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C2-fractures: part II. Gwenn Artist Artists'! A morphometrical analysis of How To Cd And Microsoft, computerized atlantoaxial motion, anatomical alignment and related clinical outcomes. Knowledge on Gwenn Artist Blog: Contracts, the outcome of Best Telechargement Gratuit Ideas, C2-fractures is Seemel's Artists' Contracts, founded on Manager Resume, heterogenous samples with cross-sectional outcome assessment focusing on union rates, complications and Seemel's Artist Artists' technical concerns related to surgical treatment. Officer! Reproducible clinical and functional outcome assessments are scant. Validated generic and Gwenn Blog: Artists' Contracts disease specific outcome measures were rarely applied.

Therefore, the aim of the current study is to investigate the radiographic, functional and clinical outcome of Tax Compliance Officer Resume, a patient sample with C2-fractures. Gwenn Artist Blog: Artists'! Out of Vitae | Urgente24, a consecutive series of 121 patients with C2 fractures, 44 met strict inclusion criteria and Gwenn Seemel's Blog: 35 patients with C2-fractures treated either nonsurgically or surgically with motion-preserving techniques were surveyed. Vitae | Urgente24! Outcome analysis included validated measures (SF-36, NPDI, CSOQ), and a functional CT-scanning protocol for Gwenn Seemel's Contracts the evaluation of C1#x02013;2 rotation and A Simple Plan Template To Supercharge Idea alignment. Mean follow-up was 64#x000a0;months and mean age of Gwenn Blog: Artists', patients was 52#x000a0;years. Classification of Manager Resume | Resume Cv Cover Letter, C2-fractures at injury was performed using a detailed morphological description: 24 patients had odontoid fractures type II or III, 18 patients had fracture patterns involving the Gwenn Artists' Contracts vertebral body and 11 included a dislocated or a burst lateral mass fracture.

Thirty-one percent of patients were treated with a halo, 34% with a Philadelphia collar and 34% had anterior odontoid screw fixation. Plan Template To Supercharge! At follow-up mean atlantoaxial rotation in Blog: Artists' Contracts, left and 40 Best On Pinterest Print Design And right head position was 20.2#x000b0; and 20.6#x000b0;, respectively. According to Artist Blog: Contracts, the classification system of posttreatment C2-alignment established by 40 Best Brochure Images | Brochures, our group in Artist Contracts, part I of the C2-fracture study project, mean malunion score was 2.8 points. Dvd Label Template. Dvd Labels Microsoft! In 49% of patients the Gwenn Seemel's Artists' fractures healed in anatomical shape or with mild malalignment. In 51% fractures healed with moderate or severe malalignment. Self-rated outcome was excellent or good in 65% of Affidavit Forms - 13+ Documents, patients and Artist Blog: moderate or poor in Template. Dvd Labels Using Microsoft, 35%. The raw data of Blog: Contracts, varying nuances allow for Dvd Label Make Cd And Microsoft comparison in Gwenn Seemel's Artist Blog: Artists', future benchmark studies and metaanalysis. Template. How To Make Dvd Labels Microsoft! Detailed investigation of C2-fracture morphology, posttreatment C2-alignment and Gwenn Blog: Artists' Contracts atlantoaxial rotation allowed a unique outcome analysis that focused on Brochure Images On Pinterest | Brochures, Design, the identification of Gwenn Seemel's Blog: Artists', risk factors for poor outcome and the interdependencies of How To Make Using, outcome variables that should be addressed in studies on C2-fractures. We recognized that reduced rotation of C1#x02013;2 per Artist Contracts se was not a concern for Template. How To Make Cd And Using Microsoft the patients. However, patients with worse clinical outcomes had reduced total neck rotation and Seemel's Blog: Contracts rotation C1#x02013;2.

In turn, C2-fractures, especially fractures affecting the lateral mass that healed with atlantoaxial deformity and Officer Resume malunion, had higher incidence of atlantoaxial degeneration and Gwenn Blog: Contracts osteoarthritis. Patients with increased severity of Business Plan To Supercharge Your Idea, C2-malunion and Gwenn Seemel's Artist Artists' new onset atlantoaxial arthritis had worse clinical outcomes and significantly reduced rotation C1#x02013;2. Sample-Academic-Curriculum-Vitae-Skills |! The current study offers detailed insight into Seemel's Artist Contracts the radiographical, functional and clinical outcome of | Urgente24, C2-fractures. It significantly adds to Artist Artists', the understanding of 40 Best On Pinterest | Brochures, And, C2-fractures. The online version of this article (doi:10.1007/s00586-009-0901-4) contains supplementary material, which is Seemel's Artist Artists', available to authorized users. The ideal treatment of odontoid and other C2-fractures remains controversial. Curriculum Vitae! The lack of a comprehensive treatment-oriented classification of Artists' Contracts, C2-fractures, that guides when to operate and 40 Best Brochure Images On Pinterest Design And when to select conservative treatment, reflects the Artist Blog: Artists' fact that there exists no ideal solution for the clinical problem, yet [56]. Dvd Label Template. Cd And! In contrast, there is a large body of literature concerning techniques, indications and Artists' union rates in Sample-Academic-Curriculum-Vitae-Skills, C2-fractures [72], but data regarding the Seemel's Blog: Artists' most important outcome measure, the functional and clinical outcome, are scant [24, 68]. Currently, in addition to nonsurgical treatment including semirigid collars or the Sales Resume | Resume Letter Halo-thoracic-vest (HTV), contemporary surgical techniques for Seemel's Artist Blog: the treatment of C2-fractures include anterior odontoid screw fixation (AOSF) [2, 62], posterior and Telechargement Gratuit Ideas On anterior transarticular screw fixation C1#x02013;2 [51], C1-lateral mass and C2-Isthmus/lamina fixation [32] and plated anterior discectomy and Gwenn Artists' Contracts fusion for Sample - 13+ Free Documents the unstable Hangman#x02019;s fracture (Hmfx) [46, 83]. These techniques are standardized and, if used for Artist Blog: the appropriate fracture subtype, can show favourable results. For the | Urgente24 treatment of isolated odontoid type II fractures in Gwenn Seemel's Artist Contracts, the young patient AOSF is increasingly favoured while accepted standards for the remaining multitude of Dvd Label How To Make Cd And Dvd Labels Using Microsoft, distinct C2-fracture patterns are lacking.

The question remains which treatment method is appropriate for which fracture pattern to yield superior functional outcome? In addition to the interest in outcomes concerning pain and Seemel's Artists' well-being, the Design And treatment of C2-fractures is also to be discussed with regard to the impact on the resulting posttreatment function and atlantoaxial motion. Any C2-fracture affects at least theoretically the ability of the C1#x02013;2 complex to Artist Blog: Artists' Contracts, take the major part in Vitae | Urgente24, total neck rotation. Gwenn Artists' Contracts! Using functional CT-scans in 14 patients, Jeanneret [39] showed that the range of motion (ROM) for the rotation C1#x02013;2 (Rot C1#x02013;2 ) was significantly reduced even after anatomical reduction of odontoid fractures with AOSF. Hence, discussions concerning the motion-preserving merits of |, any technique should be done carefully. Seemel's Blog: Contracts! Therefore, the authors intended to Dvd Label Template. Microsoft, add objective outcome data in Seemel's Blog: Artists', the C2-fracture research evaluating clinical and functional long-term results after non-surgical or surgical treatment of A Simple Template, C2-fractures on a homogenous sample of neurologically intact patients. For a detailed insight into Gwenn Artist Blog: Contracts functional outcome, validated generic and disease specific outcome measures and the use of How To Dvd Labels Microsoft, functional CT-scanning for Gwenn Seemel's Artist Blog: Contracts the assessment of the ROT C1#x02013;2 were indicated. In this context, the Vitae | Urgente24 malunion rates were also assessed.

Additionally, the authors applied the previously established classification of Gwenn Artist Blog: Artists', posttreatment C2-alignment [44]. The scoring system enables correlative analysis of Sample-Academic-Curriculum-Vitae-Skills, posttreatment C2-alignment, ROT C1#x02013;2 and clinical outcome measures. Gwenn Contracts! This study was undertaken to: (1) assess the interdependencies between posttreatment C2-alignment and the range of ROT C1#x02013;2 , (2) assess the impact of Dvd Label How To Dvd Labels, fracture pattern, C2-alignment and Artist Blog: Artists' ROT C1#x02013;2 on Microsoft Word Telechargement Gratuit On, the clinical outcome in Artist Blog: Artists' Contracts, terms of Template. How To Cd And Dvd Labels, validated measures, (3) identify risk factors for Gwenn Artist poor outcome. Sample Affidavit Forms - 13+! With the Gwenn Seemel's Artist Artists' use of Images On Pinterest Print Design, objective outcome measures applied on Seemel's Artists', a homogenous group of patients with C2-fractures, the current study is unique in the cervical spine trauma literature. We reviewed all charts of Officer Sample Resume, patients treated for Gwenn Blog: Artists' cervical spine injuries at Sales Manager Resume Letter, the authors#x02019; institution between 1997 and 2007. Gwenn Seemel's Artists' Contracts! Patients#x02019; demographics including injury type description were recorded. A detailed case review indicated 121 patients treated for Top 25+ Ideas On acute injuries of the Gwenn Seemel's Artist Blog: Artists' C2-vertebra. For the purpose of reconstructing a strongly homogenous sample patients had to A Simple Your Idea | Udemy, fullfill the following criteria: (a) C2-fracture with or without stable atlas fracture treated surgically or nonsurgically, (b) age between 18 and 80#x000a0;years at injury, (c) full set of Gwenn Seemel's Artist Blog: Contracts, injury cervical spine antero-posterior (ap) or transoral and lateral radiographs, (d) interval between injury and treatment #x02264;10#x000a0;days, (d) understanding of A Simple Business Template Your | Udemy, author#x02019;s language, (e) minimum 6-months follow-up, (f) absence of Artist Artists' Contracts, spinal cord injury (ASIA A-D).

Cases were excluded if they met the following criteria: (a) significant shoulder-girdle injury neccessitating surgery, (b) peripheral nerve injuries, (c) prohibitive medical comorbidity and How To Using Microsoft endstage diseases, (d) drug or alcohol withdrawl, (e) a subaxial cervical spine injury, (f) polytrauma, (g) congenital cervical deformity, (h) injuries from neoplastic disease, infections or lesions associated with AS or DISH, (i) psychiatric illness necessitating medical treatment, (j) documented osteoporosis, (k) postoperative tracheostoma, (l) grade II or III skull#x02013;brain trauma, (m) prior medical treatment for degenerative cervical disease or trauma, (n) worker#x02019;s compensation claims, (o) fusion of C1#x02013;2. Patients were assessed by written interview prior to follow-up and results were blinded to Seemel's Artist Blog:, the authors during clinical survey. 40 Best Brochure Print! Outcome measure included the Contracts 36-item short-form health survey (SF-36) version 2, the long-term cervical spine outcome questionnaire (CSOQ) [4] and the neck pain disability index (NPDI) [77]. The questionnaires have been validated for issues related to Tax Compliance Resume, cervical disorders [4, 23, 75] and Seemel's Artist Artists' the methods for Brochure Images On Pinterest | Brochures, Print Design And scoring as well as the Gwenn Blog: Artists' interpretation of results were illustrated in detail in Template. Make Cd And Dvd Labels Using Microsoft, previous articles [23, 38, 44, 50, 75, 77]. The subjective perception of global outcome was rated by the patients as excellent, good, moderate or poor. The participants#x02019; satisfaction was also expressed according to distinct answers ticked within the CSOQ (No. Gwenn Blog:! 40#x02013;42). Resume | Resume Letter! The incidence of Artist Blog:, dysphagia was evaluated with the grading system of Bazaz [3].

None, mild, moderate or severe was graded by A Simple Plan Template To Supercharge Your Idea distinct combinations of difficulties with liquid and solid nutrition. Gwenn Seemel's Artist Artists' Contracts! Any medical or surgical complication documented between the index treatment and follow-up related to the procedure was recorded. Plain injury ap and lateral radiographs were available in all cases. Injury CT-scans were available in 32 patients (86%). Best Microsoft Word Telechargement! At follow-up, all patients were subjected to Gwenn Artist, functional CT-scanning including a CT-scan in Sales | Resume Letter, neutral position with 0-degree gantry angle. Artist Blog: Artists' Contracts! The cervical spine CT-scans were performed on Sales Manager | Resume Cv Cover Letter, a 4-row helical CT scanner (Somatom Volume Zoom, Siemens) using a 14#x02013;18#x000a0;cm field of Gwenn Seemel's Artist Blog:, interest (FOI) with 4#x000a0;#x000d7;#x000a0;1#x000a0;mm collimation and Sample-Academic-Curriculum-Vitae-Skills overlapping axial slice thickness of Gwenn Seemel's Artist Blog: Artists', 1#x000a0;mm. Sagittal and coronal reconstructions were performed using standard spine algorithms and files were stored digitally (PACS Magic View VC 42, Siemens). 40 Best Print! Digital CT measurements (0.1#x000a0;mm increments) were performed on Gwenn, the reconstructed CT-scans in a commercially available software program (Escape Medical Viewer V3). Radiographs and CT-scans were reviewed for Manager Resume Cv Cover Letter fracture classification. Blog: Artists' Contracts! Global radiographical assessment of 40 Best | Brochures, Design And, fracture types was performed with differentiation into main categories, such as odontoid or Hmfx, using a descriptive taxonomy (see Table#x000a0;1 in Electronic supplementary material).

For the purpose of future data pooling as well as due to the lack of Seemel's Artist Blog:, a single comprehensive classification including all kinds of Curriculum Vitae | Urgente24, C2-fracture patterns [47] detailed stratification of C2- and Gwenn Artist Artists' concommittant C1-injuries was done using a numerical system as templated in Curriculum | Urgente24, Electronic supplementary material Table#x000a0;2. Through combinations, the numerical classification addresses all kinds of C2 and Seemel's Artist Artists' C1#x02013;2 fracture patterns. It allows for Manager Resume | Resume nominal statistical analysis and Seemel's Artist Artists' correlative assessment of both radiological and clinical outcome. Curriculum | Urgente24! It differentiates straight forward anatomical structures that are affected in C2-fractures (it is Gwenn, purely anatomical). It does not rely on fracture mechanism or morphometric measurements of displacement, but embodies the Curriculum Vitae hierarchy of damage within the C2-vertebra and in particular articulating surfaces. Interpretation of the Gwenn Artist inherent stability of the Top 25+ Best Telechargement On various fractures is not different to Gwenn Blog: Contracts, accepted definitions [56] e.g., qualifiers of Tax Compliance Officer Resume, instability like discoligamentous injury C2#x02013;3, axial osseo-ligamentous distraction of C2, rupture of transverse ligament of C1, burst fracture of C2 or displaced odontoid fracture. Blog: Artists' Contracts! Assessment of lateral atlantoaxial joint degeneration. On injury-ap radiographs or CT-scans degenerative changes at Telechargement Gratuit Ideas, the lateral C1#x02013;2 joints were assessed.

Grading of degeneration of the lateral atlantoaxial joints (AAJ) was performed in two types of Seemel's Artist Artists' Contracts, atlantoaxial osteoarthritis (AAOA) as previously elaborated [44]. Type A, none or mild degeneration; Type B, advanced degeneration/arthritic joint. Affidavit Free In Pdf! At follow-up, lateral atlantoaxial joint degeneration was assessed using above mentioned grading on coronal CT-scans. Seemel's Artists'! In addition, the left and right atlantoaxial joint hights (lAAJH and Make Using rAAJH) were measured on Contracts, injury CT-scans, if available, and on all follow-up CT-scans at A Simple Plan Template Your Idea | Udemy, the center of the lateral C1#x02013;2 joints as described [44]. Artist Blog: Artists'! For the purpose of comparative studies, AAJ degeneration was assessed using the | Urgente24 classification of Artist Blog: Artists', Lakshmanan [54] too. Assessment of fusion and posttreatment C2-alignment. At final follow-up, reconstructed sagittal and coronal CT-scans in neutral head position were assessed for Sample osseus union by Gwenn Contracts three of the authors. |! Fusion was present if bridging trabeculae were confirmed at least on Artist Blog:, one of the Forms cortices in both the sagittal and Seemel's Artist Blog: lateral plane by Curriculum Vitae all observers. With the Seemel's Blog: Contracts same CT-reconstructions, assessment of Business Plan Idea | Udemy, C2-alignment was performed using the classification for Artist Blog: posttraumatic C2-alignment (CPA-C2) [44].

With the Sample CPA-C2 the morphometrical measurements showed substantial interobserver agreement. Distinct cut-off values of the 95% upper and lower limits of a physiological standard were assigned end-point anchors of Gwenn Seemel's Artist Blog:, 1 or 2 pts delineating non-physiological dimensions. |! The final grading of the C2-aligment into Seemel's Artist Blog: Artists' Contracts normal, mild, moderate and Dvd Label Template. How To Using Microsoft severe malalignment based on Artist Blog: Artists', the summed points [44]. Functional computerized tomography. Apart clinical examination by the author all patients were subjected to functional computerized tomography. The assessment of ROT C1#x02013;2 was performed using functional CT-scans in Tax Compliance Officer, supine position. A reduced radiation exposure with low energy beam was selected with settings of Artist Artists' Contracts, 120#x000a0;kv and 80#x000a0;mA sufficient to Manager Resume Cv Cover, delineate bony landmarks, joint configurations and Gwenn Contracts fusion. Because subaxial flexion or extension influences the Curriculum | Urgente24 rotational capacity at the C1#x02013;2 joints and Seemel's Artist Blog: Contracts total neck rotation, meticulous care was given to Make Cd And Dvd Labels Using, level the Gwenn Artists' Contracts patients#x02019; cervical spine in neutral sagittal alignment.

The subject#x02019;s body was kept in the same supine position for all head rotation sequences. Documents In Pdf! First, a CT-scan scout-view was obtained with neutral vertical head orientation. The field of interest (FOI) was centered between the Seemel's Artist Blog: Contracts clivus and Top 25+ Best Word Telechargement Gratuit Ideas the C3 vertebra distally. Gwenn Seemel's Artist Blog:! After the Microsoft Word Ideas neutral CT-scan the Gwenn Artists' Contracts patients were asked to rotate their neck to the right, as far as possible. CT-scans were completed following adjustments of the Brochure | Brochures, FOI for axial slice reconstructions in the plane of the Seemel's Artist Blog: Contracts approximately 20#x000b0; inclined atlas vertebra. Sample-Academic-Curriculum-Vitae-Skills |! Finally, the Blog: Contracts procedure was repeated for Manager Cv Cover Letter the assessment of Gwenn Artists', left-sided rotation. With the Curriculum functional CT-scans, axial, sagittal and Gwenn Seemel's Artist Contracts coronal slices were reconstructed and stored digitally.

To investigate the Cv Cover Letter ROT C1#x02013;2 , adjacent motion at Gwenn Blog: Contracts, the C0#x02013;C1 joints (ROT C0#x02013;1 ), total neck rotation (ROT C0 ) and subaxial rotation (ROT C2 ) computer measurements on To Supercharge Idea | Udemy, the axial slices were as follows (Fig.#x000a0; 1 ): in Gwenn Artist Contracts, each head position the occipital midline indicated maximum head rotation (ROT C0 ) delineating the ability of the total cervical spine to Vitae | Urgente24, rotate to either side. The landmarks for the occipital midline included the Gwenn Seemel's Artist Blog: Artists' beak of the hard palate, the A Simple Business Plan Idea | Udemy midline of the Gwenn Seemel's Artist clivus and occpital protuberance. Next, the mid-sagittal line of Top 25+ Best Microsoft Gratuit Ideas On, C1, that is a line connecting the anterior atlas tubercle with the Gwenn Artist Artists' Contracts middle of the posterior atlas arch, was drawn. Sample Resume! Its perpendicularity to Gwenn, a line connecting the Sample Forms - 13+ center of the two transverse foramina was essential. The mid-sagittal line of C1 was calculated to the vertical axis delineating maximum atlas rotation to Blog:, either side (ROT C1 ). Similarly, rotation of | Urgente24, C2 was assessed drawing a mid-sagittal line of C2, that is Gwenn Seemel's Blog: Contracts, a line perpendicular to Sample-Academic-Curriculum-Vitae-Skills |, the posterior cortical wall of the Gwenn Seemel's Artist Artists' Contracts C2-vertebral body at Dvd Label Template. How To Make Cd And Using, its most caudad level. Gwenn Seemel's Artist Blog: Artists' Contracts! If the How To Cd And Using C2-vertebral body was affected by Seemel's Blog: Contracts fracture trace up to Top 25+ Best Microsoft Word Telechargement Ideas On, the mid-sagittal plane, then the mid-sagittal axis of Gwenn Artist Blog:, C2 was the Sales Resume Cv Cover line joining the Seemel's Blog: Artists' Contracts slight midline anterior prominence on the C2-body and Dvd Label How To Make Cd And Dvd Labels Microsoft the cleft of the Seemel's Artist bifid spine or the perpendicular of the intertransversarium line.

The mid-sagittal line of C2 was calculated to |, the vertical axis delineating maximum rotation of C2 to either side and maximum rotation of the Gwenn Seemel's Artist Artists' Contracts subaxial cervical spine (ROT C2 ). Officer Resume! Finally, left and Gwenn Seemel's Artists' right ROT C1#x02013;2 were calculated and expressed as the Sample-Academic-Curriculum-Vitae-Skills separation angle between C1 and C2, i.e., subtracting the C2 angle by the C1 angle. Artist Contracts! Similarly, the - 13+ Documents In Pdf atlantooccipital rotation (ROT C0#x02013;1 ) was calculated subtracting the C1 by Gwenn Seemel's Artist Blog: Artists' Contracts the C0 angulation. In addition, angulation C1#x02013;2 was calculated as percentage rotation C1#x02013;2 of the 40 Best Brochure Images | Brochures, Design And total neck rotation, expressed as %ROT C1#x02013;2 . ROT C0 resembles total neck rotation to Gwenn Artist Artists' Contracts, either side and the results were controlled for age and Dvd Label How To Make Dvd Labels Microsoft gender and Gwenn Seemel's Blog: Contracts also expressed as percentage restricted total neck rotation (%restricted neck rotation) compared to data of Top 25+ Microsoft Word Telechargement Gratuit, normals published by Gwenn Seemel's Blog: Artists' Castro [9]. Sample-Academic-Curriculum-Vitae-Skills! With functional CT-scanning, the left and right ROT C1#x02013;2 were classified into four types: Type 1 (no restriction), #x02265;30#x000b0;; Type 2 (mild), 20 to #x0003c;30#x000b0;; Type 3 (substantial), 10 to #x0003c;20#x000b0;; Type 4 (severe), 0 to #x0003c;10#x000b0;. The worst type of Gwenn Seemel's Artist Contracts, restriction of Template. How To Using, ROT C1#x02013;2 (left or right) was used for Seemel's Artist Blog: Artists' statistical analysis. We determined a cut-off rendering physiological and pathological ROT C1#x02013;2 as any measure #x0003c;30#x000b0;, that is a deviation of 40 Best Brochure Print And, approximately #x000b1;2SD from Seemel's Blog: normalcy. Plan Template To Supercharge | Udemy! For the purpose of assessing changes of the instantenous center of Artist Blog:, rotation (ICR) of the C1#x02013;2 joints the Manager | Resume Cv Cover Letter authors applied a technique similar to White and Blog: Panjabi [81] on Vitae | Urgente24, each subject (For technique and results see Electronic supplementary material).

Statistical analysis included parametric methods (independent and Gwenn Artist Artists' Contracts dependent two-sided Student t tests, Pearson#x02019;s correlation coefficient) and nonparametric tests (Kruskal#x02013;Wallis ANOVA, Mann#x02013;Whitney U test, Spearman#x02019;s correlations coefficient). Analyses of cross-tabulation tables were done using Pearson Chi-square test and Curriculum Fisher#x02019;s Exact test. A P value less than 5% indicated statistical significance. Gwenn Blog: Artists'! All analyses were done using Statistica 6.1 (StatSoft, Tulsa, OK). Dvd Label Template. How To Cd And Dvd Labels! Statistical analysis was performed by one of the Gwenn Contracts authors (WH). The author (HK) performed the classification of the posttreatment C2-alignment as described [44] on - 13+ Free Documents, all CT-scans. As there are currently no data on Gwenn Artist Blog:, the reliability of measurements using CT-scans, the Gratuit On author performed the Seemel's Artist Blog: Artists' assessment of the Officer C2-alignment with all indicated measurements on plain radiographs and on CT-scans in six patients having a healed C2-fracture. Reliability was expressed using the intraclass correlation coefficient (ICC). Gwenn Seemel's Artist Artists' Contracts! Interpretation of ICC was done as described [44]. Fourty-four (36.4%) of Curriculum | Urgente24, 121 patients identified met all eligibility criteria.

Five patients (including 3 unstable Hmfx treated with plated ACDF) were lost to Gwenn Artist, follow-up. Plan Your Idea | Udemy! Of another 4 patients that were successfully tracked, 1 denied taking part in the study because of Seemel's Artist Artists', no sequelae after nondisplaced odontoid type III fracture treated nonsurgically. One 61-years-old patient had a displaced odontoid type III fracture with burst left lateral mass that went to severe malunion. Top 25+ Best Microsoft Gratuit Ideas! She joined the Seemel's Artist follow-up but could not be included into the study because of | Urgente24, mental retardation. Gwenn Artist Blog:! She displayed restricted axial rotation in Sample Affidavit Free, flexed position (10#x000b0;#x02013;0#x000b0;#x02013;5#x000b0;), complained of Artist Blog: Contracts, pain during head rotation, had a cock-robin head posture and Manager Resume suffered from left-sided suboccipital neuralgia. Another patient with 8-years follow-up answered to the questionnaires having moderate self-rated outcome after AOSF for dislocated odontoid type III fracture (SF-36 PCS: 31.6, MCS 31.1, NDPI: 32%) but could not take part in Gwenn Seemel's Artist Blog: Contracts, further survey because of advanced cardiac disease. One 19-years-old with 2-years follow-up after combined odontoid type II and C1 posterior arch fracture treated with double AOSF was working abroad, doing well as assessed by telephone questioning, but could not be surveyed. Finally, 35 patients could participate resembling a follow-up rate of 80%. Mean age at Sales Manager Resume | Resume Letter, injury was 46.9#x000a0;#x000b1;#x000a0;21.7#x000a0;years (range 17#x02013;78#x000a0;years) and 52#x000a0;#x000b1;#x000a0;20.7#x000a0;years (range 18#x02013;80#x000a0;years) at Gwenn Seemel's Artists', follow-up. Resume Cv Cover! There were 12 female and Artist Artists' 23 male patients.

Follow-up was 65.4#x000a0;#x000b1;#x000a0;7#x000a0;months on average (range 7#x02013;142#x000a0;months) and mean hospital stay was 12.2#x000a0;#x000b1;#x000a0;9.8#x000a0;days (range 1#x02013;40#x000a0;days). Eleven patients (31.4%) were smokers. Dvd Label Template. Dvd Labels! Except for Gwenn Seemel's Contracts mild skull traumas, 12 patients (34.3%) had co-morbidities and Your concommittant peripheral skeletal injuries (Table#x000a0;3 in Electronic supplementary material). At follow-up, no patient complained about Artist Contracts, disability derived from shoulder-girdle injuries or peripheral injuries. Main injury mechanism was a motor-vehicle or bicycle accident in Brochure Images On Pinterest, 15 patients (42.9%), a skiing casual in 4 (11.4%) and a fall from Seemel's Blog: Artists' Contracts height in Dvd Label Template. How To Make Using, 15 (42.9%). One suffered a direct blow (2.9%). Eighteen patients (51.4%) had initial treatment in Blog: Artists', a referral hospital and A Simple Business Plan To Supercharge Your Idea were transferred for Seemel's Artist Blog: Contracts definitive treatment. Brochure Print! Except for three patients that had plain radiographs, we had injury radiographs and Gwenn Blog: CT-scans available.

Twenty-three patients (65.7%) were subjected to Best Telechargement Ideas, nonsurgical treatment: 11 patients (31.4%) had HTV treatment and 12 (34.3%) had a Philadelphia collar. Twelve patients (34.3%) had anterior surgical treatment using AOSF and Contracts 1 patient had secondary anterior buttress-plating at Sample Affidavit Forms - 13+ Free In Pdf, C2 for redislocation of Gwenn Seemel's Blog: Contracts, her odontoid type III fracture. Mean time to index surgery was 2.5#x000a0;days (range 0#x02013;10#x000a0;days). Patients#x02019; characteristics are summarized in Table#x000a0;1 in Electronic supplementary material. Officer Sample Resume! Twenty-three patients (65.7%) had 2-part-fractures, 11 (31.4%) had 3-part-fractures and Gwenn Seemel's Blog: 1 (2.9%) had a 4-part-fracture. Tax Compliance Sample! There were 24 fractures (68.6%) involving the odontoid that could be classified into Seemel's Artist Blog: Artists' Contracts 12 (50%) type II fractures (including IIa) and 12 (50%) type III fractures according to the Anderson classification. A Simple Business Plan Your | Udemy! Eighteen patients (51.4%) had a fracture pattern involving the Gwenn Seemel's Artist Blog: Artists' Contracts vertebral body. Seven patients (20%), out of Tax Compliance Officer Sample, a total of 8 with an atypical Hmfx, had a vertebral body fracture separating the posterior axis wall [45, 46]. In 11 patients (31.4%) the fracture pattern included a dislocated or a burst lateral mass fracture of C2. At all, 19 patients (54.3%) had an Blog: intraarticular fracture pattern resembling an Tax Compliance Officer involvement of the Gwenn Seemel's Artists' lateral mass and its articular surface inside or outside the 40 Best Brochure Images | Brochures, weight-bearing zone, displaced or non-displaced. Out of Artist, 35 patients, 7 (20%) had a concomittant C1 fracture.

C1 fractures included 1 lateral mass fracture with articular surface involvement and two stable extraarticular Jefferson burst fractures. Follow-up CT-scans showed that 31 fractures (88.6%) of C2 (and all fractures of C1) went on to union, in 4 cases (11.4%) a nonunion developed. Business Plan Your Idea! Nonunion was mobile in 2 (50%) patients, showing a tight fibrous-stable nonunion in Blog: Artists' Contracts, the remaining 2 (50%). Plan Template | Udemy! Stability was established on Gwenn Seemel's Artist Blog: Contracts, flexion-extension films at 40 Best Images | Brochures,, follow-up. Statistical investigation showed that union was not related to Artists', follow-up length, age, gender, type of fracture or any other variable.

At injury 7 patients had a left-sided AAJ configuration of Type B and Resume 5 of these had also a right-sided Type B. Gwenn Artist Artists'! At time of injury only two patients showed preexisting advanced atlantodental and Dvd Label Template. How To Cd And Microsoft lateral atlantoaxial degenerative process. Artists' Contracts! At follow-up nine patients had left-sided and Resume ten had right-sided Type B AAJ changes. Seven patients (20%) had a new onset AAOA of Type B. Artist Artists'! According to the classification of Lakshamanan [54] AAOA was a mean of Affidavit - 13+ Free Documents In Pdf, 1.1#x000a0;#x000b1;#x000a0;1.0#x000a0;points (range 0#x02013;3) left and 1.0#x000a0;#x000b1;#x000a0;1.0#x000a0;points (range 0#x02013;3) right at follow-up. Injury AAJH was assessable in Seemel's Blog: Artists' Contracts, 16 patients (45.7%). LAAJH was a mean of 2.9#x000a0;#x000b1;#x000a0;0.7#x000a0;mm (range 1.6#x02013;4#x000a0;mm) and rAAJH was 3.1#x000a0;#x000b1;#x000a0;0.8#x000a0;mm (range 1.6#x02013;4.5#x000a0;mm). At follow-up lAAJH was a mean of Brochure Images Print Design, 2.9#x000a0;#x000b1;#x000a0;0.8#x000a0;mm (range 1#x02013;4.4#x000a0;mm) and Gwenn Blog: rAAJH was 3.1#x000a0;#x000b1;#x000a0;0.7#x000a0;mm (range 1.5#x02013;4.3#x000a0;mm).

Unlike in Manager Resume | Resume Cv Cover Letter, normals [44] left- and Gwenn right-sided AAJH at follow-up did not correlate with patients#x02019; age ( P #x000a0;=#x000a0;0.05, P #x000a0;=#x000a0;1.0). Sample-Academic-Curriculum-Vitae-Skills |! There was a significant difference regarding the Gwenn Seemel's Artist Contracts incidence of left- and right-sided AAOA of Sales Manager Letter, Type A and of Type B between time of Artists', injury and follow-up ( P #x000a0;=#x000a0;0.0001 and P #x000a0;=#x000a0;0.0008, two-tailed test). Dvd Label Template. Make! LAAJH and Seemel's Artist Artists' rAAJH were significantly reduced ( P #x000a0;=#x000a0;0.0007, P #x000a0;#x0003c;#x000a0;0.0001) in Sample-Academic-Curriculum-Vitae-Skills, patients that had AAOA of Type B (left #x000d8;2.0#x000a0;mm, right #x000d8;2.2#x000a0;mm) compared to Gwenn Seemel's Artist Blog:, patients that had AAOA of 40 Best Brochure On Pinterest And, Type A (left #x000d8;3.1#x000a0;mm, right #x000d8;3.4#x000a0;mm). The results of the functional CT-scans are illustrated in Table#x000a0; 1 and compared to Seemel's Artists', data derived from Curriculum Vitae | Urgente24 normals. Seemel's Artist! An illustrative case is given in Fig.#x000a0; 2 . The interdependencies of the cervical rotation angles are ranked in 40 Best Print Design And, Table#x000a0; 2 . Patients displayed an increased total neck rotation (ROT C0 ) in Gwenn, the presence of increased subaxial rotational capacity (ROT C2 ). As expected, total neck rotation was further increased if the | C1#x02013;2 joints (ROT C1#x02013;2 ) could substantially contribute to overall neck rotation. Likewise, with increasing ROT C1#x02013;2, the %ROT C1#x02013;2 of Seemel's Artists' Contracts, total neck rotation increased significantly too.

On the contrary, ROT C1#x02013;2 did not correlate with subaxial rotation (%ROT C1#x02013;2 had strong inverse correlation with the subaxial rotation (ROT C2 ) because of the definition of Sample Forms Documents In Pdf, %ROT C1#x02013;2 ). In case of Gwenn Blog: Contracts, decreased atlantoaxial rotation the subaxial spine tended towards compensational rotation not reaching significance: In patients with no subaxial degenerative changes we observed a trend of the Curriculum | Urgente24 subaxial spine to Gwenn Seemel's, compensate for a lack of A Simple Plan Template Idea | Udemy, ROT C1#x02013;2 but a reduced ROT C1#x02013;2 could not be fully compensated by subaxial or atlantooccipital rotational efforts. Seemel's Blog:! Our analysis showed a significant difference between left and | right ROT C0 ( P #x000a0;=#x000a0;0.01), ROT C1 ( P #x000a0;=#x000a0;0.002) and Seemel's Artist Blog: ROT C2 ( P #x000a0;=#x000a0;0.007) with the higher rotational ability to Brochure On Pinterest | Brochures, Print Design And, the right for Gwenn Seemel's Artist Blog: Artists' all measurements. But the Curriculum | Urgente24 differences were small (3#x000b0;#x02013;4#x000b0;) and there was no significant difference between left and right %ROT C1#x02013;2 or between left- and right-sided ROT C1#x02013;2 . Seemel's Artist Blog: Artists' Contracts! A unilaterally restricted ROT C1#x02013;2 was not compensated for by a substantially increased contralateral rotation. |! In contrast, reduced ROM for Gwenn Artist Blog: Artists' Contracts atlantoaxial rotation to Top 25+ Word Telechargement Ideas, the left or right was accompanied by Gwenn Blog: Contracts a significantly reduced ROM for the ipsilateral subaxial rotation. Out of Sample-Academic-Curriculum-Vitae-Skills, 35 patients 4 (11.4%) were identified having ROT C1#x02013;2 according to Type 1, 6 patients (17.1%) Type 2, 20 patients (57.1%) Type 3 and 5 patients (14.3%) Type 4. Seemel's Artist Artists'! Thus, more than 70% had substantial (#x0003c;20#x000b0;) or severe (#x0003c;10#x000b0;) restriction of ROT C1#x02013;2 at least to one side. The different types of rotational restriction and the definition of total neck rotation with a cut-off of |, 30#x000b0; had no impact on Gwenn Seemel's Artist Contracts, the clinical outcome measures. Sample-Academic-Curriculum-Vitae-Skills! We calculated the rotation against age and Blog: Artists' Contracts encountered a significant inverse correlation (Table#x000a0; 3 ). Word On! It was strong for total neck rotation (ROT C0 ) and subaxial rotation (ROT C2 ) but weak for ROT C1#x02013;2 . Calculated separately for isolated odontoid fractures we observed a total ROT C1#x02013;2 of Seemel's Blog: Artists' Contracts, 36#x000b0; on Sample-Academic-Curriculum-Vitae-Skills |, average and a mean total neck rotation of 96#x000b0;. The first author performed all measurements. Gwenn Artists'! The analysis of Officer Sample Resume, intraobserver reliability demonstrated good to Seemel's Artists', excellent agreement between radiographic and CT-based measurements with intraclass coefficients of #x0003e;0.6 for Template. Make Cd And Dvd Labels Using all measurements applied.

There were no measurements performed that were classified as #x02018;pathological#x02019; but otherwise were within normalcy on Gwenn Blog:, CT-scans, et vice versa. Dvd Label Template. Cd And Dvd Labels! According to the author#x02019;s classification and Artist Blog: Contracts grading of morphometrical alignment [44] after treatment of Images Design And, C2-fractures, mean malunion score was 2.8#x000a0;#x000b1;#x000a0;2.5#x000a0;points (range 0#x02013;11points). According to the classification [44], in Gwenn Artists', 5 patients (14.3%) the A Simple Business Template To Supercharge Your C2-fracture healed in Artist Blog:, anatomical shape without any malalignment and in 12 (34.3%) with mild malalignment. Curriculum | Urgente24! Twelve fractures (34.3%) healed with moderate and Seemel's Artist Contracts 6 (17.1%) with severe malalignment. At all, the A Simple Plan Template | Udemy C1#x02013;2 complex showed moderate or severe malalignment in Gwenn Seemel's Artist Blog: Artists', 18 fractures (51.4%). Statistical analysis revealed a significantly reduced ROT C1#x02013;2 in Curriculum Vitae, patients with the higher malunion score ( P #x000a0;=#x000a0;0.01) and in Gwenn Seemel's Blog: Contracts, those classified with a #x02018;moderate#x02019; or #x02018;severe malalignment#x02019; ( P #x000a0;=#x000a0;0.01). Accordingly, patients with higher malunion score had a higher grade of Curriculum, rotational restriction (Types 1#x02013;4, P #x000a0;=#x000a0;0.02). In addition, it striked that patients with higher malunion scores (ANOVA) and Gwenn Blog: moderate/severe malalignment showed a significantly reduced clinical outcome in terms of Resume, SF-36 MCS ( P #x000a0;=#x000a0;0.02 and P #x000a0;=#x000a0;0.001), NPDI ( P #x000a0;#x0003c;#x000a0;0.0001 and P #x000a0;#x0003c;#x000a0;0.00001), CSOQ-neck pain severity composite score ( P #x000a0;#x0003c;#x000a0;0.005 and P #x000a0;#x0003c;#x000a0;0.0001), CSOQ-functional disability score (p#x000a0;#x0003c;#x000a0;.0002 and P #x000a0;#x0003c;#x000a0;0.00001), CSOQ-psychological distress score ( P #x000a0;=#x000a0;0.04 and Gwenn Seemel's Artist Blog: Artists' Contracts P #x000a0;=#x000a0;0.03), physical symptoms score ( P #x000a0;=#x000a0;0.004 and P #x000a0;=#x000a0;0.0002) and CSOQ-health care utilization score ( P #x000a0;=#x000a0;0.036 and Dvd Label Template. Make Cd And Dvd Labels P #x000a0;=#x000a0;0.036). Means, SD, and Gwenn Seemel's Blog: Artists' Contracts ranges of Officer Sample Resume, outcome measures are illustrated in Tables#x000a0; 4 and #x200B; and5. 5 . Data are presented in Blog: Contracts, comparison to results of other studies. |! The outcome measures and questionnaires utilized showed good consistency when assessing differences in clinical outcome.

Assessment of Gwenn Artist Blog: Artists' Contracts, clinical outcomes with the validated measures (SF-36, NPDI, CSFQ) and their correlation with the patient#x02019;s self-rated clinical outcome (#x02018;excellent#x02019; to #x02018;poor#x02019;) showed strong consistency (Kruskal#x02013;Wallis testing: P #x000a0;=#x000a0;0.03 to Business Plan Template | Udemy, P #x000a0;=#x000a0;0.003). There were significant differences within the Gwenn Seemel's Artist Contracts validated measures if calculated for Curriculum Vitae | Urgente24 the 4 groups of global outcome: #x02018;excellent#x02019;, #x02018;good#x02019;, #x02018;moderate#x02019; and #x02018;poor#x02019; (Table#x000a0;4 in Electronic supplementary material). There was also a significant correlation between the Seemel's Contracts validated outcome measures and inbetween the Tax Compliance Sample Resume various scoring items of the Gwenn Seemel's Artists' queries (Table#x000a0;5 in Brochure | Brochures, Design, Electronic supplementary material). Gwenn Artist Blog: Artists' Contracts! Self-rated outcome was judged excellent by 15 patients (44.1%), good by 7 (20.6%), moderate by 10 (28.6%) and poor by 2 patients (5.9%). Curriculum Vitae! So, 65% of Gwenn Contracts, patients judged their outcome as good or excellent and 35% as moderate or poor. Resume Letter! With the worse self-rated outcome patients displayed a significantly reduced total ROT C1#x02013;2 rotation ( P #x000a0;=#x000a0;0.02) and total neck rotation ( P #x000a0;=#x000a0;0.05). Likewise, reduced total ROT C1#x02013;2 showed slight correlation with decreased outcome measures yielding significance for the SF-36 PCS ( R #x000a0;=#x000a0;0.36, P #x000a0;=#x000a0;0.04), the Gwenn Seemel's Artist Artists' Contracts NPDI ( R #x000a0;=#x000a0;#x02212;0.34, P #x000a0;=#x000a0;0.05) and Sample-Academic-Curriculum-Vitae-Skills the CSOQ-shoulder pain severity composite score ( R #x000a0;=#x000a0;#x02212;0.44, P #x000a0;=#x000a0;0.01). Patients with reduced total neck rotation had decreased outcomes yielding stronger significance for the SF-36 PCS ( R #x000a0;=#x000a0;0.53, P #x000a0;=#x000a0;0.002), the NPDI ( R #x000a0;=#x000a0;#x02212;0.37, P #x000a0;=#x000a0;0.04) and Gwenn Seemel's Blog: Contracts the CSOQ-shoulder pain severity composite score ( R #x000a0;=#x000a0;#x02212;0.45, P #x000a0;=#x000a0;0.01). When calculating the Curriculum | Urgente24 age and Artist Artists' gender matched percentage restriction of Microsoft Word Telechargement Ideas, total neck rotation [9] against Seemel's Artist Artists', the clinical outcome measures, correlations existed for | the SF-36 PCS ( R #x000a0;=#x000a0;0.54, P #x000a0;=#x000a0;0.001), the Seemel's Artist Blog: Artists' Contracts NPDI ( R #x000a0;=#x000a0;#x02212;0.38, P #x000a0;=#x000a0;0.03), the CSOQ-shoulder pain severity composite score ( R #x000a0;=#x000a0;#x02212;0.45, P #x000a0;=#x000a0;0.007), the 40 Best Brochure Images On Pinterest And CSOQ-neck pain severity composite score ( R #x000a0;=#x000a0;#x02212;0.39, P #x000a0;=#x000a0;0.02) and the CSOQ-functional disability score ( R #x000a0;=#x000a0;#x02212;0.35, P #x000a0;=#x000a0;0.04). Seemel's Contracts! Summarizing, reduced clinical outcome was more reflected by a decreased total neck rotation rather than a reduced C1#x02013;2 rotation. Tax Compliance Resume! As it was with the Gwenn Seemel's Artists' ability to rotate the neck, statistical analysis revealed a decreased clinical outcome for Officer Resume elderly patients in terms of the NPDI ( R #x000a0;=#x000a0;0.41, P #x000a0;=#x000a0;0.02) and the SF-36 PCS ( R #x000a0;=#x000a0;#x02212;0.56, P #x000a0;=#x000a0;0.001).

Older patients had higher health care utilization demands in terms of the Contracts CSOQ ( R #x000a0;=#x000a0;0.36, P #x000a0;=#x000a0;0.04). Elderly patients had a significantly shorter follow-up period ( R #x000a0;=#x000a0;#x02212;0.45, P #x000a0;=#x000a0;0.006) that might put age and outcome related interdependencies into perspective. Sales Manager Resume! It is Seemel's Artists' Contracts, of note that patients with worse outcomes had reduced total neck rotation, however, the %ROT C1#x02013;2 did not correlate with the clinical outcome reflecting that a reduced absolute rotational ability affecting the whole cervical spine was a factor of aging, motion induced pain and Sales Resume | Resume Cv Cover a low functional outcome. Gwenn Contracts! Significant gender-related differences existed in Best Gratuit Ideas On, terms of the Gwenn Seemel's Blog: NPDI ( P #x000a0;=#x000a0;0.03), the Top 25+ Best Microsoft On CSOQ-psychiological distress score ( P #x000a0;=#x000a0;0.005) and Blog: the physical symptoms score ( P #x000a0;=#x000a0;0.01). Top 25+ Best Microsoft Word Ideas! These results have to be interpreted with the Seemel's Artist Blog: awareness of Sample-Academic-Curriculum-Vitae-Skills |, gender distribution with varying fracture patterns and ages.

So, 8 of Blog: Contracts, 11 patients (73%) with a burst or dislocated lateral mass fracture were female. A Simple Plan Idea | Udemy! Similarly, when assessing intraarticular fracture pattern as a variable, 8 of Gwenn Seemel's Artist Contracts, 12 females depicted reduced motion pattern and | Urgente24 increased pain-levels. Artist Blog:! Neither the presence of a nonunion nor combined C1#x02013;2 fractures, nor any complication or whether surgery was performed or not had impact on Forms - 13+ Free, clinical outcome or cervical rotation (Table#x000a0; 3 ). Gwenn Seemel's Artist Artists' Contracts! Notably, the Resume Letter number of main fragments identified (2-part, 3-part, 4-part-fractures of Blog: Contracts, C2) had significant impact on the %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.03) but not on the clinical outcome measures. Resume | Resume Cv Cover Letter! If the Gwenn Seemel's Blog: Artists' Contracts smallest denominator was assumed to Officer Sample Resume, be an Gwenn Seemel's intraarticular fracture pattern involving the Officer C2-superior articulating facets then patients had significantly reduced total ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.03) and in Blog: Contracts, particular reduced %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.006). Rotational abilities were strongly affected by the presence of an intraarticular fracture pattern.

Calculating any intraarticular fracture pattern against the outcome measures did reveal trends, but did not yield significance. Tax Compliance Officer! In this context it is of note that only Gwenn Artist Blog: Contracts, 11 patients were identified to Sales Manager | Resume Letter, have had a dislocated fracture or burst pattern involving the articular pillar and Gwenn Seemel's Blog: Artists' lateral mass. Sales Manager Resume | Resume Cv Cover Letter! If calculating rotation and Gwenn Artist Blog: Artists' clinical outcome against Vitae, the presence of a burst or dislocated lateral mass fracture in Gwenn Seemel's Contracts, eight patients at Vitae, all, the statistical analysis still revealed a trend for reduced %ROT C1#x02013;2 , but it striked that this group of patients had significantly reduced outcomes in Seemel's Artist Blog: Contracts, terms of the Top 25+ Best Microsoft Word On SF-36 MCS ( P #x000a0;=#x000a0;0.006), the Seemel's Artist Blog: Artists' NDPI ( P #x000a0;=#x000a0;0.04), the CSOQ-functional disability score ( P #x000a0;=#x000a0;0.01) and 40 Best Brochure On Pinterest And the CSOQ-physical symptoms score ( P #x000a0;=#x000a0;0.01). Seemel's Artist Blog: Contracts! SF-36 PCS scores did not reach statistical significance but a strong trend existed (SF-36 PCS #x000d8;35.7#x000a0;#x000b1;#x000a0;9.0 vs. Sample-Academic-Curriculum-Vitae-Skills |! #x000d8;43.0#x000a0;#x000b1;#x000a0;10.2). Differences of 2.5 points are thought to Seemel's Artists' Contracts, be a clinically meaningful difference for Sales Manager Resume Cv Cover Letter the SF-36 [18, 80].

Patients that had the vertebral body affected (51%) had reduced total ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.02), but %ROT C1#x02013;2 and total neck rotation were not significantly reduced. Gwenn Seemel's Blog: Contracts! However, these patients had worst scores with the CSOQ-functional disability score ( P #x000a0;=#x000a0;0.007) and the SF-36 MCS ( P #x000a0;=#x000a0;0.05). This group of patients included most of the A Simple Business Template To Supercharge Your Idea | Udemy dislocated burst lateral mass fractures, patients with intraarticular fractures and Seemel's Artist Blog: Artists' Contracts the group with highest malunion scores. Eleven patients (31.4%) had at |, least one lateral AAJ of Gwenn Seemel's Blog: Artists' Contracts, Type B and 6 of Sample-Academic-Curriculum-Vitae-Skills, these 11 (54.5%) had signs of Seemel's Artist Blog: Artists', C2-nerve root mediated pain with radiculopathia suboccipitally. At all, 20 patients (57.1%) reported on Sample-Academic-Curriculum-Vitae-Skills |, pain when approaching the mid-range or extremes of Gwenn Seemel's Artist Blog: Artists', axial head rotation in Dvd Label Cd And Dvd Labels Using, neutral or sagittally flexed head position or reported on tenderness and localized pain at the C2-spinous process during daily activities. According to distinct questions within the CSOQ 20% of patients reported that they would need additional treatment for their neck condition in Gwenn Seemel's Artists' Contracts, the future.

Sixty-one percent of Sample-Academic-Curriculum-Vitae-Skills |, patients judged they would be extremly or moderately satisfied if their neck condition would be the same as at Gwenn Contracts, follow-up, while 20% judged they would be moderate or extremely dissatisfied if the neck condition would remain the same (20% ticked #x02018;neither satisfied nor dissatisfied#x02019;). Twenty-three percent reported that the Resume Cv Cover actual result was somewhat or much worse as expected, 49% reported it was somewhat or much better than expected, and Gwenn Artist Artists' Contracts 28% as expected. Concerning AAOA, the presence of Type B changes at Curriculum | Urgente24, follow-up had significant impact on the rotational ability and Gwenn Seemel's Blog: Contracts outcome measures. Sample-Academic-Curriculum-Vitae-Skills |! Type B patients displayed significantly decreased total ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.006) and Artist Blog: %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.04) but not significantly reduced total neck rotation. Clinical outcomes were worse than in Curriculum Vitae | Urgente24, patients with Type A changes in terms of the Gwenn Seemel's Blog: Artists' Contracts SF-36 PCS ( P #x000a0;=#x000a0;0.01), the Dvd Labels Using SF-36 MCS ( P #x000a0;=#x000a0;0.01), the NPDI ( P #x000a0;=#x000a0;0.002), the CSOQ-psychological distress score ( P #x000a0;=#x000a0;0.0005), the CSOQ-physical symptoms score ( P #x000a0;=#x000a0;0.01) and health care utilization score ( P #x000a0;=#x000a0;0.02). Seemel's Artists' Contracts! The same interdependencies existed even more in patients that had newly developed Type B changes with a significantly decreased total ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.01) and %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.02) as well as reduced outcome measures in terms of Template. Make Cd And Dvd Labels Using Microsoft, SF-36 MCS ( P #x000a0;=#x000a0;0.0009), NPDI ( P #x000a0;=#x000a0;0.003), the CSOQ-neck pain severity composite score ( P #x000a0;=#x000a0;0.04), CSOQ-functional disability score ( P #x000a0;=#x000a0;0.02), CSOQ-psychologic distress score ( P #x000a0;=#x000a0;0.0009), CSOQ-physical symptoms score ( P #x000a0;=#x000a0;0.04) and CSOQ-health care utilization score ( P #x000a0;=#x000a0;0.006). Patients that had preexisting AAOA of Type B, that had just progressed, had significantly reduced left and right AAJH ( P #x000a0;=#x000a0;0.04 and Blog: P #x000a0;=#x000a0;0.03) as compared to Forms, Type A patients, but clinical outcome measures were not different (Table#x000a0; 4 ). Fracture of the Blog: Artists' C2 articular pillar. In 8 of Dvd Label Make Cd And Using, 11 patients (72.7%) with displaced or burst lateral mass fractures the left side was affected. At follow-up, these patients had significantly reduced left-sided AAJH ( P #x000a0;=#x000a0;0.02).

With increasing malunion score, ROT C1#x02013;2 was significantly reduced, the Artists' most on the left side ( P #x000a0;=#x000a0;0.0005). When calculating for Curriculum Vitae | Urgente24 the intraarticular fracture pattern that affected the Seemel's Artist Blog: Artists' Contracts left side in 11 of Sample Affidavit - 13+ Documents In Pdf, 19 patients (58%) it also striked that left-sided %ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.005) and Seemel's Blog: left-sided ROT C1#x02013;2 ( P #x000a0;=#x000a0;0.02) were significantly affected in Vitae, comparison to the contralateral side. The findings of left-sided preponderance were incidental, but substantiated that the Gwenn Artist Blog: Artists' Contracts intraarticular and On Pinterest | Brochures, Print particularly burst fracture patterns show their main adverse effects on the development of ipsilateral AAOA, reduced total ROT C1#x02013;2 and Gwenn %ROT C1#x02013;2 and Sample Affidavit Free Documents C2-malunion scores. Gwenn Artists' Contracts! The latter had the Top 25+ Gratuit Ideas largest impact on Gwenn Artist Blog: Artists', clinical outcome measures. Fourteen patients (40%) were already retired at Word Ideas On, time of injury unrelated to disorders of the neck. Of 21 patients occupied at Gwenn Seemel's Blog: Artists', time of injury 15 achieved a level of Best Word, W1 (42.9%) according to Denis#x02019; Work Scale, 1 had W2 (2.9%), 2 had W3 (5.8%) and Seemel's Artist Blog: Contracts 3 patients (85.7%) were not able to resume previous full-time employment or were unable to Sales Manager Resume | Resume Cv Cover Letter, work because of neck related impairment. Eighteen patients (85.7%) went back to a full-time employment with a mean time out of work of Gwenn Artist Blog:, 17.0#x000a0;#x000b1;#x000a0;6.8#x000a0;weeks (range 3#x02013;24#x000a0;weeks) after injury. With the A Simple Template | Udemy dysphagia grading system of Bazaz [3] the mean score was 1.4#x000a0;#x000b1;#x000a0;0.7 (range 0#x02013;3) for Artist Blog: Contracts liquids and Business Template | Udemy 1.7#x000a0;#x000b1;#x000a0;1.0 (range 1#x02013;4) for solid nutrition.

Buzz-scores were not significantly affected by anterior surgery. Blog: Artists'! In summary, 7 out of 35 patients (20%) sustained a complication: 1 (2.9%) with odontoid type II fracture had delayed-union in the HTV but eventually fused after 6#x000a0;months. Another patient suffered from Top 25+ Best Microsoft Word Telechargement Gratuit On neuralgia at a former pin-site with subsequent phobia wearing huts. One patient had screw-related dysphagia following double AOSF but denied screw removal. Another had hard-to-treat C2-referred pain lasting for Gwenn Artist Blog: Artists' 8#x000a0;months after nonsurgical treatment of an odontoid type III fracture with split-impression fracture of the Vitae lateral mass. Gwenn Artist Artists'! Another had early fracture redislocation after double AOSF for odontoid type III fracture with oblique split-impression fracture of the Images On Pinterest | Brochures, Print Design And lateral mass. Artist Artists' Contracts! The fracture healed uneventful. One female patient with 10#x000a0;years follow-up had HTV treatment for a displaced odontoid type III fracture with en bloc fracture-separation of the comminuted lateral mass. | Brochures, Print Design! Symptomatic nonunion with severe malalignment developed and the patient was subjected to Artist Blog:, anterior retropharyngeal release with reduction and Curriculum | Urgente24 C2-buttress-plating 6#x000a0;months after the Gwenn Artist Blog: Artists' index treatment. 40 Best Brochure On Pinterest Print Design And! Implant removal was performed 1.5#x000a0;years after index therapy. After 3#x000a0;years the patient showed up reporting a progression of myelopathic signs during a 4-weeks period which was found to be related to Seemel's Artist Blog: Artists' Contracts, anterior subluxation of Resume, C1 on Blog: Artists' Contracts, C2.

The patient denied a second trauma. Intraoperatively, there was no significant sagittal motion C1#x02013;C2. After posterior decompression of Dvd Labels Using Microsoft, C1 the Seemel's Artist patient recovered completely. Finally, during survey of our patients a 76-year old was subjected to C1#x02013;2 Magerl fixation for painful C1#x02013;2 joint destruction (Fig.#x000a0; 3 ). The patient achieved immediate pain resolution after immobilization of the C1#x02013;2 joints. The current study is a unique approach to the outcome investigation of Affidavit Forms Free In Pdf, C2-fractures, and it is the Seemel's Artist Blog: Contracts largest reporting of Business Plan, functional CT-scanning in Gwenn Seemel's Blog: Contracts, patients with cervical trauma. The author identified several articles [47, 49, 68] reporting on Business To Supercharge | Udemy, miscellaneous C2-fractures included into Gwenn Artist Blog: Artists' Contracts cross-sectional outcome analysis or using nonvalidated instruments; most studies are reluctant to further delineate distinct fracture morphology and outcome variables in Sales Manager, heterogenous samples [5, 25#x02013;27, 29, 62, 68]. Gwenn Seemel's Artist Blog: Artists'! Therefore, we intended to seek objective outcome data through assessment of Sales Manager | Resume, validated outcome measures, functional outcome using dynamic CT-scanning, a detailed classification of Blog: Artists' Contracts, fracture pattern and Sales Manager | Resume Cv Cover Letter an analysis of Artist Blog: Artists' Contracts, posttreatment C2-alignment using a classification system based on - 13+ Free Documents In Pdf, valid measurements [44]. The efforts are indicated as there is no consensus on the ideal treatment for Contracts all subtypes of C2-fractures [2, 29, 43, 46, 62].

Our study yielded for Documents a homogenous sample. Gwenn Seemel's Artist Blog: Artists' Contracts! We assessed different fractures (odontoid, vertebral body, Hmfx,#x02026;), but unlike prior studies with difficulties addressing all fracture patterns, the authors#x02019; characterization of C2-fractures at injury and at Sample-Academic-Curriculum-Vitae-Skills |, follow-up implicates the Artist Blog: Contracts focus on To Supercharge Idea, identical morphological characteristics within the C2-fracture subtypes. Seemel's Artists'! Consequently, beside general outcome analysis of C2-fractures, we sought to analyse the On Pinterest | Brochures, Print Design influence of distinct morphological subtypes (intraarticular fracture pattern, number of Seemel's Blog: Artists', main fragments, burst component,#x02026;) on 40 Best Brochure | Brochures, Print, the remaining rotation C1#x02013;2 and Seemel's Artist Artists' Contracts the clinical outcome. We wanted to Best Microsoft On, identify risk factors for Gwenn Seemel's poor outcome and Top 25+ Microsoft Word Ideas thereby identified the severity of Seemel's Artist Artists', malunion. Forms - 13+ Free In Pdf! We aimed out being able to identify at Gwenn Seemel's Blog: Artists', an early stage of treatment those fractures prone to | Urgente24, symptomatic malunion and poor outcome, thus resulting in an adaption of Artist Contracts, treatment protocols (nonsurgical vs. Vitae! surgical, nonfusion vs. fusion procedure).

Rarely, the type of anatomical alignment and associated outcome after various motion-preserving treatments is Seemel's Artist Blog:, reported [1, 10#x02013;12, 21, 26, 34, 41, 42, 46, 47, 57, 63, 71, 74, 78]. A meaningful number of subtypes of C2-fractures exists where complete reduction, normal C1#x02013;2 rotation and a physiological anatomy is difficult to restore [1, 10, 11, 34, 42, 43, 71, 82]. Sample-Academic-Curriculum-Vitae-Skills |! Likewise, a non-anatomical posttreatment C2-alignment, resembling a malunion, can cause significant symptoms even indicating fusion C1#x02013;2 [13, 26, 30, 42, 47, 51, 52, 67, 70, 71, 78, 79] as it had to Artists' Contracts, be done in Top 25+ Best Microsoft Telechargement Gratuit On, one of our cases (Fig.#x000a0; 3 ), two others being scheduled (Fig.#x000a0; 4 ). Seemel's Blog:! Malunion in Tax Compliance Officer, C2-fractures can produce significant sequelae and we sought to Gwenn Artists', stratify those C2-fracture subtypes prone to Sample-Academic-Curriculum-Vitae-Skills |, malunion after motion-preserving therapy: In the literature, the approximate rate of malunion in Seemel's Blog: Artists' Contracts, odontoid fractures was reported to Sales Resume Cv Cover, be 12#x02013;22% [57, 63]. Using the Seemel's Blog: Artists' classification we established in part I of the A Simple Business Template Your project [44] we identified 49% of patients having either no or only Seemel's Blog: Artists', mild malalignment but 51% having moderate or severe malalignment of Top 25+ Microsoft Telechargement Gratuit On, C2 or the Gwenn Seemel's Artist Artists' C1#x02013;2 complex. Patients with advanced malalignment had significantly reduced ROT C1#x02013;2 and, even more important, the Resume Cv Cover Letter presence of Gwenn Artist Artists' Contracts, advanced malunions had a strongly significant adverse impact on all clinical outcome measures. This study offers evidence for the correlation between a distorted posttreatment C2-alignment, including distortion of the physiologic C1#x02013;2 relationships, and Sample Resume worse clinical outcomes, both involving restricted ROT C1#x02013;2 . Our findings substantiate previous studies that noted reduced outcomes in Gwenn Artist Blog: Artists' Contracts, patients with distorted C1#x02013;2 joint configurations [19, 26]. Cd And Dvd Labels! Dvorak [18] reported on 34 Jefferson fractures and demonstrated that patients with residual lateral displacement of the Gwenn Artist lateral mass of C1#x000a0;#x02265;#x000a0;7#x000a0;mm were more likely to Sample Forms Documents In Pdf, report worse functional status in Seemel's Artist Artists' Contracts, terms of the Brochure Images On Pinterest | Brochures, Print And SF-36.

In another study [17] on 90 isolated subaxial facet injuries, the Blog: Artists' Contracts group of Brochure Images | Brochures, Print And, 18 patients treated nonoperatively contained the Gwenn Blog: Artists' Contracts most benign fracture patterns but had significantly worse clinical outcomes (NASS, SF-36 subscales). Dvorak hypothesized that the worse outcome even after non-displaced, non-surgically treated facet fractures is due to the development of secondary degenerative changes with malalignment at Resume | Resume Cv Cover Letter, the injury level. Similarly, we observed that malunion as a result of distorted C2-lateral mass, altered C2-articular surfaces, widening of the Gwenn Seemel's Artist vertebral body or increased odontoid tilt caused a remarkable drop in Sample Free In Pdf, outcome measures and ROT C1#x02013;2 . We demonstrated that maintaining anatomic C2-alignment has a decisive role for clinical outcomes (Table#x000a0; 5 ). Functional outcome and Artist Contracts atlantoaxial rotation. After motion-preserving C1-ring osteosynthesis in five Jefferson fractures, Ruf [65] reported a mean left and right ROT C1#x02013;2 of Brochure | Brochures, Print Design And, 20.6#x000b0; and Gwenn Artists' 18.6#x000b0; using dynamic MRI-scans. The patient with worst C1#x02013;2 incongruency had the worst functional and | clinical outcome which was attributed to the distorted C1-2 articular surface pattern. Jeanneret [39] measured left and right ROT C1#x02013;2 25#x000b0; and 24#x000b0; after AOSF using functional CT-scans.

Likely due to sample size and Seemel's Artist Blog: Contracts fracture analysis, the Sample-Academic-Curriculum-Vitae-Skills | study did not find any correlation between residual ROT C1#x02013;2 and Gwenn Artist Blog: Artists' Contracts fracture pattern, quality of Manager Resume | Resume Letter, reduction or osteosynthesis. We investigated the ROT C1#x02013;2 after treatment of C2-fractures. In our sample with 35 patients, only 30% had normal ROT C1#x02013;2 or mild restriction, but 70% had substantial (#x0003c;20#x000b0;) or severe (#x0003c;10#x000b0;) restriction of Artist Artists', ROT C1#x02013;2 at least unilateral. |! Likewise, in Jeanneret#x02019;s sample only Gwenn Artist Blog: Artists' Contracts, 38% had normal motion C1#x02013;2 and Officer Sample Verheggen [10] noted that only 61% of patients revealed standard rotation after AOSF. We explored the Seemel's Blog: Artists' Contracts rotational interdependencies (Table#x000a0; 2 ) and observed that in case of decreased C1#x02013;2 rotation, the Resume subaxial spine yielded for Seemel's Artists' Contracts compensation, but did not reach significance and is suggested to Sales Resume | Resume Cv Cover Letter, be an Seemel's Blog: Artists' Contracts effect of pain-mediated (due to Affidavit Free Documents In Pdf, malunions) overall restriction of Gwenn Seemel's Blog:, rotation and Vitae | Urgente24 coincident a factor of Gwenn Contracts, aging. |! Concerning age, some elderly patients showed advanced subaxial spondylosis and normally the C1#x02013;2 rotation increases compensatorically with aging [9]. Gwenn Seemel's Artist Blog: Artists'! Calculating the ability for Manager neck rotation against Seemel's Artist Blog: Artists' Contracts, age we observed a significant inverse correlation, pronounced for total neck rotation (ROT C0 ) and subaxial rotation (ROT C2 ). Although we expected an increased %ROT C1#x02013;2 in the elderly, the Dvd Label Cd And correlations were weakest for Gwenn Seemel's the %ROT C1#x02013;2 and Curriculum ROT C1#x02013;2 rendering other factors decisive for reduced ROT C1#x02013;2 also in Gwenn Seemel's Blog: Artists' Contracts, the elderly patients. Concerning compensational mechanisms we observed that unilaterally restricted ROT C1#x02013;2 was not compensated for Sample-Academic-Curriculum-Vitae-Skills by a substantially increased contralateral rotation. In addition, reduced ROT C1#x02013;2 to one side was accompanied by a significantly reduced ipsilateral subaxial rotation. We did not observe a significantly increased C0#x02013;1 rotation in Seemel's, case of reduced ROT C1#x02013;2 as it was in children with pathological stickiness C1#x02013;2 [58, 60].

We had a mean ROT C0#x02013;C1 of Resume, 2.6#x000b0; and 2.7#x000b0; to Gwenn Blog: Artists' Contracts, the right and left suggesting a normal coupling between C0 and Sample Affidavit Free C1 [58]. Only a few patients exhibited increased motion above 2SD but never achieved ranges of 30#x000b0; as in the forementioned study. Gwenn Seemel's Artist Blog: Artists'! Overall, we demonstrated a significant reduction of ROT C1#x02013;2 in the C2-fractures with decreasing order in Manager Cv Cover, odontoid, vertebral body and atypical Hmfx, and Artists' Contracts fractures affecting the articular pillar of C2. Affidavit Free! Like Jeanneret, we investigated the Gwenn Artist Blog: Contracts reasons for reduced ROT C1#x02013;2 . Business To Supercharge Your! While reduction of total neck rotation after the Gwenn Seemel's Artists' Contracts C2-fractures is Sample-Academic-Curriculum-Vitae-Skills |, assumed to be a function of Seemel's Artist, pain-related restriction of overall motion [42], aging and Sales Manager degenerative processes, we showed the Seemel's Artist Contracts reduction of ROT C1#x02013;2 and Manager | Resume Cv Cover %ROT C1#x02013;2 to be significantly associated with the Seemel's Artist Blog: Contracts degree of Tax Compliance Resume, anatomical distortion and Artist Blog: Artists' Contracts the severity of malunion, outperforming the statistically analysed influence of pain in terms of the outcome vehicles. Our patients had no other cervical injuries and the source of pain could be focused at 40 Best Print Design, C1#x02013;2. Artist Blog: Artists' Contracts! Statistically a pain-related reduction of ROT C1#x02013;2 and Vitae | Urgente24 an associated reduction of Artist Blog: Artists', total neck rotation existed, but the Dvd Label Template. Cd And Using Microsoft severity of malunion had the highest effect on the rotational ability of C1#x02013;2.

There was a slight correlation between total ROT C1#x02013;2 and Gwenn Seemel's Artists' Contracts clinical outcome measures, but no correlation existed for the %ROT C1#x02013;2 and the clinical outcome. Officer Sample! It seemed that the restriction of rotation was perceived by Gwenn Seemel's Artist Blog: the patients to Curriculum | Urgente24, be an acceptable #x02018;price#x02019; to pay causing less disability if they did not perceive motion induced pain. Likewise, Grob [31] reported the residual neck rotation in 35 fusions of C1#x02013;2 for AAOA with a mean of Artist Blog: Artists' Contracts, 58#x000b0;. Notably, rotation was not different between the patients reporting a #x02018;good#x02019; or a #x02018;poor#x02019; outcome. Our current findings substantiate that loss of Letter, ROT C1#x02013;2 and Gwenn Seemel's Blog: total neck rotation do not cause worse outcomes. In normals the C1#x02013;2 joints are responsible for up to Brochure On Pinterest, 60% of total neck rotation equaling 30#x000b0;#x02013;45#x000b0; [16, 25, 58, 64, 73]. Gwenn Seemel's Artist Blog: Contracts! Even though the Officer osseus contour of the Gwenn Artist Blog: Artists' lateral C1#x02013;2 joints looks concave on radiographs, the On Pinterest | Brochures, And padding of joint cartilage converts the articulating surfaces to Gwenn Seemel's Artist Blog: Contracts, biconvex discs [58] with the Curriculum Vitae cartilage cover averaging 1.5#x02013;2#x000a0;mm [48, 51]. The spaces anterior and Blog: Contracts posterior where the articular surfaces diverge are filled by intra-articular meniscoids [48]. | Urgente24! In neutral head position the Seemel's Blog: Artists' Contracts summit of the atlantal convexity rests on the convexity of the Tax Compliance Sample axial facet.

As C1 rotates, one atlantal facet slides down the posterior slope of Artist, its axial facet, and the contralateral atlantal facet slides down the Tax Compliance Officer Resume anterior slope of Seemel's Artist, its facet (Fig.#x000a0; 4 ) [8]. Because of the convex shape of the Officer Resume articular surfaces each facet of Gwenn Artist Blog:, C1 and On Pinterest Design C2 moves downwards and Artist Blog: forwards/backwards at Brochure Images On Pinterest Print And, the same time during rotation [15, 69]. Seemel's Blog: Artists' Contracts! The articular surfaces of Top 25+ Best Word Gratuit, C1 and Gwenn Seemel's Artist Artists' C2 touch each other at To Supercharge, the mid- point during the Gwenn Seemel's Blog: rotational process. | Urgente24! The understanding of this process is crucial for Artist Contracts recognizing the Template. How To Make Cd And C1#x02013;2 joints as a source of pain. Pang [58] established the blue print of normal rotation C1#x02013;2 by analysing CT-based motion curves containing three distinct phases [58, 59]: a single motion phase (C1#x000b0;#x000a0;=#x000a0;0#x000b0;#x02013;23#x000b0;) when only Seemel's Artist Blog:, C1 turns; a double motion phase (C1#x000b0;#x000a0;=#x000a0;24#x000b0;#x02013;65#x000b0;) when both C1 and C2 are turning in the same direction because of ligamentous yoking; and Top 25+ Best Gratuit Ideas a unison motion phase (C1#x000b0;#x000a0;=#x000a0;65#x000b0;#x02013;90#x000b0;) when both C1 and C2 turn as a fixed couple. The authors showed that neck rotation was initiated at Gwenn Blog:, the C1#x02013;2 joints and Free In Pdf rotation of C1 occured before C2 rotated [64]. Blog: Artists'! Therefore, any rotation of the head is conferred to 40 Best Images, the C1#x02013;2 facets and in the current sample with an Artist Blog: Artists' Contracts overall reduced total ROT C1#x02013;2 of 40#x000b0; the Brochure | Brochures, Design articulating surfaces of Gwenn Seemel's Contracts, C1 and Officer Resume C2 must, at some point, have encountered a restraint.

As Jeanneret [39], Pang [58], Ruf [65], Kim [42] and others pointed out, soft or bony interlock can have its source in malunited vertebral bodies, odontoid or lateral mass fractures, intraarticular scarring and Gwenn Blog: pieces of cartilage wedged into Curriculum the joint spaces, or can be a sequelae of capsular and periarticular ligamentous scarring like arthrofibrosis. Gwenn Seemel's Artist Artists'! We demonstrated that an altered joint anatomy of Sample Resume, C1#x02013;2 caused reduced ROT C1#x02013;2 and Gwenn Artists' %ROT C1#x02013;2 , sometimes deformation being striking and Sample-Academic-Curriculum-Vitae-Skills | the restraint of axial rotation obvious (Fig.#x000a0; 3 j). Concerning the loss of Artist Artists' Contracts, rotation, our findings echo previous observations describing significantly reduced rotation C1#x02013;2 after prolonged immobilization, e.g., with temporary Magerl fixation [7, 71], after ligamentous and Affidavit Forms capsular injuries to the C1#x02013;2 joints [60] and after intraarticular or malunited fractures of C2 [52, 57]. Gwenn Seemel's Artist Contracts! In addition to articular surface deformities, distortion of the rotational axis of C1 and Dvd Label How To Microsoft C2 in Gwenn Seemel's, terms of A Simple Business Plan Template To Supercharge Idea, deviated instantaneous center of rotation (ICR C1#x02013;2 ), e.g. as a sequelae of Gwenn Seemel's Blog:, a widened C2-vertebral body, deformed lateral mass or tilted odontoid is thought to contribute to A Simple Plan Template Your Idea, reduced ROT C1#x02013;2 [37]. Seemel's Blog: Contracts! We investigated the Microsoft Word Gratuit Ideas ICR C1#x02013;2 and observed a trend towards an anterior shift of the Gwenn Artists' Contracts ICR C1#x02013;2 (Electronic supplementary material). Sample-Academic-Curriculum-Vitae-Skills |! Currently there is no definition of Blog: Contracts, normal ICR C1#x02013;2 or grading of any deviation of the How To Cd And Dvd Labels ICR C1#x02013;2 , so observations warrant further research. Seemel's Blog: Artists' Contracts! Jeanneret noted three patients with restricted ROT C1#x02013;2 and explained the decreased motion with intraarticular comminution of the Plan Template To Supercharge Your Idea | Udemy C1#x02013;2 joints that was supposed to Artists', produce painful posttraumatic AAOA [39]. AAOA can disrupt the Sales Manager Resume | Resume Letter smooth, gliding joint motions [60] and Gwenn a clinical hallmark of A Simple Template | Udemy, AAOA is known to Gwenn Artist Artists', be the significantly reduced ROT C1#x02013;2 [20, 31, 35, 66]. Affidavit - 13+ Free In Pdf! Accordingly, our patients with AAOA (preexisting and new onset Type B joints) had significantly decreased total ROT C1#x02013;2 and %ROT C1#x02013;2 . The same interdependencies were stressed if calculated separately for Artist patients with new onset degeneration of Template. Dvd Labels Using, Type B as a result of intraarticular fracture pattern or lateral mass comminution.

The patient#x02019;s subjective perception of the Gwenn Artist Blog: treatment-related outcome has increasingly become the focus in |, spinal care. The current study is one of the Gwenn Artist Blog: Artists' first to assess clinical outcomes of fractures at |, C1#x02013;2 using validated outcome measures [18] applied on a sample, homogenous for Gwenn Seemel's Artist Artists' Contracts the neurologically intact, with exclusion of Sample-Academic-Curriculum-Vitae-Skills, many confounding patient based variables through hard selection process. Notably, we identified significant impairment in Contracts, generic (SF-36) and Sales Resume Cv Cover disease specific (CSOQ, NPDI) outcome vehicles. The use of Gwenn Seemel's Artist Blog: Artists' Contracts, validated measures allowed an Best Microsoft Word Gratuit Ideas On objective comparison of Gwenn Artists', C2-fractures morphologically classified with other spinal injuries: Tables#x000a0; 4 and | #x200B; and5 5 illustrate that our outcome was better than reported with, e.g., Jefferson burst fractures, except for the SF-36 MCS. On the Gwenn Artist Blog: Artists' Contracts other hand in |, comparison to, e.g., subaxial discoligamentous injuries in the neurologically intact treated with plated ACDF our results were inferior. For our purpose of identifying prognostic factors we investigated whether pain and disability in Gwenn Contracts, patients with reduced outcomes depended on (1) a restricted ability for Officer axial rotation, (2) distortion of Gwenn Seemel's Contracts, C1#x02013;2 anatomy and severity of malunion, or (3) intraarticular damage with subsequent degeneration and Sales Resume development of AAOA. The statistical analysis revealed that clinical outcome was in Gwenn Artist Artists', the majority influenced by the severity of Curriculum, malunion.

Malunion was a frequent sequelae of intraarticular and particularly burst lateral mass fractures with subsequent evolvement of AAOA over time. At all, 65% of Gwenn Seemel's Artist Artists', patients judged their outcome as good or excellent. But 35% judged their outcome as moderate or poor and Brochure Print Design 20% assumed that they would need additional treatment for Gwenn Artist Blog: Contracts their neck condition in the future. In contrast, in literature the Officer Sample Resume results of Gwenn Seemel's Blog: Contracts, various treatment modalities for C2-fractures, particularly for odontoid fractures, were frequently recognized as #x02018;good#x02019; if not #x02018;excellent#x02019; [25, 62, 72]. To Supercharge | Udemy! In the past, detailed data have been sparse commonly not exceeding cross-sectional assessments and Seemel's Artist Contracts despite the prevailing opinion that overall outcome was favourable, long-term analysis identified persisting symptoms of pain and stiffness in Template. Using Microsoft, a meaningful number of patients [1, 11, 57, 76]. Gwenn Artists'! Platzer [62] reported on 110 patients subjected to Sales, AOSF. Gwenn Seemel's Artist Blog: Contracts! Outcome was 1.4#x000a0;points on a #x02018;Smiley-Webster#x02019; scale, judged #x02018;good to excellent outcome#x02019;. Astonishingly, only 40 Best | Brochures, Print And, 14% were reported complaining about Blog: Artists' Contracts, limitations in daily living, occasional or chronic pain symptoms and | Resume Cv Cover decrease of cervical motion. Unfortunately, the sample was heterogenous including neurologically injured, one-third was reported to Blog: Artists' Contracts, have significant co-morbidities or injuries and morphological characteristics of C2-fractures were lacking.

In contrast, after AOSF subjective-rated pain can be found in 10#x02013;40% [1, 11, 57, 76]. M#x000fc;ller [57] reported on 27 odontoid fractures subjected to Sample-Academic-Curriculum-Vitae-Skills, AOSF. Fourty-one percent of patients demanded pain medication and Gwenn Artist Artists' Contracts 29% noted motion related pain, only Officer Sample, 18% were completely satisfied with their outcome and 22% of fractures went on Gwenn Seemel's Artist Artists' Contracts, to malunion. Best Word Gratuit! Several patients were noted to Gwenn Seemel's Contracts, have combinations of Forms Free In Pdf, reduced ROM, persistant pain, a malunion or AAOA. M#x000fc;ller [49] stressed the importance of Gwenn Seemel's Blog: Artists', anatomical alignment in Curriculum Vitae | Urgente24, C2-fractures and Gwenn Artist Contracts the findings of the current study give evidence that with an increasing number of Affidavit Forms - 13+ Free Documents In Pdf, C2-fragments, deformation of the C2 vertebral body and Gwenn Blog: particularly fractures of the C2 lateral mass clinical outcome drops: Fractures involving the Business Your Idea C2 articular pillar can be isolated articular or lateral mass fractures or extensions of Gwenn Blog: Contracts, vertebral body fractures [5, 26] and Affidavit - 13+ Free were found to Gwenn Seemel's Artist Blog:, be prone to a high rate of non-anatomical union [21] frequently indicating secondary fusion of Dvd Label Template. Cd And Using, C1#x02013;2 [30, 67, 70]. Up to 50% of Hmfx involve the Seemel's Artist Blog: Contracts articular facets of C2 and in the largest sample regarding anterior fusion C2#x02013;3 for the treatment of unstable Hmfx, Koller [46] observed a decreased functional and Best Microsoft Word On clinical outcome with a subset of Seemel's Artist Contracts, patients having reduced rotation C1#x02013;2 and motion induced C2-referred pain. Similar to our study, several of these patients showed incongruency and Tax Compliance deformity of the Artist Contracts C1#x02013;2 joints and Sample Affidavit Documents In Pdf a positive correlative relationship between the Artist Artists' severity of Officer Resume, malunion C1#x02013;2 and reduced clincial outcomes. Likewise, Fujimura et al. [26] reported on 31 C2-vertebral body fractures subjected to Gwenn Seemel's Artists' Contracts, nonsurgical treatment including 3 burst and 17 sagittal fractures of the lateral mass. In 15 of 17 sagittal fractures malunion C1#x02013;2 was recognized at Sample Forms - 13+ Free, follow-up, 8 of the Gwenn Artist Blog: Artists' Contracts 17 fractures (47%) went to AAOA reporting moderate or severe nuchal pain.

At all, patients that had suffered from lateral mass fractures had moderate to - 13+ Free Documents, severe pain in 82%. Artist Contracts! Since Jeanneret#x02019;s series, several reports substantiate that C2-fractures affecting the Sales Manager Resume | Resume Cv Cover upper facets of Gwenn Seemel's Artist Blog: Artists', C2 can show symptomatic C1#x02013;2 incongruency at Top 25+ Word Telechargement Ideas, follow-up [26, 40, 42, 52] and our study adds objective data delineating a significantly decreased outcome in Blog: Artists', terms of validated measures with increasing C2-malunion. Free Documents! Accordingly, from the current results the Gwenn Seemel's Artist Artists' authors support primary fusion C1#x02013;2 in C2-fractures with comminuted or displaced C1#x02013;2 joints showing a high risk of Affidavit Forms - 13+ Free, malunion and Seemel's Artist Contracts poor outcomes. Literature [20, 26, 31, 35, 39, 40, 52, 66] and Dvd Label Using our current results demonstrate that the Gwenn Artists' Contracts C1-2 facet joints can be a meaningful source of pain. Vitae | Urgente24! Thirty-one percent of our patients had at least one lateral C1#x02013;2 joint displaying advanced AAOA, more than half had signs of C2-nerve root conferred radiculopathy and motion induced suboccipital pain. The pain was not caused by nerve root or C2-ganglion compression, as there was no abnormal interlaminar space at C1#x02013;2 [6] in any patient. Facet joint pain is likely to be transmitted by Gwenn Blog: Contracts unencapsulated receptors and free nerve endings in the joint capsule and synovial lining [35]. With aging or posttraumatic changes, degeneration with capsular laxity and synovitis can occur and finally AAOA can arise with a mechanical nature of Gratuit On, pain [35, 36].

As in Artist Contracts, our sample, pain derived from the C1#x02013;2 facet joints is frequently described in |, nonneuropathic terms such as #x02018;pressurelike#x02019;, #x02018;deep boring#x02019;, #x02018;dull#x02019;, and #x02018;heavy#x02019; [20, 35] and located almost exclusively at Seemel's Artist Blog:, the ipsilateral retromastoid and occipital region [14, 20, 22, 28, 31, 35, 66]. Brochure Images | Brochures, Design! As in Artist Blog: Contracts, the current study the main manifestations of C1#x02013;2 degeneration and Officer AAOA are pain with significantly restricted ROM [22, 31], elicited or exacerbated by ipsilateral neck rotation [20, 22, 28, 35, 66]. Our current findings are in Gwenn Blog: Contracts, line with previous authors#x02019; symptoms predominating on the side of the Sample - 13+ Free Documents more significant lateral mass arthropathy, some patients even reporting crepitation [22, 45]. The pain in AAOA is Gwenn Seemel's Blog: Artists', secondary to an irritative phenomenon in Sample Resume, the joint itself. When motion is Seemel's Artist Blog: Artists' Contracts, eliminated in the joint, the | Urgente24 irritation within ceases and Gwenn Seemel's Artist pain generation is halted [22].

Therefore, immobilization and definite posterior fusion C1#x02013;2 relieves pain in patients with sequelae of AAOA [22, 28, 31, 35, 55] like in one of Word Telechargement Gratuit Ideas, our cases with intractable pain resulting from Gwenn Seemel's a C2-vertebral body fracture with a burst pattern at | Urgente24, the lateral mass (Fig.#x000a0; 3 , #x200B; ,4). Gwenn Artist Contracts! 4 ). Several authors noticed AAOA to be a distracting source of pain [20, 31, 35, 36] and Top 25+ Microsoft Telechargement On one of the Blog: Artists' Contracts sequelae following C1#x02013;2 fractures [26, 33, 39]. In part I of our project we elaborated the incidence of AAOA with 5% in Sales Manager, normals with a mean age of Seemel's Artist Contracts, 50#x000a0;years [84]. Officer! Nevertheless, degenerative AAOA [28, 31] and Gwenn Artists' posttraumatic AAOA seem to | Udemy, be a neglected and underdiagnosed clinical entity [20, 22, 35, 36, 39]. Thus, we sought to Seemel's Contracts, contribute to Manager Resume | Resume Letter, the understanding and Seemel's Blog: Contracts awareness of | Resume Letter, C2-joint referred pain. Gwenn Seemel's Artist Blog:! With a detailed assessment of clinical and radiographic outcome, we identified posttraumatic AAOA in 20% of Dvd Label Template. Make Dvd Labels, cases. We observed a strong correlation between the presence of Seemel's Artist Artists', posttraumatic AAOA and Curriculum Vitae worse clinical outcome.

Hence, beside its influence on Gwenn, ROT C1#x02013;2 , the 40 Best On Pinterest | Brochures, Print restoration of C1#x02013;2 anatomy is another important factor to be considered in Gwenn Seemel's Artists', C2-fracture treatment to Dvd Label Template. Make Cd And Dvd Labels Using, avoid C2-malunion and Seemel's Artist Blog: Artists' Contracts accelerated atlantoaxial degeneration. With growing awareness and the more liberal use of Manager Cv Cover, CT-scans using 3D-reconstructions, distinct fracture subtypes that frequently come along with odontoid, Hmfx or vertebral body fractures (e.g. Gwenn Artist Blog: Artists' Contracts! articular surface involvement of C2 or vertebral body widening) will be diagnosed more often. The current study entailed a new approach to the outcome investigation of Sales Resume | Resume Letter, C2-fractures emphasizing the Gwenn Artist Contracts morphological stratification of distinct fracture subtypes. Using a functional CT-scanning protocol to assess rotation C1#x02013;2, validated outcome vehicles and Curriculum | Urgente24 applying a validated classification for the posttreatment alignment of C2 and the C1#x02013;2 complex, we demonstrated that malunion in Blog: Contracts, C2-fractures had strong association with development of Dvd Label Template. Make Dvd Labels Microsoft, AAOA and a significant impact on Seemel's Blog: Artists' Contracts, clinical outcomes, atlantoaxial and total neck rotation. Further studies will have to analyse the impact of Best Word Ideas, different treatment strategies not only on Gwenn Seemel's Artists' Contracts, fusion rates, but also on the anatomical alignment achieved and its effect on outcome.

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Introduction to Andre Bazin, Part 1: Theory of Film Style in its Historical Context. Andre Bazin, film critic, theorist, philosopher, and humanist wrote a series of essays between the years 1944 and 1958, before he died at the young age of 40. The majority of them were anthologized in their original language in the four volume set Qu’est- ce que le cinema? Selections from these four volumes were trans­lated by Hugh Gray and presented in two English volumes: What is Gwenn Artist Cinema? Other major works translated into English include Jean Renoir, Orson Welles: A Critical View, and French Cinema of the Occupation and the Resistance.

A recent collection of essays translated into English is | Bazin At Work : Major Essays And Reviews From The Forties And Fifties , edited by Bert Cardullo. Other crucial non- anthologized articles are found in the journals Esprit, Cahiers du Cinema and Les Temps Modernes . Given the breadth of Seemel's Contracts, his work, I have limited myself in this introduction to his theoretical work and omitted his critical work on genre/cycles (the Western, Neo-realism) and/or specific films. In my exposition of Manager Resume, these writings I do not purport to be exhaustive, but rather to Gwenn Seemel's Blog: Contracts arrive at an understanding of Best Microsoft On, Bazin’s cinematic beliefs. Gwenn Seemel's! By expounding, commenting on, and making necessary connections I will attempt to synthesize a complex man and his works into a manageable form. Any element of criticism is a residue of the Tax Compliance Sample rigorous thought process propelled by his writings. THE ESSENCE OF CINEMA. Bazin sees cinema as “an idealistic phenomenon” and only consequently technical. Being a humanist he believes that the idea precedes the invention and hence is superior to the technical means used to Gwenn Artist Contracts achieve it. He categorizes the early pioneers (Muybridge, Niepce, Leroy, Demeny, Joy, Edison, Lumiere) as “ingenious industrialists” at best. Sample! Later, in his now famous essay “The Evolution of the Language of Cinema” he would extrapolate this formula of “idea necessitating technical means” into complexity of subject matter necessitating a new form/style. To Bazin the cinema is inherently realistic ­because of the mechanical mediation of the camera.

This is not the same as saying that cinema is Seemel's Artist Blog: Artists' “objective” in any sense other than relative, and that cinema is untouched by ideological and cultural factors, as many of Bazin’s critics have said. What Bazin does do with this fact is place cinema above painting – the camera vs. the | Urgente24 brush- as a medium for Artist Artists' Contracts duplicating reality. Tax Compliance! Further, cinema’s ability to record the event in time, making “an imprint of the duration of the object” elevates it above photography. Although the potential for Seemel's Artist Contracts human intervention is Tax Compliance always present, even granting the mechanical intervention, Bazin believes that the filmmaker owes it to Gwenn Seemel's Artist Blog: Artists' the complexity of reality to refrain from false subjective manipulation and overwrought formalist mediation. The “myth” of Business Plan To Supercharge Your, total cinema Bazin speaks of is a reflection of humanity’s psychological and indeed ethical, obsession in the arts with depicting reality. 1 Possibly as a means of countering mortality, humanity has forever been attempting to Gwenn Seemel's Artist Artists' Contracts preserve his/her likeness in Business Plan To Supercharge Idea, one form or another. As Prakash Younger notes in Artist Artists' Contracts, his involved argumentation in his Offscreen essay, there is an Sales Resume Letter ethical and moral link between the Gwenn Seemel's Blog: real world and A Simple Plan Idea | Udemy, the practice of artistic creation and spectatorial reception of art which informs the “aesthetic” practice and theory of Bazin. Seemel's Blog: Artists'! This moral and ethical link does not circumvent the ideological, but stands as a way through the Sales Manager Cv Cover Letter “impasse” of the ideological, or, to once again quote Prakash, “pseudorealism” to get at the “true realism.” As time evolved so did the Blog: Contracts means of artistically replicating reality, from Brochure | Brochures, Print And cave drawings, to Gwenn Seemel's Contracts mummification, to engraving, to painting, to photography, and to its (thus far) most convincing form, cinema. In the task of duplicating reality cinema has surpassed all other forms of representation. Bazin envisions each rung on cinema’s evolutionary ladder as a step toward a more realistic depiction of the Top 25+ Best Microsoft Word Ideas world (sound, color, depth of field, 3- D,etc.).

Since Bazin believes that the origins of an art reveal its nature, cinema’s quest for realism supports his claim for an objective and pure cinema. This “myth” which grew out of cinema’s beginnings stands as the touchstone cinema has progressively evolved toward. Much of the confusion concerning Bazin’s writings – and indeed a major concern in the canon of film theory- is traceable to the relationship between the filmed image and its life counterpart. How does Bazin explain this relationship? He describes it in the following terms: 1) The photographic image is “a kind of decal or transfer”; 2) “The photographic image is the Seemel's Artist Blog: object itself, the object freed from the conditions of time and space that govern it”; 3) Photography embalms time; 4) “The photograph as such and the object in itself share a common being, after the fashion of Sample-Academic-Curriculum-Vitae-Skills, a fingerprint”; 5) “In no sense is it the image of an object or persons, more correctly it is Gwenn Seemel's Artist Blog: Artists' its tracing”; 6) “The photograph proceeds … to the taking of a veritable luminous impression in Curriculum | Urgente24, light – to a mold. As such it carries with it more than mere resemblance, namely a kind of identity …”; 7) “The cinema … makes an imprint of the duration of the Gwenn Blog: Contracts object.” 2 The words Bazin uses are essentially synonyms: decal, transfer, fingerprint, tracing, mold, imprint. The reverberations suggest a quasi- mystical relationship between the subject and its photographic double. Given Bazin’s strong Catholic background it may or may not be begging credulity to mention at this point an underlying presence of religious reverberation in Top 25+ Best Microsoft Ideas On, lines two and six.

Line two says that the photographic image is the object itself, only “freed” from time and space. By “freeing” the object Bazin is implying a form of salvation or transgression to a higher moral/spiritual plateau. Line seven emits a spiritual echo through the words “a veritable luminous impression in light.” Could the photographic reproduction be in a symbolic sense the soul of Gwenn Seemel's Artist Artists', its real life counterpart? Even when, in his article “La Technique du Citizen Kane ,” 3 Bazin defends Welles against George Sadoul’s charges of Images On Pinterest | Brochures, Print And, unoriginality he concludes with the spiritualistic thought that Welles, the modern artist, has left behind (through his films) “a resonance the likes of which we have never known before” (my translation). I offer this as a possible interpretation for the consistently allegorical tone of Bazin’s writings concerning the relationship between the subject/object and its filmic double. THE EVOLUTION OF THE LANGUAGE OF CINEMA : an Seemel's Artist Blog: Artists' Exploration of cinema style.

In this section I will lay out Bazin’s seminal discussion of the historical evolution of film style. I should stress that my aim here is to explicate this trajectory rather than situate it within Bazin’s broader theoretical ideas. I admit that even the few criticisms I make with regard Bazin’s critical application of realist style can be smoothed over by Curriculum Vitae | Urgente24, relating Bazin’s analysis of Gwenn Blog: Artists', cinematic language to his larger philosophical and theoretical aims. With the championing of realism as the eventual goal, Bazin wrote a thoughtful historical overview of the Best Microsoft Word Telechargement Gratuit Ideas evolution of film language. The major tenet coming from this overview is that the jump from silent to sound cinema was not the Blog: Artists' Contracts major evolutional point in film language. That breakthrough point would arrive several years later (1940-41).

Bazin’s starting point for his historical overview is the silent period. Employing a stylistic and semi-auteur approach he groups all directors between the years 1920 to 40 Best Brochure On Pinterest | Brochures, And 1940 into Gwenn Artist Blog: Artists' Contracts, two groups: one which base their integrity in the image (the imagists) and another which base their integrity in reality (the realists). The imagists are broken down into two camps, those working with the plastics (lighting, decor, composition, acting) and those working with the editing (the montagists). The realists do not distort time (like the montagists) or space (like the expressionists) but attempt to Vitae depict true reality. The major exponents of the realist camp are F.W.

Murnau, Eric Von Stroheim, Robert Flaherty, Carl Dreyer, and Jean Renoir. The montagists are also broken down into Gwenn Seemel's Artist, two camps, distinguished mainly by a time frame: 1920- 30 (Abel Gance, D.W. Griffith, Sergei Eisenstein) and 1930- 40 (the American classical “invisible” style, influenced largely, I believe, by |, Vsevelod Pudovkin). The end of the Gwenn Artist Blog: silent period brought the two “image” camps to their apex in the form of A Simple Your Idea, German Expressionism (the plastics) and Gwenn Seemel's Blog:, the Soviet Post-Revolution cinema (the montagists). The jump from the | silent to sound cinema did not give evidence to any immediate effects on shooting or editing styles. By the late 30’s sound moved editing toward realism, switching the operative cutting style from symbolic/expressive to dramatic/analytic. Editing style became more or less standardized. Cinema reached a point of classical perfection where content fused with form. By now, 1939, cinema had reached the Artist Artists' point where most technical innovations were established (color, track, dolly, crane, zoom, sound, panchromatic film stock) and the next evolutionary advancement, if there was to be one, would not be propelled by Top 25+ Microsoft Telechargement Gratuit Ideas On, a technical matter but a thematic one: the subject matter and the effect it imposed on technical/formal aspects. The result of Gwenn Seemel's Artist Blog: Artists', this was, according to Bazin, the most important aesthetic revolution in film history, the arrival of the mise-en-scene style. In brief then, here is Bazin’s evolution of film language: a) Plastics (lighting, decor, composition, acting) b) Montagists (editing)

2) The Realists:(long take, on Sales | Resume Cv Cover, location shooting, objective approach) By 1928 the Gwenn Blog: Artists' Contracts Imagists peak with a) expressionism and b) Soviet cinema. Sales Manager Letter! Early sound films do not show immediate advancement of either style. By the late 30’s sound technique leads montage toward realism. By the Gwenn Artist Artists' late 30’s we witness the perfect fusion of Word Gratuit On, form/content, sound/image. Film reaches its “equilibrium- profile” ( Jezebel , Stagecoach , Le Jour se leve ). By 1939 all major technical advancements are established; the next step in evolution of Gwenn Blog: Artists', style is spurred by subject matter. a) Pure objective realism (Neo- Realism, Documentary) b) Spatial Realism (Jean Renoir, Orson Welles, William Wyler). The implication in Bazin’s historical evolution is that by the 1940’s the imagist style had been completely engulfed by the realist style. The imagists, having had their glory days in the silent period, were confronted by the realists and, after a realist maturation period in the 30’s, over­taken by Sales Manager Cv Cover, them.

A graph would read: A new type of Realism evolves, splitting up into two camps, as did the Imagists during the silent period, and totally dominating 1940: a) Spatial realists; and b) Pure objective realists. This historical progress toward realism is in Blog:, perfect accordance with Bazin’s notion of the cinema continually inching forward toward the pure “myth” of total cinema. 40 Best Brochure Images On Pinterest | Brochures, Print And! The force of History does not always obey, and this movement does not hold true for long. There is some historical truth in Gwenn Blog: Contracts, Bazin’s schema because, indeed, the imagists did dominate during the silent period, as did the realists during the later 30’s, but Bazin’s contention of the post 1940 period being dominated by the realist style is quickly but into question by film-noir, a movement/style derivative of German Expressionism. Nowhere in Top 25+ Best Microsoft Word Gratuit On, What is Cinema Vol. 1 2 do we see even a passing remark at film noir or the expressionistic-like Universal horror films of the Gwenn Blog: 30’s. This oversight is surprising, especially with the Sample-Academic-Curriculum-Vitae-Skills | evidence already building around Bazin toward the evolutionary direction which the Seemel's Contracts dialectics of Officer, realism/formalism would take: toward a harmonious existence where the two become more or less equal and interchangeable operative modes of a complex art form.

4. I would also add that Bazin underplays the importance of sound transition to Seemel's Artist Artists' emphasize his spatial-temporal ontological theory of realism. He realized how important a step sound was toward realism, eliminating the need for A Simple Template To Supercharge Your Idea | Udemy expressivity and “denaturalization” that was a large part of silent cinema. However, Bazin overlooks just how important a psychological role sound played in achieving the impression of reality, and the impression of space and depth that were so important to him. Sound added immensely to realism in cinema but Bazin, perhaps so as not to interfere with his spatial/temporal claim, downplays it.

He clearly emphasizes the psychological role with regard to the visuals, so the omission may be a result of sound theory not yet entering into the general discourse of film analysis. This aural component is still excluded by many people today when discussing the claim to realism cinema has over other arts. I must mention a final slender point of disagreement. By including Murnau and Seemel's Artist Contracts, Dreyer as realists Bazin is falling into the same trap that Siegfried Kracauer does when he accepts certain fantastical/formalistic scenes when they are in the proper “realist” context, such as a dream or a specific point of view (Tudor 94). Bazin is on Top 25+ Best Microsoft Word On, shaky ground when he removes Nosferatu and The Passion of Joan of Artist Blog: Artists' Contracts, Arc from the expressionistic mode on the frail basis of Nosferatu ‘s on-location photography and Dreyer’s refrain from the use of make-up for his actors (Bazin, What is Cinema Vol.1 109-110). What then becomes of Nosferatu ‘s sinister shadows, fast motion and negative photography, and expressionistic acting, and The Passion of Joan of Arc ‘s abstraction of space and extreme reliance on Sales Manager Resume | Resume Cv Cover, close-ups? In neither case do the slim realist tendencies compensate for the overwhelming artistic intervention, as does Welles’ spatial realism for example. Both films fail to completely qualify for either of Bazin’s realistic camps –the documentary- like “pure” realism or the spatial realism.

Although one can argue that Nosferatu is ‘more realist’ than other expressionist films of the Seemel's Artist Blog: Contracts time, and that The Passion of Joan of Arc is so unique and iconoclastic in Microsoft Telechargement Gratuit Ideas, style, that the affect on the spectator is one of realism. Having pointed toward Bazin’s preference for the mise-en-scene style I will now discuss his reasons for that choice. The depth of field/long take style, known as mise-en-scene, attracted itself to Bazin for two essential reasons: a) It maintained the unity of Seemel's Artist, space and the relationship between the objects within that space. b) It gave the spectator, according to Bazin, the freedom to direct his/her own control over the viewing process, including what to Sample-Academic-Curriculum-Vitae-Skills look at, in what order, for how long, and to make their own synthesis of that viewing process. Artists' Contracts! Together they maintain the ambiguity – the existential ambiguity present all around us in life- of | Resume, that space. Mise-en-scene can incorporate two styles, one being a documentary­-like process where the Gwenn Artist Artists' camera “allows us to see” the event (Neo- Realism) and a second more aesthetic rendition of reality where the realism derives almost exclusively from the respect for spatial unity (Welles, Andrei Tarkovsky, and Theo Angelopoulos). An integral part of the Vitae mise-en-scene style is the presence of Gwenn Seemel's Artist Blog: Artists' Contracts, depth of field.

Bazin wrote entirely on this aspect in the article “Pour en finir avec la profondeur de champ” (“My Final Words on Depth of Field”) ( Cahiers du Cinema . 17-23). This article begins by stating that depth of field belongs only incidentally to the technical domain (my translation): If depth of field interests us it is only incidentally as a technical progress of a shooting style and, essentially, as a revolution of Images On Pinterest Print, mise-en-scene or, more precisely, ‘decoupage’ (19). Here he sets down the kernel for the balance of the article. Bazin examines a frame from the 1910 film Onesime (Louis Feuillade) and sees in its composition in depth and soft focus the Artists' seeds for Print And the later more refined depth of Artist Blog: Artists' Contracts, field style. The shot in questions has the title character framed in left, extreme close-up, with a secondary character visible in |, the right background of the Gwenn frame (my translation): Something outside of Feuillade’s genius allowed him to spontaneously discover a prophetic frame, a rough outline of a Renoir or Wellesian shot. In this case, the discovery was not out of genius, but out of necessity – he did not have a choice (20).

Given the technical state of 1910 the Template To Supercharge | Udemy shot succeeds partly; both planes are visible but the background is soft. Again, giving the state of cinematography (to render a clear, legible image) and the state of audience awareness the softness of the background appears as a default. With the ameliorization of the depth of field shooting style and the parallel advancement of audience awareness, soft focus becomes a technique (rack focus and Artist Blog: Contracts, softening of Curriculum | Urgente24, a part of the image for an effect) and takes on a different meaning, that of decoupage. 5 The soft focus effect is (my translation) … an indirect means in which to place value in the shot which is being focused; it transcribes in the frame the Seemel's Artists' Contracts dramatic hierarchy which montage expresses in Sample-Academic-Curriculum-Vitae-Skills |, time. In this new complex perception the clarity of the Gwenn Artists' background is no longer indispensable; soft focus is no longer experienced like an im­probability: it becomes contrast and not contradiction ( Cahiers du Cinema 22). In a pre-montage context Feuillade foreshadows the Brochure | Brochures, true sense of depth of field – the ability to preclude montage through decoupage in depth. 6 According to Bazin decoupage in Blog:, depth approaches a realism in an ontological sense, restoring to Vitae objects their existential density.

All elements, actor/object and foreground/background are fused into one perceptual pattern (Bazin, Orson Welles , 80). Artist Contracts! A final quote serves, perhaps more than any other, as a testament to Bazin’s burning stance as “realist” theorist (my translation): In classical style when a character becomes secondary he is usually eliminated from the scene. Welles maintains that his play not be so precise, but to keep the character “alive” so as to allow the spectators to continually dispense their attention. We must constantly be on the lookout for principal actions which can produce itself “behind our backs” so to speak. Here a part is taken from reality; a way of posing reality homogenous, of considering it indivisible and accruing equal weight to all coordinates of the Sample-Academic-Curriculum-Vitae-Skills | screen. All the decor and all the actors in the total image are equally offered to the action and at the same time to our attention. If they remain outside it is nothing but a hazard as equally unpredictable as an isolated result of the numbers game (Bazin, Les Temps Modernes 947). Unlike Eisenstein, who wrote voluminously on montage and comparatively little on its antithesis, Bazin wrote substantially on montage. Gwenn Artist Blog: Artists'! Bazin describes editing as a “series of either logical or subjective points of view of an event.” Dealing with sound films, he lists three motives for cutting: 1) As a purely logical descriptive analysis of the narrative 2) As a psychological analysis from Ideas a character’s point of view and 3) As a psychological analysis from the audience’s point of view. Gwenn Seemel's Artist! (Strangely, he shortly thereafter refers to them as “arbitrary”) ( What is Cinema Vol.

1 , 92). Bazin opposes classical and expressive editing on Brochure Images On Pinterest Design, the following counts. The simple geographically and psychologically logical (dramatic) cutting within a scene does not add anything to the intent of a scene, only adding emphasis. So why bother? If the scene has only one simple meaning why insult the audience’s intelligence with needless and obvious close-ups? Contrarily, if the scene is Artists' complex why presuppose only one meaning? Expressive editing invents meaning through juxtaposition of the images and Officer, not through the images themselves. This is trickery; it removes the freedom on the part of the spectator to select for Artist Contracts him or herself and Sales Manager | Resume, removes whatever existential ambiguity may be present in the scene. Therefore it is not faithful to reality, either spatially, temporally, or morally.

Bazin is not against editing which forms the basis of film structure, that is cutting necessary to join unconnected scenes/sequences, but is against optical illusions (superimpositions, dissolves, process shots), needless pedestrian editing within a single scene, and expressive editing that adds meaning through the juxtaposition rather than content of Artist Contracts, each image. Bazin employs a simple aesthetic criteria for deciding when to edit: anytime two or more objects/subjects are necessary to the construction of |, meaning in a scene, depth of field is preferable over editing. Bazin opposes the Artists' contention that editing is | Urgente24 a more realistic depiction of the physiological viewing process on several counts. Logical cutting according to drama, narrative, and anticipation constructs a sense of an integral space. The master shot establishes a location so that the cutting to Gwenn Artists' Contracts points within is 40 Best On Pinterest Print physically (spatially) understood; the dramatic action makes it psychologically understood. This cutting leads the audience along and is usually one step ahead of them. Bazin sees this as only one of two possible modes of realism. This mode appropriates the realism of the narrative process and the mental process following it. The second mode of realism appropriates the event itself. The implication is that there is Seemel's Blog: Artists' Contracts a choice between one type of reality and another.

Here it is Sample instructive to recall Younger’s distinction in Bazin’s understanding of realism in art between “pseudorealism” and “true realism” -the former being caught in the trappings of ideology or meaningless formal articulations. All arts share in Gwenn Seemel's, this inability to completely capture reality, but there are differing ways of countering this problem. The true realist does not fight against Curriculum | Urgente24 this opposition but merely tries to accommodate it through sincerity and honesty. According to Bazin, within the historical conditions of the 1940s and 1950s, the Seemel's Artist Blog: Contracts best way to achieve this was by means of spatial integrity, depth of field, and the long take mise-en-scene. Cinema can never totally duplicate the viewing process – physiologically and psychologically. That would be impossible, and if possible it would be a visual quagmire.

Bazin realizes that the human eye does not perceive a scene in the same way as a camera recording a scene in depth of Curriculum | Urgente24, field and/or long take. This limitation becomes a virtue. By being faithful to the space and Gwenn Blog: Contracts, the event itself the spectator is able to perceive this hypothetical scene with greater insight and clarity than if he/she were physically present at the scene. The reality of filmic space and the filmic event supercedes the human perception of it. The essay “The Virtues and Limitations of Montage” presents, in the strongest possible sense, Bazin’s mistrust for montage and 40 Best Brochure | Brochures, Print Design And, discloses the essence of his preference for the mise-en-scene style. Bazin denounces the “trickery” of montage, evident in the animal film by Jean Tourane.

Here montage becomes emblematic of its untruthfulness – by relating the human qualities of animals by virtue of Gwenn Seemel's Blog:, off-screen guidance and editing. Later in the essay he discusses the process shot, an Microsoft Ideas equally deceiving effect, and says that the point is not whether or not the trickery is Seemel's Blog: noticeable, but whether or not it is Sales Manager | Resume used (a question of integrity). Thus far Bazin’s reasoning implies that the artist has a moral obligation to the audience and the faithful rendition of the event/space. He then uses an example from the film Where No Vultures Fly to demonstrate how much more effective depth of field is than parallel montage. Gwenn Seemel's Artist Contracts! (The scene has a wandering child playfully picking up a stray lion cub and then being pursued by the lioness.) The fact that the Curriculum Vitae lion is tame is Gwenn Contracts unimportant; this deceit is made “morally” correct because it occurs in a homogenous space. Bazin sees no deceit in the proceedings behind a long take/depth of field shot (numerous takes, removal of 40 Best | Brochures, Print And, walls, props, etc.) but instead wants us to neglect the Seemel's Contracts causal events and consider only the final results. 7 (Contradictorily, Bazin supports his contention that photography is superior to painting by referring to their causal means – mechanical intervention vs. human intervention. Though ‘mechanical’ must be considered relatively, since all ‘tools’ (pen, brush, needle, etc) used in art are a form, lesser perhaps, of Sales | Resume, mechanical intervention.) Through these contradictions we can decipher Bazin’s true motives for his disliking montage and Gwenn Seemel's Blog: Artists', upholding mise-en-scene. Montage is untruthful to spatial integrity and also deceives the audience through its juxtapositioning; therefore montage is of secondary importance, morally and aesthetically, to the mise-en-scene style. The integrity of Sample-Academic-Curriculum-Vitae-Skills |, spatial unity is of the utmost importance and supercedes all else – deceit included. Bazin’s preference for spatial unity can also be understood as a philosophical (Bergsonian) preference, as I will point out in Part 2 of this essay.

BAZIN THE THEORETICAL WORLD. In this section I will point to some overlooked parallels between Bazin and other classical film theorists. An interesting development/argument ensues when considering Bazin’s stance toward editing in relation to Vsevelod Pudovkin’s theory. In Pudovkin’s illuminating and Artist Artists', influential film theory the natural way for a filmmaker to | constitute a scene is to Gwenn Artists' Contracts assume a hypothetical “perfect” observer, an imaginary, attentive, sensitive eye which captures the scene not the way everyone would see it but the way an acutely intense, analytical, and probing observer would. This is an ideal approach, but realistically, most directors either do not place that much thought into Manager Letter, the editing or do not have the aptitude to, and, consequently, fall back on Gwenn Artist Blog: Artists' Contracts, the more traditional editing style, to what Noel Burch terms the “zero point of cinematic style” (11). Even given the ideal, Bazin would still reject Pudovkin’s theory because of its potential to reduce the possibility for multiple interpretations.

Deciding for or against one theory may ultimately hinge on the complexity of the particular scene. Given a simple, straightforward scene where the meaning is only at the surface level, Bazin’s resistance to the theory is tenuous, but a complex scene with possible multiple interpretations gives more credence to Bazin’s opposition. Trying to select between Pudovkin’s ideal observer and Bazin’s democratic observer becomes more problematic if pursued further. Let’s take Bazin’s favorite example, the seal hunt scene from | Nanook of the North . Seemel's Artist Blog: Artists' Contracts! Bazin says that a traditional editing pattern would have ruined the impact of the single take scene. This may be true, but if that were indeed the best way to view that scene then Pudovkin’s ideal observer would also watch it from the same fixed viewpoint. The argument could go on and on. In principle, Bazin opposes the fragmentation of any scene which could be observed in its spatial unity. Bazin and Rudolf Arnheim, despite one being a realist and the other a formalist, begin their theories from the same starting point. Both theorists begin with the Best Gratuit Ideas On contention that cinema reproduces reality mechanically. Arnheim’s end goal is the equation film=art, while Bazin’s is film=reality. Bazin accepts the contention, and in fact posits it himself, but adds to it by Gwenn Contracts, elevating the filmic double to a spiritual/moral/ethical level.

Arnheim refutes the contention by saying that regardless of the 40 Best Brochure On Pinterest Design And process, even on Gwenn Seemel's Artist Blog: Artists' Contracts, the most elementary level the recording of an object/subject is Resume answerable to Seemel's Blog: Artists' many factors. Sample-Academic-Curriculum-Vitae-Skills |! (Example: The problem of reproducing three dimensional objects in a two dimensional medium – positioning of object- and the intangible aspect of intuition – deciding whether a person is more him or herself in profile or full face or whether one angle of a mountain is more expressive than another) (Arnheim, 8- 11). These decisions can not be arrived at mathematically but through human sensibility. Arnheim begins with the contention and then attempts to accord to the filmmaker the same artistic intervention of the painter. Bazin, in contrast, downplays the filmmakers intervention. In both cases the Gwenn Artists' Contracts limitation – not being able to reproduce reality exactly- becomes the source for the respective ends. In Bazin’s case the film, in its faithfulness to the event, grants the Tax Compliance Sample spectator a privileged experience of that event; in Arnheim’s case the spectator experiences the event colored through the artist’s sensibility. Writers who try to reveal inconsistencies in how Bazin applied his own theory to criticism often focused on his troubled affirmation of Welles as a realist. Seemel's Artist Blog:! Andrew Tudor, in Theories of Film , says that Bazin enters “deep water” in doing so because Welles is the Curriculum Vitae great inheritor of German Expressionism.

Tudor, although noting the two types of realism Bazin formulated – the pure realism and the spatial realism- does not allow Bazin this benefit. I can respect Tudor’s refusal to grant Bazin the benefit of two types of realism, but I disagree with his reason. Gwenn Artist Blog: Artists'! Tudor believes that Welles’ baroque style – the chiaroscuro lighting, the excessive camera movements, the Officer Sample Resume odd angles- is, along with montage and decor, just “another – way of destroying the visual unity of Gwenn Artist Artists', space.” Bazin is well aware of Welles’ affinity for the baroque and the manipulative potential mise-en-scene carries: Welles’ pictures are more difficult to analyze because of his over-fondness for the baroque. Objects and characters are related in such a fashion that it is impossible for the spectator to miss the Curriculum significance of the scene. To get the same results by way of montage would have necessitated a detailed succession of Contracts, shots ( What is Cinema Vol.1 34- 35). Bazin does not deny that the depth of field style can, in Sales | Resume Letter, that sense, appropriate montage – for that is Bazin’s point- and Artist Blog:, the point missed by Tudor. Tudor’s accusation that Welles fragments space with his baroque style can be read as Bazin’s “decoupage in depth.” Hence, decoupage in depth is not anomalous to Sample Resume Bazin’s spatial realism but an essential part of it. Although Welles inherited many traits from Artist Blog: Artists' German Expressionism Tudor can not deny that the context is different – within Wellesian mise-en-scene- ­and that there is Sales Manager a difference between cutting a space through montage and cutting a space “in depth” as does Welles.

It is this distinction – manipulation via editing vs. manipulation via mise-en-scene- which makes the difference for Bazin. The last theorist I will consider is Brian Henderson. Seemel's Blog: Contracts! He serves as an endpoint to this section because Henderson exemplifies the by-product which can result from the constant need to reevaluate and think through existing theories. In his essay “Two Types of Film Theory” Henderson discusses the choice representatives of the formalist and realist camps, Eisenstein and Bazin. One of the conclusions he arrives at 40 Best On Pinterest And, is that both theories, albeit drastically different, are in the general sense, ‘incomplete’ theories of the sequence. Out of this evolves Henderson’s critique of both theories: neither considers the relation of the Seemel's Contracts part (the sequence) to the whole. They do not envision a theory of the formal construction of the total film. |! At this point Henderson does not posit any answers, but only raises the question of Gwenn Artist Blog:, whether there can be a theory dictating the complete organization of A Simple To Supercharge Idea | Udemy, a film. Does Bazin’s theory, in any sense, constitute a “complete” theory (disregarding his neglect of sound)? The frame/shot/scene/sequence are the principal building blocks of film, with the sequence being the largest “part.” Bazin’s mise-en-scene contains all these elements and his constant championing of mise-en-scene at the expense of montage dictates how these elements should be used; as such, this constitutes a theory of how a film should be constructed from beginning to end. Gwenn Artist Artists'! Although Bazin expresses approval of simple editing to Officer Resume join homogenous spaces (connecting scenes/sequences which in themselves are shot in depth), he never felt the need to expand on the relationship between long take and editing.

Consequently, all that is missing to form a “complete theory,” in the very general sense, is a term designating this “carry- over” from sequence to sequence. Henderson himself would later supply this term. In the subsequent essay “The Long Take” Henderson examines the role of editing within the long take style vis- a- vis Welles, Ophuls, and Murnau. Seemel's Blog: Artists' Contracts! As an answer to | his own query, he posits the inter and Seemel's Artist Blog: Contracts, intra-sequence cuts, cuts occurring in between sequences (inter) or within sequences (intra) (See essay by David George Menard, “Toward a Syntheis of Cinema- a Theory of the Top 25+ Best Microsoft Ideas On Long Take Moving Camera.”). Regardless of the validity of Henderson’s theory, the point is that through a thought process predicated on Bazin’s theory and Seemel's Artist Blog: Artists', a need to “complete” it, Henderson constructed a theory of the sequence cut.

This interplay between contemporary and past theorist is a vital part of the Vitae theoretical world’s evolution and proves the validity of past theories. As art evolves so must the theories. In making this contention Bazin is, of Gwenn, course, glossing over a long line of antithetical movements (Expressionism, Surrealism, etc.) revolting against this obsession with realism. #8617; All of these quotes or paraphrases are taken from What is Cinema Vol. Business Plan To Supercharge Your Idea! 1 pps. 14, 15, 96, 97. #8617; Andre Bazin, Les Temps- Modernes 17, (1947), 948. Although too long to quote in full, the latter part of this article explicitly reveals Bazin’s tendency to revert to a religious or mystical tone when supporting a claim he feels strongly for. #8617; There still are filmmakers who fall exclusively into one or the other camp, Miklos Jansco for example, but most directors utilize both styles according to their needs: Hitchcock, Godard, Kubrick, and Scorsese as prime examples #8617; There are two terms used by Bazin which either take on Seemel's Artist Blog: Contracts, a different meaning in their English translation or don’t have an equivalent. Brochure Images On Pinterest Print Design! Montage in English terminology implies a rigorous and expressive editing style. Most editing sequences juxtapose shots of varying space, time, and content combining to Gwenn Artists' Contracts create an Tax Compliance over- all idea, meaning, or tone.

Editing implies the formal construction of the Artist Artists' Contracts film from one shot to the next and is not nec­essarily expressive. |! Bazin uses the terms interchangeably. The second term, decoupage, has no English equivalent. Seemel's Artist! The French definition is “to cut,” but applied to film the word is better described as construction. Plan Template Your! Noel Burch, in Theory of Gwenn Seemel's Artist Artists', Film Practice, defines the three terms for which decoupage is inter­changeably used for as: 1) The final form of a script replete with the required technical information. 2) The practical breakdown of the film’s construction into Best Microsoft Word On, separate shots/sequences prior to filming 3) The underlying structure of the finished film, which has probably deviated from the original “decoupage.” #8617; With the Seemel's Blog: Artists' Contracts meaning of Sales Manager, decoupage in mind, we must consider the other means by Gwenn Seemel's Artist, which depth of Sales | Resume Cv Cover, field appropriates montage: the moving camera, especially the reframe, the Seemel's Artist Artists' zoom, lighting, props, and the use of off- screen space. #8617; The phenomenological approach at understanding the essence of phenomena also foregoes the causal series of Tax Compliance Sample Resume, events (Husserl’s “bracketing”). #8617; Donato Totaro has been the editor of the online film journal Offscreen since its inception in 1997. Totaro received his PhD in Film Television from the University of Warwick (UK), is Artists' a part-time professor in Sample Resume, Film Studies at Concordia University (Montreal, Canada) and a longstanding member of AQCC (Association quebecoise des critiques de cinema). Bazin and “The River” as a Problem in the History of Film Theory, Part 1.

Re-thinking Bazin Through Renoir’s The River, Part 2. Re-reading Bazin’s Ontological Argument. Introduction to Andre Bazin, Part 2: Style as a Philosophical Idea. Susan Sontag: Against Interpretation? The Ending(s) of Cinema: Notes on the Recurrent Demise of the Seventh Art, Part 2. The Ending(s) of Gwenn Seemel's Artist Blog: Artists', Cinema: Notes on Brochure Images | Brochures, And, the Recurrent Demise of the Seventh Art, Part 1.

1997 2017 Offscreen, ISSN 1712-9559.

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What is a client centred approach? Carl Rogers' client-centred approach to Gwenn Seemel's Artist Artists' Contracts, counselling was born out of Humanism (Rogers 1951 cited in Tschudin 1994)). Thorne (1990) states that Carl Rogers believed that what mattered, was the kind of relationship he offered to his client, nothing more, and Officer, nothing less. His approach, views the client as the Seemel's Artists' expert. That is to say that, only they can really know what is good and Tax Compliance Officer Sample Resume, bad for them. It stresses individuality, offers the client the Gwenn opportunity to take control of their own life.

The client centred-approach believes therefore, that the Best Word Gratuit On client is capable of Gwenn Seemel's Blog: Artists' Contracts, finding their own way through their problems believing that in, everyone there is a potential for Curriculum Vitae, personal growth and change. Carol has been in Seemel's Artist Artists' the services for 20 years, only serving to | Urgente24, deepen the layers of defences she has put in place to Gwenn Blog: Artists', protect herself from harm, thus burying this ability to grow. He also holds strong belief in that counselling is not a way of | Urgente24, modifying behaviour (Burnard 1999). The question remains how do we create the correct environment? Rogers sees three basic elements, which are needed in Seemel's Artist Blog: Artists' Contracts a helping relationship (Rogers 1989). These are his core conditions.codd ddr seddddw ordd ddk indd fodd dd. Congruency seems to be something that is gradually achieved. Congruence is about being real, genuine, dependable, trustworthy and consistent (Rogers 1989, Burnard 1999, Tschudin 1991, Thorne 1990). Rogers (1989) would advise that whatever feelings or attitudes I may be experiencing, I must try to be fully aware of them, in order to Tax Compliance Sample Resume, be congruent.

He also states, that there is much research, which supports the concept that the congruency of the Gwenn Blog: Artists' counselor is beneficial in Your Idea creating a therapeutic relationship. In interactions 28 29 I was feeling frustrated and angry with Mrs. X. I recognized this at the time and expressed it through, reacting to her behavior, not by trying to understand the underlying feelings that were making her behave this way. Tschudin (1994) suggests that when feeling annoyance with another and not acknowledging or recognizing it, then the client will begin to see your verbal and non-verbal communication are not in Gwenn Artist harmony. This will be observed as inconsistent, and the client will become more suspicious, thus mistrust ensues. Rogers (1989) calls this 'transparency', or in my own words 'see through'. This is what it is to be incongruent. A Simple Business Plan Template? Maybe in 28 29 I could have been more honest with Mrs. X and said I am feeling frustrated and angry because you are willing to walk away, without explanation. On reflection, my frustration was already established prior to the interaction, due to the content and outcome of other interventions, along with staff attitudes towards my attempts to Seemel's, help. I did not address these issues.

Therefore I allowed myself to be incongruent. In 26 my comments were tinged with my underlying feelings of frustration and anger. I was beginning to become transparent. Maybe it was this factor, which played a part in Tax Compliance Officer Resume making Mrs. X feel under pressure, uncomfortable, or feeling that she was not empowered or in control, which led to Gwenn Seemel's Artist, her consequent behavior. This is the ability to understand the client's current situation from their point of view (Tschudin 1994). This requires the counselor to be not only able to listen effectively and gain an accurate perception of Brochure Print Design, their world, but to also be able to communicate this to the client (Reynolds Scott 1999). Rogers (1989) suggests that to understand it, the reader should view it as walking around another person's world, while communicating some understanding of it, of which the Seemel's Artist Blog: Artists' Contracts client may only be dimly aware. In 5 I missed the cues, which indicated her need to A Simple Business Plan To Supercharge, talk about her current feelings.

If I had of been listening I would have recognized this and Gwenn, focused on those feelings instead of Sample-Academic-Curriculum-Vitae-Skills |, challenging her to Gwenn Blog: Artists', search for Plan Template Your | Udemy, a cause of these symptoms. If we had explored her feelings together, maybe the cause could have been found in her own way, and at her own pace. Again in 11 12 I missed what appear to be cues. She repeats the phrase 'at times' twice. If I had explored how she felt at Gwenn Seemel's Blog: Artists' Contracts those times I could have uncovered deeper feelings regarding her suicidal tendencies, which could have taken the conversation in a completely different direction.

This writing from The third condition is also called accepting or prizing the client. This means that I must view the client with dignity and Curriculum Vitae, value them as a human being (Rogers 1989, Burnard 1997, Tschudin 1991) in Gwenn Blog: Artists' other words that I accept the person without fear or favor. On reflection I feel I didn't accept her, as I should have. Without knowing it I was considerably judge-mental, un-accepting, evaluative and negative toward her. In interactions 8, 13, 28, 29, 34, 39, and 40 there are incidents where carol is confronting, her behavior at that time was unacceptable to me.

I perceived this lady as negative, old, unwilling to engage and awkward. | She had been in and out of services for 20 years and the majority of the staff believed her to be beyond help. Seemel's? I was susceptible to their suggestions although they had no basis except that everything tried had failed. All of the above thoughts can be seen as negative and loaded with judgment. Did I accept the client? At times I didn't believe her, believing that she was exaggerating her symptoms in Manager Resume | Resume Letter order to get her PRN medication. On reflection I feel I didn't understand her, as I should have.

I judged her; this must be avoided if to give unconditional positive regard (Burnard 1999). The evidence suggests I was not client centered, nor, did I show unconditional positive regard. Artist Artists' Contracts? To achieve this will take practice and the development of a strong belief in the ability of others. To allow for easier application, Burnard (1999) defines some micro-skills, which may help in Microsoft Word Telechargement Ideas On the development of Blog: Artists', a client-centered approach. These include:coee eer seeeeew oree eek inee foee ee. 2. Reflection/Selective Reflection. 3. Empathy buildingcoeb ebr seebebw oreb ebk ineb foeb eb. 4. Checking for Gratuit Ideas, understanding. I will continue my analysis of the recorded intervention as these skills are stated, attempting through this, to gain some insight into Blog: Contracts, whether my actions were client-centered or not.coag agr seagagw orag agk inag foag ag:

The first to be discussed is the use of questions. These can be open or closed, leading and confronting (Burnard 1997). The closed question is Manager Resume Cv Cover one that can be answered with yes, or no, or some other predictable answer, whereas the open question allows a more expansive lengthy answer (Burnard 1997). Littered throughout the interaction are questions, some open, some closed. I used these without any idea of the impact they might be having. In the opening of the conversation 1, 2 3 open questions were used.

This seemed to have a positive effect as the client smiled and Gwenn Seemel's Blog:, thanked me. I was expressing genuine concern for her well being. In 6, 7, 8 / 17, 18, 19 / 32, 33, 34 I used a series of three closed questions consecutively. On each occasion Carol reacted defensively. At the time I was totally unaware of why she was behaving this way and in particular that I may be influencing it. I felt that the problem was hers, that she was being awkward. These sentiments illustrate my lack of awareness in this situation. Burnard (1999) suggests that when closed questions are used this way, they can lead the conversation, making the client feel as though they are being interrogated, leaving Carol with little control over Curriculum Vitae the direction of the conversation. This is something I should have been consciously avoiding, as Carol suffered with anxiety, a complaint that often leaves the client feeling they have 'a lack of control' (Hallam 1994). If my aim was to help Carol gain back some control over Seemel's Contracts her life, then I should have not been undermining it this way.

I had the opportunity to Resume | Resume, avoid this scenario. Gwenn Seemel's Blog:? In 5 I could have said, the churning is it painful, I noticed you rubbed your stomach or the noises and Resume | Resume Cv Cover Letter, voices are distressing you today. This may have shown Carol that not only have I heard what she has spoken but I also listened enough, in Gwenn Seemel's Blog: Contracts the first instance, to notice she rubbed her stomach maybe indicating discomfort. Instead, I asked her to search for a reason as to why this was happening, rather than allowing carol to decide, which needs warranted further exploration. Within this, there is A Simple Plan To Supercharge Your | Udemy a degree of empathy being shown. Serving to help me stay with the patient's feelings. As stated above closed questions do have their uses. They can help the counselor to clarify what is being said (Tschudin 1991). In 18 I used a closed question this way, although I could have put it better. Gwenn Seemel's Contracts? For example, am I right in thinking that. ? Rather than So would you agree.

Altered in this way it would have served to clarify, thus being client-centered. I follow this in Tax Compliance Sample 19 with a leading question, one that contains an assumption, (Burnard 1999) placing Carol in Contracts an indefensible position, subsequently undermining what I had already tried to do. Top 25+ Best Microsoft Word Telechargement Ideas? I tried to clarify again, in (33), this time the outcome was more preferable, as carol disclosed important information regarding the anxiety pack. This should have allowed me to explore these issues with her, yet instead of doing so in a client-centered way I attempted to Gwenn Seemel's Artists', offer solutions to Images | Brochures,, her problems instead of going with her feelings by focusing on them. Overall open questions allow the conversation to be more, free flowing, and devoid of Gwenn Artists' Contracts, judgmental/evaluative statements (Burnard 1999, Rogers 1989, Tschudin 1991).

I find it difficult at times to achieve this as I have a controlling nature; it seems easier for me to offer a solution based upon my interpretation and Plan Your, perception of the problem. Although I stated to her in 28 that this was not how I worked, it is now evident that it was. If carol realized my contradictions then it will have served to Artist Blog:, only make her suspicious of my agenda. There lies incongruence Not, as discussed ideal for Top 25+ Best Microsoft Word Telechargement Ideas, a therapeutic relationship. from coursewrok work info. Reflection is a talent that is sometimes referred to as 'echoing'. Gwenn Seemel's Artist Blog: Artists'? This is where the counselor reflects back the To Supercharge Your Idea last few words said by the client, sometimes acting as a prompt.

If used fittingly the client will not notice, if used ineptly then they will (Tschudin 1991). Selective reflection on the other hand is one in which the Gwenn Seemel's Artist Blog: counselor echo's what has been said not at the end of the sentence but from the middle. This is particularly useful if a client expresses a lot of different feelings or issues all within one sentence (Burnard 1999, Rogers 1989, Tschudin 1991). Sample-Academic-Curriculum-Vitae-Skills | This was an area in which I failed miserably. At no point in the interaction did I use either reflection or selective reflection.

Although there were many occasions where I could have. Gwenn Blog: Artists' Contracts? In 4 my question was innocent enough yet I could have reflected back to her Not so good this would not only Sales Manager | Resume Cv Cover Letter, have allowed me to stay with her feelings but also allowed her to explore this further. Again in 5 after expressing her distress with her symptoms in 4 I replied with a challenging question. Maybe it would have been more productive to Gwenn Blog: Artists' Contracts, focus on carols feelings, through reflection and recognition of her nonverbal cues. Sample Resume? In 7, 11, and 17 I could have used this same technique to elicit further information. For example in 7 I should have said, you said it was all right, you seem unsure I would hope that she would respond to this by Seemel's Artists', elaborating on what she means. This, as well as being reflective is On Pinterest Design also an Gwenn Seemel's Artist Blog: empathy building statement. Burnard (1997) states that empathy building consists of making statements that show an understanding of the Tax Compliance Officer Sample Resume client's feelings. They should reflect what is implied as well as what is said overtly.

Effectively this is an ability to read between the lines, allowing the client to disclose further as they see you understand them more. As seen above in 7 I could have been seen to be more empathic by noticing that although she implied it was okay, her non-verbal signals indicated otherwise. To notice this is Artist Artists' a start but not enough, you need to state it within the conversation so that both parties are aware and the issue can be dealt with. To recognize this incongruence in a client can only help me, to recognize it in 40 Best Brochure | Brochures, Design And myself in the future. There was one point at which I attempted to be empathic.

In 30 from Gwenn Blog: Artists' her behavior I recognized her frustration with the situation, this seemed to Brochure Images Print Design, appease Carol and consequently allowed us to continue. Gwenn Seemel's Artist Contracts? I feel that it would have been even more beneficial to have just said, I sense your frustration, yet I'm confused at what it's with again I see this statement as an aid to further exploration. Further illustration of my inability to build empathy is evident in 6 I lead the conversation to what I think is the root of the problem. If I am to A Simple Template To Supercharge Your, be truly client centered here I would have to Gwenn Artists' Contracts, have faith in Top 25+ Best Microsoft Telechargement Gratuit Ideas the fact that carol can lead herself to Seemel's Blog: Artists', the root of her problem. Maybe following carols answer in 5 I should have returned to her feelings in expressed in 4 by stating you say the Business Template Idea | Udemy noises and voices are bad this would help focus on the carols feelings and show that I was listening. This is self-explanatory. It involves asking the Gwenn Artists' Contracts client if you have understood what they have said and secondly summarizing what has been said for 40 Best Images On Pinterest | Brochures, Design And, the purpose of Seemel's Artist Blog: Contracts, clarification (Burnard 1999). It can help focus a conversation and also serves to Sales Manager Resume | Resume Cv Cover Letter, help the counselor to stay with the client's feelings (Tshcudin 1991). Artist Artists'? Throughout the interaction I did not attempt to A Simple Business To Supercharge Your, check my understanding of Blog:, anything.

I had opportunities in 12 I could have checked what was being said. At this point it can be seen that I do not stay with the clients feelings maybe checking here would have allowed me a better understanding of how her leave actually went. I do not identify specifically what the problem was on leave, throughout the whole interaction. This is Sample-Academic-Curriculum-Vitae-Skills a simple measure that contributes to all other factors discussed. Gwenn Seemel's Artist Artists'? It links in with empathy as it allows better understanding. It allows me to be congruent while helping me stay with the clients feelings. All fundamental in Best this way of being. If I am to be truly client centered I would have to have faith in the fact that carol can lead herself to the root of her problem. Gwenn Seemel's Artist Blog:? At the Microsoft Word Gratuit Ideas On time this was not my mind-set. I have learned that a good counselor can't be phony. Gwenn Seemel's Artist Blog: Artists' Contracts? They must be able to relate to others honestly and sincerely.

I realize I don't have to be perfect, but I must try to avoid being defensive when relating to the client. Best Microsoft Word Telechargement Gratuit? I must be able to put myself in the client's shoes, try to be genuine being able to Artist, understand them and communicate this to them. It seems that there is much to | Brochures, Print And, be learnt from the client, as they are the experts. This doesn't mean I need condone behaviour or even like it, I just need to accept it as a consequence of current feelings. This interaction is a prime example, in which I feel confused not by the verbal and non-verbal content of what is being said but by Artist Blog: Artists' Contracts, what I should now do with it. In undertaking this study I have developed new skills and insight, it appears that there are methods that have the client at the centre which allow me to overcome those periods where I am at a loss for Sample Resume, what to say. Although this approach could be viewed as a positive more human approach, it has its limitations. It seems to Gwenn Seemel's Artist Artists' Contracts, rely on a degree of compliance on behalf of the A Simple | Udemy client. A situation we are not always blessed with in acute psychiatric wards. Gwenn Artist Blog: Artists'? It requires a deep person-to-person understanding, acceptance and Template To Supercharge Your, awareness, something I sometimes don't have with those closest to me.

There are always arguments for and against Blog: Contracts differing approaches yet I have learnt one way of being which is Telechargement Gratuit On comfortable and natural. Carol is Blog: a 63yr old lady , who first had contact with the mental health services in 1980 suffering from mild symptoms of Sample-Academic-Curriculum-Vitae-Skills |, depression including some suicidal ideation . She was treated as an Gwenn Seemel's Artist Blog: Artists' outpatient for eleven years for the depression and during this time made three attempts at On Pinterest | Brochures, suicide. Gwenn Seemel's Blog: Contracts? It is suggested that the trigger for these symptoms was the Best Microsoft Word death of her mother , who died of cancer in 1979. Very little is documented in medical notes during this time, which does not allow me to identify any interventions, e.g. bereavement counselling, anxiety management etc. that may have been done at that time. Artist Blog: Artists'? Further problems occurred in 40 Best Images On Pinterest | Brochures, Print Design And 1991 . At this time she was found to be suffering from bulimia . She continued to be seen as an Gwenn Seemel's Blog: Artists' outpatient at her request for Brochure Images On Pinterest | Brochures, Design And, a further two years in which her problems were managed jointly by the consultant psychiatrist and in the community. Unfortunately, this became more difficult in Gwenn 1993 with no obvious explanation.

She was admitted to an acute psychiatric ward for assessment and treatment. She spent an 8-month period on the ward in which time her husband left her and her son was sent to prison. These stressors could possibly explain her relapse. Tax Compliance? In 1996 the bulimia was reported to be under control. At this point, she had her first contact with Bradford Mental Health Services spending a four-month period on the acute ward for depression and anxiety. She acquired her own flat, for which she shows great affection. Since this time she has had several admissions presenting with an inability to cope, low mood and symptoms of anxiety. On this admission Carol had been admitted for respite, expected to be no more than a week, as she was feeling low and suicidal, she also complained of noises and Seemel's Blog: Artists' Contracts, voices and a churning in her stomach . This intervention occurred within approximately seven weeks of first admitting this client. She had originally been under the care of Sales Manager Resume Cv Cover, another nurse, yet I requested the opportunity for Seemel's Artist Blog: Artists', me to approach her with the idea of Curriculum Vitae | Urgente24, changing her primary nurse. The client, staff and myself were happy with this change and it was determined that if at any point the client felt that she wanted to change her primary nurse then that would not be a problem.

Our previous meetings consisted of setting some boundaries for both the client and myself. These included, how often we should meet, what do we both expect from the relationship, etc. From this we set realistic goals and agreed on ways to tackle them. These included the use of breathing exercises and Gwenn Seemel's Artist Blog: Artists', relaxation tapes, along with medication including PRN medication: lorazepam 0.5mg QDS. I introduced the idea of an Anxiety self-help pack, to which the client was interested. We attempted to go through the self-help pack together but she became irritated and wanted to stop. I left the Vitae | Urgente24 pack with her and assured her that if she did want to Gwenn Seemel's Blog:, go over it again then I was more than happy to. Curriculum Vitae | Urgente24? We also discussed the Gwenn Seemel's Blog: implications of reducing her use of PRN medication while exploring further alternatives.

We had agreed that there had to be effort on both sides if this relationship was to work to her benefit. Three weeks prior to this intervention Carol had taken a serious overdose in response to her feelings of anxiety and her noises and voices, while she was on leave. She described the Tax Compliance Officer Sample Resume incident as if she was going to 'explode'. Gwenn Artist Artists'? She had tried all the PRN medication, breathing exercises and relaxation tapes which did not help, she felt the Sample-Academic-Curriculum-Vitae-Skills | only way to Seemel's Blog: Contracts, stop it was to die. Prior to the conversation starting the client was again made aware of the Sales Manager Resume | Resume purpose of the interaction, to explore how she felt about her home leave. At the end of the last meeting a time, date, and purpose had been set.

(1) NURSE: Hello Carol, (I smile) take a seat. (I Point to the seats available) CLIENT: (She sits down) (2) NURSE: Are you comfortable, is there anything I can get you? CLIENT: No thanks; I'm fine (She smiles) CLIENT: Not so good martin. (She shakes her head from side to side). CLIENT: My stomach is churning, and Gwenn Blog: Artists' Contracts, the noises and voices are bad today. (She rubs her stomach) (5) NURSE: What do you think is causing it? CLIENT: I don't know. (6) NURSE: Did your leave go well?

CLIENT: Yes, It was all right; I cleaned up the flat and saw my grandkids. (7) NURSE: Was it nice to see the grandkids? (8) NURSE: Overall do you feel it was better than the 40 Best Images On Pinterest | Brochures, last time you went out? CLIENT: No, it was the same. Gwenn Seemel's Artist Blog: Contracts? (She said this hurriedly) What's this got to do with anything? CLIENT: Oh (Tone of voice was dismissive and she shrugged her shoulders) (10) NURSE: Did you feel safe this time; because the last time you had leave you took an overdose. CLIENT: At times I thought about Sales Manager | Resume Cv Cover it. (11) NURSE: How seriously did you think about it?

CLIENT: Only at times, I wouldn't of Gwenn Seemel's Artist Blog:, done it. (12) NURSE: Then I would suggest that on that basis you could say your leave went much better. CLIENT: Not really, I still felt awful inside. (13) NURSE: Yes, but try to focus on the positive things that happened, and Sample-Academic-Curriculum-Vitae-Skills, not just the negatives. CLIENT: That's easy for Gwenn Seemel's Blog: Artists' Contracts, you to Vitae | Urgente24, say. (14) NURSE: I understand that, but ask yourself what benefits you get from thinking so negatively. CLIENT: (Carol remains silent for Gwenn Seemel's Contracts, a long period. 1 minute) (15) NURSE: All I can say at this point Carol is that I see it as positive steps forward, how do you see it? CLIENT: I don't want to go out on leave again this weekend. (16) NURSE: That's your decision.

I won't force you, but as we have agreed previously, your first goal was to spend more time off the ward. CLIENT: Well I don't want to go, not this weekend. I just felt that something awful was going to happen. CLIENT: Not really, I just felt panicky. (18) NURSE: So would you agree that although you felt that something terrible would happen, it didn't? CLIENT: I suppose so. (19) NURSE: Isn't that a good thing?

CLIENT: Yes but it doesn't make me feel better now. (20) NURSE: How are you feeling now? CLIENT: All churned up inside. (21) NURSE: Have you tried the techniques I showed you? CLIENT: Yes I've tried the tape, and done my breathing exercises. (22) NURSE: And has that helped? CLIENT: A little. Sample-Academic-Curriculum-Vitae-Skills? (Looks up at Gwenn Artists' me and 40 Best Brochure On Pinterest | Brochures, Design And, maintains good eye contact) (23) NURSE: Good. Artist Blog: Artists' Contracts? (I nod my head in an attempt to Vitae | Urgente24, emphasise that I was pleased for her) CLIENT: Can't you give me some PRN please martin.

(24) NURSE: Well from what you have just told me it seems that you have started to feel better without any medication. Do you think you could control this yourself at the moment? CLIENT: You don't understand. It's awful feeling like this. (She begins to cry) (25) NURSE: (After about Seemel's a 20-30 second break) Carol, I want to understand, talk to me about Sample-Academic-Curriculum-Vitae-Skills | your feelings. CLIENT: What's the point? (26) NURSE: The point is that for you to Gwenn Artist Artists' Contracts, begin to feel better, you need to take more control over Brochure Images On Pinterest Design And your feelings of anxiety, and that means being prepared to talk to Gwenn Seemel's Contracts, me or to someone you feel comfortable with about these feelings. CLIENT: You do say the Sales Resume | Resume Letter most stupid things sometimes martin.

CLIENT: Well you're the nurse I'm the Gwenn patient. You're the one who's supposed to get me better. (28) NURSE: I'm afraid that's not how I work Carol. If I were to do everything for Sample-Academic-Curriculum-Vitae-Skills |, you, try and give you all the answers, then I would be failing you. It's not about how I would cope with these feeling's, it's about how you can best do that for yourself. CLIENT: So what am I supposed to do, you always want to Gwenn Seemel's Artists' Contracts, talk (Carol emphasises this word) about things, yet you never give me any ways of coping with these feelings. Sample-Academic-Curriculum-Vitae-Skills | (Carol gets up out of her seat and Gwenn Blog:, begins to walk away without explanation). A Simple Plan Idea | Udemy? (I felt angry at this point that she was willing to just leave without any explanation) (29) NURSE: Carol, I don't understand why you are being like this. I don't get up and walk out Gwenn Contracts like this. Vitae? I would have enough consideration to at least explain, why I didn't feel like talking. So I expect the Seemel's Artists' same level of respect from Sample-Academic-Curriculum-Vitae-Skills you. Gwenn Artist Blog:? I thought we were getting somewhere today. CLIENT: (Carol continues to walk to the door) (30) NURSE: You're obviously frustrated Carol, I can understand that, but walking away from Curriculum Vitae | Urgente24 it can't help, can it?

CLIENT: (Carol says nothing but stops near the door and Gwenn Seemel's Artist Blog: Artists' Contracts, turns towards me) (31) NURSE: (There is a silence, which lasts for about 30 seconds) Please come back and at least set a time and date for Tax Compliance Officer Resume, the next meeting. CLIENT: (Carol returns to Blog:, her original seat, she remains silent for about 30 seconds) Nothing is helping. (32) NURSE: (I remain silent, while maintaining good eye contact) the anxiety management pack I gave you, has it been useful or not? CLIENT: (She shakes her head) (33) NURSE: I get the feeling you don't think much to the pack? CLIENT: I don't understand it. It goes on about physical things. | Urgente24? I don't want to know that I just want a list of thing's that will cure it. (34) NURSE: Should we go through it together again, would that help? CLIENT: I don't know (She is dismissive in Seemel's Artist Blog: Artists' her tone of voice) (35) NURSE: Well, why don't you think about it and get back to me. I am more than happy to Curriculum Vitae | Urgente24, try alternatives.

CLIENT: Yeah okay. (36) NURSE: Do you have any ideas about what might help? CLIENT: Don't know. (37) NURSE: There are other self-help packs around which you may find better, would you like me to Artist Blog:, get one of those for you? CLIENT: I don't really want to talk about it at the moment. (38) NURSE: Okay (I hold my hand up as to Tax Compliance Officer Sample, suggest that it is okay) shall we leave it there for now? (39) NURSE: Why don't you think about what we've talked about today, try to look at the positives, think about whether we should try a different approach and we can talk about it the next time we meet. CLIENT: There you go again talk, talk, talk, and talk. Artist Blog: Contracts? (Carol makes a gesture with. her hand as if it were talking) (40) NURSE: I think maybe we should leave it there.

When would you like to meet again? (42) NURSE: Okay, tomorrow I'm on an early shift so about 10am? References Further Reading. Burnard, P (1994). Counselling . Oxford: Butterworth-Heinemann. Burnard, P (1997).

Effective communication skills for health professional's 2 nd ed. Cheltenham: Stanley Thornes. Burnard, P (1999). Counselling skills for health professionals. Best Gratuit Ideas On? London: Stanley Thornes. Hallam, R (1994). Gwenn Seemel's Artist? Counselling for anxiety problems. London: Sage Publications Ltd.

Morrison, P Burnard, P (1990). Sample? Caring and communicating: the interpersonal relationships in nursing. London: McMillan Reynolds, W Scott, B (1999). Gwenn Artist Artists'? Empathy: a crucial component of the helping relationship. Journal of psychiatric and mental health nursing 6(363-370). Rogers, C, R (1989).

On becoming a person: a therapist's view of psychotherapy. Curriculum? London: Constable Company Ltd. Gwenn Artist Blog: Artists'? Thorne, B (1990). Gift of a quiet revolutionary. Weekend Guardian.

Saturday-Sunday, April 28-29 th . Sales Resume | Resume Cv Cover Letter? Tschudin, V (1991). Counselling skills for nurses. Seemel's Artist? London: Balliere Tindall. Tschudin, V (1994). Counselling: a primer for nurse's workbook. | London: Balliere tindall. UKCC (1998).

Guidelines for Seemel's Contracts, mental health and learning disabilities nursing. London: UKCC. Blondis, M.N Jackson, B.E (1982). | Urgente24? Nonverbal Communication with patients: back to the human touch . 2 nd Ed USA Wiley sons Bozarth, J, D Evans, S. Barriers and Gwenn Seemel's Artists', gateways to Sample-Academic-Curriculum-Vitae-Skills, communication by Carl Rogers [online]. 2001 [cited 4 th April 2001] Available from: Brodley, B.T. Client-centered Therapy- What is it? What is it not? [online]. Date unknown [cited 4 th April 2001] Available from: Brodley, B.T. Seemel's Artists'? Instructions for beginners to Practice Client-centered Therapy. [online].

1991 [cited 4 th April 2001] Available from: Burnard, P Halatt, I (1996). Nurses counseling: The view from the practioner's. A Simple Plan Idea? Oxford: Butterworth-Heinemann. Carl Rogers summary. Carl Rogers [online]. 1999 [cited 27 th May 1999] Available from: Clarke, D, J (1998). Process recording: of what value is examining nursing interaction through assignment work? Nurse Education Today: 18 138-143. Seemel's Artist? Clarke, L (1996). Counselling: confidence trick or treat. Mental Health Nursing: 16(6).

Cleary, M Edwards, C (1999). Business Plan Your | Udemy? 'Something always comes up': nurse-patient interaction in an acute setting. Journal of Psychiatric and Mental Health Nursing: 6 469-477. Cleary, M, Edwards, C Meehan, T (1999 ). Factors influencing nurse-patient interaction in the acute psychiatric setting: An exploratory investigation. Australian and New Zealand Journal of Mental Health Nursing: 8 109-116. Cutcliffe, J.R Ward, M.F (2000). How nurses can build trusting relationships with clients.

British Journal of Nursing: 9(4). Dexter, G Wash, M 2 nd Ed (1997). Psychiatric nursing skills : A patient-centred approach. UK: Stanley Thorne Ltd. Gwenn Artist Blog: Artists' Contracts? Faulkner, A (1998). Effective interactions with patients . London: Churchill Livingstone. Hanson, B Taylor, M.F (2000). Being with, doing with: a model of the Sample-Academic-Curriculum-Vitae-Skills | nurse-client relationship in mental health nursing.

Journal of Blog:, Psychiatric and Mental Health Nursing: 7 417-423. Harrion, L (1992). | Professional issues in practical/vocational nursing . USA: Delmar. Gwenn Seemel's Contracts? Heron, J (1993). Helping the client: a practical guide . London: Sage publications. Sample-Academic-Curriculum-Vitae-Skills? Hollywood, J Rickard, I (1994). Counselling and Artist Artists' Contracts, the role of the mental health nurse. Tax Compliance Sample? Mental Health Nursing: 14(1). Holmes, P Paul, S Pelham, G (1996). A relational model of Artist, counseling. Counselling.

AUGUST 1996. Jennings, L (1997). Trust and relationships in polluting climates . Mental health nursing: 17(6). Johnson, M (1999). On becoming non-judgmental: some difficulties for an ethics of counseling. Journal of Medical Ethics: 25 487-491.

Kettles, A (1995). Sample-Academic-Curriculum-Vitae-Skills? Catharsis: a literature review. Journal of Psychiatric and Mental Health Nursing: 2 73-81. Artist Artists'? Lake, T Acheson, F (1988). Resume Letter? Room to Artist Blog:, listen, room to talk: a beginners guide to analysis, therapy and counselling.

London: Bedford square press and BBC Radio Four. Martin, P Editor (1995) Psychiatric Nursing . Glasgow: Scutari press. Moriera, A, S, P, Rodrigues, A, R, F, Coler, M, S (1997). A model for Tax Compliance, analysis of the nurse-patient interactive process (MAIP). Journal of Psychiatric and Mental Health Nursing: 4 303-306. O'Brien, L (2000). Nurse-client relationships: The experience of community psychiatric nurses. Australian and New Zealand Journal of Mental Health Nursing: 9 184-194. Rogers, A, Pilgrim, D Lacey, R (1993). Experiencing psychiatry: users views of services. London: Macmillan.

Sanford, R. Unconditional Positive Regard: A misunderstood way of being. [online]. 1984 [cited 4 th April 2001] Available from: Smith, M. Gwenn? Carl Rogers, core conditions and education. [online]. 1997 [cited 4 th April 2001] Available from: Thompson, T Mathias, P (1994) Editors. Lyttles Mental health and Sample-Academic-Curriculum-Vitae-Skills |, disorder 2 nd Ed. London: Balliere Tindall.

Vardy, C (1994). Interaction analysis in coming to terms with death. Mental Health Nursing: 14(2). Walker, M (1990). Women in therapy and counselling. Milton Keynes: Open University press. Whalley, J Patton, H (1999). 'Freedom of speech': promoting the use of counseling skills. Mental Health Nursing: 19(1).

Wondrak, R (1998). Interpersonal skills for nurses and health care professionals. London: Blackwell science Ltd. Wright, H Giddey, M (1994) editors . Blog: Artists' Contracts? Mental health nursing: from first principles to professional practice . London: Chapman Hall. If this essay isn't quite what you're looking for, why not order your own custom Coursework essay, dissertation or piece of coursework that answers your exact question? There are UK writers just like me on hand, waiting to Officer Resume, help you. Seemel's Artists' Contracts? Each of us is qualified to a high level in our area of expertise, and we can write you a fully researched, fully referenced complete original answer to your essay question. Just complete our simple order form and Vitae | Urgente24, you could have your customised Coursework work in your email box, in as little as 3 hours. This coursework was submitted to us by a student in Artists' order to help you with your studies.

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essay online scoring FREQUENTLY ASKED QUESTIONS. For your convenience, our Frequently Asked Questions page is Gwenn Artist Artists' divided into four parts: Click below on any section or topic that you want to view. Using Holt Online Essay Scoring in the Classroom. How many writing prompts are available?

Currently, we have sixty-six prompts available on our live and demo Web sites. We post additional prompts regularly. What types of writing are represented in On Pinterest | Brochures, the writing prompts? Writing prompts are available in Gwenn Seemel's Artist Blog: Artists' ten modes: expository/informative, persuasive, how-to, descriptive, writing about literature, writing about Officer Sample, nonfiction, and narrative (both high school and middle school), plus biographical narrative, definition, and cause and effect (high school only). Visit our writing prompts page to view a list of all available prompts. How are the writing prompts developed?

Every year, our development team identifies which prompts and writing modes are most popular with our users. Artist! At the same time, we review current state writing assessments for newly released writing prompts and | Urgente24, changes in scoring rubrics. Using this research, we develop prompts designed to best meet our users' needs and to Gwenn Blog: Contracts reflect current trends in writing assessment. Can I develop my own prompt using Holt Online Essay Scoring? No. Officer Sample! For each new prompt, the Intelligent Essay Assessor™ (IEA) requires training on hundreds of Gwenn Artists' Contracts, student essays scored by humans in order to learn how to score other essays written on that topic. Only writing prompts that have been reviewed by a writing assessment expert and have gone through a rigorous training process are posted to Officer Sample Resume our site. What reports are available to teachers through Holt Online Essay Scoring? Through Holt Online Learning's Web-based Learning Management Center, teachers can organize students' essays and scores by class and by Seemel's Blog: Contracts student.

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During that time, the essay is Officer Resume sent to Gwenn Seemel's Blog: Knowledge Analysis Technologies in Boulder, Colorado, where the Manager Resume | Resume company's Intelligent Essay Assessor reviews and assigns a score to the essay. Artist Contracts! Keep in mind that when your school's Internet connection is Curriculum Vitae slow or busy, scores may take longer to appear on the screen as the page refreshes. What types of feedback do students receive? Students receive several types of feedback on their essays, including a holistic score and an analytic assessment in each of five different writing traits: content and development; focus and organization; effective sentences; word choice; and Gwenn Seemel's, grammar, usage, and mechanics. Holt Online Essay Scoring also provides level-specific writing activities to Manager Cv Cover Letter help students revise their writing, interactive model essays for each writing prompt, and special advisories to Gwenn Artist Artists' Contracts alert teachers and students to highly unusual writing styles. To learn more about Curriculum, each, visit our student feedback page. Can students submit the same essay more than once? Students cannot submit identical essays during the same scoring session.

This safeguard is in Artist Blog: Artists' place so that students do not waste hits in | Resume Cv Cover Letter a teacher's or a district's account. Students can, however, submit as many revisions of their essays as they desire. Revised essays are considered brand-new submissions and are evaluated by our system without regard to previous scores. Can Holt Online Essay Scoring detect plagiarism or inappropriate content? No. Holt Online Essay Scoring can only evaluate the Gwenn Seemel's Artist Artists' essay itself and cannot compare essays with other students' writing in | the class or with other content. Similarly, our computer cannot determine what different educators might consider appropriate or inappropriate content. How does Holt Online Essay Scoring help students plan and revise their essays? Holt Online Essay Scoring has several types of prewriting activities and tips for revision. To help students draft essays, we offer prewriting tips, revision tips, and six different interactive graphic organizers. After submitting an essay, a student also has access to writing activities specifically designed for writers at his or her performance level.

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A teacher then may access and view the full text of each student's essay. Content entered into A Simple Plan To Supercharge Your Idea | Udemy, graphic organizers cannot be saved. After students have typed in Gwenn Seemel's Artists' their ideas, they must print out their organizers for review. What are the technical requirements for using Holt Online Essay Scoring? To get the Top 25+ Best Microsoft Telechargement greatest benefit from Gwenn Seemel's Artist Blog: Artists' Contracts, Holt Online Essay Scoring, HRW recommends that you use a current version of one of the two most common Web browsers: either Netscape Navigator 6.2 or above, or Microsoft Internet Explorer 5.0 or above. You can download a current version of these browsers by clicking on the links below.

Macromedia Shockwave and Flash Players. The model essays on this site require that you use a current version of Macromedia's Shockwave and Flash Players: Shockwave 8 or above and Flash Player 6 or above. To download these free players, click on the link below. How do I reach Technical Support? Holt, Rinehart and Winston Technical Support can put you in touch with trained support analysts for 40 Best On Pinterest | Brochures, Print Design assistance. Call, send an e-mail, or visit the Gwenn Artists' Contracts HRW Technical Support Web site. Monday through Friday. 7:00 A.M. to 10:00 P.M., CST.

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To view our holistic and analytic rubrics, visit our student feedback page. What is the difference between holistic and analytic scoring? Holistic scoring is an overall score that indicates a student's performance when compared to a specially-designed four- or six-point scoring scale. The criteria used for holistic scoring are topic and purpose; organization; development; content/ideas; and Brochure Images On Pinterest And, word choice, grammar, usage, and Seemel's Artist Blog: Artists' Contracts, mechanics. Each of these criteria is weighted equally to help determine an overall score. An analytic score is Microsoft Word Telechargement Gratuit Ideas a more specific measure of Artist Blog: Artists' Contracts, five writing traits: content and development; focus and organization; effective sentences; word choice; and grammar, usage, and mechanics. The student is Curriculum | Urgente24 scored in each of these five traits as having advanced, competent, limited, or emerging ability. Analytic feedback can identify a writer's strengths and weaknesses better than a holistic score. For example, if a student's ideas are weak but his or her use of vocabulary is strong, he or she might score limited in content and development but advanced in word choice. For more information about Artist Artists', holistic and analytic scoring, visit our student feedback page. Are holistic and analytic scores correlated?

Each analytic trait is scored independently of the Curriculum Vitae holistic score and of other analytic traits. Gwenn Artist Blog: Contracts! Therefore, a student's holistic score and analytic feedback may vary from Vitae | Urgente24, one another, sometimes significantly. A perceived discrepancy between the holistic and Gwenn Blog:, analytic feedback may actually be a useful distinction between a student's overall performance and a student's performance using particular writing skills. Therefore, although there is usually some kind of relationship between the holistic and analytic feedback, variation between them is also expected because each is assessed separately. Does Holt Online Essay Scoring's rubric align to 40 Best Brochure On Pinterest Print Design my state's writing assessment rubric? Because our holistic and analytic scoring rubrics were developed to reflect writing assessment standards shared by several states across the country, your state's writing assessment rubric may vary somewhat in language and emphasis from the Holt Online Essay Scoring rubrics. However, most states' rubrics correlate in part or in whole to Gwenn Seemel's Contracts ours. In addition, all students are matched by Curriculum the computer to Gwenn Artists' Contracts a four- or six-point scoring scale based on which scale their state writing assessment uses (See How does Holt Online Essay Scoring determine whether to score an essay on Top 25+ Microsoft Word a four- or six-point scale?). How does Holt Online Essay Scoring determine whether to score an essay on Seemel's Artist Blog: a four- or six-point scale? Most state writing assessments are scored on a four- or six-point holistic scale. Tax Compliance Sample! To better match a user's own state's rubric, Holt Online Essay Scoring remembers the state the user entered during setup and Gwenn Seemel's Artist Contracts, scores student essays on the scale used by that state.

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It is | important to Blog: Contracts remember that the computer system cannot replace what you do as a writing teacher. The computer does not know your individual grading standards, nor does it know about your classroom or your students and Officer Sample, their lives. Rather, the computer knows the Gwenn Seemel's Artist Artists' Contracts assessment standards we have used to develop our scoring rubrics; it knows how previous essays have been scored by | assessment experts. Our scoring system cannot and should not replace your vital role in the assessment of Gwenn Seemel's Artist Artists' Contracts, your students' writing. It serves, rather, as a supplement to Business Template Idea | Udemy what you do, giving students another opportunity to practice important writing skills and another form of feedback about their writing. About the Technology Behind Holt Online Essay Scoring. How are essays submitted to Holt Online Essay Scoring evaluated? Essays submitted to Gwenn Blog: Artists' Holt Online Essay Scoring are evaluated by the Intelligent Essay Assessor™ (IEA), a software application developed by Knowledge Analysis Technologies (KAT).

Founded in 1998, KAT developed IEA, its cornerstone product, to give instantaneous evaluation and feedback on written essays. What is the Intelligent Essay Assessor? The Intelligent Essay Assessor is a powerful Web-based learning tool that has been proven to provide evaluations of written essays as competently as a professional educator. The only essay-evaluation system in which meaning is dominant, IEA measures factual knowledge, based primarily on semantic content rather than surface features such as word counts, punctuation, grammar, or keywords. IEA also extensively checks of the Curriculum validity of its scoring system. IEA uses Latent Semantic Analysis, a patented technology based on over ten years of corporate and Seemel's Contracts, university research and development. Latent Semantic Analysis is a sophisticated computer analysis of text. It assesses the total content of an essay as well as the correlation between the A Simple Business To Supercharge | Udemy essay's content and that of Seemel's Artist Blog:, training essays previously scored by expert human readers. How is the computer trained to A Simple Plan Your Idea score student essays? Long before a prompt appears on Seemel's Artist Blog: Artists' Contracts Holt Online Essay Scoring , we collect student papers written for that prompt. After collection, these papers are scored—holistically and analytically—by experts in writing assessment.

Then, the training papers are forwarded to Knowledge Analysis Technologies, where the Curriculum Vitae | Urgente24 papers and their scores are used to train the computer to score new student essays on the prompt. The computer at KAT learns to recognize how papers differ for each score point on a scoring rubric. How does the human scoring work? For holistic scoring, our writing experts assess a paper's overall effectiveness, using mode-specific rubrics. Artist Blog:! For analytic scoring, they examine a paper for Brochure On Pinterest Print Design five important traits: content and development; focus and organization; effective sentences; word choice; and grammar, usage, and mechanics. Each essay is scored by two readers for Gwenn Artists' the holistic score and again by two readers for each of the Top 25+ Microsoft Word Ideas five analytic traits.

If the Gwenn Seemel's Blog: Contracts two readers diverge on any score, a third reader scores the paper to settle the discrepancy. How does the computer recognize a good essay? The Intelligent Essay Assessor measures the relationship between each word in an essay and every other word in Sample-Academic-Curriculum-Vitae-Skills | the essay. Further, it compares the interrelationship of words in Seemel's a particular essay with the interrelationship of words in the training essays. When a student submits an essay for scoring, the system immediately measures the content and structure of the essay itself; then, it compares the essay to the training essays—looking for similarities—and assigns a holistic score by placing the Sample essay in a category with the most similar training essays.

Analytic scoring occurs in much the same way. For each trait, the system assesses the student essay, compares it to the training essays, and then categorizes the Gwenn Seemel's trait in question as advanced, competent, limited, or emerging. How does IEA scoring compare to Brochure Images the way teachers grade writing? IEA's approach is Artist Blog: Artists' designed to mirror the Manager Resume | Resume Cv Cover Letter way experienced teachers grade essays. When teachers evaluate a student's essay, they look for characteristics that would identify it as an A or C paper, for example. Their expectations are likely based on their previous experience as a grader and on Contracts criteria for the assignment in question.

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