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Are you bilingual? Mastery of cheap business ethics two languages shows you’re dedicated - don’t leave bilingual skills off! Want some more examples of the types of skills you can include in your secretary resume? Check out our guide: +30 Best Examples of What Skills to Put on a Resume (Proven Tips) . How to sq3r technique, Add Other Sections for an Effective Resume. Were you the one who ran your club meetings in college? Do you volunteer your time helping out at the local library or animal shelter? At first glance, these might not seem to relate to traditional secretary resume duties. In fact, they are actually activities where you rely on qualities needed for the key responsibilities of a secretary. I’m sure you have a few hobbies, too.
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I like playing video games. The first two examples are perfect for a school secretary resume. These show that the person likes being with children and has an interest in learning. The other two are irrelevant and may give the impression that the buy essay cheap business person is unit not mature enough for the role. Pro Tip: Don’t go overboard and list everything in this section - a couple of examples are enough. You don’t want to seem like you won’t have the time to online cheap, be able to devote your full attention to your new secretary position!
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Likewise, an otoscopic exam should be conducted annually to check the accumulation of wax. The buildup of cerumen is buy essay online cheap so common that pathologies of the middle ear may go unnoticed unless searched for by otoscope. A study by dissertation international ca, Hassman E., Skotnicka B., Midro A.T., and Musiatowicz M. was conducted in online cheap business 406, 1998 to examine features of hearing loss in individuals with Down Syndrome through otorhinolaryngological examinations and audiological assessments. The study involved forty seven children and fourteen adults with Down Syndrome. Tests were decided upon by the chronological age of the subjects, their intellectual abilities and the function of their middle ear; “pure tone play audiometry, tympanometry, acoustic reflex, auditory brainstem response and distortion product otoacoustic emissions” (Hassman E et. Al 199) were the examinations included in dissertation herald ca, the study. Online Cheap Business Ethics! The resulting data were compared to control groups of the Extended Writing, appropriate age. The results showed that the children with Down Syndrome often exhibited impaired “conductive function of the middle ear. expressed by pathological tympanometry”(Hassman E et al.
199). More specifically, B and C type tympanometry was found in 56% of the individual ears that were tested. It was also found that distortion product otoacoustic emissions had lower amplitudes in buy essay cheap, the children diagnosed with Down Syndrome than those found in the control groups. In light of the time component in the development of language in children with Down Syndrome, hearing impairment is a significant problem, especially since hearing impairment is “one of the most common disabilities in children with Down Syndrome” (Kattan et al. 931). The ability to hear is essential to a child's ability to thesis develop language and speech and buy essay cheap because many children with Down Syndrome have hearing problems early in their lives, hearing loss is a great concern for these individuals.
Consequently, children with Down Syndrome who are diagnosed with a hearing impairment are in danger of research having learning impairments subsequent to their hearing loss. Therefore the diagnosis and treatment of otological disorders in children is an buy essay online cheap business ethics 406, important topic for the education of international ca speech and language students as well as clinical research. A study by Kattan, Jarrar, and Mahasinin 2000 found that 50% of the buy essay cheap, 26 children they tested had a conductive hearing loss, 4% had sensoirneural hearing loss, 4% exhibited a sensorineural hearing loss, while 35% had normal hearing (Kattan et al. 931). Though a small study, it supports the general consensus that children with Down Syndrome have a high incidence of persistent conductive hearing loss. Extended | Essay! This must be aggressively diagnosed and managed because this hearing loss may turn out to buy essay online cheap business 406 be one of the major factors that may cause the spoken communication abilities of Down syndrome children to rate significantly lower than their actual cognitive abilities. The conductive loss often seen in individuals with Down Syndrome can result from several otologic pathologies such as stenotic ear canals, otitis media, glue ear, cerumen impaction, and cholesteatoma (Satwant S. About Sq3r Technique! et al.). Stenotic ear canals refer to buy essay online an external ear canal, the examples of successful personal for graduate school, canal that connects the external ear to buy essay cheap business 406 the middle ear, that has become unusually narrow. If the ear canal is narrow enough it may cause a hearing loss. The stenotic ear canals can present several practical problems, the canals may become easily clogged, and it may be difficult to correctly diagnose middle ear disease in stenotic ear canals.
To be sure of appropriate examination and research paper unit diagnosis, the cheap business ethics 406, canals may require an otolaryngologist to clean the canals before examinations, which should occur every three months to prevent ear infections that may otherwise go undiagnosed and untreated. It should be noted that since ear canals grow with age, the child's canals may widen, and may no longer be a problem after about age three (“Ear, Nose, and Throat and Down syndrome – National Down Syndrome Society”). The diagnosis for this is aided by a simple macroscopic examination of the canal or a standard otoscopic examination. In terms of treatment, a surgeon may remove extra tissue to widen the canal. Another concern is the actual craniofacial and orofacial anatomy of Down syndrome children which may also lead to chronic ear problems. Certain anatomical characteristics may impede the aeration of the middle ear which can lead to otitis media. The outer ear canal normally cleans itself, moving cerumen away from the tympanic membrane towards the Extended | Essay Writing Services, external auditory meatus, but in children with Down syndrome, the canal is abnormally narrow making these processes less efficient and leading to a build up of online cheap business ethics 406 ear wax. This accumulation of dissertation international ca cerumen is made worse by the fact that it may be more copious and harder than normal, and the impacted ear wax may then block the online cheap business, external auditory meatus. There may also be problems with the Eustachian tube which connects the middle ear space to examples of successful personal the nasopharynx. Eustachian tube dysfunction may result in online business ethics, otitis media with effusion (glue ear), which can result in a conductive hearing loss.
Otitis media with effusion does not resolve on proofreading service - SCRiBBR, it's own in business, Down syndrome individuals as it does in others due to the shape of the Eustachian tube. In general, the tube may be narrower and more horizontal than normal and the nasopharynx may be small (Snashall, Susan). Research Description Unit! Also, children with Down syndrome may have hypotonia, also known as low muscle tone, which may cause difficulties in opening and buy essay cheap ethics closing the tube. This can cause an accumulation of negative air pressure in the middle ear space which may result in retention of fluids and about sq3r infection (“Ear, Nose, and Throat and Down Syndrome”). Another concern about Eustachian tube dysfunction is that it will last longer in children with Down syndrome that other children, so an important part of prevention is frequent examinations and consistent monitoring. Otitis Media is a basic term for the infection or inflammation of the spaces in the middle ear (Peterson, Bell 77). Though otitis media is a very common childhood illness, children with Down syndrome are particularly susceptible to cheap ethics 406 ear infection including serous otitis media (thin, watery fluid is present with infection). Proofreading And Editing Service! There are several causes for this; for one, individuals often produce large amounts of mucous. When this is cheap business 406 coupled with immunodeficiency in proofreading and editing, the individual, infection may easily occur.
Also due to immunodeficiency, children with Down syndrome have a higher incidence of upper respiratory infections which can predispose chronic (lasting at least six weeks) otitis media. Upper respiratory infections or allergies may result in a swollen Eustachian tube which may entrap bacteria and may result in online business ethics 406, otitis media. Symptoms of Essays | Essay Writing Services otitis media include ear otalgia, which refers to cheap ear pain, fever, and otorrhea, which refers to discharge of the ear. To diagnose otitis media, an otoscopic examination will often be effective. The doctor will be looking to see a tympanic membrane that is normal in color, pink to gray, and it should be slightly translucent. An inflammed, red or engorged eardrum will point towards infection, as well as a tympanic membrane that bulges outward, retracts inward, or shows signs of perforation. Other options are tympanometry to test the middle ear function and papers test for fluid.
If a child experiences chronic Eustachian tube dysfunction, treatment may include pressure equalization tubes which can eliminate the chronic episodes. These tubes are placed in the eardrum and allow air to enter the middle ear. The downside of the tubes is that they may need to be replaced. For chronic ear infections, anti-biotic medication may also be considered. Glue ear is cheap business 406 also called secretory otitis media or otitis media with effusion. Like regular otitis media, it has a high incidence in Down syndrome children.
A mucous like fluid secretes and dissertation international herald ca gathers in the middle ear, which should only be filled with air, and covers the ossicles, preventing them from moving normally, which results in reduced hearing levels. While glue ear is online cheap business 406 common, Down syndrome provides extra complications to of successful statements school this condition. For one, the glue-like substance is stickier which makes it more difficult to wash and prone to infection. Again, anatomy may affect the condition because if the Eustachian tubes are narrower and more horizontal, it will be difficult for the Eustachian tube to let the middle ear drain. Treatment of glue ear is essential because, if left untreated, glue ear may result in irreversible damage to the middle ear, this may be due to the lack of buy essay 406 motility of the ossicles.
Fortunately, there are three main approaches to treating glue ear: pressure equalization tubes, microsuction, and tonsillectomy, adenoidectomy or both, so there are several options to accommodate individual needs. Sq3r Technique! The procedure to online business ethics inset pressure equalization tubes is called a myringotomy operation and refers to the small cut made in the tympanic membrane which may also be done as a separate procedure. It is generally performed with the patient under a general anesthetic. If the international, fluid is buy essay online cheap business ethics very viscous a cut will be made to let air into Extended Writing the middle ear space while the other cut drains the fluid. Pressure equalization tubes go through the tympanic membrane, relieving the often painful pressure of the fluid against the eardrum, and allow for the fluid in the middle ear to drain into the external auditory canal. The tube is held in place by the tension in the tympanic membrane.
The pressure equalization tubes will be pushed out of the tympanic membrane after a few months to a year of buy essay cheap having them in place, but if they are placed correctly they are extremely effective, allowing the fluid to leave the middle ear space. Examples For Graduate! If an adenoidectomy is to be performed as well, it will probably be during the same surgery. Buy Essay Cheap Business Ethics 406! Adenoidectomy removes the adenoids if they are enlarged. Removal may be beneficial because it is abstracts international herald ca behind the adenoids that glue ear may reoccur after pressure equalization tube placement. Buy Essay Cheap 406! Another option is microsuction, which involves inserting a needle through the tympanic membrane and using it to draw out the fluid. The upside to this procedure is that the abstracts international, fluid does not end up in the external auditory canal and buy essay cheap business 406 have to be cleaned, which is especially helpful in children with Down syndrome with narrow canals. The downside of description microsuction is that it often requires several procedures. Like glue ear, cerumen impaction is a very common otologic pathology, and it has a high incidence in individuals with Down syndrome. It is cheap a common cause of conductive hearing loss. Ear wax is meant to protect the personal statements for graduate school, skin of the canal, especially when it is buy essay online cheap ethics 406 filled with water. Normally, the examples of successful personal for graduate, wax should move towards the opening of the ear it is buy essay online ethics 406 easily washed away.
As mentioned before, individuals with Down syndrome often have cerumen that is abnormally hard or thick and accumulates quickly in a narrow ear canal and may quickly block the canal with partial or full occlusion. This may result in a reversible conductive hearing loss. I n “a study of 107 children with Down syndrome who were referred to otolaryngologists showed that 39% had stenosis of the external auditory canal frequently complicated by cerumen impaction” (Roland et al. 52). Thesis Proofreading And Editing Service! The combination of the accumulation of thick cerumen and auditory canal stenosis can quickly lead to business ethics a conductive hearing loss. The symptoms of impacted cerumen are earaches, the sensation of examples 4th grade papers plugged ears, tinnitus, and some hearing loss. To remove the buy essay online business ethics 406, ear wax, oil can be used to soften the cerumen. Extended Services! This may also be done as a preventative measure. Many cases of cerumen impaction may be treated at home, but in business, cases of auditory canal stenosis, the family may have an otolaryingologist remove the wax. Irrigation of the ear canal may also be effective, but irrigation should never be performed if the examples 4th grade research, tympanic membrane may be perforated as this could lead to acoustic trauma or otitis media.
Cholesteatoma are benign ear cysts, and, specifically, they are accumulations of squamous epithelium and karatin material that usually accumulate around the middle ear and mastoid and form a “progressively enlarging and destructive cystic lesion” (Issacson 604). The cholesteatoma may continue to enlarge to the point where it will destroy bone. If untreated, lesions may break through the temporal bone and apply pressure to the brain, which may result in infection that may, in turn, lead to intercranial abscesses. Individuals with Down syndrome are more at risk for developing cholesteatoma because they may have some of the conditions that put individuals at risk for developing the buy essay cheap business, cysts such as “middle ear diseases, eustachian tube dysfunction, prior otological surgery, traumatic blast injury to ear, and congenital anomalies” (“Cholesteatoma”). If an individual complains of herald otorrhea (discharge from the ear) or hearing loss, an otolaryngologist should realize that cholesteatoma might be present (Bacciu et al.). Cholesteatomas may cause irreversible hearing loss but fortunately, most incidences may be cured through surgery. The surgery's outcome depends on the size of the cholesteaoma when it is diagnosed. For children, it is important that lesions in the tympanic membrane are diagnosed by cheap ethics 406, a pediatrician and that the child is then referred to an otolaryngologist.
The cholesteatoma will be first noticeable as a round cyst, white in about technique, color, that can be seen behind the tympanic membrane, which is still in tact. If the cholesteatoma goes unnoticed, it will grow and the middle ear space will have a large white mass that bulges outward. A cholestatoma may be congenital or acquired. As they enlarge, the normal variegated appearance of the middle-ear space disappears, replaced by a bulging white mass. In the early stages of the cholesteatoma, it is unusual for the tympanic membrane to be perforated and for drainage to occur. These incidents most often come months or years after the onset of hearing loss which helps emphasize the importance of early detection (Issacson 607). A 2005 study by Bacciu, Pasanisi, Vincent, et al., was conducted to “document the 406, surgical treatment of cholesteatoma in subjects with Down syndrome” (Bacciu et al.
1007). This study exemplified some of the methods used to treat cholesteatoma as well as the examples research, challenges inherent in the treatment of this otologic pathology for Down syndrome individuals. Buy Essay Online! They followed nine pediatric patients that were being surgically treated, and two of the patients had cholesteatoma in both ears (bilateral), which brought the total of ears being treated to 11. Two of the ears underwent a canal-wall-up mastoidectomy, while eight ears underwent a canal-wall-down mastoidectomy. Essays | Essay Writing Services! Mastoidectomy refers to the removal of an infected section of the mastoid bone. Online Cheap Business 406! One ear underwent a modified Bondy procedure, a modification of the mastoidectomy which entails exteriorizing the mastoid cavity leaving the pars tensa and about sq3r technique ossicles intact. The outcome of this study was that one of the ears that underwent the canal-wall-up mastoidectomy was found to have reamaining cholesteatoma present. Another ear, after the same procedure, developed recurrent cholesteatoma which necessitates a change to a canal-wall-down mastoidectomy. Another patient's neotympanic membrane became perforated and had to buy essay cheap business be repaired.
This study demonstrated that cholesteatoma can be difficult to completely eradicate in about, a patient with Down syndrome, and an emphasis should always be put on early diagnosis and prevention especially in light of the challenges presented by buy essay online cheap business ethics 406, the orofacial and craniofacial anatomy of children with Down syndrome. Des pite the fact that conductive hearing loss is 4th grade more prevalent than sensorineural hearing loss in indi viduals with Down syndrome, they are more likely to more likely to “have congenital permanent inner ear hearing loss than the general population (which has an incidence of cheap 1:1000)” (Snashall, Susan). One of the reasons this happens is examples school because the Cochlear hair cells may be absent. If the hair cells are present, they may still be subject to early degeneration. Once they reach their teenage years and after, they have a good chance of cochlear degeneration occurring. Hearing aids are often looked at as a viable option for even mild loses and amplification plays an important role in treating hearing loss in children with Down syndrome because it is probable that even a mild loss will have a strong impact on the development of their language. This is a severe concern, so hearing aids are also often recommended for conductive hearing loses that may last for over a few months.
Hearing aids are also used with Down syndrome adult individuals who are living with early onset dementia because the loss may significantly affect their cognition skills. There are special considerations to take into online cheap business account when Down syndrome individuals are to receive hearing aids because their ears tend to be smaller. It may also be that hearing aids are not appropriate for about technique a child and a classroom FM system may be implemented instead. For cases of sensorineural hearing loss, recruitment is nearly always concomitant with the loss. Recruitment refers to the perception that the level of sound drastically increases for specific frequencies and becomes too loud too quickly and causes pain. It follows, then, that recruitment may lead to sound intolerance. Buy Essay Online Cheap Ethics 406! This concern will be reflected in the prescription for the amplification devices. Down syndrome is the most commonly occurring chromosomal condition, and research into improving the quality of life for people with Down syndrome is, of Thesis - SCRiBBR course, incredibly important. It may be easy to underestimate the impact that a hearing loss may have on an individual's quality of life, especially in children when even a mild loss can be devastating to their speech and language development, but hearing is a critical skill for online 406 communication which is an integral part of a good quality of life. Thus, the treatment of otologic pathologies and hearing loss in paper unit, Down syndrome is of the greatest concern to giving individuals with Down syndrome the quality of business ethics life they deserve.
Bacciu, A., E. Pasanisi, V. Vincenti, D. Dissertation Herald Ca! Giordano, A. Caruso, L. Lauda, and online ethics S. Bacciu. Research Paper Description! Surgical Treatment of Middle Ear Cholesteatoma in Children with Down Syndrome. Otol Neurotol 26.5 (2005): 1007-10. Print. Board, A.D.A.M.
Medical Encyclopedia Editorial. Wax Blockage: Causes, Incidence, and Risk Factors. PubMed Health . U.S. National Library of buy essay online cheap 406 Medicine, 18 Nov. Web. 10 Apr. 2012. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001974/. Cholesteatoma. Thesis Proofreading Service! Bestpractice.bmj.com . BMJ Evidence Centre, 2011. Web. Ethics 406! 13 Apr.
2012. Down Syndrome. - Genetics Home Reference . Genetics Home Reference, 2008. Web. 9 Apr. 2012. http://ghr.nlm.nih.gov/condition/down-syndrome.
Down Syndrome Fact Sheet - National Down Syndrome Society. Examples Of Successful Personal Statements For Graduate! Ndss.org . National Down Syndrome Society, 2012. Web. 10 Apr. 2012. http://www.ndss.org/en/About-Down-Syndrome/Down-Syndrome-Fact-Sheet/. Ear, Nose, and Throat and Down Syndrome - National Down Syndrome Society. Ndss.org . National Down Syndrome Society, 2012. Web. Cheap Business 406! 13 Apr. 2012. http://www.ndss.org/en/Healthcare/Associated-Conditions/Ear-Nose-and-Throat-and-Down-Syndrome/. Fogle, Paul T. Foundations of examples of successful personal statements school Communication Sciences Disorders . Clifton Park, NY: Thomson Delmar Learning, 2008.
Print. Hassman E, B. Skotnicka, A.T. Online Cheap 406! Midro, and M. Examples 4th Grade Research Papers! Musiatowicz.Distortion Products Otoacoustic Emissions in Diagnosis of Hearing Loss in Down Syndrome. International Journal of Pediatric Otorhinolaryngology. 45.3 (1998): 199-206. Buy Essay Online Ethics! Print. Issacson, Glenn. Diagnosis of Pediatric Cholesteatoma. Pediatrics Vol. 120.No. 3 (2007): 603-08.
Print. Kattan, H.A., R.F. Jarrar, and Z.Z. Mahasin. A Pilot Study of the Relationship Between Down's Syndrome and Hearing Loss. Examples 4th Grade Papers! Saudi Medical Journal 21.10 (2000): 931-33. Print. Pappas DG, C. Flexer, and L. Shackelford. Otological and Habilitative Management of Children with Down Syndrome. Laryngoscope 104.9 (1994): 1065-70. Print.
Peterson, Miles E., and online cheap business ethics 406 Theodore Scott Bell. Foundations of Audiology: A Practical Approach . Upper Saddle River, NJ: Pearson/Merrill Prentice Hall, 2008. Print. Roland, Peter S., Timothy L. Smith, Seth R. Schwartz, and Richard M. Rosenfield. Clinical Practice Guideline: Cerumen Impaction. Otolaryngology - Head and Neck Surgery , (2008): 1-21. Extended Essays | Essay! Print. Sacks, Ben, and Amanda Wood. Hearing Disorders in Children with Down Syndrome.
Down Syndrome News and Update 3.2 (2003): 38-41. Cheap 406! Print.