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bpm resume After a decade of what has often been conflicting and contentious debate over the meaning of “BPM”, we at BPM.com have joined with other industry experts on the establishment of an official and definitive definition of BPM: “Business Process Management (BPM) is a discipline involving any combination of modeling, automation, execution, control, measurement and optimization of business activity flows, in support of enterprise goals, spanning systems, employees, customers and partners within and beyond the enterprise boundaries.” The goal of this effort is to research paper find the definition that closely represents the concept that most people (including both experts and otherwise) have for the term BPM. The goal was not offer judgment on different BPM methods, technologies or products, many of which are discussed on this site. This definition is by design short and concise, yet definitive and complete. Short Essay Pollution In English. Some broader considerations. BPM is a discipline; it is a practice; it is something you do.

Business stems from the research urgent state of being busy, and it implies commercially viable and profitable work. A business exists to provide value to customers in exchange for something else of value. Process means a flow of research paper online urgent, business activities and seeing those activities as connected toward the achievement of some business transaction. Flow is meant loosely here: the order may or may not be strictly defined. A person doing BPM must consider a process at buy a paper online urgent the scope of interrelated business activities which holistically cooperate to erendira fulfill a business objective. This is the key difference from a functional view of business where each function might be optimized independent of the other functions. In a complex system like a business, it is well known that local optimization of part of the system will rarely lead to good overall results. Buy A. A BPM practitioner must consider the metrics of the entire system when evaluating a specific process.

Modeling means that they would identify, define, and make a representation of the complete process to innocent erendira support communication about the buy a research paper online urgent process. There is no single standard way to model, but the model must encompass the process. Automation refers to the work that is done in advance to destruction of nature assure the buy a research paper online urgent smooth execution of the process instances. In many cases this means writing software, but it might include building machinery or even creating signage to direct participants. Execution meaning that instances of a process are performed or enacted, which may include automated aspects. Conceptually, the process instance executes itself, following the BPM practitioner’s model, but unfolding independent of the BPM practitioner. Control means that the there is some aspect of theme rapidshare.com, making sure that the process follows the designed course.

This can be strict control and enforcement, or it might be loose control in the form of guidelines, training, and manual practices. Measurement means that effort is taken to quantitatively determine how well the research paper online urgent process is working in terms of serving the needs of customers. Optimization means that the discipline of BPM is an ongoing activity that builds over time to steadily improve the measures of the process. Sat Essay Questions. Improvement is relative to the goals of the organization, and research paper online ultimately in terms of meeting the pollution needs of customers. Buy A Research Urgent. Enterprise is used here simply to mean a business organization; any organization where people are working together to meet common goals; it does not need to be exceptionally large, and it does not need to be for profit. The mention of enterprise goals is included here to emphasize that BPM should be done in the context of the goals of the enterprise, and not some small part of research online urgent, it. This might seem a bit redundant in buy a paper online one sense: any improvement of a process must be an improvement in terms of the drug essay enterprise goals anything else would not be called an improvement.

Within and beyond the enterprise boundaries recognizes that the enterprise is buy a research paper part of pollution, a larger system. Customers are part of the business process. Their interaction, along with those of employees should be considered as part of the end-to-end interaction. Assumptions and Understanding Beyond the research online urgent Definition Alone. The discussions and commentary that led to the official definition of BPM also uncovered several assumptions and immutable notions about BPM. These are presented below. BPM is an activity; a practice - BPM is something you do, not a thing you own or buy. It is described in many definitions as a practice. There was wide agreement on this, well over 90% of the participants expressed this view. BPM is about improving processes - It presumes the idea that you view business as a set of processes, and BPM is the act of improving those processes. This is important: “skill” is different from “skill improvement”.

This can be confusing. For example in of nature essays competitive situations the two ideas are often intertwined - what is the act of playing tennis, if not also the act of trying to improve the way you play tennis? However, in other contexts it is easier to distinguish the activity of driving is different than taking a driving course to improve the buy a research paper way you drive. The implication is innocent essay that BPM is not about buy a paper online urgent, automating business process (in the ‘paving the cowpaths’ meaning) but about buy a research paper online, improving them. The same way that ‘reengineering’ a process is about not simply automating what is buy a urgent currently there. Some will say that automation by itself is an improvement over abuse essay a manual process. The BPM is the activity of discovering and designing the automated process, and is done when the finished application is deployed to the organization. The running of the buy a paper online processes is not part of BPM. However, monitoring the process to find areas of improvement would still be an erendira essay important part of BPM.

BPM is done by people concerned primarily with improvement of the process - A business process will involve many people, but how many of them are concerned with improving it? Some will insist that improvement is everyone’s job. That is, the receptionist should be thinking about how to improve the operations if possible. This interpretation is buy a urgent too broad to be useful. The cook who adds salt to the food making it taste better, motivating more employees to prep eat in the building, cutting down on waste of urgent, time driving to an outside restaurant, and improving the amount of information interaction between worker, and resulting in better performance is NOT business process management by any account. Everybody in a business is sat essay questions working to paper urgent do their best job, and prep every good job helps the business, but all of this is not BPM. BPM must be narrowly defined as the activity done by research online, people who actively and primarily look specifically at drug essay the business processes, and trying to improve them. Clearly those people must solicit input from as many others as possible, but those others are not doing BPM. Participating in a process is not doing BPM - A manager approving a purchase order is not doing BPM even though that approval is an activity in a process. A bank manager rejecting a loan application is online urgent not doing BPM even though this activity is a step in a business process. These people are doing jobs that are part of a process, but they are not doing BPM.

Implementation (coding) of the process application is not BPM - An application developer designing a form for data entry as a step in a process is not doing BPM at that moment. Once the “to-be” process has been adequately spelled out, the actual implementation of the application that supports it is no longer actively engaged in improving the research paper urgent process. Buy A Research Paper Online Urgent. A small caution here: applications are often developed incrementally show to the customer, get feedback, improve, and iterate and buy a research online the process may be improved incrementally as well. Those incremental improvements should be included as the research paper urgent activity of BPM, but the activity of implementation of the thesis theme rapidshare.com application is not BPM. The criteria is clear: if you are actively and primarily engaged in improvement of the process, then it is BPM, otherwise it is engineering. Making a suggestion for research paper online urgent, process improvement is not BPM - This means that there is a distinction between many people who make suggestions, and those who then actually do the thesis theme rapidshare.com BPM. When a process analyst is involved in BPM, it is expected that they will solicit lots of information about what is and is not working, as well as suggestions on how it might work. Those people who give the buy a research feedback are helping the model BPM work, but not themselves doing BPM. Improving a single step of a process is not BPM - Some have the mistaken idea that any possible action that improves a process is BPM no matter how small. A person doing BPM needs to have some kind of big-picture view of the process. It has been described as an “end-to-end view” of the paper online process.

Optimizing one step in a process, without knowledge of the entire process, is exactly what Hammer and Champy were warning about: to short on noise understand the correct optimizations we need to consider those optimizations within the context of a complete business process. A workman smoothing gravel on a road is buy a online improving all of the process that involved driving on that road, but it is not BPM because he does not have visibility of the whole process. The engineer finding a way to double the bandwidth of a fiber optic cable is improving all the on noise pollution in english processes that require communications, but this is not BPM either. Buy A Online. An office worker who finds that OpenOffice4 helps to create documents faster than some other word processor is improving all the processes that involve writing documents; this is essay pollution not BPM either. Urgent. In order to have a discussion about model essay, BPM, we can consider only buy a online urgent those activities by people who have a view to, and consider the effect on, the entire end to end process. Here we get into a variety of different ways that people abuse the BPM term. BPM is not a product - There is sat essay questions a category called “BPMS” which is a BPM Suite or BPM System. Online. Gartner has introduced a new product category called “intelligent BPMS.” What is short in english included depends very much on the vendor. Analysts have attempted to research urgent list features and capabilities that are necessary, but those features change from year to year. For example, in 2007 analysts commonly insisted that BPM Suites must have a BPEL execution capability, but today this is sat essay questions entirely ignored or forgotten. Most products designed to support BPM also include a lot of other capabilities beyond just those the BPM practitioner requires.

Particularly they generally include a lot of application development and data integration capability. It is buy a research very convenient to offer all this in a single package, while other vendors bundle collections of pollution, offerings together to buy a research online get the same benefit. By analogy “driving” is an activity, but an automobile offers many more things than just those needed to drive. BPM is not a market segment again, there might be a market segment around products that support BPM, or BPMS products, but BPM itself is a practice. Vendors may be labeled as a “BPMS Vendor” which simply means they have some products which can support the destruction activity of BPM, among other things. An application does not do BPM the buy a research paper online application might be the result of BPM activity. Once finished, it either does the rapidshare.com business process, or support people doing the business process. It may, as a byproduct, have metrics that help further improvement of the process. In this sense it supports BPM in the same way that receptionist may support BPM by coming up with good ideas, and that is not enough to say that the application, or the receptionist, is doing BPM. BPM as a Service is not application hosting We use the term business process as a service (BPaaS) to mean applications hosted outside the company that supports more than one function of a business process. Like the application above, it does the process, but it does not do BPM.

Entire organizational units don’t do BPM To say that a company is doing BPM is simply a way of saying that there are some people in buy a paper online the company that are doing BPM. This kind of abstraction is normal. It should be obvious that when a company or division claims to destruction be doing BPM, the majority of the people there are not actually doing BPM. BPM is not anything that improves business some argue that every activity is part of a process because a process is research online just a set of activities. Then, any action taken to improve any activity is BPM. I have argued against this interpretation because such a broad interpretation would make BPM meaningless: it would mean anything. There is broad acceptance that BPM is a practice of methodically improving a process that supports business, and that improvements in part of the process must be done only after the consideration of the entire end to end process. BPM is not all activities supported by a BPMS as I mentioned earlier, a BPMS supports many things (e.g. application development) which is not BPM. A BPMS that only supported the exact activity of BPM would not be as useful as one that bring a lot of capabilities together.

It is however a common mistake for people to say that because a BPMS supports something, it is essay then an research paper online urgent aspect of BPM. While it is true that someone who does BPM needs to erendira document a process, it is buy a research paper urgent not true that anyone who documents a process is doing BPM. While it is true that many BPMS support designing a screen form, it is not true that design a screen form is BPM. The activity of BPM is fairly well defined, but a BPMS support a much wider set of activities. Because you can do something with a BPMS does not mean you are doing BPM A BPMS is designed to research paper support the research paper online urgent activity of BPM.

However there are many things a BPMS can do that are not BPM. Essay. Home What Is BPM BPM Today Blogs and buy a Articles Quotes of the Week Podcast In the Forum Headlines Login Resources Events and Webinars First Impressions Featured Whitepapers Webinar Archive Case Studies Partner Events Vendor Guide bpmNEXT 2017. Erendira Essay. 2017 Copyright Business Process Management, Inc.

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sacbee resume US-focused job search engine reaches major milestone in effort to provide job seekers with largest database of jobs collected exclusively from company websites. Minneapolis, MN (PRWEB) June 13, 2012. LinkUp announced today that its job search engine has reached 1 million job openings indexed exclusively from company websites throughout the U.S. This is buy a paper online urgent, a major milestone in support of abuse model, LinkUp’s mission to deliver to job seekers the largest index of high-quality job listings available on the web. By updating the index daily and only including jobs from company websites, LinkUp eliminates expired jobs, duplicate listings, phishing posts, lead-gen bait, work-at-home scams, and other job board pollution.

“Getting to 1 million jobs was a significant goal of ours in buy a paper, 2012,” commented Toby Dayton, President and CEO of LinkUp. “Unfortunately, we haven’t gotten much help from job growth in questions, the U.S., so we’ve really focused our efforts on adding more company websites to our search engine.” LinkUp’s search engine now includes 25,000 company websites throughout the U.S. One of the buy a paper, areas of focus for the company has been adding companies that are actively recruiting Veterans. To date, LinkUp’s search engine lists job openings from well over 1,000 companies who are currently recruiting Veterans. Buy A Online? These large employers include companies such as Accenture, Colgate Palmolive, Ernst Young, HP, and Pitney Bowes to name a few. Given the challenges in the current labor market for research students and recent graduates, LinkUp has also concentrated its efforts around adding companies with available internships. LinkUp.com currently lists over 10,000 available internships across a wide variety of industries including Healthcare, Retail, and buy a research online, Financial Services. LinkUp started the year with 775,000 job openings on online, its site and reached 1 million jobs in early June. During that time, LinkUp increased the number of companies in sat essay prep questions, its search engine by approximately 10%. Not surprisingly, job seekers have responded positively to the larger index as traffic to the site has increased 68% since the first of the paper online urgent, year. Remarked Dayton, “It’s been particularly gratifying to see the correlation between growth in our job search engine and research online urgent, traffic growth on LinkUp, because at the end of the day, our singular mission is to build the best job site on the web. Buy A Paper Urgent? We feel like we’re doing that and it’s nice when your users agree with you.”

About LinkUp: LinkUp provides the largest search engine that contains only drug essay job listings sourced from company websites. By eliminating pay-to-post listings and research urgent, jobs aggregated from other job boards, LinkUp’s search results are free from the job pollution that afflicts other sites. There are no duplicate posts, lead-gen bait, fraudulent listings, work-at-home job scams, or phishing posts. Furthermore, the index is updated daily and model, does not include jobs from online, staffing companies, headhunters, search firms, or any other 3rd-party intermediary. Hiring Our Heroes: Veterans job fair today at Everbank. The job fair runs from 11:00 a.m. to 3:00 p.m. inside the East Club at essay on noise, Everbank Field. Is the tech hiring headache all the paper online, HR department's fault?

Karen Goulart, Features Writer, and drug essay, Linda Tucci, Senior News Writer Published: 14 Jun 2012. When it comes to the tech hiring crisis that many CIOs face today, the buy a research urgent, causes are myriad and the headaches are of migraine proportions. Short Essay On Noise? It's a daunting task to find people who can keep up with the breakneck pace of new technology and cater to changing business needs. Factor in another requirement -- to adapt to an IT organization morphing from command and control to customer comes first -- and suddenly IT talent shortages amid an 8.2% unemployment rate don't seem so far-fetched. If granted a magic bullet, where would CIOs aim it?

At their human resources (HR) department. Managing tech talent these days is fast and furious. HR has trouble keeping up, and buy a paper online urgent, so do CIOs. Far and away, the No. Prep Questions? 1 thing … CIOs said is, 'I would put another person in the HR department who is specifically dedicated to recruiting for me,' said Todd Thibodeaux, president and research online, CEO at Downers Grove, Ill.-based CompTIA (Computing Technology Industry Association), which recently published a study on the IT skills gap. CIOs say they are just not getting the sat essay prep questions, attention they need. There's a shared sense that IT is a lesser priority for buy a research paper HR departments and outside recruiters alike, said Thibodeaux, who recently spent a number of weeks meeting with CIOs across the U.S.

They are trying to find salespeople, they're trying to find marketing people, and IT has fallen rungs down the rack, he said. But is it fair to lay the blame at the feet of the HR department? The answer is tricky, say a number of people who track tech hiring. A large part of the problem inherent in tech hiring today is that there are major differences in how people define even the most basic IT roles because even those roles aren't exactly basic. Within every role, there's a variation in the systems that an employee needs to know. A business analyst may need to do detailed requirements development for COBOL in one company and process design with a BPM [business process management] tool in another. Web developers, network engineers, and other meat-and-potatoes roles in IT all suffer from this, said Marc Cecere, Cambridge, Mass.-based Forrester Research Inc.'s principal analyst serving CIOs, and an expert in the design of of nature essays, IT organizations. The problem is, if anything, compounded when hiring for senior IT positions, Cecere said. The variability is even greater. An architect in one firm may primarily be a strategist, setting direction, defining roadmaps, whereas in another firm they primarily work on buy a research urgent, projects. Competing with business execs for tech hiring.

One reason CIOs could find themselves at the bottom of the HR totem pole is that they are only thesis one executive group among many now hiring people with IT talent, said David Foote, CEO at research firm Foote Partners LLC in Vero Beach, Fla. I would argue that their participation and influence in tech hiring decisions in buy a research online urgent, the enterprise have been steadily declining. That's because only about one-fifth of the theme, workforce who possess tech skills as a condition of their employment are now under the direct control of CIOs, he said. Foote nevertheless agreed that CIO-HR disconnects are more acute around pure tech hiring than around hybrid IT-business hires, precisely because purely technology roles tend to call for different combinations of deep tech skills in research paper online urgent, one individual. The range of research paper online urgent, skills required in cloud computing is a prime example. It's hard to leverage the benefits of the research, cloud without hiring people who know how to develop applications specific to the cloud; estimate computing capacity in the cloud; integrate services from thesis rapidshare.com, different cloud vendors; configure and support cloud-based services; [and] secure business processes and data that are being relocated to private, public and hybrid clouds. And that's just to urgent, mention a few specialized talents that are not in the tool belt yet of experienced engineers, resource planners, architects and administrators, said Foote, whose firm has been tracking certified and noncertified IT skills since 1999.

Mobile computing, big data and analytics present the same problems. Managing tech talent these days is fast and furious. HR has trouble keeping up, and sat essay questions, so do CIOs, Foote said. Tech hiring: Are you speaking to me ? One of the buy a research online urgent, root causes of the thesis rapidshare.com, HR-CIO disconnect on tech hiring -- especially with regard to hard technology skills -- is the rising use of research, keywords in candidate searches, said Judy Homer, president at the New York IT executive placement firm JB Homer Associates Inc. Sat Essay Prep Questions? Its employees who have come from other technology placement agencies talk of buy a paper urgent, being instructed by clients' HR departments to send only resumes with the exact keywords they are looking for.

There is no conversation at all. The recruiter from the company has learned nothing. The placement agency has learned nothing. When you start relying on keywords to fill a position, it is extremely difficult to find the right candidate, Homer said. MORE ABOUT FILLING THE TECH HIRING GAP. The prescription that will alleviate tech hiring headaches, experts agreed, is teamwork.

The HR departments that most often fail to find the right person for an IT job are those where the research paper, CIO has failed to develop a relationship with the people doing the hiring. That's especially true in buy a research online, a market where the pool is shallow for talent that is in the moment of current technology trends, Homer said. Everyone is going to the same sources. CIOs who don't build relationships with HR have a real issue. CIOs who are building successful IT organizations aren't blaming HR, Foote said. It's hard work, but the CIOs I know who do this don't complain about erendira their HR departments being roadblocks, he said. They know that it's their responsibility to paper, find and retain talent if they're going to be successful CIOs -- they find a way to sat essay, get it done. In the buy a research, second part of this story, SearchCIO.com taps experts for ways that CIOs can help their HR departments help them.

More information: http://searchcio.techtarget.com/news/2240158029/Is-the-tech-hiring-headache-all-the-HR-departments-fault. Real Goods Solar is Hiring; Selects City of Orange as Headquarters for Its Growing Southern California Solar Operations. Real Goods Solar is short pollution, Hiring Teams to Introduce A New Array of buy a research urgent, Financing Options That Make Solar Affordable to theme, Most Southern California Homeowners. In Many Instances, Solar Is Now Cheaper Than Fossil Fuel-Fed Utility Energy. ORANGE, California (PRWEB) June 14, 2012. America’s most established solar installer and research, integrator, Real Goods Solar, Inc. Abuse Essay? has selected sun-drenched Orange, California as the hub of its growing Southern California solar operations. The company, with roots in buy a online urgent, Southern California for over 15 years, is looking to double the size of drug abuse essay, its team to forty by the end of this calendar year. “We’re here and research paper online, we’re hiring,” said Orange County – Los Angeles Regional Sales Manager Brian Walrod. “We’re recruiting savvy, customer-focused people who are passionate about bringing quality, cost-cutting advanced energy solutions to Southern California families.”

Those co-locating at the newly centralized location include Real Goods Solar sales management and marketing, solar project developers, site technicians, draftsmen, installers, customer service agents, permitting professionals, rebate processors and warehouse personnel. Walrod says lower module costs and attractive new financing options are driving demand – and making solar a competitive energy alternative for a record number of Southern California households(1) that is drug model essay, often cheaper than paying the utility each month. These economic drivers -- coupled with the research urgent, Orange City Council's 2011 vote to slash permitting costs for installations -- make solar an irresistible value proposition for prudent area homeowners. ”Time and again, we hear people’s frustration with increasing electric bills,” said Real Goods Solar Community Project Developer Sean Henry, who has been helping Orange County residents realize the benefits of drug abuse model essay, solar for over five years. “Solar not only provides a secure hedge against rising utility costs, itimproves property resale values, better insulates homes and, of course, reduces the need to burn fossil fuels to power our homes and vehicles, creating cleaner communities for us and buy a research online, our children,” he said. Real Goods Solar is the second largest residential solar provider in the USA. Real Goods sold the essay on noise pollution, first residential solar panel in the USA in 1978 and urgent, has been helping Americans build an in english independent, clean energy infrastructure ever since. Real Goods Solar selected the City of Orange for its operational headquarters because of its central location, sunny climate, family demographics and solar potential. The Orange City Council moved to slash permitting fees by buy a paper online urgent, 50% to make solar more accessible to its citizens in March of 2011. “Orange is one of the major solar cities in Southern California, but there’s always more educating to do,” noted Walrod. On Noise Pollution In English? One of the most important new messages Walrod’s teams will be sharing with Orange County consumers is that solar is buy a research urgent, not the most expensive source of electricity anymore. “In almost all residential cases, solar can be the cheapest way to obtain energy today,” he affirmed. “It’s a smart economic play for questions anyone who wants to live comfortably, slash their electric bills and improve their property values .” “And there’s another indisputable benefit of considering solar,” added Henry. Research Online? “You can’t export the thesis rapidshare.com, jobs associated with a quality solar installation.”

Interested candidates can review available career opportunities and buy a research online, apply via the Real Goods Solar Web site:http://realgoodssolar.com/careers/. About Real Goods Solar: Real Goods Solar is a leading solar energy integrator, having installed over 13,000 solar electric systems. Paper? We offer turnkey solutions, and have 34 years of experience in solar energy, beginning with the sale of the first solar photovoltaic panels in the U.S. in 1978. With offices in buy a paper online urgent, California, Colorado and abuse, the Northeast, Real Goods Solar is one of the largest residential solar installers in the country. For more information, visithttp://www.RealGoodsSolar.com or call 1-888-56-SOLAR. (1) NREL Energy Policy report The Transformation of Southern California's Residential Photovoltaics Market through Third-Party Ownership. More information: http://www.prweb.com/releases/2012/6/prweb9600038.htm.

Summer Job Search Tip #1: Don't Take a Summer Vacation From Your Job Search. TORONTO, June 14, 2012 -- /CNW Telbec/ - When it comes to your summer job search, the warm weather doesn't have to mean slowing down or taking a break from your task, according to Randstad Canada, the country's leader for staffing, recruitment and HR Services, you should use the summer months to find your ideal career fit. Stacy Parker, Executive Vice President of Randstad Canada says jobseekers should resist the temptation to take the summer off from job searching. Paper? The summer season can be a prime hiring time for some employers. Many projects gear up in of nature, the fall, and buy a online, employers want new people in place. If you mistakenly assume no one is hiring, you might miss out on essay pollution, the perfect time to online, position yourself for a great job opportunity, before the competition spikes in the fall. It's the perfect time to get your foot in the door, she says. Parker offers these tips to help you keep your search moving forward in the summer: Refresh your resume and skills: Summer is the perfect time to assess and improve your resume and skills. It's important to thesis theme rapidshare.com, make your skills and talents stand out from the rest of the applicant pool. In order to maximize the opportunity getting hired, you should update your resume with relevant accomplishments, new job duties, recently achieved certifications, and buy a research online urgent, other similar achievements.

Build your network at summer events: Summer is also a great time to network - use personal and social gatherings to introduce yourself to new people. Festivals, barbeques, weddings and other gatherings can provide the opportunity to make valuable connections that could lead to future employment. Keep track of short essay pollution, your active job search: Keeping track of the applications you've made will make it easier for you to buy a online urgent, do timely follow-ups, ensure you don't apply for thesis theme rapidshare.com the same position more than once. Consider a recruitment agency: Recruiters and hiring authorities are not out of the office over the summer. Buy A Research Online? We have many job opportunities with Canada's leading employers and we are always on the lookout for the right candidates to fill these roles. Research Paper? Remain positive: You may apply to buy a research paper, and interview with many companies before you find the drug model, right fit. But rememember, you are meeting new people in every interview and networking event you attend. Buy A Research Online Urgent? Even if you don't end up working for their companies, the connections could lead to valuable, career-enhancing connections in the future. According to Parker, jobseekers should use the summer to refresh and innocent erendira essay, recharge their job search.

Stay focused, set daily agendas, review your career goals, and don't get discouraged, she adds. Buy A Research Paper Online? But don't forget to paper urgent, reward yourself, too. Once you've met your daily goals, give yourself permission to take the rest of the paper online, day or the weekends off from your summer job search. The time and effort you invest now can reap big rewards and even land you a new job before the fall. About Randstad Canada: Randstad Canada is the paper online urgent, Canadian leader for research staffing, recruitment and buy a online urgent, HR Services.

As the only fully integrated staffing company in the country, we understand the recruitment needs and demands of employers and job seekers across all levels and industries. Through our insightful knowledge of buy a urgent, local markets, employment trends and prep, global network of recruitment experts, we are shaping the Canadian world of buy a urgent, work. Visit randstad.ca. SOURCE RANDSTAD CANADA. U.S. Destruction Essays? unemployment aid applications rise. June 14, 2012 , 6:31 a.m.

More Americans sought unemployment aid last week, suggesting hiring remains sluggish. The Labor Department said Thursday that weekly unemployment benefit applications rose 6,000 to a seasonally adjusted 386,000, an buy a research online increase from an upwardly revised 380,000 the previous week. The four-week average, a less volatile measure, rose for essay on noise pollution the third straight week to 382,000. That's the highest in buy a paper urgent, six weeks. Weekly applications are a measure of the pace of layoffs. When they drop below 375,000, it typically suggests hiring is strong enough to reduce the unemployment rate. The trend in abuse model essay, jobless claims suggests … that the underlying pace of research paper online urgent, employment growth has softened, said Bricklin Dwyer, an economist at pollution in english, BNP Paribas. Applications fell steadily during the fall and winter but have since leveled off. At the same time, hiring has slowed, raising concerns about the pace of the recovery. Buy A Research Paper Online? Employers added an average of only thesis 96,000 jobs per month in buy a paper, the past three months.

That's down from an erendira essay average of 252,000 in the previous three months. Weaker hiring also pushed up the unemployment rate in May to 8.2 percent, its first rise in nearly a year. Joseph LaVorgna, an economist at Deutsche Bank, said the increase in applications was slightly disconcerting but added that more data would be needed to establish a trend. Still, he forecasts that the economy will gain only 75,000 jobs this month. Faster job creation is crucial in order to accelerate growth. More jobs mean more income for consumers, which may lead to higher spending. Consumer spending fuels about 70 percent of the economy. The number of people continuing to receive benefits fell sharply, partly because extended benefit programs are ending in buy a research, many states. The total benefit rolls fell to theme, 5.8 million in the week ending May 26, the latest data available. That's a drop of 146,000 from the previous week. Many economists blame the slowdown in hiring partly on the unusually warm winter.

Companies moved up some hiring in buy a research paper, January and February that normally would have occurred in spring. As that trend fades, job gains might recover in the coming months. Federal Reserve Chairman Ben Bernanke said last week that the warm winter might be a reason for abuse essay the slowdown in hiring. Buy A Paper Online Urgent? He also suggested that the burst of job gains earlier this year could have represented a catch-up in hiring' by employers who cut too deeply in the recession. In that case, stronger economic growth would be needed to boost hiring further, Bernanke said.

For now, the erendira, economy appears to buy a paper online urgent, be sputtering. It expanded 1.9 percent in the first quarter, down from 3 percent in the October-December quarter. Growth isn't expected to improve much in the current April-June quarter. Consumers remain cautious. Sat Essay Questions? Retail sales fell 0.2 percent in May, the Commerce Department said Wednesday, matching April's decline. It was the first back-to-back drop in two years. A big reason for the decline was falling prices at the gas pump, which reduced gas station sales. The average price for a gallon of paper, gas was $3.54 Wednesday, according to AAA.

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Earlier, they were classified into research online, two groups—the plant kingdom and of nature essays the animal kingdom. The science of classification of organisms is called Taxonomy. In 1969, Whittaker divided all organisms into five kingdoms based on buy a online the complexity of cell structure, organisms’ body and mode of obtaining nutrition. 1. Monera (single cell microscopic organisms) like—bacteria. 2. Protista (unicellular, primarily aquatics organisms) like—phytoplankton. 3. Plantae (multicellular phytosynthetic plants) like—sea weeds, algae, mosses, ferns and thesis seed plants. 4. Fungi (multicellular decomposers) like—yeasts, mushrooms etc. There are over 100,000 species of fungi. 5. Animalia (multicellular animal consumers) like—sponges, insects, amphibians, birds, mammals etc. Research Online! There are several species under each kingdom. This group also includes human beings.

The human beings are called Homo sapiens (homo means man and sapiens means wise). The environment means surroundings. It is a collective term embracing all conditions in which an animal lives. There are two types of conditions—physical or abiotic such as air, soil, water, light, temperature, precipitation and biotic conditions which surround and affect the life of the organisms. The life of living organisms is abuse model, so intimately related with the environmental factors of a place that every living being is perfectly adapted to a particular environment. All the organisms whether plants or animals interact with each other. The study of these interactions between all forms and environment is called ecology. Paper Online! The term ecology has been derived from the of nature essays Greek word ‘oikos’ which means ‘house’ and ‘logy’ means ‘science’ or ‘study of’. The German Sociologist Earnst Hackel used the research term ‘oekologie’ in 1869 and he became the first person to sat essay, use the term. All the interacting components—biotic and abiotic with the group of organisms—are called ecosystem. The biosphere is a life supporting layer which surrounds the earth and makes plant and animal life possible without any protective device.

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40.1). The biosphere consists of buy a, two major systems viz.: (i) Terrestrial biomes systems, and. (ii) Aquatic biomes systems. The terrestrial biomes systems are further comprised of three subsystems viz.: (ii) Animal system, and. (iii) Soil system. These subsystems are intimately interrelated among them­selves through the cyclic pathways of movements and transfer of energy and materials (fig. 40.2) whereas the aquatic biomes systems are also composed of three sub-systems viz.: (ii) Animal system, and. These three sub-systems of sat essay prep, aquatic biomes system of the biosphere are also intimately interrelated through cyclic pathways of movements of energy and matter among themselves.

The biospheric ecosystem is buy a paper, affected and modi­fied by certain factors either directly or indirectly. These factors are called as modifiers of ecosys­tems. The factors or modifiers which directly or indi­rectly affect ecosystems are of three categories e.g.: (i) Physical modifiers, (ii) Chemical modifiers, and. (iii) Biological modifiers. The physical factors affect physical properties of the atmosphere which in turn affect climate and climate ultimately affects the ecosystems. Physical modifires also affect ecosystems through temperature changes, water flow, fire, excavation (min­ing), constructional works etc. The chemical factors affect the composition of the atmosphere which in turn affects climate which ultimately affects the ecosys­tems. Water and thesis theme soil composition is highly modified by chemical elements and thus modified soil and water affect the buy a ecosystems. The biological factors like crop­ping patterns, population characteristics, manipula­tion of species density and distribution and short essay on noise species genetics also affect the ecosystems. If we consider the whole of the biosphere as an ecosystem at global scale, the components of the biosphere and the biospheric ecosystem become the same.

The total physical environment at buy a research paper urgent global scale also contains the model essay same components as those of the biosphere and the ecosystem (biospheric ecosystem). The biosphere, the ecosystem and buy a paper the environment consist of three components viz.: (i) Inorganic or abi­otic or physical components, (ii) Energy component, and. (iii) Biotic or organic component. It may be pointed out that energy component may also be considered with abiotic component. The abiotic or inorganic or physical component of the bisophere or the ecosystem represents physical environment of the whole biosphere or part thereof. This component, on an average, includes the lithosphere, the atmosphere and the hydrosphere. Generally, these are considered as land and or soil, air and water respectively. If the theme whole of the biosphere is taken to be an ecosystem at global scale, these three physical or abiotic components are considered as the sub-systems of biospheric system (ecosystem). In other words abiotic components of the buy a online urgent bio­sphere consist of 3 sub-components viz., lithospheric component (land component), atmospheric compo­nent (air component) and thesis theme hydrospheric component (water component).

Only summary of these components is reproduced here. It is significant to note that though biotic components of the biosphere are most signifi­cant aspects of the study of biogeography but abiotic components involving land, air and water are also studied in this discipline. (1) Lithospheric or Land Component: Lithospheric or Land Component consists of (from smaller to higher) elements (iron, oxygen, nitro­gen, hydrogen, carbon etc.), minerals (hematite, dolo­mite, felspar etc.), rocks and soils, microland forms (relief features of 3rd order viz., erosional and depositional landforms produced by exogenetic denudational processes like running water-fluvial proc­ess, groundwater, sea waves-marine process, wind- aeolian process, glaciers and buy a research paper periglacial process), meso- landforms (relief features of essay on noise pollution, 2nd order produced by urgent endogenetic forces namely, mountains, plateaus, faults, folds etc.) and macro-landforms (relief features of 3rd order e.g., continents and abuse essay ocean basins). The lithosphere accounts for about 29 per cent of the total surface area of the globe.

The landforms of paper online, various sizes as mentioned above provide a variety of habitats for the plants and animals. Innocent! Thus, it is buy a, necessary to study the main characteristics of lithospheric compo­nents and all the physical processes, whether exogenetic or endogenetic, which affect the lithosphere – the sur­face of the earth. The geological cycle involving a set of drug abuse model essay, processes and sub-cycles e.g., tectonic cycle, rock cycle, geochemical cycle, water cycle etc., is paper, responsible for abuse model the creation, maintenance, changes or destruction of the buy a paper materials of the earth for example-elements, minerals, rocks, soils, water and the landform assemblage. Soil system is very important component be­cause soils act as a vital transfer pathways of theme rapidshare.com, energy in the biosphere and are very important for the biological cycling of nutrients. The soil system acts a as very important biological furnace between vegetation cover and un-weathered parent rocks. Soil environment also provides habitats of various sorts to the largest com­munity of organic life (biological community). On the other hand, soils act as nutrient reservoirs for living organisms. Soils facilitate the process of buy a research paper online, root osmosis for the transfer of their nutrients to the plants though their roots in innocent erendira essay solution form.

Soil system is also called as a biological factory or laboratory because the proc­esses of creation of paper, rutrients, their consumption and their return are confined to soils. (2) Atmospheric or Air Component: The atmos­phere is a significant component of the biospheric ecosystem because it provides all the gases necessary for theme rapidshare.com the sustenance of all life forms in the biosphere. It also filters the incoming solar radiation and paper thus pre­vents the ultraviolet solar radiation waves to reach the earth’s surface and hence protects it from becoming too hot. The atmospheric component includes the consideration of the composition and structure (tropo­sphere, stratosphere, mesosphere, thermosphere-iono- sphere and exosphere) of the atmosphere and the elements of weather and climate (insolation, tempera­ture, air pressure, winds, humidity and precipitation, air masses, frontogenesis and fronts, cyclones and anti­cyclones etc.). The atmosphere helps in drug essay the process of photo­synthesis and drives hydrological cycle. (3) Hydrospheric or Water Component: The water or hydrospheric component is research paper urgent, very important compo­nent of the abiotoc or physical components because it is very essential element for all types of life in the bio­sphere. Water plays very important role in the circula­tion of nutrients in paper online the various components of the ecosystems and paper it makes biogeochemical cycles effec­tive in the biosphere. The water components consist of surface water, subsurface or groundwater and oceanic water.

Surface water of the earth surface is found in static state (e.g., water of lakes, ponds, tanks, reservoirs etc.) and in dynamic (in motion) state (e.g. Sat Essay Prep! surface runoff, streams, springs etc.). Research Online Urgent! The groundwater is found in the pore spaces of regolith known as aquifers. The oceanic water or hydrosphere covers about 71 per paper online, cent of the total surface area of the globe. On the basis of urgent, size and drug abuse location the buy a paper hydrosphere is divided into oceans, seas, small enclosed seas, bays etc. The hydrospheric compo­nent includes the consideration of origin and character­istics of bottom reliefs (continental shelves, continental slopes, deep sea plains, deeps, submarine canyons etc.), temperature, salinity, ocean deposits, waves and cur­rents, coral reefs and atolls because these determine different types of habitats of marine organisms. 2. Biotic Components : Biotic or organic components of the biosphere consist of short on noise pollution in english, three subsystems e.g.: (2) Animal system including man, and. Of these three sub-systems plants are the paper online urgent most important because plants alone produce organic mat­ters which are used by themselves and by animals including micro-organisms either directly or indi­rectly. Plants also make the cycling and short pollution recycling of buy a paper urgent, organic matter and nutrients possible in different com­ponents of the biospheric ecosystem. (1) Plant Component: Social grouping of plant species is called plant community and innocent erendira plants are basic unit of this community. Plants are found on any land in buy a research urgent different forms e.g., woodland, forest, meadows, bogs, grassland, marshlands etc.

These different forms of short on noise in english, plants are collectively known as vegetation. In other words, ‘all the buy a paper online plants which grow together in any area form its vegetation, the character of which depends not just on the different species present but on the relative proportions in which their members are represented’. Thus, the vegetation of any particu­lar habitat consists of groups of thesis theme rapidshare.com, plants of different species or of the same species which are ecologically related, meaning thereby different plant groups are able to occupy the same habitat because of their com­petitive ability and range of buy a research paper urgent, tolerance. Plant commu­nity has been defined in a variety of ways by ecologists and bio-geographers e.g.: (1) Social groupings of plant species are called plant community. (2) Plant commu­nity represents groups of plants which occur together and possess a certain degree of unity of individuality. (3) Plant community is a group of sat essay questions, plants which occupy a definite physical habitat. (4) Plant community refers to buy a research paper online urgent, groups of plant species which have distinctive charac­teristics of their composition and structure in relation to their physical habitat. There are certain characteristics of plant commu­nity e.g.: (i) Plant community consists of two or more different species of plants. (ii)The plant species of plant community are capable of growing together in model essay a particu­lar physical habitat which they inhabit and thus different members (species) of a plant community are ecologi­cally interrelated. (iii) A plant community has a well-defined composition and structure which are attained over time through the interactions between different plant species and between plant and their physical environment.

(iv) Plant community represents the buy a research online eco­logical conditions of a region or an area or a physical habitat. (v) The structures, composition and paper online growth form of different species of a given plant community reveal the effects of both mutually interacting biotic and research online urgent abiotic environments on them. In other words, this is abuse, well known fact that the buy a research urgent species of plants, their structure, composition and growth form depend upon the nature of mutual interactions between abiotic and biotic compo­nents of the environment, it is easier to understand the nature and pattern of mutual interactions of factors (com­ponents, both abiotic and biotic) which affect the species, their structure, composition and growth form. Out of the abiotic or physical factors, climate and prep questions soil mostly affect the species of research, plants, their structure and growth form. In turn plants also affect and control the thesis theme rapidshare.com properties of buy a research paper, soils and climatic conditions of their physical habitat. It appears that plant community not only affects but also determines the productivity of the land of their habitat. Plants are primary producers because they pro­duce their food themselves through the process of of nature, pho­tosynthesis. Thus, plants are also called autotrophs. It is evident that plants are the major source of food and energy supply to animals including man. The study of plant components includes the consideration of: (i) Clas­sification of plants, (ii) Major divisions of plant king­doms, (iii) Plant system, (iv) Plants and their environ­ment, (v) Plant communities (including vertical struc­ture, species composition, community development and community hierarchy), (vi) Plant evolution, and.

(vii) Distri­bution, dispersal and research paper online urgent extinction of plants etc. (2) Animal Components: On a functional basis the biotic or organic components of biospheric ecosys­tem are divided into questions, two broad divisions e.g.: (i) Au­totrophic component (which represents plants. Buy A! These have been briefly discussed above), and. (ii) Hetero­trophic component includes those animals which de­pend on autotrophic green plants (primary producers, which produce their food themselves. It may be pointed out that it is not necessary that plants always have roots, this is the reason that some bacteria also fall in the category of plants because they produce their food themselves) for their food. The main functions of het­erotrophic components or animals (primary consumers) include: (i) To use organic matter made available by the autotrophic green plants, (ii) To rearrange the organic matter/elements, and. (iii) To decompose organic elements etc. Organic matters are available to animals in essay three forms e.g.: (i) From living plants and animals, (ii) From partially decomposed plants and animals, and.

(iii) From organic compounds in solution form. Thus, heterotrophic animals are classified into buy a research online, 3 broad categories on paper the basis of the availability of organic matter to them: (A) Saprophytes are those animals which live on organic compounds in solution form derived from dead plants and animals. (B) Parasites are those animals which depend on other living organisms for their food and life. (C) Hoiozonic animals are those who take their food through their mouths. All the paper urgent big animals like elephants, cows, camels, lions etc. are included in this category. Micro-organisms are also known as decomposers because these decompose the dead plants and animals and other organic matter in different forms. During the theme process of decomposition of organic matter micro-organisms obtain their food as well as they differentiate and separate complex organic mat­ters and thus make them simple so that these may be again used by autotrophic primary producer green plants. A large number of microbacteria and fungi are included in the category of buy a research urgent, micro-organisms. There are three stages of the study of animals and micro-organisms e.g.: (1) Identification of all animals and online micro-organisms in a given region, (2) Classifica­tion of all identified animals and micro-organisms, and. (3) The study of distributional patterns, evolution and extinction of animals. It is buy a paper urgent, significant to point out that animal kingdom includes a variety of animals and micro-organisms ranging from microscopic organisms to innocent, giant whales.

The number of animals and micro­organisms in the biospheric ecosystem is unlimited. Though all organisms in the biosphere could not be identified and named yet animals are classified into seven successive groups (from higher order to online, lower order) on the basis of available knowledge e.g.: (i) Animal kingdom, The distribution of animals, their evolution, dispersal, extinction, rela­tionships between animals and their physical environ­ment, the roles of animals in the ecosystems, relation­ships between plants and animals and their physical environment. The other properties of ecosystems viz., ecosys­tem productivity, ecosystem stability and sat essay instability etc. Energy flow in the ecosystem (sources of energy, ecological produc­tion, trophic levels, food chains, ecological pyramids, flow of energy etc.) and buy a research paper circulation of elements in the ecosystem. Essay # 5. Habitat of Biosphere: The natural home or environment of an animal, plant or other organism. Innocent Erendira Essay! The habitat must offer food, shelter and climatic conditions which will be well suited for the organism to research paper online urgent, survive, breed and short essay pollution in english flourish. Research Paper Online! The habitat is a part of the total environment.

A habitat comprises of both biotic and abiotic components. For example, the habitat of a tiger must have small animals for sat essay prep questions the tiger to hunt and feed on. It should have thick vegetation in the form of paper urgent, shady trees and shrubs where tiger can hide and lie in wait for its prey. These components may not be available in innocent all forests and research paper online urgent so is the tiger. The total life-containing and life-supporting environment of the world is restricted to a very thin and irregular veil around the globe. Buy A! The total thickness of biosphere is about 21 km (10 km in paper urgent air and 11 km in water from the earth’s surface).

The biosphere consists of three major types of habitats: (i) Aquatic Habitat, (ii) Terrestrial Habitat, and. (iii) Aerial or Arboreal Habitat. (i) Aquatic Habitat: Water forms the habitat of a very large variety of organisms, called aquatic organisms. Some well-known aquatic organisms are algae, fishes and whales.

If they live and breed in sea water, they are called marine and if they live and breed in pond, lake, river, they are called fresh water organisms. Fresh water habitat may be lentic pertaining to still water as lakes, ponds or bogs, or it may be lotic pertaining to running water as rivers, streams, brooks, etc. (ii) Terrestrial Habitat: Organisms that live and propagate on land are called terrestrial organisms. Trees, elephants, men, tigers and so on buy a online are some of the examples of this kind. (iii) Aerial or Arboreal Habitat:

The organisms that use air (sky) for their activities are called aerial or arboreal organisms. Birds fall under this category. In addition to the above, some organisms’ life like frogs, crocodiles etc. Buy A Research Online Urgent! use both water and land as their habitat and sat essay questions are called amphibious organisms. Essay # 6. Energy Flow in the Biosphere : All organisms need food as a source of energy for growth and reproduction. On the basis of feeding habits organisms may be divided into three major groups: (i) Producer organisms:

Producer organisms are able to manufacture their own food from solar energy through the research paper process of photosynthesis. All green plants, blue-green algae and some bacteria belong to this category. (ii) Consumer organisms: Consumer organisms depend on other organism for food. Animals fall in this group. Consumers are divided into two categories—carnivores and herbivores. Essay On Noise! Herbivores are called primary consumers as they solely depend on plants. For example, deer, horse, zebra etc. Research Online Urgent! Carnivores are secondary consumers as they depend on herbivores.

For example, tiger, lion, etc. Man’s food consists of both plants and animals and so they are called omnivore. Decomposers causes a substance to drug abuse model, rot or break up in to simpler part. It help to decompose dead plants and animals. They depend only on decomposition, as their food.

For example, bacteria, fungi, earth-worms, etc., are properly balanced and self-sustained. Essay # 7. Functional Classification of Biospheric Elements : Elements of the biosphere are divided in four categories on functional basis: (1) Abiotic (physical) ele­ments include basic elements of the habitats and buy a online urgent dead organic compounds. (2) Producers are primarily autotrophic green plants and are intermediaries between abiotic and biotic components of the questions biosphere because they manu­facture their food through photosynthesis and derive nutri­ents from the soils through root osmosis. Herbivores and carnivores (consumers) depend for their food on research urgent producers. (3) Consumers are heterotrophic organisms which include animals and man and are further divided into primary consumers (herbivores), secondary consumers (carnivores) and destruction essays omnivores.

(4) Decomposers are micro-organisms which decompose dead plants and animals. Before uploading and sharing your knowledge on this site, please read the following pages:

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CASE STUDY OF A PATIENT WITH HIV-AIDS AND VISCERAL LEISHMANIASIS CO-INFECTION IN MULTIPLE EPISODES. Report of a 45-year-old male farmer, a resident in the forest zone of Pernambuco, who was diagnosed with human immunodeficiency virus (HIV) in 1999 and treated using antiretroviral (ARV) drugs. In 2005, the first episode of paper urgent visceral leishmaniasis (VL), as assessed by parasitological diagnosis of bone marrow aspirate, was recorded. When admitted to the hospital, the patient presented fever, hepatosplenomegaly, weight loss, and diarrhea. Since then, six additional episodes of VL occurred, with a frequency rate of one per year (2005-2012, except in 2008). In 2011, the patient presented a disseminated skin lesion caused by the amastigotes of Leishmania , as identified by histopathological assessment of skin biopsy samples. In 2005, he was treated with N-methyl-glucamine-antimony and amphotericin B deoxycholate. However, since 2006 because of a reported toxicity, the drug of choice was liposomal amphotericin B. As recommended by the Ministry of Health, this report emphasizes the abuse need for buy a research online urgent HIV patients living in VL endemic areas to include this parasitosis in their follow-up protocol, particularly after the first infection of thesis theme VL. Relato de caso de paciente masculino de 45 anos, agricultor, residente na zona da mata do Estado de Pernambuco, diagnosticado com HIV em 1999 e em uso de ARV. Em 2005 foi registrada a primeira ocorr#x000ea;ncia de LV atrav#x000e9;s do diagn#x000f3;stico parasitol#x000f3;gico a partir do aspirado da medula #x000f3;ssea. #x000c0; admiss#x000e3;o no hospital apresentava-se com febre, hepatoesplenomegalia, perda de peso e diarr#x000e9;ia.

Desde ent#x000e3;o houve a ocorr#x000ea;ncia de mais sete epis#x000f3;dios de LV, tendo ocorrido em media, um evento a cada ano (2005-2012 exceto em 2008). O paciente apresentou, em 2011, um quadro cut#x000e2;neo disseminado, sendo realizada biopsia de pele que evidenciou formas amastigotas de Leishmania no exame histopatol#x000f3;gico. Em 2005, o tratamento foi realizado com antimoniato de N-metil-glucamina e anfotericina B desoxicolato, mas desde 2006, devido #x000e0; toxicidade, o medicamento de escolha foi a anfotericina B lipossomal. Como recomendado pelo Minist#x000e9;rio da Sa#x000fa;de, esse relato refor#x000e7;a a necessidade de que os casos de HIV residentes em #x000e1;rea end#x000ea;mica de LV dever#x000e3;o ter inserido em seu protocolo de acompanhamento essa parasitose, principalmente ap#x000f3;s o primeiro epis#x000f3;dio. Cases of visceral leishmaniasis (VL) co-infection with human immunodeficiency virus (HIV) and research online, acquired immune deficiency syndrome AIDS (VL/HIV-AIDS) have been registered in 35 countries, mainly in southwestern Europe. VL/HIV-AIDS co-infections increase in destruction of nature essays areas where these two diseases coexist, as observed in Asian, African, and Latin American countries. In the latter group, Brazil has the highest number of cases 1 . In 2011, in Brazil, VL appeared in 22 of the 27 Brazilian states, covering urban and suburban areas. Between 1998 and research paper online, 2009, the rapidshare.com annual average was 3,349 cases 7 . Buy A Research Online! From 1980 to 2011 in Brazil, 608,230 cases of AIDS were reported. This epidemic tends to spread to poorly inhabited macro-regions as well as to medium and small cities 8 . Research Paper Online! When AIDS and VL databases were correlated, 176 cases of research paper online VL/HIV-AIDS co-infection were detected among the Federal States 7 . Several episodes of VL are frequent in cases of VL/HIV-AIDS co-infection.

According to BOURGEOIS et al. , 2010, these patients present a novel nosological entity called #x02018;active chronic visceral leishmaniasis#x02019;. This condition may be termed #x02018;chronic#x02019; because of the presence of essay relapses over a period of several years and #x02018;active#x02019; because of the continuous blood circulation of the online urgent parasite. On the questions other hand, it's impossible to know if repeated episodes are relapses or reinfections by buy a research paper urgent, using conventional parasitological and immunological methods 15 . Some studies show that individuals with HIV/AIDS and infected with VL often present atypical clinical manifestations and high incidence of relapse 5 22 24 25 . Molecular methods confirm that more than 90% of drug abuse these cases are relapses, rather than reinfections 27 . The discrimination between relapses and reinfection can be made by molecular techniques based on restriction fragment length polymorphism (RFLP) analysis. The use of this technology may provide the physician with more information to determine Leishmania infections in buy a research patients who do not respond to treatment 20 . Professionals, who treat patients with HIV/AIDS, report that this co-infection was not prioritized because of the variety of diseases related to immunosuppression, in addition to not being included among the essays AIDS-defining conditions 11 . To alert healthcare professionals about this association, we describe the case of research a patient presenting multiple VL/HIV-AIDS co-infections during the drug abuse model essay seven years of evolution of this disease. In 1999, a 31-year-old male farmer, who was a resident in the forest zone of Pernambuco, was admitted to the Clinics Hospital of the Federal University of Pernambuco. At the time of admission, he presented with asthenia and research paper, headache, and had diarrhea for at least 30 days. He was diagnosed with HIV, and began receiving antiretroviral therapy (ART) with stavudine, lamivudine, and efavirenz. Essay! Meanwhile, his 25-year-old partner and 9-month-old daughter were diagnosed with HIV infection. Five years after initiating ART, the patient presented virological failure; after genotyping, his treatment was changed to paper urgent, tenofovir, lamivudine, and abuse model, lopinavir/ritonavir.

In 2005, he was diagnosed with VL as assessed by directly testing Leishmania in the bone marrow aspirate and initially treated with N-methyl-glucamine-antimony. However, because of buy a paper pancreatitis, the patient began receiving amphotericin B, which was then replaced by a liposomal formulation because of the onset of renal failure. In 2011, the patient presented disseminated cutaneous lesions caused by Leishmania , as assessed by histopathological analysis of skin biopsy samples. In July 2012, the sat essay questions patient was readmitted for presenting febrile disease with splenomegaly and pancytopenia, in addition to showing positive results for laboratory tests for leishmaniasis ( Table 1 ). After administration of liposomal amphotericin B deoxycholate, the patient's condition improved, and he was discharged upon recommendation of a secondary prophylaxis by administering liposomal amphotericin B twice a week. Between 2005 and buy a research urgent, 2012, seven VL infections occurred, as shown in the Table 1 . This case describes some of the many clinical, diagnostic, and epidemiologic aspects of VL/HIV-AIDS co-infection. Immunosuppression caused by HIV might lead to destruction, the development of symptomatic VL 14 . In turn, VL might promote the clinical progression of buy a research paper online HIV and of AIDS-defining conditions, thus, reducing the possibility of online urgent recovery after treatment and increasing the incidence of relapse 11 . This report showed that individuals with HIV/AIDS and living in endemic areas of VL should include VL assessment in their follow-up protocol. After the first co-infection, by research urgent, means of essay on noise in english clinical and laboratory support, a follow-up protocol of the patient should be created for early detection of relapse and re-infection. One of the common features of co-infection is the buy a paper online urgent increased tendency of relapse, observed in buy a online urgent 37-80% of the patients 22 . Additionally, in some cases a chronic course with multiple occurrences might take place. This can be attributed not only to immunodeficiency but also to online urgent, re-infection, host deficiencies correlating with ART, secondary prophylaxis, and CD4+ lymphocyte count 16 18 . CD4+ lymphocyte count is one of the most significant prognostic factors for survival 11 22 . VL usually appears as an opportunistic disease in model HIV patients when CD4+ cell count is less than 200 cells/mm 3(1,6,12,13,17,25) . During the buy a online urgent seven years of follow-up, the patient presented a CD4+ cell count #x02264; 170 cells/mm 3 . This represents an important predictor of relapse.

Relapses of VL are suggested to occur mainly in destruction essays individuals with poor responses to antiretroviral treatment who have no improvement in CD4+ counts with a few exceptions 3 9 . Based on online clinical and biological [polymerase chain reaction (PCR)-based] follow-up, an #x02018;active chronic visceral leishmaniasis#x02019; 5 has been proposed by BOURGEOIS et al. (2010). In our case, only the 6 th and 7 th episodes were able to have the peripheral blood (PB) analyzed by PCR, which showed positive results for Leishmania spp. As PCR-RFLP was only found in the 7 th sample episode, the etiological agent is Leishmania chagasi , according to the pattern of bands defined by SCHONIAN et al. (2003) 26 . Erendira Essay! Due to the absence of PB samples in paper online urgent previous episodes, the analysis by PCR-RFLP was not made. Therefore, it wasn't possible to distinguish between relapse and innocent essay, reinfection or characterize the case as #x02018;chronic visceral leishmaniasis#x02019;. Despite the medical importance of a clinical and laboratory monitoring of coinfected patients, this practice is still little used 12 19 20 . ART plays an research paper urgent important role in reducing the effect of research paper online opportunistic diseases and in recent studies has shown a reduction in paper the incidence of VL. Studies in individuals with HIV/AIDS treated using ARV drugs showed a similar incidence of VL relapse when compared to studies of the research paper online urgent pre-highly active antiretroviral therapy (HAART) era 11 14 . Research! The increased survival resulting from ART might partially explain the high incidence of relapse observed in this population 18 . Questions! In the present study, during the buy a eight years of follow-up, we observed seven VL infections, despite the patient receiving ART before the first infection.

VL manifestations associated with HIV infection might appear in a classical form, particularly in destruction of nature essays patients from buy a research paper VL-endemic areas, as well as with relatively aggressive symptoms that are sometimes non-specific and difficult to clinically diagnose 11 . In individuals with HIV/AIDS and presenting symptoms such as asthenia, anorexia, and theme rapidshare.com, weight loss, VL might be responsible for 7-23% of instances of fever of paper online urgent unknown origin 11 . This patient presented classic clinical manifestations during the study period, although in 2011, we observed the formation of skin lesions because of the parasite, as assessed by essay, histopathological analysis. Among the previously treated VL cases, several patients present a skin condition characterized by macular, popular, or nodular lesions, called Post-kala-azar dermal Leishmaniasis (PKDL) caused by the amastigotes of Leishmania donovani on the Indian subcontinent (India, Nepal, Bangladesh) and buy a online urgent, east Africa (Sudan, Ethiopia, Kenya) and prep questions, caused by Leishmania chagasi in South America where it is rarely reported, as well as its presence in HIV positives 2 4 23 28 . It is paper online urgent worth noticing that exclusive involvement of the skin is an unusual condition, because the research paper urgent simultaneous appearance of paper skin lesions along with other VL manifestations was more frequently observed 21 . In this case, the destruction skin lesion suggests a clinical PKDL, which developed five years after the first VL episodes, administration of online urgent multiple therapeutic regimens, and essay, treatments of discontinuous secondary prophylaxis. Although it has been viewed amastigotes in research online urgent biopsy specimens obtained from of nature essays skin lesions, the hypothesis of PKDL can be suggested but not stated categorically because there was no characterization of Leishmania species involved in the cutaneous lesions, and may have been an infection of some sort cutaneous Leshmania endemic to buy a research online urgent, the region as L. Research Paper Urgent! braziliensis . Several studies on co-infected individuals show that they present a decrease in buy a research anti- Leishmania antibody levels in the peripheral blood 11 ; that is, in only 40-50% of VL/HIV-AIDS cases, specific antibodies are detected 1 . Conversely, assessment of thesis Leishmania antigen in urine by latex agglutination test showed a sensitivity of 85-100% 1 . Polymerase chain reaction (PCR) in peripheral blood and bone marrow is a useful tool to diagnose, for follow-up, and detect relapses 22 . Although the literature shows that serological analyses are not the most convenient in patients presenting co-infection 1 6 , two serological tests (direct agglutination test and rK39-based rapid immunochromatographic test) performed enabled the diagnosis of such cases in 2011 and 2012. In the same years, latex agglutination test and PCR test showed positive results, thus, confirming the data in the literature. Similar to the finding in our study, CAVALCANTI et al. (2012), described a series of case studies of buy a research online co-infection in the main hospitals of Recife, Brazil 10 . There is currently sufficient evidence suggesting that secondary prophylaxis provides some protective effect but does not completely prevent the destruction of nature essays occurrence of relapse 11 . A meta-analysis study described that the buy a online average incidence of relapse in patients who did not receive secondary prophylaxis was 67%, whereas in those who received it was 31% 16 . Current recommendations from the Ministry of Health of Brazil 2 for the diagnosis, treatment, and follow-up of prep questions patients presenting co-infection state that the #x0201c;efficacy of the research urgent secondary prophylaxis after the first successfully treated VL infection, was not completely established.#x0201d; The suggested secondary prophylaxis ( Table 1 ) was poorly adopted, thus, compromising the theme clinical follow-up. Based on this case study and paper, literature review, it is innocent essay evident that co-infection presents typical clinical, diagnostic, and therapeutic features, and can be observed in the prognosis of the paper online disease.

Therefore, prospective studies are required to buy a research paper online, clarify gaps such as the efficacy of secondary prophylaxis and need for clinical and laboratory monitoring tools for the early assessment of relapse or re-infection. This study was supported by the FACEPE/MS/CNPq Programme for Research and priority development to unified health system - SUS/ PCT Sa#x000fa;de II (project 03/2004) and CNPq/PIBIC/Fiocruz (process 139172/2012-2).