKPA.
In the Truth a Hero, end this advantage would create a stalemate and would result in the present division of Korea and define misery, the unexpected survival of this communist state even though its patron the great USSR had long been dismantled. The North Korean and the communist forces were not only decisive and Truth a Hero Essay examples, aggressive they were able to create a force enough to challenge U.S. and UN supremacy in the South. The book, “Communist Logistics in the Korean War” by Charles Shrader is an excellent source in getting an in-depth look at what happened on the other side. Too many times the victors or the Essay Experiment, presumed victors in the case of the Korean War are all too willing to gloss over their mistakes and hype their successes. The focal point of this book is the refutation of the myths perpetuated by the Americans and Truth Beneath a Hero Essay, UN forces that were then passed on to people back home and unfortunately was taken in does antonia mean, as gospel truth.
Shrader asserts and this is quite a revelation: One of the more persistent myths of the Korean War is that North Korean and Chinese communist solders were able to subsist on a mere handful of rice per day obtained all their arms and ammunition from their enemies, and moved all supplies by animal cart or human porters. Although supply requirements of NKPA and Truth examples, CCF in Korea were amazingly low when compared to the requirements for equivalent UNC units, the Communist forces did generate substantial requirements for formal supply and transport forward of tremendous quantities of The History of the Essay food, petroleum products, weapons, and Beneath a Hero Essay, ammunition (p. 89). The U.S. and UN led coalition were more technically advanced but this is not the most important thing in any given war. It is the level of preparedness that is important. Essay Experiment? That level of preparedness can only be gauged in relation to the environment where a battle will be waged. Let’s say for example that forces are slugging it out in a heavy-forested area with a very steep incline. A Hero? No matter how sophisticated the military jeeps are, this kind of technology will be rendered effective. In another example where the passageway in a body of water is narrow and shallow no matter how technologically advanced the frigates are it would be foolish to attack using this route since one sunken vessel can immobilize the whole fleet.
In other words tactics and logistics are the most important aspects to consider and not just technology. This is the customer, bone of contention in Shrader’s books – the South Korean forces was wrong in thinking that they were technically superior. Truth Beneath Essay? This led Shrader to what antonia mean, remark that: NKPA-CCF logistical doctrines and Truth a Hero Essay, methods were characterized by flexibility and innovation, which allowed them to compensate for comparative lack of material resources and customer, modern technology […] NKPA and CCF logistical organizations were equally flexible and often exhibited great variation in form, strength, and equipment of the assigned service units (p. 25). What contributed well to the high level of preparedness by the NKPA – aside from the Soviet support of course – is the broad range of natural resources present in North Korea. This includes water, power, timber, rare strategic materials e.g. Truth A Hero Examples? tungsten, zinc, graphite reserves, substantial iron ore deposits, copper, lead, cobalt, asbestos, molybdenum, nickel, gold and silver (Shrader, p. Customer? 60). This resulted to an almost miraculous surge in North Korea’s war time production of needed materiel that surpassed pre-1945 levels: 1) 166,000 tons of pig iron; 2) 144,000 tons of steel ingot; and 3) 116,000 tons of finished steel (Shrader, p. 61). Summing it all up the major source of military materiel came via USSR which supplied the NKPA with aircraft, tanks, vehicles, communications equipment, heavy artillery, and ammunition.
In addition to that, a portion of their needs were supplied by Beneath a Hero, third country suppliers (Shrader, p. 60). Thus when the communist forces launched the initial attack in June of 1950 their combined forces produced the fantasy theme, following massive force in the eve of the attack: …135,000 men in two corps comprising eight full-strength infantry divisions, two half-strength infantry divisions, an Truth Beneath a Hero Essay examples armored brigade, an independent infantry regiment, a motorcycle reconnaissance regiment, and fantasy theme, five brigades of the Bo An Dae, or Border Constabulary (Shrader, p. 90). What is more amazing is the development of the NKPA forces after the Essay, 1950s. After suffering setbacks from the roper logan model and disadvantages, retaliatory attacks of the UN command, the NKPA in the middle of 1951 the “rebuild NKPA included 213,600 men in twenty-three infantry divisions, one mechanized division, one armored division, and two independent infantry brigades controlled by seven corps headquarters. NKPA strength peaked in October 1952 at around 266,000 men in eighteen divisions and six independent brigades” (Shrader, p. 90). If this was not enough to give the South Koreans and its allies a full plate, the Chinese and the Soviets entered the fray in the guise of helping a beleaguered brother-in-arms. The forces supplied by the People’s Republic of China was more than enough to bring this regional level conflict into World War scale. The following data proves the serious intent of the Beneath a Hero, communist bloc: By late November 1950 some 300,000 Chines Communist troops were in Korea: 180,000 in the six armies (eighteen divisions) of the XIIIth Army Group […] 120,000 in the three armies (twelve divisions) of the IXth Army Group […] on 1 July 1952, fify-one CCF divisions with some 540, 200 men manned the line across Korea from the west coast to the central Taebaek Range and were supported by about 10,000 Soviet and Soviet-bloc advisors and technicians (Shrader, p.90). This is the extent of the level of on Psychology Experiment North Korea’s preparedness and a sample of their resolve to win this war.
Stanley Sandler in a few words was able to encapsulate the true state of South Korea’s forces before the attack by saying that June 25, 1950 was a Sunday and that fully one-half of the ROK Army was on leave (p. Truth Beneath A Hero Examples? 48). In the initial stage of the of the Cherokee Civilization, attack which was not at all done quietly and with any subtlety: heavy bombardment, followed by a blitzkrieg attack of some 150 Soviet-built T-34-85, 110 warplanes and a crossing of the 38th Parallel by a rampaging Korean People’s Army. Still there was an awfully delayed reaction to the events at hand. Sandler explained the reason for such a weak response due to the aforementioned soldiers who were on leave, the high number of civilian leaders who were out of the country and the mistaken notion that what just occurred was another border raid. With regards to the presence of U.S. troops, Gordon Rottman lamented that fact that it was such in great shape a mere five years before the conflict and would have come handy in a time like this. But Rottman revealed that the U.S. Beneath? government intentionally reduced its military strength not only in Korea but also in the Far East. Rottman comments on the closest source for help which are the forces stationed in Japan and define misery, he wrote: Tank companies stationed in Japan had only M24 light tanks as Japanese roads and bridges could not support heavier M4A3 and a Hero Essay, M26 tanks. M24s were no match for antonia, North Korean T-34s, one of the best tanks to appear in World War II. The divisions in Beneath a Hero examples, Japan also lacked their reconnaissance, military police, and replacement companies […] These divisions consisted of define misery 12,500 to 13,600 troops rather than the full-strength 18,804 (p.
3). At first glance, South Korea does not stand a chance against the forces of Communism. Ironically, the same benefactor who gave NKPA a tactical and logistical advantage (USSR) became the source of their demise. Sensing that the North/South conflict is just a prelude for a Hero examples, something bigger Russia’s enemies were banded together for a common cause, which is to prevent the USSR and Communism from expanding worldwide. This resulted in a pledge of commitment to provide support in fantasy theme, a scale reminiscent of Word War II. When the NKPA was not able to achieve total victory, this gave the U.S. and UN led coalition to regroup and pose a decent defense of South Korea. Rottman expounded on Beneath, this idea by fantasy theme, saying that: The Korean War was to be the UN’s first commitment of armed forces to conduct and end a war […] the UN called on all member nations to support the military effort in Korea. Fifty-three countries approved of armed action against a Hero Essay examples North Korea: 15 committed ground combat forces, nine provided naval forces, six sent air force elements, and five contributed medical support, either military or civilian (p. 117). In general there is nothing that U.S. armed forces could be proud of in define misery, the Korean War.
There was really no clear victor, no territory was gained and as mentioned earlier it was the third bloodiest in Beneath a Hero Essay examples, the history of war where casualties are at departmentalization, a significant high. The only good thing that could be seen or learned from this incident is the demonstration of Truth Beneath a Hero Essay examples what bravery and commitment can do to an organization. Here one can also see the difference between a regular soldier in the U.S. Army as opposed to the brave and the few of the U.S. Marine Corp. Hugh Deane quoted Andrew Greer when describing the fantasy theme, essence of being a marine, “In any small unit battle the outstanding behavior of a few men is always discernible over the others […] The scale is tipped by a few – by the ten percent – who rise to the heights where the enemy and death can be met without a hesitant step” (p.
97). British historian Max Hastings remarked, “Most of the examples, Eight Army fell apart as a fighting force in a fashion resembling the fantasy theme, collapse of the French in 1940, the British in Singapore in 1942. Truth A Hero Essay Examples? But he reported the Experiment, praiseworthy strong resistance of the Truth a Hero Essay, U.S. Define Misery? Marines in the northeast” (as cited in Truth a Hero Essay, Deane, p. 111). A particular example was raised by Deane when he commented on the enemy’s attack tactics that looked like suicide attempts characterized by sending small units that more often than not gets wiped out. This is followed by wave after wave of such small unit attacks against a selected point until a breakthrough is achieved and here comes the main force.
This was effective in logan of nursing, demoralizing troops. But according to Deane this would not work against the marines. “…but against the marines in the Northeast the results were often frustrating. The marines constructed strongly fortified outposts in the hilly-forested Chosin area and defended them fiercely with a good deal of Truth Beneath a Hero examples success (p. 129). Almost all wars are considered a waste of fantasy theme time, money, effort and a Hero, lives of men. The Korean War was no exception. Considering the following statistics makes one shake hid head over the folly of war: The North Korean armed forces lost approximately 600,000 men in the fighting, in addition to Essay on Psychology, two million civilian casualties. The Chinese […] an a Hero Essay estimated 1 million casualties.
Losses to the ROK are estimated at 70,000 killed, 150,000 wounded and 80,000 captured. One million South Korean civilians were killed or injured. The USA lost 33,600 men kiled nad 103,200 wounded (Malkasian, p. 88). What adds insult to injury is the futility of not having a clear victor, no territories were gained and nothing significant was achieved except perhaps for a few lessons in the book of tactics. What Does Antonia Mean? The level of Beneath a Hero Essay preparedness of both camps explained the reason for the stalemate. The South Korea side was backed up by a technologically superior U.S. and UN led coalition but it was not mentally prepared to wage this war.
Almost every action done on customer departmentalization, the part of South Korea was mostly reactionary and defensive. Most importantly, the United States was treading on thin ice since a miscalculation and overkill can easily escalate the regional conflict into a global war. With the Second World War fresh from people’s minds there is no incentive to go full force. Although the NKPA was well prepared and very much flexible in their serious bid to unite the Korean Peninsula it does not have the technological edge to overpower the U.S. and Truth, UN forces. On a more important note, the Essay Experiment, attack on South Korea was a supposed to be a defensive act. Therefor the USSR could not be seen as fully involved and thus it can only work from the background.
That sums up the futility of this exercise but nevertheless it is a good prelude to understand the Cold War and the other similar conflicts that came after it like Vietnam and Truth Beneath a Hero Essay examples, Afghanistan. Deane, H. (1999). The Korean War. San Francisco, CA: China Books and Periodicals, Inc. Huston, J. A. (1988). Outposts and Allies: U.S. Essay? Army Logistics in the Cold War. New Jersey: Associated University Press.
Malkasian, C. (2001). The Korean War. University Park, IL.: Osprey Publishing. Shrader, C. (1995). Truth A Hero Essay Examples? Communist Logistics in Essay, the Korean War. Westport, CT: Greenwood. Millet, A. R. (1997). The Korean War. Seoul: Korea Institute of Military History. Sandler, S. (1999). The Korean War: No Victors, No Vanquished.
Kentucky: University of. Rottman, G. (2002). Korean War Order of Battle. Truth A Hero Examples? Westport, CT: Praeger Publishers. Haven’t found what you want?
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10 Resume Tips From A Legal Recruiter. Ed. note : This is the Beneath Essay, latest installment in a series of posts on lateral partner moves from Lateral Link’s team of expert contributors. Define Misery. Abby Gordon is a Director with Lateral Link’s New York office. Abby works with attorney candidates on law firm and in-house searches, primarily in New York, Boston, and Europe. Prior to joining Lateral Link, Abby spent seven years as a corporate associate with Cleary Gottlieb, focusing on Truth Essay capital markets transactions for Latin American clients in New York and for what does the last five years for European clients in Paris. Truth Beneath A Hero Essay Examples. A native of Boston, Abby holds a J.D., cum laude, from Georgetown University Law Center and a B.A. in government and define misery romance languages, magna cum laude, from Dartmouth College.
Abby also worked with the International Rescue Committee as a Fulbright Scholar in Madrid, Spain. She is a member of the New York Bar and is fluent in Truth a Hero, French and Spanish (and dabbles in Portuguese and Italian). The History And Culture Of The Cherokee Civilization Essay. As a legal recruiter, I review numerous resumes each week in an effort to Truth Essay assist my candidates with the substance and presentation of their one-page life summaries. Here are ten tips based on The History and Culture the most common problems I see and Beneath a Hero Essay questions I am asked: 1. Assume no one will read your resume word-for-word. Picture your interviewer pulling your resume off the printer and reading only what he can in customer departmentalization, the time it takes to walk back to his office. You need to Truth Essay examples make the most important stuff jump off the page. Use bold. Customer. Use bullet points. Use headings. Give some thought to a Hero Essay examples the format that will convey the necessary information in the most logical way.
2. Be concise and make every word count. This is related to Tip #1. You want the most important stuff to jump off the page, but every word on does your resume should serve the a Hero, purpose of Experiment, showing that you are the Truth Beneath a Hero Essay, best candidate for the specific job. It’s just one page. Customer Departmentalization. 3. Tailor your resume to the specific job. Keep in the forefront of your mind that you are applying for a legal job. Truth Beneath A Hero Essay. Do not view “updating” your resume as merely adding to the same document you first created 20 years ago. Delete information that is no longer relevant #8212; remember, every last word should serve the purpose of fantasy theme, getting you this job.
If you are applying to 10 general litigation openings, one version may be just fine. But if you are applying to Beneath some general litigation spots and some patent litigation spots, you may want to have two versions of your resume, with each tailored to the specific opening or category of opening. 4. Be sure you can talk intelligently about every last thing you include on your resume. Define Misery. If you can no longer remember the main argument of your senior thesis from Truth Essay college, delete it from your resume or refresh your memory before any interviews. You also must be prepared to talk about the any legal matters you claim to have worked on, including about the and tierney model of nursing, underlying legal issues. 5. When describing your legal experience, give concrete examples . Instead of merely asserting that you are a capital markets lawyer, note that you “Drafted the underwriting agreement as lead associate representing the underwriters in the offering of a Hero, $300 million in floating rate notes by Experiment a large U.S. manufacturing company.” Even if you have a separate representative matters sheet, it may be helpful to include a few bullets points showing this experience in Truth Beneath a Hero, your actual resume as well.
And remember from what Tip #2, every word counts. Don’t use neutral words where a more positive word could convey more meaning. Truth Beneath. For example, which is more powerful, stating that you “worked on” a project or that you “successfully implemented” a project? 6. Be sure all information is Civilization Essay, up-to-date. If you are no longer on a committee, delete it from your resume or indicate the proper dates. Change the verbs (“represent,” “draft,” “negotiate”) from the descriptions of your prior jobs to the past tense (“represented,” “drafted,” “negotiated”).
No longer fluent in French? Be accurate in the assessment of your language ability as of today, not as of Truth a Hero examples, mid-way through your junior year abroad. 7. Additional Information: Space is departmentalization, a commodity, but you should still make room for Beneath two or three lines that show you are a human being and not just a robot. Include a few interests (but be sure they are real interests of yours and not aspirational hobbies). Maybe you and antonia one of the interviewers will find you have a hobby in common. Truth Essay. If nothing else, this “fluff” gives interviewers some material for a few softball questions to break the ice or end the interview on a lighter note. Aside from true interests/hobbies, include language abilities, bar admissions, and memberships/affiliations so long as you are an active and not just passive participant in these organizations. Remember the essential test: “Can you talk intelligently about it if asked?” If someone asks about your membership in an alumni network, will you state proudly that you assisted in raising $500,000 in Essay on Psychology, alumni contributions for a scholarship fund or will you cower in your chair and confess that you are on the e-mail list for the committee but have yet to attend a meeting? 8. Education first or work experience first?
This is a common question. Remember Tip #1 #8212; you want the most important stuff to Truth Essay jump off the page. So if you went to a top law school, you may want to list education first. If your law school was not as highly ranked but you somehow landed a job at Wachtell, list work experience first. Roper Logan And Tierney Model. In the Truth Beneath a Hero Essay examples, case of a tie, I’d go with work experience first.
9. The squint test : It seems a bit unsophisticated but it works. Tape your resume to a wall about 10 feet away or just hold it far out in front of you and squint. Does the balance of black and white on the page make your eyes happy? Is there much too much dense text? Or way too much white space? If you’ve ever strung lights on Essay Experiment a Christmas tree, it’s the Truth a Hero Essay examples, same principle.
Squint and define misery then follow your instincts. 10. Proofread your resume carefully. Then proofread it again. Then ask a friend to proofread it. Truth A Hero Essay Examples. And another friend. And your legal recruiter. Then proofread it again. Nothing screams “Don’t hire me!” like a glaring typo or spelling mistake. And Culture Cherokee Civilization Essay. 10?. Here’s a freebie.
It’s not the Essay examples, most important tip unless… well if it is, you know who you are. You know that photo of you in the Bahamas in your bikini? Shirtless? You remember how you uploaded it to roper and tierney advantages your Google profile? And now you list your Gmail address on your resume? Well guess what… When I am e-mailing you at Truth Essay your Gmail address, yes, I can see that photo of on Psychology Experiment, you in the right-hand sidebar on my screen. Truth Beneath Examples. If I can see it, so can the recruiting coordinator and so can the what mean, partner at the firm where you’re interviewing. Oh, and one more thing: your Twitter feed will also now show up on the right-hand sidebar. I’m not asking you to stop using social media. But if you are indiscriminate about your tweets, think about Truth Beneath examples setting up a separate e-mail address for the job search process. There is not just one right way of and Culture Cherokee Essay, designing a resume.
But there are wrong ways. Truth A Hero Essay Examples. Look at models but don’t just copy someone else’s. This singular piece of paper is your key to getting your foot in the door in the next step of your career… or not. It’s worth spending a few extra hours getting it right. Fantasy Theme. Lateral Link is one of the top-rated international legal recruiting firms. With over 14 offices world-wide, Lateral Link specializes in placing attorneys at the most prestigious law firms in the world. Managed by former practicing attorneys from top law schools, Lateral Link has a tradition of hiring lawyers to execute the lateral leaps of practicing attorneys. Click ::here:: to find out more about us.
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What Were You Thinking? Equifax GC Probed For Executive Stock Sales Before Public Learned Of Breach. Subscribe and get breaking news, commentary, and opinions on Truth Beneath a Hero Essay law firms, lawyers, law schools, lawsuits, judges, and more. Breaking Media Editor at Large. Sign up for define misery our newsletter. 2017 Breaking Media, Inc. All rights reserved.
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Pathophysiology, diagnosis, and management of polycystic ovary syndrome. Polycystic ovary syndrome (PCOS) was first reported in 1935 by Stein and Leventhal who described seven women dealing with amenorrhea, hirsutism, and enlarged ovaries with multiple cysts (Stein and Essay, Leventhal, 1935). And Culture Of The Essay! This syndrome was given the name Stein–Leventhal syndrome after these two physicians for sometime. In the 1960s, however, the Truth a Hero Essay term polycystic ovary syndrome (PCOS) was first introduced and gradually started to replace its former name. It is now recognized as a common complex heterogeneous endocrine disorder in reproductive-age women associated with reproductive, metabolic and psychological features. This syndrome is primarily characterized by irregular menses, hyperandrogenism, and polycystic ovaries (Azziz et al., 2004). Given the fact that one out of five women of define misery reproductive age is affected by this syndrome, and Truth a Hero, studies which suggest that 5% to 10% of females 18 to 44 years of age are affected by PCOS, it is deemed to be the most common endocrine abnormality among women of reproductive age in the US. In Saudi Arabia, the prevalence of PCOS is still unknown although it is believed to be similar to the other studies. In addition, it is a chronic disease with manifestations across the lifespan of women and represents a major health and economic burden.
Therefore, the aim of this research is to The History and Culture of the Essay, review this subject in Beneath a Hero examples, depth taking in consideration the pathogenesis, clinical features, diagnosis, complications and The History and Culture Civilization Essay, management. Material and Methods. This study was performed by a literature search of English-language studies which was conducted on PubMed (from 1994 to Beneath examples, 2016) and Essay, CENTRAL (Cochrane Central Register of Controlled Trials) using the terms, ‘PCOS’, ‘polycystic ovary syndrome’, and ‘polycystic ovary disease’. Polycystic ovary syndrome is the most common endocrine disease in women of child-bearing age. Additionally, World Health Organization (WHO) has declared PCOS to be the Beneath a Hero examples leading cause of type 2 anovulatory infertility.
Based on studies performed in Greece, Spain and the USA, the prevalence of PCOS using the National Institutes of Health and National Institute of Child Health and Human Development (NIH/NICHD) criteria indicate that PCOS affects 4%–8% of women of reproductive age. That percentage increases up to even 18% according to the guidelines of the what does antonia Rotterdam consensus (Azziz et al., 2004) (Asuncion, 2000) (Diamanti-Kandarakis, 1999) (Knochenhauer, 1998). Recently, there has been variations of the prevalence of PCOS depending on Beneath a Hero Essay, the diagnostic criteria used. Normally, females of reproductive age experience cycles of hormonal activity that repeat at about one-month intervals. With every cycle, a woman’s body prepares for customer departmentalization, a potential pregnancy, whether or not that is the woman’s intention. The term menstruation refers to the periodic shedding of the uterine lining. Averagely, the Truth Beneath examples menstrual cycle takes about 28 days and occurs in phases: the follicular phase, the ovulatory phase (ovulation), and the luteal phase. Logan And Tierney Of Nursing Advantages! There are four major hormones (chemicals that stimulate or regulate the activity of cells or organs) involved in the menstrual cycle: follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen, and progesterone. During the Truth Beneath follicular phase of the menstrual cycle, which starts on the first day of a woman’s period, two hormones; follicle stimulating hormone (FSH) and luteinizing hormone (LH), are released from the brain, specifically the pituitary gland, and travel in the bloodstream to the ovaries. These hormones stimulate the primary maturation of around 15 to 20 eggs in the ovaries, each in define misery, its own “shell,” called a follicle. As well as triggering an increase in the production of the female hormone estrogen.
As this follicular phase progresses, one follicle in one ovary becomes dominant and produces estrogen while continuing to mature suppressing all of the other follicles in Essay, the group. The second phase, or ovulation, begins on the 14th day after the follicular phase started. The rise in estrogen from the dominant follicle triggers a surge in customer, the amount of luteinizing hormone that is produced, which causes the dominant follicle to release its egg from the Truth Beneath a Hero examples ovary into the fallopian tube. During the last phase, known as luteal phase, the empty follicle, once harboring the egg, develops into a structure called the corpus luteum, which secretes the hormone progesterone. Progesterone prepares the uterus for the implantation of a fertilized egg. If the egg is not fertilized, it passes through the logan and tierney advantages uterus, and the lining covering it breaks down and sheds, and the next menstrual period begins. The pathophysiology of Truth PCOS results from what mean, a primary defect in the pituitary function, as well as, defects in insulin secretion and action, and ovarian function. Truth A Hero Essay! Increased luteinizing hormone (LH) and gonadotropin–releasing hormone (GnRH) levels relative to follicle-stimulating hormone (FSH) was the first laboratory abnormality identified in classic PCOS. Raised LH levels will lead to an increase of androgen production and secretion by ovarian theca cells. Define Misery! The increase in LH seems to be the result of abnormal sex steroid feedback rather than the cause of androgen excess.
Patients with PCOS are less susceptible to suppression of Truth Beneath a Hero LH by luteal phase hormones, where the customer modest rise in androgen levels in patients with PCOS absurdly stimulates LH pulsatility. Moreover, use of antiandrogen treatment lowers the elevated LH pulse frequency of Truth a Hero Essay examples PCOS to a normal level, suggesting that androgen excess interferes with the hypothalamic inhibitory feedback of female hormones, principally progesterone (Rosenfield and Bordini, 2010). In spite of on Psychology this, about half of the patients with PCOS, especially obese patient, do not have elevated LH levels or abnormal gonadotropin response to GnRH agonist testing. Furthermore, around half of PCOS patients with a verified ovarian source of hyperandrogenism were revealed to have normal LH levels and LH responses to a GnRH agonist test, also suggesting that their ovarian dysfunction is independent of LH excess. Another major influence in the pathophysiology of PCOS is the association with insulin and its function; In the ovary, insulin helps to regulate ovarian function, and acts in conjunction with LH to enhance androgen production which can lead to anovulation (Gonzalez, 2012). Etiology and risk factors. A detailed pathogenesis of PCOS has not been clarified yet.
Which is one of the reasons for Truth, defining it as a syndrome rather than a disease whereas a syndrome is a cluster of symptoms which cannot be explained under a common etiologic factor. However, the individual susceptibility probably depends on prenatal androgen exposure, genetic factors, ethnic origin and environmental risk factors (Zhang et al., 2012). The interaction of a number of genetic and environmental factors determine the heterogeneous, clinical, and biochemical phenotype, which is why PCOS is described as an oligogenic disorder (Barber and Franks, 2010). Although the Essay Experiment genetic etiology of PCOS is yet undetermined, a family history of PCOS is relatively common; however, familial links to PCOS are unclear. Nonetheless, based on the aggregation of cases in families, PCOS is considered a heritable disorder and resembles an autosomal dominant pattern (Diamanti-Kandarakis, Kandarakis and Legro, 2006). Hence, a family history of PCOS is Beneath, considered a risk factor. As for ethnic factors, hirsutism is more rarely observed in individuals of Asian origin (approximately 10%) compared with the Caucasian race (approximately 70%). Environmental risk factors, such as obesity, seem to amplify genetic predispositions (Zhang et al., 2012). Obesity is a prevalent characteristic of PCOS (Shannon and roper logan and tierney advantages and disadvantages, Wang, 2012), ranging from Beneath, 12.5% to 100% (Mirzaei and on Psychology Experiment, Kazemi, 2008), with a collective estimated prevalence of 49% (Graff et al., 2013). These environmental factors implicated in PCOS (e.g., obesity) can be aggravated by poor dietary choices and physical inactivity; infectious agents and toxins may also play a role (Diamanti-Kandarakis, Kandarakis and Legro, 2006). The reproductive and metabolic features of Beneath Essay examples PCOS are sometimes reversible with lifestyle modifications such as weight loss and exercise (Shannon and Wang, 2012).
Clinical features of PCOS. The clinical presentation of PCOS varies widely. These considerably distinctive features, displaying a varying degree of expression in each individual, emphasize the phenotypic variability of PCOS, and is in fact another reason why it is considered as a syndrome. Women with PCOS may present with an what does antonia mean, array of serious clinical implications including reproductive manifestations (hirsutism, infertility and pregnancy complications) (Boomsma et al., 2006), psychological problems (reduced quality of life, poor self-esteem, depression, anxiety) (Deeks, Gibson-Helm and Teede, 2010), and metabolic implications (insulin resistance, metabolic syndrome, impaired glucose tolerance (IGT), diabetes mellitus type 2 (DM2) and Truth Beneath examples, potentially cardiovascular disease (CVD)) (Sir-Petermann et al., 2013) (Meikle, 2006). Presentation of PCOS may vary across the life cycle of the patient due to Essay on Psychology Experiment, the heterogeneous nature of PCOS and the wide spectrum of Truth a Hero Essay clinical features. Generally, PCOS is a chronic condition that usually begins in adolescence then transitions to include infertility and increase metabolic complications over time. However, when combined with obesity, metabolic implications of PCOS such as IGT, DM2 and the metabolic syndrome can present in adolescence (Coviello, Legro and Dunaif, 2006). Reproductive features of PCOS. Clinical hyperandrogenism primarily includes hirsutism, acne and define misery, male pattern alopecia. PCOS is a common cause of hirsutism occurring in approximately 60% of cases. Hirsutism is defined in females as male type terminal hair growth and distribution (Norman et al., 2007).
Acne affects one third of cases and is not particularly specific for PCOS (Norman et al., 2007). Studies have shown that androgen levels are elevated in woman with acne, although the severity of acne has not been positively correlated with any particular hormone with the exception of the adrenal androgen, dehydroepianandrosterone sulfate (DHEA-S) (Karrer-Voegeli et al., 2009). A Hero Essay! Conversely, in many PCOS women hirsutism is define misery, not associated with acne, which might be due to Truth Beneath, variable local androgen bioactivity. An enzyme called 5-?-reductase controls the androgen activity in the hair follicle by converting free testosterone to the more potent dihydrotestosterone (DHT). Departmentalization! This enzyme has two isoforms: type 1 is Beneath, located in the sebaceous glands and pubic skin and type 2 is present primarily in the hair follicle, genital skin, and adult scalp. This explains the different clinical manifestations seen in hyperandrogenic women when the of the Cherokee degree of hirsutism is not well-matched with the severity of the examples acne (Archer and does antonia mean, Chang, 2004). Male pattern hair loss (androgenic alopecia) is a genetically determined disorder characterized by the gradual conversion of terminal hairs into indeterminate, and finally into Truth Beneath Essay vellus hairs. The incidence of androgenic alopecia in PCOS is not clearly defined, but several reports vary from model and disadvantages, a prevalence of 40-70%. It is a Hero Essay examples, less frequently seen in of the Cherokee Civilization, PCOS cases, as it generally requires a familial predisposition. Ovarian abnormalities and Infertility. Most of the Beneath Essay women suffering from PCOS will seek gynecological counseling due to menstrual irregularity, with 70% to 80% of women presenting with oligomenorrhoea or amenorrhoea.
Oligomenorrhoea occurs usually in adolescence, with onset later in life often associated with weight gain (Brassard, AinMelk and Baillargeon, 2008). Furthermore, these ovarian abnormalities have been thought to increase the Essay on Psychology risk for infertility. Infertility was one of the main symptoms originally attributed to PCOS according to the understanding of Stein and Leventhal (Stein and Leventhal, 1935). The consequent epidemiologic studies implied that about 90% to 95% of women attending infertility clinics with anovulation, have been diagnosed with PCOS, which is the most common cause of anovulatory infertility. (Hull, 1987) In a large population of Essay examples 1,741 women affected by roper and tierney model of nursing and disadvantages PCOS, primary infertility was reported in 50% of women, while secondary infertility was reported in 25% of women (Dungan, 2008). On the other hand, there is Truth Beneath Essay, currently a debate on the legitimacy of the does relationship between PCOS and infertility. Research has concluded that 60% of women with PCOS are fertile (defined as the ability to conceive within 12 months), although time to Truth Essay examples, conceive is often increased. Psychological features of PCOS.
There are very few studies to date that have explored the psychological aspect of PCOS, since most research has focused primarily on customer, the biological and physiological features of the syndrome. However, these psychological features do, in fact, compromise quality of life and Essay, adversely impact on fantasy theme, mood and psychological well-being. (31) Some of these concerns include the negative body image due to obesity, acne and excess hair. Moreover, women with PCOS deal with low self-esteem, anxiety and it may even lead to depression. The other challenge for patients is Truth Essay examples, dealing with psychosocial impact of Essay mood disturbance and Truth Beneath Essay, reduced psychological well-being on motivation and the ability to implement and and tierney model, sustain successful lifestyle changes that are critical in this condition. (32) Metabolic features of PCOS. Actually, obesity is Truth Beneath a Hero examples, considered a serious growing epidemic disorder in the world population, especially in customer, the childhood and teenage years. Women with PCOS represent a cohort of people with a high prevalence of overweight (BMI .25 kg/m2) and obesity (BMI .30 kg/m2) compared to healthy women, up to 61% of prevalence,93 with a typical central distribution of adipose tissue, although there is a wide variability in Beneath, the estimates of obesity in PCOS women across different countries and ethnicities.13 In the Western countries, such as Australia, USA, and UK, the PCOS women have the highest prevalence of fantasy theme overweight and obesity,94,95 compared to Truth a Hero, Chinese PCOS women (only 20% has a BMI of 25 kg/m2 or greater).96 The causal role in fantasy theme, the association between obesity and PCOS has yet to be determined but cultural, lifestyle, and ethnic factors take part in these conditions.
Recent literature has found that greater adiposity was described in Beneath Essay examples, more severe reproductive phenotypes (characterized by hyperandrogenism associated with chronic anovulation),49 and lean women had milder reproductive phenotype compared with those who were overweight;97 so obesity can exacerbate the PCOS reproductive phenotypes. It also appears that obesity could have a bidirectional relationship with PCOS, as women with PCOS are more inclined to weight gain and excessive weight gain increases PCOS prevalence, unmasking a latent PCOS condition, but this yet remains to be clarified. Insulin is a hormone produced by define misery the pancreas to control the amount of a Hero Essay examples sugar in customer departmentalization, the blood. It helps to Truth a Hero Essay, move glucose from blood into customer departmentalization cells, where it’s broken down to produce energy. Insulin resistance (IR) is a physiological condition where the body’s cells are resistant to the effects of insulin. As a result, the body therefore has to produce extra insulin to compensate. High levels of insulin stimulate the ovaries to produce too much testosterone, which interferes with the development of the follicles i.e. the sacs in the ovaries where eggs develop, which in turn prevents normal ovulation.
Insulin resistance have also been found in some cases to lead to weight gain, which may exacerbate many of PCOS symptoms, because having excess fat causes the a Hero Essay body to produce even more insulin. Insulin Resistance, considered an essential etiological factor of PCOS, was traditionally attributed primarily to obesity. Although the demonstration of insulin resistance is not required to make the diagnosis of PCOS, it is clear that hyperinsulinemic insulin resistance plays a prominent role in PCOS. The prevalence of insulin resistance in PCOS ranges from 50%–70%57–60 and occurs independently of fantasy theme obesity. Metabolic syndrome is not a disease, but rather a clustering or “constellation” of abnormal conditions. Although there are several definitions of what is required to be diagnosed with metabolic syndrome, most health care professionals use criteria from the National Heart, Lung, and Blood Institute (NHLBI) and the American Heart Association. Consistent with the Truth Beneath examples increased prevalence of insulin resistance, metabolic syndrome is roper and tierney model and disadvantages, also more common in women with PCOS. Truth Beneath! A meta-analysis (32) has shown that women with PCOS have higher levels of triglycerides (TG), LDL cholesterol and total cholesterol (TC), and lower HDL cholesterol.
levels compared with control women, regardless of body mass index (BMI). Lean women with PCOS were also more likely to have metabolic syndrome than lean women without PCOS (OR 3.00, 95% CI 1.24–6.78).62 The components of metabolic syndrome are associated with insulin resistance and are summarized in Table 3.63. A specific abnormal pattern of insulin receptor phosphorylation, namely increased serine phosphorylation and reduced tyrosine phosphorylation, appears to be responsible for insulin resistance observed in PCOS. As reported by the main scientific societies,13,15,49 women with PCOS present an increased prevalence of classic risk factors for cardiovascular disease (CVD) such as hypertension, dyslipidemia, diabetes, and obesity and nonclassic risk factors such as C-reactive protein (CRP), homocysteine, and tumor necrosis factor-?.50 PCOS at any age is what mean, characterized by greater odds for Beneath a Hero examples, elevated CVD risk markers and these elevated makers can occur without obesity but are magnified with obesity.13. In 2004, a worldwide case-control study of fantasy theme patients from Truth a Hero, 52 countries was published, the INTERHEART study,51 that found nine potentially modifiable risk factors, accounted for over 94% of the population-attributable risk of a first myocardial infarction in women; the nine factors included smoking, hypertension, dyslipidemia, diabetes, visceral obesity, psychosocial factors, decreased consumption of fruits and vegetables, regular consumption of alcohol, and regular physical activity. Fantasy Theme! The majority of Truth Beneath a Hero Essay examples these occur in the PCOS woman. It is define misery, estimated that the prevalence of each risk factor is approximately double for women with PCOS when compared with controls, while it is 1.5 times higher in BMI-matched studies beginning in Truth Beneath, adolescence and Essay, it is found in e. Since PCOS is considered as a lifelong multisystemic and multifaceted disorder, the reproductive and Truth Essay, metabolic alterations characterizing the syndrome may be also associated with an increased risk of the development of logan and disadvantages cancers, such as the endometrial, ovarian, and breast cancer, which recognize potential hormonal and/or metabolic pathogenetic mechanisms. The potential mechanisms which could promote the onset of Beneath Essay neoplastic diseases in these women, particularly endometrial cancer, include the chronic anovulatory state, resulting in an unopposed estrogen action, associated with hyperandrogenism.117.
At present, based on the most recent meta-analysis,118 women with PCOS of all ages seem to Essay on Psychology Experiment, be at an increased risk of endometrial cancer. In particular, the risk of endometrial cancer may be even higher in the premenopausal subgroup of women with PCOS, while overall the risk of ovarian and breast cancer was not significantly increased.118 These current results are consistent with previous reviews published on cancer in PCOS116,119,120. Unfortunately, as with studies of cardiovascular risk, the assessment of cancer risk in PCOS women is complicated by the presence of Truth various potential confounding factors such as obesity, T2DM, inflammation, and metabolic syndrome, which are highly represented in PCOS populations. Obesity is a recognized risk factor for endometrial cancer and the authors of the most recent meta-analysis118 acknowledge that the increased risk of this cancer could be attributed, at least in part, to increased prevalence of obesity in Essay Experiment, PCOS women. The same issue applies to T2DM, another possible confounding factor that is most representative in PCOS women and associated with an higher risk of endometrial cancer, possibly secondary to Truth Beneath a Hero Essay examples, hyperinsulinemia, hyperglycemia, and and Culture of the Civilization, inflammation.122 Therefore, there is uncertainty as to a Hero Essay examples, whether increased endometrial cancer risk is due to The History of the Civilization, different metabolic risk factors or PCOS itself, which is characterized by many metabolic and Truth a Hero Essay, reproductive complications that could be responsible for an increased oncology risk on endometrium. Roper Advantages! Nonetheless, it is generally accepted that PCOS women with amenorrhea are at greater risk for Truth Beneath a Hero, endometrial hyperplasia and cancer;13 therefore, ESHRE/ASRM Consensus Workshop Group has established a proper endometrial surveillance with ultrasound and/or biopsy to assess endometrial thickening in women which experience extended period of amenorrhea, based on clinical suspicion and presentation, and in customer, these women periodic progestogen withdrawal is also recommended, at least four episodes per year.13 There is limited and contradictory evidence regarding the risk of ovarian131 and breast cancer121 in women with PCOS; so currently, the ESHRE/ASRM consensus statement13 does not recommend routine surveillance strategy and/or clinical care to Truth Beneath examples, detect ovarian and breast cancer in does, women with PCOS. There is also insufficient evidence to evaluate any association of Truth a Hero Essay examples PCOS with vaginal, vulvar, and cervical cancer. Diagnostic criteria outlined in Table 1 have been modified on four occasions since the define misery National Institute of Health first defined the syndrome in Beneath a Hero examples, 1990 (2), highlighting the complex nature of the disorder. In 2003, the Rotterdam criteria were published and roper logan of nursing advantages and disadvantages, further revised in 2004 (3), followed by Essay examples the Androgen Excess Society criteria in 2006 (4), subsequently modified by the Androgen Excess and PCOS Society (AE-PCOS) in does, 2009 (5). Today, the Rotterdamcriteria are the most widely utilized guideline requiring any two of the following three features: androgen excess –identified clinically or biochemically; chronic anovulation; or polycystic ovarian morphology (3). Despite frequent amendments to diagnostic criteria, the features first described by Stein and Leventhal continue to be recognized in Beneath examples, the various classification systems.
In particular, ovarian dysfunction manifesting as either oligomenorrhoea amenorrhoea and hyperandrogenism can be considered the. hallmarks of the syndrome (6), having been consistently recognized throughout the literature. Importantly, all diagnostic criteria have similarly identified PCOS as a diagnosis of define misery exclusion with the need to rule out various differentials as identified in Table 2. Three tools can be used to diagnose PCOS (Table 2). In 1990, the National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health (NIH) hosted a panel of experts who developed the first known criteria for a Hero examples, PCOS.8,13 Over the next decade, it was discovered that ovarian morphology was a key component in the diagnosis. The European Society Human Reproduction and Embryology (ESHRE) and the American Society for Reproductive Medicine (ASRM) sponsored a workshop in Rotterdam. During the workshop, polycystic ovarian morphology on pelvic ultrasound was added to the NICHD/NIH criteria. It was then decided that only two of the three criteria had to be met for a diagnosis of PCOS. 8,13 In 2006, the Androgen Excess Society (AES) suggested that the NICHD/NIHS criteria could be used with modifications that included the Rotterdam tool.
The AES defines PCOS as a disorder primarily involving androgen excess, along with various combinations of phenotypic features (e.g., hyperandrogenemia, hirsutism, oligo-ovulation/anovulation, and/or polycystic ovaries) that may promote a more accurate diagnosis.8,13 In 2012, the NIH sponsored an evidence-based methodology on polycystic ovary disease. The expert panel concluded that each criterion has its own strengths and weaknesses; however, the use of customer departmentalization multiple criteria was considered confusing, impeding progress in Truth a Hero examples, understanding PCOS.14 If PCOS is suspected, a complete medical history, physical examination, blood tests, and a pelvic ultrasound should be performed.5 A medical history and physical examination provide the physician with information about unexplained weight gain, menstrual cycle abnormalities, male-pattern hair growth, skin changes, and Essay Experiment, elevated blood pressure (BP). Blood is drawn to assess hormone, glucose, and lipid levels, and a pelvic ultrasound is performed to scan for ovarian cysts.5,13,15 During the assessment period, other potential causes associated with reproductive, endocrine, and metabolic dysfunction should. be excluded. Beneath A Hero Essay Examples! Physicians should rule out adrenal hyperplasia, Cushing’s syndrome, and hyperprolactinemia before a PCOS diagnosis is Experiment, confirmed.5,13 After PCOS is diagnosed, studies show that more than 50% of patients develop prediabetes or diabetes, and there is an increased risk of a Hero examples myocardial infarction (MI), dyslipidemia, hypertension, anxiety, depression, endometrial cancer, and sleep apnea.4 Moreover, pregnant women with PCOS should be informed of the increased rates of miscarriage, gestational diabetes, pre-eclampsia, and premature delivery.4. The treatment of PCOS in adolescent girls should aim to achieve ovulation, normalize the logan and tierney menstrual cycle, reduce and if possible eliminate hirsutism and Beneath a Hero Essay, acne, achieve weight loss, as well as to fantasy theme, treat hyperlipidemia and hyperglycaemia in order to lower the risk of cardiovascular disease. Most protocols in puberty also aim to reduce the androgen excess. However, most importantly, a healthy diet combined with exercise should be proposed as the Truth Beneath examples number one priority, especially in overweight adolescent women. Obesity was closely related to IR; for this reason, weight loss represented a fundamental preliminary approach in the treatment of obese/overweight PCOS women. In fact, weight loss resulted in the restoration of and Culture of the Civilization spontaneous ovulation and higher fertility rate.145 Losing weight not only contributes to the prevention of the clinical manifestations of the PCOS, but also improves the young girl’s self-esteem . Similarly, the use of Beneath a Hero Essay examples cosmetics as well as hair removal, used in customer departmentalization, conjunction with androgen suppression therapy, could be effective in the treatment of hirsutism.
However, lifestyle modification programs are related to a low compliance and a high dropout rate. To overcome this problem, the feasibility and the efficacy of a structured exercise training program was evaluated in obese anovulatory PCOS patients.146 The structured exercise training resulted in Beneath Essay, a higher menses frequency and the ovulation in comparison with diet. Successively, lifestyle modifications resulted more efficacious than clomiphene cictrate (CC) and metformin in terms of pregnancy rate, resulting in 12.2%, 14.4%, 14.8% and 20% of pregnancies after CC, metformin, CC plus metformin, and what does, lifestyle modification, respectively.147. Available guidelines recommended CC as the first-line treatment of Truth a Hero Essay anovulatory infertility in The History Cherokee Essay, women with PCOS.16 CC is an estrogen modulator, efficacious, simple to administer and to manage, safe and Truth a Hero Essay examples, cheap. Specifically, CC was effective in increasing pregnancy rate compared to placebo (OR 5.8, 95% CI 1.6–21.5).148. According to the standard protocol, CC is administered for 5 days from second or third day of the menstrual cycle, starting from 50 mg/day and increasing up to 250 mg/day. “Managed care” studies showed that the define misery most effective dosage is 100–150 mg/day and over 75% of ovulations occur already within a dosage of 100 mg/day.149 Alternative protocols for Truth Beneath a Hero Essay examples, CC administration were proposed in what antonia, patients with known CC resistance. Extended CC regimen resulted in higher ovulation and pregnancy rates in comparison with gonadotropins ovulation induction, suggesting that in CC-resistant PCOS patients a further period of CC administration might be preferable.149 In our practice, CC (at a dosage of Truth Beneath a Hero Essay 100 mg/day, and for not more than six cycles) remains a valid therapy for inducing ovulation in infertile PCOS patients. Aromatase inhibitors (AIs), such as estrogen modulators, were approved by the Food and Drug Administration as first-line adjuvant therapies for The History of the Civilization Essay, estrogen-receptor–positive breast cancer.150 Several data150 evaluated the efficacy of AIs, and in particular of letrozole, as first-line therapy for Beneath a Hero, inducing ovulation in infertile patients affected by PCOS. Letrozole was usually administered at a dose of roper logan and tierney model of nursing 2.5 mg/day, for 5 days from the third to the seventh day of the Beneath Essay menstrual cycle. More recently, a meta-analysis of RCTs showed that letrozole is related to significantly higher live-birth rates than CC (OR 1.64, 95% CI 1.32–2.04).151 Furthermore, the quality of the evidence was considered low due to the poor study transparency in reporting methods and in consideration of the more favorable results in the trials reporting live birth as primary end point. What Does! Excellent results of AIs in terms of cumulative live-birth rate and singleton pregnancy was reported in the largest multicenter randomized double-blind parallel controlled trial (Pregnancy in PCOS trial II, PPCOS II) comparing letrozole to CC.152.
To date, letrozole remains an off-label drug.153 Studies are needed to validate the efficacy/safety of AIs over CC in further settings and to clarify its role in well-codified strategies and algorithms for ovulation induction in PCOS.150 Thus, the Beneath a Hero Essay use of AIs in clinical and nonexperimental settings should be probably avoided. Metformin belongs to insulin-sensitizing drugs commonly used in treating T2DM. Because IR is a common condition in PCOS women, metformin was introduced in clinical practice in mean, the treatment of Truth Beneath a Hero examples these patients.154. Metformin is available in two formulations: immediate- and define misery, extended-release, which are administered orally. Even if no dose-finding study is available, metformin administration at incremental doses from 500 to 2,500 mg/day was proposed to treat women with PCOS.154 Several systemic and local effects were demonstrated to examples, explain the Essay on Psychology reproductive benefits due to metformin administration.154. In practice, metformin seemed to restore the ovulatory function after almost 3 months of treatment; thus it could be recommended in PCOS patients who absolutely wish to Truth Beneath examples, avoid multiple gestations and/or in patients who do not tolerate CC and/or in those who do not have an imminent reproductive need.154 On the define misery basis of literature data and on our experience, metformin (at a dosage of 1,700–2,000 mg/day, and for at least three cycles) should be used in selected cases of Truth Beneath Essay examples oligoanovulatory PCOS patients who wish to avoid multiple gestation and/or in patients who do not tolerate CC, are CC-resistant and/or in those who do not have an imminent reproductive need and/or in those undergoing IVF. Oral contraceptives are the basis of hormone therapy, as they contribute to the reduction of and Culture of the Cherokee Essay hyperandrogenemia, hirsutism and acne [34-36]. A combination of 35mg ethinyl estradiol and 2 mg cyproterone acetate is Truth, usually administered. The latter is an antiandrogen, particularly effective in the reduction of testosterone and D4-androstendione and define misery, the normalization of the LH/ FSH ratio. However, it seems to Beneath Essay examples, have a negative effect on the lipid profile, causing a significant increase of triglyceride levels .
Newer combinations of contraceptives are now available containing progestogens (e.g. desogestrel), which are as effective as antiandrogens without impairing the lipid profile. Finally, a combination of 30mg ethinyl estradiol and drospirenone is customer, also advisable. Its main advantage is that it does not cause weight gain due to its mild diuretic effects. With the focus on menstrual disorders in the absence of hirsutism, adolescent girls can also use progestogens for a limited number of days each month. While other substances with hormonal or antiandrogenic effect, such as spironolactone, flutamide, finasteride and GnRH agonists, are also effective, their use, however, not being indicated during adolescence. Metformin, aimed to Truth Beneath Essay examples, manage insulin resistance, is widely used in the treatment of PCOS, in daily doses ranging from 500 mg to 2000 mg.
It has been shown to reduce hyperandrogenemia by increasing the levels of SHBG. In obese women with PCOS, it can also induce weight loss by reducing insulin resistance. Roper Logan Model! Lastly, metformin is beneficial in Beneath Essay examples, adolescent girls with PCOS with regard to ovulation, the normalization of the menstrual cycle and even loss of weight [38,39]. Thiazolidinediones have been associated with a reduction in what does antonia, the levels of androgens and insulin resistance and the reappearance of ovulation in patients with PCOS. In a number of studies, rosiglitazone and Beneath, pioglitazone are reported to define misery, be effective in restoring normal menstrual cycles and reducing insulin levels in women with PCOS [40,41]. More recently, a new agent, myo-inositol (MYO) has been added as a crucial treatment for the PCOS women with infertility, increasing the possibilities to conceive. Myo-inositol is a vitamin B-like substance that can function as the basis of Truth a Hero Essay examples a number of signalling and secondary messenger molecules in insulin signalling pathways. Myo-inositol seems to correct the mal-functioning insulin pathways and customer, reduce the signs and symptoms of insulin resistance .
If diet and exercise are not effective, additional weight reducing medication can be discussed. Orlistat inhibits the intestinal absorption of a Hero Essay examples fat and sibutramine acts directly on the appetite center of the brain. Both cause additional weight loss of 3% and 8.5%, respectively [43,44]. However, there is roper logan, not yet sufficient evidence regarding the safety of these drugs in adolescence . Management of the long-term complications. The long-term risks observed in women with PCOS are not the same in Truth Beneath examples, all PCOS patients but they vary according to different phenotypes and results were negatively affected by obesity and of the Cherokee Essay, lifestyle factors.
When Rotterdam criteria are applied, almost uniformly accepted by the main scientific societies,13,15,16 the prevalence of PCOS in the population increases to over 20%,160 with a large majority, approximately 75%, of referred PCOS women having “classic” PCOS (according to NIH criteria) and the remaining 25% equally divided between ovulatory and non-hyperandrogenic PCOS phenotypes.161 Several studies13,162 suggest that women with PCOS, based on the classic-NIH criteria, exhibit a more detrimental metabolic and cardiovascular profile compared to milder phenotypes. In line with these considerations, the main scientific societies dealing with PCOS,13,15,16,49 have recently proposed guidelines and consensus statements, suggesting a correct diagnostic approach to PCOS patients and Beneath, an effort to fantasy theme, properly identify the phenotype of each patient, with the aim to target specific treatments and to Truth a Hero, prevent these severe long-term risks. In consideration of the Essay Experiment increasing prevalence of obesity, particularly abdominal, and the important bearing on the phenotype of PCOS, it is Truth Beneath a Hero examples, recommended that BMI and waist circumference be determined at every visit,167 considering the presence of abdominal obesity in European women with a waist circumference of at least 80 cm.167. Regarding the cardiovascular risk in PCOS women, AE-PCOS Society49 proposed, according to customer, CVD risk classification provided by American Heart Association,168 to categorize the Beneath PCOS-related CVD risk as: “at risk” for PCOS women with any following risk factors: obesity, cigarette smoking, hypertension, dyslipidemia, subclinical vascular disease, IGT, and/or family history of what does premature CVD (,55 years of Beneath examples age in male relative, ,65 years of age in female relative); and “at high risk” for PCOS women with metabolic syndrome and/or T2DM and/or overt vascular or renal disease. There is an roper and tierney, overall consensus about the increased cardiovascular risk in the PCOS patients, due to relevant metabolic dysfunctions. Therefore, all societes13,15,16,49 agree to recommend a CVD risk assessment at any age, for blood pressure, complete lipid profile (including total, LDL, HDL, non-HDL cholesterol, and examples, triglycerides), waist circumference, BMI, glucose profile, cigarette smoking, and a family history of early CVD. Moreover, depression and anxiety disorders are recognized as risk factors for departmentalization, CVD and Beneath, they are common in PCOS women; so it is suggested that PCOS patients be assessed also for customer, depression, anxiety, and QoL.15,16,49 Because cardiovascular risk increases with age and Beneath a Hero examples, it can be exacerbated by obesity and worsened by environmental insults, periodic reassessment for CVD risk is suggested but there is no agreement how often the CVD risk assessment should be repeated.
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If you use part of this page in your own work, you need to provide a citation, as follows: Essay UK, Pathophysiology, diagnosis, and Truth Beneath examples, management of polycystic ovary syndrome . Antonia! Available from: http://www.essay.uk.com/essays/health/pathophysiology-diagnosis-management-polycystic-ovary-syndrome/ [06-10-17]. If you are the a Hero original author of fantasy theme this content and no longer wish to have it published on our website then please click on the link below to request removal: 11-08-17 - Smoking habits of university students - CARDIOVASCULAR GENE TRANSFER EFFICIENCY 01-08-17 - Effects of stress and anxiety-related disorders on Truth a Hero Essay examples, the brain - Autism Spectrum Disorder (ASD) 09-07-17 - Enzyme instructed self-assembly (EISA) 28-05-17 - Glaucoma, Diabetes mellitus and Intra ocular pressure 23-05-17 - Seven functions of self-injury 18-05-17 - Neurodegenerative diseases 14-05-17 - Warafin genotyping in patients 04-05-17 - Acute lymphoblastic leukaemia. We offer professional custom essay writing, dissertation writing and coursework writing service.
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essayez racehorse Below is Beneath a Hero Essay examples, a list of our trainers. Born in Berriwillock, in the Mallee District of Victoria, Darren was raised on the family farm. During this time he worked for various trainers in the area, including Jack Coffey in Birchip and John Castleman in roper and tierney of nursing, Mildura. Darren then worked for Beneath a Hero Colin Hayes at the world-renowned Lindsay Park training complex, and spent a few months working in a stable in Ireland. On returning to Australia, Darren worked at logan and tierney of nursing advantages Lindsay Park Stud. In 1990, Darren moved to Stawell and began working as a farrier, servicing trainers in the Wimmera and Western District areas of Victoria, he then began breaking-in horses for a large state wide client base. Darren obtained his Owner-Trainer License in 1995 and his Full License in Truth Beneath examples, 1997. On relocating to Ballarat in 2001, the Essay on Psychology Experiment, property was completely refurbished and is constantly being upgraded. Darren has been leading Country Trainer since 2005 training over Beneath examples, 100 winners each season.
For the last 3 seasons, he's been the Champion trainer in Victoria and has turned over 200 winners each season! He's prepared to take horses to the races where they have the what does, best winning chance, and has one of the best winning strike-rates in Australia. Darren is a perfectionist by nature and leaves no stone unturned in getting the greatest ability out of each horse. Darren has the a Hero Essay, confidence, resources and right team to ensure the stable keeps on succeeding. For 25 years, Trevor and his wife Joanne have achieved continual success out of their Ascot and Essay on Psychology, West Swan based training facilities.
He has an Beneath, honour roll of feature winners which include:- Gr 1 Railway Stakes - Modem (2004); Luckygray (2013) Gr 1 BMW Classic - Heroicity (1992) Gr 1 WATC Derby - Heroicity (1992) Gr 1 WATC Australian Derby - Natasha (1990); Heroicity (1991) Gr 1 Kingston Town Classic - Modem (2004) Gr 1 WA Oaks - Natasha (1990) Gr 2 WA Guineas - The Right Money (2002); Vain Crusader (2006); King Saul (2011) Gr 2 Karrakatta Plate - Luke's Luck (2012); Lucky Street (2015) Gr 2 WA Sires' Produce Stakes - Denmarket (2005); Luke's Luck (2012) 4 Magic Millions 2 Y'Old Classic's - Ravinia (2006); Time To Climb (2010); Lucky Street (2015); The River (2016) Miss Andretti Stakes - Lucky Street (2016) Right from the early days in racing, I've been fortunate enough to be associated with exceptional people, Trevor Andrews. Trevor learnt his craft by working for Bert Harrison as a young lad when Bert had the define misery, top gallopers Asian Beau and Truth Beneath examples, Fait Accompli. The History Of The. Trevor also spent time working for the legendary, Tommy Smith. Trevor spent three years training in Singapore where he trained over 60 winners, but it's Perth where Trevor has been so successful chalking up winner after winner, year after year in some of a Hero Essay examples Western Australia's biggest races. Without a doubt, one of the best dressed men on the racecourse, your horse will receive the very best of care given the define misery, experience, the knowledge, and the hands of Trevor Andrews. Bruce Hill Was Born To Train Horses!
Growing up with his father Frank Hill training trotters and gallopers in New Zealand, Bruce worked in the family training business for six years before gaining further experience working for some of New Zealand's leading trainers. Bruce took out his own trainers licence in the mid-seventies and by 1980 had travelled a horse to Melbourne which lead to his decision to make Australia his home. He immediately secured a job as travelling foreman for the powerful Geoff Murphy stable where he worked for three years and Truth Beneath a Hero Essay, went on to be Geoff's Melbourne foreman for a further four years. During this time Bruce looked after such great horses as GROSVENOR , SOVEREIGN RED and even the Melbourne Cup winner GURNER’S LANE! From 1987 until 1997 Bruce trained a small team of horses and put into practice the skills he had picked up from leading mentors, specifically, training a horse to peak at the right time in the right race. After his largest client passed away, Bruce moved to the Gold Coast, where he took on Essay on Psychology Experiment, the position as foreman for Gerald Ryan, one of Australia's leading trainers. Bruce worked for Gerald for almost ten years, winning races such as the Queensland Guineas with SAXON, MAGNIFIER and REGENT STREET and the Queensland Oaks with MON MEKKI. When Gerald decided to Truth a Hero transfer to and Culture of the Sydney, Bruce had no hesitation in taking over examples, Ascot Lodge. The transition was smooth and the winners kept on fantasy theme, coming
Between Belhus Racing Stables and Grand Syndicates, we now have around a dozen horses with Bruce. Although he's a man of few words, he lets his horses do the talking, and that suits us just fine. Some of the winners he’s trained for us include Media Maid (6 wins), Liberty Island, High On You, Lilly The Filly, Dubawi Sniper and our Stakes winning bargain MAN OF HIS WORD who was bought for just $10,000 and has won over $300,000 at the time of writing. You’ll enjoy having a horse trained by Bruce Hill! Robbie Laing is a great bloke to have a horse with! A likeable type who’ll always find the time to have a chat with his owners, he’s been a leading trainer amongst the Essay, Victorian ranks for over 30 years now. The key to Robbie’s success as he explains it himself, is what does antonia, ‘patience’, and coupled up with sometimes unconventional methods of training his horses, there seems to Truth a Hero examples be no end to Robbie’s ability to get the best out of a racehorse. Define Misery. Whether it’s winning an early two year old with a precocious youngster, winning The Grand Annual Steeplechase over 4000m at Warrnambool, or even winning one of the a Hero Essay, biggest races on the Australian racing calendar like the prestigious VRC Derby for three year olds, Robbie Laing can do it all.
Training from his state of the art stables which have fabulous facilities at Cranbourne on the Eastern outskirts of Melbourne, Robbie is very much a hands on trainer who works with a dedicated team of The History and Culture Cherokee Essay experienced and reliable staff. He can train his horses out of normal yards and stables, he can train them out of paddocks if required, and he can train them along the beaches of the Mornington Peninsula if that’s what he feels suits the horse the best. In fact, being a former jockey who still rides trackwork, Robbie can often be seen at Beneath examples Melbourne beaches wading his horses through the salt water pre and customer departmentalization, post race which is Truth a Hero, of course, extremely beneficial to their legs and define misery, their general well being. Some of his better horses over the last three decades have been ROMAN ARCH (G1 Australian Cup), POLANSKI (G1 VRC Derby), PERFECT BLISS (1000 Guineas), PANTANI (Adelaide Cup South Australian Derby), DIRECT CHARGE (Maribynong Plate), DANERICH , SIR PENTIRE (VRC St Leger), MANTLEPIECE (Coongy Hcp), SHE’S GOT GEARS, SPECTROLITE, BOOMWA , etc, and at any given time, Robbie always seems to have a good horse in Truth Beneath a Hero examples, his stable. There’s no doubt that your horse will get the fantasy theme, best care and Truth Essay, attention, and be given the best chance of winning a race, when it’s prepared by and tierney model Robbie Laing. For the best part of the last 20 years or so, Lindsey Smith has been considered among the very best thoroughbred horse trainers in Western Australia. Astute, knowledgeable, friendly and Beneath a Hero Essay, funny (don’t they love interviewing him on Racing Radio!), Lindsey rose to prominence in roper logan and tierney model and disadvantages, the late ‘90s through the deeds of the outstanding stayer Old Cobber winning 11 races and a Hero, finishing second and fourth in the 1998 and 2000 Perth Cups respectively. Lindsey's training career rose to Essay dizzy heights at the start of the new millennium when racking up a whole host of feature races, his amazing run of success taking him all the way to Flemington where he saddled up superstar galloper Old Comrade to Beneath a Hero win the 2002 Australian Cup, and the champion 3yo stayer Plastered to win the fantasy theme, 2004 Victoria Derby. Lindsey is a true big race trainer - you name it and he's more than likely won it. His Western Australian honour roll includes the Railway Stakes (twice), Kingston Town Classic, WA Derby, WA Guineas, WA Oaks and Perth Cup.
In the Truth Beneath Essay, years since, Lindsey has remained entrenched among the best in the business, training his team of capable gallopers from define misery his well-developed Casuarina (40km south of Perth) property and Beneath a Hero Essay, putting the define misery, polish on a consistent stream of city winners. Apart from his many big race winners highlighted more recently by Scales Of Justice's win in the G1 Railway Stakes, some of his other recent winners at the time of writing include: Bombs Away, Cougar Express (Bunbury Cup, Apprentices Cup), Flying Time (7 wins and over Truth a Hero Essay examples, $230,000), Modello (8 wins and over $320,000), Zarantz (4 wins in a row), Ringmeister (7 wins and over $270,000), Honest Lies (6 wins and over and Culture of the Cherokee Civilization Essay, $260,000), Madassa, It’s Dynamite, Woken, Silver Magic Ships, etc If the Truth a Hero, Winners Circle is roper logan model of nursing advantages, where you want to Truth Beneath a Hero examples be, then there are few better trainers to get you there with a quality young horse than Lindsey Smith. Many trainers have a family rich in racing history. Trainers often train because they are following in the footsteps of of nursing advantages and disadvantages a pathway that has been laid by the generations before them. Luke Oliver is different. He simply grew up loving racing.
From the first time he attended the races as a young boy he knew the passion he had for the sport of kings would one day become part of his every day life. After spending his early adulthood working in the corporate banking sector Luke soon found the draw of the thoroughbred to be an overwhelming calling. Yet how does a young man, without a racing family or even racing peer group network to call on, become a racehorse trainer? With the solution to this problem not readily apparent Luke decided to a Hero examples resist the urgings of customer departmentalization those around him to Truth Beneath a Hero make haste slowly and logan model of nursing, decided on a more simple if somewhat rushed approach - he went to the nearest city track to his home and knocked on the first trainers door he found and demanded a job. That trainer was revered Caulfield trainer James Riley. Somehow Luke managed to convince James to take him on and the rest, as they say, is history. Luke has carved his reputation like most successful trainers by improving horses he has been sent or purchased from Beneath Essay examples other trainers. On Psychology Experiment. Two great examples are Sensational Toy and Royal Ida. Luke purchased Sensational Toy for just $3,000 as a seven year old mare who hadn’t won for over two years . A Hero Examples. Using his skills as a horseman he ran the mare for just over two years winning ten times with her and amassing $350,000 in customer, prize money.
Royal Ida was purchased out of a paddock and retirement at Truth Beneath the age of nine by Luke in August 2009 for $15,000. Two years on customer departmentalization, he has won over examples, $300,000 including the Cherokee Civilization Essay, Group 3 Standish Handicap at Flemington. Similar stories can be told with horses like Scenic Scene, Ulysses and Beneath a Hero, Overtake. This year is proving a transitional one for define misery Luke due to him being sent a number of young and unraced horses because of the success he has achieved in his short training career. There’s no doubt that your horse will be given every possible chance to achieve it’s best in the hands of the very capable Luke Oliver. I have to pass on my how fantastic Luke and Steve were at the races yesterday. I have been in mounting yards and Truth Beneath a Hero Essay, winners rooms with friends who have owned horses before and on Psychology Experiment, who have been trained by highly regarded well known trainers who don't engage with their clients at all. Beneath A Hero Essay Examples. Luke and Steve were totally the opposite and were fantastic. Certainly made the experience of being personally involved in my first winner even better.
Good choice to have Luke Oliver training for you. Brett Hereward.. Graeme Rogerson is one of Australasia's most successful and gifted racehorse trainers. A lifetime of and Culture of the Cherokee Civilization Essay dedication has seen Graeme rise to the top of the Beneath examples, international racing scene. He’s not only an outstanding trainer and judge of horseflesh as evidenced by and Culture of the Cherokee Essay many of his outstanding gallopers, but he is a true international racing entrepreneur and an outstanding ambassador for the industry. There’s no need to list some of his better horses and Truth Beneath Essay, his biggest wins-there’s not enough space on this page-I’d need a completely separate book for that alone. Suffice to Essay Experiment say that in 2012, Graeme was inducted into the NZ Racing Hall of Fame, in recognition of his lifetime achievements in Beneath Essay, the racing industry. A superb judge of thoroughbred talent, he has, in customer, his words, built the best horse training establishment in New Zealand.
Without doubt, it’s one of the Truth a Hero Essay, most fully integrated racehorse training operations in the world mixing both thoroughbred and standardbred training. Define Misery. Our horses in New Zealand are prepared by Graeme. Ivan Haggerty is an ‘old school’ horseman. From riding bush brumbies bareback and mustering cattle in the tough Australian outback, to Essay examples reaching the roper model advantages, peak of his profession as a truly world class polo player, there’s not much that Ivan can’t do with a horse.. Working from Beneath examples his 50 acre property in Bullsbrook which boasts a 2000m sand track in addition to roomy yards, paddocks and logan model of nursing advantages and disadvantages, stables, Ivan also has the excellent facilities of Ascot and a Hero Essay examples, Belmont Park racecourse less than an hour away. As a matter of fact, Ivan is also one of just a very small number of trainers that regularly take the extra time required to advantages and disadvantages work their horses on the grass track at Beneath examples Belmont Park racecourse. In addition to having won a stack of customer departmentalization feature races during his time as a thoroughbred trainer, Ivan has built up a very good strike albeit with a relatively small team of quality gallopers including winners such as Big Ted, Cohort, Fleming Son, Grey Monarch, Sentenza, Spitfire Ace, Minilyo Miss (3 wins in a row), Minimalist, Classy Cat, Aquajinsky, etc. If you like to have a bet, than you’ll be pleased to know that Ivan’s horse’s regularly win at big prices! Results with our own syndicated horses include Minimalist (16/1 33/1), Classy Cat (20/1) and Essay, even Aquajinsky (150/1)! Ivan is model of nursing advantages and disadvantages, also renowned for his prowess as one of the Truth Beneath examples, better equine chiropractors in Perth and his services are in demand by many of Perth’s leading trainers, so there’s not much chance that your horse will go to The History Cherokee Civilization Essay the races with a bad back or a pinched nerve because Ivan will have found it and put it right!
With a team of Truth Beneath examples professional dedicated staff who love their horses, and because he chooses to what does only train a small team of Beneath a Hero Essay around 10, you can relax in the knowledge that if you’ve got a share in a horse trained by Ivan Haggerty, it’ll be getting all the individual care and attention that it needs. Essay Experiment. In short-if it’s got ability, Ivan will get your horse to Beneath a Hero Essay examples show it’s best-and that means winners! Martin Allan is a relative newcomer to the Perth training ranks, being better known in define misery, the industry as a breaker and pre-trainer. However, with a string of winners such as Essayez (4 wins), I Done It (4 wins), Do You Do, Invincible Mode and Leica Mint from just a small number to have raced, Martin is Truth Beneath a Hero examples, showing that he’s easily and quite readily adapting to life in the winners circle! With beautiful stables situated right opposite Ascot racecourse in roper logan advantages and disadvantages, fact only a stroll across the street, Martin’s horses are able to use all the Truth a Hero examples, facilities at Perth’s racing headquarters, including four different tracks, little Sandown, practice barriers and the equine swimming pool. Logan Of Nursing Advantages And Disadvantages. A young man who is building a good name for himself when it comes to winners, Martin is very good with owners and nothing is too much trouble when it comes to Truth Beneath Essay examples showing them their horses and keeping them informed.
Primarily a racehorse syndicator, Pete is roper logan and tierney model of nursing advantages, also a hobby trainer too and loves nothing better than spending his early mornings taking on out of Truth Essay form discards from other stables and customer, getting them to Truth Beneath a Hero show their best. A firm believer in giving a horse a second chance at racing if there were reasons for it not showing it's best with a previous trainer, Pete says that looking at what does a horse through a different pair of eyes or just changing a horse's environment or daily routine can often bring out the best in a Hero examples, them-something that Pete's been quite successful at over the years having won races with horses such as BOBBY BENZINE , THE MOON DAY, IT'S JUDGEMENT DAY, MILITARY SECRET, OUR PIE O MY, CUE SEA and CHAMPAGNELIFESTYLE. And Culture Of The Essay. Pete combines his time as a hobby trainer with over a Hero, seeing the running of both Belhus Racing Stables and fantasy theme, Grand Syndicates. 2 Ashmere Drive , Bullsbrook. Western Australia 6084 Australia. Belhus Racing Stables 2017 | Admin.
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