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University of Houston Houston, TX. Contact Info. Union Hall, VA. Employment History. Facilitated members and prospective members with; Depository, IRA, revocable trust and estate accounts. Provide member service via phone or other media e. Recommend funds for cross-sale goals Counsels current and prospective members about Navy Federal products and services.
Verified healthcare insurance benefits, member eligibility, and plan specific information. Process co-payments and all revenue collections on front end accurately. Customer Associate. Process store refunds and returns properly and in a timely fashion. Partake in fit sessions with clothing to gain better product knowledge. High School Diploma. Frank Griffin. Associate, Member Services - Present.
Greet members, check membership cards. Answer questions pertaining to membership cards and items. Officiated facility tours to prospective members. Member Services Coordinator - Developed and maintain loyal clientele base on providing exceptional customer service.
Supervised seven ranch staff members along with at least twenty campers. Mailroom Clerk - Supervised mailroom staff to ensure timely and accurate mail processing. Operate postage meter machine for trust and end of the month statements.
Invoiced, encoded and keyed checks into a computer system Prepared, sorted and packed checks mailed to clients Trained staff on new procedures and guidelines.
High School Diploma - Create My Resume. Build My Resume. How your resume should look: The job title on your resume should match your application for the role. Hank Rutherford Hill. Create My Resume Now. Add Your Relevant Education To The Resume Your resume's education section should include: The name of your school The date you graduated Month, Year or Year are both appropriate The name of your degree If you graduated more than 15 years ago, you should consider dropping your graduation date to avoid age discrimination.
Criminal Justice. General Studies. Certificate In Psychology - Bachelor's Degree In English - University of Connecticut Mansfield, CT. Next, Create An Associate, Member Services Skills Section On Your Resume Your resume's skills section should include the most important keywords from the job description, as long as you actually have those skills. Top Skills for an Associate, Member Services. Source: Zippia. Not sure which skills are really important? Create The Perfect Resume Our resume builder tool will walk you through the process of creating a stand-out Associate, Member Services resume.
Don't have any experience? Work History Example 1. Work History Example 2. Work History Example 3. The Manager, Applications Development is responsible for overseeing and evaluating the work of IT staff in both the development of new applications as well as…. This position reviews and source verifies all initial and re-credential provider applications for designated health care professionals for the purpose of….
Use Facebook or Google to sign in or register with SimplyHired. Continue with Facebook Continue with Google. Job Title, Skills or Company. List View. Date Added Anytime 24 hours 7 days 14 days 30 days. Sort by Relevance Date. Here are the key facts about medical claims processor resumes to help you get the job: The average medical claims processor resume is words long The average medical claims processor resume is 0.
Medical records is the most common skill found on a medical claims processor resume. It appears on After learning about how to write a professional medical claims processor resume, you can make sure your resume checks all the boxes with our resume builder. The job title on your resume should match your application for the role. Ensure your work experience focuses on achievements, rather than responsibilities. Recruiters and hiring managers suggest fitting your resume on one page.
Zippia allows you to choose from different easy-to-use Medical Claims Processor templates, and provides you with expert advice. Using the templates, you can rest assured that the structure and format of your Medical Claims Processor resume is top notch.
Your name should be the biggest text on the page and be at or near the top of the document. Your address doesn't need to include your street name or house number - listing your city and state works just fine.
Your email address should be professional, but not your current work email address. It's not a good look to use your work email for personal projects job-searching. Your social media can be included if you have a fully-fledged LinkedIn page or another social media page that showcases your relevant skill set. Our resume builder tool will walk you through the process of creating a stand-out Medical Claims Processor resume.
Your resume's education section should include: The name of your school The date you graduated Month, Year or Year are both appropriate The name of your degree If you graduated more than 15 years ago, you should consider dropping your graduation date to avoid age discrimination. Optional subsections for your education section include: Academic awards Dean's List, Latin honors, etc. Other tips to consider when writing your education section include: If you're a recent graduate, you might opt to place your education section above your experience section The more work experience you get, the shorter your education section should be List your education in reverse chronological order, with your most recent and high-ranking degrees first If you haven't graduated yet, you can include "Expected graduation date" to the entry for that school.
Your resume's skills section should include the most important keywords from the job description, as long as you actually have those skills.
If you haven't started your job search yet, you can look over resumes to get an idea of what skills are the most important. Here are some tips to keep in mind when writing your resume's skills section: Include skills, in bullet point form List mostly hard skills ; soft skills are hard to test Emphasize the skills that are most important for the job Hard skills are generally more important to hiring managers because they relate to on-the-job knowledge and specific experience with a certain technology or process.
Soft skills are also valuable, as they're highly transferable and make you a great person to work alongside, but they're impossible to prove on a resume. Healthcare is the maintenance or improvement of a person's health by the diagnosis and treatment of a person's injury, illness, or any other disease.
Healthcare is a basic necessity of human life and is the responsibility of the country's government to ensure that each person gets healthcare. Providing healthcare is the job of certified health professionals that includes doctors, surgeons, nurses, and other physicians.
Pharmaceutical companies, hospitals, dentistry, therapy, and health training all come under healthcare. Healthcare plays a vital role in the country's economy and its development. Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered.
A person doing data entry must pay great attention to tiny details. Patient care entails the diagnosis, recovery, and control of sickness as well as the maintenance of physical and emotional well-being through the use of healthcare providers' services.
Patient care is described as services provided to patients by health practitioners or non-professionals under guidance. Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service.
The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business. The most important part of any resume is the experience section. Recruiters and hiring managers expect to see your experience listed in reverse chronological order, meaning that you should begin with your most recent experience and then work backwards. Don't just list your job duties below each job entry.
Instead, make sure most of your bullet points discuss impressive achievements from your past positions. Whenever you can, use numbers to contextualize your accomplishments for the hiring manager reading your resume. It's okay if you can't include exact percentages or dollar figures.
There's a big difference even between saying "Managed a team of engineers" and "Managed a team of 6 engineers over a 9-month project.
Government agencies not on usajobs resume templates excellus
Our resume builder tool will walk you through the process of creating a stand-out Medical Claims Processor resume.
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Assist in the performance of other standardized…. This area serves adult and elderly Veterans needing medical care and…. Duties Set up assigned station on the tray line with the correct supplies and food items Serve food cafeteria style by placing uniform portions of food on….
Use Facebook or Google to sign in or register with SimplyHired. Continue with Facebook Continue with Google. Job Title, Skills or Company. List View. Date Added Anytime 24 hours 7 days 14 days 30 days.
International students attending accredited schools in the U. Students may work during the academic school year only i. These awards are for fall and spring only. Funds are paid directly to students on a bi-weekly basis, depending on the number of hours worked.
Visit the Emory Rollins Earn and Learn Program website for guidance on eligibility, the hiring process, potential wages and hours, the student handbook and a list of approved employers:. Students can gain practical experience by engaging in projects and tasks that contribute to their professional development. Non-paid students are important in recruiting and developing skilled workers and preparing the workforce of the future.
It is a win-win relationship for the student, the institution and CDC. SWEP is available to any CIO interested in providing an eager student with temporary, unpaid, practical work experience.
Students volunteer for a maximum of six months days during the academic school year or summer months. The SWEP manager must approve assignments and extensions up to an additional days.
Note: Home-schooled students must participate in either an accredited home-school or a home-school curriculum approved by the state. A wide variety of volunteer opportunities are available, from administrative and program support, to research- related projects. The program seeks to promote CDC as a preferred employer. Student ambassadors work at their campuses and in their communities to actively promote public service and public health among their peers as a means of making a positive difference.
The ambassadors promote public health initiatives on campus and in the community, and build relationships between faculty and student groups. Are you a talented scientist engaged in public health research, studies, training, or investigations? If so, you may qualify for one of our many fellowship programs. Contact the specific CDC organization for information about service fellowships. Initial assignments are up to five years long and may be extended in five-year increments.
Regular Fellows are classified as trainees and do not require an FTE. Regular Fellows are appointed to study physical and mental diseases and impairments of humankind; the organization, provision and financing of health services; and information communication. Appointments for Regular Fellows may be for citizens or non-citizens not born in the United States or naturalized and may be full-time 80 hours or more per pay period or part-time less than 80 hours per pay period unless Visa requirements dictate otherwise.
The initial appointment for Regular Fellows is for a period not to exceed one year and may be extended up to seven years. Extensions may be made in one-year increments, not to exceed seven years.
The appointment and extensions assume there are no visa time constraints. Work schedules may be full-time or part-time. View the Employee Benefits Eligibility Chart for more information on the provisions of the fellowship programs and benefits for Service Fellowship Program participants.
Generally speaking, federal agencies are prohibited by law section of title 31, United States Code from accepting volunteer service. No person may provide unpaid service to the Government or provide service with the understanding that he or she will waive pay. Exceptions to this prohibition are provided only for:. The Centers for Disease Control and Prevention does not maintain a centralized database of volunteer opportunities.
Contact the respective CDC organization if you are interested in volunteering. A Title 5 non-competitive hiring authority used to hire individuals with disabilities. No vacancy announcement is required. No grade limitation on appointment. Individual may have a probationary period for up to two years and could be converted to the competitive service after the probationary period is completed. Individuals are held to the same performance standards as all other civil service employees.
Persons with intellectual disabilities, severe physical disabilities, or psychiatric disabilities. Sample Schedule A Certification Letter. There are two different Schedule A appointing authorities available to hire people with severe physical disabilities for employment.
This program is designed to help qualified people with physical disabilities obtain employment in positions consistent with their level of skills and abilities, at grades GS-1 to GS or under the Federal Wage System.
Non-paid students are important in recruiting and developing skilled workers and preparing the workforce of the future. It is a win-win relationship for the student, the institution and CDC. SWEP is available to any CIO interested in providing an eager student with temporary, unpaid, practical work experience. Students volunteer for a maximum of six months days during the academic school year or summer months. The SWEP manager must approve assignments and extensions up to an additional days.
Note: Home-schooled students must participate in either an accredited home-school or a home-school curriculum approved by the state. A wide variety of volunteer opportunities are available, from administrative and program support, to research- related projects. The program seeks to promote CDC as a preferred employer. Student ambassadors work at their campuses and in their communities to actively promote public service and public health among their peers as a means of making a positive difference.
The ambassadors promote public health initiatives on campus and in the community, and build relationships between faculty and student groups. Are you a talented scientist engaged in public health research, studies, training, or investigations? If so, you may qualify for one of our many fellowship programs. Contact the specific CDC organization for information about service fellowships. Initial assignments are up to five years long and may be extended in five-year increments.
Regular Fellows are classified as trainees and do not require an FTE. Regular Fellows are appointed to study physical and mental diseases and impairments of humankind; the organization, provision and financing of health services; and information communication. Appointments for Regular Fellows may be for citizens or non-citizens not born in the United States or naturalized and may be full-time 80 hours or more per pay period or part-time less than 80 hours per pay period unless Visa requirements dictate otherwise.
The initial appointment for Regular Fellows is for a period not to exceed one year and may be extended up to seven years. Extensions may be made in one-year increments, not to exceed seven years. The appointment and extensions assume there are no visa time constraints.
Work schedules may be full-time or part-time. View the Employee Benefits Eligibility Chart for more information on the provisions of the fellowship programs and benefits for Service Fellowship Program participants. Generally speaking, federal agencies are prohibited by law section of title 31, United States Code from accepting volunteer service.
No person may provide unpaid service to the Government or provide service with the understanding that he or she will waive pay. Exceptions to this prohibition are provided only for:. The Centers for Disease Control and Prevention does not maintain a centralized database of volunteer opportunities. Contact the respective CDC organization if you are interested in volunteering. A Title 5 non-competitive hiring authority used to hire individuals with disabilities.
No vacancy announcement is required. No grade limitation on appointment. Individual may have a probationary period for up to two years and could be converted to the competitive service after the probationary period is completed. Individuals are held to the same performance standards as all other civil service employees. Persons with intellectual disabilities, severe physical disabilities, or psychiatric disabilities.
Sample Schedule A Certification Letter. There are two different Schedule A appointing authorities available to hire people with severe physical disabilities for employment. This program is designed to help qualified people with physical disabilities obtain employment in positions consistent with their level of skills and abilities, at grades GS-1 to GS or under the Federal Wage System. This authority is designed to help qualified people with physical disabilities obtain time-limited employment in positions consistent with their level of skills and abilities at grades GS-1 to GS or under the Federal Wage System.
There is one Schedule A appointment authority available to hire people with intellectual disabilities. There are both continuing and time limited Schedule A hiring authorities available to hire people with psychiatric disabilities.
This program is designed to help qualified people with psychiatric disabilities obtain employment in positions consistent with their level of skills and abilities, at grades GS-1 to GS or under the Federal Wage System. This authority is designed to help qualified people with psychiatric disabilities obtain time-limited employment in positions consistent with their level of skills and abilities at grades GS-1 to GS or under the Federal Wage System.
Conduct critical science at CDC and help protect our nation against dangerous health threats. SimplyHired may be compensated by these employers, helping keep SimplyHired free for jobseekers. SimplyHired ranks Job Ads based on a combination of employer bids and relevance, such as your search terms and other activity on SimplyHired. For more information, see the SimplyHired Privacy Policy. Q: Is the internship virtual this fall? Q: Which students are eligible for the internship? Q: Can I receive school credit for the internship?
Please note that while we accept applications for our internship position starting in the fall, we will not begin actively contacting candidates for interviews….
For spring and fall interns, support in obtaining academic credit or a prorated stipend will be available.
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Pathways program usajobs onboarding specialist 2.0.Pathways for Students and Graduates
Option 1 — Leading to Continuing Positions: This program is designed to help qualified people with physical disabilities obtain employment in positions consistent with their level of skills and abilities, at grades GS-1 to GS or under the Federal Wage System. The appointment and extensions assume there are no visa time constraints. Links with this icon indicate that you are leaving pathways program usajobs onboarding specialist 2.0 CDC website. Thank you for taking the time to confirm your preferences.
Pathways program usajobs onboarding specialist 2.0
For spring and fall interns, support in obtaining academic credit or a prorated stipend will be available. Religion-based refusals by businesses, foster-care…. By the end of the internship, the Intern will have….
Advocacy Team one internship opening. Public Affairs one internship opening. State Advocacy one internship opening. This is a paid position. Interns on the government affairs team will follow hill activity related to our core initiatives of civil service modernization and government reform, while…. This internship can be completed remotely. US Citizenship is required for all Board internships and applicants must be current students, graduating from their….
Other various responsibilities as assigned by the internship coordinator. Use Facebook or Google to sign in or register with SimplyHired.
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Date Added Anytime 24 hours 7 days 14 days 30 days. Duties Duties The Housekeeping Aid executes a full range of housekeeping activities in patient and non-patient care areas. The position may be assigned to…. Duties You will: Assist senior staff, project officers, analytical staff, and other staff as necessary. Assist in the performance of other standardized…. This area serves adult and elderly Veterans needing medical care and…. Duties Set up assigned station on the tray line with the correct supplies and food items Serve food cafeteria style by placing uniform portions of food on….
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- Canada day festivities in ottawa 2022 kia sorento
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About Kia Canada Inc. Kia Canada Inc. He was 64, only one day away from his 65 th birthday. One of the romantic visions often held of Canadian railways and American for that matter is that o Login Home. Top Stories. December 09 We would like to welcome you to Boyer Kia, a proud member of the Belleville community since and your number one destination for all things Kia. Boyer Kia is a member of the Boyer Auto Group, one of the premier automotive dealership groups in Ontario. As a family-owned and operated business, we focus on the customer first and strive to provide outstanding care and service daily.
We aim to provide you with more value every day and the best financing offers. We make sure to only offer quality pre-owned vehicles that will last and be reliable, and we guarantee your satisfaction with our new Kia vehicles. At Boyer Kia, our promise to you is to always go above and beyond to make sure you never regret doing business with us. Are you a Kia owner and tired of subpar service when getting your vehicle serviced or repaired?
Then you might want to give Boyer Kia a shot. Our service department is our source of pride and we treat everyone like family.
We have all of the after-sales services you want and need under one roof, and we work very hard to guarantee your satisfaction with these services. We have a complete tire centre , a full inventory of genuine Kia parts and accessories , a detailing centre, and more. Buying a new vehicle is a breeze at Boyer Kia. For starters, you will find the full lineup of new Kia vehicles in stock in our showroom, which makes it easy to find the right model for you and your family.
We have a complete inventory of new Kia sport utility vehicles like the redesigned Kia Sorento, all-new Kia Sportage, brand new Kia Soul, and, of course, the Kia Telluride, the most luxurious Kia sport utility vehicle produced to date. Boyer Kia can also help you find a quality pre-owned vehicle with its impressive collection of certified pre-owned Kia models. All certified pre-owned Kia vehicles receive a comprehensive point inspection that covers the entire vehicle from top to bottom and inside out.
Other advantages of the Kia certified pre-owned vehicle program include a day or 2,kilometre exchange privilege, vehicle history report, three free lube, oil, and filter changes, and extended warranty options and programs.
We look forward to becoming your dealership of choice for all of your vehicle needs in Belleville. Visit Boyer Kia and let us help you with buying and servicing your Kia. Business Hours icon-arrow-button. Login Create an Account. Built for those who dare to stand out. Discover It. Built for the modern family. Learn More. I'm Interested in Used Vehicles. Certified Vehicles. Price icon-simple-arrow-down.
Odometer icon-simple-arrow-down. Make icon-simple-arrow-down. Model icon-simple-arrow-down. Year icon-simple-arrow-down. HST are extra. Finance offer is based on a 84 months term and 3. Cash down payments are due upon vehicle delivery. The effective interest rate is 4. All applicable taxes are calculated on the total amount prior to deduction of the down payment.
Lease offer is based on a 60 months term and 5. Lease offer is based on a kilometer allowance per year. A security deposit might be required. Limited time leasing offer on approved credit. Taxes on initial cash down and after tax rebates including government rebate are excluded and must be paid upon delivery. The effective interest rate is 5. Levy and other environmental or related levies, other taxes including, where applicable, GST and PST or HST , additional options, license, insurance and registration are extra.
While every reasonable effort is made to ensure the accuracy of this information, we are not responsible for any errors or omissions contained on these pages. Please verify all information and pricing with a sales representative or ask online.
The dealership reserves the right to make changes at any time, without notice, to the prices, rates, models, materials, equipment, specifications, and availability, or to discontinue models or equipment.
Vehicle trade-ins are subject to dealer's approval. See Details. Finance offer is based on a 84 months term and 5. Lease offer is based on a 60 months term and 7. The effective interest rate is 7. Our Services Discover all of the services that Kingston Kia has to offer, ranging from requesting approval for financing to scheduling service appointments. Best Deals in Inventory icon-plus. Call for Pricing. See details Offer details. Shipping and preparation included, taxes extra.
The rebate and purchase price displayed may vary depending on whether the vehicle is leased, financed, or paid in cash. Please note the Drive Green government rebates are included if applicable, does not include taxes. Fees are included. Prices, payments and rates are subject to change without notice, please verify all information and pricing with a sales representative or ask online.
See details. New Vehicles icon-arrow-button Discover New Inventory. What Our Clients Think About Us Daron icon-star-filled icon-star-filled icon-star-filled icon-star-filled icon-star-filled.
Amazing experience dealing with the guys from here very friendly and helpful thanks guys!
Canada day festivities in ottawa 2022 kia sorento
He was 64, only one day away from his 65 th birthday. One of the romantic visions often held of Canadian railways and American for that matter is that o Login Home. Top Stories. Patrolling Police Misconduct. Print Article. Recommended Articles.
Moving the Crops that Feed the World One of the romantic visions often held of Canadian railways and American for that matter is that o Your Name.
April 14 December 09 We would like to welcome you to Boyer Kia, a proud member of the Belleville community since and your number one destination for all things Kia. Boyer Kia is a member of the Boyer Auto Group, one of the premier automotive dealership groups in Ontario. As a family-owned and operated business, we focus on the customer first and strive to provide outstanding care and service daily.
We aim to provide you with more value every day and the best financing offers. We make sure to only offer quality pre-owned vehicles that will last and be reliable, and we guarantee your satisfaction with our new Kia vehicles.
At Boyer Kia, our promise to you is to always go above and beyond to make sure you never regret doing business with us. Are you a Kia owner and tired of subpar service when getting your vehicle serviced or repaired? Then you might want to give Boyer Kia a shot.
Our service department is our source of pride and we treat everyone like family. We have all of the after-sales services you want and need under one roof, and we work very hard to guarantee your satisfaction with these services. We have a complete tire centre , a full inventory of genuine Kia parts and accessories , a detailing centre, and more. Buying a new vehicle is a breeze at Boyer Kia.
For starters, you will find the full lineup of new Kia vehicles in stock in our showroom, which makes it easy to find the right model for you and your family. We have a complete inventory of new Kia sport utility vehicles like the redesigned Kia Sorento, all-new Kia Sportage, brand new Kia Soul, and, of course, the Kia Telluride, the most luxurious Kia sport utility vehicle produced to date. Boyer Kia can also help you find a quality pre-owned vehicle with its impressive collection of certified pre-owned Kia models.
All certified pre-owned Kia vehicles receive a comprehensive point inspection that covers the entire vehicle from top to bottom and inside out. Other advantages of the Kia certified pre-owned vehicle program include a day or 2,kilometre exchange privilege, vehicle history report, three free lube, oil, and filter changes, and extended warranty options and programs.
We look forward to becoming your dealership of choice for all of your vehicle needs in Belleville. Visit Boyer Kia and let us help you with buying and servicing your Kia. Business Hours icon-arrow-button. Login Create an Account. Built for those who dare to stand out. Discover It. Built for the modern family. Learn More. I'm Interested in Used Vehicles.
Certified Vehicles. Price icon-simple-arrow-down. Odometer icon-simple-arrow-down. Make icon-simple-arrow-down. Model icon-simple-arrow-down. Year icon-simple-arrow-down. HST are extra. Finance offer is based on a 84 months term and 3.
Cash down payments are due upon vehicle delivery. The effective interest rate is 4. Limited time purchase financing offer on approved credit. Some customers will not qualify. Rates and requirements may vary depending on credit worthiness. Payments and conditions may vary for a commercial use. All applicable taxes are calculated on the total amount prior to deduction of the down payment.
Lease offer is based on a 60 months term and 5. Lease offer is based on a kilometer allowance per year. A security deposit might be required. Limited time leasing offer on approved credit. Taxes on initial cash down and after tax rebates including government rebate are excluded and must be paid upon delivery. The effective interest rate is 5. Levy and other environmental or related levies, other taxes including, where applicable, GST and PST or HST , additional options, license, insurance and registration are extra.
While every reasonable effort is made to ensure the accuracy of this information, we are not responsible for any errors or omissions contained on these pages. Please verify all information and pricing with a sales representative or ask online.
The dealership reserves the right to make changes at any time, without notice, to the prices, rates, models, materials, equipment, specifications, and availability, or to discontinue models or equipment. Vehicle trade-ins are subject to dealer's approval. See Details.
- Kingston Kia | Kia Dealership in Kingston
We have a complete inventory of new Kia sport utility vehicles like the redesigned Kia Sorento, all-new Kia Sportage, brand new Kia Soul, and, of course. Kia on Hunt Club Review, Kia Dealer in Ottawa, Ontario. West Hunt Club Road Ottawa, Ontario K2E1A5. Kia Sorento.
Canada day festivities in ottawa 2022 kia sorento. Welcome to Boyer Kia
Lease from as low as. Finance from as low as. Discover all of the services that Kingston Kia ottzwa to offer, ranging from requesting approval for financing to scheduling service appointments. Best Deals in Inventory. We have been in business for a long time and one of the ways that we have always managed to stand out is fesyivities offering our customers the very best service in our region.
Of course, offering a full lineup of high-quality cars and sport utility vehicles certainly helps as well. The Kia brand has reinvented itself in the last few years and finding a new Kia that matches your needs is easier than ever. That said, when you visit Kingston Kia, you get more than a comprehensive selection of new vehicles and quality pre-owned vehicles to choose from. Doing business with Kingston Kia means canadw business with a dealership that has dayy satisfaction at heart.
It also means doing business with a dealership that always seeks to go above and beyond fewtivities expectations. We want to make sure that you are happy and satisfied with the service you receive at Kingston Kia. We also want to make sure that you keep coming back to us for all of your vehicle needs. The only way to canada day festivities in ottawa 2022 kia sorento that is to offer our clients truly exceptional customer service. This is how we stand out in our region and this is what we do to make sure our clients are happy with our restivities.
We believe in offering canada day festivities in ottawa 2022 kia sorento clients only the best canada day festivities in ottawa 2022 kia sorento it comes to the dealership experience and we also make sure that we offer our clients a узнать больше здесь of value as well as canada day festivities in ottawa 2022 kia sorento best deals in the region.
Kia is about providing value canada day festivities in ottawa 2022 kia sorento at Kingston Kia, we make sure that we also stand out when it comes to giving our clients more for their money in every department.
We promise to go above and beyond your expectations to make sure that подробнее на этой странице are satisfied with the service you receive at Kingston Kia. Buying a new Kia vehicle means enjoying a modern sedan, hatchback, SUV, or minivan that has been recently redesigned to offer the latest safety and connectivity technologies.
It means being able to choose from a complete lineup of new vehicles that have been redesigned recently. These vehicles stand out on the road with their impressive design, and they will give you ultimate satisfaction with their long list of features and powerful engines. The Kia SUV lineup is designed for active families and buyers who need a lot of space. Finding that vehicle is easy with the quality service you receive at Kingston Kia.
If you are interested in a pre-owned vehicle and you are concerned about quality, then Kingston Kia will be able to festivlties you. We have a full lineup of quality pre-owned vehicles as well as certified pre-owned vehicles that have undergone a comprehensive inspection and that are protected by a long list of benefits and advantages including extended warranties. Your Kia deserves only the best and the best is having it serviced by Kia-certified technicians.
These technicians have years of experience working on Kia vehicles, and they also use only genuine Kia parts and accessories to guarantee the quality of their work. When you trust the maintenance and repair of your Kia to a Kia-trained technician, you are getting the best possible service and you are ensuring the long-term reliability and durability of your Kia.
There isn't a better place to go than canada day festivities in ottawa 2022 kia sorento Kia dealership like Kingston Kia in Eastern Ontario to ensure that your Kia continues to run in perfect condition for years to come. Service Appointment. Sorejto Service and Parts Business Hours icon-arrow-button. Login Create an Account. Service and Parts. Welcome to Kingston Kia. I'm Interested in New Inventory. Pre-Owned Inventory. Odometer icon-simple-arrow-down. Make icon-simple-arrow-down.
Model icon-simple-arrow-down. Year icon-simple-arrow-down. HST are extra. Finance offer is based on a 84 months term and 3. Cash down payments are due upon vehicle delivery.
The effective interest rate is 4. Limited time purchase financing offer on approved credit. Some customers will not qualify. Rates and requirements may vary depending on credit worthiness.
Payments and conditions may vary for a commercial use. All applicable taxes are calculated on the total amount prior to deduction of the down canada day festivities in ottawa 2022 kia sorento. Lease offer is based on a 60 months term and 5. Lease offer is based on a kilometer allowance per year. A security deposit might be required.
Limited time leasing offer on approved credit. Taxes on initial cash down and after tax rebates including government rebate are excluded and must be paid upon delivery. The effective interest rate is 5. Levy and other environmental or related levies, other taxes including, where applicable, GST and PST or HSTadditional options, license, insurance and registration are extra.
While every reasonable effort is made to eorento the accuracy of this information, we are not responsible for any errors or omissions contained on these pages. Please verify all information and pricing with a sales representative or ask online.
The canada day festivities in ottawa 2022 kia sorento reserves the right to make changes at any time, without notice, to the prices, rates, models, materials, equipment, specifications, and availability, or to discontinue models or equipment. Vehicle trade-ins are subject to dealer's approval. See Details. Finance offer is based on a 84 months term and 5. Lease offer is based on a 60 months term and 7. The effective interest rate is 7.
Our Services Discover all of the services that Kingston Kia has to offer, ranging from requesting approval for financing to scheduling service appointments. Best Deals in Inventory icon-plus.
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Before you start creating a brand new resume to apply for a federal government position, you need to choose the way to build it. The former has a number of advantages over the latter. It will make searching and evaluating your resume easier for federal human resources specialists. Second, the resume builder allows you to duplicate your resume, which is very helpful when you need to upgrade the document or tailor it to a specific position.
Offering you to use its federal resume builder, USAJOBS provide you with a professional resume writing instrument, which is worth trying out. For your resume to be searchable and efficient, take your time to learn the subtleties of the federal resume builder USAJOBS has created.
We have come up with the top 4 tips that will help you avoid the common mistakes that often prevent the candidates from being recognized as qualified for the job. Read the announcement carefully! Before appl ying for a position, go to the Qualifications section in the vacancy announcement and preview the vacancy announcement questions.
And more detailed Qualifications list for a Strategic Marketing Analyst position :. As we can see, Qualifications requirements may vary depending on GS position, education, expert level skills or other specific knowledge relevant to a job announcement. So make sure to select a corresponding answer to each question prior to appl ying for a job posting.
This is indeed a tedious task but it is totally worth the effort. Although having similar titles, the different job announcement will be using different keywords to describe their requirements for the candidate. Keep your resume brief, describe your work experience and education relevant to the position you apply for. The advantage of the resume builder is that you get a consistent federal cv, which can be found by a recruiter using a keyword search.
Building a resume that is perfectly in tune with the specific announcement will help your application score more points in the competition. It is true that a resume should normally be kept brief but with the federal government resumes, it is all about the perfect balance between being concise and being informative.
This shows how literally complete your resume is. Proofread Believe it or not but such an obvious step in the resume writing process is often neglected by the applicants. Typographical errors, not to speak of grammatical and spelling mistakes, will seriously impair the impressions of the federal HR specialist even about a seemingly perfect resume.
This will train you to be more critical and attentive when you start building your own federal resume. We provide all the necessary basic technicalities of the resume building process.
If you have a vague idea about what to write in each section, we highly recommend examining at least one USAJOBS resume builder example to see how a well-built final document should look like.
Still unsure about how to make federal resume? Your email address will not be published. Searching for Jobs 1. Do Not Leave Blank Fields. Share this Post. Daniella Henderson Daniella knows all ins and outs of the federal hiring process. She is excellent at job hunting strategies, starting from federal resume writing to the final stage of interview conduction.
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Usajobs resume builder format usb. Photo Specialist Resume Examples 2022
Keep your resume brief, describe your work experience and education relevant to the position you apply for. The advantage of the resume builder is that you get a consistent federal cv, which can be found by a recruiter using a keyword search. Building a resume that is perfectly in tune with the specific announcement will help your application score more points in the competition.
It is true that a resume should normally be kept brief but with the federal government resumes, it is all about the perfect balance between being concise and being informative.
This shows how literally complete your resume is. Proofread Believe it or not but such an obvious step in the resume writing process is often neglected by the applicants. Typographical errors, not to speak of grammatical and spelling mistakes, will seriously impair the impressions of the federal HR specialist even about a seemingly perfect resume.
This will train you to be more critical and attentive when you start building your own federal resume. We provide all the necessary basic technicalities of the resume building process. If you have a vague idea about what to write in each section, we highly recommend examining at least one USAJOBS resume builder example to see how a well-built final document should look like. Still unsure about how to make federal resume? Your email address will not be published. Searching for Jobs 1.
Do Not Leave Blank Fields. Share this Post. Daniella Henderson Daniella knows all ins and outs of the federal hiring process. The advantage of the resume builder is that you get a consistent federal cv, which can be found by a recruiter using a keyword search. Building a resume that is perfectly in tune with the specific announcement will help your application score more points in the competition. It is true that a resume should normally be kept brief but with the federal government resumes, it is all about the perfect balance between being concise and being informative.
This shows how literally complete your resume is. Proofread Believe it or not but such an obvious step in the resume writing process is often neglected by the applicants. Typographical errors, not to speak of grammatical and spelling mistakes, will seriously impair the impressions of the federal HR specialist even about a seemingly perfect resume.
This will train you to be more critical and attentive when you start building your own federal resume. We provide all the necessary basic technicalities of the resume building process. If you have a vague idea about what to write in each section, we highly recommend examining at least one USAJOBS resume builder example to see how a well-built final document should look like.
Still unsure about how to make federal resume? Your email address will not be published. Searching for Jobs 1. Do Not Leave Blank Fields. Share this Post. Daniella Henderson Daniella knows all ins and outs of the federal hiring process. She is excellent at job hunting strategies, starting from federal resume writing to the final stage of interview conduction.
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To have a U. Depending on where you are traveling outside of the U. To enter the United States at land border crossings or sea ports-of-entry from Canada, Mexico, the Caribbean, and Bermuda, you can use a passport book or a passport card. A passport card is more convenient and less expensive than a passport book, but it cannot be used for international travel by air.
The application process is the same for either the passport book or card, even if you want both at the same time. You have to go in person to present your application. If you need to get a passport in eight weeks or less , you will need an expedited process. If you will be traveling in more than eight weeks , you can follow the regular application process and apply in person at a passport acceptance facility. Contact the U. Embassy or consulate near you for information and forms to request a passport from outside the U.
Application Form - To complete the application for a passport book, card, or both together, first do one of the following:. Fill out the application online. Use the Passport Application Wizard to step through the process of filling out the application. Passport applications cannot be submitted online. Fill out the application by hand. Download the passport application form DS and instructions and complete the application by hand, or go to a local passport acceptance facility to get a copy to fill out.
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Issued in your previous name and you do not have a legal document like a marriage license to prove your legal name change. If any of these are true, you cannot renew your passport.
Instead, you must apply for a new passport in person using form DS You may be eligible to submit a passport renewal application by mail. If you need to get a passport quickly , you will need to have your passport renewal expedited and pay additional fees. If you live outside the U. Application form - Use the renewal application form DS You can print it and fill it out by hand, or use the Passport Application Wizard to complete the form online and print it out.
While applications can be filled out online, they cannot be submitted online. You can also get a DS form at a local passport acceptance facility or regional agency. Payment - Include your passport fees. Your most recent passport. The Passport Services Office returns the official documents you submit as supporting documentation. Check the expiration date because certain countries require passports to remain valid for up to six months after travel. Also, some airlines do not allow you to board if you do not meet this requirement.
For more information, see these frequently asked questions about passports. Some countries and airlines will not allow a U. Check your destination country's U. Are traveling within 72 hours three business days. This is only in an emergency such as a serious illness, injury, or death in your immediate family. Have urgent travel within two weeks. You must have proof of immediate international travel for example, purchased airline or cruise tickets.
The appointment line is closed on weekends and federal holidays. Request expedited service by mail for passport renewals or. Request expedited service in person at a passport acceptance facility near you. This is for new passports. Check the current processing times before you submit your application.
The Department of State has rules to prevent children from being issued U. It also has programs to protect children involved in custody disputes. They work to prevent a parent from taking a child abroad without the other parent's consent. Except for some 16 and year-olds, all children must apply for a U. Children under 16 need consent from both parents. Renew their passport by mail if it was issued when they were 16 or older.
Go alone to apply for a passport if they:. Provide a signed, notarized statement from one legal parent saying they approve of the teen getting a passport. If you're living overseas, contact a U. If you think your child has been abducted internationally, call the Department of State at Ask to speak to a prevention officer. The Department of State has other resources to help parents and children in custody disputes. Passport application processing times vary depending on the time of year.
If you have questions about passports, go to the Department of State's website. The passport application fee and the execution fee are non-refundable. They are collected and retained by law even if a passport is not issued. If you are outside the U. Embassy or consulate what forms of payment they are able to accept.
This applies to passport renewals or applications for new passports. Ask a real person any government-related question for free. They'll get you the answer or let you know where to find it. Getting or Renewing a U. Passport Fees, Facilities or Problems. How to Apply for a U. Passport How to Renew a U. Share This Page:. Do you have a question? Talk to a live USA.
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The Recent Graduates Program RGP targets recent graduates of qualifying associates, bachelors, masters, professional, doctorate, vocational or technical degree or certificate from a qualifying educational institution. To be eligible, applicants must apply within two years of degree or certificate completion.
Successful applicants will be placed in a one-year career development program. Specific coursework may be required depending on the career field. A complete application must be submitted by PM EST on the closing date of the announcement to receive consideration, or when the application cut-off limit has been reached, whichever happens first.
Candidates are encouraged to complete their applications well before the application deadline to ensure they receive consideration. Should candidates be missing any of the required documents or submit their application late, they will be disqualified for consideration of employment. The vacancy will close on the closing date listed in the announcement or when the maximum number of applications is received. The vacancy will close when the first of these conditions are met.
If the application limit is reached on the same day the announcement opened, the open and close date will be the same. This includes submitting the online application as well as any required documents as defined in the Required Documents section in the listed announcement.
Please note if a candidate modifies their application before the announcement closes, a new time stamp will be assigned to their submission, potentially pushing them past the application cut-off limits. The vacancy will close on the closing date listed in the announcement or the day the maximum number of applications is received. If you are currently on active duty, you must provide a certification on letterhead from your military branch which contains your military service date, expected date of discharge or release, and the character of service to show that your military service was performed under honorable conditions.
The expected date of discharge or release must be within days of the date the certification is submitted for consideration for this vacancy announcement. If the appropriate information is not submitted to confirm your current or expected discharge status, dates of service, etc. Previous editions of the SF will not be accepted.
For Sole Survivorship preference , you must provide a copy of your DD Member Copy 4 is preferable or another form of official documentation which shows your discharge or release from active duty occurred on or after August 29, and was based on a sole survivorship discharge.
RGs are required to complete one day rotational assignment in a different functional area within their job series. The Master Training and Development Plan describe the planned training and development activities during the course of the one year Recent Graduates Program. These activities are designed to enable the participant to acquire the competencies, knowledge and skills for successful job performance. Host bureaus are responsible for funding all non-FSI training courses as well as related travel and per diem expenses.
Travel and per diem is authorized only when the training course is not offered locally. To be eligible for conversion to the competitive service after completion of the program, an RG must:.
The US Department of State is not obligated to make an offer of employment, nor is the student obligated to accept an offer of employment.
Recent Graduates Program. Eligibility Requirements. Citizenship Recent graduate within the previous two years veterans precluded by their military service obligation will have up to six years You will be subject to random drug testing Be able to receive and maintain Secret or Top Secret security clearance. Qualification Requirements. Compensation and Benefits.
While the government uses at least six different pay scales, the majority of Civil Service employees are paid using the GS General Schedule pay scale. Employees hired under the Pathways Programs on appointments for 90 days or more are eligible to earn annual and sick leave. How to Apply. Required Documents. Insufficient information will result in an ineligible rating. Transcripts — if you are qualifying based on education OR if there are mandatory education requirements listed under the Qualifications and Evaluations section, you MUST submit a copy of your college transcript s with your application.
Training Requirements. Conversion to the Competitive Service. To be eligible for conversion to the competitive service after completion of the program, an RG must: Be a U. Go to Top.
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Additionally, undrafted, non-North American players born in were eligible for the draft; and those players who were drafted in the NHL Entry Draftbut not signed by an NHL team and who were born after June 30,were also eligible to re-enter the draft. Since the —13 NHL season all teams not qualifying for /6247.txt Stanley Cup playoffs have a "weighted" chance at winning the first overall selection. Under nnl new system the odds of winning the draft lottery for the four lowest finishing teams in the pathwaye decreased, while the odds for the other non-playoff teams increased.
The odds of winning the second and third draws increased on a proportional basis depending on which team won the previous draw. Vegas earned the lowest possible pick that they could receive, and selected sixth overall in the first-round and third in each subsequent round of this draft. New Jersey moved up four spots to earn the first selection, while Philadelphia and Dallas moved up from the thirteenth and drafft spots, respectively.
From Wikipedia, the free encyclopedia. February 11, Retrieved February 11, Retrieved June 23, patbways March 4, Retrieved June 22, August 20, Retrieved January 16, usakobs June 22, pahtways April 11, Retrieved April 11, June 23, Usajobs pathways recent graduates 2017-18 nhl draft 21, Retrieved June 21, February 26, Retrieved February 28, February 27, Retrieved February 27, February 24, Retrieved February 24, May 10, Retrieved May 10, June 24, Retrieved June 25, Usajobs pathways recent graduates 2017-18 nhl draft 1, Retrieved March 1, June 17, Retrieved June 17, February 29, Retrieved February 29, June 20, pathwasy Retrieved June 20, July 18, Retrieved July 19, February 22, Retrieved February 22, February 28, Retrieved June 19, March 2, Retrieved October 22, May 31, Retrieved May 31, Retrieved June 24, February 9, Retrieved February 9, Pathwaays 23, Retrieved February lathways, August 25, Retrieved August 25, March 5, Retrieved Usajobs pathways recent graduates 2017-18 nhl draft 6, May 26, Retrieved May 27, Usajobs pathways recent graduates 2017-18 nhl draft 30, Retrieved March 30, February 20, Retrieved February 20, May 20, June 29, Patthways June 29, May 28, Retrieved June 15, June 15, Retrieved October 7, September 11, Retrieved September 11, April 28, Retrieved April 28, June 25, National Hockey League.
May 9, Retrieved May 9, February 4, Retrieved February 4, Retrieved March 3, Retrieved March 5, July 2, Retrieved July 5, Retrieved February 26, November 2, /55370.txt Retrieved November 2, June 27, Retrieved June 27, July 1, January 8, Retrieved January 8, Retrieved July 1, January 26, Retrieved January 26, December 4, February 12, Retrieved February 17, Retrieved May 11,
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Posted: 11 days ago A federal resume should not exceed two pages. False: A federal resume requires more information than a civilian resume, therefore, it is typically longer than two pages. Some of the things that should be included are your educational and work experience. This includes job titles, salary, employment dates, duties and accomplishments, and how it relates to the knowledge, ….
Job Description Usajobs. Civil View All Jobs. Posted: 9 days ago More information can be found about excepted service in 5 U. Senior Executive Service. The Senior Executive Service SES is the corps of executives, selected for their leadership qualifications, and charged with leading the continuing transformation of government.
Jobs View All Jobs. Search for jobs that interest you. Review the job announcements to see if you qualify. Search for Jobs at a Specific Agency. Though most federal agencies post Job Description Usa. Job Description Careerproplus. Posted: 11 days ago Read the How to Apply section of the job announcement before starting your application. Click Apply, and we'll walk you through a five-step process where you'll attach a resume and any required documents..
During the application process, you can review, edit and delete your information. We'll automatically save your progress as you go so that you won't lose any …. Posted: 7 days ago If you have never worked for the Federal Government, it is important that you take a few minutes and read this information.
If you have worked for the Federal Government and have been away for a while or are a current Federal employee, you should also review this information because a number of rules and procedures have changed. A word of advice - there are many things you …. Job Description Cpsc.
Posted: 7 days ago Mention your eligibility and that you want to be considered for Schedule A on your resume and in your cover letter, if you use one. If you're eligible for Schedule A, go to your profile and select the Individuals with disabilities hiring path and make your resume searchable.
If your resume is searchable, agencies who are looking for people eligible under Schedule A, can find you. Once a decision has been made, a job offer will be extended.
Job Description Federalresumeguide. When addressing professional writing services providers, keep in mind that the average cost for federal resume writing services will vary depending on your desired position level. The growth rates for federal government jobs make them a good choice for someone who takes their career path planning seriously. A variety of federal government entry level jobs Federal civilian job openings are also listed through Go Government, a nonprofit Job Description Learnhowtobecome.
The helpful information includes a special resume writing guide federal-style resumes are different than a standard resume , ….
Job Description Amazon. Job Description Indeed. Posted: 11 days ago Federal Government Jobs. Helping job hunters find, apply for, and land government jobs. Federal Overseas Jobs GOV — This federal job posting service at www. Search by job title or series. Job Description Federaljobs. Posted: 9 days ago An official website of the United States Government.
Search Jobs. Policy Issues. American Families and Workers. Federal Government. Budget, Financial Reporting, Planning and Performance ;.
Job Description Home. Posted: 7 days ago We'll only use this to contact you if we have any questions. We won't use your email for any other purpose. Job Description Hr. Using the resume builder, job seekers can create online resumes specifically designed for applying for Federal jobs. Resumes created on the USAJOBS resume builder can be printed from the system for faxing or mailing to employers; and saved and edited for future use.
Job Description Opm. Posted: 9 days ago To ensure compliance with an applicable preliminary nationwide injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce the COVID vaccination requirement pursuant to Executive Order on Requiring Coronavirus Disease Vaccination for ….
Posted: 7 days ago There are , medical nurses, practical nurses, and nursing assistants employed by the federal government of which 1, work overseas or in the U. There are abundant opportunities to find nursing jobs at over 1, veterans care facilities including hospitals, …. Our goal at the IRS, as an employer of individuals with disabilities, is to be a model within the federal government and for companies in the private sector.
When all of these are combined, the federal government Job Description Brookings. Contract View All Jobs. Posted: 11 days ago The federal government employs law enforcement personnel in more than 40 job series see table for detailed information. Most agencies incorporate federal law enforcement jobs in some capacity or another.
Posted: 9 days ago How to understand who the job is open to. Read the This job is open to section—it tells you who is eligible to apply to the job.
The job announcement may list the following: Open to the public. Posted: 10 days ago You can also make your resume and profile searchable. HR specialists and hiring managers from federal agencies use the resume bank to look for people to fill their job vacancies.
Applying to a job and see this message? To apply to jobs, you need to create a profile. Kinds Of Engineering Jobs. Engineering Jobs Grand Junctio n Co.
Engineering Job Edinburgh. Engineering Job Description Ex amples. Engineering Job San Francisco. Bachelor Of Engineering Jobs. Engineering Jobs Grand Junctio n. Find Job. A federal resume should not exceed two pages - USAJobs Posted: 11 days ago A federal resume should not exceed two pages. This includes job titles, salary, employment dates, duties and accomplishments, and how it relates to the knowledge, … Job Description Usajobs.
We'll automatically save your progress as you go so that you won't lose any … Job Description Usajobs. Working for the Federal Government, What Every Employee … Posted: 7 days ago If you have never worked for the Federal Government, it is important that you take a few minutes and read this information. A word of advice - there are many things you … Job Description Cpsc. The Book of U. The helpful information includes a special resume writing guide federal-style resumes are different than a standard resume , … Job Description Amazon.
Featured Stories U. Nursing Jobs In The Federal Government Posted: 7 days ago There are , medical nurses, practical nurses, and nursing assistants employed by the federal government of which 1, work overseas or in the U.
There are abundant opportunities to find nursing jobs at over 1, veterans care facilities including hospitals, … Job Description Federaljobs. Law Enforcement Jobs Federal Law Enforcement Careers — … Posted: 11 days ago The federal government employs law enforcement personnel in more than 40 job series see table for detailed information.
The job announcement may list the following: Open to the public Job Description Usajobs.
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- А во втором поселении ты видел крабов или многоножек. "Нечто удивительное случается каждый день, что он скорчил мне рожу. "Вход в тоннель спрятан под одним из больших моторов".
New videos highlight southern Vancouver Island’s tsunami risk - Vancouver Island Free Daily.Qatar heritage, patriotism on show at parade - Gulf times
Seventy-five kilometres underneath Vancouver, a massive Pacific plate is slowly making its way eastward. Its pace is slow but steady, about six or seven centimetres a year — about the same amount your fingernails will grow in a year, says John Cassidy, an earthquake usa search websites with Natural Resources Canada. Earthquakes are happening canada day vancouver island’s tsunami risky business analyst jobs the time, and while some of them are big, they are deep under the surface.
We live in a вот ссылка with one of the most complex earthquake systems. Cassiday had been awake since a. The alert went out at about and included all B. It did not include the inner coast and Strait читать далее Georgia.
An earthquake could trigger a mudslide, canada day vancouver island’s tsunami risky business analyst jobs tonnes of rock and gravel into the water and generating very large waves.
Earthquakes are notoriously difficult to predict, he says. It may just be a random process. It caused a tsunami that reached Japan. The length of the rupture was almost 1, kilometres, with an average slip of 20 metres. Join our Newsletter. Home Courier Archive News Vancouver's tsunami risk low but that doesn't mean we can't be hit by big wave An earthquake could trigger a mudslide that could generate massive upsurge in water. Martha Perkins Jan 23, AM. Share on Facebook.
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Canada day vancouver island’s tsunami risky business analyst jobs.‘Inevitable’ 9.0 earthquake, tsunami will hit Canada’s West Coast: expert
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Access free multiple choice questions on this topic. The condition presents with excess osteoclastic activity followed by a compensatory increase in osteoblastic activity, leading to the formation of disorganized bone, which is less compact, mechanically weaker, highly vascular and more susceptible to fracture. It is the 2nd most common bone disorder in elderly individuals, after osteoporosis. The condition can affect one or multiple bones but the axial skeleton is most often involved spine, pelvis, and skull.
The condition does not spread to other bones but can progress in the preexisting site. A deadly complication of Paget disease is the development of pagetic sarcoma, which is fatal.
The cause of Paget disease remains unknown but there are both genetic and environmental associations. A number of viruses have been identified in the diseased bone but what their role is in the disease pathology remains a mystery. Some literary sources suggest that the family of paramyxoviruses solely causes Paget.
However, many studies have come to determine that the osteoclast generation of a unique cytokine found exclusively in the bone marrow of patients diagnosed with Paget disease may be the primary insult.
This cytokine is known as IL A genetic predisposition to the disorder appears to be strong based on population studies. Besides finding an association between HLA markers, siblings are at high risk for developing the disorder. Paget disease is usually seen in individuals older than 50 years. It is common in Caucasians of northern European descent. Paget disease is equally common in males and females. In the US, it is said to affect million people but most are asymptomatic.
The disorder is slightly more common in white males. The disorder usually presents in the decade of life but the diagnosis is often made a decade later.
Paget disease occurs when there's an increase in bone resorption that leads to a decrease in bone mass and lytic structures. This process gives rise to osteoblasts from the bone utilizing a sensing system that allows them to increase their activity. Paget disease pathological process occurs in four stages.
The third stage is where the osteoblastic activity is observed and culminates in the final stage, where malignant degeneration will be seen. The disease occurs in isolated pockets but is usually progressive. Often there is erythema and warmth over the involved bone due to hypervascularity, which in turn can also lead to high output heart failure.
The disease can affect almost every bone in the skeleton but has an affinity for the long bones, axial skeleton, and skull. The involvement of the feet and hands is very rare.
The key histopathological feature of Paget disease involveS the bone architecture and includes the three phases of the disease: mixed, osteolytic, and osteosclerotic. These phases may occur at the same time or separately. The osteolytic phase has areas of resorption due to a large increase in the number of abnormal osteoclasts that contain dozens of nuclei. The osteoblastic phase that follows is disorganized.
The bone development is fragmented and irregular. The presence of irregularly shaped bone particles appears like a jigsaw and is the hallmark feature of Paget disease. As the disorder advances, the osteoblastic phase becomes dominant, resulting in excessive bone formation which is fibrous and coarse. The marrow space is filled with vascularized fibrous tissue, which accounts for the persistent warmth and fever.
The bone in Paget disease does not have centralized blood vessels or Haversian systems. Once the osteoblastic phase subsides, the new bone is poorly mineralized and is devoid of any structural integrity.
Many patients that present to the clinic with pathognomonic features associated with Paget disease are usually asymptomatic. The majority of patients with the condition are often diagnosed by an incidental finding on an x-ray study.
The spine and pelvis are commonly affected and among the long bones, the femur is often involved. Symptomatic patients can present with the following:. The lumbar spine, sacrum, and skull are involved in most cases. Pain is a common feature and is worse with weight-bearing. The physical exam may show bone deformity or angulation, localized pain to palpation and increased warmth.
The gait may be altered and there may be balance problems. Incomplete fractures are common in Paget disease and seen in the tibia and femur. Even mild injuries can result in fractures. Femur fractures often involve the subtrochanteric region. Osteosarcoma is a rare complication but should be suspected in a patient with sudden increase in swelling or bone pain.
The disorder is fatal. Giant cell tumors may also arise in pagetic bone and involve the facial bones. With vertebral fractures, acute spinal cord compression can occur.
In addition, calcified aortic stenosis is also common in this population. This disease also may also present with the following findings:. Measurement of serum alkaline phosphatase is useful as well as urine levels of hydroxyproline, C-telopeptide, and N telopeptide. Bone scans can help document the extent of disease and should be used to follow treatment. In addition, a bone scan can pick up early changes in bone even before the patient develops symptoms. Some patients diagnosed with Paget disease may not require treatment.
There are several treatment regimens that aid in prophylactically preventing bone breakdown and the subsequent formation. Surgery is only offered as an option to patients diagnosed with Paget disease when there is a progression into osteosarcoma. The majority of patients diagnosed with osteosarcoma are often offered palliative options such as amputation of the affected limb. In many cases, clinicians are tasked with the job of making judgment calls about which treatment options to offer to the wide spectrum of patients that are diagnosed with Pagte disease.
For example, younger patients are usually offered a surgical procedure where they could potentially salvage the limb by resecting the tumor with wide margins.
This may not be a viable alternative for an elderly patient with multiple comorbidities and risk factors. Patients may also develop pathological fractures that may need radiation and internal fixation to relieve pain burden. Chemotherapy has been shown to be an ineffective option for patients diagnosed with a sarcoma. It is important to note that surgical failure rates are high in this group of patients.
Often, revision surgery is indicated. Patients with cauda equina and other nerve compression complications will frequently require laminectomy. The prognosis for patients who are treated is good, especially if the disease is in its early stages. There is no cure for Paget disease but the disorder can be controlled from progressing. Patients with polyostotic disease tend to have poor outcomes compared to monostotic disease.
The morbidity is usually due to fractures, chronic pain, bone deformity, and neurological complications. Once the patient develops sarcomatous degeneration, the survival rate is very poor. To date, there is no way to prevent Paget disease since the cause remains unknown. For family members of a patient with Paget disease, some physicians do recommend monitoring levels of alkaline phosphatase levels every 2 years.
If the levels are within the normal range, then imaging of the bone may also be performed. Paget disease is the second most common bone disorder in the elderly and is associated with very high morbidity and mortality.
There is no cure for the disorder and early diagnosis is key. The diagnosis and management of Paget disease are better made with an interprofessional team that consists of a rheumatologist or endocrinologist, neurologist, audiologist, internist, nurse practitioner, and a pathologist.
Asymptomatic patients do not require treatment. Patients need to be referred to a physical therapist as they will benefit from learning about body mechanics, proper posture and avoidance of trauma.
Because the patients have weak bones, they need to be educated about protected weight-bearing and the use of ambulatory devices. The nurse should reinforce education about safe ambulation to prevent fractures. Immobility should be avoided as it also increases morbidity. The pharmacist should educate the patient on medication compliance and potential adverse effects, and nursing should watch for signs of adverse drug effects and monitor treatment progress on subsequent visits, reporting any findings to the clinician staff.
Symptomatic patients usually can be managed by bisphosphonates, calcitonin and vitamin D supplements. The pharmacist should be involved in the decision of best medication and dosing choice to optimize the therapeutic effect. A pain specialist should also be involved as these patients have moderate to severe bony pain that is often disabling.
Indications for surgery are usually offered as an option to patients diagnosed with Paget disease when there is a progression into osteosarcoma. The majority of patients diagnosed with osteosarcoma are usually offered palliative options such as amputation of the affected limb. An analysis of archeological skeletons from Northern England — [ Rogers et al. The prevalence before was 1. The prevalence of PDB increases with age and is slightly more common in men.
PDB is rare under 25 years and unusual before 40 years of age [ Siris and Roodman, ]. In a survey of patients the mean age at diagnosis was 58 years [ Siris, ]. In Italy, the incidence has remained fairly stable [ Gennari et al. First-degree relatives of patients with PDB have an increased risk of PDB, particularly if the patient has an early age of diagnosis or deforming bone disease [ Siris et al. Familial PDB also tends to be diagnosed at a younger age and involve more of the skeleton than sporadic disease [ Seton et al.
These findings suggest that genetic and environmental factors are important in the development of this disease. PDB is a chronic, progressive disorder involving one or more bones. Skeletal lesions of PDB are characterized by increased osteoclastic bone resorption, increased but somewhat disorganized bone formation, and increased vascularity of bone [ Ralston et al. The osteoclasts are increased in number and size and may contain more nuclei than normal. The nuclei may contain inclusion bodies that resemble viral particles [ Roodman, ].
The initial lesion is believed to be a focal increase in osteoclastic bone resorption. This is followed by accelerated bone formation. Because of the accelerated bone turnover, new collagen fibers are not laid down in an orderly linear fashion but rather in a disorganized manner.
The resultant bone is a mosaic of woven and lamellar bone [ Siris and Roodman, ] that is mechanically insufficient and at increased risk for fracture or deformity. PDB is considered to be a disease of the osteo-clasts [ Wirfel et al. Bone marrow and circulating osteoclast precursors demonstrate increased sensitivity to factors known to stimulate bone resorption such as 1,25 dihydroxy vitamin D and receptor activator of NF-kB ligand RANKL [ Roodman and Windle, ]. Increased interleukin-6 IL-6 expression and signaling may contribute to increased osteo-clastic activity [ Roodman et al.
RANKL which stimulates osteo-clastic differentiation expression is increased in pagetic marrow cells [ Menaa et al. Osteoblasts are increased in numbers at pagetic sites, however, they are morphologically normal and are not considered to be a primary pathophysiologic factor in PDB by most authorities [ Singer et al. Several potential environmental factors have been associated with the development of PDB.
Viral infection has been suggested because the nuclear inclusion bodies in osteoclasts appear to represent viral nucleo-capsids [ Mills and Singer, ]. Paramyxovirus, and in particular canine distemper virus and measles virus are the most extensively studied environmental agents, however controversy remains whether viruses play a role in the development of PDB.
Some studies suggest an association between PDB and dog ownership [ O'Driscoll and Anderson, ] and in particular dogs not vaccinated for canine distemper [ Khan et al.
Other studies refute this association [ Siris et al. Another study found an association between prior dog and possibly prior cat ownership and PDB in patients younger than 60 years [ Holdaway et al.
In situ hybridization ISH [ Basle et al. Furthermore, transfection of measles virus nucleocapsid gene into osteoclast precursors produces a pagetic-like phenotype [ Kurihara et al. Infection of osteo-clast precursors with canine distemper virus induces osteoclastogenesis [ Selby et al.
Addition of canine distemper virus to canine bone marrow cultures results in an increase in multinucleated osteoclast-like cell formation [ Mee et al. Other studies using RT-PCR, ISH, and immunocytochemistry do not find evidence of measles or canine distemper virus in bone biopsies, bone marrow, or peripheral blood mononuclear cells from PDB patients [ Ralston et al. In a study of bone marrow cultures from patients with PDB, measles virus and canine distemper virus transcripts were not found [ Ooi et al.
The reasons that some studies find viral transcripts and others do not are unclear, however, this difference does not appear to be due to assay sensitivity [ Ralston et al. The possibility of contamination as a cause for false positive results has been raised [ Ralston et al.
Of note is that serologic evidence of canine distemper virus is absent in patients with PDB and PDB is rare in some regions where canine distemper virus is common [ Cundy and Bolland, ]. The issue of whether or not viral infections are related to PDB is not resolved.
Other environmental exposures have been postulated to increase the risk of PDB. Arsenic used as pesticides in the cotton industry from to has been hypothesized to contribute to the high regional incidence of PDB in Lancashire, United Kingdom in and decline in this region by [ Lever, ].
This system regulates osteoclast function [ Boyle et al. Rank ligand RANKL , which is expressed in the marrow stroma and on osteo-blasts, binds RANK on osteoclast precursors promoting osteoclast proliferation and differentiation. OPG, therefore, inhibits osteoclast differentiation. Biology of the osteoclast in bone metabolism as a model for drug discovery. When bone is resorbed, growth factors in the bone matrix are released, often stimulating osteoclasts, which secrete resorption products into the circulation.
Osteoblastic stromal mesenchymal cells and maturing osteoclasts express a soluble version of the osteokine-receptor activator of the nuclear factor KB ligand sRANKL , its cell-bound receptor RANK, and osteoprotegerin OPG , which sustain osteoclastogenesis. Bisphosphonates concentrated under the osteoclasts inhibit resorptive function and promote osteoclast apoptosis.
The incorporation of bisphosphonates into bone may increase resistance to resorption. Current therapies for hyperresorptive states can be accommodated by this model; the pathways outlined here suggest additional targets, for which therapies are under development: bone growth factor antagonists; guanine nucleotide exchange factors GEFs , which inhibit cell migration; arginine—glycine—aspartic acid peptides, which act on integrins; carbonic anhy-drase inhibitors, which block the generation of hydrochloric acid; cathepsin K and matrix metalloproteinase 9 MMP-9 inhibitors; and antibodies to parathyroid hormone-related protein PTHrP and RANKL.
With permission from Deftos LJ. Treatment of Paget's disease — taming the wild osteoclast. N Engt J Med — OPG mutations not appear to be a common cause of classical Paget's disease, however, common polymorphisms of this gene may be associated with PDB in women [ Daroszewska et al.
The genetics of classical PDB have been reviewed elsewhere [ Lucas et al. These loci are PDB1 chromosome 6 [ Tilyard et al. Some of these loci may be false positives and others may represent genes that interact with other genes to cause or modify PDB [ Ralston, ].
The rare syndrome of PDB inclusion body myo-pathy and frontotemporal dementia is caused by mutations in valosin-containing protein VCP [ Watts et al. Mutations in this gene do not appear to be the cause of common familial or sporadic PDB [ Lucas et al. Complications of PDB are listed in Table 1. PDB is often asymptomatic and is frequently discovered incidentally when an elevated serum alkaline phosphatase SAP is found on routine laboratory testing, or radiographically on x-rays performed for unrelated reasons.
Seventy-two percent of these patients had polyostotic disease. Skeletal complications included bowing deformity in 7. Neurologic symptoms were uncommon. Overall survival was slightly better than predicted. PDB appears to have an adverse effect on some domains of quality of life [ Gold et al.
The most commonly involved bones include the pelvis, femur, spine, skull, and tibia [ Siris, ]. The upper extremities, clavicles, ribs and scapulae are less frequently affected and the hands and feet are rarely involved [ Siris, ]. This disease may involve one or more bones, however, it is unusual for a new bone to become involved after initial diagnosis [ Cundy and Bolland, ].
PDB may be associated with osteoarthritis [ Altman and Collins, ; Altman, ] in large joints such as the hip and knee, particularly when PDB involvement is adjacent to the joint or when bone deformity is present. Bone pain may be present and may be worse at night.
Bone pain may be worse with weight-bearing if there is an osteolytic lesion [ Whyte, ]. Bone enlargement or deformity may be present. There may be enlargement of the skull or frontal bossing and long bones may be bowed [ Siris and Roodman, ]. When bowed, the femur and tibia typically bow anteriorly and laterally. Bowing of a femur or tibia can lead to pain due to gait abnormalities and arthritis [ Siris and Roodman, ]. Painful fissure fractures may occur [ Redden et al.
For example, fissure fractures of the femur are usually found laterally, unlike Looser zones of osteomalacia which are typically seen in the medial aspect of the proximal femur. Pain that increases dramatically may represent a fracture.
Patients may note warmth of the skin over pagetic lesions due to increased vascularity. Dilated scalp veins may be present when there is skull involvement. Some symptoms and neurologic complications may be related to skull involvement. Patients with skull involvement may have headaches [ Siris and Roodman, ]. Cranial nerve deficits have been reported but appear to be rare. Optic atrophy, ophthalmoplegia, anosmia, trigeminal neuralgia, and facial palsy have been reported [ Rubin and Levin, ].
Hearing loss may occur when the temporal bone is involved. Presbycusis and PDB affect similar populations and it may be difficult to differentiate presbycusis from pagetic hearing loss [ Bone, ]. The hearing loss appears to be caused by loss of bone density in the cochlear capsule [ Monsell et al. Some patients may have tinnitus. Another neurologic complication resulting from skull involvement is basilar invagi-nation from softening of the skull base which may cause cause hydrocephalus with headache and dizziness.
This basilar invagination can result in syringomyelia and compression of the brainstem. This neurologic syndrome is usually slowly progressive and symptoms may include ataxia, vertigo, tinnitus, dysphagia, and dysarthria [ Rubin and Levin, ]. Spinal involvement may cause pain, neurologic symptoms, and even paralysis.
Peripheral neuropathies such as ulnar, median, sciatic, and posterior tibial have been reported [ Rubin and Levin, ]. Neurologic symptoms may improve with calcitonin [ Chen et al. High output heart failure is rare but may occur with extensive PDB, particularly when underlying cardiac disease is present [ Siris, ].
Decreased peripheral vascular resistance and increased stroke volume was found in echocar-diographic study of PDB [ Morales-Piga et al. Increased frequencies of aortic stenosis [ Strickberger et al. Increased calcification of the vasculature has also been reported [ Laroche and Delmotte, ]. Osteosarcomas or other sarcomas chondrosar-coma, fibrosarcoma are the most serious complications of PDB. Sarcomas may present with worsening pain, lytic lesion on x-ray, fracture, a new mass, or rising SAP [ Hansen et al.
The most common bones involved in pagetic osteosarcoma include pelvis, femur, humerus, tibia, and skull [ Hansen et al. Interestingly, despite being frequently involved by PDB, osteosarcoma is uncommon in the pagetic spine [ Hansen et al.
Patients with pagetic sarcomas have a poor prognosis and most patients die from local extension of disease or pulmonary metastases within 3 years [ Siris and Roodman, ].
The mean age at presentation of sarcoma after was The median survival remained poor at 0. Skeletal or extraskeletal benign giant cell tumors or osteoclastomas [ Singer and Mills, ; Ziambaras et al.
There appears to be geographic clustering with many of these patients being descendents of four residents of Avellino, Italy [ Rendina et al. The serum calcium and phosphorus are usually normal. In untreated patients, the serum total and bone specific alkaline phosphatase BSAP levels are usually elevated [ Whyte, ]. The elevation in totalor BSAP reflects both the extentofthe disease and the associated increased osteoblastic activity.
The SAP may be normal in patients with minimal skeletal involvement or monostotic PDB, inactive disease, or after specific antipagetic treatment. Other markers of bone formation and bone resorption may also be elevated [ Alvarez et al. The serum uric acid is sometimes elevated [ Siris and Roodman, ] but gout has not been proven to occur more frequently in patients with PDB than the general population [ Siris and Roodman, ].
Although hypercalcemia may complicate extensive PDB during periods of immobilization or dehydration, hypercalcemia usually reflects a coexisting condition such as primary hyperparathyroidism PHPT. The presence of hypercalcemia should prompt an evaluation for an underlying cause and should not be assumed to be related to PDB.
Hypercalciuria may occur due to increased bone resorption particularly with immobilization [ Kanis, b ]. It is probably prudent to measure the serum hydroxy vitamin D level to exclude vitamin D deficiency as a contributing factor to an elevated SAP.
Furthermore, vitamin D deficiency should always be corrected prior to initiating bisphospho-nate therapy. In many of these patients, the elevation of parathyroid hormone is believed to represent secondary PHPT occurring at times of active pagetic bone formation. Secondary PHPT can also occur after suppression of bone resorption with bisphosphonate therapy [ Siris et al.
Inadequate vitamin D stores and age-related declines in renal function could also contribute to secondary PHPT. A total body bone scan or a radiographic skeletal survey is often performed to assess the extent of disease. I prefer radionuclide bone scanning followed by targeted X-ray imaging of the bones that demonstrate abnormal radionuclide uptake. The enhanced skeletal uptake of radionuclide reflects increased bone formation and increased blood flow and may detect PDB before X-ray findings can be appreciated.
Alternatively, some lesions in which osteoblastic activity has become inactive will be negative on bone scanning despite findings of PDB on plain radiographs. Treatment of PDB may render the radionuclide scan normal. On plain radiographs the earliest lesions are lytic due to increase osteoclastic activity.
Lytic lesions may progress at a rate of about 1 cm yearly [ Whyte, ]. In response to increased bone resorption, bone formation is increased, resulting in a picture of mixed lytic and sclerotic areas. Bony enlargement, cortical thickening, increased trabecular pattern, and deformity or bowing may be seen. Involved vertebrae may have coarsened trabecular patterns and are sometimes osteosclerotic ivory vertebra.
The posterior elements are usually involved [ Cushing and Bone, ]. Compression deformities may occur [ Cushing and Bone, ]. Anterior, posterior, or lateral enlargement of verterbral bodies may be seen [ Kanis, a ]. Radiographic examples are shown in Figure 2. Radiographic appearance of Paget's disease of bone PDB.
Acetaminophen, aspirin, or nonsteroidal anti-inflammatory drugs may be used for secondary degenerative joint disease [ Siris and Roodman, ] and mild bone pain. Physical therapy is sometimes helpful. For the most part, indications are based on clinical experience rather than outcomes from clinical trials of significant size and duration.
Clinically significant progressive deformity has been observed in untreated patients [ Siris and Feldman, ]. Indications for treatment [ Lyles et al. Neurologic symptoms due to spine or skull involvement are also indications for treatment. Patients with hearing loss due to temporal bone involvement should be treated in an attempt to prevent further hearing loss. Preoperative treatment is indicated in patients scheduled for elective surgery involving pagetic bone such as a total hip arthroplasty or tibial osteotomy in an attempt to decrease blood loss.
Hypercalcemia related to immobilization in a patient with polyostotic PDB is another indication for treatment. While treatment to prevent complications in asymptomatic patients seems reasonable, this remains an area of controversy.
This includes treatment of patients with involvement adjacent to large joints to avoid arthritis, treatment of patients who may be at risk for bowing of long bones, treatment of patients with temporal bone involvement to avoid hearing loss, and treatment of patients with significant skull or spine involvement to avoid neurologic problems.
Specific antipagetic drugs inhibit osteoclastic activity. Salmon calcitonin has been available for many years. Improved bone pain, healing of osteolytic lesions, and improvement in neurologic complications have been reported. The maintenance dose is often subsequently decreased to 50—IU three times weekly. This drug is less effective than the more potent bisphosphonates and resistance due to antibody formation against calcitonin may occur [ Levy et al.
Side effects include nausea and flushing in some patients [ Siris and Roodman, ]. Calcitonin is now used much less frequently than the more potent bisphosphonates and is primarily used in patients who cannot take or tolerate oral or intravenous IV bispho-sphonate therapy.
Bisphosphonates are nonbiodegradable synthetic analogs of inorganic pyrophosphate. These drugs adhere to mineralized surfaces, inhibit osteoclastic bone resorption Figure 1 and have very long skeletal half-lives [ Licata, ].
These drugs are often divided into two classes; simple bispho-sphonates such as etidronate and tiludronate and the more potent nitrogen-containing bispho-sphonates such as pamidronate, alendronate, risedronate, and zoledronic acid ZA [ Licata, ]. The simple bisphosphonates appear to inhibit osteoclastic function by forming toxic analogues of ATP in osteoclasts [ Frith et al.
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Taro Pharmaceuticals Inc. History and Physical Many patients that present to the clinic with pathognomonic features associated with Paget disease are usually asymptomatic. Symptomatic patients can present with the following: Pain involving the bones and joints. Evaluation Tests to assist in the diagnosis of Paget disease include: Bone scan. Bisphosphonates that have been approved as the first-line treatment option, secondary to its influence in bone remodeling. Supplements such as calcium and vitamin D that have been known to provide some symptomatic benefit.
Differential Diagnosis The differential diagnosis includes: Osteomalacia. Prognosis The prognosis for patients who are treated is good, especially if the disease is in its early stages.
Complications Complications include: Secondary osteoarthritis. Pearls and Other Issues Diet and Activity While there is no specific diet for patients with Paget disease, those who are prescribed bisphosphonates should ensure adequate intake of calcium and vitamin D.
Aggressive physical activity is not recommended, as the risk of fracture is high. However, muscle-strengthening exercise at a low level is recommended. Patients at risk for complications like fracture should be started on bisphosphonates with Alendronate 40mg daily being the first choice in the oral category.
Another easy option is a single 5 mg dose of intravenous zoledronate if there are no contraindications. If a patient has normal alkaline phosphatase levels, monitor disease with a specific marker for bone formation. One can follow patients with serial bone scans to assess the disease if bone markers are all normal. Use of bisphosphonates is effective in slowing down the progression of the disease or the hearing loss.
If patients with Paget disease need surgery, should consider pre-treatment with bisphosphonates. Enhancing Healthcare Team Outcomes Paget disease is the second most common bone disorder in the elderly and is associated with very high morbidity and mortality.
Review Questions Access free multiple choice questions on this topic. Comment on this article. Figure Abnormal uptake in the left hemipelvis on bone scan representing Paget's Disease. Figure Paget Disease of the long bone. Figure Paget Disease pelvis. Figure Paget Disease skull. References 1. Female Pelvic Med Reconstr Surg. J Bone Miner Res. Reviewing vulvar Paget's disease molecular bases. Int J Gynecol Cancer. Paget's disease of bone. Adams C, Banks KP.
Bone Scan. Kravets I. Paget's Disease of Bone: Diagnosis and Treatment. Am J Med. Lancet Haematol. Diagnosis and treatment of Paget's disease of bone : A clinical practice guideline. Wien Med Wochenschr. Development of a molecular test of Paget's disease of bone. Clinical Guidelines on Paget's Disease of Bone. Tuck SP. Adult Paget disease of bone: a tale of two guidelines. Rheumatology Oxford.
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The beauty of m(eh)ple syrup - Most of the world’s maple syrup comes from Quebec
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Maple syrup, also known in Canada as liquid gold, is a truly special product. Though Canada is popularly known as the home of maple syrup, most of the natural product actually comes from a specific syrip of the country: Quebec.
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They pioneered the tapping technology that drew sap from the maple tree, as well as processing techniques for transforming it into syrup and sugar crystals.
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These factors are influenced by the time of season the sap how much maple syrup does canada makeup remover collected, not by how the maple syrup is processed. Due to rationing during the Second World War, Canadians were encouraged to sweeten their food with maple syrup instead of sugar. While many picture maple sap being gathered by pails and spiles, this tradition is largely outdated, and most industrial maple tree farms rely on more sophisticated systems using suction pumps and mudh.
This has been the primary maple sap-gathering method since the s. Maple syrup is most traditionally used as a pancake or crepe topper, but the ingredient is exceptionally versatile. Use maple syrup in marinades, vinaigrettes, baking and even cocktails for an indulgent, natural sweetener. A single maple tree is capable of producing anywhere between mapple to 15 gallons 19 to 57 liters of sap per season. This wide margin is dependent on a few factors, including weather, tree age and health.
A healthy maple tree can produce sap for generations. We and our partners use cookies to better understand your rsmover, improve performance and provide you with personalised content and advertisements. To allow us to provide a better and more tailored experience please click "OK". Sign Up Log In. You're back! Log in to see your past and present bookings. Continue with Facebook or Google.
Email Address. Password Show. Forgot password? We use your data to offer you a personalised experience. Find out more. Tess Boissonneault. Maple syrup is packed with nutrients and antioxidants.
There was once a major maple syrup heist. The Iroquois people invented maple syrup. Maple syrup production is heavily weather-dependent. There cwnada different grades of maple removrr. Maple sap is now mostly gathered with suction pump systems, not pails. Maple syrup goes with more than just dows. A single tree can produce up to 15 gallons of sap per year. Give us feedback. Read Next View. Cookies Policy We and our partners use cookies to better understand your needs, improve performance and provide you with personalised content and advertisements.
Does Maple Syrup Need to Be Refrigerated? Experts Weigh In - Maple Syrup in its Range of Colours and Flavours
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