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bu resume blitz Years covered: 1999 to essay are found the biosphere, 2017. Last FIDE rating: 2826 (2909 rapid, 2948 blitz) Highest rating achieved in database: 2882. * Overall winning percentage = (wins+draws/2) / total games in the database. 993 exhibition games, blitz/rapid, odds games, etc. Personal Swot. are excluded from this statistic. (born Nov-30-1990, 26 years old) Norway. Magnus Carlsen (full name: Sven Magnus Øen Carlsen) is the 16th undisputed World Champion. He won the crown from Viswanathan Anand in ap biology November 2013 and successfully defended it in analysis a return contest with the former title holder in November 2014. Prokaryotes The Biosphere. In November 2016, he retained his crown when he defeated the Challenger, Sergey Karjakin, in the rapid game tiebreaker after the 12-game classical match was tied. FM (2002); IM (2003); GM (2004); vice-World U12 World Champion (2002); Norwegian Champion (2006); Candidate (2007 2013); World Champion (2013 2014); World Rapid Champion (2014 2015) and coursework World Blitz Champion (2009 2014), winner of the Grand Chess Tour (2015), five-time winner at Wijk aan Zee (2008 (jointly with Levon Aronian), 2010, 2013, 2015 2016). Essay Are Found. Carlsen has been the world's top ranked player since January 2010, apart from six months between November 2010 and June 2011 when he was #2, and possesses the the adventure of huckleberry highest standard FIDE rating ever posted, as well as the highest ever live rating. In January 2016, he became the first person to be the world #1 in standard, rapid and blitz chess.
IM norms Carlsen earned his first IM norm in essay are found the biosphere January 2003 at the Gausdal Troll Masters when he scored 7/10. His second IM norm came in introductions essays June 2003 at ap biology prokaryotes are found the Salongernas IM-tournament in Stockholm where he scored 6/9 and his third IM norm came in the following month at the 2003 Politiken Cup in Copenhagen where he scored 8/11. Personal Analysis Essay. GM norms In early 2004, Carlsen made a major international impact when he won Corus C with 10.5/13, easily winning his first grandmaster norm and ap biology throughout the biosphere earning his entry to the Corus B in 2005. Carlsen obtained his second grandmaster norm in the 3rd Aeroflot Festival (2004) in February and his third grandmaster norm at the sixth 6th Dubai Open (2004), held between 18th and 28th April. He was born in Tnsberg, Vestfold.
His parents are Sigrun en and Henrik Carlsen, both of whom are engineers. Spoonface Coursework. His father taught him chess at ap biology essay throughout the age of eight after which he soon played his first tournament, a junior (Miniputt) Norwegian championship. Proposal. He was coached by seven-time Norwegian Champion Simen Agdestein and by Torbjorn Ringdal Hansen. Prokaryotes Are Found Throughout The Biosphere. He won the title of International Master in 2003 at the age of proposal on obesity 12 years 7 months and 25 days. In 2004, after having gained over ap biology essay throughout 300 rating points in little over a year, he became the second-youngest grandmaster in chess history at the time, behind only Sergey Karjakin, at the age of 13 years 4 months and 27 days.
Parimarjan Negi later pipped his record by five days to become the personal value second youngest grandmaster ever. Age : Carlsen won the ap biology essay prokaryotes throughout Norwegian U11 Championship in 2000 and the U10 Nordic Championship in essays 2001. In 2002, he placed =1st in ap biology essay prokaryotes are found throughout the biosphere the Open Norwegian Junior Championship with 5.5/7, but easily won the same event the following year with 6/6. Carlsen started with 4/4 at spoonface the 2002 U12 European Championship but faded to finish sixth. In the 2002 U12 World Championship a few weeks later, Carlsen was sole leader coming into the last round, but was held to a draw by ap biology prokaryotes are found throughout, David Howell, enabling Ian Nepomniachtchi to equal his score and to win on tiebreak. He placed =3rd at the 2003 U14 European Championship, half a point behind Sergei Zhigalko and Tornike Sanikidze, a short time later placing =9th with 7.5/11 at the World U14 Championship in Halkidiki. National and Continental : A couple of weeks after being eliminated from the FIDE World Championship Knockout Tournament (2004) (see below), he placed =1st in the 2004 Norwegian Championship. However, after a two-game play-off match with co-leader and until then, six-time Norwegian champion, Berge Ostenstad was drawn, stenstad was declared winner on tiebreak. In the 2005 Norwegian Chess Championship, Carlsen again finished in a shared first place, this time with his mentor Simen Agdestein.
A rapid game playoff between them resulted in about Agdestein’s victory by 3.5-2.5 (+2 -1 =3). Carlsen finally won the Norwegian Championship in 2006, after defeating Simen Agdestein in a tie-break match. Carlsen’s first and and so far only participation in the continental championship provided a solid 22-point boost to his rating when he scored 8/13 in the 6th European Individual Championship (2005). World : Carlsen qualified for the FIDE World Championship Knockout Tournament (2004), but was eliminated in the first round tiebreaker by Levon Aronian. His hopes to become a contender for the World Championship in the future took a big step forward by placing tenth at the FIDE World Cup (2005), becoming the youngest player ever to qualify for the Candidates. In his first Candidates match in Elista in May, he drew 3-3 in the six slow games of the Candidates Match: Aronian - Carlsen (2007) before losing in rapid-play tie-breaks. He reached the ap biology essay final four in the World Chess Cup (2007) before being defeated in proposal essays the semi-finals by the eventual winner, Gata Kamsky. Ap Biology Essay Prokaryotes Are Found. Carlsen's final placing in the 2007 World Cup qualified him for participation in the FIDE Grand Prix for 2008-09. Soon afterwards he tied for first place in the Baku Grand Prix (2008), the first round of proposal essays FIDE's inaugural Grand Prix series. Carlsen later withdrew from the Grand Prix cycle despite his excellent result in essay prokaryotes the biosphere Baku, complaining about dramatic changes to . regulations. and spoonface steinberg that “…changing the ap biology are found rules dramatically in the middle of essay about of huckleberry finn a cycle is simply unacceptable.” On the basis of his rating, Carlsen qualified for the Candidates Tournament that would determine the challenger to World Champion Viswanathan Anand in essay are found throughout the biosphere 2012.
In November 2010, however, Carlsen announced he was withdrawing from the Candidates tournament. Carlsen described the 2008–12 cycle as not . sufficiently modern and introductions to literature essays fair, and added that Reigning champion privileges, the ap biology prokaryotes are found throughout the biosphere long (five year) span of the cycle, changes made during the cycle resulting in a new format (Candidates) that no World Champion has had to go through since Kasparov, puzzling ranking criteria as well as the shallow ceaseless match-after-match concept are all less than satisfactory in my opinion. Carlsen qualified for the World Championship Candidates (2013) that was played in London, again on the basis of his rating. Analysis Essay. He placed =1st with Vladimir Kramnik on ap biology essay prokaryotes 8.5/14 after both players lost their last round games, but as the first tiebreaker (score against each other in the tournament which was 1-1) failed to break the tie, he won on the second tiebreak which stipulated that the player with the greater number of wins takes first place; he had scored five wins to Kramnik's four. During the tournament, Carlsen set a new live rating record of 2878.9 after he defeated Gelfand in round 10. In November 2013, Carlsen won the Anand - Carlsen World Championship (2013) that was staged in Chennai. The first four games were drawn before Carlsen won the fifth and sixth games. The seventh and eighth games were drawn, with Carlsen then winning the ninth game and drawing the personal analysis essay tenth and last game to win by 6.5-3.5 (+3 =7). Prokaryotes. World Championship Defence 2014. Personal Swot Analysis Essay. Carlsen defended his World Championship title against Anand - who won the right to challenge for the title by winning the ap biology are found the biosphere World Chess Championship Candidates (2014) that was held in March 2014 - in Sochi in Russia in November 2014. The first game of the Carlsen - Anand World Championship (2014) was a fighting draw with Carlsen playing Black and proposal essays successfully defending a Grunfeld.
He drew first blood in essay prokaryotes are found the biosphere game two playing the White side of a quiet Ruy Lopez, breaking down Black's defences before the first time control. After the uiuc essay first rest day, Anand struck back strongly playing the ap biology essay prokaryotes are found White side of a Queen's Gambit Declined (D37), and overcame Carlsen before the first time control. In game 4, Anand played the Sicilian but Carlsen steered the opening into a quiet positional struggle that ended in a draw. Game 5 featured a Queen's Indian Defence by Carlsen which also ended in a draw. Game 6 may have been the turning point in the match. Anand missed a simple tactical stroke as Black that would have given him a very strong, if not winning position and the lead in coursework the match. Ap Biology. After missing this continuation, Anand's game weakened and Carlsen brought home the point to take the lead in the match for the second time.
Game 7 was another Berlin Defence by about the adventure finn, Anand who encountered difficulties and surrendered a piece for throughout two pawns. However, his defence kept Carlsen at bay for 122 moves before the game was finally drawn due to personal value statement, insufficient mating material on the board. Game 8 in the match was another QGD, with Carlsen playing Black introducing an innovation from his home preparation that guaranteed him a relatively easy draw. Throughout. After another rest day, play resumed with Carlsen playing the White side of a Ruy Lopez that turned into a Berlin Defence by Anand. The game quickly came to an end through a draw by repetition, with Carlsen content to maintain his one-point lead. In Game 10, Carlsen again defended a Grunfeld, albeit not as convincingly as in Game 1. However, he defended a long initiative by spoonface coursework, Anand to secure a drew to continue to maintain his one point lead.
Game 11 was another Berlin Defence by Anand which turned into a complex and hard fought middle game following an innovation by Anand on the queenside, which was followed by an exchange sacrifice. Carlsen successfully defended to bring home the final point needed to prokaryotes are found the biosphere, secure his title for another two years. Match result: Carlsen won by proposal essays, 6.5-4.5 (+3 -1 =7). World Championship Defence 2016. Carlsen's next defence of his classical world title was in November 2016, starting November 11th, in New York City. Sergey Karjakin won the right to challenge him by finishing clear first in the World Championship Candidates (2016). Prokaryotes Throughout. Carlsen retained his title when he drew the classical games 6-6 (+1 -1 =10) and proposal essays on obesity won the ap biology essay are found the biosphere rapid game tiebreaker 3-1 (+2 =2). Introductions To Literature. See Carlsen - Karjakin World Championship (2016) for are found throughout the biosphere more information. World Championship Defence 2018. Although he will almost certainly be defending his title in essay the adventure of huckleberry finn 2018 against the Challenger emerging from the preceding Candidates tournament, Carlsen exercised his right as World Champion to participate in the World Cup (2017).
In the first round, he played the lowest seeded player, Nigerian IM Oluwafemi Balogun, defeating him 2-0 in essay throughout the classical games to move onto round 2 where he met and defeated veteran Russian GM Alexey Dreev by 2-0. However, Carlsen was eliminated in the third round when he lost to Bu Xiangzhi by uiuc essay, 0.5-1.5, having lost the first game to prokaryotes are found throughout, a sacrificial attack by personal swot, the Chinese GM. 2004-2007 Carlsen placed 3rd at the 12th Sigeman Co Chess Tournament (2004) followed later that month with a solid =3rd place at essay are found throughout the Politiken Cup 2004, a half point behind the leaders Darmen Sadvakasov and compatriot Leif Erlend Johannessen. In October 2005, he won the Gausdal Bygger'n Masters in Norway with 8/9 ahead of 9 other grandmasters. He continued to improve in 2006, tying Alexander Motylev for first place in personal Corus Group B (2006). After several more strong performances during the year, including 6.5/9 at the XXII Reykjavik Open (2006), =2nd at are found throughout Bosna Sarajevo Tournament (2006), =2nd behind Sergei Shipov at uiuc essay the Midnight Sun Challenge at essay are found the biosphere Breivika videregaende skole in essays Norway, =2nd at are found Biel Int'l Festival (2006) (after beating the winner Alexander Morozevich twice), first at the Gausdal Classics GM-A and a joint second-place finish at Linares - Morelia (2007), he crossed the uiuc essay 2700-mark, the youngest player ever to do so.
A relatively poor result at Dortmund (2007) (3/7) was followed by a win at Biel Chess Festival (2007) (His score was equaled by Alexander Onischuk and so they played a tie-breaker match to ap biology are found the biosphere, determine the winner. After drawing two rapid and two blitz games, Carlsen won the Armageddon game) and a par for rating =2nd at essays the Arctic Chess Challenge (2007) where he scored 7/9, a half point behind the leader Alexander Moiseenko, and 3rd at the Tal Memorial (2007) in ap biology essay November 2007. 2008-2009 In 2008 Carlsen was the joint winner of Corus (2008) A-Group together with Levon Aronian, and placed second in Morelia-Linares (2008) behind Anand. He won clear first place at Aerosvit (2008) with a dominant 8/11 score. Spoonface Coursework. His disappointing third placement at 41st Biel International Chess Festival (2008) with 6/10, a half point behind joint winners Leinier Dominguez Perez and Evgeny Alekseev, was nevertheless still a 2740 performance, whilst his equal second in the Bilbao Grand Slam Chess Final (2008) with 5.0/10 was a 2768 performance. His relatively meagre 7/13 at essay throughout Corus (2009) was followed by equal second placement behind Kramnik at Dortmund (2009) with a 2773 performance and 2nd with 5/9 at the M-Tel Masters (2009). The arrival of Garry Kasparov in about the adventure 2009 as his coach enabled Carlsen's finest tournament performance to date, and one of the best tournament results in ap biology essay prokaryotes are found the biosphere the history of chess.
Carlsen eclipsed a stellar field consisting of Topalov, Peter Leko, Dmitry Jakovenko, Teimour Radjabov and Wang Yue to win clear first prize with 8/10 at the category XXI Pearl Spring Chess Tournament (2009). Carlsen's performance rating for the tournament was a record 3002 and value statement lifted his FIDE rating in the November 2009 list to 2801, which made him only the fifth player to surpass 2800, and easily the youngest. After a slow start, Carlsen placed equal second with Vassily Ivanchuk behind Vladimir Kramnik in ap biology essay are found throughout the biosphere the Category XXI Tal Memorial (2009), which fielded ten of the world's top thirteen rated players. Personal. He saw out 2009 with a win at the London Chess Classic (2009), a point ahead of ap biology prokaryotes are found the biosphere Kramnik, a result which pushed him to the top of the world ratings in January 2010. 2010-2012 In 2010, Carlsen's success continued, winning Corus (2010) outright with 8.5/13, half a point ahead of joint second place finishers Kramnik and Alexey Shirov. In June, he won the category XXI King's Tournament (2010) in statement Bazna in Romania by a clear two points with 7.5/10 and a 2918 performance.
Following mediocre performances at the 2010 Olympiad and the category XXII Bilbao Masters (2010), Carlsen returned to form by winning the category XXI Nanjing Pearl Spring Tournament (2010) outright with 7/10 (+4 -0 =6) and a 2901 rating performance, a full point ahead of World Champion Anand who took outright second with 6/10, and finishing the year by winning the London Chess Classic (2010) for ap biology essay are found throughout the biosphere the second time in succession. After a slow start in the Tata Steel (2011) super tournament, Carlsen finished =3rd with Levon Aronian behind Hikaru Nakamura and Anand with 8/13 and a performance rating of 2821. He followed up in uiuc essay June by winning the Bazna King's Tournament (2011) on tiebreak ahead of Karjakin, both finishing with 6.5/10, and by winning Biel Chess Festival (2011) in July with a round to spare and with a final score of 7/10 (TPR 2835). After another characteristically slow start, Carlsen placed =1st with Ivanchuk at the 4th Bilbao Masters (2011) with 15 points under the Bilbao scoring system (+3 -1 =6) and throughout the biosphere a 2842 performance rating, ultimately winning the tournament in a blitz tiebreaker. Proposal On Obesity. Then in November 2011, Carlsen won the ap biology are found the biosphere Tal Memorial (2011) on swot tiebreak with 5.5/9 (+2 =7 -0 and essay throughout a TPR of 2850) over Aronian. Personal Value Statement. Carlsen finished 2011 with 3rd place at the category 20 London Chess Classic (2011) behind Kramnik and Nakamura, scoring +3 =5 (TPR of 2879).
2012 started with =2nd (+4 -1 =8; TPR 2830) behind Aronian and alongside Radjabov and Fabiano Caruana at the Category 21 Tata Steel (2012). He won the category 22 Tal Memorial (2012) outright with 5.5/9 (+2 =7) and essay prokaryotes a TPR of 2849. The month after his strong results in the World Blitz he finished outright second behind Wang Hao in the Grandmaster Tournament of the personal Biel Chess Festival (2012). In October 2012, Carlsen repeated his 2011 feat at Bilbao by winning the throughout the biosphere Bilbao Masters (2012) in a tiebreaker, this time against Caruana. He finished up 2012 by winning the London Chess Classic (2012), the third time he has done so, with a score of 6.5/8 (+5 =3 -0) and swot a TPR of 2994 (only fractionally below his record effort at Pearl Springs in ap biology prokaryotes throughout the biosphere 2009). London 2012 was also made historic for the fact that Carlsen's result lifted his January 2013 rating to a new record, exceeding Kasparov's record 2851 by 10 points. 2013 Building on his achievements of 2012, Carlsen won the on obesity category 20 Tata Steel (2013) tournament with a round to spare, his final score being 10/13.
He also set a new live rating record of 2874 after his round 12 win over Nakamura, although this was superseded at the Candidates in March. In May 2013 he played in the category 21 Norway Chess Tournament (2013) held in the Stavanger Region of Norway and came 2nd with 5.5/9, half a point behind the winner Sergey Karjakin; in ap biology prokaryotes the biosphere the preliminary Norway Chess Tournament (Blitz) (2013) held to determine the draw, he came 2nd with 6/9 behind Karjakin, thereby earning 5 games as White out of the 9 to be played. In June he again came outright 2nd, this time at the category 22 Tal Memorial (2013), half a point behind the winner Boris Gelfand. His last hit out before the World Championship match against Anand in November 2013 was the category 22 double round robin Sinquefield Cup (2013), which he won outright with 4.5/6 (+3 =3; TPR of 2966). 2014 Carlsen's first tournament as World Champion was the Zurich Chess Challenge (2014), the spoonface steinberg coursework first ever category 23 tournament (average rating 2801). He came from behind to take equal first with Aronian in throughout the biosphere the Zurich Chess Challenge (Blitz) (2014), which determined the colors in to literature the main event (Carlsen has 4 whites and 1 black). By round 4 of the standard time event, he extended his live rating to ap biology essay prokaryotes throughout the biosphere, 2882.6, breaking the record he established in personal round 3. Ap Biology Throughout. His round 5 draw with Anand enabled him to finish the standard time event in first place, 2 scoring points ahead of Aronian. He needed 3.5/5 in the Zurich Chess Challenge (Rapid) (2014) played on the final day to guarantee his win in the event, however his 2/5 result was sufficient to introductions essays, win the combined event by prokaryotes are found throughout the biosphere, one point under the steinberg scoring system used. His next event was the are found throughout the biosphere category 22 Gashimov Memorial (2014), a new event in personal analysis honor of the essay the biosphere late Azeri GM Vugar Gashimov, which he won outright with a score of 6.5/10, defeating Fabiano Caruana, his rival for uiuc essay first prize, in ap biology prokaryotes are found the last round. Although he was the only undefeated player at the Norway Chess Tournament (2014), he won insufficient games to win the event, which was successfully defended by personal analysis, last year's winner, Sergei Karjakin. In August 2014, he played in the category 23 (only the essay prokaryotes second such strength event) Sinquefield Cup (2014) and came outright second with 5.5/10, 3 points behind Caruana, the runaway leader of the tournament.
2015 Following his successful defence of his title against Anand in November 2014, Carlsen won the Tata Steel (2015) outright with a score of 9/13 (+6 -1 =6), his six wins scored in succession after starting the event poorly with two draws and a loss. In April 2015, Carlsen won the proposal on obesity category 21 Gashimov Memorial (2015) outright for the second year in succession with a powerful score of 7/9 (+5 =4), a full point clear of a resurgent Viswanathan Anand, who was outright runner up with 6/9. This high was followed by essay prokaryotes, a low at the category 22 Norway Chess (2015) in Stavanger in June 2015, when he crashed and essays burned to his worst tournament result in ap biology essay prokaryotes the biosphere almost a decade. Personal. After losing his first round game on essay prokaryotes time to Topalov in a won position, Carlsen never recovered and personal registered a 3.5/9 (+2-4=3) result that slashed 23 points from his rating. A slow start in the category 22 Sinquefield Cup (2015) following an early loss to Topalov, was followed by three successive wins which enabled Carlsen to draw level with the leader by round 5, before the rest day. Essay Are Found Throughout The Biosphere. However, a crucial loss to Grischuk from an introductions to literature essays advantageous position and missed opportunities to win against Nakamura relegated him to equal second in the event, a point behind the outright winner Levon Aronian. This result also caused him to shed a few ratings points.
Still struggling with his form, Carlsen began his campaign at the category 23 London Chess Classic (2015) with his characteristic slow start, but was able to finish equal first in the ninth and are found throughout final round with a win over Alexander Grischuk, scoring 5.5/9 alongside Anish Giri and a surging Maxime Vachier-Lagrave. A three way rapid game tiebreak resulted in analysis essay Carlsen winning the essay prokaryotes are found the biosphere tournament as well as the Grand Chess Tour of 2015. He finished 2015 with a flourish when he won the powerful Qatar Masters (2015) by sharing first with an undefeated 7/9, then winning 2-0 in spoonface steinberg coursework the blitz playoff against Yu Yangyi. His tiebreak wins against Yu Yangyi also elevated him back to world #1 in blitz. 2016 The year started in the best possible way for Carlsen when he scored 9/13 to win outright at the category 20 Tata Steel (2016) event, a point ahead of ap biology prokaryotes are found throughout the biosphere Caruana and Ding Liren. This was his fifth win at Wijk aan Zee, tying with Anand for the record number of wins at this event, which has been running since 1938. In April, he won the Norway Chess (2016) event for the first time, scoring 6/9 to finish outright first, a half point ahead of outright second placed Aronian who won their individual game; Carlsen also won the preliminary Norway Blitz (2016) with 7.5/9, a point ahead of outright second placed Giri, to win the right to five starts as white in the nine round principal tournament.
In July, Carlsen emerged as the outright winner of the proposal on obesity Bilbao (2016), well ahead of the runner up Nakamura. 2017 Wesley So broke Carlsen's winning run at Wijk aan Zee, with the latter finishing outright second on 8/13 at the Tata Steel (2017). Essay Prokaryotes Throughout The Biosphere. In April Carlsen finished equal second alongside Caruana with 4/7 (+1=6), a point and a half behind outright winner Aronian at essays the category 20 GRENKE Chess Classic (2017). After easily winning the Altibox Norway (Blitz) (2017) to essay throughout the biosphere, determine the draw for the main event, Carlsen returned his worst result in steinberg coursework over a decade to score 4/9 at the category 22 Altibox Norway (2017), narrowly missing out on last place and coming to within one game of ap biology essay are found throughout the biosphere losing his number one world ranking. Essays On Obesity. He regained some form at the category 22 Sinquefield Cup (2017), placing second with 5.5/9, half a point behind the winner Vachier-Lagrave, the only player who defeated Carlsen in this event.
He seems to have returned to form with an uncontested first place in ap biology essay the powerful Isle of Man Open (2017), finishing with 7.5/9, half a point clear of Anand and Nakamura, and also boosting his rating back to 2838 (live), his best since April 2017. Carlsen won the Glitnir Blitz Tournament in 2006 in Iceland. In September 2006 Carlsen placed 8th out of 16 participants at the World Blitz Championship (2006) in Rishon LeZion, Israel. In the blitz tournament associated with the proposal essays Tal Memorial 2006, namely the Tal Blitz Cup, Carlsen scored 17½/34 points and ap biology the biosphere placed 9th in a group of 18 participants. In March 2007, Carlsen played for personal swot essay the first time in the Melody Amber blind and rapid chess tournament in ap biology prokaryotes are found the biosphere Monte Carlo. In the 11 rounds of the 16th Amber Tournament (Blindfold) (2007), he achieved eight draws and three losses (placing =9th) then scored three wins, seven draws and one loss in the 16th Amber Tournament (Rapid) (2007) (=2nd), for an overall 8th place in the combined tournament. In March 2008, Carlsen played for the second time in uiuc essay the Melody Amber blind and rapid chess tournament, which was held in ap biology Nice for the first time. Carlsen achieved four wins, four draws and proposal two losses in the Amber Tournament (Blindfold) (2008), and ap biology essay prokaryotes are found throughout the biosphere three wins, two losses, and six draws in the Amber Tournament (Blindfold) (2008), resulting in a shared second place in the overall tournament. In the Chess Classic Mainz (2008), Carlsen finished in essay about of huckleberry finn second place after losing the final to defending champion Anand 3:1 (two losses, two draws). 2009 saw Carlsen score equal first in the Amber Tournament (Blindfold) (2009) with 7/11 alongside Kramnik and Aronian, and equal second with Veselin Topalov at M-Tel Masters (2009) behind Shirov with a 2822 performance. He also won the XXII Magistral Ciudad de Leon (2009), a rapid knockout tournament, ahead of Morozevich, Ivanchuk, and Wang Yue.
Just a few days after his 2nd placement at the Tal Memorial (2009), he won the ap biology the biosphere World Blitz Championship (2009) with 31/42, a full three points ahead of runner-up Anand. He shared first place at the 2010 Amber Rapid and Blindfold Tournament with Ivanchuk; scoring 6½ points in the blindfold and 8 points in the rapid, Carlsen accumulated 14½ from a possible 22 points. About. After a slow start in the Arctic Securities Chess Stars (2010) rapid tournament, he continued his success by defeating Anand in the two-game playoff for gold. In the World Blitz Championship (2010), held in Moscow on 16–18 November, Carlsen attempted to defend his 2009 title. Ap Biology Essay The Biosphere. With a score of 23½/38, he finished in third place behind Radjabov and the winner Aronian. After the tournament, Carlsen played a private 40-game blitz match against Hikaru Nakamura, winning with a score of personal swot 23½–16½. A phenomenal 9.5/11, 2.5 points clear of the field, in 20th Amber Tournament (Rapid) (2011) was insufficient for him to win the overall contest, as his results in are found the 20th Amber Tournament (Blindfold) (2011) were poor, resulting in a 2nd overall to 2008 and introductions to literature essays 2009 overall winner Aronian.
In July 2012 he came clear 2nd in the World Rapid Championship (2012) behind Karjakin with 10.5/15, and clear 2nd in the World Blitz Championship (2012) with 19.5/30, half a point behind Alexander Grischuk. In June 2014, he realized his ambition to be the triple champion (of standard, rapid and blitz chess) when he won the FIDE World Rapid Championship (2014) with 11/15, half a point ahead of runner-up Caruana, and essay throughout the biosphere the FIDE World Blitz Championship (2014) with 17/21, one point clear of Nepomniachtchi and Nakamura. In October 2015, he successfully backed up to defend his title at essays on obesity the World Rapid Championship (2015), scoring 11.5/15, a point clear of runners-up Leinier Dominguez Perez, Teimour Radjabov and Ian Nepomniachtchi. Carlsen was second in prokaryotes throughout the Paris Grand Chess Tour, placing second to Nakamura in the Grand Chess Tour Paris Rapid (2016) and equal first in the Grand Chess Tour Paris Blitz (2016) alongside Nakamura to take second place behind the US grandmaster. Soon afterward, he was overall first in the Leuven legs of the Grand Chess Tour, having won both the YourNextMove Rapid (2016) and personal essay the YourNextMove Blitz (2016).
Carlsen won his final event before the upcoming Carlsen - Karjakin World Championship (2016) in New York, when he won the final of the ap biology essay the biosphere Carlsen-Nakamura Chess.com Blitz Battle (2016) against Hikaru Nakamura. Carlsen obtained a large lead after the 5m+2spm and 3m+2spm sections and narrowly lost the bullet 1m+1spm with a final score of 14.5-10.5. He placed equal first with 11/15 alongside Ivanchuk and Grischuk at essay about finn the World Rapid Championship (2016), but placed third on ap biology essay prokaryotes are found the biosphere countback. Personal Essay. His unsuccessful attempt to ap biology are found throughout the biosphere, defend his crown at the World Blitz Championship (2016) was a similarly tight affair, with Carlsen losing on countback to the 2016 World Championship Challenger Sergei Karjakin, both scoring 16.5/21. Essays. The following year in ap biology are found the biosphere 2017, Carlsen won both the Paris and Leuven legs of the Grand Chess Tour of 2017 to lead the competition ahead of the introductions essays Sinquifield and London legs to be staged later in 2017: he won the ap biology essay are found throughout Grand Chess Tour Paris (Rapid) (2017) with 7/9 ahead of Grischuk and backed up with equal fourth at spoonface coursework the Grand Chess Tour Paris (Rapid) (2017) to win the Paris leg on aggregate. Prokaryotes Are Found The Biosphere. At Leuven, Carlsen was third with 5.5/9 at the YourNextMove (Rapid) (2017) and clear winner by about of huckleberry finn, four points at the YourNextMove (Blitz) (2017) to throughout the biosphere, take out the Leuven leg on aggregate. The DSB Bank match between Loek van Wely and Magnus Carlsen took place 28th April - 1st May 2006. The four game classical time limit match was tied 2-2. Carlsen won the blitz portion of the match 3.5-0.5. He won a rapid match against Peter Leko held in Miskolc, Hungary, scoring 5:3 (+2 =6).
Carlsen played in a curtain raiser to the Norwegian Championship, winning the Carlsen - Predojevic Rapid Match (2013) by 2.5-1.5 (+1 =3); the match was organized by the Nansen Center for Peace and proposal essays on obesity Dialogue to ap biology prokaryotes are found the biosphere, celebrate the long-standing relationship between Lillehammer and personal value Sarajevo. (1) Olympiad : Carlsen represented Norway on board one in ap biology throughout the biosphere the 36th Olympiad (2004), the 37th Chess Olympiad (2006), the spoonface steinberg coursework Olympiad (2008), the Chess Olympiad (2010), the Chess Olympiad (2014) and in the Chess Olympiad (2016). His best result was in the 2006 Olympiad, where he scored 6 points from 8 games and came 5th for ap biology essay prokaryotes are found the biosphere board one. In 2016, he scored 7.5/10 placing 6th on board one, assisting his twelfth seeded Norwegian team to place 5th. Personal Swot Essay. National He played board 1 for Norway at the European Team Chess Championships (2007) and won an individual silver medal. He again played board 1 for Norway at the European Team Championship (2015), but returned a very poor result with 3.5/7, losing another 16 rating points to the biosphere, bring him down to of huckleberry, his lowest rating (2834) since January 2012. Club Carlsen played four seasons in the European Club Cup. In 2001 and 2003 he played for ap biology prokaryotes Asker Norway on essays board 6 and essay prokaryotes board 1 (after he had gained his FM title) respectively, while his father Henrik was reserve on essays on obesity both occasions. Ap Biology Prokaryotes Are Found Throughout. In 2007 he played board 3 for OS Baden Baden, and in 2008 he played top board for MIKA Yerevan. His total game result from these 4 seasons was 15.5/27 (+11 -7 =9). He also played in the Norwegian Team Championship in 2002, 2003, 2005 and 2006, in uiuc essay the Bundesliga in the 2004-05, 2006-07, 2007/08, 2008-09 seasons, and in prokaryotes throughout the Dutch Team Championship 2007. Other Team In August 2006, he played in the NH Hotels event featuring the value older Experience Team vs Youth team (easily won by the Youth team 28–22), and was equal top scorer with Alexander Beliavsky with 6.5/10.
Ratings and rankings : The highest official rating achieved by Carlsen to date was 2882 in ap biology throughout the biosphere May 2014. His highest live rating was 2889.2 on 21 April 2014. Both are the highest ratings ever achieved. Uiuc Essay. By the end of the ap biology are found October 2017 rating period, Carlsen will have been world number one for a total of 87 months. Spoonface Coursework. He holds the record for ap biology prokaryotes are found the biosphere the longest period as the the adventure of huckleberry world's top ranked Junior (U20) - 36 months - from 1 January 2008 until 31 December 2010. He was also both world number one junior and ap biology essay prokaryotes are found the biosphere world number one player for essay about the adventure of huckleberry the first 10 months of 2010.
Furthermore, he holds the record for the highest rating acquired by are found the biosphere, any player aged 13, and proposal 17 through to 24 inclusive. Carlsen won the Chess Oscars for are found throughout the biosphere 2009, 2010, 2011, 2012 and 2013 and he was also awarded Norway's annual Peer Gynt Prize for 2011 for being a person or institution that has achieved distinction in society. (2) After he won the World Championship he was awarded Norway's Name of the Year award for proposal essays on obesity 2013. Ap Biology Essay Prokaryotes The Biosphere. (3) He has two sisters, Ellen Oen Carlsen and Ingrid Oen Carlsen. Proposal Essays On Obesity. Carlsen helped Anand prepare for the World Chess Championships in 2007 and 2008 and 2010. Carlsen has modeled for G-Star Raw, starting with its Autumn/Winter 2010 advertising campaign. At the Sohn Conference held in New York in May 2015, Carlsen demonstrated his skill by playing three players in a blindfold clock simul. Carlsen and each of the three players were given nine minutes. Essay Prokaryotes Are Found Throughout. Carlsen won 3-0. A video of the event can be seen at the link in footnote (4) . On September 22, 2016 he was in New York City to play a simul against 11 users of the Play Magnus mobile app. Everybody had 30 minutes on their clocks. Magnus won 11 to 0 (Carlsen Play Live Simul (2016)).
Stealing Domdaniel 's lines, are we? Magnus has not to prove anything to you, besides he has proven you wrong long ago. He is the World Champ, and who is you? A detractor and essay about the adventure finn hater, poor soul.. Plenty of tournament wins too, and played four long world championship matches against ap biology essay throughout Karpov, one of the top three players in history and capable of wiping out top ten opposition without breaking a sweat, without losing any of them. Magnus has not to prove anything to you, besides he has proven you wrong long ago. He is the World Champ, and who is you? A detractor and introductions hater, poor soul.. Hate ta break it ta tolengoof , but no-one has to prokaryotes, prove pissall to him.
1. Personal. He prove me wrong. 2. Win more open tourneys outside Norway. 3. Ap Biology Prokaryotes Are Found Throughout. Win olympic gold medals-plural. Essay About The Adventure Finn. 4. Win the world cup. 5. and ap biology essay are found throughout more to to literature, come. Plenty of tournament wins too, and played four long world championship matches against Karpov, one of the top three players in history and capable of wiping out top ten opposition without breaking a sweat, without losing any of th. I Love Kasparov, I dont think he had 27 major tournament victories by 26. Can someone verify? If Magnus didnt have an extraordinary amount of talent to throughout the biosphere, begin with would they have backed him? He used the introductions to literature essays resources that he had, only normal. Essay Prokaryotes. Fiacher preferred to to literature essays, work alone, each to essay prokaryotes, their own.
Maybe Fischer would have been weaker with seconds anyway, no computer analysis back then. So pointless comparing the.2 periods. 1. He prove me wrong. 2. Win more open tourneys outside Norway. 3. Win olympic gold medals-plural. 4. Win the world cup. Proposal. 5. and more to come. He doesnt have to prove anything. He's already one of the greats. Where he finishes in history ia upto him.
Imagine he plays until 40, thats another 13 something years to achieve things, scary when you think about throughout, it. Value Statement. Too much randomness in world cups anyway. A loss and your pretty much out. If the format was longer, say 4 to 6 classical per are found the biosphere, round would be much better to spoonface, see who is stronger. The way the format is, you can fall victim to prep and be pretty much out in a round. More to come. is essay prokaryotes are found throughout the biosphere, telling. You're admitting to making things up in to literature essays future to hold your argument. Probably not if he was born and raise in the Philippines. he would have to essay, do it all by himself.
But no. Personal Essay. he was spoon fed since birth. Wesley on the other hand. was left to fend off for himself, since day one. Ap Biology Are Found Throughout The Biosphere. Fischer won the title at 29. Carlsen at 26 already has 27 major tournament titles, with 3 World Championship Wins. A load of spoonface horse manure.
Tell it to the marines. Ap Biology Essay Prokaryotes Are Found Throughout The Biosphere. Magnus is backed by a battalion company including extra ordinary armoured special forces. ie. seconds, coaches, chef, rich uncles and more. since day one. While. hmmmm. Fischer single-handedly with some help from his little friend GM Eugene defeated the steinberg coursework Russian machinery. at ease. In terms of talent and the biosphere disposal. Fischer still lords over essays Magnus by a wide margin.
No questions asked. And your answer was: So pointless comparing the.2 periods. It seems to me that you are the one moving the goal posts to suit your purpose. You showed excessive pride and prokaryotes are found the biosphere self-satisfaction in to literature essays Magnus achievements and his abilities and when countered your argument it's so pointless to compare him with Fischer. That's what loser would do. and essay prokaryotes are found I do know one if I see one. so lick your wound. Conjecture without firm evidence. in uiuc essay short, speculation. But if Magnus was a Filipino, his name would be Magno.
Fact. And if your grandmother was your grandpa, she would have balls----speculation. See the difference. He is a notorious troller, feeding from the response he receives. Ap Biology Essay Are Found The Biosphere. Nobody take him seriously, so no need to rectify his ridicules claims.
Incidentally, you've got this -- she would have balls -- the wrong way round (just like you get most things, now that I think of it). The original is a Yiddish proverb (though there are many variant versions, like a chess opening, yah?) which goes If my grandmother had balls she'd be my grandfather. You *do* see the swot essay difference, don't you? Incidentally, you've got this -- she would have balls -- the wrong way round (just like you get most things, now that I think of it). The original is ap biology prokaryotes are found throughout the biosphere, a Yiddish proverb (though there are many variant versions, like a chess opening, yah?) which goes If my grandmother had balls she'd be my grandfather. You *do* see the difference, don't you? Exciting times ahead. Are we going to surpass the level of the modus ponens/modus tollens discussion on Rogoff? Yeah, that'll work.
Somebody must be new on the internet. But it's worth a try reasoning with those who unawarely feed the troll. Especially a troll who is so trollish that he's barred from posting on personal statement his hero's own page. Ap Biology Essay Prokaryotes Are Found Throughout The Biosphere. The original is a Yiddish proverb (though there are many variant versions, like a chess opening, yah?) which goes If my grandmother had balls she'd be my grandfather. You *do* see the difference, don't you? Yes, I do see the steinberg coursework difference. I made my own. not from a Yiddish proverb if there is such a thing. Prokaryotes Are Found Throughout. Now I am flattered. He is a notorious troller A troll I am just because we differ in opinion. I didn't think your head swell that much. but oh well. so convenient a thing it is to be a reasonable creature to find fault and accuse someone without firm evidence. Nobody take him seriously, Exciting times ahead.
That's not a match but an execution. Of Huckleberry. However, I like the pretty boys on the announcement of a death match between Williams and ap biology essay prokaryotes are found Finegold. Will it mean one of the two will be silent forever after the match?
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AP Biology Essay Questions - BCPS
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What? Is my squirrel in the sulks?#8221; (Ibsen 842). It seems as if he is talking to a little child. And he says that as he is giving her money, which makes their interaction seem almost of a grown grandparent giving money to his precious, favorite young granddaughter. All of which makes Nora seem more like a prized possession than an equal partner in statement, marriage.
This is how Ibsen first introduces Nora to the audience, as a simple minded, obedient trophy-wife. Essay Prokaryotes Are Found The Biosphere! Little does the audience know, though, this is but the role Nora plays in the household. As the play progresses, the audience comes to learn that due to essays, a sickness Torvald had in the past, Nora in order to pay for a trip needed to essay prokaryotes are found throughout the biosphere, save Torvald#8217;s life was forced to take a loan from a rich man known as Mr. Krogstad. There is a little subtlety, Nora not only got this loan behind Torvald#8217;s back, but in the legal process of obtaining it, she was forced, due to the circumstances, to forge a signature so that she could get the money in personal swot, time to save her husband#8217;s life. It is prokaryotes are found throughout impressive that Nora was able to proposal essays on obesity, get the loan as Nora#8217;s friend, Mrs. Linden, remarks #8220;a wife can#8217;t borrow [money] without her husband#8217;s consent#8221; (Ibsen 848). Ap Biology Essay Prokaryotes Are Found! This implies Nora is not completely a money loving fiend who just follows every instruction given by her husband, but she is a willing and spoonface steinberg, determined individual who does what is essay prokaryotes throughout the biosphere needed for the best of her loved ones. The plot of the play becomes increasingly interesting when the steinberg, audience finds out that now Krogstad is one of the employees of Torvald, and Torvald plans on firing Krogstad.
Krogstad knowing now of the forgery, blackmails Nora on the condition that if she doesn#8217;t persuade Torvald to ap biology essay prokaryotes the biosphere, not fire him, Krogstad would tell Torvald and everyone else that she forged that signature; in which case it would have legal consequences for Nora. Yet most significant to Nora, knowing Torvald#8217;s abhorrence towards dishonesty and debt is swot her fear of ruining her family#8217;s image. The revelation of ap biology prokaryotes throughout, this secret to the audience completely changes the perception of who Nora truly is, or at least leaves the audience in a state of momentary confusion without knowing how to label Nora. Proposal Essays! This secret shows the strength of her character to carry with a burden she shouldn#8217;t have had to essay are found the biosphere, carry on her own. Not only is she paying back for a debt that shouldn#8217;t be hers, but she has been paying back by saving half the money she is given for clothes and by personal statement doing #8220;a heap of copying#8221; (Ibsen 849) books. It is admirable what is now known of Nora. She has spent years of essay prokaryotes throughout, her life paying back a debt by working on the side without letting others know of the troubles she has had. Specially the fact that the money she got she didn#8217;t use for clothes or drinks; the money was used to save her husband#8217;s life. Some may say it is cowardly of her to spoonface, hide the reality from her husband, but is it really?
The fact that she has chosen to face this debt by herself without the help of anyone is mind-blowing. Picture a 1700#8217;s woman with no stable income, two children, and having every one looking down at you. Ap Biology Essay Are Found Throughout! Instead of asking for help to pay it back and telling Torvald it was money used on him and for him, she takes the hard road by choosing to work what little she can by earning whatever she can. This shows bravery, determination, and will; all admirable features of an personal value, integrous character. Finally, when Torvald finds out of the debt and Nora#8217;s forgery, he rages on at Nora for what she has done. It is then when Nora finally seems to come to an understanding of what she has lived and what is to be done. Ap Biology Prokaryotes! She now understands that she hasn#8217;t been herself throughout her marriage with Torvald.
As she defends her position on her actions she states, #8220;When I look back on it now#8230; I lived by performing tricks for you, Torvald. But you would have it so#8221; (Ibsen 885). It is clear to her now that she has been nothing more than a means of entertainment to on obesity, her husband as he would have her dance for him and such. And Torvald, as much as he might have critiqued her in the end for ap biology prokaryotes throughout, her childish behavior, Nora points out that it is for performing those tricks he loved of her. Nora#8217;s ultimate decision to leave the house, she explains by asserting that she must learn about herself, that she #8220;shall try to learn. I [Nora] must make up my mind which is right - society or I#8221; (Ibsen 886). Nora is now presented as a confident, conscious human being who knows that not everything that one is told one must follow. She understands there are aspects of society and its conventional values that she might not agree with and might possibly be wrong. Uiuc Essay! Torvald then offers to teach her and she rejects him because she is ap biology essay prokaryotes are found throughout the biosphere conscious that she has to educate herself or at uiuc essay least away from him. Prokaryotes Throughout! She also points out that they never spoke of personal statement, serious things, which could be the reason why she believes he isn#8217;t right to teach her; along with the fact that he has been looking down on her since they#8217;ve met. In the end, Nora comes out as a strong willed, independent woman who knows what she wants.
Nora is not only Ibsen#8217;s vessel to ap biology prokaryotes, show women#8217;s strong character, but serves the purpose of essay of huckleberry finn, showing women as equal human beings. Nora also helps point out ap biology are found throughout that there might some aspects of society which might be incorrect besides the perception of women as the less sharp sex; the law of those days for example. All of these are shown with Nora#8217;s possession of a secret life. In the surface she appears as a beautiful, fun toy to her husband, father, and even to her friend Mrs. Linden, but it is essay about of huckleberry finn only when they find out of her secret life when they start to appreciate her for more than a beautiful girl that she is.
That second life of hers allows Nora to show that she can work, that she can withstand enormous amounts of pressure, and that she is capable to are found throughout the biosphere, do things when she is determined. It is this secret life that eventually leads to personal swot essay, her being freed from that doll house, as she calls it, and ap biology essay prokaryotes the biosphere, ultimately allows her to leave without being afraid to study and learn about herself and personal essay, society. Ibsen, Henrik. Are Found! A Doll's House. Damrosch, David and David L Pike. The Longman Anthology of World Literature . Trans. William Archer. 2nd Edition. Introductions! Vol. E. Pearson Education, 2009.
840-888. This is a very sound and well-resented essay with a perceptiveness in its thesis. There are a few glitches in some of the sentences, but not enough to detract for the overall impression of intelligent commentary. I think you might have made your thesis a little more clear in your opening. For instance, you might have said: Even in the life she lives with Torvald, there are signs that beneath the twitterbird and squirrel, there is a strong and capable woman functioning in secret.
It is essay prokaryotes are found throughout this secret Nora who emerges in personal swot analysis essay, the end, ready to openly seek an independent life where her attributes needn't be concealed. And, as I mention below, you might include some notice that Torwald himself is essay are found not altogether what he seems to be. Again, some fine thinking through the implications of the play and personal essay, a clear exposition. This is a good example of an A paper. I would probably give it in the vicinity of a 96. Role play seems to be the name of the game in Henrik Ibsen#8217;s A Doll#8217;s House . The main characters in the play pretend to be someone who others would like them to be, instead of being their true selves.
The person that stands out the most as a character whose role play is almost impeccable to the point where it seems she leads two different lives is Nora. She is Torvald#8217;s loving and childish wife, and ap biology essay throughout the biosphere, unknowingly, even to herself, a strong, independent woman. As the play progresses, Nora#8217;s persona shifts from that of the everyday playful, trophy wife seen by Torvald and friends, to that of a self-empowering, willing woman. This is a good, clear opening. As is, you are describing the story. You might close with a kind of thesis statement to indicate what you are going to spoonface steinberg, do with theis information. Nora#8217;s first impression on the audience is ap biology are found throughout of an obedient, money-loving, childish wife. In the first act, Nora seems to just want money from her husband Torvald. In the first encounter with Torvald after showing him what she just bought for essays, their kids, she doesn#8217;t delay [herself] in asking for money. Throughout The Biosphere! Even when asked what she would like for Christmas, money is her answer.
It is impressive how Torvald addresses Nora as she was just a little girl, or even a pet, #8220;my little lark mustn#8217;t droop her wings like that. What? Is my squirrel in the sulks?#8221; (Ibsen 842) [This sentence in which you include the quote in grammaticaly incorrect as a sentence] . Steinberg Coursework! . Ap Biology Throughout! It seems as if he is talking to a [little] child. And he says that as he is giving her money, which makes their interaction seem almost of uiuc essay, a grown grandparent giving money to his precious, favorite young granddaughter. All of which makes Nora seem more like a prized possession than an equal partner in marriage. This is essay how Ibsen first introduces Nora to the audience, as a simple minded, obedient trophy-wife This sentence repeats phrasing you've already used. . Little does the audience know, though, this is [merely] but the role Nora plays in essays, the household. As the play progresses, the audience comes to learn that due to a sickness Torvald had in the past, Nora , in order to pay for ap biology prokaryotes, a trip needed to save Torvald#8217;s life , was forced to take a loan from a rich man [a moneylender] known as Mr. Krogstad. There is a little subtlety, Nora not only got this loan behind Torvald#8217;s back, but in the legal process of steinberg coursework, obtaining it, she was forced, due to the circumstances, to forge a signature so that she could get the money in ap biology throughout, time to save her husband#8217;s life. It is impressive that Nora was able to get the loan as Nora#8217;s friend, Mrs.
Linden, remarks #8220;a wife can#8217;t borrow [money] without her husband#8217;s consent#8221; (Ibsen 848). This implies Nora is not completely a money loving fiend who just follows every instruction given by her husband, but she is spoonface steinberg coursework a willing and essay prokaryotes are found throughout the biosphere, determined individual who does what is needed for the best of her loved ones. Your explication of this aspect of introductions essays, Nora and our understanding is very clear--well presented. The plot of the play becomes increasingly interesting when the audience finds out that now Krogstad is one of the employees of Torvald, and Torvald plans on ap biology are found the biosphere, firing Krogstad. Krogstad knowing now of the Nora's forgery, blackmails Nora on the condition that if she doesn#8217;t persuade Torvald to not fire him, Krogstad would tell Torvald and personal analysis, everyone else that she forged that signature; in which case it would have legal consequences for Nora. Yet most significant to Nora, knowing Torvald#8217;s abhorrence towards dishonesty and ap biology prokaryotes are found throughout, debt is her fear of ruining her family#8217;s image. This might be stated more precisely. Statement! It seems to me that what she fears is that Torvald will take the full blame for her bad actions, (which would indeed ruin the family. Ap Biology Essay Are Found Throughout! The revelation of this secret to swot analysis essay, the audience completely changes the perception of who Nora truly is, or at least leaves the audience in a state of momentary confusion without knowing how to label Nora. Ap Biology Are Found The Biosphere! This secret shows the strength of her character to carry with a burden she shouldn#8217;t have had to carry on her own.
Not only is she paying back for essay about, a debt that shouldn#8217;t be hers (why not?) , but she has been paying back by essay the biosphere saving half the money she is given for clothes and by doing #8220;a heap of copying#8221; (Ibsen 849) books. It is statement admirable what is now known of Nora. She has spent years of her life paying back a debt by working on the side without letting others know of the troubles she has had. Specially the fact that the money she got she didn#8217;t use for clothes or drinks; the money was used to prokaryotes throughout the biosphere, save her husband#8217;s life. Some may say it is cowardly of her to essay, hide the reality from her husband, but is ap biology essay are found throughout it really? The fact that she has chosen to face this debt by herself without the spoonface coursework, help of anyone is mind-blowing . (You might look for essay are found throughout the biosphere, less slang-y phrses to use in your essay. is staggering to consider.) Picture a 1700#8217;s woman with no stable income, two children, and having every one looking down at you.
Instead of essays on obesity, asking for help to pay it back and telling Torvald it was money used on him and for him, she takes the essay the biosphere, hard road by choosing to personal value statement, work what little she can by earning whatever she can. This shows bravery, determination, and will; all admirable features of an integrous [not a word] character. Finally, when Torvald finds out of about the essay prokaryotes, debt and essay of huckleberry, Nora#8217;s forgery, he rages on at Nora for what she has done. It is then when Nora finally seems to ap biology essay the biosphere, come to proposal on obesity, an understanding of what she has lived and what is to be done. She now understands that she hasn#8217;t been herself throughout her marriage with Torvald. As she defends her position on her actions she states, #8220;When I look back on it now#8230; I lived by performing tricks for you, Torvald. But you would have it so#8221; (Ibsen 885). It is clear to her now that she has been nothing more than a means of ap biology essay prokaryotes are found the biosphere, entertainment to her husband as he would have her dance for him and such. And Torvald, as much as he might have critiqued her in the end for her childish behavior, Nora points out that it is for uiuc essay, performing those tricks he loved of her.
I think here it would show an extension of your theme to essay prokaryotes throughout the biosphere, point out the Torvald, too, shows that he is not what Nora expected him to be--instead of heroic self-sacrifice, he shows a petulant and cowardly desire for proposal essays on obesity, self-protection. Nora#8217;s ultimate decision to leave the house, she explains by asserting that she must learn about are found throughout, herself, that she #8220;shall try to learn. I [Nora] must make up my mind which is right - society or I#8221; (Ibsen 886). Nora is now presented as a confident, conscious human being who knows that not everything that one is told one must follow. watch awkward phrasing. Personal Value! One needn't blindly follow everything one is told or something like that.
She understands there are aspects of prokaryotes are found the biosphere, society and swot essay, its conventional values that she might not agree with and might possibly be wrong. Torvald then offers to teach her and she rejects him because she is conscious that she has to educate herself , or at least away from him find herself independently of him . She also points out that they never spoke of serious things, which could be the reason why she believes he isn#8217;t right to teach her; along with the fact that he has been looking down on her since they#8217;ve met. In the end, Nora comes out as a strong willed, independent woman who knows what she wants. Nora is not only Ibsen#8217;s vessel to ap biology are found, show women#8217;s strong character, but serves the purpose of spoonface steinberg, showing women as equal human beings. The character of Nora also helps point out that there might some aspects of society which might be incorrect besides the perception of women as the ap biology throughout the biosphere, less sharp sex; the personal statement, law of those days for example. Essay Prokaryotes Are Found Throughout The Biosphere! All of these are shown with Nora#8217;s possession of a secret life.
In On the spoonface, surface she appears as a beautiful, fun toy to her husband, father, and the biosphere, even to uiuc essay, her friend Mrs. Linden, but it is only when they find out of her secret life when they start to appreciate her for more than a the beautiful girl that she is. That second life of hers allows Nora to show that she can work, that she can withstand enormous amounts of pressure, and that she is capable to do things when she is determined. The Biosphere! It is this secret life that eventually leads to her being freed from that doll house, as she calls it, and steinberg, ultimately allows her to leave without being afraid to study and learn about herself and society. Ibsen, Henrik.
A Doll's House. Damrosch, David and David L Pike. The Longman Anthology of essay prokaryotes are found throughout the biosphere, World Literature . Trans. Personal Swot! William Archer. 2nd Edition. Essay Prokaryotes Are Found Throughout! Vol. E. Pearson Education, 2009. 840-888.
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AP Biology Free-Response Questions Form B - The College Board
Clinical case studies in heart failure management. The outlook for patients with cardiac failure has improved substantially in the last 15 years. This is largely due to the application of the results of multicentre clinical trials of new and older drugs and a better understanding of outcomes for individual patients. Interest has focused on systolic dysfunction in both symptomatic and asymptomatic patients. Less is known about the definition and are found throughout management of diastolic dysfunction. The following case studies have been chosen to illustrate the basis for uiuc essay therapeutic management of ap biology are found the biosphere, systolic heart failure and outline the remaining gaps in knowledge, of which there are several. The issues apply across the spectrum of personal analysis essay, patients seen in clinical practice. Acute stabilization and essay prokaryotes are found chronic management of systolic failure. A 74-year-old female patient was admitted from home with progressive increase in breathlessness, orthopnoea and uiuc essay ankle oedema over the previous 3 weeks. Her general practitioner had prescribed oral coamoxiclav and coamilofruse (substituting the ap biology prokaryotes, latter for proposal essays on obesity bendrofluazide).
She had suffered from ap biology essay prokaryotes the biosphere dyspepsia, increasing over recent weeks, and the general practitioner had noted a new murmur. She was apyrexial yet tachypnoeic (25 beats min #x02212;1 ); with a low volume pulse. Sitting blood pressure was 110/70 mm Hg. Statement? The apex beat was in ap biology essay prokaryotes throughout, the anterior axillary line and a parasternal lift was prominent. Essays On Obesity? A pansystolic murmur was audible and ap biology prokaryotes are found throughout late inspiratory crackles were heard throughout both lung fields. Value? There was sacral oedema.
The ECG confirmed sinus tachycardia (110 beats min #x02212;1 ) with antero-lateral Q waves of previous infarction and the chest X-ray confirmed cardiomegaly and interstitial oedema. Ap Biology Prokaryotes Are Found Throughout The Biosphere? Routine chemistry showed Na + 128 mmol l #x02212;1 ; K + 5.8 mmol l #x02212;1 ; urea 9 mmol l #x02212;1 ; creatinine 155 mmol l #x02212;1 . A creatine kinase series was unremarkable. Echocardiography showed a dilated heart (left ventricular end diastolic distension (LVEDD) 650 mm) with anterior and septal hypokinesis and apical dilatation compatible with previous anterior infarction. Personal Value? The posterior wall was contracting vigorously. A high velocity jet (4.7 m s #x02212;1 ) of mitral regurgitation was noted but the left atrial size was normal. This is a common clinical presentation of progressive systolic dysfunction after unheralded myocardial infarction. A number of therapeutic and general management steps should be considered for all such patients. Whereas in stable patients clinical identification or grading of the severity of heart failure is unreliable , recent studies suggest that in acute heart failure clinical diagnosis is much more secure .
Any abnormality of the ECG in a breathless patient is prokaryotes, supportive evidence for to literature essays a cardiac cause of dyspnoea. A normal ECG usually suggests another diagnosis . Radiological cardiomegaly is also supportive of a diagnosis of heart failure . Prokaryotes Are Found Throughout? This is uiuc essay, not the case for more subtle radiological signs, even in the hands of experienced radiological staff  where the clinical context can significantly affect the interpretation. Radiological cardiomegaly most often represents either significant ventricular dilatation or hypertrophy (provided that there is no suspicion of pericardial fluid). This, in conjunction with an abnormal ECG, almost rules out a noncardiac cause of breathlessness. Echocardiography provides definitive diagnosis. Although a lack of quantitative images is ap biology prokaryotes throughout the biosphere, a frequent practical problem, this may not be of importance to uiuc essay clinical management .
While there is a lack of controlled clinical trial evidence to support the use of diuretics as initial therapy, effective diuresis and consequent adjustment of the loading conditions of the failing heart is generally regarded as essential . Immediate empirical management is with supplementary oxygen, opiates and diuretics. Vasodilatation appears to be an important effect of essay prokaryotes are found, intravenous diuretics although clear evidence for this is personal swot analysis essay, scant. However, relief of symptoms appears to precede diuresis and natriuresis. Intravenous nitrate infusion provides balanced arterio- venous dilatation and ap biology essay throughout the biosphere is widely employed, supported by beneficial central haemodynamic changes in small studies , although little is uiuc essay, known about its effects on either morbidity or mortality . Intravenous ACE inhibitors also produce beneficial haemodynamic effects . These drugs are not used routinely intravenously due to difficulties with appropriate dosage regimens, unpredictable and protracted hypotensive effects and ap biology essay are found the biosphere concerns over an adverse effect on survival in personal value statement, haemodynamically unstable patients in the early stages after myocardial infarction .
More recent data suggest that there may yet be a role for intravenous administration of ACE inhibitors in unstable patients . ACE inhibitors It is now clear that patients with either symptomatic or asymptomatic left ventricular dysfunction benefit from prokaryotes throughout the biosphere ACE inhibitor drugs. Spoonface? Morbidity is reduced with symptomatic improvement, improved exercise duration and improved quality of life indices. Mortality is reduced at all stages of the illness with greater absolute benefit the greater the degree of ap biology prokaryotes are found the biosphere, left ventricular impairment. Treatment is effective regardless of age, gender or aetiology of cardiac impairment. Further coronary events are also reduced in patients with ischaemic cardiomyopathy  although the reasons for this are obscure.
Research now focuses on the reasons why ACE inhibitors remain under used in the management of heart failure . The Adventure Of Huckleberry? They are cost-effective in ap biology essay the biosphere, comparison with other cardiovascular treatments  (e.g. On Obesity? lipid lowering in patients with ischaemic heart disease; control of mild hypertension) even when used for treatment of mild (NYHA Grade I/II) heart failure. Ap Biology Essay Are Found? The reasons why individual patients do not receive an ACE inhibitor need to be clearly defined but may relate to unfounded concerns about side effects. The implications for such patients are a significantly worse prognosis for symptom control, repeated hospitalization and survival. The degree of neurohormonal suppression by the ACE inhibitor is linked to survival in individual patients . Some patients taking long-term ACE inhibitor therapy still have normal or elevated levels of the key mediator hormones aldosterone and angiotensin II.
The reasons for this are unclear. It may be due to the secondary rise in active renin in response to treatment, failure of compliance, the use of short-acting agents (although these are undoubtedly better than placebo) or to alternative control pathways for generating angiotensin II (the tissue chymase system) and aldosterone (K + or ACTH). Despite 20 years of value, study the minimum effective dose of an ACE inhibitor to treat heart failure remains unknown . It is possible that the symptomatic and mortality benefits occur at ap biology prokaryotes different doses and are achieved through a combination of spoonface, haemodynamic, hormonal or structural effects on essay prokaryotes throughout the biosphere the heart and/or the kidneys. One large but short-duration study of enalapril (NETWORK)  has suggested that high dosages may be unnecessary to reduce mortality. The results of a larger study with lisinopril (ATLAS)  suggest high doses may provide additional benefits. The need for about long-term loop diuretic treatment in stable patients taking an ACE inhibitor is unclear and has received little attention. Few studies address the effects of ap biology essay prokaryotes the biosphere, ACE inhibition alone compared with those of an ACE inhibitor plus diuretic, either in the short or long-term. Patients treated with and without a loop diuretic after myocardial infarction in the SAVE study appeared to benefit from captopril . Those requiring a loop diuretic might have more significant impairment of left ventricular systolic function but this is by no means always the case.
Although the left ventricular ejection fraction is an accurate predictor of mortality, it is poorly correlated with exercise capacity. Discontinuation of frusemide in patients with stable heart failure appears to be feasible in a minority of patients, usually those with lesser degrees of impairment of left ventricular function . In practice this is rarely attempted and chronic diuretic therapy is usual for essay about patients who have had one episode of overt heart failure requiring hospital admission. Newer agents to suppress the renin angiotensin aldosterone system. Other agents that block the tissue and circulating RAS have been widely studied. Inhibitors of renin have been available for many years but there are few published data from controlled trials . Low oral bioavailability has seriously compromised the value of this drug class although they are undoubtedly active biochemically and ap biology essay are found haemodynamically after intravenous administration . More promising are the steinberg coursework, selective orally active nonpeptide antagonists of the angiotensin II AT 1 receptor (ARAs) of which there are now several .
Haemodynamic activity is predictable and all produce prolonged hormone suppression. These drugs have a significant advantage for essay prokaryotes are found the biosphere some patients, since they do not produce the dry cough which results from potentiation of steinberg, kinins during treatment with an ACE inhibitor . A recent trial has shown a useful improvement in short-term survival with the AT 1 ARA losartan compared with thrice daily captopril in elderly patients with grade II/III heart failure . This study was designed to examine the safety of losartan with respect to renal function. Essay Prokaryotes Throughout The Biosphere? The reasons for reduced mortality in the group receiving losartan are unclear. The large body of experimental work suggesting that potentiation of the effects of kinins by personal, ACE inhibitors has an important adjuvant role in the therapeutic effects of ACE inhibitors in heart failure  now appears to be in doubt.
Before the essay prokaryotes are found throughout, use of ARAs can be recommended in preference to ACE inhibitors for essays the management of heart failure, this result must be confirmed in outcome trials. At present, ARAs are a useful alternative for are found throughout the biosphere patients intolerant of ACE inhibitors. Other therapeutic options in systolic heart failure. Combination high dose oral nitrate and hydralazine therapy was shown in the mid 1980s to be effective in relieving symptoms of heart failure  although the impact on survival was less than that achieved by spoonface coursework, an ACE inhibitor . The efficacy of ap biology essay prokaryotes are found throughout the biosphere, nitrates or hydralazine alone has not been tested. The combination should be considered when an statement, ACE inhibitor is contraindicated, e.g. in ap biology throughout the biosphere, bilateral reno-vascular stenosis. To Literature? The main limitation to this therapy is intolerable vasodilator side-effects in a substantial proportion of patients. Nitrate tolerance must be avoided by ap biology essay are found throughout the biosphere, ensuring an 8 h wash-out phase overnight.
Management and steinberg coursework course of the illustrative case. The patient was symptomatically improved by initial intravenous diuretics and supplemental oxygen correction of the fluid imbalance (1.5 l fluid restriction; oral coamilofruse twice daily) resulted in a weight loss of 4.5 kg over 5 days. Although supine blood pressure remained low (#x02248;100 mmHg), an ACE inhibitor (perindopril 2 mg daily) was introduced without difficulty and essay are found she experienced no postural symptoms. Renal function improved in response to the changes in therapy. No other therapy was required long-term and diuretic dose was subsequently reduced to coamilofruse one daily). While remaining functionally limited at discharge, she was able to live independently. Having remained well during out-patient review and with no further cardiac admissions, she died suddenly at home some 18 months after presentation.
Optimization of therapy in essay about of huckleberry finn, established cardiac failure. A 53-year-old man who had sustained previous inferior and anterior myocardial infarctions presented with gradually increasing fatigue and are found the biosphere oedema despite increasing diuretic therapy. He was being treated with frusemide 80 mg three times daily, captopril 50 mg three times daily, aspirin 150 mg once daily, isosorbide mononitrate SR 60 mg once daily and amlodipine 10 mg once daily. On examination he had dependent oedema to the mid thigh and basal fine crepitations. He had a resting tachycardia of 105 beats min #x02212;1 in sinus rhythm. Mitral and tricuspid regurgitation were evident and the supine blood pressure was low at 95/48 mmHg. Introductions? Laboratory investigation revealed a reduced serum sodium (125 mmol l #x02212;1 ) with impaired renal function (urea 12.8 mmol l #x02212;1 ; creatinine 189 #x003bc;mol l #x02212;1 ). The chest radiograph showed minimal interstitial oedema, a right sided pleural effusion and ap biology throughout the biosphere marked cardiomegaly.
A 24-h ECG shows repetitive but nonsustained ventricular tachycardia (4 episodes of 10#x02013;20 beats with rate #x0003e;150 beats min #x02212;1 ) and multifocal ventricular ectopy (#x0003e;15 000 aberrant beats/24 h). Personal Value? Repeat echocardiography revealed poor left ventricular contractility with global impairment, marked dilatation (LVEDD 750 mm) and ap biology the biosphere functional mitral regurgitation. Radionuclide scintigraphy indicated a left ventricular ejection fraction of 11%. The prospects for improving symptom control rely on optimising current treatment. Multiple drug therapy involves the risk of patient confusion over the medicines and a failure of compliance. This is a neglected area in the care of patients with heart failure  yet well known to be associated with poor clinical outcome in cardiac patients .
Most decompensated patients require hospital admission for assessment and observation although community based care is increasingly being studied to reduce costs (see below). Isolated dependent oedema may be drug-related. Although amlodipine does not appear to cause deterioration in essay about the adventure, heart failure  unlike some calcium antagonists , marked oedema can occur in essay throughout, some patients. Unless active myocardial ischaemia is present and there are no other management options, withdrawal should be considered. Diuretic resistance and optimising diuretic therapy. Initiating more effective diuresis and overcoming diuretic resistance is the first goal. Increasing the dosage or frequency of uiuc essay, dosing with an oral loop diuretic has limited value for prokaryotes are found throughout the biosphere diuretic resistance.
Improved efficacy can be achieved by a variety of means . Oral combination diuretic therapy with the addition of a thiazide drug such as bendrofluazide is one option. Although metolazone is often used, it offers no greater benefit and may cause a greater incidence of adverse effects . The combination of a loop diuretic with a potassium sparing diuretic is analysis, another possibility. If the patient is taking an ACE inhibitor, such an approach is ap biology essay prokaryotes the biosphere, not generally advised but can be used with success given careful control (see below). Combination diuretic treatment requires close monitoring.
Once a diuresis is proposal on obesity, established, it may be possible to the biosphere stop the swot, additional drug. Long-term combination therapy has not been shown to be beneficial and the risks of electrolyte depletion and induction of ap biology essay prokaryotes are found throughout the biosphere, dysrhythmia (although this remains controversial) raises concerns. If a combination of spoonface coursework, diuretics is continued, regular biochemical monitoring is desirable. Another method to overcome resistance to are found the biosphere loop diuretic therapy is intravenous administration either by bolus dosing or by continuous infusion . The latter is particularly effective as it delivers a constant efficient concentration of uiuc essay, frusemide at the tubular lumen. Careful monitoring of renal function and the extent of the ap biology essay prokaryotes are found, diuresis are desirable. Diuresis can also be enhanced by essay, the addition of prokaryotes are found the biosphere, low-dose dopamine infusion to facilitate renal vasodilatation . This may be used in combination with intravenous or oral loop diuretic. Oral dopamine agonist drugs have not been demonstrated to personal analysis essay be useful .
Improving neurohormonal blockade of aldosterone and angiotensin II. Failure to suppress plasma angiotensin II and/or aldosterone concentrations may be associated with an adverse outcome in heart failure . Patients who have increasing symptoms may therefore benefit from increased hormone suppression. The short-acting agent captopril provides incomplete hormone suppression over 24 h unless used in multiple daily doses. Nevertheless, it is widely used in heart failure. The case for using a longer-acting ACE inhibitor in preference is poorly documented. Comparative studies of long and short-acting ACE inhibitors are few and do not address improvement in symptoms or mortality. Short-acting drugs are sometimes used on the pretext of a lower risk of producing significant biochemical renal dysfunction . However, adverse renal effects induced by the combination of loop diuretic and ACE inhibitor are generally predictable, minor and are probably unrelated to the duration of action of the ACE inhibitor selected . Increased dosage or increased dose frequency of the ACE inhibitor might be useful for some patients, although the optimal dose of ACE inhibitor remains uncertain.
Due to essay the strength of the evidence suggesting that neurohormonal activation in heart failure is integral both to analysis the progression of ap biology essay prokaryotes throughout, symptoms and introductions pathology  the combination of ACE inhibitor and prokaryotes are found throughout ARA is being examined as an option. By blocking the negative feedback loop promoting renin release following treatment with an ACE inhibitor and in addition by on obesity, providing receptor blockade, levels of bioactive angiotensin II are markedly reduced . This strategy is currently under investigation using enalapril and valsartan in a multicentre outcome study (ValHeFT). As aldosterone has control systems independent of the renin-angiotensin axis and since it may be independently detrimental in ap biology essay the biosphere, heart failure, the use of to literature essays, additional aldosterone blockade may have a role. Ap Biology Essay Prokaryotes Are Found Throughout The Biosphere? Spironolactone has a variety of proposal essays, beneficial effects on surrogate markers of throughout, prognosis in heart failure . Whether this can be translated to an improved outcome will be demonstrated by the multicentre RALES study . Preliminary reports of spoonface coursework, this study suggest that mortality is significantly reduced by this combination. The combination of ap biology essay prokaryotes are found the biosphere, loop diuretic, ACE inhibitor and spironolactone increases the risk of uiuc essay, renal dysfunction and significant electrolyte imbalance, particularly potassium retention. In small trials it is not possible to assess the frequency of such potential adverse events in throughout the biosphere, routine clinical practice, since treatment and biochemical changes are closely monitored. Digoxin The role of spoonface steinberg coursework, digoxin in patients with heart failure already treated with an ACE inhibitor and prokaryotes are found the biosphere diuretics and who are in proposal, sinus rhythm has been a matter of controversy for essay prokaryotes the biosphere many years. However, digoxin withdrawal was demonstrated to personal swot analysis be detrimental in the PROVED trial .
Recent studies have confirmed that there is no adverse effect on mortality in heart failure  when digoxin is added to patients on ap biology prokaryotes are found diuretics and ACE inhibitors. However, there were useful reductions in recurrent hospitalization after the spoonface steinberg, addition of essay throughout, digoxin. Digoxin should be considered in patients with persistent symptoms despite optimal dosage of a diuretic and personal an ACE inhibitor. Ap Biology Essay? Care should be exercised when there is impairment of renal function and/or suspicion of impaired AV conduction or sinus node disease, in view of the effects of digoxin on cardiac conduction. More recently considerable interest has arisen in the use of #x003b2;-adrenoceptor blockade in heart failure.
Importantly these studies have been conducted in patients who were already receiving an ACE inhibitor and about finn diuretic. The combination of data from several studies using carvedilol, a non selective #x003b2;-adrenoceptor antagonist with additional #x003b1; 1 -adrenoceptor blocking effects, show its efficacy in unselected patients with heart failure. Carvedilol improves survival in patients already receiving an ACE inhibitor and diuretic . Worsening heart failure was not more frequent in the #x003b2;-adrenoceptor blocker treated patients and benefits only emerge over weeks, with a vaguely defined period of increased symptoms during the early phase of treatment. Cardioselective (#x003b2; 1 )-adrenoceptor blockade has been studied for some years in the management of idiopathic dilated cardiomyopathy. Recently preliminary data from a multicentre trial of essay prokaryotes throughout the biosphere, bisoprolol in unselected heart failure have shown unequivocal evidence of personal analysis essay, further reductions in mortality. Although the overall mortality reductions appear small, significant reductions in symptomatic decompensation were evident . A retrospective (though nonrandomised) analysis of the SAVE study database  suggested that in patients with asymptomatic left ventricular dysfunction after myocardial infarction there is a 30% reduction in cardiovascular death and a 21% reduction in the development of heart failure with the addition of any #x003b2;-adrenoceptor blocker to captopril. Small scale studies suggest greater improvements in central haemodynamics and a more significant impact on cardiac adrenergic tone with carvedilol in comparison with metoprolol . Overall the impact of #x003b2;-adrenoceptor blockade on exercise capacity is variable, positive in some studies but negative or insubstantial in ap biology prokaryotes are found, others dependent on the method of testing .
If #x003b2;-adrenoceptor blockade is to be widely accepted as a treatment for heart failure, significant practical issues remain to be addressed. There is statement, no clear definition of those patients who stand to prokaryotes benefit most. Swot Essay? The treatment appears to be well tolerated in ap biology essay, small studies (7#x02013;8% intolerance for cardioselective and/or vasodilating #x003b2;-adrenoceptor blockers; ) but many patients in routine clinical practice will have occult peripheral vascular disease or airways obstruction related to swot analysis essay smoking which may complicate the use of these drugs. The best methods for initiation of throughout the biosphere, treatment is uiuc essay, uncertain. Large doses of ap biology essay the biosphere, a #x003b2;-adrenoceptor bocker can induce hypotension, bradycardia and shock due to the withdrawal of myocardial adrenergic support.
As the benefits of #x003b2;-adrenoceptor blockade appear to emerge gradually during chronic therapy  slow dosage titration is desirable. In most instances weekly medical reviews including daily weight records and uiuc essay regular blood pressure and renal function assessment are recommended for essay the biosphere safe treatment . A substantial minority of patients have problems arising from low blood pressure. As with the ACE inhibitors the optimal dose of #x003b2;-adrenoceptor blockers is unknown and titration to the #x02018;maximum tolerated#x02019; dose is currently recommended. The mechanism of statement, action of #x003b2;-adrenoceptor blockers in heart failure is unclear.
As many patients have overt or covert coronary disease they may simply reduce the impact of prokaryotes throughout the biosphere, ischaemia in otherwise stable cardiac failure. An antiarrhythmic effect, although controversial (see below), cannot be ruled out. The use of diuretics can be guided by clinical assessment and body weight. For other treatments, the use of introductions to literature, invasive pressure measurements can be valuable. Optimal use of vasodilator/vasoconstrictor agents and inotropic drugs in conjunction with diuretics can sometimes be guided by readings from a central haemodynamic monitoring catheter. This is ap biology essay throughout the biosphere, particularly helpful for patients who have uncontrolled breathlessness and oedema or as a prelude to cardiac transplantation .
This approach can be effective in restoring a compensated state to an otherwise decompensated and deteriorating patient. Steinberg Coursework? Most patients who develop major haemodynamic and symptomatic decline despite an ACE inhibitor and effective diuresis are in an almost intractable position. Intensive intravenous therapy, more commonly employed in North America and in essay prokaryotes throughout the biosphere, younger patients, is not widely used in Europe. To Literature? Its use is normally dependent on transplantation or a ventricular assist device being a viable option. Control of dysrhythmia in heart failure remains a major concern. Many patients die suddenly, usually attributed to essay prokaryotes the biosphere some form of dysrhythmia (both tachydysrhythmias and bradydysrhythmias are common). The numbers who die in this way may be increasing with the value, increasing use of throughout the biosphere, therapies that reduce uncontrolled pump failure as the mode of death. The use of antiarrhythmic therapy in left ventricular dysfunction is restricted following the results from the CAST studies which demonstrated increased mortality with some treatments in on obesity, patients with coexistent left ventricular (LV) dysfunction . A particular concern reflects the use of potent drugs with the potential for pro-arrhythmic effects in patients who had minimal levels of essay are found throughout, electrical instability. Amiodarone appears to be an exception.
Although results from four major trials have not shown consistent improvement in survival in established LV dysfunction [57, 58], amiodarone is the uiuc essay, best available drug for ap biology the biosphere overt dysrhythmia in the face of impaired LV function. In general it can be used without preliminary electrophysiological testing . Nonsustained ventricular tachycardia (VT) is spoonface steinberg, common in symptomatic heart failure and is an independent marker of ap biology essay, increased risk of sudden death in severe heart failure . Whether amiodarone should be prescribed in steinberg, all patients with heart failure who have non sustained and asymptomatic VT is not yet clear. The role of drug therapy in comparison with electrical devices allowing sophisticated pacing detection and including the implantable cardioverter/defibrillator remains an important area for study . Ap Biology Prokaryotes Are Found? At present these devices are generally restricted to patients with documented syncopal dysrhythmia or resuscitated arrest.
Patients who survive arrhythmogenic cardiac arrest generally have significant pre-existent heart failure and about structurally abnormal hearts. In Europe the application of such technology remains relatively limited and adequate trials comparing this therapy with drug treatments, although underway, are not yet available for ap biology essay are found the biosphere guidance. These devices may play a significant role in heart failure in introductions, the management of selected patients. Pulsed inotropic therapy and inotropic-vasodilator drugs. The use of inotropic agents in heart failure has encountered many problems. In the 1980s and early 1990s many agents were developed with effects on the heart and vascular tree combining a central inotropic stimulus with peripheral arterial vasodilatation.
These have been uniformly unsuccessful during chronic dosing and often result in increased mortality [62#x02013;64] (e.g. flosequinan; ibopamine) As a result, the development of new drugs in this class has been all but halted. The major problems have been selection of appropriate patients and the narrow therapeutic index for such treatments. Ap Biology Prokaryotes Throughout The Biosphere? However, these drugs may have a role in the short term to relieve symptoms without the increase in personal swot, mortality that occurs during protracted use . In a different approach to inotropic therapy, Adamopoulos and colleagues employed intermittent dobutamine infusion in 20 patients with severe heart failure in are found throughout, an attempt to up-regulate myocardial #x003b2; 1 -adrenoceptors . In the short term, there were no clinical complications of treatment, but also no increase in introductions, diuresis. Exercise capacity and sub maximal heart rate rise improved with therapy and lymphocyte adrenoceptor numbers increased. This result is in contrast to the adverse effects of chronic inotropic therapy . A fine balance may have be struck to ap biology essay prokaryotes are found improve adrenoreceptor responsiveness but to avoid excessive stimulation or adrenoceptor down-regulation. Multidisciplinary care and hospitalization.
Despite high annual mortality rates a substantial proportion of patients with heart failure face an uncertain yet chronic illness. Many patients are elderly and need repeated hospital admission. These admissions are both psychologically and financially taxing. In common with many chronic diseases, management of these patients can be improved by contact with many varied health professionals concerned not only essay about of huckleberry, with cardiac care but social circumstances; promotion of drug compliance and ap biology essay prokaryotes are found throughout the biosphere psychological support [67, 68]. Non-pharmacological approaches such as increased exercise and about of huckleberry training within limits has important and demonstrable physical  as well as psychological effects . There are few instances where a supervised increase in physical exercise is not of essay prokaryotes throughout the biosphere, benefit to the patient with heart failure. Surgical treatment need not be considered as a final line of therapy. Spoonface Steinberg Coursework? Increasingly important is the application of surgical revascularization for occult or overt ischaemia in patients with heart failure. This is often the best way to improve contractility although the essay, operative management may be complicated and associated with increased perioperative mortality.
Less well demonstrated are the benefits of scar reduction; cardiomyoplasty or the most recent and uiuc essay most dramatic innovation of ventricular reduction/ventriculotomy. As yet these procedures are limited in their application to a few selected patients and ap biology throughout the biosphere with generally no agreed role. Cardiac transplantation is a proven therapy but restricted by organ availability and delay prior to intervention. Assessment is usually based on the severity of cardiac impairment on personal analysis essay objective testing during treatment with maximal therapies. It is increasingly recognized that many patients with very poor left ventricular function can survive for many years without transplant.
Functional exercise capacity is seen as the main delineator of essay are found, those patients who should be entered onto an urgent transplantation waiting list or those who can safely remain on drug therapy [71, 72]. The long-term problems of rejection and proposal essays accelerated atherosclerosis and their effects on survival after transplantation will not be considered here. The outlook for the transplanted patient is dramatically better than those who await transplantation. Management and course of the prokaryotes are found throughout, illustrative case. Following emergency admission, initiation of diuresis required bolus doses of intravenous frusemide combined with continuous intravenous infusion of dopamine and steinberg coursework fluid and sodium restriction. Although he was considered a good candidate for invasive pulmonary pressure monitoring, this proved unnecessary. Following temporary withdrawal of captopril during stabilisation of renal function and diuresis, an ACE inhibitor was subsequently reintroduced without difficulty (lisinopril 10 mg daily).
Renal function improved and blood pressure stabilised. Following discharge he remained symptomatic. The Biosphere? Oral digoxin was introduced with only modest benefit. Repeat outpatient ambulatory ECG recording confirmed persistent episodes of non-sustained ventricular tachycardia. He was treated with prophylactic oral amiodarone despite his lack of symptoms. Uiuc Essay? Outpatient stress perfusion scintigraphy confirmed perfusion defects consistent with known infarctions, but with no reversible ischaemia.
Maximal cardiopulmonary exercise testing confirmed severe functional incapacity and essay are found very poor maximal oxygen consumption at spoonface steinberg peak exertion (13 ml kg #x02212;1 min #x02212;1 ). He was therefore referred for consideration of ap biology prokaryotes are found, orthotopic cardiac transplantation.
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AP Biology Free-Response Week 4 (August 25, 2008)
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