Count (feminine: countess) is a historical title of nobility in certain European countries, varying in relative status, generally of middling rank in the hierarchy of nobility.[1] Especially in earlier medieval periods the term often implied not only a certain status, but also that the count had specific responsibilities or offices. The etymologically related English term "county" denoted the territories associated with some countships, but not all.

Although the term count was not generally used in England, after the 1066 conquest by the Normans, various European terms for count eventually became the normal translations used for the English title of earl, and the wives of earls are still referred to as countesses.


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In the Western Roman Empire, "count" came to indicate generically a military commander[citation needed] but was not a specific rank. In the Eastern Roman Empire, from about the seventh century, "count" was a specific rank indicating the commander of two centuriae (i.e., 200 men).

In the Frankish kingdoms in the early Middle Ages, a count might also be a count palatine, whose authority derived directly from the royal household, the palace in its original sense of the seat of power and administration. This other kind of count had vague antecedents in Late Antiquity too: the father of Cassiodorus held positions of trust with Theodoric, as comes rerum privatarum, in charge of the imperial lands, then as comes sacrarum largitionum ("count of the sacred doles"), concerned with the finances of the realm.[3]

Originally, with the emergence of the title came the most powerful symbol of entitlement, that is the ownership of and jurisdiction over land, hence the term county. The term is derived from the Old French cont or cunt denoting a jurisdiction under the control of a count (earl) or a viscount.[6] The modern French is comt, and its equivalents in other languages are contea, contado, comtat, condado, Grafschaft, graafschap, etc. (cf. conte, comte, conde, Graf).

The title of Count was also often conferred by the monarch as an honorific title for special services rendered, without a feudal estate (countship, county) being attached, so it was merely a title, with or without a domain name attached to it. In the United Kingdom, the equivalent "Earl" can also be used as a courtesy title for the eldest son of a duke or marquess. In the Italian states, by contrast, all the sons of certain counts were little counts (contini). In Sweden there is a distinction between counts (Swedish: greve) created before and after 1809. All children in comital families elevated before 1809 were called count/countess. In families elevated after 1809, only the head of the family was called count, the rest have a status similar to barons and were called by the equivalent of "Mr/Ms/Mrs", before the recognition of titles of nobility was abolished.

Later other countships (and duchies, even baronies) have been raised to this French peerage, but mostly as apanages (for members of the royal house) or for foreigners; after the 16th century all new peerages were always duchies and the medieval countship-peerages had died out, or were held by royal princes

A Graf ruled over a territory known as a Grafschaft ('county'). See also various comital and related titles; especially those actually reigning over a principality: Gefrsteter Graf, Landgraf, Reichsgraf; compare Markgraf, Burggraf, Pfalzgraf (see Imperial quaternions).

The title of Conte is very prolific on the peninsula. In the eleventh century, Conti like the Count of Savoy or the Norman Count of Apulia, were virtually sovereign lords of broad territories. Even apparently "lower"-sounding titles, like Viscount, could describe powerful dynasts, such as the House of Visconti which ruled a major city such as Milan. The essential title of a feudatory, introduced by the Normans, was signore, modeled on the French seigneur, used with the name of the fief. By the fourteenth century, conte and the Imperial title barone were virtually synonymous[citation needed].

Some titles of a count, according to the particulars of the patent, might be inherited by the eldest son of a Count. Younger brothers might be distinguished as "X dei conti di Y" ("X of the counts of Y"). However, if there is no male to inherit the title and the count has a daughter, in some regions she could inherit the title.

Many Italian counts left their mark on Italian history as individuals, yet only a few contadi (countships; the word contadini for inhabitants of a "county" remains the Italian word for "peasant") were politically significant principalities, notably:

Count/Countess was one of the noble titles granted by the Pope as a temporal sovereign, and the title's holder was sometimes informally known as a papal count/papal countess or less so as a Roman count/Roman countess, but mostly as count/countess. The comital title, which could be for life or hereditary, was awarded in various forms by popes and Holy Roman Emperors since the Middle Ages, infrequently before the 14th century, and the pope continued to grant the comital and other noble titles even after 1870, it was largely discontinued in the mid 20th-century, on the accession of John XXIII. The Papacy and the Kingdom of the Two Sicilies might appoint counts palatine with no particular territorial fief. Until 1812 in some regions, the purchaser of land designated "feudal" was ennobled by the noble seat that he held and became a conte. This practice ceased with the formal abolition of feudalism in the various principalities of early-19th century Italy, last of all in the Papal States.

As opposed to the plethora of hollow "gentry" counts, only a few countships ever were important in medieval Iberia; most territory was firmly within the Reconquista kingdoms before counts could become important. However, during the 19th century, the title, having lost its high rank (equivalent to that of Duke), proliferated.

Portugal itself started as a countship in 868, but became a kingdom in 1139 (see:County of Portugal). Throughout the History of Portugal, especially during the Constitutional Monarchy many other countships were created (see: List of Countships in Portugal).

In the Middle Ages the title of jarl (earl) was the highest title of nobility. The title was eventually replaced by the title of duke, but that title was abolished in Denmark and Norway as early as the Middle Ages. Titles were only reintroduced with the introduction of absolute monarchy in 1660, with count as the highest title.

In Sweden the rank of count is the highest rank conferred upon nobles in the modern era and are, like their Danish and Norwegian counterparts, broadly comparable to that of dukes in other European countries. Unlike the rest of Scandinavia, the title of duke is still used in Sweden, but only by members of the royal family and are not considered part of the nobility.

A complete blood count is a common blood test that is often part of a routine checkup. Complete blood counts can help detect a variety of disorders including infections, anemia, diseases of the immune system, and blood cancers.

Usually there is no special preparation necessary for a complete blood count. But if your provider ordered other tests on your blood sample, you may need to fast (not eat or drink) for several hours before the test. Your provider will let you know if there are any special instructions to follow.

A complete blood count is only one tool your health care provider uses to learn about your health. Your provider will consider your medical history, symptoms, and other factors to make a diagnosis. You may also need additional tests.

If your blood sample is being tested only for a complete blood count, you can eat and drink as usual before the test. If your blood sample also will be used for other tests, you might need to fast for a certain amount of time before the test. Ask your health care provider what you need to do.

For a complete blood count, a member of the health care team takes a sample of blood by putting a needle into a vein in your arm, usually at the bend in your elbow. The blood sample is sent to a lab. After the test, you can return to your usual activities right away.

A complete blood count, also called a CBC, usually doesn't give all the answers about a diagnosis. Results outside the expected range may or may not need follow-up. A health care provider might need to look at the results of other tests as well as the results of a CBC.

A red blood cell count that's higher than usual is known as erythrocytosis. A high red blood cell count or high hemoglobin or hematocrit levels could point to a medical condition such as blood cancer or heart disease.

White blood cell count. A low white blood cell count is known as leukopenia. A medical condition such as an autoimmune disorder that destroys white blood cells, bone marrow problems or cancer might be the cause. Certain medicines also can cause a drop in white blood cell counts.

A white blood cell count that's higher than usual most commonly is due to an infection or inflammation. Or it could point to an immune system disorder or a bone marrow disease. A high white blood cell count also can be a reaction to medicines or hard exercise.

CD4 cells (also known as CD4+ T cells) are white blood cells that fight infection. CD4 cell count is an indicator of immune function in patients living with HIV and one of the key determinants for the need of opportunistic infection (OI) prophylaxis. CD4 cell counts are obtained from bloodwork as part of laboratory monitoring for HIV infection.

CD4+ cell counts are usually measured when you are diagnosed with HIV (at baseline), every 3 to 6 months during first 2 years or until your CD4 count increases above 300 cells/mm3. Otherwise your CD4+ cell count may be measured every 12 months. Most people who are on HIV treatment can expect an average increase of about 50-100 cells/mm3 a year. Patients who initiate therapy with a low CD4 count or at an older age may not have the same increase in their CD4 count despite virologic suppression. 006ab0faaa

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