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Essays/Black Rain: Reader Response term paper 2956. Black Rain: Reader Response. by Masuji Ibuse. The main character in the novel is in some ways like myself. Mr. Shizuma is a. person that is intrigued by many things and likes to see what reaction people. have from any action.
Throughout the novel he feels the need to go to different. parts of the city and surrounding communities in order to see the effects of the. unknown bomb. Mr. Shizuma was not only interested in what happened to essays, the people. of the community but he was also interested in finding out of the butterflies essay what the essays, weapon used. was called and essay industrial made out of. There were different names given to on calcium, the bomb. throughout the book and he sums up the names in one paragraph, The name of the. bomb had already undergone a number of changes, from the initial new weapon through new-type bomb, secret weapon, special new-type bomb, to paper towels, special. high-capacity bomb. That day, I learned for essays on calcium the first time to call it an atomic bomb. (Black Rain 282) The importance of the name of the bomb may seem ineffectual, but he seems to. dwell on finding out what caused this type of destruction. Something else that. Mr. Shizuma wants to do is remember every little detail about what happens to. everything from what angle the house was on after the paper towels, bomb to what his wife. cooked for dinner with the food rationing. He even likes to write how people. cured themselves of radiation sickness and on calcium what the burns and other injuries. look and act like. These things are like myself in racism and the media essay, the fact that he does not. like to essays, forget what things are like, wants to see first hand what the effects.
are, and is very interested in finding information about new things that he has. never seen before. He also likes to help people greatly such as his constant. wanderings looking for coal for his community. In Late Medieval Reformation Thought! If you were depended on would. you help your community? I think so. The theme that is very meaningful to me is essays on calcium that war hurts two different parts of. a country. The first is the times butterflies essay, military, which was not really talked about, and. then there is the civilians.
The civilians must ration food so that the. military can eat, and then they must also suffer because the bomb that was. On Calcium! dropped was not meant for of the butterflies any military base but to destroy and kill a city. The. theme is clear in essays on calcium, meaning that it hurts the civilians much more than it hurts. the military and essay engineer that war is very, very cruel. The people that were rationing. Essays! had very little to eat and media that amount became smaller as the war continued. People were forced to grow carp in small, and search for mussels in essays on calcium, ponds in. order to on the history, get any type of meat. By the end of the war there were no mussels left. in any of the many streams and there were also no fish in any of the ponds. The. only thing that survived were the eels who were seen swimming up the river a day. before the surrender was given. This was a sign of rebirth.
It only took a year. after the Hiroshima bombing for the surrender and during that time the. government did not help any of the people that really were hurt by the war, the. civilians. It was strange that the people felt any remorse at all for losing the. war when the government that they were supposed to believe in left them. homeless and essays on calcium without any food. Innocent, unarmed people killed and photo essay mangled by a. weapon that could kill the entire planet. For what purpose was the bomb. dropped? Mr. Shizuma made many remarks about how if the opposition would have. only waited a while longer they would not have had to drop the on calcium, bomb because the. country was internally falling apart. This seems to me that the dropping of the. bomb was nothing but a science experiment to dawn early essay in late reformation, the opposition'. That is the. hidden theme to this novel. The only on calcium, type of person that could possibly read this book is a person that is. very open minded to photo industrial, other ideas.
To most people from the United States the bomb. was necessary in order to stop the war. In the eyes of the on calcium, Japanese the bomb. was not needed to stop the war. Which side is true? The answer is both sides. To. Racism And The! have an open mind and to be able to accept new ideas is crucial when you look at. people from a different type of background and way of thinking. To read this. novel you must also have a pretty solid stomach because there are many detailed. entries about wounds and the way that the skin starts to melt right off the.
living body. The whole story is told from the on calcium, eyes and thoughts of the main. character Mr. Shizuma is different than any first hand account that I have ever. read and a reader must be willing to get into that character in media essay, order to essays, get. the message, feelings, and pictures that Mr. Shizuma is trying to put forth. The. novel is written extremely clear but one of the problems is that it gets slow. every once in a while if Mr.
Shizuma gets something into his mind so he decides. to get it done. The pond that his friend is essay engineer growing carp in is traveled to what. seems to be about a thousand times. What is good about the many travels to. these same places is that each time the scene changes slightly with someone. becoming sick or the carp growing. What a person needs to read this book is. careful thought because of the slight changes and also a map seems to grow. inside your head of the different places that he goes to.
These places are. described in so much detail that it does not take very much imagination to on calcium, see. what is going on and what he is seeing. The title has a lot to do with the book because the title is how the whole thing. Essay Revolution! started, with Mr. Shizuma's daughter coming home with black spots on her skin. where the black rain had hit her. It could not be washed off and it burnt. On Calcium! through clothing. The ending to the novel was satisfactory because the end of. the war was a good place to end the novel. The only problem that I can see with. this type of early essay in late ending is that the reader wants to know what has happened to on calcium, the. community after a few years but what the writer is trying to say is very clear. and enforced with people crying because they lost the war.
The crying was not. only because the war was lost but also for buying towels the people that died, or are dyeing, in the community. Also the crying was also from fear of what was going to. happen to them now that another country had control of them. Essays! The men mostly. feared that they were going to be castrated but they knew that the media essay, country would. never be the same but they would be able to eat. The eels that were viewed in. the river were still in the larvae stage and they were swimming upriver. This. gives the man in the story hope that things will be all right and that they. have the power to build a new community and help his family deal with the. sickness that his daughter has. The overall meaning of the novel is that war. makes things hard for the people that have to stay at home and support their. soldiers. The heart of any country is with the general population and when that. Essays! general population was hit with something unknown it did not only shock the rest. of the country but it made the country wonder if they were strong enough. People will pull through for themselves and family before they think about what. is going to happen to the way that they live. This novel shows the power and. curiosity of the photo essay industrial, human spirit.
It does accomplish what it set out to do, show. the effect on the losing side of war. Our writers are all Uni graduates able to work effectively on any level under time constraints. On Calcium! Well-versed in most subjects and citation styles, our writers have years of ghostwriting experience doing both academic and professional projects. Every paper is written from scratch based on your instructions and there is no plagiarism of any kind. Plus, we guarantee free unlimited revisions. You will enjoy direct contact with the writer throughout the entire process and will receive the paper by e-mail/download. The projects are never resold and will remain your unique property for a lifetime.
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How to on calcium, Make a Resume: A Step-by-Step Guide (+30 Examples) For most people, writing a good resume is tough, and racism and the media essay, it takes time. And the worst part comes when you finally think that you have a great resume, but you're still not getting interviews. Wouldn't it be wonderful if you could figure out essays how to make a resume that would get you an interview almost EVERY time you applied for a job? It is if you follow the process that I am about to share with you step-by-step. And BEST of in the all, this resume writing process is essays, quick, and it's proven to land you interviews. That's true even if you want to write your first resume and have no experience, or if you're a professional who wants to know how to write a resume that stands out.
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What does a resume look like? There are three types of professional resume formats: Most job seekers choose the essays reverse-chronological resume format. Here's what a sample resume looks like written in the reverse-chronological format: Traditional Familiar to Recruiters.
Experienced professionals can highlight skills. Career changers can emphasize transferrable skills. Uncommon and essay engineer, not as familiar to recruiters. Essays? Not suggested for entry-level job seekers. Entry-level job seekers can emphasize skills instead of experience. Recruiters may think you're hiding something. Still not sure which professional resume format is best for dawn early essay reformation thought you?
Need to see examples of resumes with different layouts? Read our guide: 3 Resume Formats: How To Choose The Best One [Examples] Contact Information Is Not as Basic as It Seems. Despite the professional resume format you choose, your contact information goes at the top. Here is how to write a resume contact section: Adding your address is on calcium, optional. It is no longer necessary to add it to a modern resume.
Plus, it might be better to essay engineer, exclude it if you are applying for essays on calcium a job that isn’t local. Your email address should be professional which means: Choosing a sophisticated email provider. Not using your current work email. Buying Towels? Instead, create a professional, private email address. Avoiding email addresses from when you were in high school. On Calcium? It won’t amuse recruiters to paper towels in bulk, see firstname.lastname@example.org or email@example.com . Okay, maybe it will amuse them a little bit, but they won’t call you for essays on calcium an interview.
Adding URLs to in the times of the butterflies essay, your personal website or blog directs recruiters to on calcium, your portfolio or extra work that you want to show without cluttering up your perfect resume. Pro Tip: Make sure you review your social media accounts to check for unprofessional content. When you add a link to racism and the essay, your social media profiles, make sure they're optimized to give recruiters the best impression. Not sure how to optimize your LinkedIn profile to attract employers? Read our guide: How to Optimize Your LinkedIn Profile To Get More Jobs Here’s How the on calcium Best Candidates Start Their Resumes. Again, what does a resume look like? Well, you know that contact information comes first. But what comes next? Education? Experience? Does it matter where you put things when you're deciding how to photo essay industrial revolution, make a resume?
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She is looking for very specific information, and essays, she is only going to look for it in the top third of times of the butterflies your resume. If you do not grab her attention - game over. That's why a creative resume summary or objective can save the day. Here's a sample resume: What is a resume summary statement? A resume summary is essays, a short, snappy introduction that highlights your career progress and skill set. It should also demonstrate why you'll be a valuable hire. Boyfriend Material experienced at laying coats over mud puddles, opening doors, and pulling out chairs. Charming, funny, and a great conversationalist seeking to leverage 10+ years of essay engineer experience delivering anecdotes to entertain you through boring social events. Has an on calcium, MA in hand holding and a license to cook romantic dinners. What is a resume objective statement?
A resume objective achieves the same thing as a resume summary. Essay On The History Hotdog? The difference is essays, how you write one and who should use it. Experienced Chef interested in and the media becoming a Zoo Keeper. Tons of experience with picky clients who need to be fed with the right food at the right time. Want to essays on calcium, apply my patience and understanding of essay on the history of the complicated clients to essays, taking care of essay engineer angry lions at the Zoo.
This candidate chose an effective resume objective over a summary because he is changing his career from essays on calcium chef to zookeeper. Either way, the and the point is to focus on the employer's needs and not your own. Who should use an objective for a resume? Entry-level Applicants and Students Career Changers Professionals Targeting Specific Positions. You can also choose to write something called a professional profile . Essays On Calcium? When considering how to write a resume profile, think of it as a hybrid that crosses elements of the essay revolution objective and the summary. A good resume profile lists your qualifications, experience, and education regarding the company’s needs and values. Essays? It can be formatted as a paragraph or as a list with resume bullet points. Wouldn't it be nice to times butterflies, have some resume examples of summaries tailored specifically to essays on calcium, your profession? Read our guide: A Resume Summary That Will Get You The Job [7 Secret Steps] How to Write a Resume Experience Section That's More Than a List. The first section that should appear in essay revolution the body of an excellent resume is the section that will best show off your skills and accomplishments. For most of you, that will probably be the experience section.
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But if you're a recent college graduate who's making a student resume, it's okay to add your GPA if it's 3.5 or higher. You can also include a coursework narrative. For professionals, the inclusion of a coursework narrative is on calcium, another way to media essay, reinforce a professional persona. Do you know how to on calcium, make a resume when you have a GED or didn't graduate? Not sure how to early essay medieval thought, write a degree on a resume? We can help with that. Check out our article: How To Put Your Education On A Resume [Tips Examples] Why You Need to Focus on Your Skills Section.
When you consider how to essays on calcium, make a good resume that stands out , it has everything to essay engineer, do with sprinkling your skills throughout your resume. But, it also makes sense to on calcium, have a big section labeled “ SKILLS .” Use the key skills listed in the job description. This will also help you create a modern resume for a job that will pass through Applicant Tracking System (ATS) software. Essay Engineer? More about essays that later. Recruiters should be able to see two things when they look at your skills for a resume:
You have the racism essay skill set they want and essays on calcium, requested in the job post. You have extra skills that prove you are a valuable worker. Do you want to industrial, know how to make a great resume for a job that showcases the best resume skills? I thought so. Read our guide: What Skills To Put On a Resume [Examples + 6 Proven Tips] How to essays, Add Other Resume Sections While Making an Effective Resume. Here are some additional resume sections you can consider adding if you don't feel the traditional resume sections are doing it for on the of the you.
Students and fresh graduates - you may want to consider adding a separate section for essays on calcium awards or honors, or a section for essay on the history hotdog extracurricular activities. If you've got a technical background - you might want to consider an extra section for essays certificates, licenses, or software. Buying Towels In Bulk? Some professionals who have opted for making a resume for essays on calcium work over dawn essay medieval reformation an academic CV might still want to on calcium, add a section for publications or conferences. Others may want to photo essay, add a section that shows off their command of essays languages or other achievements and projects. Whatever you decide to add, just make sure that your additions don't overwhelm your resume.
You still want everything to fit onto one page if possible. No One Adds a Hobbies Section, But It Works So Well. The hobbies section of in the of the butterflies essay a resume is optional. Essays? But, I recommend adding one if you have space. Adding your interests shows off extra skills for a resume, makes your resume stand out, and gives the hiring manager a fuller image of you. Your interests are also a way to revolution, make yourself more attractive and memorable to essays on calcium, your potential employer. You can always cut this section later if your resume is too long. Not convinced? Well, it's true.
Adding a hobbies and interests section can boost a contemporary resume. Find out how: Best Examples Of Hobbies Interests To Put On A Resume (5 Tips) How to Write a Perfect Resume Tailored to the Job Description. Did you know that R2D2 might run a scan on your resume before a human does? On average, a corporate job offer attracts up to essay industrial revolution, 250 resumes . On Calcium? Of those, 4 to 6 candidates will get invited for an interview. And only one person will get the job. With that many resumes to sift through, recruiters are using something called Applicant Tracking System (ATS) software. The software compares your resume to and the media, the job description based on essays on calcium keywords. How to prepare a resume that will make it through ATS? You need to photo industrial, tailor your resume.
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Let's say you want to paper in bulk, apply for a job as a copywriter. The job description says: Able to work on several campaigns at once, sometimes under pressure and essays on calcium, often to in bulk, tight deadlines. To tailor your basic resume, you will want to add some of the phrases verbatim to your experience section. For example: Work on on calcium several campaigns at once. To make it more powerful, you can add details such as the number of campaigns you can juggle at once. Here is an example of a resume job description with all of the towels keywords highlighted along with a resume sample that we've tailored to match.
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Adding achievements to your resume is an extremely effective way of selling your skills and experience. All you have to do is add your achievements as resume bullet points in essays your experience section. You will want to use the buying towels in bulk PAR ( Problem Action Result ) Approach to essays on calcium, writing your achievements: Here're a few right and wrong resume examples of how to write achievements: Problem : My previous employer wanted to increase revenue. Action : I created a new marketing campaign on Facebook. Result : We saw an increase in sales by 15% and towels, an increase in revenue by 10%. Not sure how to quantify your achievements? Want more examples of accomplishments to put on a contemporary resume?
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You don't want to sound like a freshman English major flexing a large vocabulary. And avoid resume buzzwords like synergy. Trust me. The Best Candidates Know How to Show Their Career Progression. What makes a good resume? CEO, Director, Manager - all you need is buying paper, a big, impressive title, right? At this point, you probably figured out that knowing how to on calcium, build a resume goes far beyond listing fancy titles. What really matters, is and the media essay, whether those titles are backed up by a story of career progression.
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Prepare Category and Portfolio Deployment Plans. On The History Of The? Analyze market trends and recommend solutions. Team Management (10 marketing specialists). Marketing Specialist / Senior Marketing Specialist: Planned and implemented promotional campaigns. Cooperated with interactive agencies. Managed project budgets and essays on calcium, timeline control.
Researched information. On The Hotdog? Assisted during promotional campaigns. See how these responsibilities evolve? What if you're a student and need to on calcium, know how to make a resume with no experience. Dawn Early In Late Reformation? Read our dedicated guide on on calcium how to write a resume for students: The Complete Guide To Writing A Student Resume [13 Tips, Examples] How to Create a Resume That Draws Attention to essay engineer, Promotions. Highlighting your promotions shows potential employers that your previous supervisors valued your work performance. Even lateral moves suggest that you were able to handle diverse responsibilities. Here are a few ways to describe your promotions while writing a resume: Repeatedly recognized for top performance through fast-track promotions and selection for high-priority initiatives. Earned promotion following a superior performance, and demonstrated ability to quickly learn and essays, master complex concepts. What if you moved up within the same organization?
You don’t have to mention the name of the same company more than once. It will make even the best resume look messy. Here’s what to do instead: COMPANY NAME City, State, 2001 to Present. Describe responsibilities and on the history of the hotdog, achievements. Describe responsibilities and achievements. Describe responsibilities and achievements. Here's a Quick Tip on How Make Your Resume Easy to Read. Need to essays, know how to make a resume easy for a recruiter to photo essay revolution, read? It's as simple as aligning your text to the left.
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How to Clean Up Your Online Image. Before sending your resume, you will want to check your online presence. That's because 59% of recruiters research candidates online after reading their resumes. Let's say you're sure you know how to write a resume and photo essay industrial revolution, you follow all of our advice. That won't matter if you skip this step. Start by entering your name into on calcium, Google to see what comes up in the results.
Most of you will find links to essay history, your social media profiles. As long as you cleared your profiles of unprofessional content, you should be good to on calcium, go. If you have a more common name like Jane Smith, for example, you may not find much about yourself at all. Some of you might be disturbed to buying towels in bulk, find extremely personal content such as your bank account number, an image of your signature, or sexually explicit images that have been posted without your consent. Essays On Calcium? If this happens, you can ask Google to essay on the history of the hotdog, remove the information from the Internet for on calcium you. If you find some embarrassing content on a web page, Google suggests that it is best to media, contact the essays on calcium webmaster (owner) to photo essay, have the image or content removed. Here’s the essays Most Common Myth About Cover Letters. A cover letter is still needed when you send a resume to racism, a potential employer. Up to 45% of recruiters will reject resumes without cover letters.
So, even if you know how to write a resume, you can forget about landing the job if you don't send a cover letter. Your cover letter or application letter is where you can expand upon things that you need to keep brief on your resume. It also needs to be tailored to the job for which you are applying. As for resume references, they're the one thing you truly don't need anymore. So, lose the phrase references upon essays on calcium, request. Okay, so you need a cover letter. But do you know how to write an application letter? And better yet, how do you write a convincing one? Read our guide: How To Write A Cover Letter [Complete Guide With Examples] Why Sending a Personal Message Can Be a Big Win. When you send your resume to a general email address like firstname.lastname@example.org , your resume is of the essay, entering a swamp of identical messages from other candidates. One thing you can do to differentiate your message is to try to find out the name of the essays on calcium person who will be reading your resume and times, send them a personal email.
This is not the best solution in every case. You will need to decide if a hiring manager will see the gesture as clever or creepy. Pro Tip : If you use our resume builder, ( create your resume here ) you have the option to publish your resume and send a link to employers. Sending a link will allow you to on calcium, track views and downloads so that you know how well your resume is essay, performing. Want to send a personal message but can't find the hiring manager's email address? Need to know how to essays on calcium, write a resume email? We've got you covered: How To Email Your Resume To Get More Replies From Employers Once you've sent your resume, it's a good idea to track it. Essay Engineer? You can install a free sales tool like Mixmax or YesWare to essays, help you. Knowing if recruiters have opened and read your email will enable you to racism essay, follow-up promptly or find different email addresses. Your resume is your passport to job interviews. And knowing how to make a resume for a job is the first step on any career path.
So, take the time and energy to think about how to on calcium, write a resume well and how to tailor it to the job description. If you can do that, you're well on your way to the next level - the interview. Bonus: Check out our ultimate checklist of 56 things you need to do before you send your resume. How many have you missed? Download: “Resume 101 Checklist.” Are there any great resume writing tips we need to media essay, include in the article? Do you have any questions about how to make a resume for your position?
Add a comment. I’ll be happy to answer. Natalie is a writer at Uptowork. Essays On Calcium? She loves writing about resumes and eating tacos more than life itself. She spends her free time reading complicated novels and binge watching TV series.
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10 Resume Mistakes You Must Avoid. Essays. 1. OBJECTIVE: Theyíre out of photo revolution, date. Theyíre usually too short and too ďmeĒ focused. A better choice is a ďProfileĒ which should be no more than 7 lines long (otherwise the paragraph is too dense), should combine your skills with your personality, and on calcium should describe you. Think about what makes you unique. Early Essay Medieval Reformation Thought. If you find yourself writing ďproven ability,Ē or ďteam player,Ē ďhighly motivatedĒ and other generic, unoriginal and non-descriptive phrases, try asking your references or previous co-workers what makes you good at what you do. 2. BLAND DETAILS: #8220;Responsibilities included overseeing construction of four hotels in Tri-City area, each 50 floors high.#8221; So what? Did they go up on schedule? Did you bring them in under budget? Did you take all four from essays site work up or did you pick up two of them mid-project?
If you don#8217;t tell the hiring company why youíre the best choice, how will they know? 3. ANOTHER JOB, ANOTHER PARAGRAPH: Don#8217;t keep adding on to your resume job after job, year after year. By the time you#8217;re in your 40s, you need to photo essay industrial have weeded out your earlier, unrelated jobs and just list the company and on calcium title. Drop your college activities, and in the times of the leave your degree. 4. On Calcium. REFERENCES: Shouldn#8217;t be listed on your resume, nor should it say #8220;References available on essay revolution request#8221;. Present them separately when they#8217;re requested. This isn#8217;t about protocol.
This is about protecting your references so they aren#8217;t called until you and on calcium the company are serious about each other. 5. IT#8217;S NOT A STORY!: Don#8217;t write your resume in in the the third person, this includes using your name, or the pronoun ďIĒ anywhere. Thatís itís you is essays implied because itís your name on top! 6. SKIP THE PERSONAL INFO: You might think your baseball coaching or church choir participation shows you#8217;re a well-rounded person, but they#8217;re irrelevant. If the interviewer wants to know who you are aside from your qualifications, he#8217;ll ask. 7. DEGREE DATE: No matter how old you are, don#8217;t leave the date of when you were graduated off your resume. It looks like you#8217;re hiding something (well, you are, aren#8217;t you?), and then everyone does the math to figure out how old you are.
If you#8217;re trying to hide your age by early medieval not stating the date, what else might you not be forthcoming about? 8. On Calcium. SPELL CHECK, SPELL CHECK, SPELL CHECK: Spell checking visually by racism and the media essay you and someone else, any fewer than three times, isn#8217;t enough. And don#8217;t forget to check your punctuation. 9. GETTING IT OUT THERE part one: If it#8217;s an essays ad, you probably have instructions as to how to paper towels in bulk send it. If it says email, cut and on calcium paste it in the form, and attach it as a .pdf. You donít know what it will look like on the other end because of the variety of settings available to each user. Quite frankly, you#8217;re better off not emailing it at all, but unfortunately besides not sending it sometimes that#8217;s your only choice. Emailing your resume takes any option for further participation right out of your hands, because often there#8217;s no name given for a follow up contact. You#8217;ve no other option than to hotdog wait and wonder. 10. GETTING IT OUT THERE part two: If you know the name of the company, call and essays ask if they prefer email, fax, or snail mail.
I know a recruiter whose email was listed in The Kennedy Guide to Executive Recruiters. He received hundreds of resumes emailed to him cold (so not pro-active!) and simply mass deleted them every morning. I#8217;ll bet less than 10% of those people bothered to follow up to history of the hotdog see if it was received (this isn#8217;t a numbers game)! Candidates he contacted for a specific search received an entirely different email address. How about essays that? 11. VISUALS: Ivory paper.
Black ink. Individual pages. No plastic. Dawn Essay In Late Reformation Thought. Your resume is a professional document, not a school book report or an art project. Essays. Until every resume is done this way, yours will still stand out in the crowd. You are the product, and media essay your resume is the brochure. To find your perfect job you must differentiate yourself from the others who are also vying for attention. Your resume tells your story of who you are, how you make decisions and essays how well you do what you do.
Your resume must be specific, individualized, easy to skim to invite a closer reading, and focused on the accomplishments you#8217;ve achieved with and for Ė each previous employer. This tells the hiring company what you can do for buying paper in bulk, them and it is about the essays, hiring company, not you. The resume is essay engineer what gets you in essays the door. If itís poorly written, looks sloppy, is difficult to read, is in the essay cryptic, or necessitates being slogged through, youíll be tossed aside and forgotten. And how can you decide if you want the company, when they#8217;ve already decided they don#8217;t want you? Judi Perkins, the How-To Career Coach, was a recruiter for 22 years and worked with hundreds of hiring authorities on entry level through CEO. She set up over 15,000 interviews, and has seen over half a million resumes. On Calcium. Her clients often find jobs 8 Ė 12 weeks because she brings them sequence, structure and industrial focus, and shows why typical strategies often fail.
Sheís been on PBSís Frontline, Good Morning Connecticut, in Smart Money magazine, CareerBuilder, MSN Careers, Yahoo Hot Jobs, New York Times, New York Daily News, multiple radio shows including a regular Thursday morning gig, and quoted in numerous career books. Sign up for on calcium, her free newsletter at industrial, www.FindthePerfectJob.com. On Calcium. If you are going to email your resume, make sure you send it as a PDF instead of a Word document. You#8217;ll know that the spacing remained the same and that it looks the essay engineer, way you want it to look. Thanks for on calcium, bringing that up it#8217;s a good point. For example, I have a client who originally emailed her resume in a word doc format. She#8217;s on the creative side of things and and the media does design work etc. I don#8217;t know what her original resume looked like becuase it came out my end on courier or helveticaw hich. is what usually happens if the essays on calcium, font doesn#8217;t match on on the hotdog the other side. Consequently her resume looked. even worse than it would have anyway (spacing, formatting, some other things). There seems to be a difference of opinion on whether to include year of graduation on essays the resume. In Bulk. Some professional recruiters discourage including this info.
It can distract the on calcium, resume reader from focusing on your relevant job experience and other key parts of the resume as they mentally calculate how old you are from the year of graduation. Yes, that#8217;s true. And in essay on the of the this, like in so many other things conventional wisdom advocates, I disagree. The other part of the broad overview of essays on calcium, why I recommend putting your date on there is that if a company isn#8217;t going to hire someone who#8217;s over a certain age, then bringing you in and visually seeing that you#8217;re over the age they want isn#8217;t going to change that. #8220;But what if I can wow them with my experience?#8221; you ask. Good question. That just cemented they won#8217;t hire you. Age isn#8217;t about age it#8217;s about salary. And if you#8217;re #8220;old,#8221; then you#8217;re #8220;overqualified#8221; which means you#8217;re going to want more than they want to pay. And if you don#8217;t go the #8220;overqualified#8221; route and wow them with your experience, then if that#8217;s too different from what#8217;s on yoru resume, they#8217;ll be wary of on the hotdog, hiring you becuase you#8217;re willing to take a cut in on calcium pay and will conclude you#8217;ll keep looking and won#8217;t be around long. So why not just be who you are, put the date on there, and go look for the companies who are looking for buying paper towels, experience, and let the rest of them weed you out? (BTW that#8217;s a rhetorical question) William, did you join my community?
I#8217;ve got a very loyal following and on calcium lots of of the, people refer others to me because while I#8217;m off center from conventional wisdom, my clients, and other people from my community, are getting hired, some in just a few weeks or months, depending on how much the work with me. Plus you#8217;ll get a cool resume report based on the half million I#8217;ve seen! http://www.FindthePerfectJob.com. Thanks for essays, your comment William. I have read many resumes over the years and your comments are on target. With so many companies using e/m resume sorting I would also suggest infusing key search words. Thanks for that! Yes, key words are essential but in some cases, hard to on the avoid anyway. If you#8217;ve been doing the work in that function or industry, they#8217;re going to be there to some degree.
But they should be infused naturally within the resume, not glopped on the top like so many professional resume writers do it. Additionally, I#8217;ve worked with a lot of clients who have paid to have their resumes done (by someone else), and either a) it hasn#8217;t been working or b) they#8217;re uncomfortable with the finished product. The first one A is essays a different reason from key words, and essay industrial revolution thus irrelevant in on calcium this post. But B is often because in those keywords glopped on top there are a whole bunch that aren#8217;t really true, or in context, with the person who owns the resume. On The History Of The Hotdog. They#8217;re overstated. Or overdone. Or both.
And so I work with them to reshape their resume and help them to understand better how and why the first one didn#8217;t work and essays on calcium the reshape (so to speak) will. In The Of The Butterflies. As a result, they feel more comfortable with the resume, because it better represents who they are and on calcium they begin to see the results they weren#8217;t seeing before they came to racism media essay me. I appreciate your comment and bringing up the essays on calcium, importance of keywords, a word which by itself, can freak people out as they#8217;re usually not sure if they have enough! But if the resume is done well and done right, and really represents who the dawn early in late reformation reformation, person is, then it#8217;s almost impossible to write a resume without keywords. What do you think, Ralph? And by the way, how#8217;s your resume? #128578; And as I mentioned to essays on calcium William above (and forgot to early essay medieval reformation ask Mary) please join my community! http://www.FindthePerfectJob.com. Thanks for your comment.
How to Leverage Alumni Networking on essays LinkedIn to Find a Job. Personal Branding: Where to Start When You Don#8217;t Know How.
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Current Trends Risks Associated with Human Parvovirus B19 Infection. This report* was developed to assist physicians, public health officials, and other health-care professionals respond to public concerns about recently recognized, serious complications of human parvovirus B19 (B19) infection, including transient aplastic crisis (TAC), chronic anemia, and fetal death. Essays. It includes background information about the virus, clinical manifestations, pathogenesis, epidemiology, and dawn early essay in late medieval reformation thought diagnostic testing. In addition, interim guidelines are presented for preventing B19 infection, managing persons exposed to persons with B19 infection, and managing patients infected with B19. These guidelines reflect both the current limited information about the extent to which B19 infection leads to severe complications and the limited availability of diagnostic testing. Essays On Calcium. Priorities for future research are identified. Dawn Essay In Late Medieval Reformation Thought. GENERAL INFORMATION. B19 was discovered in England in on calcium, 1975 in serum specimens from buying paper towels in bulk healthy blood donors (1). Since its discovery, B19 has been shown to essays on calcium, be the causative agent of erythema infectiosum (EI) (also known as fifth disease) and is the primary etiologic agent of in the butterflies TAC in patients with chronic hemolytic anemias (2-4).
B19 has also been associated with fetal death (both spontaneous abortions and essays on calcium stillbirths), acute arthralgias and arthritis, and chronic anemia in immunodeficient patients (5-14). The virus belongs to the family Parvoviridae, which includes two genera of vertebrate viruses: genus parvovirus (autonomously replicating parvoviruses) and essay in late medieval reformation reformation thought genus dependovirus (parvoviruses that require a helper virus, such as adenovirus or herpes virus, for essays, replication); and one genus of invertebrate viruses, the genus densovirus (15). B19 is in the genus parvovirus, which includes a number of animal parvoviruses such as the canine parvovirus and feline panleukopenia virus. Photo. The parvoviruses tend to essays, be species-specific; only the adeno-associated parvoviruses (members of the dependovirus genus) and B19 are known to infect humans. The adeno-associated parvoviruses have not been associated with disease in humans. Fecal parvoviruses and the RA1 virus have been reported but not confirmed to be human pathogens (16,17). B19 is a heat-stable virus and can survive at 60 C (140 F) for up to 12 hours.
CLINICAL FEATURES OF B19 INFECTION Erythema Infectiosum (Fifth Disease) The most commonly recognized illness associated with B19 infection is EI. EI is a mild childhood illness characterized by a facial rash (slapped cheek appearance), and a reticulated or lacelike rash on the trunk and extremities (18). Essay On The Hotdog. Reappearance of the rash may occur for several weeks following nonspecific stimuli such as change in temperature, sunlight, and emotional stress. Typically, the patient is essays, otherwise well at rash onset but often gives a history of mild systemic symptoms 1-4 days before rash onset. History. In some EI outbreaks, pruritis has been a common clinical feature. In addition to typical EI, B19 infection has been associated with a variety of other exanthems, including those that are rubella-like, vesicular, and purpuric (18). Asymptomatic Infection. In outbreak investigations, asymptomatic infection has been reported in approximately 20% of children and adults (19,20). Essays On Calcium. Arthropathy.
In some outbreaks of EI, arthralgias and arthritis have been commonly reported (7,8,21). Infection may produce a symmetrical peripheral polyarthropathy. Joints in the hands are most frequently affected, followed by the knees and wrists. Buying Towels In Bulk. Symptoms are usually self-limited but may persist for several months. Joint symptoms, more common in essays, adults, may occur as the racism and the essay sole manifestation of infection. Transient Aplastic Crisis and on calcium Severe Anemia.
B19 is the dawn early essay medieval reformation primary etiologic agent causing TAC in patients with chronic hemolytic anemias (e.g., sickle cell disease, hemoglobin SC disease, hereditary spherocytosis, alpha-thalassemia, and autoimmune hemolytic anemia) (22,23). It can also cause TAC in other conditions in which increased red cell production is necessary to maintain stable red cell indices, as may occur in anemia due to blood loss. Patients with TAC typically present with pallor, weakness, and lethargy and may report a nonspecific prodromal illness in the preceding 1-7 days. Few patients with TAC report a rash. In the essays acute phase of the illness, #12;patients usually have a moderate to times, severe anemia with absence f reticulocytes, and bone marrow examination shows a hypoplastic or an aplastic erythroid series with a normal myeloid series. Recovery is indicated by a return of reticulocytes in the peripheral smear approximately 7-10 days after their disappearance.
TAC may require transfusion and hospitalization and can be fatal if not treated promptly. B19 Infection in essays on calcium, Immunodeficient Patients. A B19-related severe chronic anemia associated with red cell aplasia has been described in patients on maintenance chemotherapy for acute lymphocytic leukemia, patients with congenital immunodeficiencies, and patients with human immunodeficiency virus (HIV)-related immunodeficiency (9-14). It is not yet known how often B19 causes chronic anemia in buying paper towels in bulk, immunodeficient patients or which patients are most susceptible to this complication of infection. Chronic B19 infection should, however, be included in the differential diagnosis of on calcium chronic anemia in the immunodeficient patient. Infection in the Pregnant Woman Intrauterine infection and essay engineer fetal death. In most of the essays on calcium reported B19 infections occurring during pregnancy, the medieval reformation fetus has not been adversely affected (5,6,24-30).
However, in essays on calcium, some cases B19 infection has been associated with fetal death. The risk of fetal death attributable to parvovirus infection following documented maternal infection (B19 IgM-antibody-positive) is not known, but preliminary results of one study from the paper towels in bulk United Kingdom suggest that it is less than 10% (30; SM Hall, unpublished data). In that study, 174 pregnant women with IgM antibody to B19 were followed prospectively to delivery. Fetal loss occurred in 30 (17.2%): 21 (19.1%) of 110 women infected during the first 12 weeks of essays on calcium pregnancy, seven (15.2%) of 46 women infected during weeks 13-20, one (6.3%) of 16 women infected after 20 weeks, and one of essay of the two women with unknown time of infection. Fetal death most commonly occurred from the 10th through the 20th weeks of pregnancy. Not all fetal deaths directly resulted from B19 infection. Essays. Since this study did not include a control group, the photo essay number of deaths attributable to B19 infection cannot be calculated directly. In other studies, rates of recognized pregnancies ending in spontaneous abortions from all causes by essays on calcium 28 weeks' gestation range from 10% to 25% (31). In the British study, the number of fetal deaths linked to B19 infection can be estimated by determining whether fetal tissues contain B19 DNA. Tissues from 14 fetuses were tested for in the times of the butterflies, B19 DNA: six were positive, two were equivocal, and six were negative. The cause of death is likely to have been B19 infection for the DNA-positive fetuses; thus, at least six (3.4%) of 174 infected women were likely to have had a B19-associated fetal loss.
When the results of the on calcium 14 tested were extrapolated to all 30 fetal deaths, an estimated 17 fetuses would be B19 DNA-positive or equivocal, suggesting that less than or equal to17 (less than or equal to9.8%) of the racism essay 174 B19-infected women might have had a B19-associated fetal loss. On Calcium. Antibody studies of liveborn infants and hybridization studies of fetal tissues indicate that less than one third of maternal infections are associated with fetal infection in essay engineer, this study. Results from an essays on calcium, ongoing study in the United States also suggest that B19- attributable fetal deaths are infrequent (CDC, unpublished data). In this study, 95 pregnant women with IgM antibody to B19 are being followed prospectively. Fetal loss has so far occurred in two (4.1%) of 49 women followed to term. It is not known whether the racism and the two fetal deaths were caused by B19 infection. Essays. One fetus was hydropic; the other was not described. Essay Engineer. No tissues from either fetus were available for B19 hybridization studies. When the antibody status of the woman is unknown, estimates of the risk of fetal death after exposure must take into essays on calcium, account the rate of susceptibility in in the, the population and essays on calcium the risk of infection after the exposure.
For example, by taking these factors into account, the upper limit estimate of the on the risk of fetal death would be less than 2.5% after exposure to household members with documented infection (less than 0.1 risk of fetal death x 0.5 rate of susceptibility x 0.5 rate of infection x 100; see sections on essays on calcium, Epidemiologic Features of B19 Infection: Prevalence and Transmission) and less than 1.5% after prolonged exposure at schools with widespread EI among students (less than 0.1 risk of fetal death x 0.5 rate of essay engineer susceptibility x 0.3 rate of essays infection x 100). The upper limit risk estimate of fetal death after other types of exposure (e.g., schools with limited EI among students) is likely to be substantially less. A study of 96 women who had stillbirths, 96 women who had spontaneous abortions, and dawn medieval reformation controls matched by age, duration of pregnancy, and location suggests that B19 is not responsible for a substantial #12;proportion of essays fetal deaths in racism and the media, the general population (32). In this study, the rate of serologically confirmed B19 infection was the same (1%) in on calcium, cases and controls. In a survey of 50 fetuses with nonimmunologic hydrops fetalis, an uncommonly diagnosed cause of fetal death, four (8%) were positive for B19 DNA (25). Congenital anomalies.
Since some of the animal parvoviruses are teratogens (33), the dawn early thought possibility that infection may also be associated with congenital anomalies in humans is a concern. However, there is no evidence that the rate of congenital anomalies following B19 infection exceeds background rates. B19-associated congenital anomalies have not been reported among several hundred liveborn infants of B19-infected mothers. One aborted fetus with eye anomalies and histologic evidence of damage to multiple tissues born to a B19-infected woman has been reported (34). An anencephalic fetus was reported in essays on calcium, a B19-infected woman, but the timing of infection made it unlikely that B19 contributed to the defect (35). ATHOGENESIS. The pathogenesis of the rash in EI is unknown, but the rash may be immune- complex-mediated. The other, more serious manifestations of essay B19 infection are related to essays on calcium, the propensity of the virus to buying towels, infect and lyse erythroid precursor cells and interrupt normal red cell production (36). In a person with normal hematopoiesis, B19 infection produces a self-limited red cell aplasia that is clinically inapparent. Transient leukopenia, lymphocytopenia, and thrombocytopenia have also been reported with B19 infection in the normal host (37,38). In patients who have increased rates of red cell destruction or loss and on calcium who depend on times of the, compensatory increases in red cell production to maintain stable red cell indices, B19 infection may lead to TAC.
Patients at risk for TAC include those with chronic hemolytic anemias and those with anemias associated with acute or chronic blood loss. In immunodeficient persons, B19 infection may persist, causing chronic red cell aplasia, which results in essays, chronic anemia; chronic neutropenia has also been described (10). B19 DNA-positive tissues have been reported in towels in bulk, 20 fetal deaths; in all 17 cases in essays, which pathologic findings were described, the fetuses had nonimmunologic hydrops fetalis (6,25-27,30,35,39-44). The precise pathogenesis of photo fetal death remains unclear. Severe anemia may precipitate congestive heart failure, generalized edema, and ultimately fetal death. The fetus may be particularly vulnerable to B19 infection because red cell survival is short, and on calcium the red cell volume is rapidly expanding. Severe anemia, B19 viremia, and cytologic changes in erythroid precursor cells have been described in dawn essay in late medieval, fetuses just before death (26,27,39). Essays On Calcium. Chronic infection may occur in the fetus (one fetus was viremic for at least 4 weeks) (26). In one case report, infection of myocardial cells was noted, suggesting that direct damage to myocardial tissue may also contribute to times of the, the disease process in on calcium, the fetus (29). EPIDEMIOLOGIC FEATURES OF B19 INFECTION Prevalence.
B19 infection occurs worldwide (45,46). Infection with B19 can occur throughout the and the media year, in on calcium, all age groups, during outbreaks of EI, or as sporadic cases. B19 infection is most frequently recognized during outbreaks of EI in schools. These outbreaks often begin in late winter or early spring and essay history of the hotdog may continue until school recesses for the summer. The level of essays EI activity in a community varies from year to year; periods of in the increased activity lasting several years are generally followed by several years of decreased activity (47-50). Essays On Calcium. The reported seroprevalence ranges from 2% to 15% in children 1-5 years old, 15% to 60% in children 5-19 years old, and photo revolution 30% to 60% in essays on calcium, adults (18,40,51,52).
Incubation Period. Studies of secondary illness in households suggest that the incubation period for clinical EI and TAC is usually 4-14 days but can be as long as 20 days (18). Early Medieval. In volunteer studies, rash illness occurred 17-18 days after inoculation (37,38). Essays. Transmission. B19 DNA has been found in respiratory secretions in on the, viremic patients, which suggests that these secretions are involved in transmission (19,20,37). In studies of human volunteers, serum and respiratory secretions became positive for B19 DNA 5-10 days after intranasal inoculation (during the prodromal illness) (37,38). By the essays on calcium time of essay onset of rash or arthralgia, serum specimens had been negative for 1-5 days. B19 has not been detected in essays, the respiratory secretions and only rarely in the serum of patients after onset of EI (37). In contrast, acute serum specimens are often positive for dawn in late medieval reformation, B19 DNA in patients when they present with TAC; serum specimens are usually negative by 7 days after onset of illness (53). The presence of B19 DNA in serum or respiratory secretions presumably correlates with infectiousness; thus, patients with EI are probably past the period of greatest infectiousness, while patients with TAC are likely to be #12;infectious during the course of their illness. The presence of IgG antibody correlates with a lower risk of on calcium infection.
This decreased risk has been suggested in volunteers who were experimentally inoculated with B19: four of five IgG-negative but only one of four IgG-positive volunteers developed serologic evidence of infection (37). The IgG-positive volunteer who became infected had low levels of IgG antibody before challenge and of the butterflies had a lower titer and shorter duration of viremia than had the four infected volunteers who were IgG-negative. The virus is transmitted effectively after close contact exposures. The secondary attack rate for infection among susceptible household contacts of on calcium patients with TAC or EI is buying paper towels in bulk, about 50% (19,20). In school outbreaks, 10%-60% of students may develop EI. In outbreaks in which student involvement is widespread, preliminary data suggest 20%-30% of susceptible (IgG-antibody-negative) staff may develop serologic evidence of essays on calcium B19 infection during the course of the outbreak (CDC, unpublished data). In outbreak settings, it is not known whether the primary mode of transmission involves direct person-to-person contact, fomites, large-particle droplets, or small- particle droplets.
The virus can also be transmitted parenterally by transfusion of blood or blood products and vertically from mother to fetus (1,54,55). Transmission rarely occurs during transfusion with single-donor blood products but is essay engineer, common during treatment with clotting-factor concentrates even after steam- or dry-heat treatment of the clotting factor concentrate (1,54,55). Tattooing was suspected as the on calcium source of B19 transmission in two instances (56). DIAGNOSIS B19 Antibody Assays. The most sensitive test to detect recent infection is the industrial revolution IgM-antibody assay. B19 IgM antibody can be detected by capture-antibody radioimmunoassay or enzyme immunoassay in approximately 90% of cases by the third day after symptoms of on calcium TAC or EI begin (57,58). The titer and the percentage of positives begin to decline 30-60 days after onset. B19 IgG antibody is usually present by in the essay the seventh day of illness and persists for years. B19 antibody may not be detectable in essays, immunodeficient patients with chronic B19 infection, and additional testing for B19 DNA or viral antigens may be necessary to document infection. B19 has not been grown in standard cell culture systems or animal model systems, but it has been grown in bone marrow explant culture systems (59). The inability to essay engineer, grow the virus in sufficient quantity to produce antigen for diagnostic assays has precluded widespread availability of B19 testing (36,60,61).
Recently parvovirus B19 DNA has been incorporated into the genome of a Chinese hamster ovary cell line (62). This cell line expresses B19 capsid proteins as noninfectious virionlike particles that can be used as antigen for antibody assays; this source of antigen should lead to essays on calcium, increased availability of essay in late medieval diagnostic tests. Assays for B19 DNA. The most sensitive test for detecting the virus is nucleic acid hybridization (63,64). This test has been used to identify B19 DNA in serum, leukocytes, respiratory secretions, urine, and on calcium tissue specimens.
One group reported that B19 DNA was more likely to be detected in leukocytes than in racism and the, serum (65). Histologic Features of B19 Infection. Light and electron microscopy can be helpful in diagnosing B19 infections (1,23,41) By light microscopy, eosinophilic nuclear inclusions with peripheral condensation of chromatin can be seen in erythroid precursor cells of on calcium infected patients. The inclusions contain parvovirus-like particles by transmission electron microscopy (28,41,66). B19-like particles may also be seen by essay industrial revolution electron microscopy in serum specimens of some infected patients (1,23,41). Essays On Calcium. Histologic findings in fetal tissues also may include a severe leukoerythroblastic reaction and excessive iron deposition in tissues, which indicates hemolysis.
Assays to Determine Site of Infection. It is not known which tissues, in racism and the media, addition to erythroid precursor cells, support virus replication. Several tests have been developed that distinguish virus infection of tissue or cells from deposition of virus by essays on calcium passive transfer in blood. In situ hybridization can demonstrate viral DNA in towels in bulk, specific cells and has been used to show that B19 sometimes infects fetal myocardial cells (29). Replicative forms of B19 DNA and nonstructural proteins can be demonstrated by Southern and Western blot analysis, respectively, indicating infection in the tissue (67,68). PREVENTION OF INFECTION Risk Groups. Although B19 infection usually produces a mild, self-limited illness, three groups of essays persons are at risk for serious complications of infection: 1) persons with chronic hemolytic anemias, 2) persons with congenital or acquired immunodeficiencies, and 3) pregnant women.
Since infection in buying, these persons can lead to essays, substantial morbidity #12;and some mortality, consideration should be given to preventing or ameliorating disease. Immunization Active. There is no vaccine to prevent B19, but a recently developed cell line that expresses B19 capsid proteins as noninfectious viruslike particles has been proposed as a source of antigen for development of a candidate vaccine (62). Passive. No studies have been conducted to determine whether preexposure or postexposure prophylaxis with commercially available immune globulin (IG) preparations would prevent infection or modify the course of illness during community outbreaks. Routine prophylaxis with IG cannot be recommended at this time. In Late Medieval Reformation Thought. Health-Care Settings. Guidelines for isolation precautions in essays on calcium, hospitals have been published for EI (69), but recent information suggests that these guidelines should be modified. Most patients with EI are past their period of infectiousness and photo essay industrial revolution do not present a risk for further transmission; thus isolation precautions are not indicated. However, there is risk for essays on calcium, nosocomial transmission of B19 from patients with TAC and from immunodeficient patients with chronic B19 infection. These patients should be considered infectious and placed on isolation precautions for the duration of their illness or until the infection has been cleared.
Nosocomial transmission of B19 has been associated with one case of TAC (70). Transmission of B19 infection has also occurred in racism media essay, medical research laboratories (4,71). Patients with TAC or chronic B19 infection should be admitted to essays, private rooms. Persons in close contact with the patients should wear masks. Gloves should be worn by persons likely to touch infective material such as respiratory secretions, and dawn essay in late reformation gowns should be worn when soiling is anticipated (contact isolation) (69). Hands should be washed after the patient or potentially contaminated articles are touched and before care is provided to another patient. Essays. B19-infected patients may share a room with another B19-infected patient unless sharing is essay engineer, contraindicated by on calcium another infection or condition.
Health-care workers should be advised that they are at buying towels in bulk risk of B19 infection after exposure in on calcium, the hospital or in the community and that there may be a risk for further transmission to patients. Routine infection-control practices should minimize the risk of transmission. Personnel who may be pregnant or who might become pregnant should know about potential risks to the fetus from B19 infection and about preventive measures that may reduce those risks. Homes, Schools, and Workplaces. When outbreaks of B19 infection occur in situations in which prolonged, close contact exposures occur (e.g., at home, in schools, or in day-care centers), options for preventing transmission are limited.
The greatest risk of transmitting the virus occurs before symptoms of EI develop; therefore, transmission cannot be prevented by identifying and excluding persons with EI. The efficacy of decontaminating toys and essay engineer environmental surfaces to decrease B19 transmission has not been studied. The efficacy of handwashing to essays, decrease B19 transmission has not been studied either, but handwashing is recommended as a practical and essay engineer probably effective measure. When outbreaks occur, parents of essays school-aged children and employees should be advised about the risk of transmitting and acquiring infection and racism and the about who is at risk for serious complications. Persons who wish to obtain additional information about essays on calcium, risks and management of B19 exposures should be referred to their health-care provider and early in late state or local health officials. The decision to try to decrease any person's risk of infection by avoiding a workplace or school evironment in essays, which an EI outbreak is occurring should be made by essay engineer the person after discussions with family members, health-care providers, public health officials, and employers or school officials. Essays On Calcium. A policy to routinely exclude members of buying towels high-risk groups is not recommended. PATIENT MANAGEMENT Patients with Chronic Hemolytic Anemia. The exposed patient with chronic hemolytic anemia should be managed by alerting the patient or his/her parents or guardians about the exposure, the symptoms and signs associated with TAC (pallor, weakness, and lethargy), and the need to consult a physician immediately if symptoms or signs of TAC develop. Management of the patient with TAC is based on treating symptoms of the associated anemia and may require blood transfusion. Patients with Congenital and essays on calcium Acquired Immunodeficiencies.
The exposed patient with a congenital or acquired immunodeficiency should be managed by advising the patient or his/her parents or guardians about the exposure and the possibility that B19 infection may lead to chronic anemia. The physician should consider B19 infection in the differential diagnosis of chronic anemia in essay engineer, this group of patients, especially if there is an outbreak of EI in the community. Essays On Calcium. #12; In several patients with acute lymphocytic leukemia, the racism media essay administration of IG resulted in disappearance of viremia and improvement in red cell indices (10). In other patients, the infection and associated anemia resolved when immune function returned (12,14). The role of IG in the treatment of these patients needs further study. Pregnant Women.
The knowledge that B19 infection during pregnancy can cause fetal death has created concern among health-care providers, public health officials, and pregnant women and their families. In managing exposed pregnant women, risks should be considered in essays on calcium, the context of other risks to the pregnancy and the risks associated with intervention. For women with a documented infection, maternal serum #156;ga-fetoprotein levels and essay engineer diagnostic ultrasound examinations have been used to identify adversely affected fetuses, but the sensitivity and essays specificity of these tests, their appropriate timing, and the risks and racism benefits of their use in essays, managing infected pregnant women have not yet been determined (39,41). Interpretation of the ultrasound is difficult early in pregnancy and should be supervised by a physician experienced in diagnosing fetal abnormalities. Intrauterine blood transfusion (IBT) has been proposed as treatment for media essay, the fetus with B19-induced severe anemia. However, IBT is essays, a high-risk, specialized procedure of essay history hotdog unproven benefit in this situation and cannot be recommended for essays, routine treatment of B19-related hydrops fetalis (72). History Of The Hotdog. AVAILABILITY OF DIAGNOSTIC TESTING AT CDC. Diagnostic testing is available at essays only a few sites, primarily research laboratories; increasing the in the times of the availability of diagnostic testing is essays, a public health priority. The Division of Viral Diseases, Center for Infectious Diseases, CDC, can accept a limited number of specimens for B19 diagnostic testing.
At this time, CDC is accepting specimens through state health departments from photo essay industrial patients with TAC, immunodeficient patients with chronic anemia, pregnant women exposed to B19 or with symptoms suggestive of B19 infection, and cases of nonimmune fetal hydrops possibly related to B19 infection, and essays on calcium not accepting specimens for routine antibody testing. Physicians can arrange testing at CDC by consulting their state health department. Essay Engineer. PRIORITIES FOR FUTURE RESEARCH. The following areas have been identified as high priorities for essays, future public health-related research on B19 infection: Develop surveillance methods that distinguish outbreaks from sporadic disease. Essay Engineer. 2.Refine estimates of on calcium infection rates following exposures in the home, the workplace, and photo industrial school. 3.Refine risk estimates for adverse fetal outcomes associated with B19 infection during pregnancy. 4.Evaluate methods to treat and prevent B19-related fetal hydrops. Essays. 5.Determine the disease burden associated with B19 infection in immunodeficient patients, including patients with HIV infection.
6.Determine the on the of the risk of infection and essays on calcium factors associated with transmission in health-care settings. Essay On The. 7.Determine the efficacy of on calcium IG for prevention and racism and the essay treatment of essays B19 infection. 8.Determine the potential reduction in morbidity and racism and the essay mortality associated with development and use of a B19 vaccine. Reported by: Div of Reproductive Health, Center for Chronic Disease Prevention and Health Promotion; Div of Immunization, Center for Prevention Svcs; Div of Birth Defects and Developmental Disabilities, Center for Environmental Health and Injury Control; Div of on calcium Surveillance and Epidemiologic Studies, Epidemiology Program Office; National Institute for Occupational Safety and Health; AIDS Program, Hospital Infections Program, Div of Host Factors, Div of Viral Diseases, Center for Infectious Diseases, CDC. Cossart YE, Field AM, Cant B, Widdows D. Parvovirus-like particles in human sera. Lancet 1975;1:72-3. 2.Anderson MJ, Jones SE, Fisher-Hoch SP, et al. Human parvovirus, the cause of erythema infectiosum (fifth disease)? (Letter). Lancet 1983;1:1378. 3.Anderson MJ, Lewis E, Kidd IM, Hall SM, Cohen BJ.
An outbreak of erythema infectiosum associated with human parvovirus infection. J Hyg (Lond) 1984;93:85-93. 4.Pattison JR, Jones SE, Hodgson J, et al. Parvovirus infections and hypoplastic crisis in sickle-cell anaemia (Letter). Essay History Of The Hotdog. Lancet 1981;1:664-5. 5.Knott PD, Welply GAC, Anderson MJ. Serologically proved intrauterine infection with parvovirus. Essays. Br Med J 1984;289:1660. Essay Engineer. 6.Brown T, Anand A, Ritchie LD, Clewley JP, Reid TMS.
Intrauterine parvovirus infection associated with hydrops fetalis (Letter). Lancet 1984;2:1033-4. 7.White DG, Woolf AD, Mortimer PP, Cohen BJ, Blake DR, Bacon PA. Human parvovirus arthropathy. Lancet 1985;1:419-21. #12;8.Reid DM, Reid TMS, Brown T, Rennie JAN, Eastmond CJ. Human parvovirus-associated arthritis: a clinical and essays laboratory description. In The Times Of The Essay. Lancet 1985;1:422-5. On Calcium. 9.Van Horn DK, Mortimer PP, Young N, Hanson GR. In Late Thought. Human parvovirus-associated red cell aplasia in the absence of underlying hemolytic anemia. Am J Pediatr Hematol Oncol 1986;8:235-9.
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Parvovirus B19 associated with fetal abnormality (Letter). Lancet 1987;1:682-3. On Calcium. 35.Rodis JF, Hovick TJ Jr, Quinn DL, Rosengren SS, Tattersall P. Human parvovirus infection in pregnancy. Obstet Gynecol 1988;72:733-8. Dawn In Late Reformation. 36.Young N, Harrison M, Moore J, Mortimer P, Humphries RK. Direct demonstration of the human parvovirus in erythroid progenitor cells infected in vitro. On Calcium. J Clin Invest 1984; 74:2024-32. 37.Anderson MJ, Higgins PG, Davis LR, et al. Experimental parvoviral infection in humans. J Infect Dis 1985;152:257-65.
38.Potter CG, Potter AC, Hatton CSR, et al. Variation of erythroid and myeloid precursors in the marrow and peripheral blood of volunteer subjects infected with human parvovirus (B19). J Clin Invest 1987;79:1486-92. #12;39.Carrington D, Gilmore DH, Whittle MJ, et al. Maternal serum alpha-fetoprotein--a marker of fetal aplastic crisis during intrauterine human parvovirus infection. Lancet 1987;1:433-5. 40.Schwarz TF, Roggendorf M, Deinhardt F. (Letter). Lancet 1987;1:739.
41.Anand A, Gray ES, Brown T, Clewley JP, Cohen BJ. Human parvovirus infection in pregnancy and hydrops fetalis. N Engl J Med 1987;316:183-6. 42.Bond PR, Caul EO, Usher J, Cohen BJ, Clewley JP, Field AM. Intrauterine infection with human parvovirus (Letter). Essay Engineer. Lancet 1986;1:448-9.
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Science 1986;233:883-6. 68.Cotmore SF, McKie VC, Anderson LJ, Astell CR, Tattersall P. Essays On Calcium. Identification of the major structural and nonstructural proteins encoded by human parvovirus B19 and racism and the mapping of their genes by procaryotic expression of isolated genomic fragments. Essays. J Virol 1986; 60:548-57. 69.Garner JS, Simmons BP. Guideline for isolation precautions in essay history hotdog, hospitals. Infect Control 1983;4(suppl):245-325. 70.Evans JPM, Rossiter MA, Kumaran TO, Marsh GW, Mortimer PP. Human parvovirus aplasia: case due to cross infection in a ward. Br Med J 1984;288:681. #12;71.Cohen BJ, Courouce AM, Schwarz TF, Okochi K, Kurtzman GJ. Laboratory infection with parvovirus B19 (Letter). J Clin Pathol 1988;41:1027-8.
72.Schwarz TF, Roggendorf M, Hottentrager B, et al. Human parvovirus B19 infection in essays on calcium, pregnancy (Letter). Lancet 1988;2:566-7. *The information and recommendations in this document were developed and compiled by CDC in consultation with representatives of the American Academy of Family Physicians, American Academy of Pediatrics, American College of Obstetricians and Gynecologists, American College of Physicians, Council of State and Territorial Epidemiologists, Immunization Practices Advisory Committee, and the National Institutes of Health. The consultants also included MJ Anderson, PhD, University College and Middlesex School of photo industrial Medicine, London; SM Hall, MBBS, Communicable Disease Surveillance Centre, London; and GR Serjeant, MBBS, University of West Indies, Kingston. These recommendations may not reflect the on calcium views of individual consultants or the organizations they represented.