Friday, August 28, 2020

Ovarian Cancer Essays - Gynaecological Cancer, RTT, Tumor Markers

Ovarian Cancer Of every single gynecologic threat, ovarian malignant growth keeps on having the most elevated mortality and is the most hard to analyze. In the United States female populace, ovarian malignancy positions fifth in outright mortality among malignancy related passings (13,000/yr). In most revealed cases, ovarian malignant growth, at the point when first analyzed is in quite a while III or IV in around 60 to 70% of patients which further confounds treatment of the ailment (Barber, 3). Early identification in ovarian malignant growth is hampered by the absence of proper tumor markers and clinically, most patients neglect to create noteworthy side effects until they arrive at cutting edge stage ailment. The attributes of ovarian malignant growth have been concentrated in essential tumors and in set up ovarian tumor cell lines which give a reproducible wellspring of tumor material. Among the major clinical issues of ovarian disease, threatening movement, fast rise of medication opposition, and related cross-obstruction remain uncertain. Ovarian malignant growth has a high recurrence of metastasis yet for the most part stays confined inside the peritoneal cavity. Tumor improvement has been related with unusual, useless articulation and additionally transformation of different qualities. This can incorporate oncogene overexpression, intensification or change, deviant tumor silencer articulation or transformation. Additionally, disruption of host antitumor resistant reactions may assume a job in the pathogenesis of disease (Sharp, 77). Ovarian clear cell adenocarcinoma was first portrayed by Peham in 1899 as hypernephroma of the ovary as a result of its likeness to renal cell carcinoma. By 1939, Schiller noticed a histologic closeness to mesonephric tubules and grouped these tumors as mesonephromas. In 1944, Saphir and Lackner depicted two instances of hypernephroid carcinoma of the ovary and proposed clear cell adenocarcinoma as an elective term. Away from tumors of the ovary are presently by and large viewed as of mullerian and in the genital tract of mullerian birthplace. Various instances of clear cell adenocarcinoma have been accounted for to emerge from the epithelium of an endometriotic blister (Yoonessi, 289). Every so often, a renal cell carcinoma metastasizes to the ovary and might be mistaken for an essential clear cell adenocarcinoma. Ovarian clear cell adenocarcinoma (OCCA) has been perceived as a particular histologic element in the World Health Organization (WHO) order of ovarian tumors since 1973 and is the most deadly ovarian neoplasm with a general multi year endurance of just 34% (Kennedy, 342). Clear cell adenocarcinoma, as generally ovarian malignancies, begins from the ovarian epithelium which is a solitary layer of cells found on the outside of the ovary. Patients with ovarian clear cell adenocarcinoma are commonly over the age of 30 with a middle of 54 which is like that of ovarian epithelial malignant growth all in all. OCCA speaks to roughly 6% of ovarian malignant growths and reciprocal ovarian contribution happens in less that half of patients even in cutting edge cases. The relationship of OCCA and endometriosis is very much recorded (De La Cuesta, 243). This was affirmed by Kennedy et al who experienced histologic or intraoperative proof of endometriosis in 45% of their investigation patients. Change from endometriosis to clear cell adenocarcinoma has been recently shown in inconsistent cases yet was not seen by Kennedy et al. Hypercalcemia happens in a noteworthy level of patients with OCCA. Patients with cutting edge malady are more normally influenced than patients with nonmetastatic malady. Patients with OCCA are moreover bound to have Stage I malady than are patients with ovarian epithelial malignant growth in general (Kennedy, 348). Histologic evaluation has been helpful as an underlying prognostic determinant in certain examinations of epithelial tumors of the ovary. The evaluating of ovarian clear cell adenocarcinoma has been hazardous and is confounded by the assortment of histologic examples found in a similar tumor. Comparable issues have been found in endeavored reviewing of clear cell adenocarcinoma of the endometrium (Disaia, 176). In spite of these issues, tumor reviewing has been endeavored however has neglected to show prognostic centrality. Be that as it may, gathered information propose that low mitotic action and a transcendence of clear cells might be ideal histologic highlights (Piver, 136). Hazard factors for OCCA and ovarian disease when all is said in done are considerably less clear than for other genital tumors with general concurrence on two hazard factors: nulliparity and family history. There is a higher recurrence of carcinoma in unmarried ladies and in wedded ladies with low equality. Gonadal dysgenesis in youngsters is related with a higher hazard of creating ovarian malignancy while oral contraceptives are related with a diminished chance. Hereditary and up-and-comer have qualities might be changed in helpless families. Among those as of now under scrutiny is

Saturday, August 22, 2020

Quantitative Methods and Analysis Essay Example | Topics and Well Written Essays - 750 words - 2

Quantitative Methods and Analysis - Essay Example Amusement Survey The study being broke down in this area was led by Olswang to decide the extent of individuals who might decided to pay for diversion content (New Media Age, 2005). The overview directed showcases results in for m of rates, and from the outcomes, the accompanying elements can be found. As indicated by the study, 28% percent of American individuals have no issue downloading and watching content without paying for the substance, yet a similar extent would pay to stream long length content on the PCs. The legitimacy of the aftereffects of this study isn't definitive in light of the fact that the quantity of members in the review isn't given. The outcomes from this study can be utilized to recount to a story by deciding the sentiments of the populace towards robbery and related copyright matters. Political Survey The political survey broke down in this area was wrote by Jones (2011), and is a portrayal of the endorsement evaluations for President Obama in his eleventh qu arter in office. The survey demonstrates that the fame for the president is at its absolute bottom of 41%, down from 46.8% in the past quarter. The survey likewise breaks down the distinctions in President Obama’s appraisals since his first quarter in office, which shows that the evaluations were most noteworthy in the first quarter and have been consistently diminishing. The survey was directed irregular phone meetings to 45,989 grown-ups in all the States in the nation and different areas. This approves the aftereffects of the survey since the example size utilized is sufficiently large to dispense with mistakes in the study procedure. This survey can be utilized by any organization to help a political competitor or bolster the officeholder in a pending political decision. General Survey The survey being broke down in this segment is a general overview that examinations the existence assessment reports of different American people (Gallup Daily, 2011). This survey requests that the respondents envision their life as far as a scale and choose whether they are enduring, flourishing, or battling. The scale utilized in the overview is known as the Cantril stepping stool, and is a portrayal of the life of a normal person. The survey utilized an example of roughly 1500 people, and decided the aftereffects of the review on a quantitative premise. This sort of review can be sued by a media gathering or organization to advance any sort of item, if the individual are consoled that the utilization of the item will expand fulfillment or life joy. Outline An investigation of the three studies introduced above shows the impacts of test estimates on the legitimacy of the outcomes that are introduced by an overview. This implies the higher the example size in a review, the more dependable the aftereffects of the overview. For instance, the principal review dissected, the amusement study, didn't present the example size utilized. In this way, it very well may be reaso ned that the study is questionable or can be a distortion. Then again, the general review utilized an example of 1000 individuals, in this manner, it very well may be inferred that the outcomes are feasible, somewhat. In any case, the most dependable review is the political study, since the example size is enormous and broadened; subsequently, the blunders that influence little example size studies are killed. Application: Copy of Survey The example review led is an investigation of the responses of individuals with the impacts of the

Friday, August 21, 2020

Christians Should Not Take Part In Sport Or Shopping Essay Example for Free

Christians Should Not Take Part In Sport Or Shopping Essay The significant thing about this announcement is that it tends to be contended two different ways. Numerous individuals would consider game to be shopping as an errand in this manner identified with work. Others would contend that it is a relaxation movement and it isn't work. In light of this the congregation instated a law saying that all Catholics must go to mass on a Sunday. The Catholic Church itself has no laws or limitations about shopping or playing sport on a Sunday. By convention Sunday was the blessed day isolated and put aside by the reality the mass going was fundamental to the days exercises. In The Old confirmation there is an expression in the book of Ecclesiastes saying there is a set and give time to everything which fundamentally implies individuals should adjust there time between things. In todays society were everything is moving and surged needs ought to be analyzed and individuals should utilize the endowment of time astutely. God himself the same number of accepted set during the time of love. Sunday has three primary significant occasions, which correspond with this day. One: Jesus became alive once again on this day. Two: Sunday was the main Day of the week and the primary day of creation. Three: Jesus sent down the Holy Spirit On The Pentecost. Sunday is likewise a day of festivity when Catholics meet up to offer commendation to God and to express gratitude toward God for what he has given all of them. Sport these days has become large business for all included. Among all the enormous names in sport nobody articles to playing on Sundays as a result of the entirety of the cash in question. This is only a little rundown of the considerable number of sports that are being played on Sundays Despite the fact that game is played on cash for reasons other the cash many incorporate due to TV rights and due to supports. Christians ought not participate on sport on Sunday since sport is viewed as work in the churchs eyes. Numerous qualities are communicated in game, for example, sportsmanship, fairplay etc. Shopping is the second of the changing essences of Sunday is turning into the most well known one. Numerous family ways of life spin around the guardians work and along these lines numerous guardians just get the chance to see their kids at the ends of the week. The weekend is frequently viewed as the days to complete the shopping and many depend on Sunday vigorously. Since multi day shopping was sanctioned in 1977, many have exploited over the law. Teresa Murray leader of the N. Ireland Region Of Shopping Centers said Sunday Shopping has become like a relaxation interest for families and has become a significant exchanging day for individuals business. Business offers a support and relying upon the interest it either succeeds or comes up short and on Sunday these days shopping has become an interest so as to bring in cash business open for the most extreme hours permitted which is six. Many working families dont have a lot of time to spend so wind up utilizing Sunday to invest energy with there kids or getting tings that they could get during the week, for example, shopping for food. All the additional time spend on Sundays has expanded the work required for Sundays. Sway Gourley head of N. Ireland Shop Workers Union said they had been against the Sunday exchanging laws and had in certainty boycotted them for a long time yet anyway enthusiastically they attempt Sunday exchanging has become a reality. Our laborers just work on Sunday where it is finished by understanding

Tuesday, May 26, 2020

A Secret Weapon for Order Papers

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Friday, May 15, 2020

The Musuo Of Chin Matrilineal Kinship - 902 Words

The Musuo of China: Matrilineal Kinship The practice of matrilineal kinship is considered a myth by some cultures, but it is indeed very real for the Musuo of China. Matrilineality is the practice of linear descent through the ancestry of females. Many Western civilizations have a misconception of what is considered normal on a global scale, but many practices do, in fact, differ widely between different cultures. To illustrate this, the Musuo’s traditions and values in regards to marriage and family are based solely on matrilineal kinship, while America’s â€Å"melting pot† ideation encourages unilineal descent, in which the ancestry line can be traced to the wife and/or the husband. In the paper I will discuss the cultural nature of the Musuo, and the way that marriage and family norms in Musuo differ from the typical American ideation of family. One indication that Musuo traditions differ from the American culture in terms of marriage is the lack of a formal u nion between wife and husband, as well as the American idea of father and child. According their article â€Å"Land of the Walking Marriage† (2000), Lu Yuan and Sam Mitchell explain that Musuo fathers do not raise their own children, but instead cater to their sister’s children’s needs. American cultural norms include the belief that blood relatives have a biological attachment to each other, which makes this type of kinship unacceptable to many conservative-minded Americans. Moreover, the dynamics of marital behavioral

Wednesday, May 6, 2020

Minimum Wage Persuasive Essay - 1870 Words

Raising minimum wage is a very controversial topic. Minimum wage became a federal law in 1938 and only it was only twenty-five cents. Today minimum wage has increased and is currently ten dollars and fifty cents. As one can see minimum wage has increased dramatically and will continue to increase. Minimum wage should not continue to increase at this rate because many businesses will be affected, the price of living will increase and it will alter the way people live. With this minimum wage is hurting more lives rather than helping them. First off, minimum wage is increasing and is increasing rapidly. Minimum wage began at twenty-five cents and continued to grow to ten dollars and fifty cents. When people look at this they can see that†¦show more content†¦With that in mind, According to the San Diego Economic Forecast, a forecast that is released each year, it says that, â€Å" From 2017 to 2022, [Unemployment growth] will average 0.9 percent per year.† With this information one can tell that the unemployment rate will increase from 4.7 percent to 9.2 percent. This is a dramatic increase and it will continue to increase if we do not put a stop to it. This will cause San Diego to have more homeless and many more people without jobs. The reason we the minimum wage is being raised to help people who have children and only have a minimum wage job to support their family. While raising minimum wage will help them it can also hurt them. It will hurt them because they will no longer have a job and will no longer have a way to support their family. Many people do not realize that minimum wage is affecting many people’s live instead of helping them. Also with the rise of minimum wage, the life of living will continue to increase. In the article by Gasbuddy San Diego, a group of people that have been informing people on gas prices from 2000 till now, said in 2015 gas was at an all time low of 2.9 dollars per gallon and it rose 3.01 dollars per gallon. One can tell that since minimum wage the price of gas has risen. The price of consumer goodsShow MoreRelatedMinimum Wage Persuasive Essay1067 Words   |  5 PagesRandy Oczkowski Mrs. Kenny March 25, 2013 Persuasive Essay $7.25 equals two gallons of gas, one fast food meal, or a simple school supply. With the minimum wage at the current rate you must work one hour to earn the seven dollars and twenty-five cents that only supply you with small necessities for everyday living. This problem was encountered before and was resolved with the agreement to higher the minimum wage from $5.85 to the current $7.25. Although that was a big increase in salariesRead MorePersuasive Essay Outline :Minimum Wage964 Words   |  4 Pages Persuasive Essay Outline :Minimum Wage 1 Intro - I want you to think about your very first job .Were you a Bellhop ,cashier ,bartender ,cooks(fast food ),lifeguard, .Now how about your second job were you a airport worker or child care worker.About how m uch were youRead MorePersuasive Essay On Minimum Wage1526 Words   |  7 PagesMinimum wage is defined by the dictionary as â€Å"the lowest wage paid or permitted to be paid; specifically: a wage fixed by legal authority or by contract as the least that may be paid either to employed persons generally or to a particular category of employed persons.† Minimum wage is also referred to as the living wage. For many in and out of the political arena, minimum wage, is a topic of debate. The discussion involves the fairness of the current wage and the need to raise this wage to correlateRead MoreMinimum Wage Persuasive Essay1424 Words   |  6 PagesI. Position Statement Is increasing minimum wage beneficial to society? I believe the United States Federal government should increase the minimum wage. Minimum wage has been a controversial topic in the United States for numerous years. Experts are constantly doing studies and finding emotional and logical appeals to support their arguments. Accordingly, when discussing minimum wage, long-term and short-term effects need to be brought into consideration. Throughout my research, I have found a multitudeRead MoreMinimum Wage Persuasive Essay1106 Words   |  5 Pagesmore than the federal minimum wage? If you said yes then perhaps you are unaware of the many negative effects surrounding a higher minimum wage and after reading this you will be educated on why the minimum wage should not be raised. In the beginning, the minimum wage was created with good intentions. It was originally established in 1938 and was $.25 an hour (Sessions). It was created to make sure that businesses would not take advantage over workers. While the minimum wage was and still is a goodRead MorePersuasive Essay On Minimum Wage1174 Words   |  5 Pages The US minimum wage should not be raised to $18.00 an hour for adults by 2020. Raising our minimum wage is just as good as destroying our economy and all the work our government has done to lower unemployment rates. Jamie Richardson, MBA, VP of the fast-food chain White Castle, stated that the company would be forced to close almost half of its restaurants and let go thousands of workers if the federal minimum wage was raised to $15. Peter D. Schiff, an investment broker and investor, stated inRead MorePersuasive Speech Draft (Minimum Wage) Essay745 Words   |  3 Pagesï » ¿Kirsten Burroughs Professor Hart Persuasive Speech 04 December 2013 Intro: People of the middle class all know that the minimum wage of $7.25 is not sufficient to maintain a comfortable lifestyle. There is considerable evidence to show that the current generations comfortable lifestyles require a more luxurious price for standard living. The cost of living over the years has dramatically increased due to high consumer demands of products. As that being said, $7.25 is just not enough forRead Moreminimum wage1601 Words   |  7 Pagesfor the low-income workers and their families whenever the government increases the minimum wage. The United States Congress adopted the Fair Labor Standards Act in 1938. Congress created the minimum wage toward the end of the Depression era to ensure a minimum standard oPremium 2048 Words 9 Pages Macroeconomics: Should the Minimum Wage Increase? Should the Minimum Wage Increase? Minimum wage is the lowest wage permitted by law or by a special agreement that can be applied for an employee or putRead MoreWal Mart : A Necessary Evil? Essay975 Words   |  4 PagesWal-Mart: A Necessary Evil? It does not take a large amount of funding and private studies to see that Wal-Mart is a widely successful corporation that offers cheaper prices than their competitors. In Jack and Suzy Welch’s essay they argue that we should support businesses that help individuals, communities and whole economies prosper, they claim that, â€Å"Wal-Mart helps individuals, communities, and whole economies prosper† (161), so we should support Wal-Mart. On the other hand, Paul Krugman arguesRead MoreGoodmans Arguments Against Relativism in Some Moral Minima979 Words   |  4 Pagesrelativism Given the increasing globalization of modern society, combined with the influence of postmodernism, the philosophy of moral relativism has become increasingly popular and accepted within the academy. However, according to Lenn E. Goodmans essay Some moral minima, some things are just wrong. Goodman writes: All living beings make claims to life (Goodman 2010: 88). In other words, to protect the sanctity of human life, sometimes it is necessary to lay down certain absolute ground rules

Tuesday, May 5, 2020

Mental Health Nursing Practice and Delivery †MyAssignmenthelp.com

Question: Discuss about the Mental Health Nursing Practice and Delivery. Answer: Mental Health nursing practice and delivery has changed over the years in caring for people from different cultures. Handling mental health patients has now become more flexible as compared to the outdated rigid methods, which were there before. People from different cultures perceive situations and their environment differently, therefore, putting into consideration the cultural diversity of the mental health patients is essential in their recovery process and management of their conditions. The varying beliefs can also affect how patients perceive the mental health services they receive. When cultural diversity is not put into consideration during the assessment and treatment of mental health patients, it results in misdiagnosis and poor service delivery (Sharma, Meurk, Bell, Ford Gartner, 2017). This paper will look at how the mental healthnursing practice and delivery has changed over the years and how this has affected the clinical and psychosocial outcomes of people from diffe rent cultures. There used to be specific and rigid procedures involved in the care of mental health patients. These procedures were designed and based on a particular group and it failed to incorporate the views of other diverse cultures. For example, the standardized tests that were being used contained language that could only be understood by a particular group of people. The design of these tests was only appropriate for those in the western countries and some of the constructs being measured were not applicable to people from other cultural groups. The care of patients was also very strict and they were not given the chance to be part of their treatment program. Involving culturally diverse patients in treatment enables the clinician to understand aspects of the patients culture that may be contributing to their condition or that may help in recovery. However, the rigidness and strict rules of mental health services have changed over the years and it has taken into account the cultural diversi ty that exists among mental health patients (Slade, Amering, Farkas, Hamilton Whitley, 2014). To begin with, the approach used during assessment and interaction with mental health patients acknowledges the diversity of values, attitudes, and behaviors found in different cultures (Wand, White Patching, 2010). This has formed a basis for understanding the meaning of concepts within a particular culture. This approach has affected people from different cultures clinically since it enables the clinician to carry out the proper diagnosis of the patients condition from the specific information they get related to the patient's cultural beliefs and understanding of concepts. Psychosocially, it has been beneficial since the patients from diverse cultures; now feel more comfortable seeking mental health services because they feel accepted despite their diversity. It also provides an environment where the patient feels comfortable with the services they are receiving without compromising their values (Macleod, Elliott Brown, 2011). Standardized instruments are now being used in culturally sensitive ways. This is done by putting into consideration the cultural data during the interpretation of the results. Whenever it is possible, accurately translated versions are used instead. Through this, the patient can effectively participate in psychological tests that can determine their mental conditions (Robson, Haddad, Gray Gournay, 2013). The clinician is able to get better results from these tests and this means that the patient will receive effective treatment. Translated versions have helped culturally diverse patients to feel more comfortable undertaking psychological tests since they can understand the concepts clearly. The accurate data obtained from these tests are also very essential in follow-ups that enable the clinician to determine the progress the patient has made (Robson, Haddad, Gray Gournay, 2013). The involvement of the patient in the mental healthnursing practice has also been beneficial. The treatment models are now modified and diverse hence making them largely compatible with the patients expectation. Psychosocially, this ensures greater follow up and patient compliance (Isobel Edwards, 2017). When the patient feels like their values are being respected they are more likely to comply with the treatment they are undergoing since they do not have to compromise what they believe in. Clinically, it encourages the patient to be more open about any issues relating to their treatment. Since the patient feels accepted, they can disclose medication side effects so that they have a replacement in medication or alteration of their dose instead of simply deciding to skip the medication (Grundy, Walker, Meade Callaghan, 2017). In addition, non-compliance to treatment occurs when dissimilar cultures gather in a health care setting leading to a crash in expectations (Whitehead, Wilson, Carlyle Joyce, 2010). In this case, most of the healthcare providers view their clients from a different culture as a hurdle to healthcare delivery. For instance, the eastern people have different beliefs on disease causation and the probable treatment; this is followed by misconceptions and unwillingness to discuss with the healthcare providers about their health, which can lead to a negative clinical outcome. Therefore, to enhance compliance, patients should be educated about illness and the importance of seeking treatment. In addition, healthcare providers should identify factors that cause non- compliance to treatment and establishing a strong patient- nurse relationship (Kidd, Kenny McKinstry, 2015). In conclusion, the paper has discussed how mental health has changed over time and its psychosocial and clinical outcome on individuals from diverse backgrounds. In this case, it is evident that an individuals beliefs, customs, and values are mainly shaped by their cultures. Therefore, culture cannot be ignored when it comes to taking care of mental health patients. Rigid concepts in the mental health service system that was used before impaired the services that were provided to the patients from culturally diverse groups. The changes that have been made over the years to accommodate cultural diversity has greatly improved mental health andnursing practice delivery and resulted in better clinical outcomes and psychosocial well-being for the patients. It is essential to understand other peoples cultures to ensure effective provision of mental health services. References Robson, D., Haddad, M., Gray, R., Gournay, K. (2013). Mental health nursing and physical health care: A cross?sectional study of nurses' attitudes, practice, and perceived training needs for the physical health care of people with severe mental illness.International Journal of Mental Health Nursing,22(5), 409-417.doi: 10.1056/NEJMp1012121 Kidd, S., Kenny, A., McKinstry, C. (2015). The meaning of recovery in a regional mental health service: an action research study.Journal of advanced nursing,71(1), 181-192.doi.10.1111/jan.12472 Grundy, A. C., Walker, L., Meade, Callaghan, P. (2017). Evaluation of a co?delivered training package for community mental health professionals on service user?and carer?involved care planning.Journal of Psychiatric and Mental Health Nursing. 1(3) 23- 45. doi.10.1111/jpm.12378 Macleod, S. H., Elliott, L., Brown, R. (2011). What support can community mental health nurses deliver to carers of people diagnosed with schizophrenia? Findings from a review of the literature.International journal of nursing studies,48(1), 100-120. doi.10.1111/inm.2345 Sharma, R., Meurk, C., Bell, S., Ford, P., Gartner, C. (2017). Australian mental health care practitioners practices and attitudes for encouraging smoking cessation and tobacco harm reduction in smokers with severe mental illness.International Journal of Mental Health Nursing. 5(8) 1102- 1120.doi. 10.1111/inm.12314 Isobel, S., Edwards, C. (2017). Using trauma informed care as a nursing model of care in an acute inpatient mental health unit: A practice development process.International journal of mental health nursing,26(1), 88-94.doi.10.1111/inm.12236 Robson, D., Haddad, M., Gray, R., Gournay, K. (2013). Mental health nursing and physical health care: A cross?sectional study of nurses' attitudes, practice, and perceived training needs for the physical health care of people with severe mental illness.International Journal of Mental Health Nursing,22(5), 409-417.doi.10.1111/j.1447-0349.2012.00883.x Slade, M., Amering, M., Farkas, M., Hamilton, Whitley, R. (2014). Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems.World Psychiatry,13(1), 12-20.doi.10.1002/wps.20084 Wand, T., White, K., Patching, J. (2010). Applying a realist (ic) framework to the evaluation of a new model of emergency department based mental health nursing practice.Nursing inquiry,17(3), 231-239.doi.10.1111/j.1440-1800.2010.00488.x Whitehead, L., Wilson, L., Carlyle, M., Joyce, P. (2010). Disorder-specific psychosocial interventions for bipolar disorderA systematic review of the evidence for mental health nursing practice.International Journal of Nursing Studies,47(7), 896-908.doi. 10.1111/j.1347-0349.2010.00883.x