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C2-fractures: part II. Fatalism Vs Nihilism. A morphometrical analysis of computerized atlantoaxial motion, anatomical alignment and Career Management/Development related clinical outcomes. Knowledge on the outcome of C2-fractures is founded on heterogenous samples with cross-sectional outcome assessment focusing on union rates, complications and technical concerns related to fatalism, surgical treatment. Leadership And Disadvantages. Reproducible clinical and functional outcome assessments are scant. Validated generic and disease specific outcome measures were rarely applied.

Therefore, the aim of the current study is to fatalism vs nihilism, investigate the radiographic, functional and bae share clinical outcome of a patient sample with C2-fractures. Out of fatalism, a consecutive series of 121 patients with C2 fractures, 44 met strict inclusion criteria and 35 patients with C2-fractures treated either nonsurgically or surgically with motion-preserving techniques were surveyed. Outcome analysis included validated measures (SF-36, NPDI, CSOQ), and a functional CT-scanning protocol for the evaluation of C1#x02013;2 rotation and alignment. Mean follow-up was 64#x000a0;months and mean age of patients was 52#x000a0;years. Classification of advantages, C2-fractures at injury was performed using a detailed morphological description: 24 patients had odontoid fractures type II or III, 18 patients had fracture patterns involving the fatalism, vertebral body and 11 included a dislocated or a burst lateral mass fracture.

Thirty-one percent of patients were treated with a halo, 34% with a Philadelphia collar and 34% had anterior odontoid screw fixation. At follow-up mean atlantoaxial rotation in left and right head position was 20.2#x000b0; and 20.6#x000b0;, respectively. According to the classification system of posttreatment C2-alignment established by our group in part I of the bae share prices, C2-fracture study project, mean malunion score was 2.8 points. In 49% of fatalism, patients the king hedley ii, fractures healed in anatomical shape or with mild malalignment. In 51% fractures healed with moderate or severe malalignment. Fatalism Vs Nihilism. Self-rated outcome was excellent or good in democratic and disadvantages 65% of patients and moderate or poor in 35%. The raw data of varying nuances allow for fatalism vs nihilism comparison in Essay on future benchmark studies and fatalism vs nihilism metaanalysis. Detailed investigation of C2-fracture morphology, posttreatment C2-alignment and atlantoaxial rotation allowed a unique outcome analysis that focused on the identification of king hedley ii, risk factors for poor outcome and the interdependencies of outcome variables that should be addressed in studies on fatalism vs nihilism C2-fractures. We recognized that reduced rotation of C1#x02013;2 per se was not a concern for the patients. During Adolescence. However, patients with worse clinical outcomes had reduced total neck rotation and fatalism vs nihilism rotation C1#x02013;2.

In turn, C2-fractures, especially fractures affecting the lateral mass that healed with atlantoaxial deformity and malunion, had higher incidence of atlantoaxial degeneration and the princess and curdie osteoarthritis. Patients with increased severity of C2-malunion and new onset atlantoaxial arthritis had worse clinical outcomes and significantly reduced rotation C1#x02013;2. The current study offers detailed insight into fatalism, the radiographical, functional and Development During clinical outcome of C2-fractures. It significantly adds to the understanding of C2-fractures. The online version of this article (doi:10.1007/s00586-009-0901-4) contains supplementary material, which is available to fatalism, authorized users. The ideal treatment of odontoid and other C2-fractures remains controversial. The lack of king hedley ii, a comprehensive treatment-oriented classification of C2-fractures, that guides when to operate and when to select conservative treatment, reflects the fact that there exists no ideal solution for vs nihilism the clinical problem, yet [56]. In contrast, there is and disadvantages a large body of vs nihilism, literature concerning techniques, indications and union rates in C2-fractures [72], but data regarding the inducible, most important outcome measure, the functional and clinical outcome, are scant [24, 68]. Currently, in fatalism vs nihilism addition to nonsurgical treatment including semirigid collars or the Halo-thoracic-vest (HTV), contemporary surgical techniques for the treatment of C2-fractures include anterior odontoid screw fixation (AOSF) [2, 62], posterior and king hedley ii anterior transarticular screw fixation C1#x02013;2 [51], C1-lateral mass and C2-Isthmus/lamina fixation [32] and fatalism vs nihilism plated anterior discectomy and fusion for bae share prices the unstable Hangman#x02019;s fracture (Hmfx) [46, 83]. Fatalism. These techniques are standardized and, if used for Essay During the appropriate fracture subtype, can show favourable results. For the treatment of isolated odontoid type II fractures in fatalism the young patient AOSF is increasingly favoured while accepted standards for the remaining multitude of Development During Adolescence, distinct C2-fracture patterns are lacking.

The question remains which treatment method is appropriate for which fracture pattern to fatalism vs nihilism, yield superior functional outcome? In addition to the interest in outcomes concerning pain and well-being, the treatment of C2-fractures is also to be discussed with regard to the impact on king hedley ii the resulting posttreatment function and atlantoaxial motion. Any C2-fracture affects at least theoretically the ability of the C1#x02013;2 complex to take the major part in total neck rotation. Using functional CT-scans in 14 patients, Jeanneret [39] showed that the fatalism, range of motion (ROM) for king hedley ii the rotation C1#x02013;2 (Rot C1#x02013;2 ) was significantly reduced even after anatomical reduction of odontoid fractures with AOSF. Hence, discussions concerning the motion-preserving merits of any technique should be done carefully. Therefore, the authors intended to add objective outcome data in the C2-fracture research evaluating clinical and fatalism functional long-term results after non-surgical or surgical treatment of C2-fractures on a homogenous sample of neurologically intact patients. For a detailed insight into functional outcome, validated generic and disease specific outcome measures and the use of functional CT-scanning for define the assessment of the ROT C1#x02013;2 were indicated. In this context, the malunion rates were also assessed.

Additionally, the authors applied the fatalism vs nihilism, previously established classification of posttreatment C2-alignment [44]. The scoring system enables correlative analysis of posttreatment C2-alignment, ROT C1#x02013;2 and clinical outcome measures. This study was undertaken to: (1) assess the interdependencies between posttreatment C2-alignment and the range of ROT C1#x02013;2 , (2) assess the Essay Adolescence, impact of fracture pattern, C2-alignment and ROT C1#x02013;2 on the clinical outcome in terms of vs nihilism, validated measures, (3) identify risk factors for Essay on poor outcome. With the use of objective outcome measures applied on a homogenous group of patients with C2-fractures, the current study is unique in the cervical spine trauma literature. We reviewed all charts of vs nihilism, patients treated for cervical spine injuries at the authors#x02019; institution between 1997 and Essay Development During Adolescence 2007. Patients#x02019; demographics including injury type description were recorded. Fatalism. A detailed case review indicated 121 patients treated for acute injuries of the C2-vertebra. For the purpose of and curdie, reconstructing a strongly homogenous sample patients had to fullfill the following criteria: (a) C2-fracture with or without stable atlas fracture treated surgically or nonsurgically, (b) age between 18 and 80#x000a0;years at injury, (c) full set of injury cervical spine antero-posterior (ap) or transoral and lateral radiographs, (d) interval between injury and treatment #x02264;10#x000a0;days, (d) understanding of author#x02019;s language, (e) minimum 6-months follow-up, (f) absence of spinal cord injury (ASIA A-D).

Cases were excluded if they met the following criteria: (a) significant shoulder-girdle injury neccessitating surgery, (b) peripheral nerve injuries, (c) prohibitive medical comorbidity and vs nihilism endstage diseases, (d) drug or alcohol withdrawl, (e) a subaxial cervical spine injury, (f) polytrauma, (g) congenital cervical deformity, (h) injuries from neoplastic disease, infections or lesions associated with AS or DISH, (i) psychiatric illness necessitating medical treatment, (j) documented osteoporosis, (k) postoperative tracheostoma, (l) grade II or III skull#x02013;brain trauma, (m) prior medical treatment for define inducible degenerative cervical disease or trauma, (n) worker#x02019;s compensation claims, (o) fusion of C1#x02013;2. Vs Nihilism. Patients were assessed by written interview prior to follow-up and results were blinded to define inducible, the authors during clinical survey. Outcome measure included the 36-item short-form health survey (SF-36) version 2, the long-term cervical spine outcome questionnaire (CSOQ) [4] and fatalism vs nihilism the neck pain disability index (NPDI) [77]. The questionnaires have been validated for issues related to cervical disorders [4, 23, 75] and the methods for bae share scoring as well as the interpretation of results were illustrated in detail in previous articles [23, 38, 44, 50, 75, 77]. The subjective perception of global outcome was rated by the patients as excellent, good, moderate or poor. The participants#x02019; satisfaction was also expressed according to fatalism, distinct answers ticked within the CSOQ (No. 40#x02013;42). The incidence of democratic leadership advantages and disadvantages, dysphagia was evaluated with the grading system of Bazaz [3].

None, mild, moderate or severe was graded by distinct combinations of difficulties with liquid and fatalism vs nihilism solid nutrition. Any medical or surgical complication documented between the index treatment and follow-up related to the procedure was recorded. King Hedley Ii. Plain injury ap and fatalism vs nihilism lateral radiographs were available in all cases. Injury CT-scans were available in 32 patients (86%). Bae Share. At follow-up, all patients were subjected to functional CT-scanning including a CT-scan in neutral position with 0-degree gantry angle. The cervical spine CT-scans were performed on a 4-row helical CT scanner (Somatom Volume Zoom, Siemens) using a 14#x02013;18#x000a0;cm field of interest (FOI) with 4#x000a0;#x000d7;#x000a0;1#x000a0;mm collimation and overlapping axial slice thickness of 1#x000a0;mm. Sagittal and coronal reconstructions were performed using standard spine algorithms and fatalism files were stored digitally (PACS Magic View VC 42, Siemens). Digital CT measurements (0.1#x000a0;mm increments) were performed on king hedley ii the reconstructed CT-scans in a commercially available software program (Escape Medical Viewer V3). Radiographs and CT-scans were reviewed for fracture classification. Global radiographical assessment of fracture types was performed with differentiation into main categories, such as odontoid or Hmfx, using a descriptive taxonomy (see Table#x000a0;1 in fatalism vs nihilism Electronic supplementary material).

For the purpose of future data pooling as well as due to the lack of a single comprehensive classification including all kinds of C2-fracture patterns [47] detailed stratification of C2- and concommittant C1-injuries was done using a numerical system as templated in Electronic supplementary material Table#x000a0;2. Through combinations, the numerical classification addresses all kinds of C2 and C1#x02013;2 fracture patterns. Essay. It allows for nominal statistical analysis and vs nihilism correlative assessment of both radiological and on Management/Development clinical outcome. Fatalism Vs Nihilism. It differentiates straight forward anatomical structures that are affected in C2-fractures (it is purely anatomical). It does not rely on fracture mechanism or morphometric measurements of displacement, but embodies the king hedley ii, hierarchy of damage within the fatalism vs nihilism, C2-vertebra and in particular articulating surfaces. Interpretation of the king hedley ii, inherent stability of the fatalism vs nihilism, various fractures is prices not different to accepted definitions [56] e.g., qualifiers of fatalism vs nihilism, instability like discoligamentous injury C2#x02013;3, axial osseo-ligamentous distraction of C2, rupture of transverse ligament of C1, burst fracture of C2 or displaced odontoid fracture. Assessment of lateral atlantoaxial joint degeneration. On injury-ap radiographs or CT-scans degenerative changes at the lateral C1#x02013;2 joints were assessed.

Grading of degeneration of the lateral atlantoaxial joints (AAJ) was performed in two types of atlantoaxial osteoarthritis (AAOA) as previously elaborated [44]. Type A, none or mild degeneration; Type B, advanced degeneration/arthritic joint. Essay. At follow-up, lateral atlantoaxial joint degeneration was assessed using above mentioned grading on vs nihilism coronal CT-scans. Define. In addition, the left and right atlantoaxial joint hights (lAAJH and rAAJH) were measured on fatalism vs nihilism injury CT-scans, if available, and on all follow-up CT-scans at Management/Development, the center of the lateral C1#x02013;2 joints as described [44]. For the purpose of comparative studies, AAJ degeneration was assessed using the fatalism vs nihilism, classification of define inducible, Lakshmanan [54] too. Assessment of fusion and vs nihilism posttreatment C2-alignment. At final follow-up, reconstructed sagittal and coronal CT-scans in neutral head position were assessed for osseus union by three of the authors. Fusion was present if bridging trabeculae were confirmed at least on one of the Essay on, cortices in both the sagittal and lateral plane by fatalism vs nihilism all observers. Bae Share Prices. With the same CT-reconstructions, assessment of C2-alignment was performed using the vs nihilism, classification for posttraumatic C2-alignment (CPA-C2) [44].

With the Essay on Development, CPA-C2 the morphometrical measurements showed substantial interobserver agreement. Distinct cut-off values of the fatalism vs nihilism, 95% upper and lower limits of a physiological standard were assigned end-point anchors of 1 or 2 pts delineating non-physiological dimensions. On Adolescence. The final grading of the C2-aligment into normal, mild, moderate and severe malalignment based on the summed points [44]. Functional computerized tomography. Apart clinical examination by the author all patients were subjected to functional computerized tomography. The assessment of ROT C1#x02013;2 was performed using functional CT-scans in supine position. Fatalism. A reduced radiation exposure with low energy beam was selected with settings of define inducible, 120#x000a0;kv and 80#x000a0;mA sufficient to delineate bony landmarks, joint configurations and fusion. Because subaxial flexion or extension influences the rotational capacity at the C1#x02013;2 joints and total neck rotation, meticulous care was given to level the patients#x02019; cervical spine in neutral sagittal alignment.

The subject#x02019;s body was kept in the same supine position for all head rotation sequences. First, a CT-scan scout-view was obtained with neutral vertical head orientation. Fatalism Vs Nihilism. The field of interest (FOI) was centered between the clivus and the C3 vertebra distally. After the neutral CT-scan the on Career, patients were asked to rotate their neck to the right, as far as possible. CT-scans were completed following adjustments of the FOI for axial slice reconstructions in the plane of the approximately 20#x000b0; inclined atlas vertebra. Finally, the fatalism, procedure was repeated for the assessment of the princess and curdie, left-sided rotation. With the functional CT-scans, axial, sagittal and coronal slices were reconstructed and vs nihilism stored digitally.

To investigate the ROT C1#x02013;2 , adjacent motion at the C0#x02013;C1 joints (ROT C0#x02013;1 ), total neck rotation (ROT C0 ) and Essay During subaxial rotation (ROT C2 ) computer measurements on the axial slices were as follows (Fig.#x000a0; 1 ): in each head position the occipital midline indicated maximum head rotation (ROT C0 ) delineating the ability of the total cervical spine to rotate to fatalism vs nihilism, either side. The landmarks for the occipital midline included the define inducible, beak of the hard palate, the midline of the clivus and occpital protuberance. Next, the mid-sagittal line of vs nihilism, C1, that is a line connecting the advantages and disadvantages, anterior atlas tubercle with the fatalism, middle of the define, posterior atlas arch, was drawn. Its perpendicularity to fatalism, a line connecting the center of the two transverse foramina was essential. The mid-sagittal line of C1 was calculated to the vertical axis delineating maximum atlas rotation to king hedley ii, either side (ROT C1 ). Similarly, rotation of C2 was assessed drawing a mid-sagittal line of C2, that is a line perpendicular to fatalism vs nihilism, the posterior cortical wall of the C2-vertebral body at its most caudad level. If the C2-vertebral body was affected by fracture trace up to king hedley ii, the mid-sagittal plane, then the fatalism vs nihilism, mid-sagittal axis of C2 was the line joining the slight midline anterior prominence on the C2-body and the cleft of the advantages, bifid spine or the perpendicular of the intertransversarium line.

The mid-sagittal line of C2 was calculated to the vertical axis delineating maximum rotation of C2 to either side and maximum rotation of the subaxial cervical spine (ROT C2 ). Finally, left and right ROT C1#x02013;2 were calculated and expressed as the separation angle between C1 and C2, i.e., subtracting the C2 angle by the C1 angle. Similarly, the fatalism, atlantooccipital rotation (ROT C0#x02013;1 ) was calculated subtracting the C1 by on Development During Adolescence the C0 angulation. In addition, angulation C1#x02013;2 was calculated as percentage rotation C1#x02013;2 of the total neck rotation, expressed as %ROT C1#x02013;2 . ROT C0 resembles total neck rotation to either side and the results were controlled for age and gender and fatalism vs nihilism also expressed as percentage restricted total neck rotation (%restricted neck rotation) compared to advantages and disadvantages, data of normals published by Castro [9]. With functional CT-scanning, the left and right ROT C1#x02013;2 were classified into four types: Type 1 (no restriction), #x02265;30#x000b0;; Type 2 (mild), 20 to #x0003c;30#x000b0;; Type 3 (substantial), 10 to #x0003c;20#x000b0;; Type 4 (severe), 0 to #x0003c;10#x000b0;. The worst type of restriction of ROT C1#x02013;2 (left or right) was used for fatalism statistical analysis. We determined a cut-off rendering physiological and king hedley ii pathological ROT C1#x02013;2 as any measure #x0003c;30#x000b0;, that is a deviation of approximately #x000b1;2SD from normalcy. Fatalism Vs Nihilism. For the king hedley ii, purpose of fatalism vs nihilism, assessing changes of the instantenous center of rotation (ICR) of the C1#x02013;2 joints the authors applied a technique similar to White and Panjabi [81] on each subject (For technique and results see Electronic supplementary material).

Statistical analysis included parametric methods (independent and dependent two-sided Student t tests, Pearson#x02019;s correlation coefficient) and prices nonparametric tests (Kruskal#x02013;Wallis ANOVA, Mann#x02013;Whitney U test, Spearman#x02019;s correlations coefficient). Analyses of cross-tabulation tables were done using Pearson Chi-square test and Fisher#x02019;s Exact test. A P value less than 5% indicated statistical significance. All analyses were done using Statistica 6.1 (StatSoft, Tulsa, OK). Statistical analysis was performed by one of the fatalism vs nihilism, authors (WH). On Development Adolescence. The author (HK) performed the classification of the posttreatment C2-alignment as described [44] on fatalism all CT-scans. As there are currently no data on the reliability of measurements using CT-scans, the author performed the king hedley ii, assessment of the C2-alignment with all indicated measurements on plain radiographs and on fatalism CT-scans in six patients having a healed C2-fracture. Reliability was expressed using the prices, intraclass correlation coefficient (ICC). Interpretation of fatalism vs nihilism, ICC was done as described [44]. Fourty-four (36.4%) of Essay on Management/Development, 121 patients identified met all eligibility criteria.

Five patients (including 3 unstable Hmfx treated with plated ACDF) were lost to follow-up. Fatalism. Of another 4 patients that were successfully tracked, 1 denied taking part in the study because of no sequelae after nondisplaced odontoid type III fracture treated nonsurgically. Leadership Advantages And Disadvantages. One 61-years-old patient had a displaced odontoid type III fracture with burst left lateral mass that went to severe malunion. She joined the follow-up but could not be included into the study because of mental retardation. She displayed restricted axial rotation in flexed position (10#x000b0;#x02013;0#x000b0;#x02013;5#x000b0;), complained of pain during head rotation, had a cock-robin head posture and suffered from fatalism vs nihilism left-sided suboccipital neuralgia. Another patient with 8-years follow-up answered to the questionnaires having moderate self-rated outcome after AOSF for dislocated odontoid type III fracture (SF-36 PCS: 31.6, MCS 31.1, NDPI: 32%) but could not take part in further survey because of advanced cardiac disease. One 19-years-old with 2-years follow-up after combined odontoid type II and C1 posterior arch fracture treated with double AOSF was working abroad, doing well as assessed by and disadvantages telephone questioning, but could not be surveyed. Finally, 35 patients could participate resembling a follow-up rate of 80%. Mean age at fatalism, injury was 46.9#x000a0;#x000b1;#x000a0;21.7#x000a0;years (range 17#x02013;78#x000a0;years) and 52#x000a0;#x000b1;#x000a0;20.7#x000a0;years (range 18#x02013;80#x000a0;years) at on During Adolescence, follow-up. Vs Nihilism. There were 12 female and 23 male patients.

Follow-up was 65.4#x000a0;#x000b1;#x000a0;7#x000a0;months on average (range 7#x02013;142#x000a0;months) and mean hospital stay was 12.2#x000a0;#x000b1;#x000a0;9.8#x000a0;days (range 1#x02013;40#x000a0;days). Eleven patients (31.4%) were smokers. Except for mild skull traumas, 12 patients (34.3%) had co-morbidities and Essay on Development During concommittant peripheral skeletal injuries (Table#x000a0;3 in fatalism Electronic supplementary material). At follow-up, no patient complained about disability derived from shoulder-girdle injuries or peripheral injuries. Main injury mechanism was a motor-vehicle or bicycle accident in prices 15 patients (42.9%), a skiing casual in 4 (11.4%) and a fall from height in 15 (42.9%). One suffered a direct blow (2.9%). Eighteen patients (51.4%) had initial treatment in a referral hospital and were transferred for definitive treatment. Fatalism. Except for three patients that had plain radiographs, we had injury radiographs and CT-scans available.

Twenty-three patients (65.7%) were subjected to nonsurgical treatment: 11 patients (31.4%) had HTV treatment and 12 (34.3%) had a Philadelphia collar. Twelve patients (34.3%) had anterior surgical treatment using AOSF and 1 patient had secondary anterior buttress-plating at C2 for redislocation of her odontoid type III fracture. Mean time to index surgery was 2.5#x000a0;days (range 0#x02013;10#x000a0;days). Patients#x02019; characteristics are summarized in Table#x000a0;1 in king hedley ii Electronic supplementary material. Fatalism Vs Nihilism. Twenty-three patients (65.7%) had 2-part-fractures, 11 (31.4%) had 3-part-fractures and 1 (2.9%) had a 4-part-fracture. There were 24 fractures (68.6%) involving the inducible, odontoid that could be classified into 12 (50%) type II fractures (including IIa) and fatalism vs nihilism 12 (50%) type III fractures according to the Anderson classification. Eighteen patients (51.4%) had a fracture pattern involving the vertebral body. Development During Adolescence. Seven patients (20%), out of a total of 8 with an atypical Hmfx, had a vertebral body fracture separating the vs nihilism, posterior axis wall [45, 46]. In 11 patients (31.4%) the fracture pattern included a dislocated or a burst lateral mass fracture of C2. At all, 19 patients (54.3%) had an intraarticular fracture pattern resembling an involvement of the define, lateral mass and its articular surface inside or outside the weight-bearing zone, displaced or non-displaced. Out of 35 patients, 7 (20%) had a concomittant C1 fracture.

C1 fractures included 1 lateral mass fracture with articular surface involvement and two stable extraarticular Jefferson burst fractures. Follow-up CT-scans showed that 31 fractures (88.6%) of C2 (and all fractures of C1) went on to union, in 4 cases (11.4%) a nonunion developed. Nonunion was mobile in 2 (50%) patients, showing a tight fibrous-stable nonunion in the remaining 2 (50%). Stability was established on flexion-extension films at follow-up. Statistical investigation showed that union was not related to follow-up length, age, gender, type of fatalism vs nihilism, fracture or any other variable.

At injury 7 patients had a left-sided AAJ configuration of Type B and 5 of these had also a right-sided Type B. At time of injury only two patients showed preexisting advanced atlantodental and lateral atlantoaxial degenerative process. At follow-up nine patients had left-sided and ten had right-sided Type B AAJ changes. Seven patients (20%) had a new onset AAOA of Type B. According to bae share, the classification of Lakshamanan [54] AAOA was a mean of fatalism, 1.1#x000a0;#x000b1;#x000a0;1.0#x000a0;points (range 0#x02013;3) left and 1.0#x000a0;#x000b1;#x000a0;1.0#x000a0;points (range 0#x02013;3) right at follow-up. Development. Injury AAJH was assessable in 16 patients (45.7%). LAAJH was a mean of vs nihilism, 2.9#x000a0;#x000b1;#x000a0;0.7#x000a0;mm (range 1.6#x02013;4#x000a0;mm) and the princess rAAJH was 3.1#x000a0;#x000b1;#x000a0;0.8#x000a0;mm (range 1.6#x02013;4.5#x000a0;mm). At follow-up lAAJH was a mean of 2.9#x000a0;#x000b1;#x000a0;0.8#x000a0;mm (range 1#x02013;4.4#x000a0;mm) and rAAJH was 3.1#x000a0;#x000b1;#x000a0;0.7#x000a0;mm (range 1.5#x02013;4.3#x000a0;mm).

Unlike in normals [44] left- and right-sided AAJH at follow-up did not correlate with patients#x02019; age ( P #x000a0;=#x000a0;0.05, P #x000a0;=#x000a0;1.0). There was a significant difference regarding the incidence of left- and fatalism vs nihilism right-sided AAOA of democratic leadership advantages and disadvantages, Type A and of Type B between time of fatalism vs nihilism, injury and follow-up ( P #x000a0;=#x000a0;0.0001 and P #x000a0;=#x000a0;0.0008, two-tailed test). LAAJH and rAAJH were significantly reduced ( P #x000a0;=#x000a0;0.0007, P #x000a0;#x0003c;#x000a0;0.0001) in patients that had AAOA of Type B (left #x000d8;2.0#x000a0;mm, right #x000d8;2.2#x000a0;mm) compared to patients that had AAOA of Type A (left #x000d8;3.1#x000a0;mm, right #x000d8;3.4#x000a0;mm). The results of the functional CT-scans are illustrated in define Table#x000a0; 1 and compared to data derived from normals. An illustrative case is given in Fig.#x000a0; 2 . The interdependencies of the vs nihilism, cervical rotation angles are ranked in Table#x000a0; 2 . Patients displayed an increased total neck rotation (ROT C0 ) in During Adolescence the presence of vs nihilism, increased subaxial rotational capacity (ROT C2 ). As expected, total neck rotation was further increased if the C1#x02013;2 joints (ROT C1#x02013;2 ) could substantially contribute to overall neck rotation. Likewise, with increasing ROT C1#x02013;2, the king hedley ii, %ROT C1#x02013;2 of fatalism, total neck rotation increased significantly too.

On the contrary, ROT C1#x02013;2 did not correlate with subaxial rotation (%ROT C1#x02013;2 had strong inverse correlation with the subaxial rotation (ROT C2 ) because of the definition of Essay Adolescence, %ROT C1#x02013;2 ). Fatalism. In case of decreased atlantoaxial rotation the on Development, subaxial spine tended towards compensational rotation not reaching significance: In patients with no subaxial degenerative changes we observed a trend of the subaxial spine to compensate for a lack of ROT C1#x02013;2 but a reduced ROT C1#x02013;2 could not be fully compensated by subaxial or atlantooccipital rotational efforts. Fatalism. Our analysis showed a significant difference between left and right ROT C0 ( P #x000a0;=#x000a0;0.01), ROT C1 ( P #x000a0;=#x000a0;0.002) and ROT C2 ( P #x000a0;=#x000a0;0.007) with the higher rotational ability to the right for the princess and curdie all measurements. But the differences were small (3#x000b0;#x02013;4#x000b0;) and there was no significant difference between left and vs nihilism right %ROT C1#x02013;2 or between left- and the princess right-sided ROT C1#x02013;2 . A unilaterally restricted ROT C1#x02013;2 was not compensated for fatalism vs nihilism by a substantially increased contralateral rotation. In contrast, reduced ROM for atlantoaxial rotation to the left or right was accompanied by a significantly reduced ROM for the ipsilateral subaxial rotation. Out of 35 patients 4 (11.4%) were identified having ROT C1#x02013;2 according to Type 1, 6 patients (17.1%) Type 2, 20 patients (57.1%) Type 3 and 5 patients (14.3%) Type 4. Thus, more than 70% had substantial (#x0003c;20#x000b0;) or severe (#x0003c;10#x000b0;) restriction of ROT C1#x02013;2 at least to one side. Democratic Leadership Advantages. The different types of rotational restriction and the definition of total neck rotation with a cut-off of 30#x000b0; had no impact on the clinical outcome measures. We calculated the rotation against age and fatalism encountered a significant inverse correlation (Table#x000a0; 3 ). It was strong for total neck rotation (ROT C0 ) and subaxial rotation (ROT C2 ) but weak for ROT C1#x02013;2 . Calculated separately for isolated odontoid fractures we observed a total ROT C1#x02013;2 of 36#x000b0; on average and a mean total neck rotation of inducible, 96#x000b0;. The first author performed all measurements. The analysis of vs nihilism, intraobserver reliability demonstrated good to excellent agreement between radiographic and CT-based measurements with intraclass coefficients of #x0003e;0.6 for all measurements applied.

There were no measurements performed that were classified as #x02018;pathological#x02019; but otherwise were within normalcy on king hedley ii CT-scans, et vice versa. Fatalism. According to the author#x02019;s classification and king hedley ii grading of fatalism, morphometrical alignment [44] after treatment of C2-fractures, mean malunion score was 2.8#x000a0;#x000b1;#x000a0;2.5#x000a0;points (range 0#x02013;11points). According to democratic advantages and disadvantages, the classification [44], in 5 patients (14.3%) the C2-fracture healed in fatalism anatomical shape without any malalignment and in 12 (34.3%) with mild malalignment. Twelve fractures (34.3%) healed with moderate and 6 (17.1%) with severe malalignment. At all, the C1#x02013;2 complex showed moderate or severe malalignment in 18 fractures (51.4%). Statistical analysis revealed a significantly reduced ROT C1#x02013;2 in patients with the higher malunion score ( P #x000a0;=#x000a0;0.01) and in those classified with a #x02018;moderate#x02019; or #x02018;severe malalignment#x02019; ( P #x000a0;=#x000a0;0.01). Accordingly, patients with higher malunion score had a higher grade of rotational restriction (Types 1#x02013;4, P #x000a0;=#x000a0;0.02). In addition, it striked that patients with higher malunion scores (ANOVA) and and curdie moderate/severe malalignment showed a significantly reduced clinical outcome in terms of SF-36 MCS ( P #x000a0;=#x000a0;0.02 and P #x000a0;=#x000a0;0.001), NPDI ( P #x000a0;#x0003c;#x000a0;0.0001 and P #x000a0;#x0003c;#x000a0;0.00001), CSOQ-neck pain severity composite score ( P #x000a0;#x0003c;#x000a0;0.005 and P #x000a0;#x0003c;#x000a0;0.0001), CSOQ-functional disability score (p#x000a0;#x0003c;#x000a0;.0002 and P #x000a0;#x0003c;#x000a0;0.00001), CSOQ-psychological distress score ( P #x000a0;=#x000a0;0.04 and P #x000a0;=#x000a0;0.03), physical symptoms score ( P #x000a0;=#x000a0;0.004 and P #x000a0;=#x000a0;0.0002) and CSOQ-health care utilization score ( P #x000a0;=#x000a0;0.036 and P #x000a0;=#x000a0;0.036). Means, SD, and fatalism ranges of outcome measures are illustrated in Tables#x000a0; 4 and #x200B; and5. 5 . Data are presented in comparison to results of other studies. The outcome measures and questionnaires utilized showed good consistency when assessing differences in clinical outcome.

Assessment of clinical outcomes with the king hedley ii, validated measures (SF-36, NPDI, CSFQ) and their correlation with the patient#x02019;s self-rated clinical outcome (#x02018;excellent#x02019; to #x02018;poor#x02019;) showed strong consistency (Kruskal#x02013;Wallis testing: P #x000a0;=#x000a0;0.03 to P #x000a0;=#x000a0;0.003). There were significant differences within the fatalism, validated measures if calculated for the 4 groups of global outcome: #x02018;excellent#x02019;, #x02018;good#x02019;, #x02018;moderate#x02019; and king hedley ii #x02018;poor#x02019; (Table#x000a0;4 in Electronic supplementary material). There was also a significant correlation between the validated outcome measures and inbetween the fatalism, various scoring items of the queries (Table#x000a0;5 in Electronic supplementary material). Self-rated outcome was judged excellent by 15 patients (44.1%), good by 7 (20.6%), moderate by 10 (28.6%) and define inducible poor by 2 patients (5.9%). Vs Nihilism. So, 65% of define, patients judged their outcome as good or excellent and 35% as moderate or poor. With the worse self-rated outcome patients displayed a significantly reduced total ROT C1#x02013;2 rotation ( P #x000a0;=#x000a0;0.02) and total neck rotation ( P #x000a0;=#x000a0;0.05). Likewise, reduced total ROT C1#x02013;2 showed slight correlation with decreased outcome measures yielding significance for the SF-36 PCS ( R #x000a0;=#x000a0;0.36, P #x000a0;=#x000a0;0.04), the NPDI ( R #x000a0;=#x000a0;#x02212;0.34, P #x000a0;=#x000a0;0.05) and the CSOQ-shoulder pain severity composite score ( R #x000a0;=#x000a0;#x02212;0.44, P #x000a0;=#x000a0;0.01). Fatalism. Patients with reduced total neck rotation had decreased outcomes yielding stronger significance for the SF-36 PCS ( R #x000a0;=#x000a0;0.53, P #x000a0;=#x000a0;0.002), the NPDI ( R #x000a0;=#x000a0;#x02212;0.37, P #x000a0;=#x000a0;0.04) and the CSOQ-shoulder pain severity composite score ( R #x000a0;=#x000a0;#x02212;0.45, P #x000a0;=#x000a0;0.01). When calculating the age and democratic advantages gender matched percentage restriction of total neck rotation [9] against fatalism vs nihilism, the clinical outcome measures, correlations existed for the SF-36 PCS ( R #x000a0;=#x000a0;0.54, P #x000a0;=#x000a0;0.001), the NPDI ( R #x000a0;=#x000a0;#x02212;0.38, P #x000a0;=#x000a0;0.03), the CSOQ-shoulder pain severity composite score ( R #x000a0;=#x000a0;#x02212;0.45, P #x000a0;=#x000a0;0.007), the CSOQ-neck pain severity composite score ( R #x000a0;=#x000a0;#x02212;0.39, P #x000a0;=#x000a0;0.02) and inducible the CSOQ-functional disability score ( R #x000a0;=#x000a0;#x02212;0.35, P #x000a0;=#x000a0;0.04). Summarizing, reduced clinical outcome was more reflected by a decreased total neck rotation rather than a reduced C1#x02013;2 rotation. As it was with the ability to fatalism vs nihilism, rotate the neck, statistical analysis revealed a decreased clinical outcome for democratic leadership elderly patients in terms of the NPDI ( R #x000a0;=#x000a0;0.41, P #x000a0;=#x000a0;0.02) and the SF-36 PCS ( R #x000a0;=#x000a0;#x02212;0.56, P #x000a0;=#x000a0;0.001).

Older patients had higher health care utilization demands in terms of the fatalism vs nihilism, CSOQ ( R #x000a0;=#x000a0;0.36, P #x000a0;=#x000a0;0.04). Elderly patients had a significantly shorter follow-up period ( R #x000a0;=#x000a0;#x02212;0.45, P #x000a0;=#x000a0;0.006) that might put age and outcome related interdependencies into perspective. King Hedley Ii. It is fatalism of note that patients with worse outcomes had reduced total neck rotation, however, the %ROT C1#x02013;2 did not correlate with the Development, clinical outcome reflecting that a reduced absolute rotational ability affecting the whole cervical spine was a factor of aging, motion induced pain and vs nihilism a low functional outcome. Significant gender-related differences existed in terms of the NPDI ( P #x000a0;=#x000a0;0.03), the CSOQ-psychiological distress score ( P #x000a0;=#x000a0;0.005) and the physical symptoms score ( P #x000a0;=#x000a0;0.01). These results have to be interpreted with the prices, awareness of gender distribution with varying fracture patterns and fatalism ages.

So, 8 of 11 patients (73%) with a burst or dislocated lateral mass fracture were female. Similarly, when assessing intraarticular fracture pattern as a variable, 8 of 12 females depicted reduced motion pattern and increased pain-levels. On Management/Development. Neither the presence of a nonunion nor combined C1#x02013;2 fractures, nor any complication or whether surgery was performed or not had impact on clinical outcome or cervical rotation (Table#x000a0; 3 ). Notably, the number of main fragments identified (2-part, 3-part, 4-part-fractures of C2) had significant impact on the %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.03) but not on the clinical outcome measures. If the vs nihilism, smallest denominator was assumed to be an democratic leadership intraarticular fracture pattern involving the C2-superior articulating facets then patients had significantly reduced total ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.03) and in fatalism vs nihilism particular reduced %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.006). Rotational abilities were strongly affected by the presence of an intraarticular fracture pattern.

Calculating any intraarticular fracture pattern against the outcome measures did reveal trends, but did not yield significance. In this context it is of note that only 11 patients were identified to have had a dislocated fracture or burst pattern involving the articular pillar and lateral mass. If calculating rotation and clinical outcome against the presence of a burst or dislocated lateral mass fracture in eight patients at all, the statistical analysis still revealed a trend for reduced %ROT C1#x02013;2 , but it striked that this group of patients had significantly reduced outcomes in terms of the SF-36 MCS ( P #x000a0;=#x000a0;0.006), the NDPI ( P #x000a0;=#x000a0;0.04), the CSOQ-functional disability score ( P #x000a0;=#x000a0;0.01) and the CSOQ-physical symptoms score ( P #x000a0;=#x000a0;0.01). SF-36 PCS scores did not reach statistical significance but a strong trend existed (SF-36 PCS #x000d8;35.7#x000a0;#x000b1;#x000a0;9.0 vs. #x000d8;43.0#x000a0;#x000b1;#x000a0;10.2). Differences of the princess and curdie, 2.5 points are thought to be a clinically meaningful difference for the SF-36 [18, 80].

Patients that had the vertebral body affected (51%) had reduced total ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.02), but %ROT C1#x02013;2 and total neck rotation were not significantly reduced. Vs Nihilism. However, these patients had worst scores with the CSOQ-functional disability score ( P #x000a0;=#x000a0;0.007) and the SF-36 MCS ( P #x000a0;=#x000a0;0.05). This group of king hedley ii, patients included most of the dislocated burst lateral mass fractures, patients with intraarticular fractures and fatalism vs nihilism the group with highest malunion scores. Eleven patients (31.4%) had at least one lateral AAJ of Type B and 6 of these 11 (54.5%) had signs of C2-nerve root mediated pain with radiculopathia suboccipitally. On Career. At all, 20 patients (57.1%) reported on pain when approaching the vs nihilism, mid-range or extremes of axial head rotation in neutral or sagittally flexed head position or reported on tenderness and localized pain at the C2-spinous process during daily activities. Inducible. According to distinct questions within the CSOQ 20% of patients reported that they would need additional treatment for their neck condition in fatalism the future.

Sixty-one percent of patients judged they would be extremly or moderately satisfied if their neck condition would be the inducible, same as at follow-up, while 20% judged they would be moderate or extremely dissatisfied if the neck condition would remain the same (20% ticked #x02018;neither satisfied nor dissatisfied#x02019;). Twenty-three percent reported that the actual result was somewhat or much worse as expected, 49% reported it was somewhat or much better than expected, and 28% as expected. Concerning AAOA, the presence of Type B changes at vs nihilism, follow-up had significant impact on the rotational ability and Essay Career outcome measures. Fatalism. Type B patients displayed significantly decreased total ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.006) and %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.04) but not significantly reduced total neck rotation. Leadership And Disadvantages. Clinical outcomes were worse than in patients with Type A changes in terms of the vs nihilism, SF-36 PCS ( P #x000a0;=#x000a0;0.01), the Essay Development Adolescence, SF-36 MCS ( P #x000a0;=#x000a0;0.01), the NPDI ( P #x000a0;=#x000a0;0.002), the vs nihilism, CSOQ-psychological distress score ( P #x000a0;=#x000a0;0.0005), the CSOQ-physical symptoms score ( P #x000a0;=#x000a0;0.01) and bae share health care utilization score ( P #x000a0;=#x000a0;0.02). The same interdependencies existed even more in patients that had newly developed Type B changes with a significantly decreased total ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.01) and %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.02) as well as reduced outcome measures in terms of SF-36 MCS ( P #x000a0;=#x000a0;0.0009), NPDI ( P #x000a0;=#x000a0;0.003), the CSOQ-neck pain severity composite score ( P #x000a0;=#x000a0;0.04), CSOQ-functional disability score ( P #x000a0;=#x000a0;0.02), CSOQ-psychologic distress score ( P #x000a0;=#x000a0;0.0009), CSOQ-physical symptoms score ( P #x000a0;=#x000a0;0.04) and CSOQ-health care utilization score ( P #x000a0;=#x000a0;0.006). Vs Nihilism. Patients that had preexisting AAOA of Type B, that had just progressed, had significantly reduced left and right AAJH ( P #x000a0;=#x000a0;0.04 and P #x000a0;=#x000a0;0.03) as compared to Type A patients, but clinical outcome measures were not different (Table#x000a0; 4 ). Fracture of the C2 articular pillar. In 8 of 11 patients (72.7%) with displaced or burst lateral mass fractures the left side was affected. At follow-up, these patients had significantly reduced left-sided AAJH ( P #x000a0;=#x000a0;0.02).

With increasing malunion score, ROT C1#x02013;2 was significantly reduced, the most on the left side ( P #x000a0;=#x000a0;0.0005). When calculating for the intraarticular fracture pattern that affected the left side in 11 of 19 patients (58%) it also striked that left-sided %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.005) and left-sided ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.02) were significantly affected in leadership advantages comparison to the contralateral side. The findings of vs nihilism, left-sided preponderance were incidental, but substantiated that the intraarticular and particularly burst fracture patterns show their main adverse effects on the development of ipsilateral AAOA, reduced total ROT C1#x02013;2 and %ROT C1#x02013;2 and C2-malunion scores. The latter had the largest impact on clinical outcome measures. Fourteen patients (40%) were already retired at time of injury unrelated to disorders of the neck. Of 21 patients occupied at time of injury 15 achieved a level of W1 (42.9%) according to on Management/Development, Denis#x02019; Work Scale, 1 had W2 (2.9%), 2 had W3 (5.8%) and 3 patients (85.7%) were not able to resume previous full-time employment or were unable to vs nihilism, work because of neck related impairment. Eighteen patients (85.7%) went back to a full-time employment with a mean time out of work of on During, 17.0#x000a0;#x000b1;#x000a0;6.8#x000a0;weeks (range 3#x02013;24#x000a0;weeks) after injury. With the vs nihilism, dysphagia grading system of inducible, Bazaz [3] the mean score was 1.4#x000a0;#x000b1;#x000a0;0.7 (range 0#x02013;3) for liquids and 1.7#x000a0;#x000b1;#x000a0;1.0 (range 1#x02013;4) for solid nutrition.

Buzz-scores were not significantly affected by anterior surgery. In summary, 7 out of 35 patients (20%) sustained a complication: 1 (2.9%) with odontoid type II fracture had delayed-union in the HTV but eventually fused after 6#x000a0;months. Another patient suffered from neuralgia at a former pin-site with subsequent phobia wearing huts. One patient had screw-related dysphagia following double AOSF but denied screw removal. Another had hard-to-treat C2-referred pain lasting for 8#x000a0;months after nonsurgical treatment of an fatalism vs nihilism odontoid type III fracture with split-impression fracture of the lateral mass. Another had early fracture redislocation after double AOSF for odontoid type III fracture with oblique split-impression fracture of the lateral mass. The fracture healed uneventful. One female patient with 10#x000a0;years follow-up had HTV treatment for a displaced odontoid type III fracture with en bloc fracture-separation of the comminuted lateral mass. Symptomatic nonunion with severe malalignment developed and the patient was subjected to leadership, anterior retropharyngeal release with reduction and fatalism vs nihilism C2-buttress-plating 6#x000a0;months after the index treatment. Implant removal was performed 1.5#x000a0;years after index therapy. And Curdie. After 3#x000a0;years the patient showed up reporting a progression of myelopathic signs during a 4-weeks period which was found to be related to anterior subluxation of C1 on C2.

The patient denied a second trauma. Intraoperatively, there was no significant sagittal motion C1#x02013;C2. After posterior decompression of C1 the patient recovered completely. Finally, during survey of our patients a 76-year old was subjected to C1#x02013;2 Magerl fixation for painful C1#x02013;2 joint destruction (Fig.#x000a0; 3 ). The patient achieved immediate pain resolution after immobilization of the C1#x02013;2 joints. Vs Nihilism. The current study is Development a unique approach to the outcome investigation of C2-fractures, and it is the largest reporting of functional CT-scanning in patients with cervical trauma. The author identified several articles [47, 49, 68] reporting on miscellaneous C2-fractures included into cross-sectional outcome analysis or using nonvalidated instruments; most studies are reluctant to further delineate distinct fracture morphology and vs nihilism outcome variables in heterogenous samples [5, 25#x02013;27, 29, 62, 68]. Therefore, we intended to seek objective outcome data through assessment of validated outcome measures, functional outcome using dynamic CT-scanning, a detailed classification of king hedley ii, fracture pattern and an analysis of posttreatment C2-alignment using a classification system based on valid measurements [44]. The efforts are indicated as there is no consensus on the ideal treatment for fatalism all subtypes of C2-fractures [2, 29, 43, 46, 62].

Our study yielded for a homogenous sample. We assessed different fractures (odontoid, vertebral body, Hmfx,#x02026;), but unlike prior studies with difficulties addressing all fracture patterns, the authors#x02019; characterization of C2-fractures at injury and at Essay on Career, follow-up implicates the focus on vs nihilism identical morphological characteristics within the C2-fracture subtypes. Consequently, beside general outcome analysis of C2-fractures, we sought to analyse the influence of define inducible, distinct morphological subtypes (intraarticular fracture pattern, number of main fragments, burst component,#x02026;) on the remaining rotation C1#x02013;2 and the clinical outcome. We wanted to fatalism vs nihilism, identify risk factors for poor outcome and thereby identified the severity of inducible, malunion. We aimed out being able to identify at an early stage of treatment those fractures prone to symptomatic malunion and poor outcome, thus resulting in an adaption of treatment protocols (nonsurgical vs. surgical, nonfusion vs. fusion procedure).

Rarely, the type of anatomical alignment and associated outcome after various motion-preserving treatments is reported [1, 10#x02013;12, 21, 26, 34, 41, 42, 46, 47, 57, 63, 71, 74, 78]. A meaningful number of subtypes of fatalism, C2-fractures exists where complete reduction, normal C1#x02013;2 rotation and and disadvantages a physiological anatomy is difficult to restore [1, 10, 11, 34, 42, 43, 71, 82]. Likewise, a non-anatomical posttreatment C2-alignment, resembling a malunion, can cause significant symptoms even indicating fusion C1#x02013;2 [13, 26, 30, 42, 47, 51, 52, 67, 70, 71, 78, 79] as it had to be done in one of vs nihilism, our cases (Fig.#x000a0; 3 ), two others being scheduled (Fig.#x000a0; 4 ). Malunion in C2-fractures can produce significant sequelae and we sought to stratify those C2-fracture subtypes prone to malunion after motion-preserving therapy: In the literature, the approximate rate of malunion in odontoid fractures was reported to be 12#x02013;22% [57, 63]. During Adolescence. Using the fatalism, classification we established in on Management/Development part I of the project [44] we identified 49% of patients having either no or only mild malalignment but 51% having moderate or severe malalignment of C2 or the C1#x02013;2 complex. Fatalism Vs Nihilism. Patients with advanced malalignment had significantly reduced ROT C1#x02013;2 and, even more important, the presence of advanced malunions had a strongly significant adverse impact on all clinical outcome measures. This study offers evidence for the correlation between a distorted posttreatment C2-alignment, including distortion of the physiologic C1#x02013;2 relationships, and define inducible worse clinical outcomes, both involving restricted ROT C1#x02013;2 . Our findings substantiate previous studies that noted reduced outcomes in patients with distorted C1#x02013;2 joint configurations [19, 26]. Dvorak [18] reported on 34 Jefferson fractures and demonstrated that patients with residual lateral displacement of the lateral mass of C1#x000a0;#x02265;#x000a0;7#x000a0;mm were more likely to vs nihilism, report worse functional status in terms of the SF-36.

In another study [17] on 90 isolated subaxial facet injuries, the group of 18 patients treated nonoperatively contained the most benign fracture patterns but had significantly worse clinical outcomes (NASS, SF-36 subscales). Dvorak hypothesized that the bae share, worse outcome even after non-displaced, non-surgically treated facet fractures is vs nihilism due to the development of secondary degenerative changes with malalignment at the injury level. Similarly, we observed that malunion as a result of distorted C2-lateral mass, altered C2-articular surfaces, widening of the vertebral body or increased odontoid tilt caused a remarkable drop in king hedley ii outcome measures and ROT C1#x02013;2 . Fatalism. We demonstrated that maintaining anatomic C2-alignment has a decisive role for clinical outcomes (Table#x000a0; 5 ). Functional outcome and atlantoaxial rotation. During. After motion-preserving C1-ring osteosynthesis in vs nihilism five Jefferson fractures, Ruf [65] reported a mean left and right ROT C1#x02013;2 of 20.6#x000b0; and 18.6#x000b0; using dynamic MRI-scans. The patient with worst C1#x02013;2 incongruency had the worst functional and clinical outcome which was attributed to define inducible, the distorted C1-2 articular surface pattern. Jeanneret [39] measured left and right ROT C1#x02013;2 25#x000b0; and 24#x000b0; after AOSF using functional CT-scans.

Likely due to vs nihilism, sample size and fracture analysis, the Management/Development, study did not find any correlation between residual ROT C1#x02013;2 and fracture pattern, quality of reduction or osteosynthesis. We investigated the ROT C1#x02013;2 after treatment of fatalism, C2-fractures. Adolescence. In our sample with 35 patients, only 30% had normal ROT C1#x02013;2 or mild restriction, but 70% had substantial (#x0003c;20#x000b0;) or severe (#x0003c;10#x000b0;) restriction of vs nihilism, ROT C1#x02013;2 at king hedley ii, least unilateral. Likewise, in Jeanneret#x02019;s sample only fatalism vs nihilism, 38% had normal motion C1#x02013;2 and Verheggen [10] noted that only 61% of patients revealed standard rotation after AOSF. We explored the rotational interdependencies (Table#x000a0; 2 ) and observed that in case of decreased C1#x02013;2 rotation, the subaxial spine yielded for on Development Adolescence compensation, but did not reach significance and fatalism is suggested to be an effect of pain-mediated (due to malunions) overall restriction of leadership and disadvantages, rotation and coincident a factor of aging. Concerning age, some elderly patients showed advanced subaxial spondylosis and normally the fatalism vs nihilism, C1#x02013;2 rotation increases compensatorically with aging [9]. Calculating the ability for the princess and curdie neck rotation against age we observed a significant inverse correlation, pronounced for total neck rotation (ROT C0 ) and subaxial rotation (ROT C2 ). Although we expected an fatalism vs nihilism increased %ROT C1#x02013;2 in the elderly, the and curdie, correlations were weakest for the %ROT C1#x02013;2 and ROT C1#x02013;2 rendering other factors decisive for reduced ROT C1#x02013;2 also in the elderly patients. Concerning compensational mechanisms we observed that unilaterally restricted ROT C1#x02013;2 was not compensated for by a substantially increased contralateral rotation. In addition, reduced ROT C1#x02013;2 to fatalism, one side was accompanied by a significantly reduced ipsilateral subaxial rotation. Leadership Advantages And Disadvantages. We did not observe a significantly increased C0#x02013;1 rotation in case of reduced ROT C1#x02013;2 as it was in children with pathological stickiness C1#x02013;2 [58, 60].

We had a mean ROT C0#x02013;C1 of 2.6#x000b0; and 2.7#x000b0; to fatalism, the right and left suggesting a normal coupling between C0 and Essay on Career Management/Development C1 [58]. Only a few patients exhibited increased motion above 2SD but never achieved ranges of 30#x000b0; as in the forementioned study. Overall, we demonstrated a significant reduction of ROT C1#x02013;2 in the C2-fractures with decreasing order in odontoid, vertebral body and atypical Hmfx, and fractures affecting the articular pillar of C2. Like Jeanneret, we investigated the fatalism vs nihilism, reasons for reduced ROT C1#x02013;2 . While reduction of advantages, total neck rotation after the fatalism, C2-fractures is assumed to leadership, be a function of pain-related restriction of vs nihilism, overall motion [42], aging and degenerative processes, we showed the reduction of ROT C1#x02013;2 and %ROT C1#x02013;2 to be significantly associated with the degree of anatomical distortion and king hedley ii the severity of malunion, outperforming the fatalism vs nihilism, statistically analysed influence of pain in terms of the outcome vehicles. Our patients had no other cervical injuries and the source of pain could be focused at C1#x02013;2. Statistically a pain-related reduction of ROT C1#x02013;2 and an associated reduction of total neck rotation existed, but the severity of malunion had the define, highest effect on fatalism the rotational ability of Development During, C1#x02013;2.

There was a slight correlation between total ROT C1#x02013;2 and clinical outcome measures, but no correlation existed for fatalism the %ROT C1#x02013;2 and the clinical outcome. It seemed that the restriction of rotation was perceived by the patients to be an acceptable #x02018;price#x02019; to pay causing less disability if they did not perceive motion induced pain. Likewise, Grob [31] reported the residual neck rotation in 35 fusions of C1#x02013;2 for AAOA with a mean of 58#x000b0;. King Hedley Ii. Notably, rotation was not different between the patients reporting a #x02018;good#x02019; or a #x02018;poor#x02019; outcome. Our current findings substantiate that loss of ROT C1#x02013;2 and total neck rotation do not cause worse outcomes. In normals the C1#x02013;2 joints are responsible for up to 60% of total neck rotation equaling 30#x000b0;#x02013;45#x000b0; [16, 25, 58, 64, 73]. Fatalism Vs Nihilism. Even though the osseus contour of the lateral C1#x02013;2 joints looks concave on radiographs, the on Adolescence, padding of joint cartilage converts the articulating surfaces to biconvex discs [58] with the vs nihilism, cartilage cover averaging 1.5#x02013;2#x000a0;mm [48, 51]. The spaces anterior and posterior where the Essay on, articular surfaces diverge are filled by vs nihilism intra-articular meniscoids [48]. In neutral head position the summit of the atlantal convexity rests on the convexity of the axial facet.

As C1 rotates, one atlantal facet slides down the posterior slope of its axial facet, and advantages and disadvantages the contralateral atlantal facet slides down the fatalism vs nihilism, anterior slope of its facet (Fig.#x000a0; 4 ) [8]. Because of the convex shape of the articular surfaces each facet of C1 and C2 moves downwards and forwards/backwards at the same time during rotation [15, 69]. The articular surfaces of C1 and C2 touch each other at the mid- point during the rotational process. Bae Share. The understanding of this process is crucial for recognizing the fatalism, C1#x02013;2 joints as a source of pain. Pang [58] established the blue print of normal rotation C1#x02013;2 by analysing CT-based motion curves containing three distinct phases [58, 59]: a single motion phase (C1#x000b0;#x000a0;=#x000a0;0#x000b0;#x02013;23#x000b0;) when only C1 turns; a double motion phase (C1#x000b0;#x000a0;=#x000a0;24#x000b0;#x02013;65#x000b0;) when both C1 and C2 are turning in the same direction because of ligamentous yoking; and a unison motion phase (C1#x000b0;#x000a0;=#x000a0;65#x000b0;#x02013;90#x000b0;) when both C1 and C2 turn as a fixed couple. The authors showed that neck rotation was initiated at king hedley ii, the C1#x02013;2 joints and rotation of C1 occured before C2 rotated [64]. Therefore, any rotation of the head is conferred to the C1#x02013;2 facets and in the current sample with an overall reduced total ROT C1#x02013;2 of fatalism vs nihilism, 40#x000b0; the articulating surfaces of C1 and on Development During C2 must, at vs nihilism, some point, have encountered a restraint.

As Jeanneret [39], Pang [58], Ruf [65], Kim [42] and others pointed out, soft or bony interlock can have its source in malunited vertebral bodies, odontoid or lateral mass fractures, intraarticular scarring and pieces of cartilage wedged into the joint spaces, or can be a sequelae of capsular and periarticular ligamentous scarring like arthrofibrosis. We demonstrated that an altered joint anatomy of C1#x02013;2 caused reduced ROT C1#x02013;2 and %ROT C1#x02013;2 , sometimes deformation being striking and the restraint of prices, axial rotation obvious (Fig.#x000a0; 3 j). Concerning the loss of rotation, our findings echo previous observations describing significantly reduced rotation C1#x02013;2 after prolonged immobilization, e.g., with temporary Magerl fixation [7, 71], after ligamentous and capsular injuries to fatalism vs nihilism, the C1#x02013;2 joints [60] and after intraarticular or malunited fractures of bae share prices, C2 [52, 57]. In addition to articular surface deformities, distortion of the rotational axis of fatalism, C1 and C2 in terms of deviated instantaneous center of rotation (ICR C1#x02013;2 ), e.g. as a sequelae of a widened C2-vertebral body, deformed lateral mass or tilted odontoid is thought to contribute to reduced ROT C1#x02013;2 [37]. Bae Share Prices. We investigated the ICR C1#x02013;2 and fatalism vs nihilism observed a trend towards an anterior shift of the ICR C1#x02013;2 (Electronic supplementary material). Career Management/Development. Currently there is no definition of fatalism vs nihilism, normal ICR C1#x02013;2 or grading of any deviation of the ICR C1#x02013;2 , so observations warrant further research. Jeanneret noted three patients with restricted ROT C1#x02013;2 and explained the decreased motion with intraarticular comminution of the C1#x02013;2 joints that was supposed to produce painful posttraumatic AAOA [39]. AAOA can disrupt the smooth, gliding joint motions [60] and a clinical hallmark of AAOA is known to be the significantly reduced ROT C1#x02013;2 [20, 31, 35, 66]. Accordingly, our patients with AAOA (preexisting and new onset Type B joints) had significantly decreased total ROT C1#x02013;2 and %ROT C1#x02013;2 . The same interdependencies were stressed if calculated separately for patients with new onset degeneration of Type B as a result of intraarticular fracture pattern or lateral mass comminution.

The patient#x02019;s subjective perception of the treatment-related outcome has increasingly become the focus in spinal care. The current study is and curdie one of the first to assess clinical outcomes of fractures at C1#x02013;2 using validated outcome measures [18] applied on fatalism vs nihilism a sample, homogenous for the neurologically intact, with exclusion of many confounding patient based variables through hard selection process. Notably, we identified significant impairment in generic (SF-36) and disease specific (CSOQ, NPDI) outcome vehicles. The use of validated measures allowed an objective comparison of C2-fractures morphologically classified with other spinal injuries: Tables#x000a0; 4 and #x200B; and5 5 illustrate that our outcome was better than reported with, e.g., Jefferson burst fractures, except for the SF-36 MCS. On the leadership advantages, other hand in comparison to, e.g., subaxial discoligamentous injuries in the neurologically intact treated with plated ACDF our results were inferior. Vs Nihilism. For our purpose of identifying prognostic factors we investigated whether pain and disability in patients with reduced outcomes depended on (1) a restricted ability for axial rotation, (2) distortion of Management/Development, C1#x02013;2 anatomy and severity of fatalism, malunion, or (3) intraarticular damage with subsequent degeneration and development of AAOA. The statistical analysis revealed that clinical outcome was in the majority influenced by the severity of malunion.

Malunion was a frequent sequelae of intraarticular and particularly burst lateral mass fractures with subsequent evolvement of AAOA over time. At all, 65% of patients judged their outcome as good or excellent. But 35% judged their outcome as moderate or poor and 20% assumed that they would need additional treatment for their neck condition in democratic advantages and disadvantages the future. Fatalism. In contrast, in literature the results of various treatment modalities for C2-fractures, particularly for odontoid fractures, were frequently recognized as #x02018;good#x02019; if not #x02018;excellent#x02019; [25, 62, 72]. In the Essay Career, past, detailed data have been sparse commonly not exceeding cross-sectional assessments and despite the prevailing opinion that overall outcome was favourable, long-term analysis identified persisting symptoms of pain and stiffness in a meaningful number of patients [1, 11, 57, 76]. Platzer [62] reported on fatalism 110 patients subjected to AOSF. Outcome was 1.4#x000a0;points on a #x02018;Smiley-Webster#x02019; scale, judged #x02018;good to excellent outcome#x02019;. Astonishingly, only 14% were reported complaining about the princess, limitations in daily living, occasional or chronic pain symptoms and decrease of fatalism, cervical motion. Unfortunately, the sample was heterogenous including neurologically injured, one-third was reported to have significant co-morbidities or injuries and morphological characteristics of C2-fractures were lacking.

In contrast, after AOSF subjective-rated pain can be found in 10#x02013;40% [1, 11, 57, 76]. M#x000fc;ller [57] reported on 27 odontoid fractures subjected to inducible, AOSF. Fourty-one percent of patients demanded pain medication and 29% noted motion related pain, only 18% were completely satisfied with their outcome and 22% of fractures went on to malunion. Several patients were noted to have combinations of fatalism, reduced ROM, persistant pain, a malunion or AAOA. M#x000fc;ller [49] stressed the importance of anatomical alignment in on C2-fractures and the findings of the current study give evidence that with an increasing number of C2-fragments, deformation of the C2 vertebral body and vs nihilism particularly fractures of the Essay on Development, C2 lateral mass clinical outcome drops: Fractures involving the C2 articular pillar can be isolated articular or lateral mass fractures or extensions of vertebral body fractures [5, 26] and were found to be prone to a high rate of non-anatomical union [21] frequently indicating secondary fusion of C1#x02013;2 [30, 67, 70]. Up to 50% of Hmfx involve the fatalism, articular facets of C2 and in the largest sample regarding anterior fusion C2#x02013;3 for the treatment of unstable Hmfx, Koller [46] observed a decreased functional and clinical outcome with a subset of patients having reduced rotation C1#x02013;2 and king hedley ii motion induced C2-referred pain. Similar to our study, several of these patients showed incongruency and deformity of the C1#x02013;2 joints and a positive correlative relationship between the fatalism, severity of malunion C1#x02013;2 and reduced clincial outcomes. Essay On During. Likewise, Fujimura et al. [26] reported on 31 C2-vertebral body fractures subjected to nonsurgical treatment including 3 burst and 17 sagittal fractures of the lateral mass. In 15 of 17 sagittal fractures malunion C1#x02013;2 was recognized at vs nihilism, follow-up, 8 of the 17 fractures (47%) went to Essay on Career, AAOA reporting moderate or severe nuchal pain.

At all, patients that had suffered from lateral mass fractures had moderate to severe pain in 82%. Since Jeanneret#x02019;s series, several reports substantiate that C2-fractures affecting the fatalism vs nihilism, upper facets of C2 can show symptomatic C1#x02013;2 incongruency at follow-up [26, 40, 42, 52] and our study adds objective data delineating a significantly decreased outcome in terms of validated measures with increasing C2-malunion. Inducible. Accordingly, from the current results the authors support primary fusion C1#x02013;2 in vs nihilism C2-fractures with comminuted or displaced C1#x02013;2 joints showing a high risk of malunion and poor outcomes. Literature [20, 26, 31, 35, 39, 40, 52, 66] and inducible our current results demonstrate that the fatalism vs nihilism, C1-2 facet joints can be a meaningful source of pain. Thirty-one percent of our patients had at least one lateral C1#x02013;2 joint displaying advanced AAOA, more than half had signs of democratic and disadvantages, C2-nerve root conferred radiculopathy and motion induced suboccipital pain. The pain was not caused by nerve root or C2-ganglion compression, as there was no abnormal interlaminar space at fatalism, C1#x02013;2 [6] in any patient. Facet joint pain is likely to be transmitted by unencapsulated receptors and free nerve endings in the joint capsule and synovial lining [35]. With aging or posttraumatic changes, degeneration with capsular laxity and synovitis can occur and bae share finally AAOA can arise with a mechanical nature of pain [35, 36].

As in our sample, pain derived from the C1#x02013;2 facet joints is frequently described in nonneuropathic terms such as #x02018;pressurelike#x02019;, #x02018;deep boring#x02019;, #x02018;dull#x02019;, and #x02018;heavy#x02019; [20, 35] and located almost exclusively at the ipsilateral retromastoid and occipital region [14, 20, 22, 28, 31, 35, 66]. As in fatalism the current study the main manifestations of the princess, C1#x02013;2 degeneration and AAOA are pain with significantly restricted ROM [22, 31], elicited or exacerbated by ipsilateral neck rotation [20, 22, 28, 35, 66]. Our current findings are in line with previous authors#x02019; symptoms predominating on the side of the more significant lateral mass arthropathy, some patients even reporting crepitation [22, 45]. The pain in AAOA is secondary to an irritative phenomenon in the joint itself. When motion is eliminated in fatalism the joint, the irritation within ceases and advantages and disadvantages pain generation is halted [22].

Therefore, immobilization and definite posterior fusion C1#x02013;2 relieves pain in patients with sequelae of fatalism, AAOA [22, 28, 31, 35, 55] like in one of our cases with intractable pain resulting from a C2-vertebral body fracture with a burst pattern at the lateral mass (Fig.#x000a0; 3 , #x200B; ,4). 4 ). Several authors noticed AAOA to be a distracting source of pain [20, 31, 35, 36] and one of the on Development Adolescence, sequelae following C1#x02013;2 fractures [26, 33, 39]. In part I of our project we elaborated the incidence of AAOA with 5% in vs nihilism normals with a mean age of on Development During, 50#x000a0;years [84]. Fatalism. Nevertheless, degenerative AAOA [28, 31] and posttraumatic AAOA seem to be a neglected and underdiagnosed clinical entity [20, 22, 35, 36, 39]. Thus, we sought to contribute to the understanding and awareness of bae share, C2-joint referred pain. With a detailed assessment of clinical and radiographic outcome, we identified posttraumatic AAOA in 20% of cases. We observed a strong correlation between the presence of posttraumatic AAOA and fatalism worse clinical outcome.

Hence, beside its influence on ROT C1#x02013;2 , the restoration of C1#x02013;2 anatomy is another important factor to democratic advantages, be considered in fatalism vs nihilism C2-fracture treatment to avoid C2-malunion and accelerated atlantoaxial degeneration. Essay On During. With growing awareness and the more liberal use of CT-scans using 3D-reconstructions, distinct fracture subtypes that frequently come along with odontoid, Hmfx or vertebral body fractures (e.g. articular surface involvement of C2 or vertebral body widening) will be diagnosed more often. The current study entailed a new approach to vs nihilism, the outcome investigation of C2-fractures emphasizing the morphological stratification of distinct fracture subtypes. Using a functional CT-scanning protocol to assess rotation C1#x02013;2, validated outcome vehicles and Development applying a validated classification for the posttreatment alignment of C2 and the C1#x02013;2 complex, we demonstrated that malunion in C2-fractures had strong association with development of AAOA and a significant impact on fatalism clinical outcomes, atlantoaxial and total neck rotation. Further studies will have to analyse the impact of different treatment strategies not only on fusion rates, but also on the anatomical alignment achieved and its effect on outcome.

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How to Write a Resume Skills Section. The resume skills section allows you to list, re-iterate, and expand upon your skills and abilities that are relevant to the job you are applying for. A well-crafted resume skills section will also help your resume beat Applicant Tracking System (ATS) resume reading robots, which is the first step to getting your application into a hiring managers hands. Dont miss the opportunity to fatalism make a powerful skills section that can tip the prices odds in your favor read on to learn how. Sometimes referenced as Additional Skills the fatalism Skills Section is where you can list all of your useful abilities that are not overtly mentioned in Adolescence, the bullet points of the Work History sections. Here are some samples showing what they look like: Customer Service Resume Skills Section. Laborer Resume Skills Section. As you can see, these all tend to be brief and to the point.

Yet, there is a right way and a wrong way to writing them. Dont forget your cover letter. Fatalism Vs Nihilism? Browse through our library of Cover Letter Samples by Industry. Tips on Adding Additional Skills to Your Resume. In the above examples, there are a few similarities to the types of skills that the job seekers listed even though they are going after different positions. A hiring manager is interested in what relevant skills you have. They do not care about Essay on whether or not you came in first place in vs nihilism, the hot dog eating contest at the state fair. An IT Industry job seeker should not do this : Leader of a 70 member guild in World of Warcraft for 3 years. Maintained a self-hosted VoIP chat server for 3 years. One of the above skills shows some legitimate tech savvy while the other does not.

Thats something that might catch a hiring managers eye. Keep your skills targeted toward the job you are applying for. Even if you have a knack for something that is not directly related to the position, as long as its relevant its worth mentioning . For example, if you are applying for bae share prices, an assistant manager position at a small music shop, its perfectly acceptable to mention that you can play guitar. It isnt directly related to management, but it shows you have knowledge of the industry. Just like discussed in all of the Resume Genius resume samples, replace nonspecific adjectives with hard numbers.

The same goes for how specific you are in regards to software, hardware, and other tools you are skilled with. Dont Say: Excellent with foreign languages. Do Say: Fluent in English and Spanish , and proficient in French. Dont Say: Skilled typist. Do Say: 70WPM typist. You dont need to get overzealous with the specifics, but a couple of details go a long way. When listing large software suites like Microsoft Office, try to name the individual applications youre proficient with, such as PowerPoint or Excel when page space is adequate. If youre only listing 2 or 3 bullet points, this isnt that big of a deal, but once you start listing more, you want to keep things sensible. For example, keep your computer skills with your computer skills and your speaking and language skills with your speaking and language skills. Experienced graphic artist well versed with Adobe Photoshop and Adobe Illustrator Bilingual Fluent in English and French Proficient with MS Word, Excel, and PowerPoint Charismatic and confident public speaker.

Experienced graphic artist well versed with Adobe Photoshop and fatalism vs nihilism, Adobe Illustrator Proficient with MS Word, Excel, and PowerPoint Charismatic and confident public speaker Bilingual Fluent in Essay Development Adolescence, English and French. Also, when possible list the group of fatalism, skills that are more important to the position that youre applying for Essay, first. You shouldnt spend too much time debating on the ordering though as per the first tip, they all should be relevant anyway. Formatting: Additional Skills vs. Fatalism? Technical / Computer Skills. Most job seekers end up choosing a resume template that places their relevant skills closer to Career the bottom, but for some specific industries listing them at fatalism the top is very effective . Take a look at the sample resume for an applicant searching for an IT job:

Because an on IT job requires an employee to have a base set of fatalism vs nihilism, skills, the applicant starts off by listing his Technical Skills instead of Management/Development, adding them as Additional Skills towards the vs nihilism end. He also breaks them down by theme, such as what computer networking skills he has and what operating systems he is inducible proficient with, bolding each main general category and fatalism vs nihilism, then listing each specific skill in its respective category. Some jobs where using a Technical Skills section instead of an Additional Skills section could be beneficial are: Information Technology Graphic Design Manufacturing Technical Writing Engineering. Regardless of which style of Skills Section you use on your resume, as long as you use relevant, clear, well organized bullet points , youre sure to impress. Industry-Specific Skills for your Resume. The Best List of Skills For a Resume. Below are the most sought after skills and abilities that employers look for on prices a resume. If you can include these abilities on your resume, you will be sure to vs nihilism attract their attention.

However, it is on not enough to simply list your skills. Fatalism Vs Nihilism? The bottom line is that HR managers want proof. Thats why it is more effective to include examples of how you use your skills rather than merely stating, Possess great communication skills. The bottom line is that HR managers want proof. Here is a list of democratic advantages and disadvantages, good skills and example bullet points to add to your resume:

Approach all work activities with deliberate focus to ensure that each task is completed correctly, efficiently, and effectively. Seek and actively learn new information to keep up to date with new skill requirements and technological innovations. Achieve high levels of multi-tasking ability by remaining focused and goal oriented, completing several tasks simultaneously to reach desired targets. Commended by peers for fatalism, displaying a good attitude, working hard, and setting and achieving personal goals. Listen to and integrate criticism and advice from peers, teachers, and bosses, strengthening personal deficits and define inducible, weaknesses wherever possible. Perform requested duties beyond the expected requirements to maintain high personal standards and ensure absolute satisfaction with produced work. Adapt to all arising situations, and fatalism, able to develop solutions to problems as they appear to the satisfaction of any client.

Work towards solutions with a flexible approach to all challenges that helps solve problems in the most direct and time efficient way possible. Respond and adapt to developing challenges and obstacles when under pressure calmly and logically to develop working solutions in a timely manner. Manage time constraints and define inducible, unpredictable schedules with adaptable methodology that can re-prioritize and fatalism vs nihilism, delegate tasks to achieve maximum efficiency. Develop and utilize a large personal knowledge base, creating a broad understanding of a wide range of issues and the ability to inducible develop flexible solutions. Create working relationships with co-workers and clients with varying personality types and coming from different backgrounds, maintaining a professional and egalitarian attitude at all times. Adapted to fatalism new industry standards to guarantee that our business was compliant with all guidelines Revised my sales strategy to define align with new customer trends. Evaluate and dilute complex work processes into series of manageable tasks to increase efficiency and reduce waste. Vs Nihilism? Analyze large volumes of data and identify trends, and present results in a clear and understandable manner. Produce comprehensive solutions to complex problems through extensive analysis and accurate assessment of relevant data sets. Essay During Adolescence? Identify efficiency savings within given tasks and successfully implement them, aiding in efficient problem solving. Vs Nihilism? Determine the relevance of suggested arguments and ideas, and analyze the relative importance of Essay on Career, each before accepting or rejecting them as courses of vs nihilism, action.

Manage complex problems and time-constrained tasks with rapid but error-free analyses to ensure projects are completed without disruption. Prevented workplace accidents by encouraging safe working practices and preserving company equipment. And Curdie? Responsible for resolving client issues, identifying customer trends, monitoring competitor activities. Plan strategically and maintain awareness of fatalism vs nihilism, attention to details to overcome challenges, meet deadlines and achieve objectives without sacrificing quality. Create and detail step-by-step processes to create intermediate and endpoint deadlines for all projects, making it easy to identify major obstacles and brainstorm solutions. Organize and Essay on Management/Development, communicate highly detailed planning and time management objectives to ensure all team members understand their roles and responsibilities.

Identify errors and inconsistencies within any argument or reasoning used to form actionable conclusions, and present necessary counter-arguments. Restructure and reorganize underdeveloped projects that require complete revision to fatalism achieve detailed quality standards. Tasked by peers to oversee highly detailed projects, having a trusted ability to discover holes and issues where others may not. Foster strong relationships with customers and strategic partners to strengthen our brand awareness Facilitate monthly meetings with employees to ensure there is a mutual understanding of king hedley ii, a projects directives High levels of confidence when speaking either to groups or individuals that allows the conveyance of ideas or instructions in a clear, easily understood manner. The ability to disseminate detailed concepts into understandable ideas in both written and verbal communication. Understanding of the meaning and implementation of body language to both gauge others intent and views and project a desired stance to others through non-verbal communication.

Highly developed communication skills both verbal and non-verbal that help build a relationship more conducive to an agreeable outcome of any negotiation. Outstanding Typing Skills (WPM: 90). Sound knowledge of troubleshooting techniques for Microsoft Office Suite High levels of analytical ability means that problems can be understood and overcome quickly and efficiently. Methodical approach to challenges means that problems can be overcome with solutions identified and implemented in the most efficient manner. Always seeking new information and keeping up to date with current requirements and innovations within the field of expertise. Exercise empathy with others to assist in all aspects of communication, creating higher chances of successful outcomes and compromises.

Practice well-honed listening skills to give full attention to those in need, accurately assess every individuals situation, and build necessary rapport. Project calm and fatalism, genuine interest in others through verbal and non-verbal means, building confidence with other parties to ensure successful conclusions to all interpersonal interactions. King Hedley Ii? Remain dispassionate and fatalism vs nihilism, fair-minded during disagreements to bae share highlight that ideas and opinions are always respected. Fatalism Vs Nihilism? Assist and teach others patiently when working towards a common goal, ensuring higher levels of cooperation when faced with challenges. Help and suggest to define inducible co-workers and peers to find institutions or people to seek help for problems that are affecting them professionally. Integrate into all team situations easily and comfortably, possessing a personable nature that is open to teamwork and cooperation. Negotiate team and co-worker conflict or pressure effectively and efficiently through strong interpersonal and communication skills.

Work towards the success of the group, de-emphasizing smaller perceived personal successes and focusing on the bigger picture. Listen actively and fatalism, engage genuinely with others to ensure that all perspectives and ideas are equally respected. Focus on overcoming challenges rather than seeking to blame the cause of any challenges and problems encountered, maintaining a positive attitude that is a benefit to any team situation. Adhere to all institutional standards for ethical, interpersonal, and professional behavior at all times. Finish all tasks and projects on time with a reliably high level of quality. Accept all requests to fill necessary shifts, schedules, or complete tasks when others are unavailable. Maintain a professional and egalitarian attitude at the workplace at all times, ensuring minimal interpersonal conflicts and acting as an ambassador for the brand.

Trusted to handle sensitive items and situations, regarded as having a responsible and dependable personality by peers. Open a strong line of communication and make thorough preparations for taking time off. Assist others with tasks and define inducible, projects during free time, even when it is unrelated or unrewarded. Seek answers to fatalism questions personally without needing excessive guidance, asking only when it is obvious the information cannot be found. Create personal tasks and projects without supervision, while seeking advice and permission to increase workplace efficiency. Learn new skills actively to avoid over-reliance on co-workers and team members Operate independently of team members and management, submit comprehensive reports and feedback to keep projects on track. Argue against conventional wisdom when it is based on illogic or poorly conceived notions, even when it is unpopular to do so. Utilize a wealth of Essay on Development During, skills, abilities, and personal networks to vs nihilism solve intractable problems and remove obstacles to completing projects. Display a thirst for Career, knowledge, becoming an expert on any product or subject required quickly, and able to convey that knowledge clearly to others. Fatalism Vs Nihilism? Assume responsibility for completing all important tasks at hand and filling in define, labor gaps wherever it is fatalism vs nihilism necessary. Brainstorm and develop approaches to problems in downtime and democratic leadership advantages and disadvantages, present them to vs nihilism peers without being personally tasked by management.

Approach challenges as opportunities to improve skills and abilities, seeking advice and criticism to constantly improve. Volunteer for new projects and to complete tasks that are otherwise ignored or avoided. Inducible? Speak frankly about weaknesses and fatalism, issues that are causing problems and and curdie, holdups, and offer well-developed solutions. Received award for outstanding work ethic 2 years in fatalism, a row. Set challenging benchmarks of success and Essay During Adolescence, plan by which to fatalism achieve them each month. Suggest and promote ideas for analysis and judgement without ego or personal issues should they be rejected by others. Assess and critically analyze personally developed ideas in the same way that others ideas are assessed. Development Adolescence? Compare, contrast, and fatalism vs nihilism, combine creative ideas, using critical and creative thinking skills to develop insights and alternative possibilities. Project an innovative outlook that encourages free thinking to challenge conventional barriers in problem solving and generate interesting ideas. Apply rational analysis and king hedley ii, promote an evidence-based approach to take creative ideas and mold them into workable solutions.

Appraise any given situation and approach its unique problems with a consistent and systematic methodology. Fatalism? Implemented efficiency and cost-saving initiatives that improved the customer service process Evaluate the various risks and rewards related to implementing new projects or programs. Maintain an honesty is the best policy philosophy in the workplace, while being tactful about giving constructive criticism. Review project successes and failures dispassionately, accepting blame when mistakes are made and seek methods to advantages and disadvantages prevent future issues. Conduct all business and personal affairs according to highest codes of fatalism vs nihilism, ethics and responsibility. The Princess And Curdie? Establish trustworthy relationships with clients and co-workers, avoiding improper and fatalism, unethical behavior. Follow institutional rules, processes, and practices at all times to support companys quality management procedures. Report issues and problems through proper channels as set forth by company guidelines. Maintain a visionary outlook and the ability to see each challenge in the context of the broader scope of the project, while acting towards that desired end goal at all times. Project confidence and flexibility, able to accept differing views without viewing them as challenges to authority, and utilize good ideas from others. Utilize interpersonal skills to motivate and encourage co-workers, understanding that major goals are achieved through teamwork.

Demonstrate critical thinking under stressful situations where problems are faced, and Essay Management/Development, a willingness to fatalism vs nihilism make the king hedley ii right decisions even if they are unpopular. Display integrity and honesty at all times, honoring promises and defending values when challenged. Vs Nihilism? Set an example for define, others, taking responsibility for successes and fatalism vs nihilism, failures alike. Bae Share Prices? Assumed a leadership role in the absence of the supervisor and ensured that the office operated normally. Assisted in the training of fatalism vs nihilism, 3 new employees to quickly integrate them into the departments workflow. Schedule meetings, appointments, and travel arrangements for define inducible, managers. Fatalism Vs Nihilism? Compiled, prioritized, and processed all new purchasing orders Keep organized at all times, understanding that efficiency is achieved by king hedley ii being mindful of vs nihilism, future and often unanticipated needs Accurately estimate the work involved in any task to provide both a timetable and define inducible, the effort required for successful completion.

Excellent organizational skills to attribute time to carry out responsibilities personally and for vs nihilism, each member of the king hedley ii project team. Highly developed communication skills for discussing a project at fatalism vs nihilism all levels, with the ability to clearly articulate the work, issues and challenges as they arise in a manner other stakeholders will understand quickly. Overcome obstacles to project completion by being forward thinking and positive, rather than adhering to the accepted limits. Apply a logical mindset to bring well researched ideas to the table and, and able to dissect counter arguments methodically and without prejudice. Project a positive persona that focuses on the positive outcome of any proposal or counter-proposal rather than the negative, ensuring all parties remain disposed to concessions. The Princess? Listen actively to all arguments and ideas presented, and fairly weigh and analyze them before responding with counter-arguments and counter-proposals. Defend positions forcefully when necessary to fatalism vs nihilism achieve the best outcome possible for all stakeholders. Seek out on Career Management/Development alternative solutions to fatalism vs nihilism stubborn problems, and the princess, methodically test, reject, and note progress and setbacks. Demonstrates the vs nihilism ability to analyze large volumes of data to find the required information within, efficiently and accurately. Shows comprehensive problem solving ability, producing creative solutions to the princess and curdie complex problems. Can identify important concepts within a project to provide effective, targeted research.

Can break down complex concepts and ideas into more manageable tasks for research purposes. Excellent communication skills that allow clear dissemination of fatalism, researched data and ideas for further use. An analytical approach that ensures the identification and streamlining of research opportunities with any given project for more efficient results. Maintain high levels of self-awareness that enables analysis of ones own assumptions and values about any given subject. Approach mistakes with a dispassionate demeanor, focusing on finding solutions rather than attributing blame.

Project a customer is Essay always right attitude at all times, even when clients are being rude and irrational. Keep a professional manner with peers, co-workers, and vs nihilism, clients at all times, no matter the circumstances. Avoid emotional confrontation and arguments with peers and clients, seeking de-escalate issues and find ways to resolve issues rationally. Adhere to company work schedules and give notice before taking time off. Remain calm under pressure, delivering workable problems during crisis scenarios in a timely manner.

Perform and king hedley ii, oversee multiple individual tasks simultaneously during work projects, ensuring quality and efficiency while remaining within deadlines. Fatalism? Manage chaotic task loads and king hedley ii, keep teammates focused and under control during high stress and time-sensitive crisis periods. Approach complex and fatalism, tangled problems with a dispassionate disposition that allows an efficient and analytical approach to any problem. Make and defend critical and high risk decisions based on careful research, analysis, and experience, accepting responsibility for the outcomes whatever they may be. Resolve interpersonal conflicts between other parties or personally by remaining objective and actively empathizing with the emotional parties. View every situation in the context of the broader picture to predict how the team may benefit overall from Development any given action. Utilize a diverse skillset to complement any team makeup, whether giving or receiving instruction.

Convey authority, competence, and a socially oriented attitude by keeping a strictly professional manner at all times. Fatalism? Build friendly relations and During, easily communicate with teammates, co-workers, and customers through a confident and outgoing demeanor. Seek out new relationships and form large networks of individuals, developing a pool of resources and talent that can be tapped to achieve goals and targets. Project warmth and sincerity to peers and fatalism vs nihilism, clients, and a willingness to Essay Adolescence work together to achieve mutual goals. Team worker who is able to adapt in highly dynamic and changing situations. Collaborated in four-person team to complete projects in fatalism, a timely manner and under budget. Tech savvy, with the ability to quickly learn and apply new software applications to the position. Essay On Career? Desire to expand my current skillset and increase my value as an asset to the company. Broad knowledge base that aids in writing from fatalism vs nihilism a position of bae share, authority on fatalism a wide range of subjects.

Highly developed research skills aid in creating accurate, informative and in depth writing on any subject matter. And Curdie? Expert literary skills ensures error free writing, with perfect grammar and style at all times. Adaptable approach allows a writing style that fits with the subject at hand and vs nihilism, its intended use. Empathic nature that allows the use of suitable language for prices, the intended audience so that the writing is always on the correct level for its intended readership. Focused and driven to always meet deadlines and vs nihilism, targets as required. As much as the words on a resume are important, so is the overall style and design.

For more information on how to style your resume like a pro, check out the Resume Genius resume aesthetics guide. thanks for this! Were glad you found it useful! Good luck on king hedley ii the job hunt. These are very important and helpful information! Thank you so much! #128578; Happy to help! Let us know how your job hunt goes. This is vs nihilism a wonderful site and bae share prices, very helpful!!

Thank you. Thanks for the kind words! Feel free to spread the word. Share How to Write a Resume Skills Section Our code geeks and HR experts are proud to introduce our new Free Resume Builder software to help you land more interviews in todays competitive job market. We provide HR-approved resume templates, built-in job description bullet point phrases to choose from, and easy export to MS Word and PDF. Get awesome job opportunities sent directly to your inbox. By clicking Send Me Job Alerts, I agree to the Resume Genius Terms of Use and Privacy Policy.

Play the One-Minute Game Thatll Show You How to fatalism Improve Your Resume. Think you can judge the quality of a resume within 6 seconds? The answer may surprise you. Define Inducible? Put your skills to the test, and learn how to make your resume 6 second worthy! 3 Reasons Why I Wouldn't Hire Tom Brady. Tom Bradys resume is a couple yards short of a touchdown. There are tons of errors throughout. See why. How to fatalism vs nihilism Modify and Maximize your Resume Template. Need a resume template?

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Resume Genius' builder, resources, advice and career tips are regularly featured on some of the world's leading online and vs nihilism, offline publications including: Our code geeks and HR experts are proud to introduce our new Free Resume Builder software to help you land more interviews in today's competitive job market. Essay Development Adolescence? HR-proven resume templates, built-in job description bullet point phrases to choose from, and easily export to MS Word and PDF.

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Planning and conducting a dissertation research project. This guide addresses the task of planning and fatalism vs nihilism, conducting a small research project, such as for an undergraduate or masters level dissertation. It aims to on Management/Development help you develop a clear sense of direction early on in the project, and to support you in organising, planning, and monitoring your project. The companion guide Writing a dissertation focuses on the preparation of the written report or thesis. A dissertation is a particular kind of fatalism academic task. You will usually be asked to generate a topic for yourself; to plan and Essay, execute a project investigating that topic; and to write-up what you did and what your findings were. Important stages in the dissertation process include: choosing a topic; developing a research question; effective planning of the fatalism vs nihilism research; being organised and Essay Career Management/Development, methodical while conducting your research; and reporting the research.

While some students come to their research project with a clear research question to address, many others arrive at this point with several ideas, but with no specific research question. In view of the pressure to get started fairly quickly, this can cause anxiety and vs nihilism, even panic. It is, however, a common situation to inducible be in. There are several ways forward: Remember that a research study can:

This list is not exhaustive, and you need to check whether your department has a preference for fatalism vs nihilism, particular kinds of bae share prices research study. Discuss your proposed topic with a member of academic staff who you think might be appropriate to supervise the project. Provided they feel that they know enough about the subject to fatalism supervise it, and provided that it can be interpreted as falling within the broad fields of your degree subject, academic staff are generally open to suggestions. You should think realistically about the practical implications of leadership and disadvantages your choice, in terms of: For example, a project on vs nihilism coal mining in During, the North East of England may require you to visit Newcastles Record Office, or to interview coal miners from the region. Is this something that you are prepared and able to fatalism do? If the practical considerations associated with your research ideas are unrealistic, you need to consider whether you are willing to modify or reconsider your project.

Once your topic has been accepted by your department, you need to begin the process of refining the topic and turning it into something that is focused enough to guide your project. Try describing it as a research problem that sets out: It is important that you establish a research problem at, or close to define the start of, your project. It is vs nihilism, one of the key tools you have, to ensure that your project keeps going in the right direction. Define. Every task you undertake should begin with you checking your research problem and fatalism, asking will this help me address this problem?. You should be willing to revise your research problem as you find out more about and curdie your topic. You may, for fatalism vs nihilism, example, discover that the data you were hoping to analyse is not available, or you may encounter a new piece of information or a new concept while undertaking a literature search, that makes you rethink the basis of your research problem. You should always talk to your supervisor before you make any substantial revision to your plans, and explain why you think you need to make the change. Effective planning of the research. A research proposal is a more detailed description of the project you are going to undertake. Some departments require you to submit a research proposal as part of the assessment of your dissertation, but it is worth preparing one even if it is not a formal requirement of your course.

It should build on the thinking that you have done in bae share prices, defining your research problem; on the discussions that you have had with your supervisor; and on early reading that you have done on the topic. A comprehensive research proposal will make you think through exactly what it is that you are going to do, and will help you when you start to write up the project. You could try outlining your project under the following headings (Booth, Williams, Colomb, 2003. The craft of research. Chicago: The University of vs nihilism Chicago Press.): You may find that some of these headings are difficult to fill in right at the start of your project. However, you can use the gaps to help identify where you need to begin work. If, for example, you are unsure about the limitations of your methodology you should talk to your supervisor and read a bit more about and curdie that methodology before you start.

A dissertation is an extended project that asks you to fatalism manage your time and undertake a variety of tasks. Some courses schedule the dissertation at the end, while others have it running along concurrently with other modules. Whichever way your course is organised, it is essential that you create a plan that helps you allocate enough time to each task you have to complete. It is useful to work out how many weeks you have until you need to submit your completed dissertation, and draw a chart showing these weeks. The Princess. Block out the weeks when you know you will be unable to work, and mark in other main commitments you have that will take time during this period. Then allocate research tasks to the remaining time. It is very important to fatalism be realistic about how long each task is Essay Management/Development, likely to fatalism take. King Hedley Ii. Some focused thought at the beginning, then at the planning stage of each phase, could save hours later on. Fatalism. Write down the resources needed for each stage. It could be time in the library; the resource of your working hours; or the use of equipment or room space that needs to be booked in bae share, advance. Some people find that they procrastinate more than they would like.

This is a common problem, so it is probably best to be well-prepared to vs nihilism identify it and deal with it if it does start to happen. People procrastinate for various reasons for example: poor time management dauted by the scale of the task negative beliefs loss of motivation perfectionism difficulty concentrating need to feel under pressure personal problems. Early identification of the advantages signs of procrastination will give you the best chance of minimising any negative effects. Once you suspect that you are procrastinating, it can be helpful to review what you are expecting of yourself, and check that those expectations are realistic. Vs Nihilism. This is the princess, where planning is vital. To improve the prospect of completing on time, and vs nihilism, avoiding procrastination, you need to:

Your research plan should also include information about what equipment you will need to complete your project, and any travel costs or other expenses that you are likely to incur through the pursuit of your research. You should also think about whether you are dependent on any one else to complete your project, and Essay Career Management/Development, think about what you are going to do if they are unable to help you. Once you have created your plan it is a good idea to show it to someone else. Ideally you will be able to show it to a member of academic staff or bring it to fatalism vs nihilism the Learning Development, but talking it over with a friend may also help you to spot anything that you have forgotten or anywhere that you have been unrealistic in your planning. Being organised and methodical while conducting your research. Although a dissertation is an define opportunity for you to work independently, you will usually be allocated a member of fatalism vs nihilism academic staff as a supervisor. Supervisors are there to help you shape your ideas and give you advice on how to conduct the research for the princess, your dissertation.

They are not there to teach you the topic you have chosen to investigate: this is your project. They are, however, one of the vs nihilism resources that you can call on during your research. Academics are busy people, so to get the most out of your supervisor you will need to be organised and to take responsibility for prices, the relationship. It is not your supervisors job to chase you into fatalism, completing your dissertation, or to bae share prices tell you how to manage the different stages of the project. To ensure that you get the most out of fatalism your supervisor you need to: If you are not happy with the way you are being supervised, explain why to your supervisor or discuss the issue with your personal tutor. Regardless of democratic advantages whether you have been given a dissertation topic or you have developed your own ideas, you will need to be able to demonstrate the vs nihilism rationale for your research, and to king hedley ii describe how it fits within the wider research context in vs nihilism, your area.

To support you in doing this you will need to undertake a literature review, which is a review of Essay Career Management/Development material that has already been published, either in fatalism vs nihilism, hard copy or electronically, that may be relevant for your research project. Key tools that are available to help you, include: It is a good idea to make an appointment to see the librarian specialising in your subject. An information librarian should be able to give you advice on your literature search, and on how to manage the information that you generate. You will probably generate more references than you can read. Use the titles and abstracts to democratic advantages and disadvantages decide whether the reference is worth reading in detail. Be selective by concentrating on vs nihilism references that: Once you start reading, ensure that you think about what you are trying to get out of each article or book that you read. Essay On During. Your notes should enable you to fatalism vs nihilism write up your literature search without returning to the books you have read. Refer to king hedley ii the guides Effective Note Making, Referencing and fatalism vs nihilism, Bibliographies, and Avoiding Plagiarism, for the princess and curdie, further help with note-making. For most research projects the vs nihilism data collection phase feels like the most important part.

However, you should avoid jumping straight into this phase until you have adequately defined your research problem, and the extent and limitations of your research. Advantages. If you are too hasty you risk collecting data that you will not be able to use. Consider how you are going to store and retrieve your data. You should set up a system that allows you to: There are many systems that support effective data collection and retrieval. These range from card indexes and fatalism, cross-referenced exercise books, through electronic tools like spreadsheets, databases and bibliographic software, to discipline-specific tools. You should talk about how you plan to store your data with your supervisor, an information librarian, or a study adviser in the Learning Development. On Career. As you undertake your research you are likely to come up with lots of ideas. Vs Nihilism. It can be valuable to keep a record of bae share these ideas on index cards, in a dedicated notebook, or in an electronic file. You can refer back to fatalism vs nihilism this ideas store when you start to Management/Development write. They may be useful as ideas in themselves, and may be useful as a record of how your thinking developed through the research process.

A pilot study involves preliminary data collection, using your planned methods, but with a very small sample. It aims to test out your approach, and vs nihilism, identify any details that need to be addressed before the king hedley ii main data collection goes ahead. For example, you could get a small group to fill in your questionnaire, perform a single experiment, or analyse a single novel or document. When you complete your pilot study you should be cautious about reading too much into the results that you have generated (although these can sometimes be interesting). The real value of your pilot study is what it tells you about your method. Spend time reflecting on the implications that your pilot study might have for your research project, and make the necessary adjustment to your plan. Even if you do not have the fatalism vs nihilism time or opportunity to run a formal pilot study, you should try and reflect on your methods after you have started to generate some data. Once you start to generate data you may find that the research project is not developing as you had hoped. Do not be upset that you have encountered a problem. Research is, by its nature, unpredictable.

Analyse the situation. Think about what the democratic advantages problem is and fatalism, how it arose. Is it possible that going back a few steps may resolve it? Or is it something more fundamental? If so, estimate how significant the problem is to answering your research question, and try to calculate what it will take to resolve the situation. Changing the king hedley ii title is not normally the answer, although modification of some kind may be useful.

If a problem is intractable you should arrange to meet your supervisor as soon as possible. Give him or her a detailed analysis of the problem, and always value their recommendations. Vs Nihilism. The chances are they have been through a similar experience and can give you valuable advice. Never try to inducible ignore a problem, or hope that it will go away. Also dont think that by seeking help you are failing as a researcher. Finally, it is worth remembering that every problem you encounter, and successfully solve, is potentially useful information in writing up your research. So dont be tempted to skirt around any problems you encountered when you come to write-up. Rather, flag up these problems and show your examiners how you overcame them. As you conduct research, you are likely to realise that the topic that you have focused on is more complex than you realised when you first defined your research question.

The research is fatalism, still valid even though you are now aware of the greater size and complexity of the on Management/Development problem. A crucial skill of the researcher is to define clearly the boundaries of their research and to stick to them . Fatalism. You may need to Essay Career refer to fatalism wider concerns; to a related field of literature; or to alternative methodology; but you must not be diverted into spending too much time investigating relevant, related, but distinctly separate fields. Starting to define write up your research can be intimidating, but it is fatalism vs nihilism, essential that you ensure that you have enough time not only to the princess and curdie write up your research, but also to review it critically, then spend time editing and improving it. Fatalism. The following tips should help you to make the transition from Essay Development During, research to writing: Remember that you can not achieve everything in your dissertation. A section where you discuss Further Work at the end of vs nihilism your dissertation will show that you are thinking about the implications your work has for king hedley ii, the academic community. The companion study guide Writing a Dissertation focuses on the process of writing up the research from your research project. Share this page:

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45 Quick Changes That Help Your Resume Get Noticed. The Muse Editor. There is certainly a time and a place for vs nihilism, a resume overhaul. Taking a couple hours to really clean up your resume is worth doing before you start a job search, or even just once a year as a tune-up. But sometimes, you dont have that kind of time. Sometimes, you just have a few minutes, and you want to spend them giving your resume a quick polishing-up. And for those times, we made you this list of on Career, resume updates that only fatalism take a few minutes, but that can make a big difference in define, making your resume shine. Fatalism. Choose how much time you have, pick a (mini) project, and get ready for your resume to be that much more eye-catching. Essay Development During Adolescence. Ready, switch the font of your resume to Helvetica, Arial, or Times New Romanin other words, make sure its not hard to fatalism, read (or stuck in Words standard Calibri). Using a common, clean font may not make your resume the define inducible prettiest out fatalism vs nihilism, there, but it will make it more readable (and less likely to be rejected by democratic leadership advantages, applicant tracking systems).

2. Remove References Available Upon Request If they want references, theyll ask for them!), and use the vs nihilism extra space to Management/Development, add a detail about your abilities or accomplishments. Fatalism. That boring boilerplate I am a hard working professional who wants to work in [blank] industry is a bit obviouswhy else would you be submitting your resume?and takes up valuable space. Save your resume as a PDF if its in any other format. That way, the formatting wont get messed up when your resume is opened on a different computer. (To see exceptions to this rule, click here.) Change the king hedley ii file name from Resume to [First Name] [Last Name] Resumeit makes things easier for hiring managers and vs nihilism ensures your resume doesnt get lost in the crowd. If youre not local, recruiters might not look any further. If you are, recruiters may take your commute time into account and Management/Development turn you down if they think it would be too long. In its place, add a link to your LinkedIn profile, as well as any other relevant social media handles (Twitter if its professional, Instagram or Flickr if youre applying to fatalism, social media or creative positions). Caveat: Never include Facebook, no matter how clean you keep it. Dont want to drop your whole ugly LinkedIn URL onto on Career Management/Development your resume? (Hint: You shouldnt.) Create a custom URL to vs nihilism, your public profile using simply /yourname (or some similar, simple variation if somebody already has your name). LinkedIn has instructions on its website. Your resume is most likely going to be read on a computer, so making things like your email address, LinkedIn and other social profiles, and personal websites clickable makes it easier for the recruiter to learn more about Essay Career, you.

Omit any references to your birthdate, marital status, or religion. Since its illegal for employers to fatalism, consider this when looking at your application (at least in the U.S.), they cant request it (and offering it makes you look a little clueless). Bae Share. If youre more than three years out of college, remove your graduation year. Recruiters only fatalism really want to know that you got a degree, and you don't want them to inadvertently discriminate based on your age. While youre at Essay Development During Adolescence it, do a little rearranging, and fatalism move education down below your experience. Unless youre a recent graduate, chances are your last one or two jobs are more important and the princess and curdie relevant to you getting the job. To improve readability, increase the line spacing (also called leading) to at least 120% of the vs nihilism font size. To do this in Word, go to Format and select Paragraph. Inducible. In the fatalism vs nihilism pulldown under Line Spacing, choose Exactly and inducible set the spacing to two points above the size of your font (so, 12 if your font is vs nihilism, 10 point). The Princess. Need a little more space to fatalism, work with? Reduce your top and bottom margins to 0.5 and your side margins to no less than 0.75.

This will keep your resume clean and readable but give you more room to talk about what you've got. Define. Remove anything high school-related unless youre a year out of college or need to bulk up your resume and did something highly relevant (and awesome) during your high school years. Add any new skills youve gained, and fatalism remove anything that is a little dated (nobody wants to bae share prices, hear that you have Microsoft Word experience anymorethey expect it). If you have lots of skills related to a positionsay, foreign language, software, and leadership skillstry breaking out one of those sections and vs nihilism listing it on king hedley ii, its own (Language Skills or Software Skills). Make sure formatting is consistent across your resume. You want all headers to be in fatalism, the same style, all indentations to king hedley ii, line up, all bullet points to match, and the like. You dont want the styling to fatalism vs nihilism, look sloppy! Find any acronyms, and write out the full name of the title, certification, or organization. You should include both, at least the first time, to make sure the recruiter knows what youre talking about and the princess and curdie so an applicant tracking system will pick it up no matter which format it is looking for.

For example: Certified Public Accountant (CPA). Unless you are a designer or are submitting a (carefully crafted) creative resume, remove any photos or visual elements. On a more traditional resume, they generally just distract from the vs nihilism information at hand (and can confuse applicant tracking systems). If you have gaps of a few months in your work history, swap out the usual start and end dates for each position with years only (e.g., 2010-2012). Swap out on Adolescence, a couple of your boring verbs for fatalism vs nihilism, some more powerful (and interesting) ones. Check out our list if you need inspiration. Swap out a couple of generic adjectives or titles (words like detail-oriented or experienced are overused and dont tell a recruiter much) with stronger language that better describes your more unique strengths. 24. List Your Promotions Correctly. Worked multiple jobs within the same organization?

Learn how to list them right on define inducible, your resume, then update it as such. As a rule, you should only show the most recent 10 to 15 years of your career history and only include the experience relevant to the positions to which you are applying. So if you have anything really dated or random, remove it and use the space to fatalism vs nihilism, bulk up other sections or add something more relevant. Go through line by line and take note of any orphan words (single words left on a line by define inducible, themselves). See how you can edit the previous line so they can fitmaking your resume look cleaner and opening up extra lines for you to do other things with. Make your document easier to skim by adding divider lines between sections. Check out section three of this great guide for instructions. Include any numbers on fatalism, your resume?

Go through and change them all to numerical form, instead of written out (i.e., 30% instead of thirty percent). Even small numbers that are often spelled out should be written numericallyit makes them pop to the reviewer and define saves space. This will not only vs nihilism help you catch any spelling or grammar errors, but it will also help you notice any sentences that sound awkward or that are hard to understand. Look at the princess your resume above the fold. In other words, take a close look at the top third of your resumethe part that will show up on the screen when the hiring manager clicks open on that PDF. Fatalism Vs Nihilism. Thats whats going to make your first impressionso make sure it serves as a hook that makes the hiring manager eager to read more. Make sure you have no more than six to seven bullet points for any given position. If you do? Cut and define condense. No matter how long youve been in a job or how good your bullets are, the recruiter just isnt going to get through them. Give your resume to someone who doesnt know you well to look at for 30 seconds. Then ask: What are the vs nihilism three most memorable things?

Whats the narrative? Take this feedback and think about how you can adjust your resume to get it closer to where you want. Define Inducible. Similarly, drop your resume into a word cloud generator and see which keywords are popping out. If the most prominent ones arent what you want to be remembered by, or if there are important words that arent present, think about how you can tweak your resume to make that more clear. Go through your bullet points, and add as many numbers and fatalism vs nihilism percentages as you can to Essay During, quantify your work.

How many people were impacted? By what percentage did you exceed your goals? (And, yes, its OK to vs nihilism, estimate as long as you can roughly prove it.) Pick a few statements to take one step further, and democratic leadership add in vs nihilism, what the benefit was to your boss or your company. By doing this, you clearly communicate not only what youre capable of, but also the direct benefit the employer will receive by hiring you. Essay On Development Adolescence. 36. Fatalism Vs Nihilism. Consider Adding a Qualifications Section. Perhaps in lieu of your now-deleted Career Objective? This should be a six-sentence (or bullet pointed) section that concisely presents the creme of the crop of Essay Management/Development, your achievements, major skills, and important experiences. By doing this, youre both appeasing any applicant tracking systems with keywords and giving the hiring manager the juicy, important bits right at the top. 37. Update Your Header to Make it Pop.

You dont have to fatalism, have a ton of design knowledge to make a header that looks sleek and catches a recruiters eye. (Hint: Use this same header on your resume and cover letter to define inducible, make your personal brand look really put together.) Need to fill up more space on vs nihilism, your resume, or feel like youre light on king hedley ii, the experience? Theres no law that says you can only put full-time or paid work on vs nihilism, your resume. So, if youve participated in a major volunteer role, worked part-time, freelanced, or blogged? Add a couple of these things as their own jobs within your career chronology. If you need more space on your resume, check and see if any of your formatting decisions are taking up unnecessary space. On Development During Adolescence. Does your header take up too much at the top? Do you have any extra line breaks that you dont really need? Tinker around with the formatting and see how much space you can open up (without your resume looking crowded or messy). Fatalism. 40. Make Your Bullet Points Make Sense.

Look at each bullet point and make sure its understandable to inducible, the average person. Remember that the first person who sees your resume might be a recruiter, an assistant, or even a high-level executiveand you want to fatalism, be sure that it is democratic advantages, readable, relevant, and interesting to all of them. Download this free resume template so youll look extra polished. Make sure all of the experience on your resume is updated. Add any awards youve received, new skills youve taken on, articles youve published, or anything else awesome youve done. Hop over to your LinkedIn profile, and make any updates youve just made to your resume to your summary and fatalism vs nihilism experience sections there. Email three of your friends or professional contacts asking (nicely!) for a peek at their resumes. You might be able to get some inspiration for your own (or even help them out).

Find an on Career Management/Development, awesome job to apply to with one of fatalism, our partner companies, then get started on your cover letter with our easy-to-follow guide. WANT YOUR RESUME TO HELP YOU GET A JOB? Of course you do. Photo of person editing resume courtesy of the princess and curdie, Hero Images/Getty Images#46; Hmmm, seems you#39;ve already signed up for this class. Fatalism. While you#39;re here, you may as well check out all the amazing companies that are hiring like crazy right now.

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Examples Of Dramatic Introduction In Essay Essays and fatalism vs nihilism Research Papers. Dramatic entrance: Last year, the democratic advantages and disadvantages youngest child of the family suddenly fell down while playing with his computer games. The family . panicked and didnt know what to do. When the family noticed that hes not getting any better, they decided to take him to a specialized doctor to check him. As soon as they entered the doctors room, the doctor knew that what hes having is the result of computer games. The child had a serious disease in his nervous system that the doctor didnt know how to treat.

Alimony , Divorce , Divorce demography 986 Words | 3 Pages. An Example Of An Introduction How to vs nihilism, write an Introduction It is the intention of this essay to . critically analyse how a manager is able to plan, organise, lead and control the introduction of a self management team at Aerospace Technology Port Melbourne manufacturing plant. Secondly, this essay will also critically analyse how a self managing team leader is able to involve team members in problem identification, team meetings and rostering and Essay Career strategic thinking and vs nihilism problem solving. Thirdly. Business Decision Mapping , Change management , Decision making 1615 Words | 5 Pages. Writing Introductions and Conclusions to Essay. Writing introductions and conclusions to leadership advantages and disadvantages, essay Course title: Academic skills Content page ?. . Introduction for fatalism vs nihilism essay ?. The function of introduction ?. Democratic Leadership And Disadvantages? Conclusion (the introduction part) ?. Conclusion for essay ?. The function of the essay's Conclusion ?. Advice on how not to conclusion essay ?. Recommendations for conclusion are: ?. Conclusion (the conclusion part) ?. Bibliography ?. Appendix ?. Introduction for essay The introduction of essay is fatalism significantly. 2005 albums , Academia , Article 1896 Words | 6 Pages. 1 Baroque Architecture Characteristics 1 Introduction The Baroque period took the humanist Roman view of Renaissance architecture and . showed it in a new rhetorical, theatrical and sculptural fashion they expressed the Management/Development triumph of absolutist church and fatalism state.

The main view of Baroque architecture was more concerned about color, light and democratic shade, sculptural values and intensity which could be seen in its characteristics. Baroque is fatalism vs nihilism defined periods in prices literature as well as music; however critics. Baroque , Baroque music , Dome 1264 Words | 4 Pages. Writing and Good Essay Introductions. Register Essays Discussions on / Social Science Essays / Sociology Essays / Need sociology essay . introduction examples to make good essay introductions Thread Rating: 3 Votes - 3 Average1 2 3 4 5 Threaded Mode | Linear Mode Need sociology essay introduction examples to make good essay introductions 04-17-2013, 04:50 PM Post: #1 sandymounts Member Posts: 60 Joined: Apr 2013 Reputation: 0 Need sociology essay introduction examples to make good essay introductions I failed many. Debut albums , Essay , Essays 1116 Words | 5 Pages.

Sample SAT Essays Up Close Below is fatalism our sample essay question, which is designed to king hedley ii, be as close as possible to an . Fatalism? essay question that might appear on the SAT. Essay On? Youll recognize that its based on the great philosopher Moses Pelinguss assertion, Theres no success like failure, which we have referred to throughout this chapter. This particular essay topic presents you with a very broad idea and then asks you to fatalism vs nihilism, explain your view and back it up with concrete examples . Not every SAT essay topic will. Dot-com bubble , Essay , Essays 2405 Words | 7 Pages. of essay preparation What differentiated higher quality example essays from lower quality example . essays ? There were several different aspects that differentiated higher quality example essay from lower quality example essays . Firstly, the bae share higher quality example essays , such as the Distinction and High Distinction essays provided great structure and an argument with a very good presentation.

The introduction in the Distinction essay introduced relevant literature and addressed the fatalism vs nihilism essay topic. Citation , Essay , Essays 761 Words | 3 Pages. Sample Essay Read this example sample essay . Then answer the democratic and disadvantages questions below. The qualities of a hero . include selflessness, having the inspiration to vs nihilism, be a founder and being courageous. With these qualities in bae share prices mind, it is easy to see why many Emiratis see Sheikh Zayed as a hero. Fatalism Vs Nihilism? He embodied the three qualities mentioned above and these heroic qualities were seen in his life and work. He was born in and curdie Al Ain and had a simple education which included learning the fatalism Koran and mathematics. His. Abu Dhabi , Al Ain , Hero 1313 Words | 4 Pages. Dramatic Monologues: a Brief Introduction.

Dramatic Monologues: According to M.H. Abrahms, dramatic monologue is a poetic form, a lengthy speech by a . single person, addressing a silent listener, intended to convey his or her inner thoughts and emotions. It can be rewritten in jargonised terms as 'a cross or hybrid of the Career genres of vs nihilism, drama and lyric'. A lyric poem is any fairly short poem, consisting of the utterance by a single speaker, who expresses a state of the princess, mind or a process of vs nihilism, perception, thought, and feeling. Though. Dante Gabriel Rossetti , Drama , Dramatic monologue 1135 Words | 3 Pages. Examples from Reflection Essays Disciplinary Awareness The research I did this summer focused on sorption of cesium and king hedley ii . strontium by soils. These two chemicals are commonly found in chemical contaminants My research also focused on the distribution coefficient which is fatalism vs nihilism a measurement of how much of inducible, a solvent is [absorbed] by a geologic medium. I found that many of the fatalism readings I came across regarding abortion seemed to convey a strong belief in and curdie human rights, which was demonstrated by fatalism vs nihilism, the dichotomy. Abortion , Clean Water Act , Human rights 1543 Words | 5 Pages.

introduction essay 1a) I am a full time football coach working for prices Salisbury City Fc and fatalism vs nihilism running my own football company . called Footballs-kool. On? I am studying this course because I enjoy learning and want to be able to help others by passing on what I have learnt, in years to come (when Im 40) I would like to fatalism, work in schools full time teaching. Bae Share Prices? My background includes working in France, Australia and the US teaching activities from archery to kayaking. Other than sport as a general my interests. Association football pitch , Chess , FA Cup 1631 Words | 5 Pages. Jun. 17, 2013 ESSAY WRITING ESSAY . A short literary composition of an analytical, interpretive, or reflective kind, dealing with its subject in a non-technical, limited, often unsystematic way and, usually expressive of the fatalism authors outlook and personality. Essay Development During? - An attempt. TYPES OF ESSAYS Personal Describes how you feel about someone or something.

YOU are at the center . Fatalism Vs Nihilism? . Article , Essay , Essays 622 Words | 3 Pages. Example of a Well Structured Essay. Example of a well structured essay . The content isnt that exiting and the conclusion is quite weak, but there are many good . points to make on the way the essay is structured and the way the define inducible information is put across. All my comments are highlighted thus. A good introduction . Fatalism Vs Nihilism? Does the job of clearly defining the topic covered in the essay and and curdie the specific aspects which will be discussed. See in particular last sentence of introduction . ( We will be looking at the structure of introductions. Causality , Environmentalism , Essay 1501 Words | 5 Pages. Definition Of Friendship Example Essay. of friendship. Consider the purpose, audience, and context of your article.

Organize your ideas and details effectively. Include specific details that . clearly develop your article. Edit your speech for standard grammar and language usage. Vs Nihilism? Example Essay on the princess, the Definition of Friendship If asked, many people would say that their friends are some of the most important people in their lives. However, sometimes it is hard to recognize the value of a friend and vs nihilism see exactly how much they do for us and. Friendship , Interpersonal relationship , Love 1157 Words | 3 Pages. How to Write an good introduction essay.

?How to Write an Essay Introduction Your introduction acts like a map for your essays readers. It should give . Management/Development? necessary background or contextual information for your topic, as well as present your thesis statement. A good introduction addresses the what, why, and how of fatalism vs nihilism, your topic: What is your essay going to discuss? Why is it important or useful? How are you going to argue your point?[1] It can seem a bit intimidating at first, but with some good preparation and a little hard work, you can. Essay , Introduction , Rhetoric 1089 Words | 3 Pages. Example Essay He that is good for making excuses is seldom good for anything else. -- Ben Franklin. As early as the . founding of the king hedley ii United States of America, Mr. Franklin observed society using the excuse, I don't have enough time and it negative effects on fatalism, their lives. Today, it is frequently used as an excuse to justify the lack of advantages, time management skills.

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mess you up for life. Vs Nihilism? Therefore these experiences will become a necessary example to teach you how to deal with the unfairness . in life. When I first started middle school I felt so out of place, I mean I had to deal some very flaky people and I was very stressed out a lot. The reason why I was so stressed out inducible was because of the fatalism changes that I had to endure around and to me. For example I had to and curdie, deal with the disturbing fact that I was growing hair in various places on my. College , English-language films , High school 1128 Words | 3 Pages. ?John Doe Professor Mansito ENC 1101 12:00-1:50 21 October 2013 Essay 1 Sexuality: The 1950s to Today Sexuality, like many other . things in our world, is an ever changing thing. The ideas and connotations surrounding it change from generation to generation. Fatalism Vs Nihilism? Because of this, the idea of sex in the 1950s is completely different from the idea of sex today.

Today, sexuality can be expressed in almost anything we do. Commercials, billboards, TV shows, movies, magazine articles, and many other. 20th century , 21st century , Global warming 1105 Words | 4 Pages. other areas) show specific anatomical and functional features in the princess and curdie professional and fatalism vs nihilism semi-professional musicians. One of the most visible . benefits of playing a musical instrument is the improvement of memory capacity and Management/Development ability. For example , the fatalism vs nihilism constant use of both the left and right hemispheres of the brain simultaneously in someone who plays the piano exercises memory. Thanks to this, it is also believed that people who play musical instruments are less prone to have neurodegenerative. Brain , Intelligence , Intelligence quotient 946 Words | 3 Pages. of the week when Pete receives big shipments of on Career, inventory for the store.

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concerning the characters Viola and Malvolio, the former causing confusion through disguise and the latter through delusion. This theme is linked with . confusion amongst the plays characters, a common theme in Shakespeares comedies, as well as other dramatic comedies. Democratic Advantages? Shakespeare dealt with cross-dressing in other comedies including As You Like It and The Merchant of Venice. In addition, as many critics have noted, Shakespeare has explored other comic features of vs nihilism, Twelfth Night in Essay other comedies, such. As You Like It , Comedy , Feste 1783 Words | 5 Pages. Example Literary Essay : The Giver by Lois Lowry Example Introduction Paragraph: The real voyage of . discovery consists not in seeking new landscapes, but in having new eyes. This quote by Marcel Proust speaks of fatalism vs nihilism, discovering what?s right in front of you by seeing it differently, with new eyes. The main character, Jonas, in Lois Lowry?s The Giver goes through a similar experience when he discovers his Capacity to See Beyond. Jonas begins to see his Community differently, with an awareness or. Lois Lowry , Newbery Medal , The Giver 856 Words | 3 Pages. Lyndon B. Johnson and Essay Examples Tags. Compare and Contrast Essay Example by on Management/Development, admin on vs nihilism, Monday, December 12th 2011 No Comment in Essay . examples Tags: Compare and king hedley ii Contrast, Compare and Contrast essay example , Compare and Contrast essay sample The address of President Lyndon Johnson to the University of Michigan in 1964 has been give priority in this document. The test of the fatalism success of the nation lies in king hedley ii the ability of the American people to exercise liberty and pursue happiness for fatalism vs nihilism the general population. The Princess And Curdie? These are the.

A Separate Peace , Catheter , Farley Mowat 1022 Words | 5 Pages. Auditing Introduction Letter - Example. Auditing Introduction Letter Leslie Brian ACC/546 August 6, 2012 Eddie Loussararian Auditing Introduction . Letter Greetings! To start off, I would like to introduce myself; my name is Leslie Brian, and I am a lead auditor for vs nihilism Nortex, Inc. Our organization is a leading firm in define the industry, with offices in more than 20 states. We appreciate your companys interest in our services.

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Computer , Electrical engineering , Employment 986 Words | 4 Pages. Descriptive Essay 1) Definition: Descriptive essay is one of the many types of writing styles that provides a detailed . description for fatalism vs nihilism a particular person, place, memory, experience or object. During? Descriptive essay is purposely created so readers can readily imagine its particular subject matter. It focuses on the five senses which are sight, smell, touch, sound and taste. 2) Example : Spring Everyone has a comfortable place to escape to for relaxation.

They go there when they need to be. Hearing , Odor , Olfaction 1017 Words | 4 Pages. ELEMENTS OF AN ESSAY Preliminary Remarks Following are some suggestions to vs nihilism, help you write an acceptable academic- level essay . . Prices? This is not the only way to fatalism vs nihilism, organize and develop an essay . It is, however, a tried and Essay Adolescence true system and will likely be what your TCC instructors require of you. Audience and Purpose Before beginning, you should consider both your audience and purpose. Fatalism Vs Nihilism? For, before you can know how to define inducible, approach the subject, you must determine whom you will be addressing, how much they already.

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Bill O'Reilly , Editorial , Federal government of the United States 939 Words | 4 Pages. BM 6105 Assignment BM 6105 Managing Change Assignment (3000 words) Essay Due on Monday 14th of fatalism, January 2013 You are required to write an . essay supported with reference to the academic literature that answers the following question: You have recently been appointed to your first management post following graduation. You are keenly aware that as part of your management role you will be responsible for managing change and anticipate drawing on your BM 6105 studies to help you achieve success. Essay , Management , Organization 690 Words | 3 Pages. disquisition, monograph; More 2. formal an attempt or effort. a misjudged essay synonyms: attempt, effort, endeavor, try, venture, . trial, experiment, undertaking his first essay in telecommunications a trial design of a postage stamp yet to be accepted. verbformal verb: essay ; 3rd person present: essays ; past tense: essayed; past participle: essayed; gerund or present participle: essaying e?sa/ 1. King Hedley Ii? attempt or try. essay a smile Origin late 15th century (as a verb in the sense test the. Definition , Essay , Gerund 608 Words | 4 Pages. Introductions and Conclusions Introductions and conclusions play a special role in vs nihilism the academic essay , and they . frequently demand much of your attention as a writer. The Princess And Curdie? A good introduction should identify your topic, provide essential context, and indicate your particular focus in the essay . It also needs to engage your readers' interest. A strong conclusion will provide a sense of closure to the essay while again placing your concepts in fatalism vs nihilism a somewhat wider context. Development During? It will also, in some instances.

Conclusion , Essay , Essays 992 Words | 3 Pages. at Upgrade | Hi Iamsiddha. Get Access to fatalism, - Complete Your Registration Now. StudyMode - Premium and the princess Free Essays , . Term Papers Book Notes Essays Book Notes AP Notes Citation Generator More Essay On Eye Donation Wikipedia Essays and Term Papers Search Advanced Search Documents 1 - 20 of 47 Laser Eye Surgery Research essay Laser eye surgery Laser eye surgery The eye is the vs nihilism organ of sight. It is democratic and disadvantages used in almost everything we do, from playing sport to fatalism vs nihilism, reading. Critical theory , Essay , Essays 1151 Words | 6 Pages. ? EXAMPLE 1 ESSAY Life sometimes goes wrong under the define inducible best of circumstances, but what if you spend your days in a hospital bed . Vs Nihilism? slowly suffocating to death as cancer eats away at your body? Youre horrified, your quality of life is at on Development During Adolescence an all time low and you cant see any point in delaying the fatalism vs nihilism inevitable. King Hedley Ii? That is fatalism vs nihilism why Physician assisted suicide should be a choice for patients who are incurable. Physician assisted suicide (PAS) should be legal in cases that involve unbearable suffering or. Amyotrophic lateral sclerosis , Death , Euthanasia 1509 Words | 5 Pages.

childhood can become set principles we live by in later life or can influence the decisions we make to give us our 'world view' aswe can not find other . examples due to age. Things such as age, gender and commuity will also play a part in shaping the effects of your world view. A World view is described by many different people in various ways for example Samovar and Porter (2003) (citing Rapport and Overing 2000) will describe a world view as 'the common English translation of the German word Weltanschauung. I Shall Be Released , Learning , Life 1025 Words | 3 Pages. a) BASIC ESSAY (single text / topic) Introduction This forms the beginning of your essay . It tells the examiner, . or your teacher, that you understand the question and gives them an idea of the plan that you have to define, answer the essay . Give a very brief summary of the text or a definition, if necessary. Answer the question that was asked, without any details or explanation. Fatalism? These answers will become your topic sentence / points in the upcoming paragraphs. your introduction does not need to be more. Bella Swan , Pilcrow , Question 1343 Words | 5 Pages.

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