Writing the introduction of an essay Taunton School
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MAUPASSANT (de), Guy, Le Papa de Simon. Edern, Juliette, Camille, Aurelien, Mathilde, Lilou, Oceane 30 Novembre 2016 M. Guy de Maupassant est l'auteur de cette nouvelle, il l'a écrite le 1 er décembre 1879. Writing The Introduction Taunton School. Cette époque n'est pas particulière, il a aussi écrit Aux champs Les personnages principaux sont Simon et Philippe Remy. On Concord. Philippe ramasse le petit Simon en larmes au bord de l' étang, il le ramène chez sa mère. Writing Of An. Cela se passe chez Simon . Simon est un garçon qui va à l' école pour la première fois mais à la sortie ses camarades de classe le battent car il n' a pas de papa.
Il va alors à la rivière pour se noyer. Write In English. Heureusement Philippe Remy le forgeron le ramène chez sa mère. Writing The Introduction Of An Taunton. Ensuite Simon demande à Philippe de devenir son père et celui-ci accepte puis demande la mère du petit garçon en mariage. Writing Essay St. Johnsbury Academy. Les garçons de sa classe se méfient maintenant qu' ils ont appris la nouvelle. J' ai de la pitié pour le garçon qui est harcelé. The Introduction School. J’ai compris ce texte et l’histoire me révolte. How To An Essay University Preparatory School. De la même manière, lorsque l' on the introduction Taunton, perd un proche, on argumentative, a plutôt besoin de quelqu'un qui nous aide à surmonter la douleur. Ce texte est destiné aux collégiens et à tous les lecteurs, il veut nous dire d'arrêter le harcèlement contre ceux qui n'ont pas de père, l'auteur nous émeut en nous touchant et nous affecte. Writing Of An Essay Taunton School. Ses intentions sont faciles à percevoir car il insiste à plusieurs reprises : démentir cette chose affreuse qu' il n' avait pas de papa. C’est Guy de Maupassant l’auteur de ce texte. How To. Je connais aussi une autre nouvelle de cet auteur : Aux Champs , écrit en 1882.
Cette nouvelle a été écrite en 1879. The Introduction Of An Essay Taunton School. Une période de réforme politique, littéraire, philosophique, scientifique et économique. Writing Essay Website St. Johnsbury Academy. C’est aussi l’année de mort de Napoléon Bonaparte. Writing The Introduction. Ce texte a bien été écrit en français à l’origine. To Write Bodwell High School. Ce texte est une nouvelle. Je pense à un petit garçon qui court dans les champs en été. Writing The Introduction Of An Taunton. Je ne pense pas à des souvenirs, à des expériences personnelles.
Je ne pense pas à des livres, des tableaux, des photos, de la musique . Write An Article Broward Preparatory. Le mot que je retiens est Simon , le prénom du petit garçon dans cette nouvelle. C’est Simon le personnage principal, il se défend au près de ses camarades qui l’insultent en disant qu’il n’a pas de papa. Writing Essay Taunton. Lui veut se noyer car ils se moquent de lui. Essay Website Academy. Le petit Simon demande finalement au forgeron si il veut bien être son papa et celui-ci accepte. Writing Essay. Alors, il dit fièrement à ses camarades que son papa est Philippe Remy, un forgeron du village. Le texte parle d’un petit garçon, Simon, élève de 8 ans allait pour la première fois à l’école. Argumentative. Ses camarades étaient méchants avec lui car il n’avait pas de papa. The Introduction Of An Essay Taunton. Un jour, il décida de se noyer dans une rivière car il en avait assez des insultes. Synthesis Manchester. Mais heureusement, Philippe Remy, un forgeron, le vit à temps et le ramena chez sa maman. Writing Of An Essay Taunton. Ensuite le petit garçon demanda au forgeron s’il voulait bien être son papa, ce qu’il accepta. Essay Abbey College Manchester. A la fin de la nouvelle, le forgeron prit pour femme la maman de Simon, surnommée la Blanchotte.
J’ai bien aimé cette nouvelle, je l’ai trouvée intéressante. Writing The Introduction Of An Essay Taunton School. Je l’ai comprise facilement. I Need To Write An Essay Bodwell. Je suis d’accord avec l’auteur qui dénonce ceux qui maltraitent Simon. Je suppose que l’auteur a écrit ce texte pour montrer qu’il ne faut pas se moquer des autres juste parce qu’ils sont différents de nous.Je suppose que ce texte est destiné aux lecteurs/public et aux enfants qui peuvent être moqueurs. Essay. Dans cette nouvelle, l’auteur sensibilise le lecteur. An Essay In English. Ses intentions sont faciles à percevoir. Essay. Nous ne pouvons pas hésiter sur le sens du texte de cette nouvelle. Guy de Maupassant a écrit Le papa de Simon . Writing Synthesis Essay. Il a aussi écrit Aux champs . Writing The Introduction Taunton. Le texte a été écrit le 1 er décembre 1879, cette époque n’est pas particulière. Write Broward School. Ce texte est écrit en français, c’est une nouvelle. Je vois une image de plusieurs élèves qui sont en train de harceler un petit garçon, sans père. Taunton School. Je n’ai pas de souvenirs particuliers ni d’expériences particulières en rapport avec cela mais je pense à la musique papaoutai de Stromae.
Les mots que je retiens sont pas de papa . Les personnages principaux sont Simon et Philippe Remy le forgeron. Writing Abbey. Philippe récupère au bord de l’étang, Simon en pleurs. The Introduction Of An Essay School. Il le ramène à sa mère. Essay St. Johnsbury Academy. Philippe devient alors le père de Simon. Writing Of An Essay Taunton. Cela se passe chez Simon, à la fin de l’histoire. Le texte parle de Simon un jeune garçon faisant sa rentrée, dans une école primaire, il se fait harceler par ses camarades car il n’a pas eu de papa, alors le garçon se défend comme il peut. How To In English. Simon part se réfugier au bord d’un étang, il joue avec une grenouille ensuite un homme s’approche de lui, ils discutent ensemble puis l’homme se prénommant Philippe Rémy, le ramène chez lui. Writing The Introduction. Alors Simon demande à Philippe de devenir son papa. Write On North. Sur le coup, il ne répond rien puis après voyant que le jeune garçon est impatient, il dit oui.
Le lendemain Simon annonce à ses camarades qu’il a un papa mais ils lui répondent que si c’est son vrai papa il doit être marié à sa maman. Writing Of An Essay. Alors Simon va voir Philippe pour lui demander. Difficulties Essay Macromedia For Media. Philippe lui répond qu’il est à son travail et qu’il va discuter avec sa mère ce soir. Essay. Le soir même, Philippe et Blanchotte, la mère de Simon, discutent puis s’embrassent. Essay College. Philippe lui demande de devenir sa femme. Writing The Introduction Taunton School. Il dit à Simon qu’il le protégera de tous harcèlements.
Donc le lendemain, Simon, heureux, va dire à ses camarades qu’il a un vrai père et a compter de ce jour là plus personne ne l’embête. J’éprouve des émotions de tristesse face à ce texte. Synthesis Manchester. J’ai compris le texte et je ne suis pas d’accord avec le harcèlement. Ce texte est destiné aux collégiens, l’auteur veut nous dire d’arrêter le harcèlement au collège. Writing The Introduction Essay. L’auteur décrit les scènes pour interpeller les lecteurs et les affecter. Write University. Ses intentions ne sont pas faciles à percevoir mais nous ne pouvons pas hésiter sur le sens de son texte. Le papa de Simon a été écrit par Guy de MAUPASSANT le 1 er décembre 1879 publié d’abord dans la revue La Réforme politique et littéraire du 1 er décembre 1879 puis intégrée au recueil La Maison Tellier en 1881. J’ai étudié la biographie de Guy de MAUPASSANT : Il est né le 5 août 1850 près de Dieppe et meurt en le 6 juillet 1893.
Maupassant, écrivain naturaliste de référence, vécut son enfance en Normandie, seul avec son frère, sa mère et Gustave Flaubert, ami d'enfance de cette dernière. Of An. En effet, suite à de violentes disputes entre ses parents, le père quitta à jamais la maison. In English American University School. Le fameux auteur réaliste, prenant finalement la place du chef de famille, initia alors à sa vocation l'enfant qui bénéficiera, grâce aussi à sa rencontre quelques années plus tard avec Zola, d'un double héritage littéraire. Writing The Introduction Essay Taunton. Les habitants de Normandie, sa région d’origine, inspirent certaines de ses œuvres. Write An Article On North Preparatory. Soutenu et conseillé par Flaubert, dont il est le disciple, Maupassant rencontre les principaux écrivains du XIXe siècle, dont Émile Zola.
Il écrit des nouvelles, des romans, des récits de voyage, des contes fantastiques : Boule-de-suif (1880), La maison Tellier (1881), Mademoiselle Fifi (1882), Une vie (1883), Contes de la Bécasse (1883), Une vendetta (1883), La parure (1884), Toine (1885), Bel-Ami (1885), Le Petit Fût (1886), Le Horla (1887), Le rosier de Mme Husson (1887), Pierre et Jean (1888). Writing The Introduction Taunton School. Je connais les œuvres suivantes : Bel-ami , Pierre et Jean , et celles présentées dans la collection des nouvelles que vous nous avez envoyée sur le padlet Bonnes nouvelles à lire. Les romans de Maupassant comprennent des descriptions très réalistes. An Article On North Broward Preparatory School. Ses livres sont souvent pessimistes. Of An School. Il meurt à un peu moins de 43 ans des suites d'une syphilis. Le genre littéraire du Papa de Simon est la nouvelle réaliste. To Write An Essay Bodwell High. C’est un récit court et vivant qui a été écrit en français. L’histoire se déroule à la campagne et les personnages sont : des écoliers, le petit Simon, sa maman célibataire, la Blanchotte, et l’ouvrier Philippe.
Un jour, les enfants de l’école s’en prennent au petit Simon parce qu’il n’a pas de père. The Introduction School. Leur comportement n’est que le reflet de ce que pensent leurs mères : la Blanchotte s’est livrée à un homme sans être mariée, et c’est honteux. Difficulties Essay For Media. Cette situation rend Simon très triste. Writing. Heureusement, il croise la route de Philippe, un homme bon qui choisit de ne pas s’arrêter au qu’en dira-t-on et sait analyser la situation avec son cœur en lui proposant d’être son papa. La phrase du texte qui m’a le plus marqué est : - Vous savez. I Need Fast Bodwell High. Simon. The Introduction Of An Essay Taunton School. eh bien, il n'a pas de papa. Macromedia University For Media And Communication. Cette nouvelle présente un tableau du monde rural et de la mentalité de ces gens qui sont méprisants et cruels envers ceux qui sont différents d’eux. Of An Essay School. Le vocabulaire utilisé est ordinaire ( exemple : garnement ) et le rythme du récit est marqué par des actions par la présence d’un dialogue et l’utilisation du passé simple même si l’imparfait est également utilisé pour la description. Les intentions de l’auteur sont faciles à percevoir. Il critique la société et met en valeur l'influence des rumeurs sur une personne et l'attitude au milieu d'un groupe.
Il désire nous faite réfléchir et traite ici des sujets tels que : l'éducation des parents, des rumeurs, les effets sur les enfants. Fast Bodwell. Il intervient afin de donner son avis au sujet de la façon dont les gamins accueillent quelqu'un de différent : il montre leur méchanceté et jusqu’où ils peuvent aller pour être cruels. Aussi, j’ai remarqué que dans sa biographie, l’auteur a perdu son père car il a divorcé. Writing Of An Essay School. On peut penser qu’il a pu vivre la même histoire ou similaire à celle de Simon. Je suis d’accord avec les idées de l’auteur car moi aussi, je trouve injuste de se moquer en groupe de quelqu’un qui n’est pas comme les autres quelle que soit sa différence. Write An Essay American University. On ne méprise pas un enfant parce qu’il n’a pas de père.
J’éprouve de la colère envers les enfants qui se moquent et de la pitié pour Simon. Writing The Introduction Taunton. Je serais prêt à l’accueillir dans mon groupe à l’école. Guy DE MAUPASSANT est l’auteur de la nouvelle le papa de Simon . Essay St. Johnsbury Academy. Il est aussi l’auteur de nombreuses autres œuvres comme : Boule de suif, Aux champs, la Ficelle, le Horla Ce texte a été écrit le 1 er Décembre 1879, lors de cette époque rien de particulier ne se passe. Writing Of An Essay School. À l’origine cette nouvelle a été écrite en Français. Je vois l’image d’une ronde avec au milieu le petit Simon qui se fait harceler, qui subit les moqueries sans pouvoir s’échapper. I Need To Write Bodwell. Je n’ai jamais vécu de moments pareil dans ma vie.
Je pense à la musique de Stromaé papaoutai où il raconte la perte de son père. Writing Of An Essay. Je retiens une phrase en particulier Il restait là, planté au milieu d'eux, surpris et embarrassé, sans comprendre ce qu'on allait lui faire. Writing Essay St. Johnsbury. Les personnages principaux sont Simon et Philippe Remy le forgeron du village. Writing Of An Taunton School. Simon et Philippe font connaissance quand il le ramasse en pleurs au bord l’étang et au fil de l’histoire ils apprennent à se connaitre de jour en jour chez Philippe et il devient son papa. Résumé: Simon fait aujourd’hui sa première rentrée à l’école, à la fin de la journée tous ses camarades le regardent bizarrement car un grand leur a dit qu’il n’a pas de papa. Difficulties In Writing Macromedia University For Media. Simon commence à se faire harceler alors, pour se réfugier il court jusqu’à l’étang d’à côté pour pleurer mais il ne reste pas longtemps tranquille car un monsieur vint le déranger, c’est Philippe le forgeron du village. Writing The Introduction Essay Taunton School. Il lui demande pourquoi il pleut comme ça, Simon lui explique. To Write An Essay Fast School. Ensuite, ils se revoient tous les jours. Writing The Introduction Of An School. Un jour le forgeron décide d’aller voir la mère de Simon pour la demander en mariage et Philippe devient le père de Simon.
Quand je lis ce texte que j’ai aimé, je ressens de la pitié pour le petit Simon. On North Broward Preparatory. J’ai très bien compris l’histoire et je ne suis pas du tout d’accord avec le harcèlement qu’il subit. Cette nouvelle est destinée aux collégiens comme aux lycéens car le harcèlement se passe plus souvent au collège et au lycée. Writing The Introduction Taunton School. L’auteur veut nous faire passer une morale concernant le harcèlement, comme quoi le harcèlement peut pousser certaines personnes à commettre l’irréparable. Write An Article School. Ses intentions ne sont pas très faciles à percevoir mais on the introduction School, comprend très bien le texte. La nouvelle a été écrite par Guy de Maupassant. Website. Je connais une autre œuvre de l’auteur qui est Aux Champs . Essay. La nouvelle à été écrite le 1er décembre 1879. Write An Article On North Broward. Cette époque n’a pas été particulièrement importante.
Ce texte a été écrit en français à l’origine. Writing Essay. Il appartient à un genre dont je connais les caractéristiques, c’est une nouvelle. Quand j’ai lu Le Papa de Simon je voyais des images et parfois des sons : Je pensais à une histoire qui a duré tout le temps de l’école primaire et qui était dure. Writing Synthesis Essay Abbey Manchester. Je pensais aussi à des films d’actions. Of An School. La phrase que je retiens est -Vous voyez bien qu'il n'a pas de papa. Les personnages principaux sont Simon, il fait son premier pas à l’école. Write In English University. Simon se fait embêter dès son premier jour d’école car il n’aurait pas de papa. The Introduction Essay Taunton School. Vexé il va demander à un homme, s’il veut bien être son papa et depuis il dit que c’est son papa. Writing Website. Blanchotte, la mère de Simon, on writing Taunton School, ne sait pourquoi, n’est pas aimée des autres femmes. La nouvelle se passe à la campagne, elle se passe à l’époque de l’auteur, XIXe siécle.
L’action commence dès la 2eme phrase. Simon est un petit garçon qui vit seul avec sa mère (La Blanchotte), il n'a pas de père . I Need To Write An Essay Fast Bodwell. Il arrive dans une nouvelle école et tous ses camarades se moquent de lui, le tapent, une bagarre éclate. The Introduction Of An Essay Taunton School. Simon, va pleurer au bord de la rivière avec l'intention de se noyer . Write An Article On North Broward. Mais un ouvrier passe dans les parages et aperçoit le petit garçon, le forgeron lui demande ce qui ne va pas et Simon lui raconte son histoire. Of An School. Le forgeron, qui se nomme Philippe, décide de ramener le garçon chez lui car il se fait tard. Essay. Le lendemain soir, avant que le forgeron rentre chez lui Simon lui demande s’il accepterait d'être son père. Writing The Introduction Taunton. Philippe, sans vraiment prendre la proposition de Simon au sérieux, accepte et lui dit de dire à tous ses camarades qu'il a un père et qu'il s'appelle Philippe. Write American University Preparatory School. Le lendemain Simon arrive fier à l'école en disant à tout le monde qu'il a un père et que c’est Philippe Remi, le forgeron. Au début je trouve la nouvelle un peu triste, j’éprouve de la pitié pour Simon. Writing. Mais après, Simon partage sa joie. J’ai très bien compris la nouvelle.
Je suis d’accord avec la morale de cette nouvelle, car Philipe fait tout pour aider Simon et la relation entre Philippe et Simon devient fusionnelle. Ce texte est destiné à tout le monde. Essay. Le message que veut nous faire passer Guy de Maupassant est que le harcèlement n’est pas bien même si une personne aune différence. Writing The Introduction Essay Taunton. Guy de Maupassant dans sa nouvelle m’a émue. C'est Guy de Maupassant qui a écrit ce texte. To Write Fast Bodwell School. Il a été écrit le 1er décembre 1879.
Ce texte est français. Writing The Introduction Of An Essay Taunton. Il appartient au genre de la nouvelle. Je pense à des images, à des sons. Les personnages principaux sont le forgeron, la Blanchotte et Simon. To Write Bodwell School. L'action se passe à l'ecole et aussi chez Simon. The Introduction. Elle se passe la semaine. Le texte parle d'un enfant, Simon, qui se fait battre à l'école car il n'a pas de papa.
J'aime beaucoup l'histoire, j'éprouve de la joie, de la pitié et de la tristesse. Ce texte est destiné à tous les lecteurs et particulièrement aux papas. Writing Synthesis Abbey College Manchester. Il veut nous dire qu'il ne faut pas se montrer méchant envers les enfants auxquels il manque un membre de leurs familles. Of An School. L'auteur émeut et nous fait éprouver de la tristesse.
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If you are a new paralegal with limited or no work experience, this is the section on which you should focus. I Need An Essay Fast. Indicate your degree or the paralegal certificate you completed, your major, the college from which you graduated, and of an essay Taunton the date of your graduation. List the courses that are relevant to the jobs for how to an essay University, which you are applying. Taunton. In general, law firms seek prospective employees who have skills in areas of legal research and writing, litigation and writing synthesis College law office management. You also should expand on your leadership and academic activities in this section. Writing The Introduction Taunton. List your membership in all student and academic organizations.
Emphasize your leadership positions and highlight your respective duties and writing College Manchester achievements while serving in those leadership roles. If you were a member of the organization but didn’t hold a leadership position, specify your contributions to the organizations. For example, you might have arranged for the introduction of an Taunton, a speaker, publicized an event or coordinated a social event for the organization. Did you write for a college newspaper, or contribute or edit an synthesis Abbey, article for a newsletter or the college yearbook? If so, these activities should be included in your resume since they show initiative and leadership qualities — characteristics that all employers seek in a prospective employee. Finally, if you have received academic achievements such as being on the dean’s list or graduating with various honors, emphasize these awards and honors in your resume. Experience. This section is the meat of the introduction a resume.
While your work history as a new paralegal is minimal, there are other areas besides employment that can be classified as experience. Serving in an internship program is an excellent way to write in english American Preparatory, highlight your duties and writing the introduction of an essay Taunton responsibilities as well as the skills you obtained. Under this section, list the an essay fast Bodwell duties you performed, as well as the skills that were enhanced during this internship. If you have participated in essay Taunton School, more than one internship, list the most recent internship first with the relevant dates. Another type of experience is the Academic Service Learning component that many colleges have incorporated into their academic curriculum. St. John’s University in New York, for example, defines Academic Service Learning as a teaching method in which students learn and develop through organized service that reinforces course content. This organized service takes place in nonprofit organizations such as bar associations, senior citizen centers, Legal Aid offices or other organizations that provide legal services at reduced fees or at no cost to the clients. If you have participated in writing essay St. Johnsbury, an Academic Service Learning program, you should indicate the organization in writing the introduction of an essay Taunton, which you served, and your duties while serving in that capacity. On North Preparatory School. For example, if you helped draft health planning documents in an Elder Law Clinic as part of the Elder Law course you took, you should incorporate these duties in the Experience section of your resume.
Skills. This section of the resume focuses on special skills you have that you might not have highlighted in other sections of the resume. Writing. Are you familiar with Microsoft Word? Do you have skills in write on North Broward, other software applications such as Microsoft PowerPoint or Excel? Are you an writing the introduction essay, expert in using Westlaw and/or Lexis as a research tool? Are you proficient in a foreign language? If you have any of write an essay in english University Preparatory School these skills, include them in the skills section of the resume. However, be honest in assessing your proficiency. For example, don’t indicate fluency in Spanish if you can only read it, but not speak it.
Other relevant experience. Writing The Introduction Taunton. The last section of the essay St. Johnsbury Academy resume is for other relevant experience that you might have but was not addressed in the introduction essay Taunton School, the other sections of the resume. For example, if you demonstrated leadership skills while serving in a civic or community project or activity, then certainly include this experience. The Cover Letter From New Paralegals. The cover letter should have the following information: your name, address, and the date, name and title of the person to whom you are writing, the company or organization and on North Preparatory School the relevant salutation. Try to get the exact name of the person to writing essay School, whom you are writing since this will be more personal.
The first paragraph of the cover letter should explain why you are writing and indicate how you found out Abbey College Manchester about the available position. For example, “I am writing to of an Taunton, apply for the position of paralegal as advertised in the June 20 New York Times,” or “We met last month at writing website the paralegal conference and I am following up on my interest to obtain a paralegal position in your law firm.” The next few paragraphs are where you want to highlight and discuss your qualifications, achievements and experience. Summarize your experience rather than repeat what already is in the resume. Discuss why your qualifications and experience are a good fit with the company and what you can contribute to writing, that company. The final paragraph closes the write an article on North letter by thanking the employers for writing the introduction Taunton School, their consideration of your application and notifying them where they can contact you for an interview. Also indicate that your resume is to write fast High School enclosed and that references are available upon request. Resumes for Experienced Paralegals.
Many of my recommendations for resumes for experienced paralegals are similar to resumes for new paralegals. Essay Taunton School. Your name, home address, phone number and e-mail address should be on the top of the resume and it should be limited to one page, if possible. Argumentative Essay. Resumes for experienced paralegals should contain the following or similar sections: Career Objective, Professional Experience, Skills, Other Relevant Experience and Education. Career objective. This is important for experienced paralegals. It signals to the prospective employer whether the applicant is writing of an School seeking a career change, a position with greater responsibility or a lateral move to an essay High School, a different company. The Introduction Of An Essay Taunton. For example: “To secure a senior level paralegal position with supervisory responsibilities” indicates to the employers that the applicant has prior paralegal experience and is seeking further professional growth.
Education. The experienced paralegal should indicate the relevant information under the Education section. You should provide your degree or the certificate completed as well as your major, the college from how to an essay American University, where you graduated and the introduction essay Taunton the date of your graduation. List any awards and honors you received upon graduation. Since prospective employers will focus more on the work history of experienced paralegals, the education information can be included either at the beginning or at the end of the resume. Experience. For the experienced paralegal, this section of the resume is the most important information provided by the applicant in write an article on North School, engaging the interest of the prospective employers. The most common form of the introduction presentation is to list jobs in reverse chronological order; therefore, you should list your most recent job first. Writing Academy. Indicate the company’s or law firm’s name, list your job titles and dates of employment. Use active verbs to describe your duties and responsibilities, and of an essay Taunton School be consistent in the use of the verb tense. Argumentative Essay On Concord. For examples: “Developed systems for billing clients,” “Conducted extensive research for class action lawsuit” and “Maintained and updated court dates.”
Skills. This section is where you can highlight your technological skills. At a minimum, employers expect their experienced paralegals to be proficient in word processing, and to writing the introduction essay Taunton, be able to navigate e-mails and prepare spreadsheets using Excel. Do you have computer-assisted research skills using Westlaw or Lexis? Are you proficient in difficulties in writing for Media, other software applications such as CaseMap, LiveNote or Abacus Law?
If so, don’t hesitate to of an, list them. Prospective employers always are seeking applicants who are technologically savvy to help make their law offices become more efficient. Other relevant experience. If you have had relevant experience other than work experience, you can describe it under this section. Argumentative On Concord. Were you an active member of a national or state paralegal organization?
Did you volunteer to participate in your firm’s pro bono program in writing the introduction of an essay, providing legal service to essay Macromedia for Media and Communication, those who could not afford to hire a legal professional? Perhaps you volunteered in events related to law that were sponsored by your community or civic groups. The Introduction Of An Essay Taunton. These all are activities to stress in your resume. They demonstrate initiative, leadership and commitment to the legal profession. The Cover Letter from Experienced Paralegals. The cover letter is your initial introduction to the prospective employer. The purpose of the difficulties essay University for Media cover letter is to encourage the employer to read your resume and invite you for an interview.
Therefore, like the resume, it has to be error-proof, neat and well-written. The first paragraph of the cover letter should explain why you are writing and what position you seek. For example: “I am writing to apply for the position of writing of an Senior Paralegal that was advertised on your Web site.” Also explain why you are interested in the position, such as seeking greater and/or more diverse responsibilities. In the next few paragraphs, summarize your qualifications, experience and achievements. And Communication. For example: “As the the introduction of an essay School enclosed resume indicates, I have had over College Manchester, 10 years of paralegal experience in writing the introduction of an Taunton, employment law” or “My 10 years of experience include working with cases involving bankruptcy law.” Follow up as to why this experience will benefit the law firm. You also can highlight specific skills, such as the ability to argumentative essay, use computer-assisted research or software applications that help with the management of a law office. The final paragraph closes the letter by thanking the employers for their consideration of School your application and an article Preparatory School notifying the of an essay Taunton School employers where they can contact you for an interview. Also indicate that your resume is enclosed and that references are available upon request.
SAMPLE COVER LETTER FOR NEW PARALEGALS. 345 Highway Street. Lakeview, NJ 10671. Tobin and Dempf, LLP. I am writing to how to an essay in english American University, apply for the position of the introduction of an essay Paralegal in difficulties in writing essay University, your litigation department as advertised in the New Jersey Times , dated June 25, 2008. I have just completed the the introduction Taunton ABA Approved-paralegal program at Gainsville State University . My coursework and write my internship experience have given me the skills to qualify for this position. As you can see from my resume, in addition to coursework in of an essay, the areas of civil litigation and trial practice, I have enhanced my skills in argumentative essay on Concord College, the practice of writing essay Taunton litigation through my internship experiences. I have had practical experience in essay Academy, legal research, writing complaints and legal memoranda, and filing pleadings. I am highly proficient and comfortable in the use of technology. Writing The Introduction Of An Essay School. I am proficient in writing St. Johnsbury, using Westlaw to perform research. I am also skilled in writing the introduction of an School, using Microsoft Word, PowerPoint, Excel and Outlook.
Thank you for your consideration. I look forward to speaking with you further regarding my qualifications for difficulties essay University for Media, this position. Enclosed in my resume and writing of an essay Taunton I will be happy to provide you with references upon request. SAMPLE RESUME FOR NEW PARALEGALS. 345 Highway Street. To secure a position as a paralegal in essay website St. Johnsbury, a law firm that specializes in litigation. June 2008: Gainsville State University , Smithtown , New Jersey.
Paralegal Certificate Program, ABA Approved. Coursework: Introduction to Law, Civil Litigation, Legal Research and Writing, Tort Law, Family Law, Elder Law, Real Estate Law, Trial Practice. Leadership and Academic Acitivities: President of Legal Society (2007-2008) – Organized activities for. students in the Paralegal Program; arranged for speakers on legal issues; coordinated visits to the introduction essay Taunton, courts. Feb. 2008-May 2008: Paralegal Intern, Smith Smith, Smithtown , New Jersey. Assisted with scheduling meetings with clients. Helped with filing pleadings. Performed legal research using Westlaw and in essay, the library.
Wrote legal memoranda. Prepared demand letters. Sept. 2007-Jan. 2008: Academic Service Learning in conjunction with Elder Law course, Senior Legal Clinic, Newtown , New Jersey.
Assisted in the introduction of an essay Taunton School, drafting advance health planning documents. Interviewed clients for case intake. Assisted with drafting complaints. Assisted in in english American School, drafting health proxies and living wills. Microsoft Word, PowerPoint, Excel, Outlook, Westlaw. Coordinated Annual Fund-Raising Event for the Homeless since 2000. SAMPLE COVER LETTER FOR EXPERIENCED PARALEGALS. 345 Highway Street.
Lakeview, NJ 10671. Tobin and writing School Dempf, LLP. I am writing to apply for the position of supervising paralegal in your litigation department as advertised in the New Jersey Times , dated June 25, 2008. After more than 10 years of experience as a litigation paralegal, I am seeking a new position that can provide me with additional responsibilities and an opportunity to use my supervisory skills. As you can see from my resume, I have had extensive experience as a litigation paralegal and my responsibilities have increased over the years. Recently, I was given the additional responsibility of supervising and training secretarial staff and student interns. In that capacity, I have developed my mentoring and supervisory skills.
I am highly proficient and comfortable in the use of technology. An Essay Fast Bodwell High School. I am proficient in using Westlaw and Lexis to perform research. I have assisted the attorneys in my firm in making presentations using Microsoft PowerPoint and have created spreadsheets using Microsoft Excel. I have become skilled in the use of writing of an software applications to essay Academy, assist with the management of complex litigation cases. As a result, I can offer your firm a high level of the introduction essay Taunton School expertise in using Concordance, Summation and CaseMap. I believe I can contribute much to your firm. Argumentative On Concord. Thank you for taking time from your schedule to consider me for writing of an School, this position. I look forward to speaking with you further regarding my qualifications.
Enclosed is my resume and difficulties I will be happy to provide you with references upon request. SAMPLE RESUME FOR EXPERIENCED PARALEGALS. 345 Highway Street. Lakeview, NJ 10671. To secure a position as a senior-level paralegal with supervisory responsibilities. July 2000-Present: Paralegal, Kleinsmith Associates, Newark , N.J. Provide legal and administrative support for civil litigation firm. Supervise and train secretarial staff and essay Taunton School student interns. Implement an online billing system for clients. Draft legal memoranda and client correspondence.
Conduct research employing online resources such as Westlaw and Lexis. Assist with document production and trial preparation. July 1998-June 2000: Paralegal, Smith Smith, Smithtown , N.J. Assisted with scheduling meetings with clients. Assisted with filing pleadings. Performed legal research using Westlaw and in the library. Wrote legal memoranda. Prepared billings for clients. Feb. 1998-June 1998: Paralegal Intern, Legal Aid of how to write American Preparatory New Jersey , Newtown , N.J. Interviewed clients for writing the introduction of an School, case intake.
Assisted with drafting complaints. Assisted with document production. Microsoft Word, PowerPoint, Excel, Outlook, Westlaw, Lexis, Concordance, Summation and CaseMap. Member of the American Alliance of Paralegals and the Legal Assistants Association of New Jersey; organized workshops on technology for paralegals. Participated in the pro bono program initiated by Kleinsmith Associates. June 1998: Gainsville State University , Smithtown , N.J. Bachelor of in writing essay Arts, Legal Studies, ABA-Approved Paralegal Program. Linda T. Chin is an assistant professor at St. Writing Taunton. John’s University in New York City. She teaches in the American Bar Association-approved legal studies program, which prepares students to work as paralegals in the legal profession.
Professor Chin’s field of expertise is argumentative essay employment and elder law.
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12th grade essay Writing standards for the introduction of an essay, eleventh and twelfth grades define the knowledge and skills needed for writing proficiency at these grade levels. By understanding 11th and 12th grade writing standards, parents can be more effective in helping their children meet grade level expectations. What is write an article on North Broward Preparatory 11th and 12th Grade Writing? In grades eleven and twelve, students are expected to produce error-free essays that demonstrate their understanding of the the introduction School, elements of writing (e.g., purpose, speaker, audience, form). Students plan, draft, and complete written compositions on a regular basis, editing their essays for clarity, engaging language, and the correct use of how to School standard American English. Eleventh grade and twelfth grade students practice all forms of writing, with an essay emphasis on writing coherent and focused persuasive essays that convey a well-defined perspective and tightly reasoned argument. Eleventh grade and twelfth grade students also focus on personal forms of writing, including a response to literature, a reflective essay, or an how to an essay University Preparatory School autobiographical narrative. What Writing Standards Measure. Academic standards are very specific, detailing every aspect of what students are expected to learn in each grade.
Organized into five key areas, writing standards focus on: writing process, writing purposes (what students write), writing evaluation, writing conventions (grammar, usage, and mechanics), and writing the introduction of an Taunton research/inquiry for writing. The following writing standards represent what states* typically specify as benchmarks in writing proficiency for grade eleven and grade twelve. Grades 11 and 12: Writing Process. Writing standards for all grades focus on the writing process as the to write, primary tool to help students become independent writers. In grades 11 and writing the introduction of an essay Taunton School 12, students are expected to write on North School use each phase of the process as follows: Prewriting: Students in 11th and 12th grades use prewriting strategies to generate ideas, develop voice, and plan their writing. Students generate ideas from multiple sources (e.g., brainstorming, journals, research materials), and the introduction of an essay School use strategies and tools (e.g., technology, spreadsheets, graphs, plot pyramids) to develop a personal organizational style. Students make a plan for writing that addresses purpose, audience, controlling idea, logical sequence, and writing synthesis essay College Manchester a timeframe for completion. Drafting: In eleventh grade and twelfth grade, students develop drafts, alone and collaboratively, by organizing and reorganizing content.
Drafts should structure ideas and arguments in a sustained, persuasive, and sophisticated way and support them with precise and relevant examples. Eleventh and of an essay Taunton twelfth grade students are expected to use point of view, characterization, style (e.g., use of irony), and related elements for specific rhetorical and aesthetic purposes. Students should work to enhance meaning by employing rhetorical devices, including the writing Abbey Manchester, extended use of parallelism, repetition, and analogy. Drafts should also be planned to incorporate visual aids (e.g., graphs, tables, pictures) and a call for action where appropriate. In 11th and 12th grades, students demonstrate a command of language by using natural, fresh, and the introduction of an Taunton School vivid ways to establish a specific tone. Students analyze the language techniques of professional authors (e.g., figurative language, denotation, connotation) to help them establish a personal style and conviction of expression. Revising: In 11th grade and 12th grade, students revise selected drafts to highlight the individual voice and point of how to in english American University view, improve sentence variety and style, and enhance subtlety of meaning and tone in Taunton, ways that are consistent with the essay for Media and Communication, purpose, audience, and genre. Students also evaluate their drafts for the development of a central theme, the logical organization of the introduction Taunton School content, and the creation of meaningful relationships among ideas. Other revision techniques used by eleventh- and twelfth-graders include creating precision and interest by elaborating ideas through supporting details (e.g., facts, statistics, expert opinions, anecdotes), creative language devices, and modifying word choices.
Editing: Eleventh- and twelfth graders are expected to produce error-free final essays. Students proofread carefully for appropriateness of organization, content, style, and language conventions, using resources and reference materials (e.g., dictionary, thesaurus, checklist to guide proofreading). Students edit for essay website St. Johnsbury, grammar, punctuation, capitalization, and spelling, and writing the introduction essay Taunton check for varied sentence structure and appropriate word choice. Publishing: Using technology, students in grades eleven and twelve publish their work frequently in a format appropriate to i need an essay Bodwell High purpose (e.g., for display, multimedia). Writing? Published pieces use design techniques, such as margins, tabs, spacing, and columns and integrate databases, graphics, and spreadsheets into word-processed documents. An Article Broward Preparatory School? Use of technology: Eleventh grade and twelfth grade students use advanced publishing software and graphic programs to the introduction of an essay support aspects of essay creating, revising, editing, and publishing texts. Grades 11 and 12: Writing Purposes. In grades eleven and twelve, students write in a variety of forms, including business, personal, literary, and persuasive texts, for various audiences and purposes.
Students combine the rhetorical strategies of narration, exposition, persuasion, and description to produce essays of at least 1,500 words each. Specifically, writing standards for 11th and 12th grades stipulate that students write in the following forms: Narrative: Eleventh and twelfth grade students write fictional, biographical, and autobiographical narrative essays. In these essays, students relate a sequence of Taunton School events and communicate the an article Broward Preparatory, significance of the events through concrete sensory details (e.g., sights, sounds, smells), and the explicit actions and gestures of the characters. Eleventh- and twelfth-graders develop the plot/events and characterizations further by creating dialogue and interior monologues to depict the characters’ feelings and locating scenes and incidents in of an School, specific places. Argumentative College? Students are expected to use literary devices and make effective use of descriptions of appearance, images, shifting perspectives, and writing of an essay Taunton sensory details. In addition, students learn to pace the presentation of actions to essay accommodate temporal, spatial, and dramatic mood changes.
Expository: Students in 11th and 12th grades write in a variety of informational/expository forms, including documents using precise technical and scientific vocabulary (e.g., manuals, procedures, assembly directions) and the introduction School essays that speculate on the causes and effects of a situation. Essays must include introductory, body, and concluding paragraphs, and demonstrate coherence, logical progression, and support for ideas. In the cause-effect essay, students establish the connection between the postulated causes or effects, and offer evidence supporting the on Concord College, validity of the proposed causes or effects. Students are expected to incorporate information and ideas from primary and/or secondary sources, noting the validity and reliability of writing the introduction of an Taunton these sources and attributing sources of information accurately. Eleventh- and twelfth-graders may also be asked to write detailed travel directions and design an accompanying graphic using the to write fast High School, cardinal and ordinal directions, landmarks, streets and writing of an Taunton School highways, and distances. Persuasive: Students in eleventh and writing website St. Johnsbury twelfth grades write persuasive essays, such as a logical argument or expression of opinion. Persuasive essays in these grades should state a position or claim, and present detailed evidence, examples, and reasoning to support effective arguments and emotional appeals. The Introduction Of An School? Eleventh- and twelfth-graders are expected use persuasive techniques (e.g., word choice, repetition, emotional appeal, hyperbole, appeal to authority, celebrity endorsement, rhetorical question, irony, symbols, glittering generalities, card stacking, testimonials, bandwagon, image association, transfer). Students must also refute opposing arguments by addressing readers’ concerns, counterclaims, biases, and expectations. Responses to Literature: Eleventh and twelfth grade students are expected to demonstrate a comprehensive understanding of the an article on North, significant ideas in literary works or passages. Students analyze the use of imagery, language, universal themes, and unique aspects of the text, and support their ideas through accurate and detailed references to the text or to other works.
Eleventh- and twelfth-graders should also show an understanding of the writing essay Taunton, author’s use of stylistic devices and an appreciation of the effects created. In addition, students must identify and assess the impact of write on North Broward Preparatory School perceived ambiguities, nuances, and complexities within the text. Reflective Essays: In reflective essays, 11th and 12th grade students are expected to explore the significance of personal experiences, events, conditions, or concerns by using rhetorical strategies (e.g., narration, description, exposition, persuasion). Students draw comparisons between specific incidents and broader themes that illustrate their important beliefs or generalizations about life. These essays should also maintain a balance in describing individual incidents and relate those incidents to more general and abstract ideas.
Historical Investigation Reports: In historical investigation reports, 11th and 12th grade students are expected to use exposition, narration, description, argumentation, or some combination of rhetorical strategies to support the main proposition. Students analyze several historical records of a single event, examining critical relationships between elements of the research topic. The goal of such essays is to explain the perceived reason or reasons for the similarities and writing the introduction of an essay Taunton School differences in historical records with information derived from primary and secondary sources. Students should incorporate information from all relevant perspectives and take into consideration the validity and reliability of the sources. Synthesis Essay Abbey Manchester? These reports should also include a formal bibliography. Business and the introduction essay Taunton School Work-Related Documents: Students in grade 11 and grade 12 write a variety of business and work-related documents, including letters, memos, emails, meeting minutes, speaker introductions, resumes, applications, and cover letters for applications. Difficulties Macromedia For Media And Communication? The goal of business writing in these grades is to present information using a tone and style that fits the purpose and audience. In the case of job applications and resumes, students strive to provide clear and relevant information and address the the introduction essay Taunton School, intended audience appropriately.
Students use varied levels, patterns, and types of language to achieve intended effects and aid comprehension. Eleventh- and twelfth-graders are expected to follow the Bodwell High School, conventional style for that type of document and use page formats, fonts, and spacing that contribute to the readability and impact of the document. Multimedia Presentations: Students in 11th and 12th grades create multimedia presentations that combine text, images, and sound and writing the introduction essay Taunton School draw information from many sources (e.g., television broadcasts, videos, films, newspapers, magazines, CD-ROMs, the Internet, electronic media-generated images). Students select an appropriate medium for each element of the St. Johnsbury, presentation and use the selected media skillfully, editing appropriately and writing the introduction of an Taunton monitoring for quality. As a final step, students should test the audience’s response and revise the presentation accordingly. Grades 11 and 12: Writing Evaluation.
Eleventh and twelfth grade students evaluate the writing of website St. Johnsbury others, as well as their own writing. Students make suggestions to improve writing and writing of an Taunton School assess their own writing for both mechanics and an article on North School content. In grades eleven and twelve, students are expected to respond productively to peer reviews of their own work. Writing standards recommend that each student keep and writing essay review a collection of essay Macromedia University for Media and Communication his/her own written work to determine its strengths and weaknesses and to set goals as a writer. Grades 11 and 12: Written English Language Conventions. Students in writing essay School, eleventh and twelfth grades rely on the conventions and mechanics of essay website St. Johnsbury written English, including the rules of usage and grammar, to write clearly and effectively. The Introduction Essay Taunton? Students are expected to produce legible, error-free work that shows accurate spelling and website St. Johnsbury correct punctuation and capitalization. In particular, writing standards for grades eleven and twelve specify these key markers of proficiency: —Understand correct use of writing of an Taunton School varied sentence structure, including the elimination of dangling or misplaced modifiers, run-on or fused sentences, and unintended sentence fragments. —Compose increasingly more involved sentences that contain clauses (e.g., main and writing Academy subordinate) and phrases (e.g., gerunds, participles, absolutes, and infinitives) in their various functions.
— Exhibit command of of an essay Taunton grammar, diction, and paragraph and sentence structure and an understanding of English usage. —Demonstrate control over grammatical elements such as parts of speech, verb tense, noun/pronoun agreement, subject/verb agreement, pronoun/antecedent agreement, parallelism, modifier placement, comparative and superlative adjectives and adverbs, and unintended shift in person or tense. —Use appropriate manuscript requirements in writing, including title page presentation, pagination, spacing and margins, and integration of source and support material. —Identify and correctly use the mechanics of writing website Academy punctuation, including commas, colons, semicolons, apostrophes, dashes, quotation marks, parentheses, ellipses, brackets, and underlining or italics. —Eleventh- and writing the introduction essay Taunton twelfth-graders pay particular attention to capitalization of names of academic courses and proper adjectives. — Use knowledge of spelling rules, orthographic patterns, generalizations, prefixes, suffixes, and roots, including Greek, Latin, and Anglo-Saxon root words. —Understand foreign words commonly used in English (e.g., laissez faire, croissant). —Students use fluent and legible handwriting skills. Grades 11 and 12: Research and Inquiry. In eleventh and twelfth grades, students use appropriate research methodology and writing essay Academy a variety of print and electronic sources to gather information for research papers and essay other writing assignments. Students use writing as a research and learning tool in the following ways: Use writing to discover, organize, and support what is known and what needs to be learned about a topic.
Compile information from primary and secondary sources using clear research questions and creative and difficulties in writing essay critical research strategies (e.g., field studies, oral histories, interviews, experiments, electronic sources). Use systematic strategies to of an School organize and essay website record information (e.g., anecdotal scripting, annotated bibliographies, summaries) and draw conclusions, identifying complexities, discrepancies, and the introduction School different perspectives. Use appropriate conventions for documentation in the text, notes, and bibliographies by adhering to those in style manuals (e.g., Modern Language Association Handbook, The Chicago Manual of write American Preparatory School Style). Analyze strategies that writers in different fields use to compose. Use writing as a study tool to clarify and remember information. Eleventh and Twelfth Grade Writing Tests. In many states, students in grades eleven and essay School twelve take standardized writing assessments, either with pencil and paper or on a computer. While tests vary, students are typically given questions about grammar and mechanics, as well as timed essay-writing exercises in which they must write an essay in response to a writing prompt. On 11th and 12th grade essay writing tests, students demonstrate their ability to produce an effective composition for a specific purpose, as well as their command of the conventions of spelling, capitalization, punctuation, grammar, usage, and writing synthesis essay sentence structure. In some states, students’ revising and editing skills are tested with multiple-choice questions on essay Taunton School reading passages. Students are asked to indicate how a particular sentence might be corrected or improved or how the organization or development of a paragraph might be strengthened.
Tests may also require students to how to in english American University Preparatory proofread for correct punctuation, capitalization, word choice, and spelling. Another type of question asks students to write a summary statement in response to a reading passage. In addition, 11th and 12th grade students are given classroom-based writing tests and writing portfolio evaluations. Writing Of An Essay Taunton School? State writing assessments are correlated to state writing standards. These standards-based tests measure what students know in relation to what they’ve been taught. If students do well on school writing assignments, they should do well on such a test. Educators consider standards-based tests to be the most useful as these tests show how each student is meeting grade-level expectations. These assessments are designed to pinpoint where each student needs improvement and help teachers tailor instruction to fit individual needs. State departments of education usually include information on writing standards and writing essay website St. Johnsbury Academy writing assessments on their websites, including testing guidelines and sample questions. Writing Test Preparation.
The best writing test preparation in eleventh and twelfth grades consists of the introduction School encouraging your student to difficulties essay write, raising awareness of the written word, and offering guidance on writing homework. The Introduction Of An Essay Taunton? Talk about writing and share appropriate articles and books with your child. Students learn to write effectively when they write more often. Suggest keeping a journal, writing movie reviews for the family, or writing the procedures for using a new piece of home equipment. Any writing is valuable practice. By becoming familiar with 11th and 12th grade writing standards, parents can offer more constructive homework support. Remember, the best writing help for kids is not to correct their essays, but offer positive feedback that prompts them to use the essay Macromedia, strategies of writing process to revise their own work. Time4Writing Online Writing Courses Support 11th and 12th Grade Writing Standards.
Time4Writing is an excellent complement to eleventh and twelfth grade writing curriculums. Writing? Developed by classroom teachers, Time4Writing targets the fundamentals of writing. Writing Abbey? Students build writing skills and deepen their understanding of the writing process by working on standard-based, grade-appropriate writing tasks under the the introduction essay Taunton, individual guidance of a certified teacher. *K-12 writing standards are defined by each state. Time4Writing relies on a representative sampling of state writing standards, notably from Florida, Texas, and California, as well as on the standards published by nationally recognized education organizations, such as the National Council of Teachers of English and the International Reading Association.
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Essay: The accuracy of Ultrasound versus Magnetic resonance imaging in the diagnosis of placenta previa-accreta: review of the writing the introduction Taunton, literature. KEYWORDS: diagnosis, accuracy, placenta previa, ultrasound, MRI, accreta. Purpose: To evaluate the accuracy of writing St. Johnsbury ultrasound (US) versus magnetic resonance imaging (MRI) in essay School the diagnosis of placenta previa (accreta) to determine the most useful imaging modality in suspected cases. Methods: a search was performed on Bodwell the following databases: Medline, PubMed and Science direct for appropriately reviewed publications on the selected topic. The search used a combination of terms in each database such as *accuracy *ultrasound *Magnetic resonance imaging *placenta previa *accreta and *diagnosis. All published in English and varied publications in writing the introduction the United States and Egypt. Most databases provided search results of 55 papers, with science direct yielding the most relevant results. Write An Essay University. From 19 relevant articles, a selection of 10 papers were made, chosen studies fulfilled predefined criteria.
Results: The highest noted sensitivity for ultrasound was 95.1% by a study from (Warshak et al. 2006) and the lowest sensitivity was presented by Riteau et al. (2014) and was 35.5%. Conclusion: MRI can help with signs of signs PPA not visible on ultrasound e.g. dark intraplacental bands, a distinct sign that can predict the writing the introduction of an essay School, presence of accreta. Write Broward. Most authors have come to the conclusion that wherever ultrasound falls short in diagnosing PPA, MRI should be as a tool for writing the introduction of an, further investigation. Placenta previa accreta (PPA) can described as the atypical deep attachment of the placenta to the uterine wall. Classification of placenta previa accreta is classified on the basis of the depth of myometrium invasion (Marrinan, 2013). In the incidents of PPA increases with a known risk factor such as increased maternal age and can lead to emergency hysterectomy with life threatening chance of haemorrhaging, renal distress or failure, and possibly death (Committee Opinion No. Write In English American. 529, 2012). Suspicion of PPA can be accessed through previous patient’s clinical history and imaging. Cases have risen in the United States due to the rising number of the introduction Taunton School caesarean deliveries. According to RCR (2011) Obstetric haemorrhage is a major causes of maternal death in less developed countries, up to 50% of the estimated 500,000 maternal deaths that occur globally each year.
Deaths from obstetric haemorrhage are uncommon in the United Kingdom. Previous caesarean sections mean a greater chance of PPA occurrence again. As the number of caesarean sections increases, so does the risk. Accurate diagnosis will allows for optimum obstetric management, preparations can be made to recruit a skilled surgical and anaesthetic team, time and place for delivery and transfusion arrangements (Perez-Delboy and Academy, Wright, 2013). Ultrasound and magnetic resonance imaging have been the the introduction of an Taunton School, modalities of choice in the diagnosis of PPA, but the there are questions of bias from previous review on the high accuracy of ultrasound due to its dependency on the skills of the an essay Bodwell High, sonographer. Writing Of An Taunton School. Both by ultrasound and MRI have features for the efficient visualisation of PPA signs e.g. intraplacental lacunae for U/S and uterine bulging for MRI (Teo et al., 2009).
The aim of this review is to assess and determine the accuracy of ultrasound and MRI in the diagnosis of writing website St. Johnsbury placenta previa accreta and also to look into the specific features of each modality that aid in the diagnosis of writing the introduction essay PPA (Mar et al., 2015). A search of the following databases was carried out: Medline, PubMed (National Library of Medicine) and Science direct appropriately reviewed publications on the accuracy of synthesis Abbey Manchester ultrasound versus MRI in the diagnosis of PPA. The search used a combination of terms in each database such as *accuracy *ultrasound *MRI *placenta previa *accreta and *diagnosis. All published in English and varied publications in the United States, France and Egypt. Most databases provided search results of 55 papers, with science direct yielding the writing of an essay Taunton School, most relevant results. From 19 relevant articles, a selection of 10 papers were made, chosen studies fulfilled predefined criteria. The chosen papers were then read and 10 full text papers were finally reviewed. Important features which make each modality suitable in the detection of PPA are addressed by the literature. Parikh et al., (2008) Sensitivity is the ability of a test to correctly identify an i need to write an essay High School, individual who has disease present and the introduction of an, specificity as the tests to correctly identify an individual as free from the disease. The percentage of patients with a negative test who do not have the disease (negative predictive value) must be low while (positive predictive value) for a diagnostic tool should be high (Naeger et al, 2013). The above qualities are needed for a test to be seen as accurate.
The highest noted sensitivity from all 10 reviewed articles for ultrasound was 95.1% by a study from (Warshak et al. 2006) and the lowest sensitivity was presented by Riteau et al. (2014) and was 35.5% this study was looking at accuracy for solely ultrasound. In a study by Lim et al. (2011) MRI correctly predicted PPA in 23 of 26 cases and reflected most of the literature as MRI had a relatively high sensitivity all through ranging from the 70-89% but when it came to specificity 50% was the lowest (Riteau et al. 2014) and synthesis essay Manchester, a range as high as 65-100% from a study from Berkley and writing the introduction essay Taunton, Abuhamad. (2013). Studies such as Hamisa et al. Difficulties In Writing Essay Macromedia University. (2014) Uses features of U/S and MRI such as intraplacental lacunae or uterine bulging to ascertain accuracy, does not mention percentages for sensitivity, specificity or PPV or NPV.
Agrees with (Comstock and Bronsteen, 2013) for e.g. interruption of bladder uterine interface showed 93% sensitivity and the introduction essay Taunton School, 84% specificity. Accuracy: sensitivity, specificity, PPV #038; NPV. In the study done by Mansour and Elkhyat (2011), transvaginal ultrasound was not performed in cases where pregnancy was advanced to avoid risks such as premature rupture of membrane or in writing synthesis College cases of already ruptured membrane to avoid infection. In this study they presented the data of a sensitivity of 86.6 % and 80% specificity for ultrasound with an accuracy of writing essay Taunton School 82.8%. And Communication. They stated that U/S had true positive diagnosis of 86.6% and of an Taunton School, MRI in an article on North Preparatory School 93.3%.
U/S displayed false positive prediction in writing the introduction School four cases, and in 16 cases true negatives and false negatives in 2 cases. MRI showed less with false positive predictions in only three cases with true negatives in 17 cases, one more than U/S and false negatives in only one case. It is ascertained that U/S had a positive predictive value (PPV) of 89% while MRI had 94.4%. Negative predictive values (NPV) were higher in argumentative MRI than U/S by 5.8%. Bowman et al. (2014) examined 55 patients with PPA. All had ultrasound only to access the accuracy of just ultrasound. In the of an Taunton School, end they ascertained from their independent observations that U/S had a Sensitivity of 53.5%, specificity of essay website St. Johnsbury 88.0%, positive predictive value of 82.1%, negative predictive value 64.8%, and the introduction of an essay Taunton, accuracy were and 64.8%. Write An Essay Preparatory School. 27% true positives, 5.9% false positives and for false negatives 16% and writing essay, 12.3% had uncertain diagnosis. This study unlike Mansour and write on North, Elkhyat (2011) find ultrasound highly specific but disagree on how sensitive it can be as it is much lower in this study by bowman.
It is stated that ultrasound may not be as sensitive as previously described by other studies. The accuracy for the introduction of an essay, ultrasound for this study was lower as well. Hamisa et al., (2014) the mean age amongst women in this study was 32.25 years. Essay College. 25 cases of previa were diagnosed and the introduction of an Taunton School, 4 complicated by accreta. This study had showed and agreed with the U/S and MRI features demonstrating similar findings of PPA as found in the Bowman study.
Written in three stages according to the first to third trimesters of pregnancy, the authors of this literature used specific findings of essay Abbey College Manchester PPA in both U/S and MRI to ascertain accuracy of both modalities. Utility of clear space in the diagnosis of accreta was a sensitivity of 73% and a low sensitivity (20%) if using interrupted bladder line in diagnosis of PPA but high is PPV of 96%, sensitivity may be low as not all women had transvaginal ultrasound scans. The authors determined that the more lacunae the more likely the presence of PPA (Comstock and of an School, Bronsteen, 2013). Write An Article On North Broward. Just like in the Comstock paper, Berkley and Abuhamad, (2013) also discusses specific signs seen in the three trimesters such as lacunae, myometrium thickness etc. grayscale sonography is the tool of choice in prenatal diagnosis of placenta accreta. With sensitivity has been reported in the range of 77% to 87%, specificity of 96% to 98%, PPV of 65% to 93%, and an NPV of writing the introduction of an essay Taunton 98%. The overall reported sensitivity of i need to write High MRI is 80% to 85% with specificity of 65% to 100%. In the Riteau et al. (2014) paper, 42 patients underwent both ultrasound and MRI to access suspected cases of PPA. Ultrasound was successful at diagnosing all 26 cases of of an essay PPA but also diagnosed adherent placenta. Sensitivity for argumentative essay College, U/S diagnosing accreta was 100% and writing Taunton School, 76.2% for MRI, specificity for U/S was 37.5% and for MRI 50%.
Correct diagnosis was made using U/S in 76.2 of the cases and Preparatory School, 66.7 with MRI. Specificity is of an Taunton School, very low in U/S in this study but higher for MRI. Dwyer et al. (2006) reviewed a cohort of 32 patients who were risk of St. Johnsbury Academy PPA and underwent both U/S and MRI examinations were identified. Writing Essay. U/S had sensitivity of 93% and write an article on North School, specificity of 71% while MRI had a sensitivity of 80% and a specificity of 65%. Unlike the Riteau paper U/S is higher in specificity while they both roughly had similar sensitivity and specificity for MRI. Maher et al. (2013) of 577 diagnosed with Placenta previa. 42 had placenta accreta, 49 of the introduction of an essay Taunton School these were diagnosed prenatally. U/S accurately diagnosed placenta accreta in 33 of 39 of women and correctly ruled out placenta accreta in 512 of 514. How To University Preparatory. Sensitivity was 95.1% and specificity 95.5%. Essay Taunton. MRI accurately PPA in six of 20 cases and correctly ruled out placenta accreta in writing Academy 10 of 20 cases with sensitivity at 85.7% and specificity at 76.9%.
It is highly suggested in the study carried out by Lim et al. (2011) in three patients examined out of the thirteen accessed, MRI showed signs of PPA 4-7 weeks earlier than ultrasound did, however one of the three patients at 23 weeks had an ultrasound scan showing signs of lacunae. This patient had positive MRI findings of PPA at 24 weeks. In a report by Warshak et al. (2006) which presents the accuracy of both modalities measured on confidence intervals and believe that in general MRI performed better than U/S but suggest that with overlaps in confidence intervals the superiority of MRI with gadolinium over U/S is seen at statistically insignificant. Specific U/S and MRI features. Ultrasound demonstrated some findings that most if not all reviewed literature agreed with finding such as presence of placental lacunae.
Most of the literatures consider the of an essay Taunton, presence of intraplacental lacunae to be the most indicative U/S feature in the diagnosis of PPA. This feature was a good indication for high sensitivity but meant PPV and Macromedia and Communication, specificity were relatively low. While in regards to MRI; findings of placenta accreta complicated by the introduction Taunton School, placenta previa presented the following signs, uterine bulging, heterogeneous signal intensity within the to write fast High, placenta, dark intraplacental bands on T2-weighted images, and focal interruptions in the myometrium wall, tenting of the bladder, direct visualization of the invasion of writing the introduction of an Taunton School pelvic structures by essay Macromedia and Communication, placental tissue. Ultrasound is a popular means of Taunton School investigation when the diagnosis of PPA is needed. In many studies the author explore the use of U/S by delving into grey scale ultrasound, colour Doppler U/S or transvaginal and transabdominal techniques. Though U/S in more readily available, inexpensive, mobile and safe for patient to a certain degree. It is a modality just like MRI that depends heavily on the experience of the examiner, what they can see and their ability to differentiate PPA from other conditions. U/S faces limitation causes by posterior placenta and a large body habitus. MRI can be useful where U/S findings are limited and University Preparatory School, can be used in correlation with U/S. a study carried out by Mansour and Elkhyat (2011) seem to find the need for both modalities to work hand in hand whilst studies done by writing of an School, (Comstock and Bronsteen, 2013) think that MRI was not as useful as they hoped that it would be.
A study carried out by Warshak et al. (2006) concluded that MRI used in essay on Concord addition to ultrasonography added little value to the diagnostic accuracy of PPA. Bowman et al. Writing Of An School. (2014) agree with the featured U/S findings of PPA mention above they believed that a strong indication of the presence of accreta could be determined by placental lacunae. Difficulties In Writing. Hamisa et al., (2014) found that lacunae are seen in all cases of placenta accreta. This was statistically significant when predicting accreta. They carried out colour Doppler in order to be able to differentiate whether the writing essay Taunton, cystic or vascular spaces are seen could be lakes. On Concord. (Comstock and Bronsteen, 2013) made investigations using colour doppler and spectral ultrasound, and found that lacunae have high-velocity and low-resistance flow and are irregular in Taunton cross section on grey scale U/S, this view of lacunae being a strong U/S indication is shared by Berkley and Abuhamad. (2013). Lacunae is found deep in the placenta, irregularly shaped, and not rounded as is found with placental lakes. They also found that lacunae alone had a higher sensitivity of 93% and writing essay Manchester, a PPV of 93%. Riteau et al. (2014) study found the writing of an essay Taunton, U/S features that presented a better sensitivity for the detection of placental invasion were intraplacental lacunae and loss of the normal retroplacental clear space. Lim et al. (2011) showed areas of high dark intraplacental bands on T2-weighted images were significantly different in the patients where PPA was not present. The study performed by School, Lim, performed MRI on at-risk women regardless if they had U/S scans showing indicative ultrasound findings of PPA, had pathological proof of PPA from caesarean hysterectomies and writing essay, included Comstock showed that the MRI showed a moderate-size dark band as well most of the essay St. Johnsbury, other papers that were reviewed. Most authors agreed on myometrium thickness, most studies found that using U/S over writing the introduction of an the site of placental implementation where it was found that thickness was more than 1 mm was a strong indication of placenta accreta, this was statistically significant.
The accuracy of diagnosis appears to improve using more than one ultrasound technique combination. Using three grey scale signs such as retroplacental clear space, disruption of bladder line and intraplacental lacunae), some studies agree that a combination of these techniques can help in differentiating between accreta and percreta, as can be found in studies done by Hamisa et al. (2014) and Berkley and Abuhamad. (2013). Comstock et al. (2011) found that the grey scale signs mentioned above and found that when using two or more criteria the sensitivity was 80% and the PPV was 86% however, lacunae had a higher sensitivity and essay Macromedia University for Media and Communication, PPV value. Warshak et al (2006) the oldest study compared U/S and MRI with gadolinium for diagnosis and evaluation of placenta accreta. Ultrasound was highly specific with 77% sensitivity while MRI with gadolinium had showed 100% specificity. Writing Taunton School. The high statistical values in the study may be because they had performed routine both transvaginal ultrasound and transabdominal techniques when evaluating patients with accreta as well as using gadolinium in the MRI exams according the authors it had clearly defined the how to write in english University School, outer placental surface close to the myometrium clearly. Riteau et al. (2014) stated that they did not see an increased accuracy in MRI when using gadolinium or diffusion-weighted MR imaging.
In the Dwyer et al. (2008) study, they had lower specificity for writing the introduction essay, both U/S and MRI than in the Warshak study. These differences could be due to ascertainment/referral bias e.g. in the patients they sampled and essay website Academy, a retrospective study. No significant difference between the U/S and MRI could be shown in the Dwyer study. The difference in the specificity of U/S between studies could be that transvaginal U/S was used in Warshak study but was not routinely used in the Dwyer study. According to Webb and the introduction Taunton, Thomsen, (2013) prior to 2006 most radiologists thought that gadolinium-based contrast media were safe for use in pregnant and lactating women till information of a link between nephrogenic systemic fibrosis (NSF) and exposure to writing College Manchester, gadolinium made it clear that they are absolutely contraindicated in pregnant women.
Only transabdominal sonography was used the study carried out by Lim et al. (2011), unlike who Berkley and Abuhamad. (2013) suggests that If the writing the introduction of an Taunton School, diagnosis of placenta accreta is needed, transvaginal sonography should be the go to imaging modality suggests and may for some patients the only modality needed for diagnosis. Argumentative Essay On Concord. The Hamisa et al. (2014) suggests the combinations of writing the introduction School both grey scale U/S and colour Doppler techniques for a higher prediction of PPA. Bowman et al. (2014) looks at synthesis essay College Manchester, ultrasound solely but came to a decision it may not be as sensitive a tool to detect PPA. In the study done by Lim accuracies of ultrasound and MRI were directly compared in the same group of the introduction of an essay Taunton School patients, as in the study by Dwyer. How To. A weakness was the small sample size, which was due to the fact that only writing the introduction of an essay Taunton, patients who underwent both ultrasound and MRI studies were included. Bias was another inherent factor in their pilot cohort study Maher et al. (2013) is College Manchester, a study like Dwyer that didn’t use contrast but noted a limitation for not directly comparing the accuracy of U/S and MRI and the small amount of patients sampled. The reviewed literature show some authors in agreement that ultrasound is the writing the introduction of an essay Taunton, most commonly used diagnostic imaging modality and most sensitive for the diagnosis of PPA, due to the fact that it isn’t time consuming, non-invasive, accurate, inexpensive and more readily available than MRI. Grey-scale ultrasound is taught to be the essay College Manchester, tool of choice since it is the writing of an Taunton, most widely available but some authors believe colour Doppler to be the best choice when sensitivity and PPV in ultrasound is concerned. Write An Article Broward Preparatory School. Most authors also argue the best means of examination to be transvaginal while some other studies only looked at transabdominal scanning. Essay Taunton School. Accessing the essay website, value of each feature of both modalities according to its PPV and NPV is important in accessing characteristics of PPA. MRI can help with signs of signs PPA not visible on ultrasound e.g. dark intraplacental bands, a distinct sign that can predict the presence of the introduction essay Taunton accreta.
Most authors have come to the conclusion that wherever ultrasound falls short in argumentative essay College diagnosing PPA, MRI should be as a tool for further investigation. I would like to thank Dr. Martin Benwell for his contribution and critique and my family for writing the introduction essay, all their love and support. negative predictive value. magnetic resonance imaging. positive predictive value.
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