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Description is the pattern of narrative development that aims to make vivid a place, object, character, or group. Description is one of four rhetorical modes, along with exposition, argumentation, and narration. In practice it would be difficult to write literature that drew on just one of the four basic modesDescription is the pattern of narrative development that aims to make vivid a place, object, character, or group. Description is one of four rhetorical modes, along with exposition, argumentation, and narration. In practice it would be difficult to write literature that drew on just one of the four basic modesDescription is the pattern of narrative development that aims to make vivid a place, object, character, or group. Description is one of four rhetorical modes, along with exposition, argumentation, and narration. In practice it would be difficult to write literature that drew on just one of the four basic modesDescription is the pattern of narrative development that aims to make vivid a place, object, character, or group. Description is one of four rhetorical modes, along with exposition, argumentation, and narration. In practice it would be difficult to write literature that drew on just one of the four basic modesDescription is the pattern of narrative development that aims to make vivid a place, object, character, or group. Description is one of four rhetorical modes, along with exposition, argumentation, and narration. In practice it would be difficult to write literature that drew on just one of the four basic modes.

Full blood counts
Department of Haematology
Notes
Full blood counts are performed on automated equipment and provide haemoglobin concentration, red cell indices, white cell count (with a differential count) and platelet count.
The presence of abnormal white cell and red cell morphology is flagged by the analysers.
Blood films may be inspected to confirm and interpret abnormalities identified by the cell counter, or to look for certain specific haematological abnormalities.
Grossly abnormal FBC results and abnormal blood films will be phoned through to the requestor.
There is no need to request a blood film to obtain a differential white count. It is, however, important that clinical details are provided to allow the laboratory to decide whether a blood film, in addition to the automated analysis, is required.
Under some circumstances a differential is not routinely performed, e.g. pre-op, post-op, antenatal and postnatal requests.
Full Blood Counts are performed at CGH and GRH
See also: Reticulocyte Count
The FBC comprises the following tests

Standard

Haemoglobin (Hb)
White Blood Count (WBC)
Platelet Count (Plt)
Red Cell Count (RBC)
Haematocrit (HCT)
Mean Cell Volume - Red cell (MCV)
Mean Cell Haemoglobin (MCH)
Differential White Cell Count (where applicable)

Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
And if appropriate

Blood Film
Sample Requirements
2ml or 4ml EDTA sample or a Paediatric 1ml EDTA sample.

EDTA with cap

1ml Paediatric EDTA
Sample Storage and Retention
Pre analysis storage: do not store, send to laboratory within 4 hours.
Sample retention by lab: EDTA samples are retained for a minimum of 48 hours at 2-10°C
Transport of samples may affect sample viability, i.e. FBC results will degenerate if exposed to high temperatures, such as prolonged transportation in a hot car in summer.
This test can be added on to a previous request as long as there is sufficient sample remaining and the sample is less than 24 hours old.

Turnaround Times
Clinical emergency: 30 mins
Other urgent sample: 60 mins
Routine: within 2 hours
Reference Ranges
If references ranges are required for paediatric patients please contact the laboratory for these.

Parameter Patient Reference Range Units Haemoglobin Adult Male 130 - 180 g/L Adult Female 115 - 165 g/L Red Cell Count Adult Male 4.50 - 6.50 x10^12/L Adult Female 3.80 - 5.80 x10^12/L Haematocrit Adult Male 0.40 - 0.54 L/L Adult Female 0.37 - 0.47 L/L Mean Cell Volume Adult 80 - 100 fL Mean Cell Haemoglobin Adult 27 - 32 pg White Cell Count Adult 3.6 - 11.0 x10^9/L Neutrophils Adult 1.8 - 7.5 x10^9/L Lymphocytes Adult 1.0 - 4.0 x10^9/L Monocytes Adult 0.2 - 0.8 x10^9/L Eosinophils Adult 0.1 - 0.4 x10^9/L Basophils Adult 0.02 - 0.10 x10^9/L Platelet Count Adult 140 - 400 x10^9/L

Edited: The Agile Alliance defines 12 lightness principles for those who need to attain agility:

Our highest priority is to satisfy the client through early and continuous delivery of valuable computer software.
Welcome dynamic necessities, even late in development. Agile Processes harness modification for the customer’s competitive advantage.
Deliver operating computer software often, from a pair of weeks to a couple of months, with a preference to the shorter timescale.
Business individuals and developers should work along daily throughout the project.
The build comes around actuated people. offer them the setting and support they have, and trust them to urge the task done.
the foremost economical and effective methodology of conveyancing info to and among a development team is face-to-face speech.
Working with computer software is the primary life of progress.
Agile processes promote property development. The sponsors, developers, and users will be able to maintain a relentless pace indefinitely.
Continuous attention to technical excellence and smart style enhances nimbleness.
Simplicity—the art of maximizing the number of work not done—is essential.
the most effective architectures, necessities, and styles emerge from self–organizing groups.
At regular intervals, the team reflects on a way to become simpler, then tunes and adjusts its behavior consequently.

Edited: The Agile Alliance defines 12 lightness principles for those who need to attain agility:

Our highest priority is to satisfy the client through early and continuous delivery of valuable computer software.
Welcome dynamic necessities, even late in development. Agile Processes harness modification for the customer’s competitive advantage.
Deliver operating computer software often, from a pair of weeks to a couple of months, with a preference to the shorter timescale.
Business individuals and developers should work along daily throughout the project.
The build comes around actuated people. offer them the setting and support they have, and trust them to urge the task done.
the foremost economical and effective methodology of conveyancing info to and among a development team is face-to-face speech.
Working with computer software is the primary life of progress.
Agile processes promote property development. The sponsors, developers, and users will be able to maintain a relentless pace indefinitely.
Continuous attention to technical excellence and smart style enhances nimbleness.
Simplicity—the art of maximizing the number of work not done—is essential.
the most effective architectures, necessities, and styles emerge from self–organizing groups.
At regular intervals, the team reflects on a way to become simpler, then tunes and adjusts its behavior consequently.

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Hard work or smart work
Hard work would mean spending long hours to complete my work without any shortcuts. It definitely ensures results but the process is long and stressful. Smart work would be aiming for the same results but with planning and prioritization of tasks.
I think to answer this question, in today’s world, one has to redefine the terms ‘smart work’ and ‘hard work’. Most of us think of hard work to be a ‘physical activity’ and smart work to be a kind of ‘mental ability’. Although this was true before the age of the Internet, it no longer holds true. Excellence is all about doing smart work day in and day out. This in itself can be considered as hard work. In this industry, there is a lot of competition. The entire idea is to deliver fast and deliver the best to the clients. To keep delivering great work every day is hard work, but my agency has been winning the ‘Best Agency Award’ for the past few years and this is a commitment to excellence I carry with me too. Hence, I am sure I fall into the category of hard workers.
I think to answer this question, in today’s world, one has to redefine the terms ‘smart work’ and ‘hard work’. Most of us think of hard work to be a ‘physical activity’ and smart work to be a kind of ‘mental ability’. Although this was true before the age of the Internet, it no longer holds true. Excellence is all about doing smart work day in and day out. This in itself can be considered as hard work. In this industry, there is a lot of competition. The entire idea is to deliver fast and deliver the best to the clients. To keep delivering great work every day is hard work, but my agency has been winning the ‘Best Agency Award’ for the past few years and this is a commitment to excellence I carry with me too. Hence, I am sure I fall into the category of hard workers.

I think to answer this question, in today’s world, one has to redefine the terms ‘smart work’ and ‘hard work’. Most of us think of hard work to be a ‘physical activity’ and smart work to be a kind of ‘mental ability’. Although this was true before the age of the Internet, it no longer holds true. Excellence is all about doing smart work day in and day out. This in itself can be considered as hard work. In this industry, there is a lot of competition. The entire idea is to deliver fast and deliver the best to the clients. To keep delivering great work every day is hard work, but my agency has been winning the ‘Best Agency Award’ for the past few years and this is a commitment to excellence I carry with me too. Hence, I am sure I fall into the category of hard workers.
I think to answer this question, in today’s world, one has to redefine the terms ‘smart work’ and ‘hard work’. Most of us think of hard work to be a ‘physical activity’ and smart work to be a kind of ‘mental ability’. Although this was true before the age of the Internet, it no longer holds true. Excellence is all about doing smart work day in and day out. This in itself can be considered as hard work. In this industry, there is a lot of competition. The entire idea is to deliver fast and deliver the best to the clients. To keep delivering great work every day is hard work, but my agency has been winning the ‘Best Agency Award’ for the past few years and this is a commitment to excellence I carry with me too. Hence, I am sure I fall into the category of hard workers.I think that smart work and hard work together make a genius. I am deeply inspired by three famous personalities – Albert Einstein, Michael Jordan and Warren Buffet. In their stories, it is clear that they spent years working hard in their respective fields and were able to produce results, that the world had never known before! Today, Warren Buffet can make smart judgments in the field of investments because he has worked hard to gain those skills. I do not shy away from hard work as I see that the end result will be my ability to work smartly and be the best in a particular field. My current manager would definitely say that I am a hard worker. Besides, once I pick up a new skill, I am quick to apply it to get quicker results, which kind of makes me a smart worker too!
I think that smart work and hard work together make a genius. I am deeply inspired by three famous personalities – Albert Einstein, Michael Jordan and Warren Buffet. In their stories, it is clear that they spent years working hard in their respective fields and were able to produce results, that the world had never known before! Today, Warren Buffet can make smart judgments in the field of investments because he has worked hard to gain those skills. I do not shy away from hard work as I see that the end result will be my ability to work smartly and be the best in a particular field. My current manager would definitely say that I am a hard worker. Besides, once I pick up a new skill, I am quick to apply it to get quicker results, which kind of makes me a smart worker too!
I think that smart work and hard work together make a genius. I am deeply inspired by three famous personalities – Albert Einstein, Michael Jordan and Warren Buffet. In their stories, it is clear that they spent years working hard in their respective fields and were able to produce results, that the world had never known before! Today, Warren Buffet can make smart judgments in the field of investments because he has worked hard to gain those skills. I do not shy away from hard work as I see that the end result will be my ability to work smartly and be the best in a particular field. My current manager would definitely say that I am a hard worker. Besides, once I pick up a new skill, I am quick to apply it to get quicker results, which kind of makes me a smart worker too!

Evaluative or thick conceptions[b] of education state that it is part of the nature of education to lead to some kind of improvement. They contrast with thin conceptions, which provide a value-neutral explanation.[13] Some theorists provide a descriptive conception of education by observing how the term is commonly used in ordinary language. Prescriptive conceptions, by contrast, define what good education is or how education should be practiced.[14] Many thick and prescriptive conceptions see education as an activity that tries to achieve certain aims.[15] Some concentrate on epistemic aims, like knowledge and understanding. Others give more emphasis to the development of skills, like rationality and critical thinking, and character traits, like kindness and honesty.

o be easily distracted,
o have difficulty following directions,
o frequently lose materials, and/or
o have difficulty organizing tasks and materials.


Predominantly hyperactive/impulsive type.
The student may:
o Appear to be in constant motion,
o frequently fidget or move in his or her seat,
o become restless during quiet activities,
o leave his or her seat when expected to remain seated,
o interrupt others and classroom activities,
o talk excessively, and/or
o fail to follow classroom procedures (e.g., blurt out answers without raising hand).


Combined type.
The student may exhibit symptoms that include behaviors from both categories above.

In order for a student to be diagnosed with ADHD, symptoms must appear before age 12 and be exhibited across at least two settings. They must also have adverse effects on academic performance, occupational success, or social-emotional development (APA, 2013).

To add to the complexity of the diagnosis, children with ADHD are likely to have co-existing emotional, behavioral, developmental, learning, or physical conditions (Wolraich & DuPaul, 2010).

As a result of the behaviors listed above, students with ADHD are at greater risk of academic
difficulties, social/emotional issues, and limited educational outcomes.