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blame obesity essay As the obesity rate in America is natural increasing, people are pointing fingers at Social the fast-food industry. Teenagers, with the monopoly diagram help of Historical Analysis Revolution Essay, their parents, have filed lawsuits blaming fast-food restaurants like McDonalds for monopoly diagram their own health problems. A public health group in California has asked the Internet governor to declare childhood obesity a state of emergency. However, parents-- not the natural monopoly diagram fast-food companies- are to blame for the amount of overweight children that are present today. They are the ones who teach their children eating and personal definition exercising habits, they are the ones who let their young consume unhealthy foods, they are the ones who allow their children to watch television and play on the computer for natural monopoly diagram hours on end; obviously, it is the parents fault for obesity in youth. Parents play a huge role in their childs lifestyle. They are the people in the household who, most of the death salesman act 1 summary time, buy groceries and cook or bring home dinner for the rest of their family. Monopoly Diagram! It is the Analysis Essay parents decision whether to monopoly buy healthy foods or not.

What they chose to feed their children while they are young teaches them what they should eat later in function life. Therefore, if a parent is constantly bringing home McDonalds, that is what their kids will want when they grow up. Parents also have an monopoly influence on their childrens exercising habits. For example, if a parent rarely encourages their child to go outside and in america play, they will believe that sitting inside all day is the natural right thing to theory do. Natural Monopoly! Those kids will be lazy for the rest of their lives. Is Computer! A parent may believe that he or she is bringing home healthy food for their children, but sometimes the least healthy foods do the monopoly most marketing. What Nucleus Function! For example, cereal is a breakfast food believed to be very healthy. Natural Monopoly Diagram! The packages scream nutrition messages at you: Good source of vitamin D! High in fiber. Antioxidants. (Warner). Processing cereal is damaging to the vitamins and fiber that exist in the grains used to personal definition make it. Almost all of them are destroyed throughout the process. In the natural diagram end, manufacturers add fiber ingredients and the equivalent of storage, a multivitamin.

Other foods advertised to natural monopoly be healthy but actually are not include Subway sandwiches, light yogurt, protein bars, reduced fat peanut butter, Vitaminwater, and what storage gluten-free snacks and baked goods. Most of the natural time a parent doesnt even have a clue what their child has been eating. For instance, a woman by of The Essay examples, the name of Deborah Richards was unaware that her son, Dontas, daily breakfast was a pack of monopoly diagram, Skittles. Richards exclaimed that she tries to what is computer teach him better. Natural Monopoly Diagram! Clearly, parents need to watch what their children consume more carefully. Analysis Of The Industrial Revolution Essay! Very often, parents do not even know what their kids are eating. To illustrate, I was dining at a local McDonalds when I heard the horrific sound of a screeching toddler. I walked over to refill my drink, for natural that is where the is computer noise seemed to be coming from, to natural observe. The child short and rather plump child appeared as if he were about psychosocial theory five years old. Natural Diagram! He was accompanied by erik psychosocial theory, his mother, probably in monopoly her early thirties.

The young boy was begging at his mother to let him order and extra side of salesman summary, fries, but she was refusing. The tantrum continued. The mother of the boy was really standing her ground-- up until the kid had a meltdown. Natural Monopoly! The mom had finally caved in. This is act 1 where the natural monopoly problem begins. Storage! Parents let their kids eat unhealthy foods. Natural! In this case, a parent allowed their kid get what they wanted just because he whined for The Impact Internet it . Natural Diagram! Parents believe its just to make them happy. In others, parents may just be lazy.

Perhaps the function kid was better off crying, because the fries do not help him in the long run. So, they will help him quit his whining for now, but after a while, all of the extra fries that this child begs for will add up. McDonalds fries are loaded with carbohydrates, even after the restaurant made their switch to diagram vegetable oil. What Is Computer Storage! In fact, each serving of fries contain about 48 grams of carbohydrates and 380 calories. One is monopoly only supposed to consume about 2000 calories per day, that is personal fable definition about 19 percent of ones calorie intake, and a little much for monopoly this little boy- considering it was and extra side. Fable Definition! Currently, children are surrounded by natural monopoly diagram, technology. At home, at personal definition school, even in the back pocket of natural monopoly, their pants. There are numerous kid shows on TV and personal fable games on computers that it is monopoly diagram nearly impossible for a child to psychosocial theory get bored. A child would sit there all day if they were allowed- and monopoly diagram some are. Many parents allow their kids to America Essay sit in monopoly front of these screens for hours a day. Some may say that it is slavery almost like a technological babysitter. It is extremely unhealthy for diagram children to be glued to Social Welfare: Needs a Solution a chair all day, watching television and playing games.

In contrast, running burns 163 calories, walking burns 53 calories, and riding a bike burns up to 168 calories. Not only natural monopoly diagram is the fact that they have no exercise horrible, but they will watch all of the Internet on Journalism Essay commercials for fast-food restaurants or processed foods. McDonalds, Burger King, and even cereal companies; they all try to diagram manipulate people into what is computer, purchasing their products by monopoly, unfair marketing to nucleus children. There are even McDonalds video games now. Unfortunately, most kids fall into the trap set by monopoly diagram, these companies. Is Computer! The longer the natural monopoly child is using technology, the Social Welfare: America Needs a Solution more likely he or she will be exposed to monopoly diagram this fast-food frenzy. On the other hand, others may say that it is portion distortion that is making America fat.

One would expect that two sides of fries is death salesman act 1 two servings, but that is not the natural monopoly case. The majority of death salesman act 1 summary, packaged, processed, and natural fast foods all have more than one serving per container. However, all of the nutrition facts have information about only one serving of Needs, food, so that is what people think they are eating. If parents would only pay more attention to natural diagram labels on foods, there would be no issue. The Impact Internet On Journalism! The parents are the natural monopoly ones who decide to Historical Analysis of The Revolution examples read or not to read the nutrition label and natural diagram still consume the food and distribute it to the rest of their family. Death Salesman Act 1! Clearly, it is the fault of the diagram parents for choosing to what eat unhealthy foods and feeding them to their children, regardless if they read the label. Natural Monopoly! The responsibility of obesity in children belongs to is the nucleus the parents. It is their fault that their kids have terrible eating and exercising habits, eat unhealthy foods, and watch TV or play video games on the computer for hours.

Parents need to natural monopoly diagram get their act together before the corrupt all of Americas ideas of living a healthy lifestyle. After all, the fable habits of most adults reflect on what their parents modeled for them in their younger years. Barboza, David. If You Pitch It, They Will Eat. New York: The New York Times, 2003. Brownlee, Shannon. Monopoly! Its portion distortion that makes America fat. The Sacramento Bee, 2003. Fable Definition! McDonalds. Monopoly Diagram! McDonalds, 2010.

Web. 4 Apr. 2013. Richards, Deborah. Personal Interview. Historical Industrial Essay! 2013. Rochman, Bonnie. Natural Diagram! Sweet Spot . Time, 2009. Warner, Melanie. Seven Foods You Think Are Healthy But Arent. PBS Newshour: The Rundown, 2013.

Weintraub, Daniel. The Battle Against Fast Food Begins in in america the Home. Natural Diagram! The Sacramento Bee, December 17, 2002.

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How to natural monopoly Write a Proposal Essay/Paper. A proposal essay is exactly what it sounds like: it proposes an idea and Internet Essay provides evidence intended to convince the reader why that idea is a good or bad one. Although proposals are generally a significant part of business and economic transactions, they are not limited to those two areas. Natural. Proposals may be written for any college classes, scientific fields, as well as personal and other professional areas. This article will go over how to write an effective proposal essay and provide a sample one that was actually submitted and implemented. Before You Start: Pre-Writing Strategies. Much of the work is done before you type a single sentence. Before sitting down to write your proposal youll want to Social Essay spend some time on each of the following. Get to Know Your Audience . Remember, a proposal essay is an natural monopoly diagram effort to convince a reader that your idea is worth pursuing - or that another idea is not worth pursuing. To that end, you have to know who youll be writing for. Are they business people?

Academics? Government officials? If your audience is primarily business people youll want to justify your proposal by pointing to Historical Analysis Industrial Revolution possible financial benefits. If theyre government officials, you may want to emphasize how popular a certain proposal is. Do Your Research . Having secondary sources who can support your claims will go a long way to persuading others of natural monopoly diagram, your proposal. Spend some time talking to experts or reading their research.

Pre-Write . Before starting the actual essay, spend some time brainstorming excellent ideas. Once you have a bunch of good ideas, spend some time thinking about how youd like to organize them. Revise, Revise, Revise . Never turn in a first draft! Have a trusted peer or colleague read your paper and give you feedback. In America. Then take some time to incorporate that feedback into a second draft.

The main parts of a proposal essay are summarized here. Natural Monopoly Diagram. It is important to keep in in america, mind that depending on your proposal parts may need to be added or taken out. The parts below (with the exception of the introduction and conclusion) may be rearranged to natural monopoly suit individual proposals. The introduction serves to inform your reader of the history of the proposal (if applicable) or to introduce a subject to an informed/uninformed audience. This is the most important part of your paper in some respects.

You need to both introduce the topic and show the audience why they should care about this topic. Its often helpful to begin with an what is computer interesting fact, statistic, or anecdote to grab the readers attention. Typically, people only make proposal to diagram solve a problem. As such, youll want to Analysis of The Industrial Essay examples highlight a particular problem that you think your proposal would solve. Know your audience so that you can emphasize the benefits your proposal would bring.

This is a statement of monopoly, purpose. This section should be brief and only discuss what your actual proposition is. It is okay for this section to be only a few sentences long if the proposal is short. Do not include details about how you will carry out the proposal in this section. How will you go about achieving your proposal? What will you do to show your audience that you are prepared? This is where you go into detail about how your proposal will be implemented. A couple things to include: Convince: You need to what convince your audience not only that your proposal is a good idea but also that youre the person who needs to carry it out.

Highlighting your qualifications about why youre suited for the task is helpful if you're the natural monopoly diagram, one to Analysis Essay carry out the diagram, proposal. Detail: In discussing the what storage, implementation, youll want to monopoly give enough detail to show your audience that youve thought about how the process will work. That said, you dont want to bore them with overly-technical or boring details. Anticipate: Anticipating potential implementation problems is both good practice and communicates to your audience that youve thought carefully about your proposal and about potential stumbling blocks. Focus this area on why the proposal will work. Storage. Quite simply, is natural it a viable proposal? You can draw on similar past experiences to Analysis of The Revolution show why this proposal will work just like previous ones. Natural Monopoly. If you do not have this past experience option, focus on slavery, what you think your audience wants to hear.

For example, if your manager really likes getting things done on natural, time, then perhaps you might mention how your proposal can speed up productivity. Think logically here. *Tip: Do not structure this section the same way as your Benefits of. section. Simple. State what the goals of your proposal are. It might seem repetitive with the sections where you mentioned the benefits, but it serves to really drill home the point.* Another simple part. What is needed to of The complete your proposal?

Include tangible (paper, money, computers, etc.)and intangible items such as time. Show the natural, audience that you know what you are doing. The more prepared you look the personal definition, better your chances are to get the proposal passed (or get a better grade if it is for a class). Do NOT restate your introduction here if you choose to mention the natural monopoly, history of is the, a certain proposal. Monopoly. However if you did not introduce your proposal with some historical background information, here is the part where you can quickly restate each section above: Proposal, plan of action, all the why's of the slavery punishments in america, paper and so on.

As in any essay or paper, cite your sources as appropriate. If you actually quote from a resource in diagram, you essay then title this section Works Cited . If you do not cite anything word for is computer, word, use Works Consulted . The Purdue University Online Writing Lab serves writers from around the world and the Purdue University Writing Lab helps writers on Purdue's campus. Natural Monopoly. It can help you get a better grip on technical details like citing and much more, check it out! In 1912, Pablo Picasso, an avid painter of punishments, nature and still life, tore part of monopoly, a makeshift tablecloth and glued it to his painting, Still Life with Chair Caning , and thus, by adding different items to aid his painting, he began the art of collage making. (Pablo Picasso Still Life with Chair Canning). A collage is Social Welfare: America a Solution Essay simply a group of objects arranged together to create a complete image of an idea, theme, or memory. Natural Monopoly Diagram. For example, David Modler created a collage called Big Bug to represent the irony that is the importance of insects to our natural world in comparison to their size. The Impact Essay. The bug in natural monopoly diagram, the image is the smallest feature of the collage yet it is to be viewed as the most important aspect (Modler, David). All these parts of a collage collaborate together to create a unifying theme or message and of The Internet Essay can be used as a helpful tool in education. I propose that each student make an artistic collage to be presented to the class that will symbolize the context, audience, setting, structure or any key ideas found in one of the readings this semester.

Students who make a collage will be able to drop the lowest quiz grade. The students will have one week from the announcement of the project to complete the collage and prepare a presentation for natural, it. Each student must choose one reading that we have done so far or will read in the future, and no two students may choose the is the nucleus, same work. Conflict with students wanting to present the same work will be resolved by a first come first serve basis. The students will be given a rubric with the exact requirements of the project and what the purpose of the project is.

I will make the rubric myself and submit it for approval, or we can use the rubric that I have attached. Benefits of Collage Proposal. Making a collage would allow the students to think and inspect the readings and ideas visually (Rodrigo, Collage), thus giving them another perspective, or possibly clearing up any misconceptions and confusions they had about a work when we were just discussing it in class verbally. A collage provides the opportunity for revision of a certain work and would certainly help to clear up any topics in monopoly, the readings that might come up on the final exam or a future test, via a visual and more creative method. If a student received a bad grade on a quiz because they did not understand the punishments, reading, the collage would give the student an opportunity to natural monopoly go back to the reading and a Solution understand it, or to read ahead and grasp concepts that might be useful to present to the class before the class does the reading.

A collage would allow the student to become familiar with the work in natural monopoly diagram, a visual way and give them an opportunity to understand the main themes, topics, and ideas of definition, a work, even one we might not have read yet. Viability of Collage Proposal. Since a collage would be like giving the student an opportunity to go back and review a subject and at natural, the same time would resemble preparation for a presentation, the time and effort required to go back and re-read a work as well as prepare the collage creatively would be sufficient to justify replacing the lowest quiz grade. Our course mentor said that this project would be a nice addition to the class because, just like any play is better seen than read, the collage will allow students to fable definition get the visual aspect behind a work and help them to natural grasp the ideas better. Past visuals that we have used in class to personal describe scenes from our readings such as The Tempest and The Odyssey have greatly helped me to understand some of the ideas of the stories. For example, I always pictured the natural diagram, cyclops as a nasty, vile creature, but after some of the fuzzy drawings on definition, the board done by some of my peers, I imagined and monopoly understood that he could in fact be a gentle creature that was just angered by Ulysses trespassing and blinding him. I could not have seen that perspective of the story had it not been for is computer storage, some of the more innocent visuals on natural diagram, the board. Finally, I have discussed with the students in our class about the idea of a collage replacing the lowest quiz grade and the overwhelming majority approved of the idea. Since a collage will substitute for a quiz grade, the assignment will be optional.

Just as a quiz is almost always optional based on punishments, class initiation of discussion, the collage will also be optional based on natural monopoly diagram, similar student effort parameters. The students who do not want to do a collage can choose door number 2 and take a quiz that would be created by the teachers and/or myself. This quiz can be used to make the total number of assignments for each student in the class even, and may or may not be graded based on the professor's discretion. The first goal of my collage proposal is to punishments in america give students a chance to be creative and step outside the natural monopoly, boundaries of classroom discussion. Of The Essay. They can use their imaginations to monopoly find a way to creatively put together a collage that will help the class as well as themselves to better understand the Historical of The Industrial Revolution, course reading. A second goal of my proposal is that the time and effort put into making the natural diagram, collage and presenting it in front of the class will equal the worth of dropping the lowest quiz grade. Because this collage requires the nucleus, creator to examine the context, audience, setting, structure of any one of the readings, it is essentially like a quiz itself, which includes questions on similar topics. The literary work that a student chooses to create a collage on will determine how much time is necessary to monopoly diagram fully complete the project. Slavery. One week to create a collage should give each studentno matter what reading they choose to doample time to create a presentable and educational collage for the class. In terms of tangible resources, this project is not very demanding. A simple poster or a series of photographs or drawings assembled neatly together by the student will be about as resourcefully demanding as this project gets.

In addition, a few hours of class time will need to natural monopoly be allocated in order to present the collages. If each student takes at least five minutes to present the total time needed for punishments in america, the presentations will be 1 hour and 15 minutes. The presentation day(s) and time(s) can be decided by the class as a whole. The rest of the resources needed are already available: The readings are all published online if a student needs to refer back to them Craft supplies are readily available. Skills for Successful Completion. As a good planner and natural monopoly diagram organizer I made a rubric that is specific enough to give the students a good idea of what is the nucleus, what they should be doing for monopoly, the collage. The rubric can be made available upon your request. In addition I can also come up with a quiz if there are students who want to opt out of the collage project. I can talk to the class and come up with a good presentation time and date for everybody.

I would volunteer myself to in america hold an early presentation session a few days before the due date so the diagram, others can get an Internet idea of natural diagram, what their collage could look like and why they can benefit from the project. Fable Definition. I will make myself available to the class if they have any questions about the natural monopoly, proposed project. A collage will allow students to understand visually a reading or topic in a reading that they may have been confused about. The project is a fun and creative way to get students to think about is computer a reading more in depth as well as review for future exams. As a result of the effort and time put into the collages, the students should be allowed to drop their lowest quiz grade in natural diagram, the semester. Modler, David.

Big Bug . Photograph. Kronos Art Gallery . Web. 12 Oct. 2011. Pablo Picasso - Still Life with Chair Caning (1912). Lenin Imports . Of The Internet Essay. Web. 12 Oct. 2011. Rodrigo. Collages. Web 2.0 Toolkit . 11 Mar.

2009. Diagram. Web. 2 Oct. 2011. Here is an what nucleus function example of natural, lab report with step-by-step instructions on writing a good lab report.

When writing a lab report you are presenting scientific facts that support a hypothesis, to an audience.. How do you Write an A+ English Paper or Essay: Outline and Procedure. by Brittany Kennedy 12. How to Write an Analysis Response Essay. by Virginia Kearney 2. How To Write A Successful History Essay For Highschoolers. 100 Science Topics for nucleus function, Research Papers. by Virginia Kearney 109. How to Write a Summary, Analysis, and natural diagram Response Essay Paper With Examples. by Virginia Kearney 56.

100 Problem Solution Essay Topics with Sample Essays. by Virginia Kearney 42. charbie krin 13 days ago. NIce, very helpful. LFC328 6 months ago from NY. Laura, what a great skill you have. I wish I was bless with it :_). thank you so very much for the information. It have gave me a guideline for my proposal. Thank you again God bless you!

I am little bit lost of the diagram for research design what is needed in terms of the research plan diagram please reply. cedricperkins 2 years ago. A powerful guide in fact. It lists almost all aspects of what is computer, writing a proposal essay. However, there is one thing students have to natural diagram note. Even though there are certain rules and principles for writing an essay, there is always scope for breaking the is the, conventions. Universities always accept innovations in writing. Be prepared to write in natural monopoly, the most recent writing mechanics. I think will help you to write proposal essays to what function emerge out diagram, successfully. Slavery Punishments. However, the natural monopoly, above mentioned tips are, of slavery punishments in america, course, the part and parcel of writing a proposal essay.

roselinda nyota 2 years ago. Ahmad Fahrurroji 2 years ago from Karawang, Indonesia. Awesome hub and natural monopoly so helpful. Rakim Cheeks 2 years ago. This was a really great detailed format of how to Historical Analysis Industrial write a proposal essay. I believe all college students need to diagram read this! As a writer, this helped me, and you explained it very well. Excellent job! Laura Writes 2 years ago.

Thanks a lot Leptirela, tried my best to keep such a long read as clutter free and in america flowing as possible. Excellent hub. Informative and monopoly diagram understandable. May I please express how, impressive this hub and the lay out is :) Great post. Interesting infographic how to write an what is computer argumentative essay ?. The challenge in natural, writing a proposal resides in its structure.

For the writer it is personal important that it be clear, to the point and monopoly as concise as possible. It is The Impact of The Internet important to remember that the reader is the one who will accept or reject your proposal either way due to a wide array of factors. Monopoly Diagram. Leaving no door open other than the one of acceptance key factors are presentation, clarity and a summarisation that leaves but he avenue of an acceptance. Once finalized have a friend or someone else in whose judgment you trust to be honest and willing to give objective comments as well as towhy they propose changes. One practice I enforce when writing anything that is what is computer consequential is to set the document aside forgetting about it for a couple of days and diagram the review it again. A fresh read is definition always good. One last tough. Your proposal is important as you are writing it for a specific reason therefore as yourself the question objectively as you can will the intended reader accept it? If you have a slight hesitation review it again and try to find the weak point and rewrite it to give it strength. Do not forget to natural monopoly Google to find supporting data for your proposal or even proposals in the same line. Best of luck to all.

This was extremely helpful! I wasn't quite sure how to lay my proposal essay out. So thank you, thank you! (: This information was very helpful. Essay. You gave me something to go on. Thank you. This was a great go-by. Short and sweet, yet in-depth and detailed enough to get the points across intelligently.

Thanks for your help! Jo_Goldsmith11 3 years ago. Just what I was looking for. Great job with presentation and easy reading on the eyes. shared, tweet and Up. thank you for natural monopoly, writing this. Historical Analysis Industrial. :-) Laura Writes 3 years ago.

If you are writing a thesis proposal, you could use this format if it works for the theme of your thesis. Natural. However for research, you should look into a format that is like writing a research grant. It could look something like this, but check with a scientific journal or the company that you are requesting a research fund from to see if they have specific formatting requirements. Is this the personal fable definition, same Thesis Proposal or research Proposal? Thank you so much. Very good and helpful. Really clear and straight forward.

Friskila Damaris Aquila Silitonga 4 years ago. Nice info and it's a practical round up with good resources. Friskila Damaris Aquila Silitonga. I have been a grant writer for sixteen years and it's always nice to see someone include the actual practice with the theory of monopoly diagram, proposal/grant writing. Many can just list the parts of a proposal, but it's more beneficial for the reader to see actual work. Great job! Laura Writes 4 years ago.

No problem, good luck on your papers! Thx London 4 ur contribution. in building ma proposal. codjoe conduah 4 years ago. am glad i could find something like this its been very tough for me on a proposal i was working on of The, but now this has really eased ma fears. thanks a lot. Laura Writes 4 years ago. I'm glad this is proving useful to everybody.

Good luck on your papers! samuel sikei 4 years ago. Thank you, this is so direct and natural monopoly diagram very professional. Anil 4 years ago from Kerala. Hai nice essay. I suggest it to the school and college students. Thanks for sharing . thank you sosososososososososososo much.

thx for The Impact Internet, the awesome outline. This has been excellent explained. This is great, extremely helpful. I am in the process of developing a proposal and this will be a useful guideline for me. jessica ramirez 5 years ago. excellent very helpful(: Laura Writes 5 years ago.

Thank you, I'm glad you found this useful. Joseph Asumadu 5 years ago from Ghana-aWest Africa. This is very good thump up. Copyright 2017 HubPages Inc. and respective owners. Other product and company names shown may be trademarks of their respective owners. Natural Monopoly Diagram. HubPages ® is of The on Journalism a registered Service Mark of HubPages, Inc.

HubPages and Hubbers (authors) may earn revenue on this page based on affiliate relationships and advertisements with partners including Amazon, Google, and others. Copyright 2017 HubPages Inc. and respective owners.

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Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria. You can always find the topics here! Select the natural, topics that are inaccurate. The moving wall represents the time period between the last issue available in JSTOR and the most recently published issue of in america, a journal. Natural! Moving walls are generally represented in years. In rare instances, a publisher has elected to have a zero moving wall, so their current issues are available in Welfare: America Essay JSTOR shortly after publication. Note: In calculating the moving wall, the current year is not counted. For example, if the current year is 2008 and natural diagram a journal has a 5 year moving wall, articles from the year 2002 are available. Terms Related to the Moving Wall Fixed walls: Journals with no new volumes being added to Internet Essay the archive. Absorbed: Journals that are combined with another title.

Complete: Journals that are no longer published or that have been combined with another title. Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria. Infection surveillance definitions for long-term care facilities (ie, the diagram, McGeer Criteria) have not been updated since 1991. An expert consensus panel modified these definitions on punishments, the basis of natural, a structured review of the literature. Is The! Significant changes were made to the criteria defining urinary tract and respiratory tract infections.

New definitions were added for diagram norovirus gastroenteritis and Clostridum difficile infections. When McGeer and colleagues proposed the first set of infection surveillance definitions specifically for use by long-term care facilities (LTCFs), their intent was to provide standardized guidance for infection surveillance activities and research studies in what nursing homes and similar institutions. 1 These definitions were adapted from existing surveillance definitions (such as those of the Centers for Disease Control and Prevention [CDC] National Nosocomial Infection Surveillance) that are used in acute care hospitals and with modifications determined by natural diagram, consensus discussions among infectious diseases physicians, geriatricians, and infection control nurses with experience in LTCFs, 1,2 using an unstructured review of the limited literature available at the time. These consensus definitions, also known as the slavery in america, McGeer Criteria, have not been validated or updated despite their ongoing use by natural monopoly diagram, infection prevention and control programs and in research studies of nursing homes. The original surveillance definitions 1 were specifically developed for is computer storage use in LTCFs with older adults who required (1) supervision and care for impaired cognition, (2) assistance with activities of daily living (ADLs), or (3) skilled nursing care, such as the use of indwelling devices (eg, urinary catheters or enteral feeding tubes). Diagram! At the time the McGeer Criteria were developed, these facilities rarely provided intravenous therapy or had on-site laboratory or radiology services for the diagnosis of new clinical problems. Now, 20 years later, these definitions should still be applied in Social Welfare: a Solution Essay skilled nursing facilities and nursing homes that care for the postacute and frail elder populations, as well as in other long-term residential care environments that deliver medical and skilled nursing services if appropriate clinical and diagnostic evaluations can be provided. However, the McGeer Criteria were not designed for use in long-term acute care hospitals, acute inpatient rehabilitation facilities, or pediatric LTCFs.

In March 2009, members of the Society for Healthcare Epidemiology of America (SHEA) Long-Term Care Special Interest Group (LTCSIG) agreed that the surveillance definitions of infections in LTCFs should be updated in light of (1) a substantial increase in the body of evidence-based literature about infections in the elderly in LTCF settings, (2) the availability of improved diagnostics for infection surveillance, (3) the changing populations of patients who are cared for in nonhospital settings, and natural diagram (4) the what storage, updated acute care hospital surveillance definitions of the CDCs National Healthcare Safety Network (NHSN). Diagram! The process of updating the McGeer Criteria included an evidence-based structured review of the literature in addition to consensus opinions from industry leaders including infectious diseases physicians and epidemiologists, infection preventionists, geriatricians, and public health officials. We systematically reviewed the definitions of clinical syndromes that commonly occur in slavery punishments in america LTCF residents, including respiratory tract infections (RTIs), urinary tract infections (UTIs), skin and natural diagram soft tissue infections (SSTIs), and gastrointestinal (GI) tract infections. Because of a lack of recent, relevant research pertaining to systemic infections (bloodstream infections [BSIs] and unexplained febrile episodes), revisions to the definitions in these categories were not pursued. Specific criteria for defining nasal and is computer storage otic infections have been removed; categorizing these events should be based on evaluation by a clinical provider.

Oropharyngeal and conjunctival infections were included with SSTIs as mucosal infections. For the infection surveillance definitions of each clinical syndrome undergoing revision, a team of SHEA LTCSIG members was assigned to monopoly diagram review the Revolution, literature and provide updated surveillance criteria. The definitions were reviewed, modified where appropriate on the basis of the review, and approved by the LTCSIG and a panel of outside reviewers selected by the SHEA Board of Directors. First we searched for natural monopoly relevant guidelines, using Medline, National Guideline Clearinghouse, Cochrane Health Technology Assessment, National Institutes of Health Consensus Development, and the US Preventative Services Task Force. On the basis of a review of those guidelines, each team developed a series of Internet, key questions. Examples of these key questions are What is the utility of examination of monopoly diagram, urine for pyuria for the diagnosis of symptomatic urinary tract infection? and What is the The Impact of The Internet on Journalism Essay, diagnostic accuracy of pulse oximetry for nursing home pneumonia? These key questions further guided the evidence review used to revise the existing surveillance criteria. Next, a search of the primary literature was performed, using Medline, CINAHL, Embase, Cochrane Systematic Reviews, and natural diagram the Cochrane Controlled Clinical Trials Registry. Examples of key search terms include the following: nursing home, long-term care, aged, skilled nursing facility, older adults, elderly, fever, healthcare-associated infection, pneumonia, influenza, respiratory tract infection, functional impairment, confusion, leukocyte count, pulse oximetry, urinary tract infection, bacteriuria, urine culture, gastroenteritis, diarrhea, Clostridium difficile , norovirus, cellulitis, soft tissue infection, pressure ulcer, scabies. A line listing of nucleus, articles that met the monopoly diagram, search criteria and were included in of The Internet the final analyses is available upon request from the natural diagram, authors.

A reference was included if it was (1) relevant to what key questions; (2) a systematic review, meta-analysis, or primary research report; and (3) written in English. Natural Diagram! For each clinical syndrome, a standardized evidence table was prepared that summarized the data from each relevant article. Information on the type(s) of LTCF and the specific resident population(s) was included in the evidence tables. The strategy for review of the literature by asking key questions and punishments summarizing the evidence was based on a standard methodology developed by the CDCs Healthcare Infection Control Practices Advisory Committee and natural diagram the University of Pennsylvania Center for Evidence-Based Practice. Storage! 3 When evidence was limited or unavailable to inform changes to the definitions, expert consensus guided any modifications. Most of the studies we evaluated were small observational or uncontrolled case series that primarily addressed questions related to the utility of signs and symptoms for the purpose of diagnosing infection in older people. The majority of these studies did not clearly address questions about the monopoly diagram, utility of 1 or more clinical findings in Historical Essay examples the context of natural diagram, infection detection and surveillance in LTCFs or other healthcare facilities. Because the evidence was generally indirect and judged to is computer storage be of low quality, a decision was made to not grade proposed additions or changes in clinical parameters according to standardized methods that are typically applied to recommendations and guidelines. The criteria that define infections for surveillance purposes were selected to monopoly increase the likelihood that the events captured by application of the definitions are true infections.

Presentations of infection in older residents of LTCFs may be atypical, so failure to meet surveillance definitions may not fully exclude the presence of infection. For this reason, the surveillance definitions presented here may not be adequate for real-time case finding, diagnosis, or clinical decision making (eg, antibiotic initiation). Separate clinical guidelines address early identification of infections and appropriate initiation of antibiotic therapy in LTCF residents, 4,5 which are both important for impacting resident outcomes. The syndromes included here represent a variety of punishments in america, clinically relevant infections that can occur in the LTCF population. Surveillance should be performed for infections for which there are clear strategies that can be implemented for prevention and control of transmission (Table 1). Monopoly! However, for completeness and consistency with the original surveillance definitions, 1 several infections that may occur because of underlying host factors rather than transmission within the nucleus function, facility have also been included in this document, so that both infection prevention programs and research studies have a standard set of natural monopoly diagram, criteria. Given the of The Internet on Journalism Essay, limited infection prevention and control resources that are currently available in most LTCFs, surveillance activities may need to natural target those infections in a Solution a facility that have the most potential for prevention. Natural Diagram! In addition, some infections are associated with a high likelihood of transmission and development of outbreaks (eg, norovirus, influenza, group A Streptococcus , acute viral hepatitis). For these infections, identification of even a single case in a LTCF should trigger a more intensive investigation. 6,7. 1. Evidence of transmissibility in a.

2. Personal Definition! Processes available to prevent. acquisition of infection. 3. Natural Diagram! Clinically significant cause of morbidity. 4. Specific pathogens causing serious. Pneumonia, urinary tract infection, gastrointestinal tract infections including Clostridium difficile , and Social Welfare: a Solution Essay skin and soft tissue infections. Any invasive group A Streptococcus infection, acute viral hepatitis, norovirus, scabies, influenza. Associated with hospitalization and monopoly diagram functional decline in LTCF residents. A single laboratory-confirmed case should prompt further investigation. 1. Infections with limited transmissibility.

in a healthcare setting. 2. Infections with limited preventability. definitions should be applied in LTCF. surveillance (may apply to only specific. For infection surveillance purposes, infections should be attributed to a LTCF onset if (a) there is no evidence of an incubating infection at the time of admission to the facility (on the basis of clinical documentation of appropriate signs and symptoms and not solely on personal fable definition, screening microbiologic data) and (b) onset of clinical manifestation occurs 2 calendar days after admission. Although debate exists about the use of this time frame to determine a LTCF onset for C. difficile infections, 8 it is natural monopoly diagram consistent with acute care infection surveillance reporting and surveillance methodology, and there is currently no evidence to support changing this standard for LTCFs. As outlined in the original McGeer Criteria, 3 important conditions should be met when applying these surveillance definitions: 1. The Impact Of The Internet On Journalism! All symptoms must be new or acutely worse. Many residents have chronic symptoms, such as cough or urinary urgency, that are not associated with infection; however, a new symptom or a change from monopoly, baseline may be an indication that an infection is developing. 2. Alternative noninfectious causes of signs and symptoms (eg, dehydration, medications) should generally be considered and evaluated before an event is deemed an infection. 3. Identification of personal, infection should not be based on monopoly, a single piece of evidence but should always consider the clinical presentation and any microbiologic or radiologic information that is The Impact of The Internet on Journalism Essay available.

Microbiologic and radiologic findings should not be the sole criteria for defining an event as an infection. Similarly, diagnosis by a physician alone is not sufficient for a surveillance definition of infection and must be accompanied by documentation of compatible signs and symptoms. The feasibility of implementation and the validity of these surveillance definitions would benefit from further assessment in different types of LTCFs. As with the original article by diagram, McGeer and colleagues, 1 these definitions have not been tested in advance of their publication. Data from a French study demonstrated that application of the original surveillance definitions underestimated the number of nursing homeassociated infections when compared with provider diagnoses of infection. 9 This finding highlights the need for future studies to determine the what, sensitivity and specificity of criteria used within the surveillance definitions and to validate their application in this setting.

Constitutional Criteria for Infection. In an effort to standardize terminology across the clinical syndromes defined in this article, we agreed on common definitions for fever, acute change in mental status, and acute functional decline (Table 2). Natural Diagram! The definition of fever was changed from a temperature of greater than 38C (100.4F), as in the original McGeer Criteria, to a definition consistent with the 2008 Infectious Diseases Society of America (IDSA) guideline for evaluating fever and infection in older adults residing in LTCFs: either (1) a single oral temperature greater than 37.8C (100F) or (2) repeated oral temperatures greater than 37.2C (99F) or rectal temperatures greater than 37.5C (99.5F) or (3) a single temperature greater than 1.1C (2F) over baseline from any site. 4 The rationale for slavery in america this recommendation includes: 1. A desire to maintain consistency across different guidelines. 2. Recognition that although the IDSA guideline is based on data from small numbers of participants in studies performed nearly 2 decades ago, no recent evidence has provided any rationale to modify them. 3. The lower threshold will increase sensitivity for detecting infection given the monopoly diagram, greater likelihood of a lower febrile response in the elderly. 10,11.

Although both the IDSA guideline and the original McGeer Criteria note that worsening mental or functional status can be a nonspecific manifestation of acute infection in an elderly resident of a LTCF, 1,4 there are relatively few studies that have defined a standard assessment of mental status or functional change in the context of is computer, acute infection. Monopoly Diagram! Mehr et al, in their prospective study involving 36 nursing homes and 2,334 episodes of pneumonia in 1,474 residents, showed that residents with either probable or possible pneumonia were more likely to be somnolent and confused when compared with those with no pneumonia. 12 Lim and MacFarlane 13 compared 397 patients with community-acquired pneumonia (CAP) with 40 patients who had nursing homeacquired pneumonia and found that the patients with nursing homeacquired pneumonia were more likely to be confused when compared with patients who had CAP. Integrated into the recently released Minimum Data Set (MDS), version 3.0, is an slavery assessment of delirium that is based on natural monopoly diagram, the confusion assessment method (CAM) criteria. 14,15 In order to standardize an assessment of acute mental status across LTCFs, the CAM criteria are adopted here for the definition of acute confusion or altered mental status (Table 3).

For similar reasons, the is computer, definition of acute functional decline is also based on changes in ADLs according to the scoring system in MDS 3.0. 16. Criteria are adapted from a study by Lim and MacFarlane. 13. Relative to natural monopoly diagram the original surveillance definitions, 1 few changes were made to the definitions of RTIs, which include 4 subcategories: (1) common cold syndromes or pharyngitis, (2) influenza-like illness, (3) pneumonia, and (4) lower RTI (Table 4). No changes were made to is computer the definitions of cold syndromes or pharyngitis. must be present) 1. Runny nose or sneezing. 2. Stuffy nose (ie, congestion) 3. Monopoly! Sore throat or hoarseness or difficulty in swallowing.

5. Swollen or tender glands in the neck (cervical. 2. Historical Of The Industrial Revolution Essay Examples! At least 3 of the following influenza-like illness subcriteria. b. New headache or eye pain. c. Natural Monopoly! Myalgias or body aches. d. Malaise or loss of appetite. f. New or increased dry cough.

1. Interpretation of Internet on Journalism Essay, a chest radiograph as demonstrating. pneumonia or the presence of a new infiltrate. 2. Diagram! At least 1 of the personal fable definition, following respiratory subcriteria. a. New or increased cough. b. New or increased sputum production. c. Monopoly Diagram! O 2 saturation 94% on room air or a reduction in O 2. saturation of 3% from baseline. d. New or changed lung examination abnormalities. e. Function! Pleuritic chest pain.

f. Respiratory rate of ?25 breaths/min. 3. At least 1 of the constitutional criteria (see Table 2) all 3 criteria must be present) 1. Chest radiograph not performed or negative results for. pneumonia or new infiltrate. 2. Monopoly Diagram! At least 2 of the respiratory subcriteria (af) listed in.

section C above. 3. In America! At least 1 of the constitutional criteria (see Table 2) The only change to the definition of influenza-like illness was the removal of seasonal restrictions for natural monopoly the identification of this infection. In the past, seasonal influenza activity in what storage the United States typically peaked in January or February. However, on natural monopoly, occasion, seasonal influenza activity has extended into on Journalism, May. In 2009, the H1N1 influenza A virus strain caused increased hospitalization, morbidity, and mortality from influenza-related illnesses during the summer months. 17 Because of increasing uncertainty surrounding the timing of the monopoly diagram, start of influenza season, the is computer, peak of influenza activity, and the length of the season, seasonality is no longer a criterion to define influenza-like illness. Changes to the surveillance definitions of pneumonia and lower RTI were made to increase the specificity of the criteria. Several recent studies have used at monopoly, least 1 respiratory and 1 constitutional sign or symptom, along with radiographic findings, to define pneumonia. 13 The definition of lower RTI requires the presence of 2 respiratory criteria and 1 constitutional sign or symptom without radiographic findings that is of The Industrial Essay suggestive of natural diagram, pneumonia.

The respiratory signs and of The Revolution Essay symptoms are unchanged in this article from the original criteria except for the addition of oxygen saturation in the lower RTI and pneumonia definitions, because of increased access to pulse oximeters in most facilities. Given that the initial respiratory examination of a LTCF resident who has suspected pneumonia is rarely performed by a physician, the natural monopoly, literature was reviewed to determine the role of definition, a physical examination by a nurse or paramedic in predicting pneumonia. Mehr et al 12 demonstrated that a nurses assessment for the presence of diagram, crackles and the absence of wheezing was highly predictive of identifying radiographic evidence of pneumonia. Ackerman and Waldron 18 retrospectively reviewed 244 ambulance reports of breathing difficulty to punishments determine whether paramedic physical examinations, patient history, and clinical judgment correlated with emergency room physician diagnoses. In that study, the classification of monopoly, respiratory disease included aspiration, asthma, chronic obstructive pulmonary disease, dyspnea, pleurisy, pneumonia, and upper respiratory tract infection (URI). The paramedic respiratory diagnoses had a sensitivity of 71% (range, 58%82%) and a specificity of 94% (range, 89%96%). These 2 studies suggest that nonphysician assessments can assist with the determination of pneumonia, and therefore we retained in our definitions the criterion of abnormal findings on lung examination. The structure of the new pneumonia and lower RTI definitions should facilitate surveillance by segregating criteria into 3 categories (radiography results, respiratory signs or symptoms, and Social America constitutional criteria) and explicitly requiring the exclusion of alternative explanations for respiratory signs or symptoms such as congestive heart failure, atelectasis, and other noninfectious respiratory conditions. The definitions for UTI presented here differ substantially from the original surveillance definitions 1 for both (A) residents without an indwelling catheter and (B) residents with an indwelling catheter (Table 5).

The revised definitions take into account the low probability of UTI in monopoly diagram residents without indwelling catheters if localizing symptoms are not present, as well as the need for what microbiologic confirmation for monopoly diagram diagnosis. 19. 1 and punishments 2 must be present) 1. Diagram! At least 1 of the following sign or symptom subcriteria. a. Acute dysuria or acute pain, swelling, or tenderness of. the testes, epididymis, or prostate. b. Fever or leukocytosis (see Table 2) and at least 1 of the. following localizing urinary tract subcriteria. i. Acute costovertebral angle pain or tenderness.

ii. Suprapubic pain. iii. Gross hematuria. iv. New or marked increase in incontinence. v. New or marked increase in urgency. vi. New or marked increase in frequency. c. In the absence of fever or leukocytosis, then 2 or more. of the slavery punishments, following localizing urinary tract subcriteria.

i. Suprapubic pain. ii. Gross hematuria. iii. New or marked increase in incontinence. iv. New or marked increase in urgency. v. Monopoly! New or marked increase in of The Industrial Essay examples frequency. 2. One of the following microbiologic subcriteria.

a. At least 10 5 cfu/mL of natural monopoly diagram, no more than 2 species of. microorganisms in a voided urine sample. b. Welfare: America! At least 10 2 cfu/mL of diagram, any number of organisms in a. specimen collected by in-and-out catheter. Urine specimens for culture should be processed as soon as possible, preferably within 12 h. If urine specimens cannot be processed within 30 min of collection, they should be refrigerated. Refrigerated specimens should be cultured within 24 h. and 2 must be present)

1. At least 1 of the following sign or symptom subcriteria. a. Fever, rigors, or new-onset hypotension, with no. alternate site of infection. b. Either acute change in personal definition mental status or acute functional. decline, with no alternate diagnosis and leukocytosis. c. Natural! New-onset suprapubic pain or costovertebral angle pain. d. What Storage! Purulent discharge from around the monopoly, catheter or acute. pain, swelling, or tenderness of the testes, epididymis,

2. Urinary catheter specimen culture with at slavery punishments in america, least. 10 5 cfu/mL of any organism(s) Urinary catheter specimens for natural monopoly culture should be collected following replacement of the catheter (if current catheter has been in what is the place for 14 d). Pyuria does not differentiate symptomatic UTI from asymptomatic bacteriuria. Absence of pyuria in diagnostic tests excludes symptomatic UTI in residents of long-term care facilities. cfu, colony-forming units. For residents without an indwelling catheter, the natural, clinical criterion acute dysuria and the urinary tract subcriteria are derived from Loeb et als 5,20 consensus criteria, which require localizing genitourinary findings and of The Industrial Revolution examples have been validated in a prospective randomized trial showing efficacy and safety. The criterion acute pain, swelling, or tenderness of the testes, epididymis, or prostate was added by expert consensus during the natural monopoly, review.

Fever or leukocytosis plus 1 localizing urinary tract subcriterion or the presence of Social Needs Essay, 2 or more new or increased localizing urinary tract subcriteria could be used to natural meet the definition for symptomatic UTI. Acute change in mental status and change in the character of the urine (eg, change in color or odor) were each independently associated with bacteriuria (?10 5 colony-forming units [cfu]/mL) plus pyuria (?10 white blood cells per personal fable high-power field) in a prospective study of LTCF residents with clinically suspected UTI; 21 however, these 2 symptoms are frequently demonstrated in the presence of asymptomatic bacteriuria 22 due to other confounding clinical conditions, such as dehydration. Other nonspecific signs and symptoms (eg, falls) without localizing lower urinary tract findings were not associated with bacteriuria plus pyuria. For residents with an indwelling catheter, the natural monopoly, first clinical criterion, fever, rigors, or new-onset hypotension with no alternate site of infection is what nucleus function consistent with the natural monopoly, criteria of Loeb et al. 5 Localizing urinary tract symptoms for residents with an indwelling catheter include new-onset suprapubic pain, costovertebral angle tenderness, and purulent discharge from around the catheter. Acute pain, swelling, or tenderness of the testes, epididymis, or prostate is included for both catheterized and noncatheterized men as recognized complications of UTI in punishments males, particularly when an indwelling urinary catheter is natural monopoly present. 23 The additional criterion acute change in mental status or acute functional decline with no alternate diagnosis and leukocytosis has been included.

Acute mental status change and fable functional decline are nonspecific manifestations of many conditions including hypoxia, dehydration, and diagram adverse effects of medication. Fable! The additional requirement of concomitant leukocytosis, a marker of a systemic inflammatory reaction, provides support that the monopoly, clinical deterioration has an what infectious etiology. Natural Monopoly Diagram! However, symptomatic UTI in the catheterized resident should always be a diagnosis of exclusion in the absence of localizing urinary tract findings. A positive urine culture is Historical Industrial Revolution Essay examples necessary for diagnosis of UTI 4 and is applied in monopoly the revised surveillance definitions for both subcategories (residents without and with an indwelling catheter). For individuals without an indwelling catheter, at least 10 5 cfu/mL of no more than 2 species of of The Internet Essay, microorganisms is the recommended quantitative count from natural diagram, a voided specimen, and for a specimen collected by in-and-out catheterization it is at least 10 2 cfu/mL of what is computer storage, any number of organisms. Although a small proportion of diagram, female residents in what is the function LTCFs who have UTI have voided specimens with quantitative counts of less than 10 5 cfu/mL, these specimens were usually evidence of contamination. 24 Before urine samples for monopoly culture are obtained from individuals with a chronic indwelling catheter (in place for more than 14 days), the original urinary catheter should be replaced and the specimen should be obtained from the new catheter.

25 Again, a small number of individuals with symptomatic UTI may have lower counts, but a value of at least 10 5 cfu/mL is recommended for increased specificity for surveillance criteria, 26 and it is also consistent with current NHSN acute care definitions for Analysis of The Revolution examples symptomatic UTI. 27 Repeat urine cultures following treatment as a test of cure are not recommended because of the high prevalence of natural monopoly, asymptomatic bacteriuria in the LTCF population. A diagnosis of UTI can be made without localizing urinary tract symptoms if a blood culture isolate is the same as the organism isolated from the urine and what is computer storage there is no alternate site of infection. This secondary BSI provides definitive evidence of the existence of systemic infection; in natural diagram the absence of an alternate source, a UTI becomes the presumptive diagnosis. Skin, Soft Tissue, and Mucosal Infections. Consistent with the original surveillance definitions, 1 this section includes definitions for (A) skin (cellulitis/soft tissue/wound) infections, (B) scabies, (C) fungal oral/perioral and skin infections (fungal mucocutaneous infections), (D) herpesvirus skin infections, and (E) conjunctivitis (Table 6). What Nucleus Function! The review of the monopoly, literature revealed that because diagnoses of what is computer, infections of the natural monopoly, skin, soft tissue, and mucous membranes are heavily dependent on clinical criteria, developing definitions with specificity is challenging. Definition! Additionally, there was no original research literature that described the validation of a surveillance definition for soft tissue infections. following criteria must be present) 1. Natural Diagram! Pus present at a wound, skin, or soft tissue site. 2. New or increasing presence of at least 4 of the following.

sign or symptom subcriteria. a. Heat at America Needs, the affected site. b. Redness at the affected site. c. Swelling at the affected site. d. Tenderness or pain at the affected site. e. Serous drainage at the affected site. f. One constitutional criterion (see Table 2) 1. Diagram! A maculopapular and/or itching rash. 2. At least 1 of the following scabies subcriteria. a. Physician diagnosis. b. On Journalism Essay! Laboratory confirmation (scraping or biopsy)

c. Natural Diagram! Epidemiologic linkage to a case of scabies with. 1. Oral candidiasis (both criteria a and b must be present) a. Internet On Journalism Essay! Presence of raised white patches on inflamed mucosa or. plaques on natural monopoly diagram, oral mucosa. b. Diagnosis by a medical or dental provider. 2. Punishments! Fungal skin infection (both criteria a and b must be. a. Characteristic rash or lesions. b. Either a diagnosis by a medical provider or a laboratory- confirmed fungal pathogen from a scraping or a. Dermatophytes have been known to cause occasional infections and natural rare outbreaks in the LTCF setting.

1. Herpes simplex infection (both criteria a and b must be. a. A vesicular rash. b. Either physician diagnosis or laboratory confirmation. 2. Herpes zoster infection (both criteria a and b must be. a. A vesicular rash. b. Either physician diagnosis or laboratory confirmation. 1. Pus appearing from 1 or both eyes, present for at least. 2. New or increased conjunctival erythema, with or. 3. New or increased conjunctival pain, present for at what is computer storage, least.

For wound infections related to surgical procedures, LTCFs should use the Centers for natural Disease Control and Preventions National Healthcare Safety Network Surgical Site Infection criteria and report these infections back to The Impact of The Internet the institution where the original surgery was performed. The original definitions for SSTIs include clinical but not microbiological criteria, whereas the definitions used by monopoly diagram, NHSN for infection surveillance include a laboratory component. 27 At this time, there is insufficient evidence to support changing the criteria. However, for LTCF residents who have undergone recent surgical procedures, it would be appropriate to utilize the NHSN criteria for defining surgical site infections. The review of the literature did not identify studies describing the validation of a surveillance definition for scabies. A criterion for identification of an nucleus function epidemiological linkage to a known case has been added to the definition because (a) residents with scabies, particularly heavily infested residents, are highly infectious and (b) skin scraping, which remains the natural, dominant diagnostic test, has low sensitivity. 28. The original surveillance definitions of is the function, fungal mucocutaneous infections, including those caused by Candida species, require diagnosis by a physician or dentist. 1 Definitions of mucocutaneous candidiasis are based on vague clinical descriptions, and natural monopoly there is insufficient basis for Historical Industrial Revolution Essay examples changing the criteria; however, a description of typical lesions has been added to increase the specificity of the definition. Although fungal skin infections other than mucocutaneous candidiasis are rare, the original definition for these required both a maculopapular rash and natural monopoly either physician diagnosis or laboratory confirmation.

The minor change in the definition substitutes characteristic rash or lesions for maculopapular rash, since dermatophyte lesions may be macular. 29 No data were found to support revisions in the definitions of herpesvirus skin infections (herpes simplex and herpes zoster) or conjunctivitis. Gastrointestinal Tract Infections. This section includes infection definitions for The Impact Internet Essay (A) gastroenteritis, (B) norovirus gastroenteritis, and (C) C. Natural! difficile infection (Table 7). The general surveillance definition for gastroenteritis was unchanged from Social Welfare: America Needs Essay, that proposed in the original surveillance definitions. 1 Two new surveillance definitions have been added: (a) criteria for natural monopoly determining the presence of norovirus gastroenteritis and (b) criteria for C. difficile infection. These new GI infection definitions were developed because it is now recognized that norovirus is highly transmissible, causing frequent and often large outbreaks in healthcare institutions including LTCFs, 30 and C. difficile is the major infectious cause of healthcare-associated and antibiotic-associated diarrhea, contributing to significant morbidity and mortality among elderly institutionalized individuals. 31,32.

1. Diarrhea: 3 or more liquid or watery stools above what is. normal for the resident within a 24-h period. 2. Vomiting: 2 or more episodes in a 24-h period. 3. Both of the following sign or symptom subcriteria. a. Of The On Journalism Essay! A stool specimen testing positive for a pathogen (eg,

Salmonella , Shigella , Escherichia coli O157?H7, Campylobacter species, rotavirus) b. At least 1 of the following GI subcriteria. iii. Abdominal pain or tenderness.

1. Natural! At least 1 of the following GI subcriteria. a. Diarrhea: 3 or more liquid or watery stools above what. is normal for the resident within a 24-h period. b. Vomiting: 2 or more episodes of in a 24-h period. 2. A stool specimen for which norovirus is positively detected. by electron microscopy, enzyme immunoassay, or.

molecular diagnostic testing such as polymerase chain. 1. One of the is the nucleus function, following GI subcriteria. a. Diarrhea: 3 or more liquid or watery stools above what. is normal for the resident within a 24-h period. b. Monopoly Diagram! Presence of toxic megacolon (abnormal dilatation of the. large bowel, documented radiologically) 2. One of the following diagnostic subcriteria. a. A stool sample yields a positive laboratory test result for. C. difficile toxin A or B, or a toxin-producing C. difficile organism is identified from slavery punishments, a stool sample.

culture or by a molecular diagnostic test such as PCR. b. Pseudomembranous colitis is natural monopoly identified during. endoscopic examination or surgery or in. histopathologic examination of a biopsy specimen. The gastroenteritis criteria were deemed appropriate and Internet on Journalism Essay adequate for identifying sporadic or outbreak-associated cases of GI infection caused by common bacterial enteric pathogens. Natural! A minor change in the definition of diarrhea substitutes liquid or watery stools for loose or watery stools, since the concept of liquid stools (ie, conforming to the shape of the specimen collection container) is consistent with other surveillance definitions for diarrheal illness. 27,33 Additionally, the definition of diarrhea as 3 or more stools above what is normal for a resident in personal fable definition a 24-hour period was standardized across GI infections to simplify surveillance activity. The definition for norovirus gastroenteritis requires the monopoly, presence of what is the nucleus, both a compatible clinical presentation and a laboratory confirmation with detection of the infectious agent by one of several accepted laboratory methods. This definition is based on numerous descriptions of norovirus outbreaks and natural monopoly studies of the clinical manifestations of norovirus gastroenteritis in healthcare settings.

34 The norovirus definition can be used to Revolution Essay identify either sporadic or outbreak-associated cases. However, sporadic cases would require laboratory confirmation, whereas outbreak cases may not if either a subset of cases involved in the outbreak have laboratory-confirmed diagnosis or the Kaplan Criteria are met. 35 The Kaplan Criteria, which have been useful in natural diagram identifying outbreaks of acute gastroenteritis due to norovirus, 36 provide a surveillance definition to detect a presumed norovirus-like outbreak in a LTCF even in the absence of laboratory confirmation. C. difficile has been associated with severe, life-threatening disease, especially in the elderly, and infection with this organism can be acquired or transmitted in LTCFs. 32 C. Historical Of The Industrial Revolution Examples! difficile infection may be endemic in some healthcare facilities, as well as a cause of outbreaks. Consequently, it is recommended that surveillance for C. difficile infection should be done in LTC settings. 31 Surveillance should include prompt clinical and appropriate laboratory evaluation of LTCF residents who have antibiotic-associated diarrhea or an acute diarrheal illness that is not otherwise explained. A surveillance definition for C. difficile infection is proposed that includes clinical and microbiology laboratory test criteria. Importantly, because LTCF residents may be colonized with this organism, tests for C. difficile or its toxins should be performed only on natural diagram, diarrheal (liquid) stool specimens, unless ileus is suspected. Laboratory surveillance of asymptomatically colonized residents or repeat testing for the presence of Analysis of The Revolution Essay, C. difficile toxins following treatment is not recommended.

31,32 The proposed definition includes criteria for natural monopoly diagram determining whether the in america, C. difficile infection is a primary episode or whether it represents a recurrence (relapse or reinfection). Published recommendations for surveillance for C. difficile infection have also attempted to monopoly determine the setting in America Essay which the infection was likely to have been acquired; 33 however, there is controversy about how to apply these attribution criteria in LTCFs. Monopoly Diagram! 8. The original surveillance definitions included BSI and unexplained febrile episodes in this section. 1 However, there has been scant literature to better define approaches to The Impact of The the diagnosis or routine surveillance of these clinical entities in LTCFs. In 2008, the natural monopoly diagram, IDSA guideline did not recommend performing blood cultures as part of the evaluation for is computer infection in most residents in natural LTCFs, but they qualified this by saying that in facilities with quick access to laboratory facilities, physicians available to respond to results, and capacity to punishments administer parenteral antibiotics, diagnostic blood cultures would be appropriate.

4. There have been limited studies assessing the utility and reliability of blood cultures in natural monopoly diagram LTCFs. In 2005, Mylotte 37 reviewed several studies evaluating nursing homeassociated BSI. The Impact Of The Internet On Journalism Essay! Only 1 reported on the total numbers of blood cultures obtained during the study period, 38 and 1 reported the proportion of contaminated blood cultures (false positives). 39 None of the studies in the review had data more recent than from 2000. Since the Mylotte review, a single study from Israel has reported on results from monopoly, blood cultures performed on samples from a multilevel geriatric facility over a 2-year period from 2002 to 2004. 40 In this study, 252 (15.8%) of 1,588 cultures had positive results, which indicates an incidence of BSI of 0.46 per 1,000 resident-days.

The study did not provide data on episodes of suspected contaminated cultures. However, in a cohort of 100 bacteremic residents, only 58% had received adequate empiric antibiotic therapy and the mortality rate was 34%, compared with 13% in nonbacteremic matched controls. The incidence of BSI and the prevalence of positive cultures were much higher in this study compared with earlier studies, suggesting that those LTCFs with the of The, capacity to perform blood cultures and respond to results should include blood cultures in the diagnostic evaluation of infection. Given the limited evidence addressing the effectiveness of blood cultures in LTCFs, we did not attempt to propose a revised surveillance definition for BSI. Monopoly Diagram! Instead, consideration should be given to an application of the NHSN criteria for central lineassociated BSI in those LTCFs who care for residents with indwelling vascular catheters including peripherally inserted central catheters (PICCs) and hemodialysis catheters. What Is The Nucleus! 27. These infection surveillance definitions for LTCFs update the consensus definitions proposed by McGeer et al, incorporating evidence published over the interim 20 years. The majority of definitions and criteria were retained with only minor revisions except for those for natural diagram UTI, where the criteria were made more specific, and GI infection, where 2 new infections were added to storage the surveillance definitions (norovirus and C. difficile ). These updated definitions are intended to natural monopoly serve as a national standard for infection surveillance in LTCFs. Analysis Of The Revolution Essay! Because they are implemented in this setting, feedback from providers and efforts to validate the monopoly, definitions will guide subsequent modifications as appropriate.

Nimalie D. Stone and Suzanne F. Bradley (coproject leaders), Lindsay E. Nicolle, Andrew E. Simor, Philip W. Smith, Kurt B. Stevenson; Gastrointestinal Writing Group : Andrew E. Historical Analysis Revolution! Simor (group leader), Muhammad S. Ashraf, Carolyn V. Gould, Taranisia MacCannell, Preeti N. Malani; Respiratory Tract Infection Writing Group : Mark Loeb and Lona Mody (cogroup leaders), Christopher Crnich, Joseph P. Mylotte, Steven J. Schweon; Skin and Soft Tissue Writing Group : Philip W. Smith (group leader), Jennifer Calder, Kent Crossley, Mary-Claire Roghmann; Urinary Tract Infection Writing Group : Lindsay E. Nicolle (group leader), Paul J. Drinka, Ebbing Lautenbach, Manisha Juthani-Mehta; Fever and natural Delirium Standards Subcommittee : Suzanne F. Bradley, Kent Crossley, Paul Drinka, Preeti Malani, Lona Mody, Lindsay Nicolle, Mary-Claire Roghmann, Nimalie D. Stone. SHEA Long-Term Care Special Interest Group. Kurt B. Stevenson (chair; Ohio State University Hospitals, Columbus, OH), Nimalie D. Nucleus Function! Stone (vice-chair; Centers for Disease Control and Prevention, Atlanta, GA), Muhammad S. Ashraf (East Carolina University, Greenville, NC), Suzanne F. Bradley (University of Michigan Medical School and Geriatric Research Education and Clinical Center [GRECC], VA Ann Arbor Healthcare System, Ann Arbor, MI), Mike Brown (Evergreen Hospital Medical Center, Kirkland, WA), Chris Cahill (California Department of Public Health [retired], Richmond, CA), Jennifer Calder (New York Medical College, Valhalla, NY), Christopher J. Crnich (University of Wisconsin and William S. Middleton VA Medical Center, Madison, WI), Kent Crossley (University of Minnesota and Minneapolis VA Medical Center, Minneapolis, MN). Paul J. Drinka (Medical College of Wisconsin, Milwaukee, WI), Jon P. Furuno (Oregon State University, Portland, OR), Rosemary Ikram (Christchurch, New Zealand), Jennie Johnstone (McMaster University, Hamilton, ON), Manisha Juthani-Mehta (Yale University School of diagram, Medicine, New Haven, CT), Keith S. Kaye (Wayne State University School of Medicine, Detroit, MI), Ebbing Lautenbach (University of Pennsylvania School of Medicine, Philadelphia, PA), Donna R. Lewis (Atlanta Veterans Affairs Medical Center, Atlanta, GA), Mark Loeb (McMaster University, Hamilton, ON), Anurag N. Social Welfare: America Essay! Malani (St. Joseph Mercy Hospital, Ypsilanti, MI), Preeti N. Diagram! Malani (University of Michigan Medical School and Historical examples GRECC, VA Ann Arbor Healthcare System, Ann Arbor, MI), James Marx (University of Phoenix, San Diego, CA), Allison McGeer (University of Toronto School of Medicine, Toronto, ON), Lona Mody (University of natural monopoly diagram, Michigan Medical School and Historical of The Industrial Essay GRECC, VA Ann Arbor Healthcare System, Ann Arbor, MI), Joseph P. Natural Monopoly Diagram! Mylotte (University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY), Lindsay E. Nicolle (University of Manitoba, Winnipeg, MB), Joseph F. Perz (Centers for Disease Control and Prevention, Atlanta, GA), Chesley Richards (Centers for Disease Control and Prevention, Atlanta, GA), Mary-Claire Roghmann (University of Maryland School of Medicine and Baltimore VA Medical Center, Baltimore, MD), Brenda J. Historical Analysis Of The Industrial Essay Examples! Roup (Maryland Department of Health and Mental Hygiene, Baltimore, MD), Steven J. Schweon (Pleasant Valley Manor Nursing Home, Stroudsburg, PA), Joseph Segal (Drake Center, Cincinnati, OH), Andrew E. Natural Diagram! Simor (University of Toronto School of Medicine, Toronto, ON), Michael R. Spence (Kalispell Regional Medical Center, Kalispell, MT), Philip W. Smith (University of Nebraska Medical Center, Omaha, NE), Lauri D. Thrupp (University of Essay, California, Irvine, CA), Kavita Trivedi (California Department of Public Health, Richmond, CA), Constanze Wendt (University of Heidelberg, Heidelberg, Germany). These definitions have been endorsed by the American Medical Directors Association, the Association of Medical Microbiology and Infectious DiseaseCanada, the diagram, Association for Professionals in Infection Control and Epidemiology, the Community and Hospital Infection Control AssociationCanada, and the National Association of Directors of Analysis Industrial, Nursing Administration in Long Term Care. Special thanks to natural monopoly diagram Malinda McCarthy and Elizabeth Bolyard from the Welfare: America Needs, Centers for Disease Control and Prevention for their administrative and organizational support of this writing project. Potential conflicts of interest. Monopoly! All authors report no conflicts of interest relevant to this article. All authors submitted the ICMJE Form for Disclosure of Social Needs a Solution, Potential Conflicts of monopoly, Interest, and America Essay the conflicts that the editors consider relevant to natural this article are disclosed here. Special thanks to Malinda McCarthy and Elizabeth Bolyard from the Centers for Social Welfare: America Needs Essay Disease Control and Prevention for diagram their administrative and organizational support of this writing project.

Potential conflicts of interest. All authors report no conflicts of interest relevant to this article. All authors submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest, and the conflicts that the editors consider relevant to this article are disclosed here. JSTOR is part of is computer, ITHAKA, a not-for-profit organization helping the academic community use digital technologies to preserve the scholarly record and to advance research and teaching in natural monopoly sustainable ways. 2000-2017 ITHAKA. All Rights Reserved.

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The SNIEDC is a Salamanca, N.Y.-based organization that aims to provide financial services and working capital support for enrolled members of the Seneca Nation of Indians. Sara is a tech writer with a background in what is the function, business and marketing. After graduating from natural diagram, UC Irvine, she worked as a copywriter and blogger for storage, nonprofit organizations, tech labs and lifestyle companies. She started freelancing in natural monopoly, 2009 and joined Business News Daily in 2013. Nucleus Function. Follow Sara Angeles on Twitter @sara_angeles.

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How to monopoly Increase Your Essay Word Count. When you have an essay assignment with a minimum word count, one of the worst feelings is when you believe you have finished only to find that youre still well below the minimum you have to reach (as opposed to having too many words). Social Welfare: America! Many students try to solve this problem by rewriting the natural monopoly diagram, essays sentences to Essay examples make them wordier or splitting contractions. While these do increase word count, they usually make the natural monopoly, essay weaker in what nucleus function, the process. It doesnt have to be that way. If you ever find yourself in a position where you need to increase the monopoly diagram, number of words for an essay, below are some simple techniques which can help you add to your writing while improving it instead of writing unneeded filler. Skim through your essay looking for any place you have used an storage example to make a point.

In most cases, you should be able to monopoly diagram provide additional examples which will make your essay stronger by showing your understanding of the on Journalism, topic while also increasing the word count. You can also go through the monopoly, essay and look for statements made where inserting an example would be appropriate to help support the statement. An effective way of increasing word count and improving your essay at the same time is to The Impact Internet address different viewpoints to your own. You have the opportunity to discuss how these alternative viewpoints differ from the conclusions you have made, and it gives you an opportunity to explain why you believe your conclusions are superior. This shows you have considered a range of different opinions while coming to your conclusions, and in doing so make your essay stronger while adding more words. When you find the statements in your writing, if inserting an natural monopoly diagram example doesnt make sense, then clarifying the statement may be appropriate. This can be achieved by inserting one or more specific statements to clarify the original one. A common way to do this is to follow the statement with, In other words Its important not to over-clarify statements or use this for every statement you write as it will begin to look like filler, but using it sporadically throughout your essay can increase the word count and show you perfectly understand the points youre trying to make. Another way to improve your essay and increase word count is to find additional sources you havent previously mentioned which support the statements and conclusions you have made. The more sources you have, the stronger the essay will be in most cases. Spending some time searching for nucleus function, additional sources to add to the essay can be a great way to natural add quality content to it.

Chances are you already have appropriate quotations in of The Internet, your essay, and monopoly diagram if thats the case, skip over this suggestion. Adding more will likely not add to your essay. If you havent used any, however, finding appropriate quotations from slavery punishments in america, experts in the field that support your statements can be an excellent way to add words to diagram your essay while improving it at the same time. Rework Introduction and fable Conclusion. If all of the above havent enabled you to reach your word count minimum and natural monopoly diagram you need some filler, look to personal put it in natural monopoly, your introduction and conclusion rather than the body of the what is computer, essay. Most teachers give more leeway with the introduction and conclusion to be wordy than the guts of the essay. This is something you should try to avoid if at all possible (its never good to be wordier than you have to be), but if you tried everything else, its better to natural monopoly diagram do it in these two places than in Analysis of The Revolution Essay, the heart of the essay. If youre writing an essay which has a minimum page count instead of a minimum word count, the above suggestions will work, but you have a bit more wiggle room as well. You can make slight adjustments to the font and font size you use through a Words per Page Counter.

As long as you dont go overboard, this can be a relatively easy way to increase page count while not taking away from the essay. I hate it when teachers give a word count. Word count shouldnt matter at monopoly, all. It should be the Internet, quality of the writing. If I can get my point across in 1000 words, why do I need to write 2500?

It makes no sense at all. You have never been a teacher. If you ever are, you will know why we give word counts. Thats a lazy answer. Students who write well shouldnt be punished with a word count because other students arent good students. Diagram! Its the teachers job to help those students who arent doing as well without forcing those good students to Historical Analysis of The Industrial Essay examples do stupid things that make no sense for natural diagram, them. If you can make it more fun to is computer storage read, this can also help with word count.

Add emphasizes or explain something in more detail. There are so many great ways to increase your word count. It shouldnt be too hard if you put your mind to it! Word count never mattered as soon as I got to monopoly college, my professors used the fable, bikini rule, short enough to keep it interesting, long enough to cover the important parts. Dont use 2000 words to natural say what you can in 500. This isnt the correct question to ask. Its easy to increase word count on an essay, but its difficult to increase word count to make the essay better. So many people decide to increase their word count by inserting sentences, paragraphs, quotes and other non-necessary information simply to reach the word count. While it achieves the goal of increasing the personal fable definition, word count, it doesnt make the essay any better, and it usually makes it much worse. What you should always strive for is to increase the number of words in the essay while also making the diagram, essay stronger than it was before.

In my experience, college is even worse than high school in this regard. I regularly have to conform to word counts and page counts. Internet Essay! Right now, Im writing a research paper that has an 8 page minimum. Natural Monopoly! Why? Because the The Impact of The, professor said so. I could certainly be a lot more concise if I didnt have to pad it out, but this is natural whats required of me. Fable Definition! The kicker is that the prof is DEFINITELY going to monopoly take off points due to obvious padding. DONT FORCE ME INTO AN ARBITRARY LENGTH, THEN.

Just change the font style to a bigger one and Historical Revolution then do the same with the monopoly, size of the font but not too big or it will seem too obvious. Thats just nasty. So basically youre saying that you dont trust your students to Welfare: Needs a Solution Essay be able to write correctly in your class? Isnt that more a reflection on your teaching than it is on natural the students who are writing? See what you just did you got your point across in 18 words YOU JUST ARE STUPID! Anyways why are you on this web site if you are a teacher? If it makes so much sense to give word count limits to teachers then please explain. but that makes no sensethere is no reason to what do so if they are great at writing all ready what do i do if my word count is monopoly diagram 800 and i only have 512.

Oh my god, you are right. Teachers too often tried to Revolution Essay examples make things easier on themselves to monopoly the detriment of the students are trying to what is computer storage teach. Natural Diagram! I think making minimum word counts is one of those. On the other hand, I think that maximum word counts can actually be beneficial because it forces the students to slavery punishments in america better edit their writing. Teachers too often tried to make things easier on themselves to the detriment of the students [they] are trying to teach. Are you making this very bold statement because you have experienced it as a teacher, completed an in-depth research on this topic, or are you just making your opinion seem like a fact? I ask simply because I am a teacher, a high school English teacher to monopoly be more specific, and I found your comment to be nothing but overblown opinion. What Is Computer! I cannot speak for every teacher, but in my class, I have to put a minimum word count on natural my essay assignments or I would have the majority of the students attempt to turn in what is the nucleus, a paragraph and say it is an diagram essay. What! It would not matter that I instructed them on the purpose of the essay, explained what an introductory paragraph, body paragraph, and a conclusion paragraph are and their individual purposes. It also would not matter if I also spent an entire six week grading period teaching, instructing, modeling, and natural diagram practicing writing essay, I would still have some that would turn in a ridiculously short essay and argue that they have gotten to the point. However, any logical person would know that these students essays would not meet the required components of an essay and would not serve as evidence of mastery, which is what a teacher is suppose to do right?

Help students master certain skills, regardless of what is easier on them? Just grade them an F. nobody likes your long paragraphs. Exactly! 2000 words in 4 days! IMPOSSIBLE.

Just write approx 500 words per day; spend like 1-2 hours for Revolution Essay, the next couple day adding like 500 words every time. Or you could be a knucklehead like me and try to get it all done in one go, then me suffering the next morning because you fell asleep at 3:30. Now you need to write an article on how to decrease word count when you go hopelessly over the maximum allowed. Yes! This is natural monopoly diagram what I need. Fable! I dont understand how people can write under the monopoly, word count given. Im ALWAYS over, and by a lot. I had a 1000 word paper to write and I wrote 2500.

Teachers never give enough word count for writing. The second link in slavery, the first paragraph is to just such an article. A thesaurus is your friend when you are only a bit under word count. Im glad to see you added one to your tool. its so much easier than going back and forth to another thesaurus website. Thank you for making this useful tool and natural monopoly not charging any money for it. Adjectives and fable adverbs can help with this, but it wont make the essay stronger. You usually want to eliminate adverbs and adjectives in monopoly diagram, your writing to Welfare: America Needs make it better. You have to natural diagram make a decision as to whether word count is what storage more important or a better essay is more important before using these methods.

Im 500 words short of the minimum word count my teacher assigned for my essay. What is the best way to increase word count fast without a lot of effort? Did you even read the article? Dont use contractions. Writing takes effort. If you want to write with no effort, your writing is going to suck. I hate that I never seem to be able to write enough words for assignments.

If I have answered a question, why do I need to write more meaningless words? You should never write meaningless words. Natural Monopoly! You would be much better off adding a different perspective or adding more support to your view. meaningless words will only is the nucleus lower your grade. I have to write 7,000+ characters with spaces. By thursday! I have 5,200 done. Natural Monopoly! What should I do? As a teacher, Im glad to see legitimate ways for students to increase their essay word count instead of all the tricks students dont think we know, but we do. The Impact Of The Internet On Journalism! Adding random words in natural diagram, white so it appears the word count is higher than it is doesnt work because we know approximately how many pages the assignment should be. Best to is the function actually do the work!

You are the natural monopoly, exception. I have a great way to increase word count when Im short on words. I will write a bunch of personal definition random text at the end of the essay, then change it to white so you cant see it even though its there. Now the diagram, teacher thinks you have written the required word count. Brilliant! Teachers are so clueless that this works 100% of the slavery, time. Now you will never be under your word count and diagram you dont have to write a bunch of filler crap that isnt needed. Storage! You can thank me later. To add onto this, feel free to change the font size of the white text to fit in more words into natural monopoly diagram less space. There must be so many students who come to this article for the exact same reason as I did. (hi all you sleep-deprived people) Im 500 words short on my essay and I need to personal figure out how to make it longer before tomorrows class. thank you for this list of ideas.

I think Ill be able to incorporate a few of natural them to make my essay long enough to reach the in america, word count. Yes, this is the exact reason Im here, but I need to add 600 words to natural my essay. Of The! Why do teachers make the natural monopoly diagram, assignments so long when there is only a limited amount to Social Needs Essay say on the given topic? Im one of those looking for a way to diagram extend an essay by 300 words when Ive already said everything there is to say on the topic. I guess Ill add a lot of useless quotes just to satisfy the is computer storage, teacher.

I think attitude has a lot to do with it. Natural Monopoly! If youre writing an essay you have little to no interest in writing, its much more difficult to write it and is the nucleus function reach the word count. If its something you have a lot of interest in, then the issue is usually staying beneath the word count limit. One of the best ways to diagram increase word count on essays is to take an what is the function interest in the topic. If you learn to become more curious and have an natural monopoly diagram interest in things that may not at first seem to be interesting, youll be surprised at how much easier it is to write essays and to always reach the designated word count. That easy to say and all, what if your teacher assigns you a topic? And what if that topic is totally boring? Its hard to write about things that are boring and you have no interest in, so of course its going to be difficult to reach the word count. If youre in school, you have to write with the teacher tells you to write, not what interests you.

So your suggestion sounds good and in america all, but in reality we dont have that choice. I think the best way to increase the word count of an essay is to add more examples. This clarifies what youre trying to say which adds value to the essay so anyone reading will understand exactly the point you want to get across. All my friends are bad at giving examples, but I am good and Im always going over the word count while they are always under. ha ha ha ha ha ha ha ha. Natural Monopoly Diagram! My entire essay is almost only quotes.

This is the what function, easiest way to make your essay meet word count. Just put in a lot of quotes and monopoly diagram youll get there in is computer, no time. It maybe the easiest way to increase your word count, but if your entire essay is natural diagram all quotes you probably arent going to get a very good grade on it. Quotes should be used to support the points that youre trying to make, but they shouldnt be your entire essay. If you want to do well in school, you have to know the difference between these two.

This is lazy writing. It will not help you become better in the long run, and the teacher will see what youve done and mark down your paper. The easiest way is slavery punishments often not the best way to approach increasing an essay word count. This is really a skill that every teacher should teach their students. Diagram! Not just assign an essay, but explain how the steps they need to take to reach a word count. It would be a great benefit to most students (I know some students are wordy and always hit their word count, but most of us dont).

I wish teachers cared enough to actually help us. On almost any topic you care to fable mention volumes have been written. To imagine you have covered the topic fully and still be 500-600 words short of required count is natural ridiculous. The idea that the shortfall is due to the clarity of your arguments or exceptional command of language vocabulary is laughable in most cases. If its too short, it lacks content. Do more research. The quality of your writing may suggest you are the love child of William Shakespeare and Jane Austen, but if it doesnt cover the slavery punishments, assignment material you wont get the marks. Teachers know the natural diagram, key points they expect to be covered on an assignment and allow a word allocation for each point, as well as marks allocation. For example, a 1,000 word requirement may indicate a short intro and conclusion and punishments 4 x 200 word key points. You might be able to work out the scheme by reviewing assignments where you scored well. How many key points did you make, compared to word count?

Word count = 170. Not everyone is born with the ability to write or enjoys writing, so sometimes it can be extremely hard to natural write a long essay. These tips surely did help a lot. I would also suggest learning enjoy writing more. If you like to do it, it should be easier to do. how do you learn to like something? either you like it or you dont.

Any teachers out what is computer, there? Why exactly do assignments have a minimum and maximum word count assigned? Is it for the students benefit or the natural monopoly diagram, teachers? Im curious as it would seem that word count shouldnt really matter, but that actual writing for the assignment. I waiting to hear a good answer to Internet on Journalism this question. Word count forces students to be more concise in their writing and focus on the most important points. Natural Diagram! Minimum word counts make the student research more to find alternative supporting evidence they may have overlooked without it. If you cant increase your word count, you dont know what youre writing about well enough.

There should be no issue writing about any topic up to is the 5000 words as long as you are familiar with the topic. If you find you dont have enough to write about something, its because you havent taken the time to study the topic well enough. This isnt true. Sometimes you dont need a lot of words to cover the topic at hand and adding more words just to increase word count does nothing but add unneeded words. Monopoly Diagram! Sure, you can add the words, but they are useless and dont make the essay better. Why would anyone want to do that? I stumbled upon this and its been helpful, but are there other ways to increase word count? I still have about 500 more words to write.

Any teachers out there? Why exactly do assignments have a minimum and what is computer storage maximum word count assigned? Is it for the students benefit or the teachers? Im curious as it would seem that word count shouldnt really matter, but that actual writing for the assignment. As teachers, we know approximately how long an natural monopoly diagram essay should be to of The Internet get the points across for that particular assignment.

That is why we assign a word count. If the student is well under they have not explored the topic in-depth enough and monopoly diagram if they are well over, they are being too wordy. The best way to personal increase a papers word count is to do more research. The more research you do, the more information youll have, and the more you can write on the topic.