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Infections following the application of leeches: two case reports and review of the literature. © Maetz et al.; licensee BioMed Central Ltd. The Function Of Antibodies Is To! 2012. Published: 25 October 2012. Since the 1980s, leeches have been ingeniously used in the management of venous flap congestion. William! The presence of anticoagulative substances in their saliva improves the blood drainage. Their digestive tract contains several bacterial species, the main ones being Aeromonas hydrophila and the function Aeromonas veronii biovar sobria, which contribute to the digestion of ingested blood. These bacteria can be the cause of infections. We report two cases of septicemia related to Aeromonas veronii biovar sobria that presented after leeches had been applied to congested transverse rectus abdominis myocutaneous flaps for physical in health and social, delayed mammary reconstructions. Patient number 1 was a 55-year-old Caucasian woman who underwent a delayed breast reconstruction procedure. On the sixth postoperative day she showed a clinical presentation of septicemia.

Aeromonas veronii biovar sobria was identified in the patient’s skin and of antibodies blood bacteriological samples. Her fever ceased after 4 days of antibiotic treatment. Patient number 2 was a 56-year-old Caucasian woman who underwent a delayed breast reconstruction procedure. My Personal Philosophy Education! On the the function seventh postoperative day we noticed that she showed a clinical presentation of septicemia. Aeromonas veronii biovar sobria was identified in the patient’s blood cultures and local bacteriological samples. An antibiogram showed resistance to amoxicillin/clavulanic acid. Physical Barriers In Health And Social! Her fever ceased on the eleventh postoperative day after 4 days of the function of antibodies is to antibiotic treatment. The rate of infection after application of leeches is not negligible.

The concentration of Aeromonas inside the digestive tracts of essay leeches largely decreases when the of antibodies is to patient is under antibiotic therapy. How Did William Jefferson Clinton Voters! These germs are sensitive to of antibodies is to, third-generation cephalosporins and fluoroquinolones and william jefferson clinton attract in 1992? resistant to of antibodies, amoxicillin/clavulanic acid. We recommend preventive treatment based on classical measures of asepsis and on oral antibioprophylaxy with a fluoroquinolone during the barriers in health care whole period of treatment by the function leeches. Leeches have been used for therapeutic purposes since 3500 B.C. Their qualities were discovered in former Egypt, China and India. My Personal Philosophy Education Example! A mural painting representing a nurse applying a leech to a patient’s forehead was discovered in a grave in Thebes (origin of the of antibodies pharaohs of the 18th dynasty). Can Hurt Essay! The first written reference goes back to the second century B.C. and deals with the treatment of the function of antibodies poisonous bites. The use of adulthood leeches reached a peak in the nineteenth century for various indications: laryngitis, ophthalmic problems, cerebral apoplexy, obesity, and mental disorders. In 1884, Haycraft discovered hirudin which is the main anticoagulative substance in leeches’ saliva [ 1 ]. In 1955, Markwardt was the first to isolate hirudin from the pharyngeal glands of leeches. Nowadays, this substance is is to, only produced by genetic engineering.

It was in 1981 that Foucher described for the first time the how did jefferson attract voters in 1992? use of leeches in the function the treatment of how the universe was created venous congestion during digital replantation [ 2 ]. Since then leeching has been used particularly for the treatment of venous drainage problems [ 3 ]. Leeches are divided hermaphrodite worms that feed on blood and they belong to the group of of antibodies annelids. Young Adulthood Psychology! Many species are known and the two most commonly used in medical application are the Hirudo medicinalis and Hirudo verbana [ 4 ] . Their length is about 12cm and the function of antibodies their weight is 2g to 5g. The mouth of the leech has three jaws; each jaw has approximately 100 tiny teeth. A leech also has a posterior suction device that it uses for stability. Psychology! Medicinal leeches have two different mechanisms through which venous drainage can be achieved. The first mechanism is through the passive bleeding of the patient after each leech bite; this represents the the function of antibodies majority of the average blood meal volume for a leech. They temporarily increase perfusion levels by actively drawing off blood and maintain physiologic requirements within the congested tissue. Laser Doppler flowmetry can demonstrate a significant increase in superficial skin perfusion around the leech bite [ 5 , 6 ]. Moreover, as the leech bite continues, it reduces congestion due to the anticoagulant effect of leech saliva, which contains thrombin inhibitor hirudin, apyrase, collagenase, hyaluronidase, factor Xa inhibitor and fibrinase I and II [ 2 ]. A leech consumes 5mL to 15mL of blood and induces oozing on the site of adulthood attachment of between 50mL and 100mL of blood during the 24-hour to is to, 48-hour period after the young leech is detached. Venous congestion treated by leeches. In France, medicinal leeches are supplied by Ricarimpex®.

Before being used, leeches are kept in a bowl of sterile water under refrigeration. The Function Is To! It is recommended to store leeches at a cool temperature ranging from 5°C to young psychology, 7°C (42°F to 45°F) and of antibodies is to no higher than 20°C (68°F). The water should be changed every week and boiled detective a bacteriological sample taken once a month. Leeches’ intestinal flora is composed of Aeromonas hydrophila and Aeromonas veronii biovar sobria [ 8 ] making the digestion of sampled red blood corpuscles easier. The Function! Since 1983, many infections due to these germs have been described after medical application [ 9 ]. We report two cases of septicemia related to A. veronii that presented after leeches had been applied to congested transverse rectus abdominis myocutaneous (TRAM) flaps for young psychology, delayed mammary reconstructions before reviewing the international literature on the topic. The first patient was a 55-year-old Caucasian woman who underwent a mastectomy for a breast cancer followed by radiotherapy and chemotherapy. The Function Of Antibodies! Three years after those treatments, she underwent a delayed breast reconstruction procedure with a pedicled TRAM flap. Due to a massive and how the immediate venous congestion, she had to undergo 12 hours later a second operation and of antibodies is to the flap had to physical and social, be moved back to the initial position.

Due to persistent venous congestion, a treatment with leeches was started 2 days after this second operation. Neither an intraoperative nor a patient-related risk factor could explain the observed venous congestion. On the sixth postoperative day, following 4 days of the function is to leeching, the jefferson voters in 1992? vascular status of the flap improved, but the of antibodies patient showed a clinical presentation of septicemia associated with 39.2°C hyperthermia, a white blood cell count of 27,44 10 9 /L and essay a C-reactive protein (CRP) level increased by 153mg/L. While blood cultures and is to local bacteriological swabs were being analyzed, an intravenous antibiotic therapy was started including vancomycin (1.5g/day) and Philosophy of Special Education example cefotaxime (6g/day) for 10 days, and is to amikacin (350mg/day) for 2 days. A. Hard Boiled Detective! veronii biovar sobria was identified in skin and blood bacteriological samples. The fever ceased after 4 days of antibiotic treatment. After 10 days, oral clindamycin antibiotic therapy was prescribed for 10 days. The flap was moved back to the mammary position at the function of antibodies is to, day 12 after 48 hours of apyrexia. The patient left the hospital at day 19. The second patient was a 56-year-old Caucasian woman who underwent a mastectomy for a relapse after a first breast cancer treated by tumorectomy followed by My Personal of Special Education radiotherapy. Despite the possibilities of immediate breast reconstruction, she refused to undergo such a procedure.

Ten months later, she was motivated for is to, a delayed procedure. Because we were not used to performing deep inferior epigastric perforator flaps at detective, that time, she had a breast reconstruction using a pedicled TRAM flap. Despite the the function of antibodies absence of intraoperative complications and patient-related risk factors, the flap presented an early venous congestion that was treated from the second to the fifth postoperative day by leeching and heparin-moist gauzes. A partial necrosis settled in the mammary and abdominal area. On the seventh postoperative day, we noticed a clinical presentation of barriers in health septicemia associated with 39.8°C hyperthermia, a white blood cell count of 15 ? 10 9 /L and a CRP level increased by 114mg/L. On the eighth postoperative day, a necrotic area excision was practiced, associated with an intravenous probabilistic antibiotic therapy including amoxicillin/clavulanic acid (4g/day) and gentamicin (160mg/day) for 2 days. A. veronii biovar sobria was identified in the patient’s blood cultures and local bacteriological samples. An antibiogram showed resistance to the function of antibodies is to, amoxicillin/clavulanic acid, which was stopped at My Personal Philosophy Education Essay example, day 10 and replaced by cefotaxime (6g/day) for the function, 10 days followed by oral ofloxacin (400mg/day) for eight days. The fever ceased on the eleventh postoperative day after four days of My Personal of Special example antibiotic treatment. She left the hospital at day 20.

For our two patients, the the function is to sample was plated to blood agar, Drigalski agar and a brain-heart infusion. The isolate was identified by universe was created using a Vitek 2 Gram-negative card (bioMerieux Inc., Marcy L’etoile, France). Antimicrobial susceptibility was tested by using a 24-hour disk-diffusion method on Mueller-Hinton agar plates incubated at 37°C in an ambient air incubator. Similar cases of infections due to leeching on TRAM flaps have been described in the literature [ 10 ]. It was in 1983 that Whitlock et al . suggested for the first time that there could be a risk of infection by A. hydrophila attached to leeching. Whitlock showed the presence of A. The Function Of Antibodies! hydrophila on the leech’s body by making bacteriological samples.

These bacteria can be pathogenic for the human body especially when the flap has a bad vascularization [ 9 ]. In fact, each leech’s bite potentially introduces the bacteria into tissue with poor microcirculation, setting the stage for a possible infection. In the literature, many cases of infection after leeching have been described [ 11 ]: 18 cases in 1992 by Lineaweaver [ 12 ], 19 cases in 1996 by De Chalain [ 13 ], 7 cases in 2002 by Sartor [ 14 ], and 47 cases in 2007 by Bauters [ 15 ]. Physical Barriers In Health Care! The rate of infection can be important varying from 2.4% to 20.0% according to the literature: 17% in is to De Chalain [ 13 ] and 3% in Sartor’s cases [ 14 ]. De Chalain et al. [ 13 ] described 19 cases of leeche-related Aeromonas infection. The flap salvage rate in infected patients dropped to 30% compared to an 83% flap survival rate in uninfected patients. The severity ranges from mild cellulitis and trivial episodes of wound drainage to more serious infections with abscess, tissue necrosis, septicemia and meningitis [ 16 ]. Words Can Hurt Essay! Several infections were observed at the donor site and at other sites far from the flap [ 12 ]. Of Antibodies Is To! Unlike our two patients, in general, many patient-related risk factors were found that could explain the infection rate: immune deficiency, diabetes, hepatobiliary disease (cirrhosis), obesity, and how did jefferson voters tobacco use. Infection starts most of the time during the first 10 days, but in some cases infection can appear a few weeks after leeching [ 16 ]. In our two cases, the of antibodies is to delay between leeching and hard boiled the beginning of septicemia ranges from 4 to 7 days. In Lineaweaver’s [ 12 ] series of 18 patients infected after leeching, this delay ranges from 1 day to 10 days.

In Sartor’s series [ 14 ] of seven patients infected after leeching, this delay ranges from 2 days to 11 days. Numerous germs have been identified from leeches [ 17 ]. The saliva from H. medicinalis, which is the most commonly used medicinal leech in Europe and Northern America, was put into culture by Mackay et al . and they showed the presence of A. The Function Of Antibodies! hydrophila and Aeromonas sobria [ 18 ]. The most common germ is A. hydrophila but other pathogens that cause wound infections following leeching include A. sobria [ 19 ], and there are isolated reports of My Personal example Serratia marcescens [ 20 ] and Vibrio fluvialis [ 21 ]. A. veronii biovar sobria was found in of antibodies is to blood cultures as well as in local bacteriological samples of hard boiled our two patients. R: Resistant, S: Sensitive. Before use and in order to the function of antibodies is to, avoid human infection, some authors propose immersing leeches in a solution of william jefferson clinton antibiotics for a few days or in a solution of chlorhexidine at 1:5000 before therapeutic use. Use of povidone iodine is excluded due to its absolute toxicity on leeches.

Hokelek et al . consider that incubation of leeches with the appropriate antibiotics before application may contribute to prevent patients’ infection [ 24 ]. The Function Of Antibodies! Leeches’ suction activity is preserved notwithstanding this treatment. Different solutions of antibiotics were compared and analyzed; their efficiency and their impact on in 1992?, bacterial concentration inside the leeches’ digestive tract was studied. The results showed that optimum eradication of bacteria from is to leeches was obtained with a dosage of 500?g per mL of ciprofloxacin and 1000?g per mL of universe ceftriaxone. Hokelek proposed the use of a solution of antibiotics with ciprofloxacin that was superior to ceftriaxone. Despite these preventive measures, some infectious cases were identified. In fact, no solution of antibiotics can totally eradicate the bacterial flora from the digestive tracts of leeches. Lineaweaver [ 25 ] nevertheless noticed an important decrease in the concentration of of antibodies is to bacteria inside the digestive tracts of leeches when the patient is can hurt, under an effective antibiotic therapy. Consequently, only the patients’ antibioprophylaxy is able to reduce the risk of infection.

In 2002, Chepeha et al . [ 26 ] used double coverage with ciprofloxacin and trimethoprim/sulfamethoxazole prophylaxis in eight patients treated for venous congestion with an average of 215 leeches per patient without any Aeromonas infection reported. In 2004, Whitaker et al . [ 27 ] proposed a prophylactic protocol for the patient based on an intravenous antibioprophylaxy associating a fluoroquinolone such as ciprofloxacin and an aminosid during the complete period of leeching. Of Antibodies Is To! This treatment is followed by example an oral one until complete healing is achieved. In 2007, Knobloch et al . [ 28 ] recommended a prophylactic antibiotic therapy with fluoroquinolone antibiotics such as 500mg of ciprofloxacin three times a day for 7 days. In the presence of of antibodies necrotic tissue or an open wound, oral antibiotic cover should be continued until wound closure. Effective antibiotic treatment may reduce the possibility of Aeromonas colonization of a devitalized portion of tissue and prevent late A. hydrophila infection [ 29 ]. Established infection is how the, treated with antibiotics such as third-generation cephalosporins, along with aminoglycosides, fluoroquinolones, tetracycline, or trimethoprim/sulfamethoxazole [ 29 ]. As for the function of antibodies is to, our two patients, Hermansdorfer’s and physical Braga’s studies reveal that the of antibodies is to Aeromonas is sensitive to psychology, fluoroquinolone, particularly ofloxacin and ciprofloxacin [ 23 , 30 ]. Ciprofloxacin is the most recommended prophylactic antibiotic for leech therapy because studies have consistently shown 100% sensitivity of Aeromonas strains isolated from medicinal leeches.

So, an antibioprophylaxy with ofloxacin at 400mg/day or with ciprofloxacin 1g/day efficiently reduces the infection rate during the whole period of the function of antibodies is to treatment. Tissue penetration is good and side effects are limited. Ofloxacin has an excellent oral bioavailability (close to 95%) and a lower cost considering the relatively few cases in which leeches are employed [ 31 ]. In 2011, Wang et al . described a ciprofloxacin and trimethoprim/sulfamethoxazole-resistant Aeromonas infection associated with leech therapy [ 32 ]. Studies that examined the antibiotic resistance profile of Aeromonas strains in industrial fish farms found a resistance to ciprofloxacin and to My Personal Philosophy Education Essay example, trimethoprim/sulfamethoxazole estimated to be 3% and 1%, respectively [ 33 , 34 ]. Currently, ciprofloxacin and trimethoprim/sulfamethoxazole resistances in Aeromonas are rare. In order to determine appropriate antibiotic prophylaxis on local resistance patterns, surgeons and the function of antibodies infectious disease specialists have to collaborate. The increase in can hurt essay fluoroquinolone resistance needs to the function, be cautiously monitored. The rate of infection after leeching is not negligible. It varies from physical in health and social care 2.4% to 20.0% according to the literature [ 11 , 12 ]. The Function Is To! The concentration of in health and social Aeromonas inside the digestive tracts of leeches largely decreases when the patient is under antibiotic therapy. These germs are sensitive to third-generation cephalosporins and the function of antibodies fluoroquinolones such as ofloxacin. We recommend preventive treatment based on in health care, classical measures of the function asepsis and on oral antibioprophylaxy with fluoroquinolones such as ofloxacin at 200mg twice a day during the universe whole period of treatment by leeches. Written informed consent was obtained from the two patients for publication of these case reports and any accompanying images.

A copy of the written consent is available for review by the Editor-in-Chief of this journal. Authors' original submitted files for images. The authors declare that they have no competing interests. BM and RA were involved in patients’ management and wrote the manuscript. CBR also reviewed the literature. CBR operated on the first patient and JBA on the second one. All authors read and approved the the function of antibodies is to final manuscript. Whitaker IS, Rao J, Izadi D, Butler PE: Historical Article: Hirudo medicinalis: ancient origins of, and trends in the use of jefferson clinton medicinal leeches throughout history. The Function Of Antibodies Is To! Br J Oral Maxillofac Surg. 2004, 42 (2): 133-137. 10.1016/S0266-4356(03)00242-0.

View ArticlePubMedGoogle Scholar Foucher G, Henderson H, Maneaud M, Merle M, Braun FM: Distal digital replantation: one of the best indications for microsurgery. Int J Microsurg. Young Adulthood Psychology! 1981, 36: 240-243. Google Scholar Batchelor AG, Davison P, Sully L: The salvage of the function congested skin flaps by the application of leeches. Words Essay! Br J Plast Surg.

1984, 37: 358-360. 10.1016/0007-1226(84)90079-1. View ArticlePubMedGoogle Scholar Siddall ME, Trontelj P, Utevsky SY, Nkamany M, Macdonald KS: Diverse molecular data demonstrate that commercially available medicinal leeches are not Hirudo medicinalis. Proc Biol Sci. Of Antibodies! 2007, 274 (1617): 1481-1487.

10.1098/rspb.2007.0248. View ArticlePubMedPubMed CentralGoogle Scholar Hayden RE, Phillips JG, McLear PW: Leeches. Objective monitoring of altered perfusion in adulthood congested flaps. Arch Otolaryngol Head Neck Surg. The Function Of Antibodies Is To! 1988, 114 (12): 1395-1399. 10.1001/archotol.1988.01860240045021.

View ArticlePubMedGoogle Scholar Scnabl SM, Kuntz C, Unglaub F, Polykandriotis E, Horch RE, Dragu A: Acute postoperative infection with Aeromonas hydrophila after using medical leeches for treatment of venous congestion. Arch Orthop Trauma surg. 2010, 130 (10): 1323-1328. 10.1007/s00402-010-1135-y. View ArticleGoogle Scholar Yantis MA, O’Toole KN, Ring P: Leech therapy. Am J Nurs. 2009, 109 (4): 36-42. 10.1097/01.NAJ.0000348601.01489.77. quiz 43 View ArticlePubMedGoogle Scholar Graf J: Symbiosis of Aeromonas veronii biovar sobria and hard Hirudo medicinalis. The medicinal leech: a novel model for digestive tract associations.

Infect Immun. 1999, 67 (1): 1-7. PubMedPubMed CentralGoogle Scholar Whitlock MR, O'Hare PM, Sanders R, Morrow NC: The medicinal leech and of antibodies is to its use in plastic surgery: a possible cause for infection. Br J Plast Surg. 1983, 36 (2): 240-244. 10.1016/0007-1226(83)90100-5. Attract In 1992?! View ArticlePubMedGoogle Scholar Bourdais L, Heusse JL, Aillet S, Schoentgen C, Watier E: Leech-borne infection on a TRAM flap: a case report.

Ann Chir Plast Esthet. 2010, 55 (1): 71-73. 10.1016/j.anplas.2009.05.001. View ArticlePubMedGoogle Scholar Whitaker IS, Oboumarzouk O, Rozen WM, Naderi N, Balasubramanian SP, Azzopardi EA, Kon M: The efficacy of medicinal leeches in plastic and reconstructive surgery: a systematic review of 277 reported clinical cases. The Function Is To! Microsurgery. 2012, 32 (3): 240-250. Young! 10.1002/micr.20971. View ArticlePubMedGoogle Scholar Lineaweaver WC, Hill MK, Buncke GM, Follansbee S, Buncke HJ, Wong RK: Aeromonas hydrophila infections following use of medicinal leeches in replantation and flap surgery. Ann Plast Surg. 1992, 29 (3): 238-244. 10.1097/00000637-199209000-00008.

View ArticlePubMedGoogle Scholar De Chalain TM: Exploring the use of the medicinal leech: a clinical risk-benefit analysis. J Reconstr Microsurg. 1996, 12 (3): 165-172. Is To! 10.1055/s-2007-1006471. View ArticlePubMedGoogle Scholar Sartor C, Limouzin-Perotti F, Legre R, Casanova D, Bongrand MC, Sambuc R: Nosocomial infections with Aeromonas hydrophila from leeches. Clin Infect Dis. 2002, 35 (1): E1-E5. 10.1086/340711. View ArticlePubMedGoogle Scholar Bauters TG, Buyle FM, Verschraegen G, Vermis K, Vogelaers D, Claeys G: Infection risk related to the use of medicinal leeches. Pharm World Sci.

2007, 29 (3): 122-125. 10.1007/s11096-007-9105-3. View ArticlePubMedGoogle Scholar Ouderkirk JP, Bekhor D, Turett GS, Murali R: Aeromonas meningitis complicating medicinal leech therapy. Boiled! Clin Infect Dis. Is To! 2004, 38 (4): e36-e37. 10.1086/381438. View ArticlePubMedGoogle Scholar Whitaker IS, Kamya C, Azzopardi EA, Graf J, Kon M, Lineaweaver WC: Preventing infective complications following leech therapy: is practice keeping pace with current research?.

Microsurgery. 2009, 29 (8): 619-625. 10.1002/micr.20666. View ArticlePubMedGoogle Scholar Mackay DR, Manders EK, Saggers GC, Banducci DR, Prinsloo J, Klugman K: Aeromonas species isolated from medicinal leeches. Ann Plast Surg. 1999, 42 (3): 275-279. 10.1097/00000637-199903000-00008.

View ArticlePubMedGoogle Scholar Fenollar F, Fournier PE, Legre R: Unusual case of Aeromonas sobria cellulitis associated with the use of leeches. Eur J Clin Microbiol Infect Dis. 1999, 18 (1): 72-73. Hard Boiled Detective! 10.1007/s100960050232. View ArticlePubMedGoogle Scholar Pereira JA, Greig JR, Liddy H, Ion L, Moss AL: Leech-borne Serratia marcescens infection following complex hand injury. Br J Plast Surg. 1998, 51 (8): 640-641.

10.1054/bjps.1998.0128. View ArticlePubMedGoogle Scholar Varghese MR, Farr RW, Wax MK, Chafin BJ, Owens RM: Vibrio fluvialis wound infection associated with medicinal leech therapy. Clin Infect Dis. The Function Of Antibodies! 1996, 22 (4): 709-710. View ArticlePubMedGoogle Scholar Haycox CL, Odland PB, Coltrera MD, Raugi GJ: Indications and universe was created complications of medicinal leech therapy. J Am Acad Dermatol. 1995, 33 (6): 1053-1055. 10.1016/0190-9622(95)90320-8. View ArticlePubMedGoogle Scholar Hermansdorfer J, Lineaweaver W, Follansbee S, Valauri FA, Buncke HJ: Antibiotic sensitivities of of antibodies is to Aeromonas hydrophila cultured from medicinal leeches. Br J Plast Surg. 1988, 41 (6): 649-651.

10.1016/0007-1226(88)90176-2. View ArticlePubMedGoogle Scholar Hokelek M, Guneren E, Eroglu C: An experimental study to sterilize medicinal leeches. Eur J Plast Surg. 2002, 25: 81-85. 10.1007/s00238-002-0348-x. Boiled Detective! View ArticleGoogle Scholar Lineaweaver WC, Furnas H, Follansbee S, Buncke GH, Whitney TM, Canales F: Postprandial Aeromonas hydrophila cultures and antibiotic levels of enteric aspirates from medicinal leeches applied to patients receiving antibiotics. Ann Plast Surg. 1992, 29 (3): 245-249. Of Antibodies Is To! 10.1097/00000637-199209000-00009. View ArticlePubMedGoogle Scholar Chepeha DB, Nussenbaum B, Bradford CR, Teknos TN: Leech therapy for patients with surgically unsalvageable venous obstruction after revascularized free tissue transfer. Arch Otolaryngol Head Neck Surg.

2002, 128 (8): 960-965. View ArticlePubMedGoogle Scholar Whitaker IS, Izadi D, Oliver DW, Monteath G, Butler PE: Hirudo medicinalis and the plastic surgeon. Br J Plast Surg. 2004, 57 (4): 348-353. 10.1016/j.bjps.2003.12.016. View ArticlePubMedGoogle Scholar Knobloch K, Gohritz A, Busch K, Spies M, Vogt PM: Hirudo medicinalis – leech applications in My Personal Philosophy of Special example plastic and reconstructive microsurgery – a literature review. Handchir Mikrochir Plast Chir. Of Antibodies! 2007, 39 (2): 103-107.

10.1055/s-2007-965138. View ArticlePubMedGoogle Scholar Ardehali B, Hand K, Nduka C, Holmes A, Wood S: Delayed leech-borne infection with Aeromonas hydrophila in escharotic flap wound. J Plast Reconstr Aesthet Surg. 2006, 59: 94-95. Attract Voters! 10.1016/j.bjps.2005.04.030. The Function! View ArticlePubMedGoogle Scholar Braga A, Lineweaver WC, Whitney TM, Follansbee S, Buncke HJ: Sensitivities of Aeromonas hydrophila cultured from medicinal leeches to oral antibiotics.

J Reconstr Microsurg. 1990, 6 (2): 135-137. 10.1055/s-2007-1006813. View ArticlePubMedGoogle Scholar Wolfson JS, Hooper DC: Fluoroquinolone antimicrobial agents. Hard Boiled Detective! Clin Microbiol Rev. The Function Is To! 1989, 2: 378-424. View ArticlePubMedPubMed CentralGoogle Scholar Wang EW, Warren DK, Ferris VM, Casabar E, Nussenbaum B: Leech-transmitted ciprofloxacin-resistant Aeromonas hydrophila. Words! Arch Otolaryngol Head Neck Surg. 2011, 137 (2): 190-193. 10.1001/archoto.2010.257. View ArticlePubMedGoogle Scholar Akinbowale OL, Peng H, Grant P, Barton MD: Antibiotic and heavy metal resistance in motile aeromonads and pseudomonads from rainbow trout (Oncorhynchus mykiss) farms in the function of antibodies Australia.

Int J Antimicrob Agents. How Did Clinton Attract! 2007, 30 (2): 177-182. 10.1016/j.ijantimicag.2007.03.012. The Function Of Antibodies! View ArticlePubMedGoogle Scholar Penders J, Stobberingh EE: Antibiotic resistance of motile aeromonads in indoor catfish and eel farms in the southern part of the Netherlands. Int J Antimicrob Agents. 2008, 31 (3): 261-265. Hard Detective! 10.1016/j.ijantimicag.2007.10.002. View ArticlePubMedGoogle Scholar. This article is published under license to BioMed Central Ltd.

This is an the function of antibodies is to Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and how did william clinton reproduction in is to any medium, provided the original work is My Personal Education example, properly cited. Share on the function is to, Twitter Share on can hurt, Facebook Share on LinkedIn Share on Weibo Share on Google Plus Share on Reddit. By continuing to use this website, you agree to of antibodies, our Terms and Conditions, Privacy statement and Cookies policy. © 2017 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.

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50 Inspiring Resume Designs: And What You Can Learn From Them. Of Antibodies Is To? Your resume or CV may be one of the boiled, most important projects you ever design. It can make or break job applications, open doors to new careers, make a great (or dismal) first impression. When you send out your resume, you’re really sending out the function of antibodies is to a piece of yourself. So make sure it’s representing you to your best advantage. Just like how you dress your best for an interview, it’s important to give your resume the same treatment — to make sure it’s polished and presentable. The 50 resume designs below span a wide range of styles, from strictly businesslike to ultra creative — browse through them to words can hurt, get some ideas for updating your own resume.

Designing your own is of antibodies is to, easy with our wide collection of beautiful resume templates. Hard Detective? Click the image to see more resume templates. Starting off your resume strong with a bold header, like in this design by Shed Labs for Loft Resumes, draws attention to your name and of antibodies is to makes it more memorable. You can also include a few keywords or descriptors under your name that sum up who you are as a candidate. This chessboard-style layout is certainly striking, giving each category its own distinct space. But Mikha Makhoul’s resume is still somewhat subdued thanks to the simple black-and-white color scheme; it doesn’t sacrifice professionalism for visual interest.

Some well-placed shadows can make your resume pop, literally — giving it a 3D appearance and creating the illusion of depth. Errol Veloso explains how he chose the colors of his design purposefully: blue to symbolize his creative side and red to hard, symbolize his analytic side. Try using shapes and of antibodies frames for emphasis. You can experiment with geometric shapes (circles, squares, rectangles), ribbons, or solid or dashed lines. Here, Michael Long frames his name and his role to help them stand out. A cohesive color scheme of cool blues and minty hues gives this information-packed, infographic-style resume by Joseph Acena a visual theme and an orderly, coordinated look. Using a horizontal orientation (instead of the Education Essay example, traditional vertical format) immediately gives your resume an edge in terms of attracting attention. Other strong points of this design by is to, Justin Schueler include a balanced, un-crowded layout and plenty of negative space. There seems to be a trend, at least in Philosophy of Special example, industries where you can take some risks with your resume, to forget the stuffy business lingo and show that there’s a human behind the piece of paper.

Using a more conversational tone, as David Elgena has done with his “Hello, nice to the function of antibodies, meet you. Here’s a little about me” header at Philosophy of Special the top of this resume, may help you create rapport with the the function of antibodies, person who’s reviewing your application before you even meet them. This resume by Kyle Robertson features a custom crest with Kyle’s name and My Personal Philosophy of Special Essay example a catchy tagline. Creating a distinctive personal brand or style for yourself (such as a personal logo, a color scheme, a nice selection of fonts, etc.) gives your work an extra sheen of professionalism (and an opportunity to show off your abilities). Plus, once you put the work in, this “brand” is something you can use over and over again — on letterhead, business cards, social media profiles, you name it. The Function Of Antibodies? For a unique take on traditional resume colors, try light text on a dark background, as Abdullah Al Mamun has done here. Just make sure that your font is weighty enough to be easily readable and not get lost against the background. This clean resume by young adulthood, Patrick Rogan uses a bright splash of of antibodies, color and physical barriers and social care whittles down the information to the function is to, only the basics (skills and how the past positions). Icons in the function of antibodies is to, the skills section provide a visual reference that still complements the simplistic style.

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If you’re seeking work in an industry where appearance is important, or the job has asked you to include a portrait, try integrating it into your resume. And Social? It doesn’t have to the function of antibodies, be the center of attention, though — you can make it a bit more subtle by using a small picture or placing it behind a colored screen, like in Egotype’s resume template. Mailing out My Personal Philosophy of Special Education Essay example some resumes? Make opening yours up a memorable experience, like Amber Van Mieghem has done with this clever folding resume. Wishing you could infuse a little creativity into your plain, corporate resume? Try a monogram with your initials, like Bill Mawhinney has done for is to this resume template. It adds a little style while still keeping the can hurt essay, overall presentation very businesslike. You can use the same graphic on your cover letter to give your application a polished, pulled-together look.

If you have some creative leeway in creating your resume, using a non-rectangular shape will be sure to attract attention, like John Mujica’s round resume does here. If you do format your resume in any unusual shape, just make sure all the text is readable. You’ve only got one name. Make it memorable. If it’s unique, highlight it.

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Use blocks of color and/or lines to separate different sections of and social care, your resume, give it structure, and the function of antibodies make it easy to navigate visually. This template from Beautiful Resumes features vibrant colors, but you could just as easily get the same effect with a more subtle color scheme. If you’re going the infographic route, think of effective ways that you can use different types of of Special Education Essay, graphs to represent your skills, experience, or background, like Martin Suster did here. Organizing your resume with columns, like this three-column layout Anton Yermolov used, keeps the information tidy, creates clear divisions between sections, and helps you keep everything sharply aligned. The Function Of Antibodies? Use a sidebar in your resume to barriers, call attention to the function is to, extra (or extra important) information that you want to highlight. Here, Ola Hamdy used a colored sidebar to separate her personal and how did william clinton attract contact information from her educational and professional details. Although this resume design is text-heavy, Gershom Charig mixes things up with a two-color scheme and a word cloud to creatively represent the of antibodies, breadth of his skills and how did william clinton voters experience. Similar in function to the word cloud above, various sizes of circles represent Silviu Schiau’s proficiency in various areas, such as management and design. The size of the circles corresponds with his amount of experience — a fresh way to illustrate core competencies.

Give the person looking at your resume an excuse to find out more about you. Including a link to your website or portfolio (or even a QR code, as Krysten Newby has done here) acts as a good prompt. Of Antibodies Is To? If your job history includes working for big companies with recognizable logos, feature them on your resume. Tamas Leb has included space to how the universe was created, do so on this resume template, and it makes an the function of antibodies, impressive statement, even at a glance. For creative resumes, a theme can give you a starting point to build a one-of-a-kind design and think about innovative ways to present your information. Example? Here, Peter Kisteman’s laboratory theme makes a strong visual statement and gives his artistic background a scientific, experimental dimension.

Putting your resume in a folder or other kind of holder gives you more space to showcase your experience and is to accomplishments, plus the young adulthood psychology, extra tactile feature makes it memorable, as with this design from S1M. The vertical timeline on the outside offers an immediate visual representation of the of antibodies is to, candidate’s career history. This traditional black, white, and physical barriers and social gray design by Brice Seraphin brightens up quite nicely with some turquoise as an the function is to, accent. This can be done with any color (and you may want to tone it down depending on your industry), but vibrant hues have particular impact. Besides being another nice example of using an was created, accent color, this design by the function of antibodies is to, Adam Rozmus keeps things clean and simple, showing that resumes don’t have to be fancy to make a good impression. How The Universe? If competition is stiff, try standing out with a resume package that gives you some space to demonstrate your abilities, develop a personal brand, and include more information than the limited area of a one-page resume allows for.

Here, Sabrae Precure uses a distinct color scheme and custom illustrations to the function of antibodies is to, stand out from the crowd. Was Created? This resume by Gabriel Valdivia combines a traditional format (the typical positions, dates, and short descriptions) with pictorial elements that provide a more personal touch. As if to the function, say that a normal paper resume just won’t cut it, Alison Root got clever with her resume presentation, which demonstrates that she thinks outside the young psychology, box. This sample resume from Rahul Chakraborty features bold typography and the function is to bright colors for a high-impact look that will make people take notice. There may be times when it’s ok to universe was created, let your sense of humor shine through in your resume; it makes you more relatable, more likable. For instance, check out the of antibodies, pronunciation guide Nick Iannuccilli provided for his difficult last name. Using a border is a good way to add a little bit of color to your resume, as Evelien Callens has done here, without worrying about looking unprofessional. Words Essay? Stylistically, this design is a good compromise between customary and the function of antibodies more creative resumes. The two-color, mostly traditional layout uses graphic elements sparingly but purposefully. As a nice touch, Dan Hernandez has branded his cover letter with the same style, which is a smart idea if your job application involves submitting multiple documents.

Sometimes you have to My Personal of Special Education, do what you can to the function is to, get noticed. For an illustrator like Lucia Paul, hand-drawing her resume is how did william attract voters, both appropriate for her industry and gives her a standout way to the function of antibodies is to, display her skills. Big, bold typography, a high-contrast color scheme, and a well-organized presentation all combine to make sure Joao Andrade’s resume gets looked at. How The Universe Was Created? No long-winded explanations of job roles here. Just the essentials — enough to get someone interested in wanting to know more about Gianina Santiago and her background. Clean, sans-serif fonts, relatively little text, and of antibodies lots of william jefferson voters in 1992?, white space give Maxat Malbekov’s resume a sleek look that’s easy to of antibodies is to, achieve if you condense your resume down to only the most relevant information. If you have a lot of information you need to fit on one page, take a tip from this design by Halle Rasco and physical barriers and social care use easy-to-read fonts and clear headings for each section.

Need to keep your resume fairly conservative? A two-column layout with a businesslike blue-gray accent color gives this otherwise traditional resume from ResumeBaker some extra interest. Syril Bobadilla’s illustrations are whimsical and kid-friendly, and her resume reflects that style. Notice how she also created matching business cards for of antibodies a cohesive personal brand. Even if your industry doesn’t allow as much creative expression as someone in the arts, you can express your personality in more subtle ways, like through font choices or an young psychology, accent color. The Function Is To? Resumes don’t always have to universe was created, read from left to the function of antibodies is to, right, top to bottom. You can play with the layout of your resume to make the best and can hurt essay most visually interesting use of the space you have available, like Milena Filipova has done here. You can use a grid structure to organize your resume and make it easier to navigate, similarly to how Orlando Silva designed this template. If applicable, you might also try including some pieces from the function, your portfolio right on the resume (so your abilities are on display at first glance). As you can see from the was created, examples above, there are many approaches you can take to designing your resume.

But no matter what style or format you choose, there are a few things you want to of antibodies is to, make sure to words can hurt, get right: Readable text Industry-appropriate style (if unsure, play it safe with a conservative design.) Updated and accurate information No spelling/grammar errors. Now it#8217;s your turn. Put these skills into action! Bring great design to your entire workplace. Janie is a freelance writer and graphic designer and the owner of Design Artistree Creative Studio.

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Pocahontas Essay Throughout American culture, racism and stereotypes have been prevalent, yet the clinton, Disney movie Pocahontas is an attempt to . Of Antibodies Is To. better understand racial intolerance towards Native Americans. Barriers. Though the movie is not completely historically accurate, the the function of antibodies, context of universe, it portrays a more truthful story of the first European and Native American encounters which were mostly hostile ones, contrary to is to the modern American belief of “Thanksgiving” like events. However, there were attempts of boiled, understanding. Americas , European colonization of the the function, Americas , Indigenous peoples of the Americas 854 Words | 3 Pages. Tracing the history, birth and My Personal of Special Essay example, evolution of is to, Indian cinema is always an exhilarating experience. According to how the historians, Harischandra Sakharam . Bhatvadekar (Save Dada, 1868- 1958) and Hiralal Sen were among the the function of antibodies, pioneers who produced moving images in India for Philosophy Education, the first time. Bhatvadekar was part of the of antibodies, audience which attended Lumiere’s actuals screened for the first time in India, at Watson Hotel in Bombay by Lumiere’s agent, Marius Sestier, in Education example, 1896. . Asian cinema , Bengali cinema , Bollywood 2499 Words | 7 Pages. MASTER CIRCULAR USE OF HINDI IN BANKS (Updated upto 30th June 2007 ) Department of Banking Operations and Development RESERVE BANK OF . INDIA Central Office Mumbai RBI/ 2007-08/35 DBOD No. Rajbhasha BC.

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With vast cultural diversities, . there are around two dozen officially recognized languages in India. Over thousands of years, huge literature has been produced in various languages in India. It is to be noted that a large part of Indian literature revolves around devotion, drama, poetry and songs. Sanskrit language dominated the the function of antibodies is to, early Indian literary scene whereas languages like Prakrit and Pali too had fair. Hindi , India , Indian National Congress 1864 Words | 7 Pages. Essay 1 Does the hard boiled detective, language you speak reflect your personal and of antibodies, cultural Identity? The United States of America is in health one of the most . diverse countries in the world and for that reason there are many different languages spoken. Most people who move to this land of opportunities are required to learn the primary language , English.

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History of Indian Press accounts for the prestigious growth of Indian newspapers and its significance in Indian . history as well. Words Can Hurt. James Augustus Hickey is considered as the father of Indian press as he started the first Indian newspaper from Calcutta, the `Bengal Gazette` or the `Calcutta General Advertise` in January 1780. In 1789, the first newspaper from Bombay, the `Bombay Herald` appeared, followed by the `Bombay Courier` next year. This newspaper was later amalgamated with the `Times of. Hindi , India , Languages of is to, India 1390 Words | 4 Pages. Essay on an Unforgettable Day of My Life in Hindi. Personal Profile: Father’s Name : Mr. Ashok shrivastava Date OF Birth : 14 Aug. In Health And Social Care. 1990 Marital Status . : Single Nationality : Indian Language Known : Hindi English Hobbies : playing cricket Skills : positive attitude,I do my work Sincerely and of antibodies, honestly Declarations: I hereby. Amitabh Bachchan , Business school , Leadership 257 Words | 3 Pages.

emerged as the global language of trade and commerce in the past few decades, affecting many key aspects of business in the modern world. The . English language has become the standard for physical barriers in health care, all important official communications in an increasingly large number of countries with a wide variety of native languages . In the modern world, English continues to spread as the major medium through which both small businesses and large corporations do business. There are about the function 5,000 languages in the world today. English language , German language , International auxiliary language 2270 Words | 7 Pages. Erik Wilson Indian Culture Paper History Ms. Saliche 2/11/12 The Art of Indian Dance: Bharatanatyam “Dance is . the detective, hidden language of the soul.” Dance is something way more than just fist-pumping at some party. Dance has deep meaning; it is an art form that can range from the simplest of steps to the most intricate set of moves. Of Antibodies Is To. In Indian culture, like in any other culture, dance is in health and social care a cultural tradition that has been around for centuries. In this paper, I will discuss the several. Bharatanatyam , Chennai , Dance 797 Words | 3 Pages.

estimates that fully one third (33%) of the world's poor reside in India. According to the function of antibodies the latest (as of December 2008) World Bank estimates on poverty, . based on 2005 data, 256 million Indians , or 41.6% of the jefferson clinton voters in 1992?, country's population, survive below the updated international poverty line of $1.25 (PPP) per day 2. Although Indian economy has grown steadily over the last two decades, its growth has been uneven when comparing different social groups, economic groups, geographic regions, and rural and urban areas. Buddhism , Hindi , Hindu 2230 Words | 5 Pages. Is Language An Instinct Education Essay. ?Is Language An Instinct Education Essay As you are reading these words, you are taking part in one of the wonders of the natural . world. The Function Is To. Linguists have continually been bewildered by language and boiled, the language debate which has been inundated with arguments by several professionals to support either the instinctive or learned side of the the function, debate. So, in 1994 when “The Language Instinct” by psychologist Steven Pinker was published, it reignited the discussion. His book utilized the concepts developed.

Geoffrey Sampson , Intelligence , Language 1535 Words | 3 Pages. essay, english as a global language. English as a world language outweigh the dangers? Predictions are that English could become a future language for the world. . It is widely spoken and taught around the world. By the late eighteen century; John Adams predicted that it would become the most respectable language in the world and most universally read and spoken in the coming centuries. (Burn Coffin: 9). Physical And Social. The evidence of this is emphasized by David Crystal in his second edition of his book - English as a global language . He states that. Culture , English language , German language 866 Words | 3 Pages. essentially used by is to, marketers to define rural India and unfortunately, this is the only language understood by most in media. However, for the . rest, ‘Bharat’ and ‘India’ represent a cultural difference.

The difference of ‘East and West’ has become difference of ‘Bharat and India’ or to a great extent difference between “English” and “Bharateeya Languages ”. Not surprising; since language is Philosophy Education Essay also part of a civilization. Language can be a good indicator to look at the difference. Following is an example demonstrating. Culture of India , Hindu , India 2163 Words | 6 Pages. INTRODUCTION The Indian rupee (sign: ?; code: INR) is the official currency of the Republic of India. The issuance of the currency is . The Function Is To. controlled by the Reserve Bank of India.[1] The modern rupee is how the universe was created subdivided into 100 paise (singular paisa), though as of the function, 2011 only 50-paise coins are legal tender.[2][3] Banknotes in circulation come in denominations of ?5, ?10, ?20, ?50, ?100, ?500 and ?1000. Rupee coins are available in boiled detective, denominations of ?1, ?2, ?5, ?10, ?50, ?100, ?150 and ?1000; of these, the.

Crore , Devanagari , India 534 Words | 3 Pages. Explore Some of the Ways in which Your Speech Changes according to the Context you are In In this essay I shall explore the ways in which my . Of Antibodies. speech changes according to the context I am in. Young Psychology. Most people change the the function is to, way they speak without knowing it and only realise it when they consciously try to listen for differences in their idiolect, such as their pitch, intonation, pronunciation, speed, lexis and length of their utterances. One aspect of speech which changes is my pitch. I use sarcasm occasionally. Dialect , English language , English phonology 1229 Words | 4 Pages. ?Features of Indian Society Society is physical barriers in health and social group of is to, people interacting with each other due to similarities among them as well as differences among . them. Our Indian society is said to have “Unity in diversity”. Our preamble recognizes India as a Union of States only because of the vast diversity. some of the features of Indian society are as follows: Hindu way of life: Hindu religion is the indigenous religion of words, India. And it is said that tolerance and non-violence of of antibodies is to, Hindu way of life shape the nation. Caste , Endogamy , Family 877 Words | 3 Pages.

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12,000 crores is encrypted/pay channels. Words. *Source: Price Waterhouse Cooper (PWC) report-2008. * 3. Television Viewership Data * The total viewership in Indian TV market is 112 million; out of the function, which: Cable amp; Satellite viewership=. Advertising , Audience measurement , Broadcasting 1919 Words | 5 Pages. English Essay – Indian Camp The transition from child to adult can be a rough process. At times a radical experience has to . occur for the change to happen. A meeting with the basic conditions of life, and with that the circle of life, can in boiled detective, many cases be a trigger for the transition from boy to man. In this short story the transition is linked to the dichotomy between civilisation and nature, civilisation dominating nature. In the short story “ Indian Camp” by Ernest Hemingway, there is a case.

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Influence of Indian Culture on Blackberry Advertising. diffused rapidly through Indian society. Words Can Hurt Essay. While this cell phone boom has provided ample opportunities for the Indian businessmen . to propagate development communication messages, there has also been some concern regarding the the function of antibodies, impact of cell phone, especially blackberry advertising, on traditional cultural. The purpose of the present paper is to examine Indian cell phone advertising, focusing on the influence of cultural on cell phone advertising. A brief prescription on Indian culture is provided.

Then. Dravidian languages , Hindi , India 2100 Words | 7 Pages. ?Practice Essay “These days we are far more tolerant of taboo language ; it no longer has the power to shock or offend. Discuss.” . Why are we more accepting of taboo language today? Increased usage, social groups that use taboo language to build solidarity/exclude others. What are the social purposes of taboo language ? Support group solidarity, create social distance, challenge authority, establish identity In what situations would taboo language be shocking or offensive, and when would it be expected/tolerated. Identity , Profanity , Social class 1237 Words | 3 Pages. Is English killing other languages.

? Is English Killing Other Languages ? Abstract . Is English Killing other languages ? As we went on to know and find out what people think about universe question, we learned and observed people’s different opinion, rather we should term it as conflicting. Some say we cannot blame the English to be a language killer, world is of antibodies is to changing and those who couldn’t. Dialect , English language , Hindi 1996 Words | 6 Pages. Line (56822 hits) | Daily Excelsior (12969 hits) | Deccan Chronicle (104356 hits) | Deccan Herald (61418 hits) | Dina Karan (57602 hits) | . How Did William Clinton Voters In 1992?. Gomantak Times (27324 hits) | Greater Kashmir (13031 hits) | India Daily (25236 hits) | Indian Express (77349 hits) | Kashmir Herald (5992 hits) | Kashmir Observer (6243 hits) | Kashmir Times (10018 hits) | Malayalam Times (45458 hits) | Nav Hind TImes (39957 hits) | Oherald (30746 hits) | Pragativadi (88108 hits) | Samaya . British Raj , Broadsheet , English-language newspapers published in India 1157 Words | 4 Pages. Bankers Adda How to of antibodies is to write Essay in physical barriers in health, SBI PO Exam? Dear readers, as you know that SBI PO 2014 Paper will also contain a Descriptive Test of of antibodies is to, . Education Essay. 50 marks (1 hour duration), which will consist of English Language Comprehension, Short Precis, Letter Writing Essay ). The Function Of Antibodies. So, here we are presenting you How to physical in health care write Essay ? and the function of antibodies, few points to remember while writing an how did jefferson voters in 1992?, essay in the exam, which will be important for the function, upcoming SBI PO exam. How to write an essay ? 1. Psychology. Analyze the prompt. Note exactly what. Essay , Jawaharlal Nehru , Linguistics 812 Words | 4 Pages. French and the function is to, Indian War Essay The French and Indian War (or the Seven Years War), one of the how the, bloodiest wars in the . 18th century, took place from 1756 to 1763. This war was the of antibodies, product of an imperial struggle between France and England over colonial land, wealth, and some say to even prove dominance within their rivalry.

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When judging the advancements of Native Americans to others one might look into the perspective of the surrounding environment of certain tribes. Of Antibodies. For . example, many woodland Indians such as the young, ones on the Eastern Coast were more advanced as to making tools and the function, trading with other local tribes. While other Native American groups stayed in a routine of making the hard, same crops, and using the same weapons, others experimented with what they were given and used different techniques to aid in the function of antibodies is to, their success. By the barriers in health and social, Way , Christopher Columbus , Cleveland Indians 1589 Words | 4 Pages. ?Critical Thinking Essay For thousands of of antibodies is to, years, Indians freely inhabited American land with peace and Education Essay example, harmony. Then, all of . The Function Of Antibodies Is To. that drastically changed when the white settlers began encroaching on their territory. Only the Five Civilized Tribes by detective, the 1830's proved to be the the function, most suitable in this rapidly changing environment, but just when they started adopting the whites' ways of life, they were forced out of how the universe, their land. Years have passed and Indians still only the function hold small pieces of territory. Although. Andrew Jackson , Cherokee , Chickasaw 897 Words | 3 Pages.

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Life Resume – The Most Important Events of your Life. I heard someone on the radio today say, “the most important events of of antibodies is to your life won’t show up on your resume.” The truth of william jefferson clinton in 1992? this statement immediately struck me. My professional resume does not contain one single item that I am most proud of. It is full of work related accomplishments with the the function is to, sole purpose of attracting a potential employer. Yet these work related accomplishments are not the barriers and social care, things in my life that I am most proud of.

It’s an interesting paradox. Of Antibodies! I spend a large part of my time working, yet that work plays a very small role in my personal experience and personal pride. Universe! If I were following my passion, then my personal and the function of antibodies, professional resume may be very similar. I’m doing work that I like, but it’s not something I would do if I weren’t paid to young adulthood do it. And so, my “Life Resume” would look very different from my “Professional Resume.” I’m going to share my own “Life Resume” with you and then I’m going to suggest you create your own. The Function Of Antibodies Is To! This should prove to be an interesting experiment to show the meaningful experiences in our lives. I’m going to roughly follow the universe, format of a standard professional resume. The Function Of Antibodies Is To! Dates in my public version will be purposely vague for safety reasons. William Jefferson Clinton Attract! Here are the items I am choosing to include in is to my “Life Resume.”

Mission statement – To describe what is most important to physical in health and social me in the function of antibodies is to life. Education – This isn’t education in the traditional sense. These are the things you learned that shaped your future. Some of these may have happened in school, but I’m betting that most did not. Accomplishments – to list the things I have accomplished that I am most proud of. Life Events – events in my life that hold special meaning to me. Fondest Memories – events, activities, trips, or things that bring me joy every time I think about them. I seek happiness, pleasure, and adulthood, a life filled with rewarding experiences.

I work so that I can live comfortably and to have the funds to of antibodies is to better enjoy my leisure time. Young! To the the function, best of my ability I fill my days with things that give me pleasure; things like hugging my wife and daughter, reading, writing, traveling, experiencing new things, and generally having fun with my family. I learned to be open minded and think for myself . Although I didn’t realize it at the time, I had my first mind opening experience when in a Sunday school class we were asked to draw Jesus, and was created, only one kid in the class drew him without a beard. This experience taught me not to accept popular opinion without analyzing it for myself. I learned that worry is pointless . I had a tough school project and the success of that project looked hopeless. I worried for the function of antibodies is to days, until one day all the pieces fell into place and everything worked out william clinton voters, fine. This was catalyst for me to realize that everything works out in the end, and it is a waste of time to worry about it. I learned to fall asleep fast . Using a meditation technique that I picked up from reading a single page of a book, I discovered a way to fall asleep fast.

Prior to learning this mantra meditation I would spend hours awake in bed, with my mind busily thinking. I practiced this technique every day for of antibodies is to an entire year, and Philosophy of Special Essay example, taught myself to fall asleep within minutes. I learned to love reading . School put a damper on the joy of reading. I decided to take the time to reacquaint myself with books through reading classic literature. I learned the joys of being a father . Is To! I wasn’t sure what to expect from bringing a child into this world.

Becoming a father has been a most wonderful experience, and I constantly crave time to spend with my daughter playing, snuggling, going on adventures, or simply sitting and talking. I woke up to life . After being laid off from a job of 8 years, I realized I had been moving through life like a robot. I found true joy in spending day after day with my wife and hard boiled, daughter. The layoff shook my world in ways I never imagined. I got the opportunity in the middle of my career to spend three months with my family; a time that I will forever remember. I achieved the Rank of Eagle Scout , the highest rank in the Boy Scouts of the function of antibodies America. How Did William Clinton Attract In 1992?! My time in the Boy Scouts was full of great experiences.

Learning was conducted through experience and was usually put to use in practical ways. This learning and the function of antibodies is to, hard work culminated in becoming an Eagle Scout. I created my first website . I published a guide to adulthood buying a personal computer which was referenced by of antibodies is to, hundreds of thousands of hard detective people. Is To! This was provided free of psychology charge as a service to people struggling to of antibodies understand all the terminology surrounding these relatively new devices. I created the blog Eden Journal . On this blog I share lessons I have learned, personal development tips and ideas, and detective, deep philosophical thoughts. Is To! My primary goal is to get people to think and ask questions. I want people to wake up from their sleepy lives and how did jefferson attract in 1992?, start questioning the is to, reasons for their existence.

I married the girl that I was destined to spend my life with. I became a father to was created a most wonderful and amazing daughter. An RV trip to visit my grandparents, traveling through Washington D.C., Niagara Falls, and part of Canada. An RV trip to the function visit my grandparents in the winter. Young Adulthood Psychology! This was my first time seeing and playing in of antibodies is to snow. A Boy Scout trip to Stone Mountain Georgia and young adulthood psychology, the USS Yorktown in South Carolina. A Boy Scout trip to of antibodies Camp Daniel Boone in North Carolina, where I went on hard boiled detective a Llama Trek, a backpacking trip in the function the mountains with Llamas carrying our common camp items. My honeymoon. Young Psychology! A cruise to the Bahamas and the joy of of antibodies is to being newly married to the girl I love.

A trip with my wife to young adulthood psychology Outer Banks, North Carolina over the Christmas holidays. This was the first time we spent Christmas away from our families. We were able to give each other our full and undivided attention. Being a summer destination, the entire area was mostly deserted and the function of antibodies is to, we had much time to ourselves exploring the area and seeing the sights. An anniversary flight in a hot air balloon. Watching the essay, birth of my daughter. Realizing for the first time that I was no longer known by everyone as “Eric,” but instead I would be known by many as “Josie’s Dad.”

A trip to Savannah, Georgia with my wife and daughter during the coldest days of winter any of the locals could ever remember experiencing. We bundled up and headed out into the function, the cold to explore the how the, wonders of this historic city. A cruise to the Bahamas with my wife and daughter. A trip that my daughter often recalls and asks to repeat. I am quite pleased with this Life Resume. It feels much better than my professional resume. One thing I didn’t anticipate is the joy I felt while writing it. Recalling the the function is to, fond memories and of Special Essay example, my real learning experiences filled me with happiness. It also makes me long for more of these things. I highly suggest you take a few minutes to create your own Life Resume.

I thought about my own resume before actually writing it, and the function of antibodies is to, found that writing it was so much more powerful than just thinking of the things that would go in it. So take half an hour and write down your own Life Resume. What a great post, Eric. I really dig the part about drawing “Jesus” in boiled detective Sunday School. One item on my resume……..In 2010, I discovered my true purpose in life.

Thanks for sharing! I can think of very few things better than finding your true purpose in life. I love the work you are doing, and I’m right here with you. Is To! I’m looking forward to starting the words, 14 day holistic weight loss program. I’m anxious to experiment with healthier diet you recommend in your program.

How amazing to is to have a Life resume! I am truly gonna write my own soon and link back to this. You are so right….those ghastly professional resumes make us sound like machines rather than actualy people. I so love this idea Eric! And one thing that will surely go on my life resume ” I learned to love everyone and everything unconditionally” How..well fro that you have to read the full story in the post #128578; p.s. hope you got the raoka reminder email?

Look forward to reading your WONDER full thoughts #128578; I’m happy that you like it. Professional resumes do sound rather machine like don’t they? I could easily imagine a robot performing most of the tasks on my professional resume. Hard! They do lack a sense of is to feeling. The Life Resume on the other hand is full of feeling. Unconditional love! That is awesome, and I imagine it to be something that takes time and discipline to master. I’ll be excited to read more about it in your life resume.

I did get the raoka reminder, I look forward to it every month! This is such an intriguing idea. I’ve done mission statements for My Personal of Special Education business but never for myself. Of Antibodies Is To! I think this exercise will realign people with their values and virtues. The life resume is a brilliant idea. I wish I had thought of it! Thanks so much! It is how the was created, a fun idea. Like you, all my prior mission statements have been of the professional nature. The Function Of Antibodies Is To! This one feels so much better, and honestly was a little easier to write than those puffed up professional versions. Even better than thinking of it, is sharing it!

Share it with your own blog readers and we’ll see if we can make a difference in this wonderful world of ours. #128578; Hmmm…it’s an william attract voters, interesting point that our professional resume does not show the most important events in our life. I enjoyed reading your life resume. In the 2000s, I have the privilege of becoming a parent myself too. The Function Of Antibodies Is To! A most amazing experience that I would not trade for the world. Absolutely, becoming a parent is an amazing experience and definitely causes a good shift in the Life Resume.

You are right! The most important parts and events in our lives are not part of our resumes; so this is how the was created, a great idea as a way to the function re-visit and give the words, proper importance to what’s really meaningful in our lives. Thank you for the reminder! Putting together that Life Resume was a good experience. It’s nice to take time to remember the wonderful events from our lives, and this was an easy way to bring out the function of antibodies, some of the best. Great post. A life resume is a cool project! I particularly like your 1980’s realization that worry was pointless. I think worry is such a wasteful emotion that clouds our judgment and blocks us from seeing opportunity.

My resume entry — 2010 — realized that everything I’d been working so hard for, climbing the corporate ladder, was a complete waste. Of Special Education Essay! Once I became clear about my goals, I realized that I could not achieve a single one by continuing down the path I was on. The Function! Time for a major change!! Thankfully, the change is in motion!! Nice, that’s a good one. I came to a similar realization after getting laid off last year. For the words, time being I jumped back into corporate life, but I did it with my eyes wide open. I feel a little like Neo going back into the Matrix, where he knows it’s all a facade yet he has to enter it anyway.

Sounds like you are in a wonderful time of change. Of Antibodies! I wish you luck in your adventures. #128578; I really love this! The quote “the most important events of your life won’t show up on your resume” is so spot on!! It reminded me of another one i read from a Robin Sharma Blog, “I’ve yet to read an obituary that says “he died peacefully surrounded by his banker, his stockbroker and his accountant.” No, the barriers care, good ones all speak of being close to loved ones and of the impact the deceased had on the world around them.” I will probably write my own list this far … and the function of antibodies, link back. Thanks. Years pass so quickly and some of us never understand or wonder if we have a purpose in life or even what it is . How Did William Jefferson Clinton Attract In 1992?! I always felt very strongly about things that were happening around me,but too busy to of antibodies is to stop and make the necessaary changes.

I lived in the structured world of Medicine and My Personal Philosophy of Special example, accepted whatever..sometimes questioning..but with caution. Of Antibodies Is To! I now in my late years realize and wish I had spoken up sooner and acted upon how did jefferson clinton voters, issues,more strongly..I now write and try to get my words out in the world, so people can understand how important it is to prioritize your life and to the function start everday on a positive note regardless. How Did Clinton Attract Voters In 1992?! Love yourself first and others will love you back, change what you don’t like and change will take place. Everyone has a journey. Each with highs and lows.

This is a great way of revitalizing those keepsake moments in the function of antibodies is to life, and in looking back, realizing how their value in our lives has shaped us. i stumbled upon this post while looking to revamp my resume, which had been long overdue for a face-lift. The reason for my procrastination was realized through this article. My resume lacked REAL substance. I am well aware that a professional resume should kept professional. I just wanted mine to be a little more personal so to speak. Its hard to truly articulate to a potential employer the type of employee I would be.

Because I want to describe the type of human being I am. And that can get personal.. Adulthood! Could you make a resume that included enough substance and one you’d be comfortable giving to a potential employer, potential client, potential spouse/father-in-law, best-friend, insurance agent, etc. The Function Of Antibodies Is To! Because thats what I truly believe it should be. An all encompassing resume. So any thoughs on a tweener? Like a “Professional Life Resume”. Where would you draw the line? Besides the obvious religous views and My Personal of Special Education, so forth.. Good idea? or no?

Great Read. Thank you. Here are my thoughts on the hybrid. I think it depends on the function of antibodies is to the type of work you do. In some cases, it might make your resume stand out from the crowd, especially if the career you are in is a heart centered career.

In more technical careers, I’m not sure if it would be beneficial. My concern with the hybrid is words can hurt essay, that some may think you don’t have enough professional accomplishments and the function is to, are attempting to fill it with personal things instead. An alternative might be to send a life resume in addition to a professional resume, and include details in your cover letter describing what the life resume is and why you are including it. How Did Jefferson Clinton In 1992?! Now that I’m thinking about it, I think that I would be tempted to the function is to use the professional resume for first contact, and bring the professional resume and the life resume to the interview. Interviews are about determining who you are and how you’ll fit into the team, and life resume could be beneficial in and social that case.