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Boeing plan will shift hundreds of Puget Sound jobs to Arizona. SEATTLE -- Boeing plans to transfer yet another substantial work group out help do my herbert, of the Puget Sound region, the company confirmed Wednesday. The work shifting to Mesa, Ariz., could involve hundreds of jobs. The changes are coming at argumentative paper mla Boeing's Shared Services Group, which employs about 3,000 people in the Puget Sound region and need help george provides a wide range of support services to Boeing's corporate and production units. The unit's leadership has initiated a sweeping review and has begun to inform specific groups that their work is pegged for moving. It's part of essay service Boeing's intense drive to cut costs, which is largely responsible for the loss of more than 18,300 Boeing jobs in Washington state since the most recent employment peak in fall 2012. The company also has a large footprint in Oregon, where it employs more than 1,600 at its Gresham parts plant. Boeing aims to complete the SSG reorganization by need help george, 2020, but SSG president Beverly Wysewill move from Renton to Mesa sooner.
Wyse, a longtime Boeing exec who previously ran Boeing's South Carolina complex and headed the online cheap tutorial and cons Renton 737 assembly plant, said in an interview that the reorganization will also take out some layers of management and is aimed at help herbert making SSG more efficient and productive. Wyse said managers have begun meeting with employees and working out details. At this point, she said, it's too early to essay service size tell how many jobs will be moved. In the next six to eight weeks, we'll understand everyone's preferences and develop a transition plan for each employee, Wyse said. In one affected group, a person with knowledge of the plan said Boeing will offer relocation packages to just 5 to 10 percent of the current employees who are considered critical to the work. To stay at SSG, the person said, others will have to re-apply for their jobs and accept a lower salary offered in Mesa. Wyse said the terms of the work transfer will differ from need help do my essay herbert one work group to another. We are working through service by service what proportion of each team has critical skills that we have to transfer, she said. SSG, which at the end of cheap marbury May employed nearly 5,900 people companywide, provides more than 100 services across Boeing.
Some are specific to need help do my essay herbert george wells each work site, such as security and fire protection, building and equipment maintenance, and real estate management. Other SSG groups are responsible for broader services across the entire Boeing enterprise, including human resources functions such as pay and buy essay tutorial the pros of outsourc benefits; back-office functions such as management of company vehicles, travel expenses and accounts payable; business planning; purchasing non-production equipment and office supplies; and managing the need herbert george logistics of delivering aerospace parts to Boeing plants across the country. Argument Essay? The groups providing services all across Boeing are the ones tapped for moving to need do my essay Mesa, Wyse said. Writing Uk 7? About half of the need essay total SSG employees are currently based in the Puget Sound region, she said. And because many of their jobs relate to the specific production sites here, the Puget Sound is our largest footprint and buy essay tutorial the pros of outsourc it'll continue to be our largest footprint even after the work transfer, she said. In addition to need help do my essay herbert wells transfering work to essay writing uk 7 Mesa, the reorganization will reduce jobs through attrition. With the Puget Sound business economy booming, driven by tech companies like Amazon, attrition in some of her business services groups is as high as 8 to 12 percent per need essay herbert year, she said. Since Wyse took over as head of SSG in June last year, total employment in the group has already dropped by help do my the green, just over 1,400 people.
Boeing has transferred work out of Washington state steadily since 2013. That year, it announced the move of 1,500 IT jobs to St. Louis, and North Charleston, South Carolina; nearly 700 commercial airplane engineering support jobs to Southern California; and 1,000 research engineering jobs to Huntsville, Alabama; St. Louis and North Charleston. In 2014, it announced the transfer of 1,000 more commercial airplane engineering support jobs to Southern California and then 2,000 defense-side jobs to to Oklahoma City, Oklahoma, and do my george St. Louis. Most of the employees affected by those earlier work transfers were members of the writing white-collar Society of Professional Engineering Employees in Aerospace union. In contrast, most SSG employees are non-union. About 140 SPEEA members work in facilities for SSG and will not be affected by the work transfer, Boeing said. Wyse said she's striving to make the process of moving work to need help herbert wells Mesa a humane and deliberate one that gives the people who have gotten us to where we are today the opportunity . to argumentative paper make a respectful transition.
She said she is hoping for minimal, if any, involuntary layoffs as some employees leave for other companies and others find positions in need help do my essay wells Boeing's other operations here. She said SSG employees working in finance, planning or supplier management can look for jobs within the paper Commercial Airplanes unit that demand similar skills. We'll give this a long tail, Wyse said. People deserve the need do my essay herbert george wells opportunity to find a good transition. However, employees are understandably rattled.
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resume spirnak OBJECTIVE. This article reviews types of urinary calculi and need help george wells, their imaging appearances, presents direct and secondary imaging findings of do my essay the green urolithiasis, and provides an overview of help do my essay herbert treatment methods. Pertinent imaging findings that affect clinical management are highlighted. The implications of complex or variant genitourinary anatomy are reviewed. We outline a standard format for argument the reporting of urolithiasis to facilitate informed clinical management decisions.
CONCLUSION. Need Help Wells? Unenhanced CT is the preferred examination for online the pros evaluation of urolithiasis because of do my essay george wells its availability, ease of performance, and high sensitivity. An awareness of the important imaging findings to report allows appropriate and efficient therapy. Urolithiasis is a common clinical entity. Help Cant Deal? In the first part of need help do my herbert george wells this review, we discussed the pathogenesis of calculus formation, the online tutorial of outsourc, types of need herbert george urinary calculi, clinical assessment, imaging modalities for the evaluation of urolithiasis, and variant genitourinary anatomy. In this part, we describe the imaging findings on CT, suggest a reporting technique, and discuss treatment options. Primary findings of a calculus include direct visualization of the calculus within the urinary tract.
Hindered passage of a calculus commonly occurs in areas of luminal narrowing secondary to a change in course, narrowed caliber, or extrinsic impression. The ureteropelvic junction, the level of my essay vs madison ureteral passage over the pelvic brim, and the ureterovesical junction are typical such locations . Need Help Do My Essay Herbert George? Extra attention should be paid to these sites (Figs. 1A and 1B ) and the entirety of the urinary tract ( Fig. 2 ) for online of outsourc identification of a possible offending calculus. Scanning in the prone position may be useful to distinguish a calculus impacted at the ureterovesical junction and need help essay herbert george, a stone that has already passed into the bladder .
When there is doubt about the anatomic location or significance of a calcification, the soft-tissue rim and comet tail signs can be used to differentiate a urinary calculus from other potential causes of calcification, such as phleboliths. The soft-tissue rim sign (Figs. 3A and writing the woodlanders, 3B ) refers to a rim of soft-tissue attenuation surrounding a ureteral calculus, representing ureteral edema resulting from mucosal irritation and obstruction. It is paradoxically more prominent with calculi that are 4 mm and help do my herbert george, smaller, which can be helpful in argument clinical settings in help do my essay which a diagnosis of research paper mla urolithiasis is uncertain . The soft-tissue rim sign has been reported to have a sensitivity of 77% and specificity as high as 92% .
Fewer than 10% of phleboliths have a soft-tissue rim appearance . In the pelvis, the distal ureter can be difficult to locate, and it may become necessary to differentiate a venous calcification (i.e., phlebolith) from help essay herbert george a urinary calculus. A phlebolith can have decreased central density compared with a calculus, which in nearly all cases has high attenuation centrally . The comet tail sign can also be used to identify a phlebolith [6, 7]. This sign refers to tapering soft-tissue attenuation adjacent to a phlebolith, representing the noncalcified portion of a pelvic vein (Figs. 3A and 3B ). For Euthanasia? Though it is need help george not always present, it is a good indicator that a calcification represents a phlebolith . When shape or location does not allow differentiation of a phlebolith from a urinary calculus, the density of the essay size, structure in question can be of need do my essay value.
There is typically a measureable attenuation difference between a urinary calculus and a phlebolith. In one investigation, it was reported that urinary calculi showed a mean attenuation of 305 HU, whereas phleboliths had a mean attenuation of 160 HU. No phlebolith in this study had a mean attenuation greater than 278 HU . A, 50-year-old woman. Coronal unenhanced CT image shows right-sided hydronephrosis from obstructing calculus at essay uk 7, ureteropelvic junction. B, 47-year-old woman. Need Help Do My Essay Herbert Wells? Transverse unenhanced CT image shows stone at argumentative research paper, left ureterovesical junction. If an unenhanced CT is insufficient to do my essay herbert george delineate the difference between a phlebolith or a urinary calculus, a delayed contrast-enhanced CT may be used to differentiate the two, renal function permitting. A contrast agent column will develop within the ureter proximal to cheap the site of obstruction. If there is an incomplete obstruction, the contrast agent column can be used to need help essay herbert george wells identify whether the suspected calcification is indeed an intraluminal calculus and to allow direct visualization of the course of the ureters in cant do my the green deal cases where such visualization would otherwise be difficult . Possible secondary findings for herbert wells all calculi include imaging signs of argumentative obstruction or infection.
Early or subtle obstruction may manifest as loss of the normally hyperdense medullary pyramid on unenhanced CT . This sign reflects focal edema. Asymmetric renal enlargement may also be present on the affected side (Figs. 4A , 4B , 4C , and need do my essay george wells, 4D ). Early renal enlargement may be more focal at the renal poles . Collecting system dilatation, which is not to be confused with a normal variant extrarenal pelvis or parapelvic cyst, may also be noted. Argument Essay? Collecting system dilatation will obliterate renal sinus fat, whereas an extrarenal pelvis or a parapelvic cyst will coexistent with normal fat . Fig. 2 . Need Do My George Wells? 51-year-old man with groin pain and hematuria. Transverse unenhanced CT image shows Foley catheter placed into urethra containing urinary calculus. My Research? Evaluating all possible locations of urinary calculus is important.
Hydronephrosis (69%), perinephric edema (65%), and periureteral edema (65%) are frequently seen in the setting of need help essay herbert george wells a ureteral calculus . Hydronephrosis, hydroureter, periureteral stranding, and ureterovesical junction edema have been reported to cant do my essay deal have strong positive predictive values for the presence of obstruction . Help Herbert George? Conversely, the my research the woodlanders, absence of hydronephrosis and hydroureter has also been reported as having a strong negative predictive value for obstruction . Subtle hydronephrosis and obstruction can be identified on a contrast-enhanced CT via comparatively delayed renal enhancement and excretion on the affected side. Perinephric or periureteral edema or stranding, manifesting as increased attenuation within the adjacent retroperitoneal fat, represents progression of edema to the adjacent extrarenal tissues and lymphatics . Isolated hydroureter may be an early indicator of obstruction. Perinephric stranding is usually not seen in help george wells the first 2 hours following the onset of flank pain and can take 8 hours from cheap write marbury vs madison clinical presentation with pain to reach a maximum extent . A contrast-enhanced CT examination may show a focal or generalized absence of renal enhancement, which, in the appropriate clinical setting, could reflect pyelonephritis. Perinephric edema and stranding are nonspecific signs that may be seen in infection or even in help herbert george cases of sterile obstruction. A focal fluid collection may reflect an abscess or a ruptured calyx with urinoma. If a calculus is not identified but secondary signs are present, the my research, possibility of a passed calculus or obstruction unrelated to urolithiasis should be considered [11, 14].
Alternatively, in the appropriate clinical setting, such as that of an HIV-positive patient, a radiolucent calculus such as an need essay herbert george wells indinavir calculus should also be a consideration. Rarely, concurrent bilateral obstructing calculi may result in anuria ( Fig. 5 ). A systematic approach is uk 7 stressed to maintain relevant and clear communication to the clinician. The following subsections summarize the suggested reporting points at our institution (Table 1). The number of calculi should be reported. Calculus burden can be a differentiating factor in a patient. s treatment . Multiple pyramidal calculi may indicate the presence of medullary sponge kidney, a disease of unknown cause that results in dilatation of distal collecting tubules within medullary pyramids and has been found to be associated with an increased incidence of help george wells nephrolithiasis  (Figs. 6A , 6B , and 6C ). The location and number of nonobstructing calculi should also be reported, because it has been reported that, in my research the absence of another identifiable cause, this may be a source of pain in some patients who present with suspected renal colic . This is of increased importance in patients who repeatedly present without another cause for pain, because prolonged clinical and imaging evaluation can result in excess radiation exposure, morbidity, and cost. A, 40-year-old man.
Transverse unenhanced CT image reveals distal ureteral calculus just above ureterovesical junction with circumferential ureteral wall thickening ( arrows ), which is soft-tissue rim sign. B, 29-year-old man. Phlebolith ( arrowheads ) near left ureterovesical junction with adjacent soft-tissue . comet tail. ( arrows ) represents noncalcified vein. Report the largest dimension in both the axial and coronal planes to the nearest millimeter. Size should be assessed in magnified bone window images to allow increased accuracy  (Figs. 7A and 7B ). In addition to transverse plane images, sagittal and coronal plane images should also be reviewed to accurately identify the largest single dimension and increase sensitivity in the detection of smaller calculi . Though the transverse plane dimension has been found to be more closely associated with likelihood of essay herbert wells spontaneous passage of a calculus, evaluation in the coronal plane can help with detection and anatomic localization .
Accurate reporting of calculus size directly affects patient treatment, because calculi up to do my 5 mm have a 68% probability of passage, and need george wells, calculi of cheap marbury 5. Need Help Wells? 10 mm have a 47% probability of passage . A, Unenhanced CT images show signs of obstruction, including collecting system dilatation ( A ), renal edema ( B ), renal enlargement ( C ), and perirenal fluid and stranding ( D ). B, Unenhanced CT images show signs of obstruction, including collecting system dilatation ( A ), renal edema ( B ), renal enlargement ( C ), and perirenal fluid and stranding ( D ). C, Unenhanced CT images show signs of buy essay cheap the pros and cons obstruction, including collecting system dilatation ( A ), renal edema ( B ), renal enlargement ( C ), and perirenal fluid and stranding ( D ). Fig. 4D . Secondary signs of obstruction. D, Unenhanced CT images show signs of obstruction, including collecting system dilatation ( A ), renal edema ( B ), renal enlargement ( C ), and perirenal fluid and stranding ( D ). At our institution, it is routine to report whether the calculi are located within the upper pole, mid kidney, or lower pole. In the case of a ureteral calculus, no universal standard exists for the description of the location along the ureter.
It is best to help wells confer with the referring urologist for agreed-on landmarks. In general, the more proximal the calculus within the ureter, the less likely it will spontaneously pass . Many researchers divide the ureter into proximal and writing uk 7 size, distal segments, separated by their relation to the iliac vessels. Our suggested division is the need do my wells, following: the proximal ureter begins at the ureteropelvic junction and transitions to the mid ureter at the level of superior margin of the sacrum. The mid ureter extends from the superior margin of the size, sacrum to the lower margin of the sacrum, where it transitions to the distal ureter, which extends to the ureterovesical junction. Help Do My Essay Wells? Others may prefer reporting of the ureteral calculus in cheap my essay relation to external landmarks, such as the umbilicus. Fig. 5 . 24-year-old woman with sudden anuria. Bilateral obstructing ureterovesical junction stones ( arrows ) were identified as cause of sudden anuria.
Imaging signs of obstruction or infection should be noted, because these may dictate more urgent or aggressive management. Secondary associated findings, as described in the CT section of this article, should be reported with detail, including laterality and herbert george wells, severity. My Research Paper The Woodlanders? If secondary findings are focal, such as upper pole dilatation, then this more specific anatomic description should also be provided, because it may help localize the site of obstruction or infection, if intervention is needed. The relationship of the need help do my herbert george wells, kidney to surrounding organs should be reported in the event that an intervention becomes necessary. The location of bowel, vessels, or the level of my essay pleural reflections may change the do my essay george, approach of research or prevent percutaneous access for calculus removal or treatment. In addition, complex or variant anatomy should be noted. Other details that should be reported include aberrant vasculature, adjacent bowel, the location of an anomalous kidney, and the presence of distorted pelvicalyceal architecture or abnormal infundibular orientation. TABLE 1: Suggested CT Reporting Points for Urolithiasis. Nongenitourinary pathologic abnormalities may also be identified on unenhanced CT. Do My? Such findings may be the cause of the patient. Cheap Vs Madison? s acute onset of help george wells pain and my essay vs madison, can coexist with urolithiasis. Causes of pain that may be clinically confused with the flank pain of urolithiasis include diverticulitis or appendicitis .
Other important findings can also be evident on help do my essay wells CT that may warrant further investigation and clinical management. One series of 1500 patients examined for suspected urolithiasis found several patients with imaging signs consistent with renal cell carcinoma, prostate malignancy, lymphoma, abdominal aortic aneurysm, and even chondrosarcoma . Overall, treatment depends on the patients. symptoms, hemodynamic status, the size and location of the calculus, and renal function. Treatment options depend on several factors and range from online cheap tutorial and cons of outsourc observation to open surgery (Table 2). Immediate temporary diversion or drainage of need do my essay urine before removing the calculus is required in situations of essay writing service uk 7 size severe uncontrolled pain, sepsis, or renal failure, or if calculus removal equipment is need george not available. Drainage can be achieved by a ureteral stent or percutaneous nephrostomy tube.
A ureteral stent allows the ureter to passively dilate and can facilitate calculus passage without the need for manual extraction. Argument Essay For Euthanasia? A nephrostomy tube drains urine more directly and allows ureteral peristalsis to resume, which can facilitate calculus passage in certain situations. Percutaneous nephrostomy has been reported to reduce mortality from 40% to 8% when there is do my herbert george wells obstruction associated with gram-negative septicemia . Either method of diversion can successfully decompress the urinary system until the patient is stable enough to undergo definitive treatment. Observation is the most common noninvasive option, because most calculi pass spontaneously. Ideal candidates for observation include patients with well-controlled pain, no evidence of superimposed infection or renal insufficiency, and two functioning kidneys. The size of the calculus is essay for euthanasia important, because calculi smaller than 5 mm in wells maximal diameter have a high likelihood of passing spontaneously, whereas those approaching 1 cm or larger do not . Management consists of pain relief, hydration, and for euthanasia, medical expulsive therapy. This last component involves the addition of medication to facilitate the passage of help essay george ureteral calculi.
Calcium-channel blockers (e.g., nifedipine) and ??-blockers (e.g., tamsulosin) have shown a benefit in reducing the cheap my essay vs madison, time for need help do my essay herbert george passage and increasing the likelihood of passage. These medications are thought to exert an expulsive effect on ureteral smooth muscle. To date, dissolution of a calculus with oral medication can be performed only for those composed of uric acid. Uric acid is very soluble in alkaline urine and can dissolve with small changes in urine pH. Common methods of alkalinization include oral potassium citrate or sodium bicarbonate therapy [25, 26]. Although cystine calculi can dissolve in an alkaline environment, the pH level required for help cant essay the green dissolution cannot be achieved through oral medication. Calcium-based calculi cannot be dissolved with any available medication.
A, Kidney-ureter-bladder radiograph shows several calcific densities overlaying both kidneys, indicating bilateral nephrocalcinosis. B, Reformatted coronal image from unenhanced CT confirms presence of bilateral multifocal renal calculi, distributed along medullary pyramids. C, More posterior image from same examination shows 9-mm obstructing calculus within right ureter with mild hydroureter and need do my essay wells, adjacent ureteral mural thickening. Radiologist suggested, and subsequent evaluation confirmed, diagnosis of medullary sponge kidney. Extracorporeal shockwave lithotripsy (ESWL) uses externally focused high-intensity acoustic pulses to argument for euthanasia fragment a calculus in help essay herbert george wells situ. Subsequent passage of calculus fragments may take days to weeks. Writing Paper? Indications for need help ESWL include renal and paper, proximal ureteral calculi that are smaller than 2 cm.
ESWL has a short recovery time and help do my essay george wells, relatively little morbidity compared with ureteroscopy and argument, percutaneous nephrolithotomy, thus making it preferred in the treatment of renal calculi [27. 29]. Need Help Essay Wells? Lower pole calculi can be treated with ESWL, although results are inferior because of the angle of the ureteropelvic junction. Dense calculi, such as calcium oxalate monohydrate or cystine calculi, do not break up well with ESWL. A, Soft-tissue window settings (width, 400 HU; level, 20 HU). B, Bone-window settings (width, 2000 HU; level, 400 HU). Apparent size of calculus varies with windowing technique used. Essay Writing Service Size? At our institution, bone window is used in reporting size of calculi because of its sharper edge delineation. Relative contraindications to do my essay wells this procedure include infection, obstruction, distal ureteral calculi in female patients (because of unknown effects of ESWL on the ovary), morbid obesity, and writing, cystine calculi.
Absolute contraindications to ESWL include coagulopathy and pregnancy. A potential complication of ESWL is bleeding. Patients usually complain of do my herbert george severe pain, and imaging studies may reveal a subcapsular renal hematoma. Another complication is a condition known as steinstrasse, the essay writing uk 7, German word for . street of stones. Steinstrasse refers to need help do my essay herbert the accumulation of multiple stone fragments within the writing my research the woodlanders, distal ureter, leading to partial or complete obstruction, and can occur in up to 6% of patients [30, 31]. Rigid or semirigid ureteroscopes are used for help herbert calculi that are located in write my essay the ureter, usually in need help do my herbert wells the mid or distal portion.
Flexible ureteroscopes allow access into my research paper, all parts of the kidney, especially the lower pole, which can otherwise be difficult to reach. Endoscopic lithotripsy through the ureteroscope is then performed by holmium laser or electrohydraulic lithotripsy fiber. After the calculus is successfully fragmented, either the help do my wells, pieces are allowed to pass spontaneously with the assistance of write marbury vs madison a ureteral stent or the pieces are manually extracted with a small basket. At our institution and need help herbert george, many others, ureteroscopy is the most commonly used procedure to remove ureteral calculi and writing my research paper the woodlanders, is also helpful for renal calculi that have failed ESWL . Help Do My Wells? Contraindications include large calculi ( 2 cm), which are difficult to marbury remove in one session because of scope and laser size limitations. In contrast to ESWL, serious bleeding is less common with ureteroscopy, which can be performed in fully anticoagulated patients. Uncommon complications include ureteral perforation and ureteral stricture formation. TABLE 2: Urolithiasis Treatment Options. A, Oblique sagittal unenhanced CT shows percutaneous nephrostomy tube placed for treatment of obstructing proximal ureteral calculus.
B, Obstructing proximal right ureteral calculus and sepsis. Nephrostogram image was obtained after emergent placement of need george percutaneous nephrostomy tube. Percutaneous removal of renal calculi is indicated for a large calculus ( 2 cm), staghorn calculus, or calculus in an anomalous kidney or a calyceal diverticulum (Figs. 8A and 8B ). This option is not considered a first-line treatment in many cases because it has a higher complication rate than ESWL or ureteroscopy, approaching 8% in cant do my essay deal some series [33, 34]. This treatment option requires percutaneous access to the kidney, typically with a 30-French access sheath. Energy modalities to fragment the calculus include ultrasonic, electrohydraulic, and holmium laser. Fragments are then either suctioned out or manually extracted.
Complications include bleeding, infection, and perforation of surrounding organs, the need help george, last of argument essay for euthanasia which is fortunately rare. Because of need herbert george wells advancements in minimally invasive technology, open surgery is uncommon today and is currently used as an option in less than 1% of writing cases. Although it is still used for excision of complex staghorn calculi with infundibular stenosis or excessively large bladder calculi, open surgery is, in many cases, a last resort because of the relative high cost and high morbidity compared with other minimally invasive or percutaneous treatment options [35, 36]. Need Herbert? Laparoscopic surgery is also rarely used and is usually considered in cases in which lithotripsy or ureteroscopic treatment is deemed unlikely to succeed . CME SAM What the Radiologist Needs to Know About Urolithiasis. This article is available for CME/SAM credit. This is a Web exclusive article.
What the Radiologist Needs to Know About Urolithiasis: Part 2. CT Findings, Reporting, and Treatment. Copyright 2013-2016, American Roentgen Ray Society, ARRS, All Rights Reserved.
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analogy how to write INTELLECTUAL HERITAGE (at Temple University) Subject Study Aids: (needs some pruning): Topics in Classical Culture: The Legend of the House of Atreus: Greek Tragedy in Greece. From 1996-2001 I taught in the Intellectual Heritage Program at Temple University in Philadelphia, Pennsylvania. This page is part of my teaching materials for Intellectual Heritage 51, a course covering literature and ideas from Sappho through Shakespeare. Learning to write a critical essay is like: Remember learning to drive? Remember going down that checklist before you started the engine? Checking your mirrors, fastening your seatbelt, adjusting the seat and need help do my herbert george wells steering wheel, checking the gas and oil gauges, looking in your blind spot before pulling into traffic, putting your directional on. Inexperienced drivers are also often too timid to pull into the stream of online cheap the pros and cons of outsourc traffic, even when it is safe to do so. And how is it now that you are an experienced driver? Do you actually go through that same checklist? Do you wait until there isn't a car in sight before you make that left?
Yes, the rules are still important, but after a while they become second nature. If you *don't* check the gas, you could get stranded. And if you *don't* check your blind spot, you could get killed. But we are all more comfortable driving with an need essay herbert old-hand, someone we know will give us a safe and profitable ride without needing to writing my research paper resort to the rule book every five seconds. Young drivers lack the help george, finesse, know-how and confidence they will gain as they gain experience. You don't jump on the expressway before you are comfortable driving at a high speed, do you? And you don't choose a curvy, hilly road until you are comfortable driving down streets without such challenges, do you? Writing works the same way. You have your permit as a beginning writer. Follow the rules until you are comfortable.
As a beginner, your handbooks are essential references and provide necessary information. Checklists of what to do and argument essay for euthanasia what not to do keep you on need do my essay, task. Sticking to a format you are comfortable with is a better choice than trying to take on too much. The more you write, the online cheap of outsourc, better you will get. Help Do My Essay George Wells. Confidence is a big part of this game, as well as technical skill. Help Cant Do My The Green Deal. So take it slowly. If you don't know the need do my herbert wells, most basic rules (how to avoid writing sentence fragments or run-on sentences), you are in big trouble, just as if you didn't know what a STOP sign meant.
Even when you do master these basic mechanics, as a beginning writer, you may feel that your writing is too stiff, your essays technically correct yet otherwise boring. Argument Essay For Euthanasia. But if you are too sloppy, you crash. Just like in driving. Find the middle road. Have patience. Learn why the need help do my, rules exist before you try to stretch them! Before you leap into the stream of traffic (= that great discussion that you can#146;t wait to get to), alert your reader about the direction your paper is going to writing my research the woodlanders take! Putting your blinker on (= writing good transitions between paragraphs) allows other drivers to see your intentions. Let your reader know your intentions too. Following these simple rules will allow you to write essays that will transport your reader to the destination of need help do my essay your choosing. Have a safe trip.
Writing a critical essay is like#133; Any baker will tell you that creating a successful confectionery demands his paying attention to a great many details, all of which can be compared to writing a successful critical essay: baker's recipe = writer's outline. This is the overall blueprint which represents not only the desired end result of your efforts, but the argument for euthanasia, exact way in need help do my herbert wells which you will achieve that end. Essay Size. It includes the names and amounts of need do my essay herbert george wells ingredients, directions on for euthanasia, how to prepare, combine, and cook ingredients, and any other details necessary to the project. A writer's outline should offer an overall view of the need help do my george wells, project, carefully setting forth not only the help cant do my essay the green, arguments of the essay, but how those arguments will be argued. Need Help Do My Essay Herbert George Wells. good ingredients = supporting details. The baker's ingredients might include eggs, flour, milk, and sugar. The writer's ingredients might be details of plot and supporting quotations from the text. In neither case is it acceptable to write my essay vs madison plop down the ingredients and call it a finished product! You wouldn't call a bag of groceries a cake; don't call a collection of details an essay!
Take your raw material and need do my make something of it! Both bakers and writers must determine exactly how much room to devote to particular ingredients. Buy Essay Online Cheap Tutorial The Pros. In both cases, an ingredient might be essential, but too much of that one thing could ruin the cake. You can easily err in the other direction, too. Careful! order of presentation of ingredients. A good recipe will tell the baker to keep dry ingredients separate from liquid, or in what order to add certain ingredients in the cooking process. A good writer will understand that it is not just the argument itself that can persuade, but the overall presentation that can augment or diminish the persuasiveness of the presentation. All writers should consider in what order to do my present his arguments - which to save for last, which to do my deal start off with. Need Help. It can make a world of difference in cheap marbury the end. how to mix the ingredients. A lot depends on do my essay george, the right method of paper the woodlanders mixing the ingredients together: sometimes the recipe calls for a gentle folding-in of essay herbert george ingredients, and sometimes you really have to mash stuff together using a blender! The same goes for writing an essay essay - determine the best and most persuasive way to present every argument.
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Intergenerational Conflicts Essay Sample. In all kinds of need george ethic groups in the United States, Asian Americans such as Chinese and Indians are considered as the largest immigrant group. Online Tutorial The Pros? Although conflicts are inevitable between parents and children, immigrant families face more challenges in intergenerational conflicts, and there are several reasons. Essay Herbert George? First of all, the disagreement of different values and assumptions between two cultures mainly cause family conflicts. For Chinese immigrant parents, they follow the Confucian values, which emphasizes filial piety, hard work, service and my research paper the woodlanders achievements in education and occupations as standards in lives (Foner, p. 21); however, children who are born and raise in American culture, seek more independence and help do my herbert george wells freedom for their own aspects, and majority results against their parents. Argument For Euthanasia? Moreover, issues of discipline and need help essay wells respect may easily create gaps between generations. For the second generations, who are reared in American culture and refuse to follow the rules and origin culture, consider their parents as old-fashion and tutorial of outsourc arrogant, and help essay herbert george wells “ [t]he parents, with their (sometimes idealized) old world standards, often think their children are rude and disrespectful ” (Foner, p.5). Besides, exceeding expectations and argument for euthanasia inabilities of language interpretation for some immigrant parents also struggle the relationships with their children (Lieber, p.35). Even though intergenerational conflicts in immigrant families in help do my herbert george wells, the U.S. may weaken the online tutorial the pros of outsourc relationship between parents and need herbert children, as children grow up as adults, those conflicts actually help strengthen the relationship in the long run. Intergenerational conflicts may cause negative consequences for both parents and children. Discrepancies of warmth from writing uk 7 size, parents may influence the attitude of immigrant children in do my herbert, a negative way.
For example, some Asian immigrant parents such as India are not very expressive with their children physically and emotionally, and this makes Asian American adolescents, who have been taught to obviously express feelings, think their parents are not showing the warmth to them as the argumentative research way they expect (Wu, p.516). Help Do My Essay Herbert Wells? Moreover, for immigrant parents, they intend to dominate their children in beliefs and behaviors due to the fear of cheap write my essay marbury losing origin. Need Do My? A psychology study shows that “ [p]arents who were socialized throughout their childhood and early adulthood in their country of origin are likely to have a stable and established sense of Asian identity “ (Wang, p. 169), and they also expect their children to participate and achieve well in American culture. As a result, conflicts of high expectations to argumentative paper mla, maintain two different cultures and outstanding achievement would easily cause mental stress, depression and anxiety for immigrant adolescents. For example, an investigation shows that “ Korean American college students who perceived their parents as highly traditional (emphasizing ethnic values) reported more depressive symptoms ” (Wu, p. 517), and another study also indicates that “Young people in Filipino and Chinese families are under tremendous pressure from their parents to get good grades, to graduate from college, and to pursue “practical” careers such as law, medicine, or engineering “ (Foner, p. 6). On the herbert george wells other hand, not only children, immigrant parents would also be affected negatively. For instance, children’s marginalization of cheap maintaining original culture would cause great frustration to immigrant parents, and even the failure in academic performance would also make them feel shame on help essay herbert george wells, the poor children, who consider themselves “working at buy essay tutorial, least twice as hard as their American peers while feeling that their parents never think they work hard enough” (Foner, p. 6). Thus, commonly, people assume that the relationship between immigrant parents and children would be seriously affected and need help herbert weakened due to these negative consequences. However, when second generations grow up as adults, those conflicts they had before would make both parents and children change their point of view about argument essay for euthanasia, each other and gradually develop better acculturation and adjustments. First of all, even though the intergenerational conflicts in need do my essay herbert wells, immigrant families cause many arguments, dissatisfactions, frustrations, and even depressions between parents and children, their relationship does not really break apart as we thought. Buy Essay Online And Cons? In a case study, the author explains, “even when young people chafe under parental constraints and obligations, the need help do my essay vast majority feel deep affection for argument essay for euthanasia and loyalty to their parents and grandparents and recognize the importance of family and need help the need to assist and support family members “ (Foner, p. Writing Paper? 8), and the family actually “ create[s] strong emotional ties that bond members together “(Foner, p. Need Do My Herbert Wells? 8) although it is not obviously shown from parents and children.
Thus, when children become adults, their ways of argumentative paper mla thinking would change and may start thinking maturely. For example, for Chinese immigrant families, filial responsibility, which emphasizes the importance of need help do my care for and supporting each family member, plays an extremely important role in Chinese values (Diwan, p. 55). Undoubtedly, Chinese immigrant parents would highly expect their children to sustain this obligation even though their children are Americanized. As for immigrant adolescents, who have already been pressured by other expectations from their parents, may create marginalization and cause family conflicts; however, as growing as adults and facing the essay writing reality of the world, they may reflect those conflicts in the past and recognize the importance of supporting and caring family. Also, they may begin to help do my george, understand why their parents insist to maintain the traditions and beliefs in research, their host culture (Diwan, p. 58). Besides, as children growing up, immigrant parents’ point of view would also become different from before. For instance, since immigrant children are still developing their characteristics, some immigrant parents set up strict parental guidance in order to establish and shape their children’s personalities or perceptions in help herbert, the way they expect; nevertheless, after their children become adults, some parents may not be as strict as before due to the belief that their children are able to be responsible for their own lives.
In the buy essay and cons case of need help do my essay wells changing point of views, both parents and children would start trying to accept different beliefs from each other, and mentally, acculturation and adjustments would be successfully formed. Furthermore, after changing point of view, behaviors would also consequently change to form a better relationship between immigrant generations. Argument For Euthanasia? Since the point of view has become different and both parents and children become more willing to accept the differences, their behaviors would gradually change for reconciliation; in other words, to strengthen intergenerational relationship. Help Wells? For parents, they become more flexible in essay the green, discipline, not as stubborn as they used to be. For instance, “ extending the evening curfew hour, or permitting dating earlier than some parents would like “ (Foner, p.8); besides, choices of career, interests, and even marriage arrangement can also be negotiated, which is different from the past that children are expected to obey their parents’ decisions without objections.
A research about parenting practices among Indian immigrant families indicates that “ some parents are trying to learn new ways to discipline their children; some are learning new techniques from their children, who explain how American or Americanized friends are disciplined “ (Foner, p.8), and need help do my herbert george this study shows that immigrant parents are trying to change themselves in order to get closer to their children. Moreover, as for the second generations, unlike the uk 7 time as adolescents, instead of preferring to be alone with friends, they behave more caring about family members and voluntarily provide support when there is a need. For example, language barriers were used to be one of the conflicts among some immigrant parents and children. However, after the change of point of view, some Chinese second generations no longer feel shame about their parents’ inabilities of language interpretation, and an investigation shows that some second generations become more willing to help their parents deal with language problem, and some immigrant parents even improve their language ability from their growing children (Costigan, p. Herbert Wells? 1253). Besides, for some immigrant Asian-American writers, who realize their identity in cheap write marbury vs madison, two different cultures, appreciate their parents and share their appreciation by writing children books, and “many of them write about their past frustration of living two different cultures as well as use stories to do my essay wells, express their new appreciation of the hard- ships their parents and grandparents endured and of the argument for euthanasia ethnic culture they transmitted “ (Mo, p.182). Truong Tran, a Vietnamese-American writer who has immigrated to the U.S since the age of five, writes an introduction in need do my george, the book Going Home, Coming Home that “ It took me 25 years to return—to Vietnam, and to myself as a Vietnamese. In doing so, I discovered myself as an research paper mla, American. Need Do My Essay Wells? I am not one or the other but in fact both… It is a story of discovering that home is not a place rooted in a country but a feeling rooted in the heart ’’ (qut. in Mo, p.10), and this well describes the feelings of the second generation Asian-Americans. Therefore, since both immigrant parents and children begin to change mentally and physically for a better acculturation, “ children are less prone to feel embarrassed by their parents and more willing to accept parental guidance, thereby reducing the likelihood of buy essay intergenerational conflict “ (Foner, p.8); in need help essay herbert, other words, intergenerational conflicts would be minimized. Finally, intergenerational conflicts are inevitable in immigrant families, and these conflicts often bring out confrontations, discrepancies of essay values and assumptions, and help herbert disappointments of defiance between immigrant parents and children. Sometimes, intergenerational conflicts may raise negative outcome and harm the write vs madison relationship between generations.
Nevertheless, intergenerational conflicts can be actually reduced and the relationship can also become tighter if both parents and children try to change their previous point of views, which are against each other, and show acceptance of different values and beliefs. In that case, family relationship would gradually be strengthen and never break apart. Furthermore, if the society can contribute and need essay assist immigrant families more; for help essay instance, establishing free language learning for do my herbert immigrant parents who have problems with English expressions, or organizing some consulting centers for immigrant parents to ask for help when there are conflicts between them and their children. Essay Service? If there are more assistances and help for immigrant families, intergenerational conflicts would be reduced faster and earlier instead of waiting for the second generation growing as adults, in help do my essay george, which it would takes more time. Wu, Chunxia, and Chao, Ruth K. “Intergenerational Cultural Conflicts In Norms Of Parental Warmth Among Chinese American Immigrants.” International Journal Of Behavioral Development 29.6 (2005): 516-523. Academic Search Premier. Web. 22 May 2012. Foner, Nancy. Across Generations : Immigrant Families In America. Buy Essay The Pros And Cons? New York University.
Press, 2009. eBook Collection (EBSCOhost). Web. 21 June 2012. Lieber, Eli, et al. “Ethnic Identity, Acculturation, Parenting Beliefs, And Adolescent Adjustment: A Comparison Of Asian Indian And European American Families.” Merrill-Palmer Quarterly 53.2 (2007): 184-215. Academic Search Premier. Web. Help Herbert? 14 June 2012.
Wang, Jenny Jiun-Ling, et al. “Parent–Child Cultural Marginalization And. Depressive Symptoms In Asian American Family Members.” Journal Of Community Psychology 34.2 (2006): 167-182. Academic Search Premier. Web. 14 June 2012. Costigan, Catherine L., and Daphne P. Dokis. “Relations Between Parent–Child Acculturation Differences And Adjustment Within Immigrant Chinese Families.” Child Development 77.5 (2006): 1252-1267. Academic Search Premier. Web.
14 June 2012. Mo, Weimin, and Wenju, Shen. “Home: A Feeling Rooted In The Heart.” Children’s Literature In Education 38.3 (2007): 173-185. Academic Search Premier. Write Marbury? Web. 14 June 2012. Diwan, Sadhna, Sang E. Lee, and Soma Sen. “Expectations Of Filial Obligation And Their Impact On Preferences For Future Living Arrangements Of Middle-Aged And Older Asian Indian Immigrants.” Journal Of Cross-Cultural Gerontology 26.1 (2011): 55-69.
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