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articles research Impact Factor 1.692. Featured collection: Trending themes in neurobiology. Guest edited by Nibaldo C. Inestrosa, this group of reviews forms a special series that explores neuroethics, neuronal physiology, neurogenetics, cognitive neuroscience and louis riel, molecular biology. A special series of timely and Are You, important articles in riel speech, modern neurobiology, were put together thanks to the effort of well know Chilean neurobiologists, examining different selected themes from philosophy to molecular biology reflecting the new directions of this field. Awareness and current knowledge of breast cancer. Muhammad Akram, Mehwish Iqbal, Muhammad Daniyal and Asmat Ullah Khan. Published on: 2 October 2017. Upregulation of lncRNA BANCR associated with the lymph node metastasis and poor prognosis in colorectal cancer. Xiaogang Shen, Yifeng Bai, Bin Luo and Xiaogang Zhou.
Published on: 2 October 2017. A simple and rapid identification method for newly emerged porcine Deltacoronavirus with loop-mediated isothermal amplification. Fanfan Zhang, Yu Ye, Deping Song, Nannan Guo, Qi Peng, Anqi Li, Xingrong Zhou, Yanjun Chen, Min Zhang, Dongyan Huang and Yuxin Tang. Education Vs. Comprehensive Education. Published on: 21 September 2017. MiR-320 inhibits the growth of glioma cells through downregulating PBX3. Speech. Cuicui Pan, Hua Gao, Ni Zheng, Qi Gao, Yuanquan Si and Sports Disputes, Yueran Zhao. Published on: 21 September 2017. Neurochemical and behavioral characterization of neuronal glutamate transporter EAAT3 heterozygous mice. Luis F. Gonzalez, Francisca Henriquez-Belmar, Claudia Delgado-Acevedo, Marisol Cisternas-Olmedo, Gloria Arriagada, Ramon Sotomayor-Zarate, Dennis L. Murphy and Pablo R. Moya. Published on: 19 September 2017. Human testis-expressed sequence 101 is limitedly distributed in germinal epithelium of testis and disappears in seminoma.
Cong-Cong Shen, Yu-Huan Kang, Lin Yu, Dan-Dan Cui, Yi He, Jin-Liang Yang and Lan-Tu Gou. Published on: 1 October 2014. Evaluation of riel, seasonal antioxidant activity and Tips for Beautiful Small Bathroom, total phenolic compounds in stems and leaves of some almond ( Prunus amygdalus L.) varieties. Aysel Sivaci and speech, Sevcan Duman. Published on: 1 April 2014. CD4+ T cells in aged or thymectomized recipients of allogeneic stem cell transplantations. Hiroshi Takahashi, Kazuhiko Ikeda, Kazuei Ogawa, Syunnichi Saito, Alain M Ngoma, Yumiko Mashimo, Koki Ueda, Miki Furukawa, Akiko Shichishima-Nakamura, Hiroshi Ohkawara, Kenneth E Nollet, Hitoshi Ohto and Yasuchika Takeishi. Published on: 26 July 2015.
The TLR7 agonist Imiquimod promote the immunogenicity of msenchymal stem cells. Abstinence Only Vs. Comprehensive Education. Li Zhang, Dan Liu, Dan Pu, Yanwen Wang, Li Li, Yanqi He, Yalun Li, Lei Li and Weimin Li. Published on: 17 January 2015. Assessment of the phytochemical constituents and antioxidant activity of a bloom forming microalgae Euglena tuba. Dipankar Chaudhuri, Nikhil Baban Ghate, Shampa Deb, Sourav Panja, Rhitajit Sarkar, Jayashree Rout and Nripendranath Mandal. Published on: 4 June 2014. To find more information on research funders and louis riel speech, institutions worldwide that fund open access article-processing charges (APCs) visit this page. Eagle. Biological Research , formerly Archives of speech, Experimental Medicine and Biology , was founded in 1964 and of two, transferred to BioMed Central in 2014. An electronic archive of articles published between 1999 and 2013 can be found in riel, the SciELO database. Manuel J Santos, Editor-in-Chief.
Dr Santos is an Associate Professor in the Faculty of Biological Sciences and Medicine at the Pontificia Catholic University of Chile. Dr Santos received his MD from the University of Chile and On The, his PhD in Cell and Molecular Biology from the Pontificia Catholic University of Chile. He majored in Medical Genetics at The John Hopkins University (USA) and louis riel speech, The Rene Descartes University of Paris (France), and held a post doctorate position in Cell Biology and Genetics at the Rockefeller University (USA). His research has focused on the biogenesis of cellular organelles, particularly peroxisomes. A pioneer in this field, his research lead him to education education, discover a new type of human genetic disease, the peroxisomal biogenesis disorders, which include Zellweger Syndrome. More recently his research has centered on louis riel speech, studying the Essay Prepared? role of peroxisomes in Alzheimer’s disease, and he also works in the field of bioethics. Over the span of his career, Dr Santos has published more than 70 peer reviewed papers and been the President of the Society of riel speech, Biology of Chile, the Genetics Society of Chile and the Bioethical Society of Chile. The Chilean Biology Society (Sociedad de Biologia de Chile), previously the Biological Society of vs. comprehensive education, Santiago, was founded in late 1928 as a subsidiary of The Societe de Biologie of Paris, France. For several years the summaries of its communications were published in louis riel speech, Comps Rendu of the Societe de Biologie du Paris. The Society is currently a member of the International Union of and Giant, Biological Sciences (IUBS).
The Chilean Biology Society promotes theoretical and experimental studies and research leading to advancement in and dissemination of the biological sciences for the benefit of the louis speech community. To accomplish this, the Essay Are You Society organizes periodic scientific meetings in which scientists communicate, comment and discuss research carried out in riel, Chilean or foreign research laboratories. In addition, relations and cooperation with similar domestic and foreign institutions are stimulated, and communication by Kazan Essay all appropriate means of louis riel speech, biological research carried out in Chile. Members of the Society will receive a discount on Biological Research 's article-processing charge when they provide a discount code (which members can obtain by emailing the Society) during the submission process. The discounted article-processing charge for Society members is ?800 in about Are You Prepared?, 2016. The Society also publishes Revista Chilena de Historia Natural ( Chilean Journal of Natural History, founded in 1897).
Official journal of the riel Chilean Biology Society (Sociedad de Biologia de Chile). By Elia. By continuing to use this website, you agree to our Terms and Conditions, Privacy statement and Cookies policy. © 2017 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.
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National Celebration to Mark Louis Riel Day
Pediatric Palliative Care and speech Pediatric Medical Ethics: Opportunities and Challenges. The fields of pediatric palliative care (PPC) and pediatric medical ethics (PME) overlap substantially, owing to a variety of historical, cultural, and social factors. This entwined relationship provides opportunities for leveraging the strong communication skills of both sets of Save-A-Lot Eagle Essay, providers, as well as the louis riel speech potential for On The Waterfront, by Elia Kazan, resource sharing and research collaboration. Speech. At the same time, the personal and professional relationships between PPC and PME present challenges, including potential conflict with colleagues, perceived or actual bias toward a palliative care perspective in resolving ethical problems, potential delay or underuse of Essay about Are You, PME services, and a potential undervaluing of the medical expertise required for PPC consultation. Louis Riel Speech. We recommend that these challenges be managed by: (1) clearly defining and communicating clinical roles of PPC and PME staff, (2) developing questions that may prompt PPC and PME teams to request consultation from the other service, (3) developing explicit recusal criteria for PPC providers who also provide PME consultation, (4) ensuring that PPC and PME services remain organizationally distinct, and (5) developing well-defined and broad scopes of about, practice. Overall, the rich relationship between PPC and PME offers substantial opportunities to better serve patients and families facing difficult decisions. pediatrics palliative care medical ethics hospital care Abbreviations: PME — pediatric medical ethics PPC — pediatric palliative care. Prologue A 14-year-old boy, who we will call John, lies in louis speech bed. His head and abstinence vs. comprehensive back are propped up by pillows, his breathing appears labored, and his brow glistens with sweat. Next to his bed stands an IV pole with a patient controlled analgesia pump, a long thin clear plastic tube connected to the central venous catheter that protrudes from underneath his shirt.
The room is dark, the shades being drawn and all but the bathroom lights turned off. Outside, in the hallway, with the louis riel speech door to his room closed, his parents are conversing in an animated manner with the attending physician. Monseigneur A Tale Of Two Cities. They do not want their son to louis riel be told that the cancer has returned and is now widely spread. At the same time, they recognize how uncomfortable their son is and want all efforts to be made to lessen his pain and ease his breathing. Only. After a fairly lengthy discussion, the parents and the attending physician agree to requesting both a palliative care consultation, to help with pain and symptom management as well as further clarification of goals and limits of care, and riel speech an ethics consultation, to abstinence education education help think through the pros and speech cons of On The by Elia Essay, telling John the full truth or something less than the full truth. For the speech past several decades, in the realm of pediatric hospital practice, the fields of palliative care and medical ethics have to a large degree overlapped and entwined. Save-A-Lot And Giant Essay. Indeed, this special supplement to riel Pediatrics , 1 of a series of On The by Elia Essay, supplements devoted to riel pediatric ethics, testifies to the particular relevance of pediatric palliative care (PPC) to pediatric medical ethics (PME), and vice versa. In this issue, the reader will find illuminating discussions of the ethical “hot topics” of autonomy, truth telling, futility, the role of values in decision-making, the abstinence education extent of professional duties, and the line between the easement of suffering and euthanasia (all fitted out with compelling apt examples from PPC). Even if the relationship between PPC and louis riel speech ethics is evident, we should not consider the depths of the relationship to be self-evident, nor should we be blase about Are You Prepared? how to louis riel speech best manage aspects of this relationship. 1 , 2 In this essay, we will explore the reasons for the association (at times verging on an alliance) between PPC and pediatric ethics, consider the advantages and disadvantages of this tight relationship, and offer up some recommendations about how to manage and League Labor Essay make the most of riel speech, this set of connections (Fig 1). Reasons, opportunities, challenges, and monseigneur a tale cities recommendations for louis riel, managing the relationship between pediatric palliative care and pediatric medical ethics.
In writing this essay, one of us is fully aware that he (albeit as a flawed example) personifies this enmeshed relationship, being both a practicing PPC physician as well as a practicing pediatric ethics consultant at a large children’s hospital. The reader should also be aware of these facts, as the journey along this dual-path career may have provided not only certain insights but also some personal baggage that may have influenced what we write. The origins and Eagle Essay causes of the association between PPC and ethics can be traced to historical and cultural factors, as well as a combination of self and social selection. In 1965, the concept of using “intermittent positive pressure ventilation” to treat immature infants was born into the world. Louis Speech. 3 Although physicians had long provided care to infants who were born well before their due date, the Tips Small Bathroom Essay introduction of louis riel, intubation and mechanical ventilation led to the creation not only of neonatal intensive care units during the Tips Small Designs ensuing decade, but also to a host of pressing ethical dilemmas. Louis Speech. Doctors had to decide which premature infants should be treated with this level of high-intensity care. The alternative to intubation, mechanical ventilation, and other invasive neonatal intensive care unit interventions was to provide “comfort care measures,” or what we would today call palliative care.
4. During the 1970s and early 1980s, the practice of issuing “do not attempt resuscitation” orders both came into existence and a tale became a focal point for ethical debates about the involvement of parents in the process of making decisions about the medical care that their children receive. 5 Here again, the dilemmas about the appropriate ways to care for dying children and children who have serious illnesses were the focus of both medical ethicists and of specialists in palliative care. In 1979, the paradigm-altering ethnographic study of the louis riel “private worlds of dying children” revealed that children who had advanced cancer often fully understood the grim nature of their prognosis. 6 Even so, the children seldom talked about their thoughts, beliefs, or dreams about dying, death, or an afterlife, maintaining this lonely isolation by a sad dance of “mutual pretense.” Both the children and their parents continued to behave with each other as though everything would be okay to provide support to the person they loved. The ethical concern of truth telling was henceforth apiece with PPC. In 1982, Baby Doe was born with Down syndrome and Are You Prepared? an esophageal atresia with a tracheal esophageal fistula. After a decision to not operate to correct the atresia was made by his parents and speech physicians, the infant was treated with sedating and pain relieving medications until he died 6 days later. 7 The subsequent outcry and passage of federal regulations underscored again the a tale of two contentious dilemma of louis riel speech, who to treat and how. More pointedly, the Baby Doe controversy brought to the fore concerns about biases against disabled individuals, as well as concerns when family interests seem to monseigneur a tale cities outweigh the riel best interests of the child, with both sets of concerns potentially leading to fundamental injustices. 8 , 9.
These examples can be multiplied, illustrating how historically some of the most trenchant issues in about Are You pediatric medical ethics have arisen in the context of patients who have grave illness potentially confronting the end of life, with difficult decisions to make about how to best care for these individuals. The observed historical association of PPC and PME is no coincidence, reflecting instead several aspects of our cultural milieu that make this association likely. 10 Death is an louis oddly marginalized topic in American culture, being on the one hand the centerpiece of violent or frightening mainstream entertainment, yet on the other hand being an issue so painful and difficult to contemplate privately or discuss publicly that doing so in a sustained, thoughtful, considered manner is felt by many to be taboo. As a result, even though the death rate is ultimately 100%, we struggle as a society to envision the ideal care of dying individuals, to Save-A-Lot Eagle Essay engage each other in formulating plans to louis riel speech assure such care, and to enact these care plans. On The Kazan. These struggles are difficult when the louis riel patient is Essay Prepared?, a competent adult, and exponentially more difficult when concerning children.
PPC engages in riel speech this struggle, patient by patient. Such efforts require not only Tips Essay grappling with death, but also with other difficult and marginalized issues that are central to PME, such as views regarding the value of life, the degree to which impairments do or do not diminish this value, the practical and spiritual implications of pediatric suffering, and the pursuit of riel speech, a path of care that is in the child’s best interest while respecting the child’s emerging capacity to make reasonable decisions that may be contrary to Save-A-Lot the decisions of the parents. People who engage in PPC and PME also tend to exhibit similar personality characteristics: good collaborative communication skills, a manner of riel speech, interpersonal interactions perceived by abstinence vs. comprehensive, others as especially respectful and kind, an often broadly ecumenical personal world view, and louis riel speech an openness to both joy and cities sadness. This is louis, not to say that PPC and PME practitioners have a corner on the market of any of these characteristics, or exhibit all of them to an exemplary degree, but these characteristics do seem to cluster in both of these sets of practitioners. This clustering may be driven by individual self-selection, based on one’s sense of for Beautiful Bathroom, personal interests and strengths, or by the encouragement of speech, others. The overlap of PPC and PME, in terms of Bathroom Essay, both core content concerns and personnel with interest and aptitude, presents several advantageous opportunities. Shared Collaborative Communication Skills. A core set of collaborative communication skills enables PPC and PME personnel to have productive and sometimes transformative encounters with patients, parents, and other health professionals. Louis Riel. Collaborative communication can help to Save-A-Lot and Giant clarify everyone’s (often differing) sense of the clinical situation, explore and support feelings of hope, fear, and frustration, examine the rationale and goals of care, and formulate consensus treatment plans. Such collaborative communication, when empowered by emotional intelligence, can promote a common sense of purpose and respect, and louis can create shared agendas out of apparent conflict.
Having personnel who are particularly adept at collaborative communication use this skill in both the practice of PPC and PME is a sensible use of a valuable and sometimes limited resource. The fields of PPC and PME can provide cross-fertilization regarding skills and intellectual agendas. The specific collaborative communication challenges confronted by practitioners in either PPC clinical consultation or PME ethics consultation can promote the further growth and development of these practice skills in ways that can benefit either realm of practice. The 2 disciplines also have, as noted, many common areas of interest, presenting opportunities for scholarly or research collaboration. Some organizations combine palliative care and medical ethics programs, housing them underneath 1 administrative umbrella. This arrangement, which seems sensible given the overlap of PPC and PME outlined here, permits the colocation of like-minded colleagues and efficient use of support staff and joint program resources. The overlap of vs. comprehensive education, PPC and PME also presents certain challenges that need to be recognized and managed.
Potential Conflict With Colleagues. PPC sometimes involves conflict among health care colleagues, and PME consultation sometimes is sought to address and resolve these conflicts. To the degree that members of the PPC team are also members of the PME consultation service, the handling of the case by louis riel, the PME consultation service may appear to be influenced by a conflict of collegial interests. The potential for for Beautiful Small Bathroom Essay, such conflicts exists regardless of which configuration of riel speech, colleagues is involved. For example, overlap of the PME consultation service with members of the neonatal, pediatric, cardiac, or surgical ICU staffs would all raise similar concerns. Although these concerns motivate some to On The Kazan call for PME consultation services to be staffed by individuals outside of the hospital or organization, such staffing models raise other practical concerns, while still not necessarily dissolving all potentially influential interpersonal relationships. Potential Conflict of Commitments. At a deeper level, PPC represents a certain stance regarding the goals of medical care. Riel Speech. 11 , 12 This stance can be best summed up as follows: “to cure when possible, to On The Waterfront, by Elia Kazan Essay comfort always.” This philosophy of care is often accompanied by a deep sense of purpose and louis riel speech personal mission, which can be good or bad.
A powerful sense of mission motivates practitioners of both PPC and PME to Tips Small plunge into difficult emotional situations. If one’s commitment to this sense of personal mission is very strong, however, then the louis riel ability to take on the perspectives of others (which can be critical for exploring and understanding the ethical dimensions of difficult clinical situations) may be compromised. Again, this challenge is not unique to those who practice PPC. Neonatologists and oncologists, intensivists and cardiologists, surgeons and Tips Bathroom Essay general pediatricians all may have deep personal and philosophical commitments that need to be managed when engaging in ethics consultation. Similarly, health care personnel who perform PME consultation are often committed to a deliberative process that may be at odds with the pace of decision-making required by a particular case, or to the attainment of louis riel, consensus, which may not be possible in On The Kazan Essay all cases. Potential Delay or Underuse of PME. Although PME clinical consultations sometimes identify unmet PPC needs, and thereby result in a PPC consultation, the opposite does not occur as frequently: PPC consultation rarely results in a subsequent PME consult. While such a chain of events does occur from riel speech time to time, PPC staff, given their collaborative communication skills (and for some, their formal training in PME or involvement in PME consultations), may be able to League Disputes Essay manage most of the ethically challenging cases (but not all of louis, them) and thus run a risk of not drawing on Save-A-Lot Eagle Essay the resources and potential benefits of PME consultation in a timely manner. This may be especially true for cases in which PPC staff have forged a strong therapeutic relationship with the patient or family, yet other clinicians are nonetheless struggling with a sense of moral distress.
PME consultation in speech these situations can provide a forum for Disputes, dialogue, enhanced team-wide understanding of the goals of care, and ultimately better therapeutic relationships across the entire health care team. Potential Undervaluation of PPC Medical Expertise. To meet the needs of children living with life-threatening conditions and their families, PPC demands a thoroughgoing knowledge of advanced pain and symptom management, as well as a firm understanding of the disease processes that cause serious pediatric illness. PPC practitioners also need to louis riel have high-functioning relationships with community-based hospice and home nursing agencies. Equating PPC only with communication and decision-support (which is to say, with the components of only, PPC that most overlap with PME) is to misunderstand the scope of riel, medical expertise that PPC requires. Potential Limitation of the Scope of Medical Ethics.
Conversely, too much emphasis on the ethical issues that arise in the care of children who have serious life-threatening illness limits the Essay Are You scope of all the speech topics that PME should address. Many medical ethics issues are far afield from end-of-life dilemmas, ranging from the ethics of expanding newborn screening programs and Save-A-Lot and Giant Eagle Essay other innovations emerging from riel speech genomic-based medical practice, to the quotidian challenges of access to high-quality care or the a tale of two cities detrimental effects on louis long-term wellbeing of exposure of children to poverty or violence. Ethicists worry about the regulation of research, about enhancement therapies, and about the policy issues and looming challenges of intergenerational distributive justice. Furthermore, PME has not only an important role in performing clinical consultations, but also a vital role in the formulation or review of a wide variety of hospital policies that extend beyond the and Giant Essay domain of PPC, as well as the provision of ethics education to members of the health care staff across the range of PME topics. With these thoughts regarding opportunities and speech challenges in mind, we offer the following set of recommendations about managing the relationship between PPC and PME. Define Clear Roles and Promote Role Identification. Health care personnel involved in both PPC or PME, like all other health care personnel, need to On The be clear in louis their own minds regarding the Essay Are You clinical role that they are entrusted to fulfill in the care of patients and riel families, and be explicit when communicating the abstinence vs. comprehensive nature and louis riel speech expectations of this role to patients and for Beautiful Designs parents. If, in the passage of time and turn of events, a health care professional moves from one role to another in speech the care of a patient, this role transition also has to be recognized inwardly, and communicated clearly to patients, family members, and others.
Identify Clear Consultation Trigger Questions. Both PME and PPC clinical staff should, when going about their consultative duties, pose to themselves (and potentially other health care staff as well as patients and families) a few questions to prompt recognition or awareness that the other consultative service might be beneficial. For PME staff, some useful questions are: Does this patient have unmet pain or symptom management needs? If the patient has serious illness, are the goals of care clear? Is the patient in a failing state of health with no single clinical service providing guidance, in partnership with the patient and family, about how to proceed with care? For PPC staff, questions might include: Is there any debate about what is the of two cities “right thing” to do to help this patient? Is this debate at the level of dissension or discord?
Are the patient or family feeling that they are not being heard? Are members of the clinical staff reporting feeling uncomfortable with the care that is being provided, or even a strong sense of moral distress? If now is not the “right time” to request a PME consultation, what events or discussions would indicate that the right time has indeed arrived? Weekly team meetings of PME staff, monthly ethics committee meetings, and weekly interdisciplinary PPC team meetings are good occasions to pose or to revisit these questions. These meetings can essentially provide a level of clinical supervision to louis these realms of overlapping practice. Similarly, health care personnel involved in PME need to Eagle develop criteria that can provide prompts or guidance about when to speech recuse oneself from a PME ethics consultation. Individual PME providers may find themselves involved in monseigneur a tale of two cities an ethics consultation on a case in louis riel speech which they are intimately involved as a medical provider. Ideally, ethics consultants should bring an impartial perspective to each consult, which can be more challenging if that individual is also providing clinical care to On The Waterfront, the patient. PME consultants who also provide direct patient care need to riel be able to recognize the limitations to abstinence education education their objectivity in these circumstances and appreciate the value of calling in an outside consultant in such cases. Maintain Organizational Distinction.
Clarity of riel, roles extends beyond the context of abstinence only education vs. comprehensive education, direct patient care: PPC teams and PME consultative services should have different names for these distinct organizational roles, along with separate budget lines and louis speech reporting structures. Labor Disputes. As noted, locating PPC and PME services under one administrative umbrella can increase efficiency through resource sharing. Louis Riel. At the same time, clear separation needs to On The Waterfront, Essay be maintained between the two, as they serve different roles within the organization, and louis riel speech if the distinctions are blurred organizationally they are more likely to be blurred at the bedside. Additionally, for some of the most ethically challenging cases, distinct PPC and PME services may need to be an organization double-check (or potentially a check-and-balance) for each other. Indeed, for such cases, PPC and abstinence vs. comprehensive PME staff can potentially role model how to address differences of opinion among health care staff regarding the best course of action, engaging in discussion that is respectful and vigorous, listening and challenging, sensitive and riel speech searching. Build and Maintain a Broad Scope of Work. At the national level, the fields of On The, both PPC and PME are promulgating practice guidance and standards, such as have been articulated by the American Academy of Pediatrics regarding PPC and PME consultation and hospital ethics committee work, 13 , 14 and as are set forth in an increasing number of louis speech, textbooks and On The by Elia Essay professional society guidelines. 15 – 19 At the local level, within hospitals and health care systems, PPC and PME programs should identify their own practice standards, including their scope of practice, and monitor whether their performance drifts over time to unduly focus on one area of their intended scope of practice while neglecting others. The relationship between PPC and PME, arising from louis riel historical, cultural, and social underpinnings, is too important to leave to chance.
On balance, we believe that the relationship offers substantial opportunities for the better care of the patients we serve and their families. To achieve that lofty goal, professionals in both fields must be mindful of the challenges that need to be managed in terms of organizational structure, role expectations, and reflective practice. Accepted November 12, 2013. Address correspondence to Chris Feudtner, MD, PhD, MPH, The Children's Hospital of Philadelphia, 3535 Market St, Rm 1523, Philadelphia, PA 19104. E-mail: feudtner email.chop.edu. Dr Feudtner conceptualized and drafted the Essay Are You initial manuscript; Ms Nathanson critically reviewed and added content to the draft manuscript and edited the manuscript; and riel speech both authors approved the final manuscript as submitted.
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. FUNDING: No external funding. POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to Save-A-Lot disclose. Morrison W , Derrington SF . Stories and the longitudinal patient relationship: what can clinical ethics consultants learn from palliative care? J Clin Ethics . Louis Riel Speech. 2012 ; 23 ( 3 ): 224 – 230 pmid: 23256402.
Carter BS , Wocial LD . Ethics and palliative care: which consultant and when? Am J Hosp Palliat Care . Major League Labor. 2012 ; 29 ( 2 ): 146 – 150 pmid: 21665855. Delivoria-Papadopoulos M , Levison H , Swyer PR . Intermittent positive pressure respiration as a treatment in severe respiratory distress syndrome. Arch Dis Child . 1965 ; 40 ( 213 ): 474 – 479 pmid: 5318721. Lantos JD , Meadow W . Neonatal Bioethics: The Moral Challenges of Medical Innovation . Baltimore : Johns Hopkins University Press ; 2006. Burns JP , Edwards J , Johnson J , Cassem NH , Truog RD . Do-not-resuscitate order after 25 years. Crit Care Med . Speech. 2003 ; 31 ( 5 ): 1543 – 1550 pmid: 12771631. Bluebond-Langner M . Essay Are You Prepared?. The Private Worlds of louis speech, Dying Children . Tips For Beautiful Small Bathroom Essay. Princeton, NJ : Princeton University Press ; 1978. Pless JE . The story of Baby Doe. Speech. N Engl J Med . 1983 ; 309 ( 11 ): 664 pmid: 6225020. Angell M . Handicapped children: Baby Doe and Uncle Sam.
N Engl J Med . 1983 ; 309 ( 11 ): 659 – 661 pmid: 6225018. Lantos J . Baby Doe five years later. Implications for child health. N Engl J Med . 1987 ; 317 ( 7 ): 444 – 447 pmid: 2956518. Callahan D . Monseigneur A Tale Of Two Cities. The Troubled Dream of Life . In: Search of a Peaceful Death . New York : Touchstone ; 1993. Cassell EJ . The Nature of Suffering and the Goals of Medicine . 2nd ed. New York : Oxford University Press ; 2004. Byock I . The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life . Louis Speech. New York : Avery ; 2012. American Academy of Pediatrics. Committee on Bioethics . Institutional ethics committees.
Pediatrics . 2001 ; 107 ( 1 ): 205 – 209 pmid: 11134464. American Academy of Pediatrics . Section on Hospice and Palliative Medicine and abstinence vs. comprehensive Committee on riel Hospital Care, Feudtner C, Friebert S, and On The Waterfront, Kazan Jewell J. Pediatric palliative care and hospice care: commitments, guidelines, and recommendations. Pediatrics . 2013 ; 132 ( 5 ) : doi: 10.1542/peds.2013-2731. Wolfe J , Hinds PS , Sourkes BM . Textbook of Interdisciplinary Pediatric Palliative Care . Philadelphia : Elsevier/Saunders ; 2011. Goldman A , Hain R , Liben S . Oxford Textbook of Palliative Care for Children . 2nd ed. Oxford, New York : Oxford University Press ; 2012. Carter BS , Levetown M , Friebert SE . Palliative Care for Infants, Children, and Adolescents: A Practical Handbook . 2nd ed.
Baltimore : Johns Hopkins University Press ; 2011. Hester DM . Ethics by Committee: A Textbook on Consultation, Organization, and Education for Hospital Ethics Committees . Lanham, MD : Rowman Littlefield Publishing ; 2008. American Society for Bioethics and louis riel speech Humanities' Core Competencies Update Task Force . Core Competencies for Healthcare Ethics Consultation: The Report of the American Society for Bioethics and Humanities . Glenview, IL : American Society for Bioethics and Humanities ; 2011. Copyright © 2014 by the American Academy of Pediatrics. Copyright (c) 2017 by American Academy of Pediatrics.
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Wilfrid Laurier: Speech in Defence of Louis Riel, 1874 - The Canadian
10 Resume Tips From A Legal Recruiter. Riel? Ed. Tips Bathroom Designs? note : This is the latest installment in riel speech a series of posts on lateral partner moves from Lateral Link’s team of expert contributors. Abby Gordon is Essay about Are You Prepared?, a Director with Lateral Link’s New York office. Louis? Abby works with attorney candidates on law firm and in-house searches, primarily in Waterfront, Essay New York, Boston, and Europe. Prior to joining Lateral Link, Abby spent seven years as a corporate associate with Cleary Gottlieb, focusing on capital markets transactions for Latin American clients in New York and for the last five years for European clients in Paris. A native of Boston, Abby holds a J.D., cum laude, from Georgetown University Law Center and a B.A. in government and romance languages, magna cum laude, from Dartmouth College. Abby also worked with the International Rescue Committee as a Fulbright Scholar in louis riel Madrid, Spain. She is a member of the New York Bar and is fluent in French and Spanish (and dabbles in Save-A-Lot Portuguese and Italian). As a legal recruiter, I review numerous resumes each week in an effort to assist my candidates with the substance and presentation of their one-page life summaries. Here are ten tips based on the most common problems I see and questions I am asked: 1. Riel? Assume no one will read your resume word-for-word. Picture your interviewer pulling your resume off the printer and reading only what he can in Tips Designs the time it takes to walk back to his office.
You need to louis speech make the about Are You Prepared?, most important stuff jump off the page. Use bold. Use bullet points. Louis Speech? Use headings. Give some thought to the format that will convey the necessary information in the most logical way. 2. Essay? Be concise and make every word count. This is related to Tip #1.
You want the louis speech, most important stuff to jump off the page, but every word on your resume should serve the purpose of showing that you are the Are You, best candidate for the specific job. It’s just one page. 3. Riel? Tailor your resume to Small Bathroom the specific job. Louis Riel? Keep in the forefront of by Elia your mind that you are applying for a legal job. Riel? Do not view “updating” your resume as merely adding to the same document you first created 20 years ago. Delete information that is no longer relevant #8212; remember, every last word should serve the purpose of getting you this job.
If you are applying to 10 general litigation openings, one version may be just fine. But if you are applying to by Elia Kazan Essay some general litigation spots and some patent litigation spots, you may want to louis have two versions of your resume, with each tailored to the specific opening or category of opening. 4. Be sure you can talk intelligently about League Sports Labor Disputes Essay, every last thing you include on your resume. If you can no longer remember the main argument of louis your senior thesis from college, delete it from your resume or refresh your memory before any interviews. You also must be prepared to talk about the any legal matters you claim to have worked on, including about the underlying legal issues. 5. When describing your legal experience, give concrete examples . Instead of merely asserting that you are a capital markets lawyer, note that you “Drafted the underwriting agreement as lead associate representing the underwriters in the offering of $300 million in floating rate notes by a large U.S. manufacturing company.” Even if you have a separate representative matters sheet, it may be helpful to include a few bullets points showing this experience in Waterfront, by Elia Essay your actual resume as well. And remember from Tip #2, every word counts.
Don’t use neutral words where a more positive word could convey more meaning. For example, which is more powerful, stating that you “worked on” a project or that you “successfully implemented” a project? 6. Be sure all information is speech, up-to-date. Monseigneur A Tale Cities? If you are no longer on louis riel speech, a committee, delete it from your resume or indicate the proper dates. Only Education Education? Change the verbs (“represent,” “draft,” “negotiate”) from the descriptions of your prior jobs to louis riel the past tense (“represented,” “drafted,” “negotiated”). No longer fluent in French? Be accurate in the assessment of your language ability as of today, not as of Are You mid-way through your junior year abroad. 7. Additional Information: Space is louis, a commodity, but you should still make room for two or three lines that show you are a human being and for Beautiful Bathroom Essay, not just a robot.
Include a few interests (but be sure they are real interests of yours and riel, not aspirational hobbies). Maybe you and one of the On The Waterfront,, interviewers will find you have a hobby in common. If nothing else, this “fluff” gives interviewers some material for a few softball questions to break the ice or end the interview on a lighter note. Aside from true interests/hobbies, include language abilities, bar admissions, and memberships/affiliations so long as you are an active and not just passive participant in these organizations. Remember the essential test: “Can you talk intelligently about louis riel speech, it if asked?” If someone asks about your membership in an alumni network, will you state proudly that you assisted in League Sports Disputes Essay raising $500,000 in alumni contributions for a scholarship fund or will you cower in your chair and confess that you are on the e-mail list for the committee but have yet to attend a meeting? 8. Education first or work experience first? This is a common question. Remember Tip #1 #8212; you want the most important stuff to jump off the page. So if you went to a top law school, you may want to riel list education first. If your law school was not as highly ranked but you somehow landed a job at Wachtell, list work experience first. In the case of monseigneur of two a tie, I’d go with work experience first.
9. The squint test : It seems a bit unsophisticated but it works. Tape your resume to a wall about riel speech, 10 feet away or just hold it far out in Waterfront, by Elia Kazan Essay front of you and squint. Does the riel, balance of League Sports black and white on the page make your eyes happy? Is there much too much dense text? Or way too much white space? If you’ve ever strung lights on a Christmas tree, it’s the same principle.
Squint and then follow your instincts. 10. Proofread your resume carefully. Then proofread it again. Louis Riel Speech? Then ask a friend to proofread it. And another friend. And your legal recruiter. And Giant Eagle Essay? Then proofread it again. Louis Riel? Nothing screams “Don’t hire me!” like a glaring typo or spelling mistake.
10?. Abstinence Only Education? Here’s a freebie. It’s not the most important tip unless… well if it is, you know who you are. You know that photo of you in the Bahamas in your bikini? Shirtless? You remember how you uploaded it to your Google profile? And now you list your Gmail address on riel, your resume? Well guess what… When I am e-mailing you at your Gmail address, yes, I can see that photo of you in the right-hand sidebar on my screen.
If I can see it, so can the Major Sports Labor, recruiting coordinator and so can the partner at the firm where you’re interviewing. Oh, and one more thing: your Twitter feed will also now show up on the right-hand sidebar. I’m not asking you to stop using social media. But if you are indiscriminate about your tweets, think about speech, setting up a separate e-mail address for the job search process. A Tale Of Two Cities? There is not just one right way of designing a resume. But there are wrong ways. Look at riel speech models but don’t just copy someone else’s. A Tale Of Two Cities? This singular piece of paper is your key to getting your foot in the door in the next step of your career… or not. Louis? It’s worth spending a few extra hours getting it right. Abstinence Only Education? Lateral Link is one of the top-rated international legal recruiting firms.
With over louis riel, 14 offices world-wide, Lateral Link specializes in placing attorneys at the most prestigious law firms in the world. Managed by former practicing attorneys from top law schools, Lateral Link has a tradition of hiring lawyers to execute the lateral leaps of practicing attorneys. Click ::here:: to find out more about us. Sign up for our newsletter. WilmerHale And The Terrible, Horrible, No Good, Very Bad Day Of Leaking Client Whistleblower Docs To The WSJ. Woman Abandons Law Degree To Become Porn Star. Federal Lawsuit Filed Against #8216;The Jews#8217; Associates In This City Just Got Their Raises. The Freestanding Law Schools With The Highest Student Loan Default Rates. A Brand New Email Screw-Up For Abbe Lowell. The Ugliest Law Schools In America.
Biglaw Associate Fails Bar Exam, Gets Fired, Sues Bar Examiners For Causing Job Loss. Eagle Essay? Biglaw Firm Impresses Associates (And Staff) With Enhanced Parental Leave Policy. The Trump Administration Seeks To Rip The Heart Out Of Labor And Employment Law. Lawyer Burnout And The Finish Line Problem. Senior Attorney Fired For Cruel Commentary On Las Vegas Shooting. Man Opens Fire At Law Firm Representing His Ex. Biglaw Firm#8217;s Move To New Office Means It#8217;s Time For Some Buyouts. Riel? Subscribe and get breaking news, commentary, and opinions on law firms, lawyers, law schools, lawsuits, judges, and more. Breaking Media Editor at Large. Sign up for our newsletter.
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Definitive Guide to Resume – 71+ Free Resume Templates in Word, PSD #038; MAC. A resume is the most important watchword when it comes to applying for jobs, regardless of the industry. Whether you are a fresher straight out of college or a veteran industry professional looking to move up the ladder, a resume is louis riel speech a basic prerequisite. Tips For Beautiful Designs. It can be safely stated here that your job application is simply incomplete without a resume template . Riel Speech. It can be dubbed as your primary representative to the company or the hiring manager, who you have to Essay Are You face for your interview. These templates are intended for personal use only. In case of commercial use, please give credit to this post. The function of the resume is to present you as a possible candidate for the job you are applying for. Thus, it will shed some light on louis riel speech your educational qualifications, professional caliber, experience, and any special skills acquired or any relevant industry training you have taken, that would be useful for the proposed job.
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Portfolio comes from the word “portafoglio”, where portare means “to carry” and foglio means “paper or leaf”. Thus, Portfolio refers to an album carrying work samples, mostly with images and minimal text. These templates are intended for personal use only. Eagle. In case of louis riel speech commercial use, please give credit to this post. When you have to present a visual representation or samples of Waterfront, Essay your work, which cannot be exactly described in words, a portfolio is the best form of resume for you.
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Around 50% of education mid-sized companies, as well as all the MNCs employ an ATS for scanning the pile of submitted resumes. Also known as “Candidate Management System”, ATS can be defined as a handy software application which is geared to help enterprises by louis riel speech efficiently screening the incoming applications for a job opening. The software will help the hiring managers to post employment opportunities on the company websites, screen resumes and Major League Disputes generate interview requests for potential candidates through email. The other features of ATS include various tracking activities, such as that of individual applicants, requisition, automated resume, tailored input forms, responses, pre-screening questions, and multilingual capabilities. How does it affect the way your resume is screened? One of the main functions of ATS is to screen the candidates’ resumes. Once a resume is submitted online, it has to be screened through an ATS before it reaches the hiring manager. ATS will scan a candidate’s resume for particular job-specific keywords and if the resume does not contain those needed keywords – it is most likely to get rejected. In fact, this database-type program helps the employers in storing and louis riel organizing, as well as screening, sorting, keeping a tab and replying to each resume received.
For every job opening, a hiring manager would specify some particular job-relevant keywords into the ATS. About Are You Prepared?. As the louis riel, resume goes through an ATS, it will start looking for those pre-programmed keywords in Essay your resume and if it cannot find an adequate number of louis those, your resume would be outright rejected. There are some points you must follow when you are looking to pass the monseigneur of two, ATS test with flying colors: Submit your resume online in riel speech .txt, .docx or .doc format. Text must be simply formatted and legible. Don’t forget to include job title on your resume. Place “email” and “phone” before relevant information. On The By Elia Kazan. While mentioning qualifications chronologically, dates must be mentioned on louis speech the right side. Be careful when you are using accented words. Your credentials must not be placed beside your name and Essay Are You should be mentioned on a separate line.
Don’t use too many font sizes and types. Make sure there are no spelling mistakes and typo errors in your resume. Make sure to include specific job-related keywords. Proper capitalization and punctuation are a must. Don’t forget to submit a customized resume. How to identify the keyword to get past the riel, ATS? As mentioned earlier, the ATS will scan your resume based on the job-specific keywords and hence you must be careful to include the potential keywords in your resume.
The keyword suggestions you can use here are: Job titles that you have held or currently holding; and the job title which you are aspiring for – Manager, Assistant, etc. Tools specific to for Beautiful Essay your industry – the popular hardware, software or techniques that are pertinent to your profession and riel designation. Relevant education and training, degrees, diplomas, certifications, licenses etc. Common terms which can describe your work or responsibilities such as “team leader”. On The Waterfront, Essay. Technical and louis riel professional acronyms Professional memberships.
Though a CV and a resume are often used interchangeably, there are some stark differences between these two. In fact, there are some companies which might reject your candidature if your offer a resume instead of cities a CV, and vice-versa. Here is a brief on speech the major differences between these two, but you should know their definitions first: The acronym for Curriculum Vitae, CV, translates to “Course of Life”. It is a comprehensive document with complete details of your educational qualifications and achievements, spanning over 2 pages. It will also cover your accomplishments like publications, honors, awards and so on. Monseigneur A Tale Of Two Cities. It maintains a chronological approach throughout. A resume focuses on riel speech concise information and does not go beyond a page, or a maximum of On The by Elia Kazan Essay 2 pages.
A resume covers your career biography, with the basic focus on your qualifications, training, skills, and achievements which would be relevant to the job. A CV is a detailed document and articulates your entire career in an elaborate order till date. It can be a document of louis 4 pages or more. A resume is Essay about Are You Prepared? always short, and mostly limited to 1 page. A CV stresses on the academic accomplishments, while a resume concentrates on your skills. A CV is required while applying for academic positions, grants, and fellowships. A resume is required for applying for speech a job in Essay an industry.
A CV always starts with the speech, educational qualifications, while a resume starts with the work experience if you have worked for at and Giant Essay least one year in louis speech your industry. The function of monseigneur your resume is to present your candidature for the job in the best light possible, before your hiring manager. Writing an invincible resume is no rocket science, but you have to louis be strategic in your approach. On one hand, you have to make sure that your resume is able to represent your potential for the job in the right way and on the other hand, you have to check that it’s legible and professional enough. These days, you have templates and resume builder tools to help you with the task.
You should ensure that your resume is customized to monseigneur of two cities the job you are applying, and be strong enough to withstand the scrutiny of the Applicant Tracking Systems.