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Ap Chemistry Free Response Answers. 1. Critical In America? (a) I, III, and IV are correct. II is not correct. To explain III, de Broglie#8217;s equation states l = h/(mv), so nl = nh/(mv) = 2pi(r). Help? Where: l = wavelength, v = velocity of electron, n = some positive integer, r = distance of critical on angels electron from advice center, m = mass of electron. Solve, get mvr = L = nh/2pi. In America? (b) The current wave mechanical model for the atom states that there are an integer number of wavelengths in the hobbit, every standing integer number (n). 2. (a) The first shell electrons in critical essays on angels in america, Lithium are the of cartoons paper, closest electrons to critical essays in america, the nucleus. In addition, there are proportionally more protons to telephone conversation soyinka essay, electrons. This pulls the essays, electrons even closer to the nucleus. And in the hobbit, Potassium, the essays, outer shell electrons are a substantial distance from the nucleus. There are a greater number of protons than electrons; however, the large number of engineering essay electrons dissipates the effect.
This is in addition to Lithium being a much smaller neutral atom than Potassium because of the difference in the outer shells. Critical Essays? (b) The outer shell for Cl is the same as Cl-; however, Cl- has more electrons being attracted by the same number of protons. Port Year? This weakens the attraction per electron. Since the on angels, attraction is effects of cartoons term weaker, the critical essays on angels in america, electrons are farther from the nucleus. Since the attraction is stronger for Cl, the electrons are closer to the nucleus. (c) Although the normal trend is for the ionization energy to advice, increase going to critical in america, the right in a period, aluminum has a lowered ionization energy and effects of cartoons paper, magnesium has a raised ionization energy due to on angels, the electron configurations of these two ionizations. Conversation Soyinka Essay? This reverses the critical essays on angels, order of ionization energies. Dissertations Port Ac Uk? (d) The ionization energy increases each time an electron is removed because there are fewer electrons attracted by on angels in america, the same number of personal statement teaching protons while magnesium starts off at a relatively high value because it begins in one of the in america, preferred forms.
The greater attraction makes it more difficult to remove electrons and dissertations ac uk year, first ionization energy is the energy necessary to remove an critical essays in america, electron from a neutral atom. Conversation? (b) Although the critical on angels in america, general trend is to have Boron with a higher first ionization energy than Berylium, Boron#8217;s ionization potential is lowered and effects of cartoons on children term paper, Berylium#8217;s ionization potential is raised, the essays in america, order is reversed. Dissertations Port Year? (c) O loses one electron and on angels in america, makes it easier to remove the electron and blue, lowers the critical on angels, ionization potential. Higher Education? For nitrogen, it more difficult to essays on angels, remove the determination essay, electron and essays on angels, raises the ionization potential. And since Oxygen#8217;s ionization potential is lowered and Nitrogen#8217;s ionization potential is personal teaching raised, the order is reversed. On Angels? (d) Na has a lower first ionization energy than Li and port, also a lower ionization energy than Ne. On Angels In America? Ne has the second highest first ionization energy of all the elements. “1s2” is the question, most preferred electron configuration. “s2 p6” of other shells are also highly preferred. Critical Essays? Ne has the higher argumentative, second highest first ionization potential because it’s “2s22p6”. 4. (a) The type of decay expected for essays on angels Carbon-11 would be positron emission. 116C -; 115B + 01e (b) The type of blue remembered hills essay decay expected for Carbon-14 would be Beta Decay as well. 46C -; 147N + 0-1? (c) Gamma rays have no mass or charge, so they need not be shown in nuclear equations. Critical On Angels? (d) Measure the amount of Carbon-14 in the dead wood and compare with the effects paper, amount of Carbon-14 in a similar living object. 5. (a) 23494Pu -; 23092U + 42? (b) The missing mass has been converted into energy (E = mc2). Critical Essays On Angels? (c) A line should be drawn curving downward from the path of the dotted line. This will represent the path of the alpha particles which are repelled by the positive plate and essays, attracted by the negative one.
A second line should be drawn upward from the path of the critical on angels, dotted line. Dissertations? This will represent the essays on angels in america, path of the determination, beta particles which are repelled by the negative plate and attracted by critical essays in america, the positive one. Effects Of Cartoons Term Paper? The line should curve more than the one for the alpha particles. A third line should be drawn as a continuation of the critical essays, dotted line. This will represent the gamma rays. (d) Incineration is successful essay a chemical process. The only critical on angels thing any chemical process can do is connect radioactive atoms to other atoms, which has no effect on the radioactivity. 6. (a) As you go down the telephone soyinka essay, column in the alkali metals, the outer shell electrons are farther from the nucleus. The attraction for the outer shell electrons is decreased and on angels in america, because the attraction is hills essay help decreased, therefore the melting point decreases. (b) Intermolecular forces determine boiling and melting points.
Halogens are all diatomic, which means they bond with themselves. In these diatomic compounds, the only intermolecular force is London forces. The larger molecules can form temporary dipoles easier than small molecules. The larger molecules as you go down the column have a greater attractive force. This increases the in america, melting point as you go down the column.
7. Ac Uk View? a) As radius increases the on angels in america, heat of determination essay reaction decreases. Critical Essays On Angels In America? Which means less energy released by the hobbit, ionic attraction. (b) As ionization energy increases the critical on angels in america, heat of reaction decreases, which means more energy is required to form M2+ while other factors remain unchanged 8. Essay? Metals are good conductors of heat, generally malleable, and critical on angels, react by dissertations port ac uk year, losing electrons to form cations. They tend to have “s1”, “s2”, “s2p1”, or “s2p2” as their outer shell. Most metals have just “s1” or “s2”. Critical Essays In America? Nonmetals are poor conductors of heat, brittle, and gain electrons when reacting with metals to form anions. Nonmetals have either 3, 4, 5, or 6 electrons in dissertations view year, the p subshell in addition to essays, s2 of the the hobbit, same shell number. When the last subshell is a d, the outer shell is critical essays s2 of the next shell. Determination? Occasionally there will be only in america 1 electron in the s subshell and this explains when the engineering essay question, transition elements are metals. When the last subshell is a “f”, the outer shell is s2 of the second higher shell and this explains when the lanthanides and actinides are metals. This proves how more than half of the periodic table are metals.
9. (a) “you have not learned this one yet” (b) “F2” has the highest electronegativity and electron affinity. Critical In America? Thus it has the greatest attraction for extra electrons. F2 + 2e -; 2F 1 This makes the engineering, reaction more likely to essays in america, occur. “I2” has the lowest electronegativity and electron affinity. Port Ac Uk Year? Thus it has less attraction for extra electrons making the essays, reaction I2 + 2e -; 2I 1 less likely to occur. Because it can disperse the charge better, the reaction does occur. (c) The trend for determination essay alkali metals shows a very small variation in reducing strength without a real trend. Cesium has the lowest ionization potential and Lithium has the essays, highest ionization potential.
However, there is not a great difference in the alkali metals. Haven’t found what you want? 12-22 Newhall St, Birmingham B3 3AS, UK [emailprotected] Hi there, would you like to cornell engineering essay, get such a paper? How about essays in america receiving a customized one? Check it out.
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More Examples of SAT ‘Pop Culture’ Essay Questions. The passionate discussion last week about the propriety of the now-infamous “reality television’’ essay question on on angels in america the SAT – including more than 350 comments posted on personal statement teaching The Choice – has had one noticeable reverberation: it has pulled back the curtain a bit on how the College Board and Educational Testing Service approach the critical on angels essay portion of the exam. After I quoted Angela Garcia, executive director of the SAT, as arguing that “pop culture’’ was a relevant and relatable “reference point’’ on which test-takers “would certainly have an opinion,’’ my colleague Jane Karr, editor of The Times’ Education Life supplement, asked the the hobbit board if it would supply some examples of in america essay prompts from past SAT’s that had sought to mine a similar vein. What follows are some of those actual prompts (and, in response to some of your queries to me, a prompt, as I understand it, is more than just a question — in part because it often contains declarative statements.) If you read to the bottom, you’ll also find a television-themed prompt provided to Ms. Karr by successful essay, ACT, the SAT’s chief rival. Just before we get to essays in america, the business at hand, though, a prompt of my own: I hope you’ll use the comment box below to effects of cartoons on children term, let us know what you think of these examples, and whether you see them as more or less effective — and appropriate — than the prompt that has been the critical essays in america subject of so much buzz. The first, from the the hobbit essays November 2009 SAT, defines “popular culture’’ broadly: Popular culture refers to television shows, movies, books, musical selections, artworks, products, activities, and on angels in america events that appeal to the hobbit essays, the interests and desires of large numbers of people. Popular culture tells us a lot about the people of a society.
Some people may criticize popular culture or deny its influence on their lives, but one thing is clear: popular culture typically displays the ideas and principles that people value most. Are the values of a society most clearly revealed in its popular culture? This SAT prompt, from October 2005, seems to almost foresee the rise of Hollywood-fueled Twitter feeds: 1. Celebrities have the power to attract “communities” of like-minded followers; they provide an identity that people can connect to and call their own. Essays On Angels? Celebrities are trusted; they stand for certain ideas and values to effects on children paper, which followers can express allegiance. –Adapted from William Greider, “Who Will Tell the critical People?” 2. Statement? Admiration for celebrities is often accompanied by contempt for “average” people. As we focus on the famous, other people become less important to critical in america, us. The world becomes populated with a few “somebodies” and an excess of ac uk year “near-nobodies.” –Adapted from Norman Solomon and Jeff Cohen, “Wizards of Media Oz” Is society’s admiration for famous people beneficial or harmful? Here, from on angels in america December 2006, is an personal statement SAT prompt on media and reality that could be a companion to critical essays on angels, the more recent TV-show prompt:
All around us appearances are mistaken for reality. Clever advertisements create favorable impressions but say little or nothing about the essays products they promote. In stores, colorful packages are often better than their contents. In the media, how certain entertainers, politicians, and other public figures appear is critical essays more important than their abilities. All too often, what we think we see becomes far more important than what really is. Do images and impressions have too much of an effect on people? And then, in October 2009, SAT-takers were asked to opine on the state of the news: Good news is, for the most part, no news. Dissertations Port Ac Uk Year? It is not sufficiently compelling or important to make leading stories and front pages in the media, certainly not as often as bad news. Bad news sells, or so it seems from the books, newspapers, and television reports that fill our lives.
But in this endless focus on the bad, the media present a distorted view of the world. –Adapted from essays on angels in america Richard B. McKenzie, “The Paradox of Progress: Can Americans Regain Their Confidence in a Prosperous Future?” Do books, newspapers, and other media focus too much on bad news? Finally, that same month, other takers of the SAT were asked about something near and determination successful dear to many, but perhaps not all: their cellphones: An Internet phone service is offering unlimited free telephone calls for anyone who signs up. There is only one catch: the company will use software to critical on angels in america, listen to customers’ phone conversations and then send customers advertisements based on what they have been talking about.
For example, if they talk about movies with their friends, advertisements for effects of cartoons on children paper movies will appear on their computer screens. Commentators have voiced concern about customers’ giving up their privacy in exchange for phone service. Should people give up their privacy in exchange for essays in america convenience or free services? And here, at teaching last, is the essays on angels one, similar prompt that administrators of the ACT gave to us: As the amount of time students spend watching television increases, teachers debate whether television channels should be required to devote at least 20 percent of their programming to advice teaching, educational shows about topics such as science and history. Some teachers support this policy because they think television is an ideal teaching instrument with a very large and very receptive audience. Essays In America? Other teachers do not support this policy because they think what is considered educational by some could be considered merely entertaining by others. In your opinion, should television channels be required to devote at essays least 20 percent of their programming to educational shows?
In your essay, take a position on essays on angels in america this question. You may write about effects on children paper, either one of the two points of view given, or you may present a different point of view on this question. Use specific reasons and essays on angels in america examples to support your position. Now it’s your turn, Choice readers. Please use the box below to tell us what you think of these prompts. And if you have not yet read the determination reality-television prompt, you can find it in essays in america this blog post. Comments are no longer being accepted. During prehistoricdf times (my hgh school days 69 or 70) we had an SAT question in regards to the movie Butch Cassidy and the Sundance Kid.
Look that up in you” funk and the hobbit essays wagnals”. I never saw the critical essays on angels movie as I was working 7 days a week saving to buy a car, aka freedom during teenage years. I do not understand the unnecessary buzz surrounding the SAT writing prompt. Having taken the SAT twice, it is pretty clear that, although the prompt is important, any decent writer can create a good enough paper without much background on the issue and not lower their score too much. For example, on my first SAT (May 2010), I received a 1980. My score on the prompt was a 10 and my total writing score amounted to a respectable 650. On my second try (November 2010), my score soared to a 2310. My writing score was highest, at 790, but the difference in the prompt score was a mere one point up to an 11. From personal experience, the writing prompt does not have a great enough effect on the overall score of the SAT to be considered an issue of major concern for most students.
I would argue there is a wide gulf between “popular culture”, which was defined to include books and films, and the hobbit “reality television” as the on angels in america topics of SAT essays. Effects? The former is extensively studied in several departments of most universities and colleges, while the latter is, for now, not. The problem as I understand it is not so much the on angels questions but how the essay students are trained for the tests. My son, an in america 11th grader, has always been instructed to give concrete examples. On Children Paper? I notice that only some of these prompts call for this, but that doesn’t help the students have internalized a rubric for the format. My children were raised in a rural area that did not have TV reception and we used a radio along with a landline to communicate. I am glad the last one entered college ten years ago. #1, in 1970 there was no essay question on the SAT.
The writing component came much later. You must be referring to a reading comprehension passage, and essays in america there you are only being tested on telephone conversation wole soyinka what the passage contains. To post #2, what did you do the critical on angels in america first time you took the exam, sleep through half of it? That’s a huge increase. Anyway, I think the the hobbit essays drama surrounding the SAT prompt is unnecessary. Sure the essay question was unexpected, but let’s face it: SAT essay readers don’t grade based on how well you write, that’s what AP Lit is for. SAT essay readers grade based on whether or not your ideas make sense and essays are communicated clearly. 7th grade 5-paragraph essay anyone?
“The essay gives you an opportunity to show how effectively you can develop and express ideas.” Quoted from the College Board page http://sat.collegeboard.com/practice/writing/sat-essay. I think the dissertations port ac uk view prompts serve this purpose well. They do not ask about a specific show nor reference other details of which a domestic or international student may be unaware. I personally believe that a lot of SAT bashers didn’t like their own scores and want revenge — probably not 800s and maybe even below average. Please sign this SAT 662 verbal, 1970. #128521; An SAT question about one’s general outlook on some aspect of critical essays pop culture (broadly defined) is the hobbit OK with me.
However I’m not comfortable with asking something specific, like the recent “reality TV” question. Kids who watch those TV shows have an advantage over those who never watch them. In other words, the questions about the place of pop culture in the larger society are fine, but the questions must be so phrased, and must be non-specific, so that everyone has the same chance at essays a good answer. One relative recently graduated Harvard College having gotten in with near-perfect SATs. Another relative just graduated a small technical college near Boston.
Guess which one is gainfully employed, satisfied with her life, and most capable of creating a cogent essay about dissertations port ac uk, reality television. If you answered correctly, you probably are not in the top quintile. The college admissions exams have been “dumbed down” over the last few decades. The use of grades is useless, as a result of grade inflation, for decisions regarding admissions to essays on angels, universities. What’s left? These questions and prompts do not matter very much. First of all, let me say that I’m not aware of the objections to the SAT “pop culture prompts.” Bearing that in mind, I see nothing anti-intellectual about blue essay, these prompts. In my opinion, they are as challenging – if not more so – than the prompts I encountered as a student test-taker. I do not regard the overall value of popular culture, itself, as either fact or fiction.
However, I do see value in the ability to think deeply about popular culture (with or without an emphasis on criticism). I can easily imagine students crafting essays on the subject of popular culture that are high in quality across the board. As a side note, I expected this controversy to critical essays in america, be about essays, prompts that directly ask the critical on angels test-taker to write about the content of wole popular culture. On Angels? The recent dramas of Charlie Sheen are one potential example this. If test-makers prompted analysis of essays that sort, I would understand and in america sympathize with these protestations without question. However, from what I know it, this situation does not trouble me in the least. I think all of these examples are much broader and more inclusive than the reality TV question. I would still argue, however, that they are biased toward middle class students with a certain set of values. You don’t understand Abraham because you haven’t lived long enough.
Come back after twenty years; I bet you know the answer. First let me state my bias: I graduated high school in 1967. The SAT and ACT are supposed to the hobbit, predict success in college and whether they do so or not, the essays in america test scores are used by personal statement teaching, colleges to determine who will be admitted. The ability to write a piece of cogent, grammatical prose on a set subject is the skill being tested. If you accept that, then the critical in america subject can be as “pop” or “classical” as you like as long as the students have some ideas about the subject. On the other hand, as a tuition-paying parent , I wish the subject was more serious or academic. The notion that the determination ability to on angels, get into, say, University of conversation soyinka essay Virginia is dependent on on angels in america how well a kid can discuss the social relevance of statement advice Snookie is, not to put too fine a point on it, appalling. Solely on the basis of the literacy of the first two comments — multiple typos in the first and TWO dangling modifiers, plus a pronoun-antecedent flaw — in the second — I would disqualify both opinions. In America? If you’re gonna write about writing, you should write good. The prompts are not specific to a TV show, movie, art exhibition, or book.
Spending hours consuming pop culture doesn’t even seem like a precondition to dissertations port, write the essay. I think these are interesting and critical essays on angels in america intelligent prompts which reflect current social discussions, and in view year this sense, seem like a fair opportunity for students to demonstrate their opinions and help colleges evaluate a student’s potential. These prompts feel like a strong improvement to SATs in the past. These prompts are brilliant! Each makes enough assertions that a writer can fully or partly agree, disagree or even counter-propose. The writer than has wide space to do what the item tests, coherent thinking/writing. Even without much prior exposure to the subject matter. And there’s no right answer, just an opportunity to critical in america, write well. BTW, this broad approach is telephone conversation wole essay far better than the infant stumble that caught Harvey Halperin back in the day, when he’d not seen a specific movie. I hope he wrote his essay on the error of posing an critical on angels in america “ageist” question that assumed that all young people had the effects paper same experience. With the ridiculous addition of essay questions regarding pop-culture, have we lost sight of the fact that American students are falling drastically behind their internationally educated peers academically.
I am shocked that one’s thoughts and evaluations regarding pop culture is as important as one’s recall of critical essays historical facts to see any parallels in contemporary society, the ability to perform math at collegiate levels or even to balance a checkbook, and to use logic and the hobbit essays rhetoric to essays on angels, actually *learn about* a topic, and the hobbit not just learn how to critical on angels in america, pass a particular test. The U.S. is failing in dissertations port year our travesty of a public school system. In America? We spend more money per student than any other country in the world, and our children are scoring lower than dozens of countries that spend 25% of what we do per student. Spending more money is NOT the solution. Privatize education. Statement Advice Teaching? Eliminate the NEA, and all teacher’s unions. Essays? Let the parents keep control of the money associated with their children’s education. At best – we should reallocate funds on a per-student basis (not an in-district basis) to allow for the parents to statement advice teaching, spend their “allotted funds” in the school of their choice – OR AT HOME, if they feel a home-based education would do their children better.
I admit this is not a perfect solution, but at least we, The People, will use our resources more wisely than The Government that are burning through said resources and critical on angels in america failing to educate in the process. Excellent writing typically involves the application of relevant facts to concepts. If you don’t know the facts of reality television, (and in general it is probably a better indicator of your aptitude if you do not), it could put you at a serious disadvantage in writing about dissertations port ac uk view year, it. Of course, this is critical in america equally true about year, many subjects. Critical In America? Who can know the facts relating to determination essay, all potential SAT questions? However, the on angels in america subject matter of this question is terribly inane in my opinion and discriminates against peoples without a television. At first I was appalled, thinking that they were asking students direct questions on pop culture. But in reading the prompts, I see that they are using the topic as a vehicle to see how well students think and personal statement advice teaching write. Critical On Angels? The use of advice pop culture simply gives the students a topic with which they are most likely very familiar… unless they have a Chinese Tiger Mother.
In that case, they’re toast since they have had no contact with pop culture in their entire lives. These questions -including the reality show one- didn’t offend me as much as I expected. Having long since lost interest in critical essays on angels in america anything the TV or radio might provide, and never having had any interest in celebrities or “popular culture” in general, I could still manage to essay help, write something thoughtful on on angels in america these topics. It seems they ask less for examples of knowledge of these topics, more of a display of capacity for talking about these topics. Like it or not, they are part of our social fabric, and dissertations port ac uk view a person who at the very least has not formed an opinion on these topics is not someone many of us would want as a friend, classmate, co-worker or otherwise.
From a wider perspecive, though, being able to write an critical essay capable of passing muster of a standarized grading orthodoxy certain hardly qualifies the writer as a functioning, valuable and/or interesting member of telephone wole soyinka society. Abraham, your logic skills are lacking. I am one of the professors you will meet, and who is genuinely looking forward to meeting you, when this whole nonsensical testing process is over. And while I long ago gave up hope that we could rid ourselves of the time-consuming and profoundly irrelevant process that is the on angels SAT, I can tell you this: after the office of admissions has completed the statement advice process that it touts as rational but that is in fact scandalously close to mindless, virtually none of us will ever know your SAT score or care one bit about it. Because the very first time you hand in an essay or a lab assignment or, in my case, a social science research paper, you will be thrilled to find yourself magically transported to a place that could not be more distant from the joyless SAT- world that this bizarre system forces you to inhabit. That unreal and degrading world of cram courses, vocabulary memorization, and oppressively timed tests will be gone forever and you will know the joy of critical essays on angels real-world learning — messy, nonlinear, nuanced, untimed, and deliciously confusing. And when for the first time you think your way out of some corner, clear away some of the the hobbit messiness and essays in america find an the hobbit intriguing idea, you – like many of critical essays my students for several decades – will ask yourself: why in the world was I put through a testing system that accomplished nothing more than chipping away at my self-esteem and paper limiting rather than expanding my aspirations. Critical Essays On Angels? I’m telling you, you are going to love grappling with ideas a lot more than preparing for advice teaching a pointless one-time exercise in essays on angels in america how to outsmart a test. My disgust does not, however, extend to the writing sample portion of the test. The moment that a writing sample first became part of the on children term paper SAT at least marked the inclusion of something roughly resembling a genuine academic skill.
And the fact that the writing portion is now asking you about real world issues from the world of critical essays on angels popular culture, a place where – for good or bad – most people reside, gives me hope that the SAT may be taking small steps toward a real and not always noble place where people watch junk TV, do stupid things, act irrationally, and – only occasionally and reluctantly – face hard truths. The fact that so many students were flummoxed by a question referring to dissertations port ac uk view year, the admittedly sleazy world of reality TV is simply more proof that, with all the test prep obsession, too many college bound students pack their busy high school, resume-building schedules, with everything except living in the real world. And so, on behalf of many of my colleagues, I would like to apologize for that day back in early October when, having shelled out over $1000 to a test prep course, you were trapped inside some strip mall looking out the essays on angels window at bright sunshine and an exquisite blue sky. Trust me, an personal teaching overwhelming majority of the professors you are going to critical essays on angels in america, get to know would have preferred that you be doing almost anything else. And that includes watching insufferably junky reality TV!
I’m relieved to see that these prompts don’t require test-takers to know about the effects specific content of the cultural references. I don’t have a problem with the critical on angels SAT’s use of the more abstract ideas that can be gleaned from dissertations port ac uk view them: appearance vs. substance (reality shows); information vs. titillation (news stories); and convenience vs. privacy (phone service). I agree with Abraham’s comment. The the statement before the prompt should not be focused on critical on angels in america but the question assigned. When I took the SAT I entirely skipped the prompt and term read the assignment, the critical essays on angels in america most important part. The statement before does not have an impact on the assignment.
It may even confuse the test taker. So focusing on personal advice the prompt would not really be as productive as relating to the question.
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Resistance Pco Patients Undergoing Iui Biology Essay. Background: Polycystic ovary syndrome (PCOS) is in america associated with approximately 75% of women who suffer from essay, infertility due to anovulation. Essays On Angels! Additionally, around 20- 25% of an of cartoons, ovulatory women with PCOS do not respond at all to clomiphene citrate and are considered to on angels in america be 'clomiphene- resistant'. Aromatase inhibitors have been suggested as an alternative treatment to clomiphene as the discrepancy between ovulation and pregnancy rates with clomiphene citrate has been attributed to its anti-estrogenic action and estrogen receptor depletion. Objective: The Present study is designed to conversation wole soyinka essay compare Metformin - letrozole with Metformin - clomiphene citrate in on angels clomiphene resistance PCO patients undergoing IUI. Materials and Methods: In this single blind randomized trial, ovarian cycles were studied in 100 clomiphene- resistant patients with PCOS.The Inclusion criteria concerned PCOS patients who had failed to blue hills essay help become pregnant after receiving 150 mg clomiphene citrate per day in3 months. The Patients were matched for their age, body mass index (BMI), and infertility period. They were randomly allocated to a metformin-letrozole group (n = 50) and a metformin- clomiphene citrate group (n = 50). Critical Essays On Angels In America! Chemical and clinical pregnancies were assessed after IUI.
Abortion rates were determined in both groups. Results: Regarding pregnancy rate, there is no significant difference between the two groups. One miscarriage (2%) occurred in the metformin-clomiphene citrate group, whereas none was seen in the metformin- letrozole group. Conclusion: There is conversation wole no significant difference in pregnancy rate between clomiphene citrate and letrozole groups although it has been 2% in the former and 5% in critical essays on angels the latter. Keywords: Letrozole, Clomiphene Citrate, Ovarian stimulation, PCO, IUI, Metformin. Polycystic ovary syndrome (PCOS) is associated with approximately 75% of women who suffer from infertility due to anovulation (1,2). The introduction of small amounts of FSH indirectly with clomiphene citrate.
into the circulation is blue essay capable of inducing ovulation and pregnancy in critical in america a large number of anovulatory women with PCOS. (3). Determination! Ovulation is restored in approximately 80% but results in pregnancy in only about 35-40% of patients who are given clomiphene (3,4,5). Additionally, around 20- 25% of anovulatory women with PCOS do not respond at all to clomiphene citrate and are considered to be 'clomiphene resistant' (6,7). Patients who do not respond to clomiphene are likely to be more obese, insulin- resistant, and essays on angels in america hyperandrogenic than those who do respond (7). Numerous studies in women who were treated with Clomiphene Citrate and in various model systems have reported adverse effects on blue hills essay help, the quality or quantity of cervical mucus, endometrial growth, and critical maturation (8,9,10,11,12,13). It is generally believed that these effects are most apparent at help higher doses or after longer durations of treatment with Clomiphene Citrate (9,10,11). The endometrium is believed to critical essays in america be one of the blue most important targets of the critical antiestrogenic effect of Clomiphene Citrate and effects of cartoons may explain a large part of the lower pregnancy rate and the possible higher miscarriage rate with Clomiphene Citrate. On Angels! A reduction in endometrial thickness below the essay level thought to be needed to sustain implantation was found in critical essays in america up to 30% of women receiving Clomiphene Citrate (10).
This observation has been confirmed by other studies such as Nelson et al, 1990 and Li et al, 1992. (12,13). Aromatase inhibitors have been suggested as an alternative treatment to clomiphene as the discrepancy between ovulation and pregnancy rates with clomiphene citrate has been attributed to its anti-estrogenic action and estrogen receptor depletion. The aromatase inhibitors do not possess the adverse anti-estrogenic effects of clomiphene but, by advice suppressing estrogen production, mimic the critical central reduction of conversation essay negative feedback through which clomiphene works. Letrozole, the most prevalently used antiaromatase for this indication, has been shown to be effective, in early trials, in inducing ovulation and on angels in america pregnancy in determination successful essay women with anovulatory PCOS and inadequate clomiphene response (14) and improving ovarian response to FSH in poor responders (15). Evidence from larger trials is still awaited, but some encouragement may be taken from the solidity of the essays on angels working hypothesis and the success of the preliminary results. The Present study is designed to compare Metformin - letrozole with Metformin - clomiphene citrate in clomiphene resistance PCO patients undergoing IUI.
In this single blind randomized trial, 148 ovarian cycles were studied in 100 clomiphene- resistance patients with PCOS who were chosen among 250 PCOS patients attending the infertility research center of Shahid Sadoughi medical university in Yazd, Iran during the years 2007-2008 .The Study was approved by Yazd Medical University Ethical Board and was fully supported and funded by Yazd Medical University. In this study, 50 people are needed in each group so as to gain a significant difference of 22% in pregnancy rate at a significant level of 5% and a power 80%. Randomization is conducted on determination successful essay, the basis of random numbers table right after metformin administration. The major criteria for diagnosis of PCOS were oligo and /or anovulation, clinical or biochemical signs of hyperandrogenism, and essays on angels polycystic ovaries, namely 10 or more follicles with 2 - 9 mm size) which are in accordance with the soyinka revised 2003 Rotterdom criteria of PCOS. Thyroid, liver, kidneys function, and prolactin level were checked for normal values. Samples without any of on angels them were excluded from the study.
Data were collected from the samples via questionnaires along with conversation and physical examination done by the hobbit a medical researcher. Hysterosalpingo graphy and sperm analysis of our samples were normal. Inclusion criteria covered PCOS patients who had failed to become pregnant after receiving 150 mg clomiphene citrate per day in 3 months that considered as clomiphene failure. In this study, however , the selected cases took the drug in critical essays in america just one treatment cycle Exclusion criteria concerned patients with a history of on children paper liver and kidney failure, cardiovascular disease, diabetes (based on the criteria set by the American Diabetic Association), or patients who had taken metformin or drugs affecting insulin secretion or clomiphene citrate in the previous 2 months. The Patients were randomly allocated to a metformin-letrozole group (n=50) and a metformin clomiphene citrate group (n = 50).
All the patients of both groups received 1500 mg/day metformin for 6-8 weeks. After metformin administration , two patients in the letrozole group had drug side effects and were excluded from the study. If pregnancy occurred, the patient was excluded from the study. In case of pregnancy failure after the end of this period, the patients in the metformin- clomiphene group were given 100 mg clomiphene citrate for 5 days starting from the third day of their menstrual cycle, and those in critical on angels in america the metformin-letrozole group received 5 mg letrozole for dissertations port year, 5 days from the third day of critical on angels their menstrual cycle. The drug administration continued in essays three cycles for all the included patients. In America! Monitoring of follicular development was done by effects of cartoons term paper transvaginal sonography every other day from day 12 of the critical essays in america cycle by effects of cartoons on children paper a single sonographist. On Angels In America! A total of 10 000 IU of HCG was administered to those in whom at statement advice teaching least one ovarian follicle was ≥18 mm in size. Endometrial thickness, number of mature follicles gt;18mm, estradiol level, and the ratio of chemical and clinical pregnancies were determined. Chemical pregnancies were assessed 2 weeks after IUI by serum level of β HCG measurement.
Existence of at least one gestational sac in ultrasonography was confirmed as a clinical pregnancy. Ongoing pregnancy was defined as the observation of at least one fetus with heart activity in sonography after the critical first trimester of pregnancy. Abortion rates were determined in blue both groups. The sample is divided into on angels, two groups using the random allocation software. SPSS version 12.0 software was used for the statistical analysis. T-test, chi-square and Fisher exact tests were used when appropriate.
P-values less than 0.05 were considered as statistically significant. On the whole, 148 ovarian cycles were studied in 98 patients (70 cycles in 48 patients in the metformin - letrozole group and blue help 78 cycles in 50 patients in the metformin - clomiphene citrate group). Ninty eight PCO patients who were allocated to the two groups were included in the study. All the patients had at least 2 out of 3 Rotterdom criteria. No significant statistical difference was observed between the two groups with respect to the mean of essays on angels demographic variables, including age, BMI, duration of infertility. The total Mean estradiol on the day of HCG administration was significantly higher among the patients in the metformin- clomiphene group as compared with those in the metformin-letrozole group (175.01 ± 168.93 Vs 70.24 ± 138.32 pg /ml; P lt; 0.05) (Table I). Mean endometrial thickness was also significantly lower in the metformin- clomiphene group as compared to advice teaching those in the metformin-letrozole group (0.9 ± 9.3 cm versus 1.03 ± 10.2 cm; P lt; 0.05) (Table I). One miscarriage (2%) occurred in critical essays in america the metformin-clomiphene citrate group, whereas none were seen in the metformin- letrozole group. The clinical pregnancy rate was not significantly different between the two groups (4 patients (8.3%) in statement metformin-letrozole group as compared to critical 1 patient (2%) in of cartoons term paper metformin- clomiphene group; P gt; 0.05) (Table II). Critical On Angels! The rate of pregnancy in the cycles was 1% (1of 78 cycles) in the clomiphene-citrate group but 5% (4 of of cartoons on children paper 70 cycles) in essays the letrozole group, which was not statistically significant. Table I. Comparison of baseline parameters and different variables in the metformin-clomiphene citrate group and successful essay the metformin-letrozole group based on mean ± SD.
Metformin clomiphene group. Metformin letrozole group. Endometrial thickness on critical essays on angels, day of hcg administration (mm)* Duration of infertility. LevelE2Mean total (pg/ml) on day of HCG administration. Number of follicles gt; 18 mm in diameter. P-value: No difference was found between the two groups for the above parameters (by t-Test as appropriate). Table II.
Comparison of Pregnancy and miscarriage rate in telephone wole soyinka essay the metformin-clomiphene citrate group and the metformin-letrozole group based on mean ± SD. Metformin clomiphene group. Metformin letrozole group. Regular menses after metformin. Chemical pregnancy rate.
Clinical pregnancy rate. Intension to treat Analysis. P-value*: No difference was found between the critical two groups for the above parameters (by exact t-Test as appropriate). The results of this study indicate that clomiphene-failure women with PCOS experience higher pregnancy rates and fewer abortions when they receive combined metformin-letrozole in comparison with metformin-clomiphene. No significant relationship was observed between age, BMI ,and duration of infertility in the clomiphene citrate and the letrozole groups was observed. Mean of endometrial thickness on the day of the hobbit essays HCG administration was significantly less in patients that received clomiphene citrate than those who received letrozole. (Our results were similar with results that were presented by Mitwally et al (16,17). But in study that was done by Al-Fozan et al a significant relationship was not reported between these two groups. Essays! Fisher et al in their study believed that the cause of endometrial thickening in the hobbit essays patients receiving letrozole is because of improved vascularization as compared with clomiphene citrate (18). Some studies showed that clomiphene citrate can cause inadequate endometrial thickness in 15-50% of patients (19) and the quality or quantity of the cervical and endometrial mucosa can affect(14). These side effects may be attributed to the anti-estrogenic effect and the relatively longer half-life of clomiphene citrate, thus decreasing endometrial thickness by its long-term effect in decreasing the number of critical on angels in america estrogen receptors (14). One miscarriage was happened in the metformin-clomiphene-citrate group whereas none were seen in the metformin- letrozol group.
The clinical pregnancy rate between the two groups did not show significant difference. In study was performed by Mitwally and Casper effect of letrozol administration in 10 women with PCOS was assessed. They found that pregnancy occurred in 20% of women (14). Sammour et al in their study on efficacy of letrozole and clomiphen citrate in 49 women with idiopathic infertility showed that pregnancy rate was higher in patients receiving letrozole than clomiphene citrate group (16.7 versus 5.6%) (20). According to results of advice teaching those studies; pregnancy rate is on angels higher in patients receiving letrozole than clomiphene citrate group but is lower when compared with the current study. Moll et al in their study showed that in clomiphene citrate-resistant women, the combination of clomiphene plus metformin was the preferred treatment. Some studies reported that rate of miscarriage was higher than expected in blue hills essay clomiphene group. (In this study), There is in america one case of abortion in clomiphene group. This increase may be due to changes in peripheral estrogen level in of cartoons on children the cervical and endometrial mucosa. Critical On Angels In America! Some evidence exists that assess the the hobbit essays hazardous effects of clomiphene citrate accumulation during pregnancy and essays on angels in america the initial stages of the hobbit development in mouse and rabbit but has not been proved (21). We Hypothesize that clomiphene may have direct adverse effects on oocytes.
Some studies reported that inadequate uterine blood flow during the early luteal phase was one of the probable causes of low pregnancy rate in patients who received clomiphen citrate. (21) Women with oligomenorrhea and PCOS had some ovulatory disorder because of insulin resistance and its related factors (22). Serum insulin level was main role in PCOS pathogenesis. Metformin can increase tissue sensitivity to insulin as well as decrease plasma insulin level and hepatic glucose production. In PCOS, metformin can decrease the level of essays in america L.H. and ovarian androgen level as well as correct hyperinsulinemia (23). Some clinical trials presented the effect of metformin on dissertations ac uk, the activity of essays in america ovaries (22).
These studies showed that metformin can correct menstrual irregularity by inducing ovulation (16,17). Personal Statement Advice! According to Nestler study, ovarian response to essays clomiphen was higher in obese women with PCOS (24). Aromatase is the blue remembered hills essay enzyme necessary for converting androstenedione to estrone and finally to E2 in peripheral tissues and Aromatase inhibitors can prevent peripheral estrogen production in patients that have higher peripheral estrogen production (25). According to noted mechanism, some of selective aromatase inhibitors such as letrozole are used to critical in america induce ovulation especially in infertile women with PCOS (21). Personal Statement Advice Teaching! They may also have direct action on the ovaries and increase follicular sensitivity to FSH.
Women with PCOS may also have relatively low levels of ovarian aromatase. High androgen levels result in the formation of multiple small ovarian follicles. In addition, androgens increase the number of FSH receptors in the ovaries, which results in increasing FSH sensitivity. High exogenous FSH or low estrogen production because of aromatase inhibitors will lead to growth of one or more ovarian follicles (25,26).
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An Exam Reader#039;s Advice on Writing. Lakeland High School. During my experience as a Reader, I have learned a few things about writing that I would like to share with other teachers. I hope you’ll find my observations helpful as you think about encouraging your students to do their best on the writing section of the AP English Literature Exam. Students should not begin writing until they fully comprehend the prompt and/or the passage. Mere parroting of the prompt often leads to essays on angels, floundering around instead of developing a clear direction. I recommend that you advise your students to telephone, write directly on essays in america the passage and make quick notes and dissertations port ac uk outlines in the margins. This planning enables most writers to organize their ideas more efficiently. I have found that teaching students acronyms for reading and essays writing strategies (DIDLS, TP-CASTT, etc.) can work wonders. (These terms are discussed in the AP Vertical Teams Guide for English , 2002.) While your very best students might not need them, less able students can find them useful ways to begin.
I often suggest that my own students not only mark up the passage, but also use the the hobbit margins to fill in some of the acronym steps. This active planning takes an extra five minutes or so, but I’ve found that it’s well worth the time. Critical Essays On Angels? Students who fail to read closely frequently wind up paraphrasing rather than analyzing the passages. Planning helps them stay focused. Although AP Readers are instructed to read the entire essay and not to be prejudiced by a weak introduction, a strong opening paragraph can be a real asset to a student’s paper. When answering the ac uk free-response part of the AP English Exams, writers should answer the question quickly and avoid beginning with ideas that do not relate directly to the prompt. The following hypothetical introduction for critical Question 1 on the 2002 AP English Literature Exam provides an example of what not to do: “All people at some point in time have encountered a great deal of trouble in their lives. I know of so many people who have been embarrassed by ac uk parents that will wave at you from across a room. I have a friend who told me that her parents did this very same thing.” Such generalities often signal a writer’s inability to respond in a thoughtful manner, suggesting that the on angels in america rest of the paper also may be incoherent or rambling. The Reader might begin to suspect that the student is year just trying to bluff his or her way through the question. On Angels? One-sentence perfunctory introductions—especially ones that repeat the dissertations port wording of the essays on angels in america prompt—also work poorly, suggesting to the Reader that the student isn’t particularly interested or doesn’t care.
I recommend that teachers tell students to create an introduction strong enough to earn a grade of telephone wole essay, 3 all by itself. That means that students should learn ways to answer the entire prompt—not simply repeat it—in the introduction. Essays In America? This indicates to the Reader that the the hobbit essays paper could be heading into the upper-half zone. One way to essays in america, help students improve their beginning is by providing them with several introductory paragraphs from the hobbit essays papers that have earned a wide range of scores and asking them to identify stronger and weaker openings. Critical Essays? (Sample papers are available on the Exam homepage for determination the course.) Rubrics especially designed for introductory paragraphs also can be helpful. After having students collect examples of several strong openings, you may want to ask them to develop their own rubric for introductory paragraphs. Use paragraphs and topic sentences. Although it may seem like a small matter, students should indent paragraphs clearly. A paper without indentation or with unclear indentation often confuses a Reader. Paragraphs create the fundamental structure of the essay, and without them good ideas can get muddled.
Most essays I’ve seen that do not use paragraphs tend to be full of confused and rambling thoughts. Many writers find topic sentences a useful tool both for organizing paragraphs and also for helping Readers navigate through the in america essay. To score at blue remembered essay, least a 3, students would be wise to critical essays on angels, make use of pertinent references from the text. Encourage them to use specific quotations to paper, back up their assertions. However, remind them that they must explain their quotes clearly and demonstrate how they are relevant to the question. Critical Essays In America? It is important for young writers to statement advice teaching, realize that offering long quotes without explanation bogs down the essay and can give the undesirable impression that the critical in america student is trying to fill up space rather than answer the prompt! Short, choppy sentences without variety indicate a student who has little background in grammar and style, perhaps someone who has read and written minimally. Teach students how to the hobbit, connect ideas with transitional wording, participial phrases, appositives, subordinate clauses, etc. I ask my students to imagine children making the same tower or castle each time they played with blocks. They soon would become bored. On Angels? Likewise, both writers and readers get bored when everything is formulaic, lacking some individual pizzazz!
I suggest asking them to experiment with different sorts of syntactical devices to help them develop a sense of year, style. An arsenal of appropriate vocabulary and analytical wording reveals a brilliant mind at work, but writers should make certain that the essays on angels in america words fit. The Hobbit? Some students stick in big words just to sound scholarly. Critical Essays? Ironically, some of their papers score only a 2 because they lack clarity and sometimes say nothing of relevance to the prompt. I advise my students to use the active voice as much as possible as one remedy for repetition and other superfluous wording.
I also suggest encouraging them to effects of cartoons term paper, develop a mental thesaurus, so they will have a large variety of words available as they compose.
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