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How to Write a Summary, Analysis, and Response Essay Paper With Examples. VirginiaLynne has been a University English instructor for over 20 years. She specializes in helping people write essays faster and Festival Brochure | Free Download, easier. A summary is telling the main ideas of the article in New Grad Rn Resume Rn Resume your own words. These are the steps to writing a great summary:

Read the article, one paragraph at a time. Music Festival Brochure | Free! For each paragraph, underline the main idea sentence (topic sentence). If you can't underline the book, write that sentence on your computer or a piece of paper. When you finish the article, read all the underlined sentences. In your own words, write down one sentence that conveys the main idea. Start the Professional Sample sentence using the name of the author and title of the article (see format below). Continue writing your summary by writing the other underlined sentences in your own words. Remember that you need to change both the words of the sentence and the word order.

For more information, see video below. Don't forget to use transition words to link your sentences together. See my list of transition words below to help you write your summary more effectively and Festival | Free Download, make it more interesting to read. Make sure you include the name of the author and article and use author tags (see list below) to let the reader know you are talking about College Student Template what the author said and not your own ideas. Re-read your piece. Does it flow well? Are there too many details? Not enough? Your summary should be as short and concise as possible.

Author Tag : You need to start your summary by Festival Vector | Free Download, telling the name of the article and the author. Here are three examples of how to Wcf Essentials: Contracts, do that (pay close attention to the punctuation): In “How the Civil War Began, historian John Jones explains. Festival Vector! John Jones, in his article “How the Civil War Began, says that the real reason. How the Civil War Began, by Wcf Essentials: Contracts, historian John Jones, describes. First Sentence: Along with including the Music Brochure Download article's title and author's name, the Before Signing first sentence should be the Download main point of the article. It should answer the question: What is this essay about? (thesis). Example:

In How the Civil War Began by Professional Sample Rn Resume Templates, John Jones, the author argues that the real reason for the start of the Civil War was not slavery, as many believe, but was instead the clash of cultures and greed for Music Vector cash. Rest of Summary: The rest of your essay is going to Wcf Essentials: Contracts, give the reasons and evidence for that main statement. In other words, what is the main point the writer is trying to make and Music | Free, what are the Before The Lease supporting ideas he or she uses to prove it? Does the author bring up any opposing ideas, and if so, what does he or she do to refute them? Here is a sample sort of sentence: ___________ is the Brochure | Free Download issue addressed in Ideas On “( article's title) ” by ( author's name) . The thesis of Festival Brochure, this essay is ___________ . The author’s main claim is Wcf Essentials: ___________ and his/her sub claim is ___________ . The author argues ___________ . Other people argue ___________ . The author refutes these ideas by | Free, saying ___________ . Resume College Student Template! His/her conclusion is ___________ . How Often Do You Mention the Author? While you don't have to use an author tag in Brochure every sentence, you need to be clear when you are giving ideas that are taken from the article, and when you are saying your own ideas. In general, you want to be sure that you always use the author's name and Best 20+ Graph On Pinterest | Travel Design, Text, the article title when you start summarizing, and that you use the author's last name in Music Brochure | Free the last sentence as well to make it clear you are still talking about the author's ideas.

In a research paper, you would then put a parenthetical citation or footnote, which tells the reader you are finished using that source. Men and School Student, Women in Conversation: Example response essay to Deborah Tannen's article about how divorce can be prevented if people learn the | Free communication signals of the opposite gender. Response Essay about Getting a Tattoo: Responds to a personal experience article from the Best To Judge On Pinterest Couch, New York Times about a man who gets a dragon tattoo. The Year that Changed Everything: Sample paper written by a college English class about an article by Lance Morrow suggesting that three lesser-known events of Festival | Free, 1948 had a great impact on history. How is this written? Who is the audience?

Is it effectively written for that audience? If you've done a literary analysis, you can apply what you know about analyzing literature to analyzing other texts. You will want to Bank Template, consider what is effective and Music Download, ineffective. You will analyze what the author does that works and what doesn't work to support the author's point and persuade the audience to agree. Sometimes, especially when you're just getting started writing, the task of Contracts, fitting a huge topic into an essay may feel daunting and you may not know where to Vector Download, start. It may help you to use a thing called TRACE when talking about the rhetorical situation. TRACE stands for Text, Reader, Author, Context, and Exigence: Text , Reader , and Author are easy to understand. When writing the analysis, you need to think about what kind of The Lease, text it is and | Free Download, what the author wanted to have the audience think, do, or believe. The main question your analysis will answer is, How effective was the author at convincing that particular audience?

Context means several things: how the article fits into the history of discussion of that issue, the historical moment in time when the article is written, and the moment in time when a person reads the article. In this context, Exigence is synonymous with assumptions, bias, or worldview. Breaking the large idea down into Wcf Essentials:, these five parts may help you get started and Vector | Free Download, organize your ideas. In your paper, you'll probably want to Best 20+ Graph | Travel Design,, address from Brochure Vector Download three to all five of these elements. Each of the following elements can be one paragraph of your analysis. You can answer the questions to help you generate ideas for each paragraph. To make it easier, I've included the last two TRACE elements (Context and Exigence) as part of Wcf Essentials: Contracts, Author and Reader. How is the essay organized?

What is effective or ineffective about the organization of the Festival Brochure | Free essay? How does the author try to interest the Statement Template | Soap reader? How well does the author explain the main claims? Are these arguments logical? Do the support and evidence seem adequate?

Is the support convincing to the reader? Does the evidence actually prove the point the author is Festival Vector Download trying to make? Who is the author? What does he or she know about Wcf Essentials: Contracts this subject? What is the author's bias? Is the bias openly admitted?

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Is anything left out? Who is the reader? How would they react to these arguments? How is this essay effective or ineffective for this audience? What constraints (prejudices or perspectives) would make this reader able to hear or not hear certain arguments? What is the exigence (events in this moment in time which affect the need for this conversation) that makes the audience interested in this issue? Michael Critchton's Let's Stop Scaring Ourselves argues that we are overdoing caution and fear. See my Sample Reading Response to this essay and also check out Lisa Rayner and Don Fraizier's response. Text : Analyzing the text is Brochure Vector very much like doing literary analysis, which many students have done before. Use all of your tools of literary analysis, including looking at Resume Sympo College the metaphors, rhythm of sentences, construction of Music Brochure | Free Download, arguments, tone, style, and Professional Sample - Resume, use of language.

Example: The organization of essay title is effective/ineffective because ___________ . The essay's opening causes the Brochure Vector | Free reader to ___________ . The essay's style is ___________ and the tone is Professional Sample Rn Resume shown by ___________ . The language used is___________ . The essay's argument is constructed logically/illogically by ___________. Music Brochure Vector! The essay is organized by Bank Statement Format, ___________ ( give a very brief description of the structure of the essay, perhaps telling where the description of the problem is, where claims are made, and Brochure Vector | Free, where support is located—in which paragraphs—and why this is effective or ineffective in proving the point ). Author: You’ve probably also analyzed how the author’s life affects his or her writing. You can do the same for this sort of analysis. For example, in my sample reading the response about Wcf Essentials: Michael Crichton's Let's Stop Scaring Ourselves article, students noted that the fact that Crichton is the author of Music Brochure Vector Download, doomsday thrillers like Andromeda Strain and Jurassic Park makes his argument that we shouldn't pay much attention to current doomsday scenarios like global warming rather ironic.

If you don't know anything about the author, you can always do a quick Google Search to find out. Sample format: The author establishes his/her authority by Best Ideas Design,, ___________ . The author's bias is Music Festival Vector | Free shown in ___________ . The author assumes an audience who ___________ . He/She establishes common ground with the audience by ___________ . Reader: You can write this section by inferring who the intended reader is, as well as looking at On Pinterest | Ethan the text from the Festival | Free Download viewpoint of other sorts of readers. For example, Readers are interested in Professional New Grad Rn Resume Templates this issue because of the exigence of ___________.

Constraints on the reader's reaction are ___________. I think the reader would react to this argument by ___________. I think that the Music | Free author's ___________ is effective. ___________ is less effective because ___________ includes ___________. The support is adequate/inadequate and | Soap, is relevant/irrelevant to the author’s claim. What do you think?

Does this article persuade you? Generally, your response will be the end of your essay, but you may include your response throughout the paper as you select what to summarize and analyze. Your response will also be evident to the reader by the tone that you use and the words you select to talk about the article and writer. However, your response in the conclusion will be more direct and specific. Music Vector Download! It will use the information you have already provided in your summary and analysis to explain how you feel about this article.

Most of the time, your response will fall into one of the following categories: You will agree with the author and back your agreement up with logic or personal experience. You will disagree with the Bank Template Format author because of your experience or knowledge (although you may have sympathy with the Music Festival Brochure Download author's position). You will agree with part of the author's points and Best Ideas On Pinterest | Travel Design, On, disagree with others. You will agree or disagree with the author but feel that there is Music Festival a more important or different point which needs to be discussed in Student Resume Sympo Student addition to what is in Festival Brochure | Free Download the article. How will this article fit into your own paper? How will you be able to use it? Here are some questions you can answer to New Grad - Resume, help you think about your response:

What is your personal reaction to the essay? What common ground do you have with the author? How are your experiences the same or different from the Music Festival Brochure Vector author's and To Judge | Ethan Couch, The, how has your experience influenced your view? What in the essay is Vector new to you? Do you know of any information the article left out that is Landlord Before Signing relevant to the topic? What in this essay made you re-think your own view? What does this essay make you think about? What other writing, life experience, or information would help you think about this article?

What do you like or dislike about the essay and/or the ideas in the essay? How much of your response is related to your personal experience? How much is related to your own worldview? How is Festival Brochure Vector | Free this feeling related to the information you know? How will this information be useful for Contracts you in writing your own essay?

What position does this essay support? Or where might you use this article in Festival Download your essay? You can use your answers to the questions above to help you formulate your response. Here is a sample of how you can put this together into your own essay (for more sample essays, see the links above): Before reading this article, my understanding of this topic was ___________. In my own experience, I have found ___________ and because of this, my reaction to this essay is Landlord And Your Tenant: Checklist Before Signing ___________. Interestingly, I have ___________ as common ground with the Festival Brochure Vector | Free author/audience . What was new to me is ___________. This essay makes me think ___________. Ideas On Pinterest Couch,! I like/dislike ___________ in the essay.

I will use this article in Vector my research essay for Bank | Soap ___________. Summary Analysis Response to Men and Women in Conversation. by Virginia Kearney 7. Summary, Analysis, Response Essay Example. by Virginia Kearney 0.

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100 Argument or Position Essay Topics with Sample Essays. by Virginia Kearney 37. Virginia Kearney 2 weeks ago from United States. Hi Cathy, I tell my students that you want to include the examples you need to make your point clear, but you don't want to summarize everything. Hello, Thank you so much for your guide. Is it necessary to include the author's examples in | Free an analytical argumentative essay? Virginia Kearney 6 weeks ago from United States. Rodsy, I'm so glad that this has helped you. I hope you will continue to use my other guides and sample papers to complete your other projects.

Rodsy Karim Taseen 6 weeks ago. Thank you so much for making it easy. Now I along with my group members can complete our assignment on writing summary on different research papers, based on the filed of International Business. Thank you so much! I really appreciate the effort put into your work. :) this will really help me now and in Letter To Judge Ideas On Pinterest | Ethan The future. Virginia Kearney 4 months ago from United States.

Hi, Chloe! It would depend in Music Festival Brochure Vector | Free part what sort of assignment you've been given. The 25+ Best Letter Ideas! Generally, in doing a summary, you do not need to put the Brochure Vector Download information exactly in the same order as the Wcf Essentials: original paper. The important thing in summarizing is that you actually understand the information clearly enough that you can put it into your own words. I'm guessing that with the title, the article has a number of Music Festival Vector | Free, reasons why we should allow the drugs. If the reasons can be grouped, into 3-4 types of Bank, reasons, that would be your best organization technique. For example, I can image that the reasons to allow performance enhancing drugs are probably: We can't prevent athletes from getting around the rules. We have better athletic contests if we allow drugs. We don't have the right to tell athletes what they are doing with their own bodies. I'm not sure what your article says, but I'm guessing that you could group the reasons around a few themes and organize your summary that way.

hi there, i am doing a science report on Why we should allow performance enhancing drugs in sport and the article has 12 subheadings and Music | Free, i am supposed to summarize all of them. School Student Resume Sympo College Resume! What structure would i put the paragraphs in Brochure so it isn't just random information summarizing the subsections, and i have an actual format to follow? Thank you :) Virginia Kearney 4 months ago from Bank Statement Template | Soap United States. Hi, Brad! You are probably needing one of Music Festival Brochure | Free, my other articles if you are doing an argumentative essay. When you do an argument, you actually need to have a main claim that you want to persuade your audience to believe. The analysis part of that sort of essay means that you evaluate the pros and Tenant:, cons of other ideas about that claim. I don't use the term analytical argumentative essay in my class but I do teach this same idea. I call it persuasive essay, or argument essay and Festival Brochure | Free Download, I have several articles that tell you how to write that sort of essay.

Look at Letter To Judge The the links to the side or search for Music Vector | Free them on Letterpile using my name. Would this be considered an Landlord Tenant: Signing, outline for an analytical Argumentative essay? Virginia Kearney 5 months ago from United States. Hi--If you are doing a summary, analysis, and response, then you do it the same as we've described here except that you would summarize the story and then analyze whether it was told effectively and finally give a response. If you are actually talking about writing a narrative paper about something that happened to you, you need to see my article on How to Write a Reflective Essay with Sample Essays. Search for it on Letterpile or on my profile page. cletusoe12 @gmail.com 5 months ago.

How can I write a story of a personal encounter in an accident. In narrative essay. Please can you give me example? Virginia Kearney 6 months ago from United States. Hi Mimi--In the response section, you can explain how you are going to use that article in your research paper. Music Festival! You might want to see my article on How to do an Annotated Bibliography, which also includes a sample. Virginia Kearney 6 months ago from Bank Template | Soap Format United States. Glad this is Brochure Vector | Free Download helpful to you Flor. I am not currently doing online tutoring but it is | Soap Format interesting for you to ask this because I've been considering setting up a website with videos and some live instruction help.

what a great way to explain you have used here. Are you interested in doing tutoring online? I would love to have the opportunity to Festival | Free, be tutor by you. Hello, I am actually working on three articles and my supervisor asked to make a summary including analysis.But what I would like to know how can I show that these three articles are related to my future research paper?how can I analyze them?can you please help me? I love the way this website gives steps and examples.

I love how you can distinguish all of this into your on High School Resume College Student, understanding. All of this explaining is | Free a great source for anything. Template! You have to love everything about this site. This is the best. Virginia Kearney 9 months ago from United States.

Hi Brianna--If you are doing a summary of an article, then I would do that first. If you are not responding to Brochure Download, a particular article, then you should give a summary of the situation around this law and Contracts, the different sides of the argument. Then pose a question which is Music Brochure interesting to you. Your response will be more interesting if you go beyond just the New Grad - Resume idea of Brochure | Free Download, whether this is good or bad. Here are some ideas: Is this an effective strategy for pro-life groups to use? Does just raising the issue of burial change the conversation about abortion? Should women considering abortion have to Sketch Ideas Design, Text, think about burying their baby?

How can I come up with a theme for my response paper. Music Festival Vector | Free! I am responding to the Texas new law that requires burial for aborted fetuses. Any ideas? Virginia Kearney 9 months ago from Professional New Grad Sample - Resume Templates United States. Thanks for letting me know Seza! This type of essay is not very well explained in many textbooks and that is what led me to write these instructions and Festival Brochure Vector | Free, ask my students to post examples. Since I've been using these instructions, I've found my students do a much better job at 20+ Graph Sketch Ideas On Pinterest Design, Text writing these kinds of essays, which is important because the thinking you do while writing these essays is what prepares you for doing good research. This post has been of great help for me and my friends. Thank you very much. Excellent lesson.

It helped me with reviewing summarizing with some of my students who were still having difficulty. I especially liked the chart. However, please change adjective to adverbs. Thanks for the information. Very good insight on analysis description. I want to Brochure | Free, thank you for your time and The 25+ Letter | Ethan Couch, The, effort in Vector Download helping people be all they can be. Keep up the The 25+ Letter On Pinterest great work. Virginia Kearney 12 months ago from United States. Thanks Singapore! I love the Music | Free Download fact that what I write and use to teach has helped people all over the world. I'm approaching 8 million views now!

Thanks from Singapore! It's for literature :) Virginia Kearney 12 months ago from United States. Thanks Simon! I've done a lot of writing over the years and Bank Template, I enjoy experimenting with different styles. I like the style of your post writing. It's very rare to find something like this. This my second semester in the university and I have to write. Analysis essay I find your site very helpful for me. Really thank you. Virginia Kearney 16 months ago from United States.

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2006; Canfield et al. 2003; Koller et al. Landlord And Your Checklist Before Signing! 2004). Early studies have documented an association between dentine lead, whole-tooth lead, hair lead, and symptoms of Music Festival Brochure Vector | Free inattention (Bellinger et al. 1994a, 1994b; Fergusson et al. 1993; Needleman and Leviton 1979; Needleman et al. Format! 1979; Tuthill 1996), and Brochure | Free Download, subsequent studies showed that lead exposure can cause attention deficit disorder and Contracts, impulsivity (Brockel and Cory-Slechta 1998; Burns et al. 1999; Eppright et al. 1997; Kahn et al. 1995; Minder et al.

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1994). Professional Rn Resume - Resume Templates! Third, early studies involved children who had higher BLLs than the levels seen in Festival Brochure contemporary children (Needleman and Leviton 1979; Wasserman et al. 1998) and thus may not be directly relevant to children with lower levels of Contracts lead exposure. In addition, there is no investigation of lead exposure and ADHD in Chinese children. Therefore, in Brochure Vector | Free Download an effort to Bank Statement Format, evaluate the Festival Brochure Vector Download association between BLLs and the risk for ADHD in Contracts Chinese children, we performed a case#x02013;control study involving large samples of children 4#x02013;12 years of age. We also considered known potential variables in the etiology of ADHD, such as delivery characteristics, perinatal factors, parental psychosocial factors, and prenatal exposure to tobacco and alcohol. This study was designed as a pair-matching case#x02013;control study. ADHD subjects were consecutively recruited from children coming for Brochure | Free initial or follow-up assessment from October 2003 to August 2007 in two pediatric clinics at Resume Sympo College Resume the Anhui Provincial Children#x02019;s Hospital and the Institute of Anhui Traditional Chinese Medicine in Anhui Province, People#x02019;s Republic of China.

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The diagnoses of ADHD were derived from a structured diagnostic interview based on Schedule for Affective Disorders and Schizophrenia for On School-Age Children (K-SADS-E) (Ambrosini 2000), which was modified to assess DSM-IV-R criteria and incorporate parents#x02019; and Brochure Vector, teachers#x02019; reports of behavioral symptoms, clinical observation of 20+ Graph Sketch Ideas | Travel Text behavior, the Music | Free Aberrant Behavior Checklist (Aman and Singh 1986), and tests of attention such as the Conners#x02019; Continuous Performance Test (Homack and Contracts, Riccio 2006). Music! The interviews were performed in Rn Resume Sample - Resume our outpatient clinic and administered by raters (trained research assistants) to children, one of their parents, and their teachers. All the raters, from Music Vector | Free Download two involved pediatric clinics, have postgraduate degrees in psychology and had been trained to Letter To Judge Ideas On Pinterest | Ethan The, high levels of interrater reliability. Music Vector | Free Download! We computed #x003ba; coefficients of agreement between all the raters and three experienced board-certified child psychiatrists who listened to audio taped interviews made by the raters. Based on 120 interviews, the median #x003ba; was 0.87; #x003ba; was 0.95 for Landlord Tenant: Checklist Before Signing The Lease ADHD. Children with identifiable perinatal insults, autism, Asperger syndrome, other pervasive developmental disorders (ICD-10 codes F84.0#x02013;F84.9, 308.0), and mental retardation (ICD-10 codes F70#x02013;F79, 312#x02013;315) were excluded.

The non-ADHD controls were randomly selected from computerized lists of outpatients admitted for Festival | Free acute upper respiratory infection at the same two pediatric medical clinics during the daytime and during the same study period. By the Bank | Soap pair-matched design, each ADHD case and Festival Brochure | Free, control set had the same sex, the same age (difference between birthdays within 6 months), and almost the same level of socioeconomic status (SES). The controls were given the same full diagnostic assessment as the ADHD cases and screened only for the absence of ADHD without exclusion of any other diagnosis except for the same exclusion criteria applied to cases. SES is measured by poverty-to-income ratio (PIR), and PIR is the The 25+ Best To Judge Couch, ratio of family income to Festival Brochure Vector, the poverty threshold for the year of the interview. Low SES was defined as having PIR values #x0003c; 1 in our analysis and high SES as having PIR #x0003e; 3. The others were regarded as middle SES. The study was approved by High School Student Resume Sympo College Student Resume Template, our institutional review boards and complied with all applicable requirements of the United States. The parents of all the Festival Brochure Vector | Free Download children in Landlord And Your Tenant: Signing The Lease this study provided written informed consent at enrollment. Blood samples (2 mL/child) were collected in heparinized syringes. | Free! Lead concentrations were measured by anodic stripping voltametry through a blood lead analysis instrument (3010B; ESA Laboratories, Inc., Chelmsford, MA, USA) after the blood samples were digested with an organic tissue solubilizer. The limit of detection was 1.0 #x003bc;g/dL. No detectable values were given values of 0.70 (1.0 divided by the square root of 2).

Lead values were calculated as the means of The 25+ Best Letter On Pinterest Couch, four analyses of each sample. Epidemiologic studies have shown that male sex, low SES, and young age are associated with a raised prevalence of Music Festival Vector ADHD. Moreover, its prevalence falls with age (Biederman and Faraone 2004; Doyle 2004; Scahill and Schwab-Stone 2000). To address these important confounding factors, we employed a pair-match design on age, sex, and Template | Soap Format, SES; thus, the stratified control subjects were at risk at the same sex, age, and Music Festival Vector, SES. In addition, we considered multiple covariates and potential confounders for the association of Wcf Essentials: lead exposure and ADHD in Music Vector | Free Download our study. Student College Student Resume Template! They were based on established predictors of Music Festival | Free Download child behavioral problems and those widely used in Professional Rn Resume Sample - Resume studies of pediatric lead exposure (Banerjee et al.

2007; Biederman and Faraone 2005; Linnet et al. 2003; Mick et al. 2002; Millichap 2008; St Sauver et al. 2004; Swanson et al. 2007; Wasserman et al. 2001).

The following variables were used: family history of ADHD (ADHD in Music Vector Download parents and siblings, diagnosed by psychiatrists, obtained from clinical reports), household composition (normal: child lives with biological parents; single: child lives with only one parent; or recombined: child lives in Ideas | Ethan remarried family), maternal tobacco use during pregnancy (at least one cigarette per day during the last trimester), maternal drinking during pregnancy (at least two glasses per week during the entire pregnancy), labor complications, cesarean delivery, perinatal distress [low birth weight and admission to a neonatal intensive care unit (NICU) as markers], parents#x02019; age at Brochure Vector | Free Download childbirth, and parents#x02019; education. Because all the cases recruited were of Chinese Han nationality, the variable of ethnic origin could not be used in Contracts our analysis. These variables were obtained from clinical records or questionnaires completed by Music Brochure Vector Download, direct interview of the parents. Study factors were defined as binary variables or categorical variables. For example, maternal smoking and Tenant: Checklist Signing, drinking habits during pregnancy were recorded as binary variables#x02014;that is, drinker or nondrinker, cigarette smoker or nonsmoker.

We analyzed some continuous potential risk factors as categorical variables according to cut points suggested by the literature. For example, low birth weight is typically defined as #x0003c; 2,500 g (St Sauver et al. 2004). Maternal and paternal age were analyzed as three categories (St Sauver et al. 2004): #x0003c; 20 years, 20#x02013;30 years, and #x0003e; 30 years of age. Festival Brochure Vector! Maternal and Landlord And Your Tenant: Signing The Lease, paternal education were analyzed as #x02264; 9 years of compulsory education, high school education (9#x02013;12 years), or some college or advanced training (#x02265; 12 years). The association between BLLs and Brochure Vector, ADHD was evaluated using the 20+ Graph Ideas | Travel Text On Pearson chi-square test for categorical variables and the Student t -test for continuous data. We also performed a conditional logistic regression analysis with a binary outcome of ADHD in Festival | Free Download relation to BLLs, adjusting for other potential confounding factors (Hosmer and Bank Statement Template | Soap Format, Lemeshow 2000).

In the regression model, BLLs were analyzed as an ordered categorical variable and recorded as three categories: #x02264; 5 #x003bc;g/dL, 5#x02013;10 #x003bc;g/dL, and Festival Brochure | Free Download, #x02265; 10 #x003bc;g/dL. We then performed a conditional logistic regression analysis with backward stepwise procedures based on the maximum partial likelihood estimates to construct a final best-fit logistic regression models to identify predictors of risk for ADHD among known risk factors and BLLs. We estimated odds ratios (ORs) and 95% confidence intervals (CIs) for differing levels of exposure. All statistical tests were considered to be significant at an alpha level of Professional Rn Resume - Resume 0.05 on Festival Brochure | Free, a two-tailed test and performed with the statistical software SPSS version 15.0 (SPSS Inc., Chicago, IL, USA). The analysis included 630 ADHD cases and 630 non-ADHD control subjects matched by age, sex, and SES.

There were 434 sets of boys and 196 sets of Best 20+ Graph On Pinterest Design, Text girls. The average ages were 7.9 #x000b1; 2.1 years. The mean BLLs were 8.77 #x000b1; 3.89 #x003bc;g/dL in the ADHD group and 5.76 #x000b1; 3.39 #x003bc;g/dL in the control group. The ADHD group had higher BLLs ( p #x0003c; 0.05, see Table 1 ). There was no significant difference in BLLs between males and Music Festival Brochure Vector Download, females. Figure 1 shows BLL distribution and cumulative distribution of ADHD children and controls. Professional Rn Resume Sample Rn Resume - Resume! Only 10.1% of non-ADHD children had BLLs #x0003e; 10 #x003bc;g/dL, whereas this percentage increased significantly to 24.4% in ADHD children. (#x003c7; 2 = 237, p #x0003c; 0.01). In addition, 49.8% of non-ADHD children had BLLs #x0003e; 5 #x003bc;g/dL, whereas of the Music Festival Vector ADHD cases, 74.7% had BLLS #x0003e; 5 #x003bc;g/dL (#x003c7; 2 = 116, p #x0003c; 0.01). Additional information in demographic and the distribution of risk factors are shown in Table 2 . We performed a conditional multivariate logistic regression analysis with all variables (BLLs and all risk factors) simultaneously included in the same model to adjust for each other. We found that the ADHD cases were significantly associated with higher BLLs (OR = 5.19, p #x0003c; 0.01 for children with BLLs 5#x02013;10 #x003bc;g/dL; OR = 7.15, p #x0003c; 0.01 for with BLLs #x02265; 10 #x003bc;g/dL, using the sample with BLLs #x02264; 5 #x003bc;g/dL as referent) and family history of ADHD (OR = 4.54, p #x0003c; 0.01, compared with the sample without familial ADHD history). The risk for Best 20+ Graph Sketch Ideas | Travel Design, Text On ADHD decreased as the mother#x02019;s education level increased (OR = 0.69, p = 0.017, using the sample of #x02264; 9 years maternal education as referent). The analysis also found an Festival Brochure | Free Download, association between ADHD and maternal smoking during pregnancy, but the p- value is near the significant threshold (OR = 4.04, p = 0.047).

The remaining confounding variables in Landlord Before Signing The Lease our analysis were not associated with ADHD status ( Table 2 ). To eliminate multivariable interaction and Music Brochure | Free Download, multicollinearity, we then performed a backward stepwise logistic regression based on Landlord The Lease, the maximum partial likelihood estimates. In the final best-fit model, the Music Vector Download association between ADHD and maternal smoking during pregnancy was excluded, but ORs for Contracts the associations between ADHD and family history of ADHD, maternal education levels, and BLLs were largely unchanged from Music Brochure | Free estimates obtained in the original model used in Table 2 ( Table 3 ). We also performed a conditional multivariate stepwise logistic regression analysis stratified by sex and age. As with the total sample, ADHD cases were significantly associated with higher BLLs than the High School Student Sympo Resume Template lower BLLs in all subdefinitions ( Table 4 ), which indicates that increased risk for ADHD associated with BLLs is not modified by age and Music Brochure Vector Download, sex. We examined the effect of BLLs in ADHD cases and non-ADHD controls with adjustment for most other known risk factors in 20+ Graph Sketch | Travel On Chinese children 4#x02013;12 years of age.

We found ADHD cases were more likely to have been exposed to lead. Festival Brochure Vector | Free! The children with BLLs #x0003e; 10 #x003bc;g/dL had 4.1- to 8.7-fold higher risk for ADHD. Even when their BLLs were under the recommended level but #x0003e; 5 #x003bc;g/dL, the Wcf Essentials: Contracts risk also showed a 3.5- to Brochure Download, 7.0-fold increase. Family history of ADHD was another positive high-risk factor. Decreased risk for Before Signing ADHD was associated with higher maternal education. Lead may play important roles in Music Vector Download the etiology of The 25+ Ideas On Pinterest | Ethan The ADHD.

Recently, Braun et al. (2006) analyzed data from a U.S population-based sample and concluded that prenatal tobacco exposure and environmental lead are risk factors for ADHD; they found 4.1-fold increased odds of ADHD with increased BLLs. Our work confirmed this finding in the referred sample that relied on Vector | Free, the DSM-IV-R criteria. In addition, Nigg et al. (2008) reported that low-level lead exposure was associated with formal clinical diagnostic ADHD by DSM-IV-R criteria in a community sample in the United States, where regulations have reduced the incidence of Best 20+ Graph On Pinterest lead poisoning and the current population average of lead levels is relatively lower. This is consistent with our finding that the risk of ADHD was associated with low lead exposures (#x0003c; 10 #x003bc;g/dL) in Chinese children. Some studies documented varying behavioral effects of Music Festival Brochure lead exposure in males and females (Burns et al. 1999; Ris et al. 2004).

However, in our study, sex and age did not modify the relationship between BLLs and ADHD. Further studies investigating how neurobehavioral outcome varies with sex and age may be required. In our study, the absence of a statistically significant association between maternal smoking and ADHD was unexpected, in contrast to previous reports (Braun et al. 2006; Linnet et al. 2003; Swanson et al. 2007). And Your Signing! The reason might be that, in China, few women smoke during pregnancy and throughout life, which limits the statistical power in detecting a significant difference. Another reason might be that smoking and drinking variables of the mother were recorded as a dichotomy in our study, and the threshold to define the variables may underreport in utero smoke and alcohol exposure. This potential misclassification might underestimate the true association between pregnancy smoking and Music Brochure, ADHD. Our study found higher maternal education was associated with decreased risk for Wcf Essentials: ADHD.

This result is consistent with previous work, which indicated that low maternal education, low SES, and Music Festival Vector | Free, single parenthood are important adverse factors for ADHD (Biederman and Best To Judge Ideas Couch,, Faraone 2005; Millichap 2008; St Sauver et al. 2004). Apart from Festival Brochure Vector Download environmental risk factors for ADHD, our current report indicated that children with a family history of ADHD were more likely to be diagnosed with ADHD. It is also consistent with previous work, which showed that ADHD is transmitted in families (Biederman and Faraone 2002, 2005; Millichap 2008). Although our study showed the association between lead and ADHD, we cannot explain clearly the mechanism that underlies the relationship. High Sympo College Resume! As for the etiology of ADHD, dopamine system dysfunction has important effects (Biederman and Faraone 2002; Swanson et al. 2007). Music Festival Brochure Download! There is extensive evidence that lead alters midbrain/striatal dopamine functioning as well as gene expression in the striatum (Cory-Slechta 1995; Kala and Jadhav 1995; Szczerbak et al.

2007), so the neurotoxic effect of lead on the dopaminergic neurotransmitter system may be implicated in the pathway to ADHD. Lead exposure could represent a hidden major effect on ADHD incidence via genotype by Sketch Ideas On Pinterest On, environmental interaction (Swanson et al. 2007). The strengths of this study are as follows: a ) Our sample size was the largest to Festival Vector Download, date in case#x02013;control studies to investigate BLLs and ADHD. b ) The ADHD diagnosis was made through an extensive clinical evaluation based on | Soap, the DSM-IV-R diagnostic instrument and performed by child and adolescent psychiatrists. c ) The investigators matched the cases and controls on potentially important aspects such as age, sex, or SES. This is Festival Brochure Vector | Free Download, important because lead levels are highest among younger children compared with adolescents, and ADHD is of higher prevalence among children of elementary and Letter To Judge On Pinterest Couch,, middle-school age. This study suggests that there is Festival Vector | Free, a link between ADHD and BLLs, and the results reinforced findings from previous studies (Braun et al. 2006; Nigg et al. 2008).

If on further inquiry these associations are found to be causal, lead exposure may represent a modifiable risk factor for this common psychiatric condition of Statement childhood. Considering that ADHD typically starts in early childhood and that lead poisoning is one of the most common and entirely preventable pediatric problems (AAP 2005; CDC 1991), strategies in public health must focus on practicing primary and secondary prevention of lead exposure in children. Music Festival Brochure Vector! For example, clinicians should alert parents to potential adverse outcomes of lead associated with this disorder. In addition, routine screening for lead exposure may be needed so that if ADHD symptoms emerge, they can be managed at an early stage. Moreover, BLLs #x0003c; 10 #x003bc;g/dL also indicated a risk factor. This may suggest that the lower standard may effectively protect children from the harmful effects of lead, which is consistent with previous investigations (AAP 2005; Canfield et al. 2003; Surkan et al. Letter To Judge Couch,! 2007). Some studies (Ruff et al.

1993; Tong et al. 1998) found an association between declining BLLs and improved cognitive test scores, independent of whether iron or chelation therapy was administered. However, other works (AAP 2005; Canfield et al. Brochure | Free! 2003) indicated that the damage caused by The 25+ Best On Pinterest | Ethan Couch, The, blood lead exposure is irreversible. Further epidemiologic studies and rigorous randomized controlled trials are needed to determine whether chelation therapy or removal of possible lead exposure sources might help children with ADHD. This study has several limitations. First, temporality between high BLLs and ADHD could not be ascertained definitely in this case#x02013;control design. | Free Download! It is possible that hyperactive children ingest more lead rather than that lead causes hyperactivity. Therefore, further studies with serial lead measurements, even from the antenatal to the postnatal period, and Bank, more continuous measures of Music Download ADHD symptoms or of specific underlying neurobehavioral domains may be required to Landlord Signing The Lease, document the Music Festival Brochure Vector temporal relationship between lead exposure and development of ADHD.

Second, some might argue that concurrent blood lead tests are not an adequate biomarker of The 25+ Letter To Judge On Pinterest | Ethan a child#x02019;s lifetime exposure. However, recent studies indicate that concurrent BLLs are a stronger predictor of lead-associated IQ decrements than blood lead measured during early childhood (Lanphear et al. 2005). Third, recall bias is Music Brochure | Free, one of the problems of the case#x02013;control study. In this study, the main variable of High School Student College Student Template interest was the Music Festival Brochure Download BLLs, which were objectively measured. However, other variables such as in utero tobacco and alcohol exposure may be susceptible to recall bias. Fourth, the cohort was not a random population sample, so potential selection biases cannot be fully ruled out. In addition, because all our sample was Chinese Han, no children living in foster families were included, and Best Letter On Pinterest Couch,, none of the sample had health insurance, our results may not generalize to children with different socioeconomic or ethnic backgrounds. Music Festival | Free Download! Finally, it is Tenant: Before Signing, interesting that Nigg et al. (2008) found a significant relationship between combined-type ADHD and low-level lead exposure but not predominantly inattentive type and lead exposure.

However, we were unable to do analogous analyses by subtype because of the constraints of the study matching scheme. This hospital-based case#x02013;control study suggests a strong relationship exists between ADHD and lead exposure, even low-level lead exposure (#x0003c; 10 #x003bc;g/dL BLL), in Chinese children. If this finding is confirmed in future studies, the potential to Music Festival Vector | Free Download, prevent ADHD by reducing childhood lead exposure should be considered.