Cancer Case study essays

Cancer Case study essays Mr. L. is a 69 year-old male with acute myelogenous leukemia (AML), FAB-M1 normal cytogenetics diagnosed in May of 2001. He received chemotherapy (7+3: AraC/idarubican) at that time and achieved complete remission. He developed a relapse in the April of 2002. He deferred treatment as he was trying alternative medicines. He eventually was treated with chemotherapy (Mylotarg) again in May of 2002, but this did not result in remission and he is considered to be in refractory relapse. Mr. L. has a history of neutropenic fever, otitis media, diabetes, positive VRE in his blood, and Coronary Artery Disease. Mr. L does understand that there is no cure for his disease and that is why he has chose alternative care. He has refused a referral to UW-Madison At this time he is still trying alternative medicines, and comes into the Cancer Center for lab draws, and if needed he has blood and/or platelet transfusions. He has refused Procrit and GM-CSF, to assist in his condition. Mr. L is married and his wife is supportive of him and his choice in attempting alternative medicine. He also has many siblings who are supportive of him and 2 of them were tested for HLA compatibility to see if they would be able to help their brother and tested positive, although due to his remission it is not possible for him to have a transplant at this time. His stressors are having a disease that there is no know cure for, having chemotherapy not work, trying alternative therapies, and having to come into the Cancer Center each week to have his blood work tested (CBC Mr. L. is in Eriksons stage of generativity versus stagnation. I feel that he is in the generativity part of this stage. Generativity is where the person is able to assist the younger generat...

How Honorifics Are Used in English

How Honorifics Are Used in English An honorific is a conventional word, title, or grammatical form that signals respect, politeness, or social deference. Also known as a  courtesy title or an address term. The most common forms of honorifics (sometimes called  referent honorifics) are honorary titles used  before names  in salutations- for example, Mr. Spock,  Princess Leia, Professor X. In comparison to languages such as Japanese and Korean, English doesnt have an especially rich system of honorifics. Commonly used honorifics  in English include Mr., Mrs., Ms., Captain, Coach, Professor, Reverend  (to a member of the clergy),  and  Your Honor  (to a judge), among others. (The abbreviations Mr., Mrs., and Ms. usually end in a period in American English  but not in British English- Mr, Mrs, and Ms.) Examples and Observations Mrs. Lancaster, you are an impressively punctual person, Augustus said as he sat down next to me.(John Green, The Fault in Our Stars. Dutton, 2012)The Reverend Bond walked up to the horse, smiling up at Benton.Afternoon, Reverend, Benton said to him.Good afternoon, Mister Benton, Bond answered. My apologies for stopping you. I just wanted to find out how things went yesterday.(Richard Matheson, The Gun Fight. M. Evans, 1993)Princess Dala:  The Pink Panther is in my safe, at . . ..Inspector Jacques Clouseau: Your Highness, please. Dont say it, not here.(Claudia Cardinale and Peter Sellers in The Pink Panther, 1963)The New York Times waited until 1986 to announce that it would embrace the use of Ms. as an honorific alongside Miss and Mrs.(Ben Zimmer, Ms. The New York Times, Oct. 23, 2009)John Bercow, Speaker, Britains First Commoner (thats an honorific for the class conscious of you out there), was greeting and welcoming his new intake in Portcullis House. He is master of this domain .(Simon Carr, My Ill-Tempered Encounter With the Speaker. The Independent, May 12, 2010) The Honorifics Maam and Sir in the U.S. and Britain-The use of maam and sir is  much more common in the South than elsewhere in the United States, where calling adults maam and sir can be taken as being disrespectful or cheeky. In the South, the terms convey just the opposite. Johnson (2008) reported that when two English 101 classes  at a university in South Carolina were surveyed, data showed that Southern English speakers used maam and sir for three reasons: to address someone older or in an authority position, to show respect, or to maintain or reestablish good relations with someone. Maam and sir are also frequently used by Southerners in customer service, such as restaurant servers.(Anne H. Charity Hudley and Christine Mallinson, Understanding English Language Variation in U.S. Schools.  Teachers College Press, 2011)Now you must understand  that in the British Isles, the  honorific Sir  is very widely used to bestow a  knighthood  on any citizen who performs exc eptionally well in public life. A leading jockey can become a Sir. A leading actor. Famous cricket players. Queen Elizabeth has awarded the title in honorary form to [U.S. presidents] Reagan and Bush.(James A. Michener,  Recessional. Random House, 1994) H.L. Mencken on HonorificsAmong the honorifics in everyday use in England and the United States, one finds many notable divergences between the two languages. On the one hand the English are almost as diligent as the Germans in bestowing titles of honor upon their men of mark, and on the other hand, they are very careful to withhold such titles from men who do not legally bear them. In America, every practitioner of any branch of the healing art, even a chiropodist or an osteopath, is a doctor ipso facto, but in England, a good many surgeons lack the title and it is not common in the lesser ranks. . . .In all save a few large cities of America every male pedagogue is a professor, and so is every band leader, dancing master, and medical consultant. But in England, the title is very rigidly restricted to men who hold chairs in the universities, a necessarily small body.(H.L. Mencken, The American Language, 1921)T-V DistinctionIn many languages . . . the second person plural pronoun of address doubles as an honorific form to singular respected or distant alters. Such usages are called T/V systems, after the French tu and vous (see Brown and Gilman 1960). In such languages, the use of a T (singular non-honorific pronoun) to a non-familiar alter can claim solidarity.Other address forms used to convey such in-group membership include generic names and terms of address like Mac, mate, buddy, pal, honey, dear, duckie, luv, babe, Mom, blondie, brother, sister, cutie, sweetheart, guys, fellas.(Penelope Brown and Stephen C. Levinson, Politeness: Some Universals in Language Usage. Cambridge University Press, 1987) Pronunciation: ah-ne-RI-fik

Over sharing of information on social networks Research Paper

Over sharing of information on social networks - Research Paper Example However, a vast majority of the social media users have resorted to sharing too much information that may compromises their integrity (Solomon 111). In essence, oversharing of information is a major problem in most networking sites, especially those with largely unregulated policies. In this regard, many people tend to share inappropriate content or too much personal information in on the social networks and this amount to oversharing of information in such platforms (MOAC 28). This paper therefore, examines the current trends, contributing factors, and impacts of oversharing of information on social networks. Essentially, social media include all the sites in the internet that enable free interaction of people from different parts of the world. In such interaction, people can easily share multimedia files such as videos, images, and texts (Rasquinha). The use of social media enhances communication in a number of aspects. For instance, people can be able to chat online via the social networking sites besides having the option of doing online business. Initially, most people had the perception that social media was a tool that only friends and peers could use to interact especially in various situations (Solomon 111). Nonetheless, the mushrooming of various social networking sites, especially in the 21st century, has seen more individuals, corporates, and organization embrace the use of social media fully. One reason attributed to this is that one is able to reach and communicate to a large audience via social networking sites that in any other channel. The main social networking sites inc lude Facebook, twitter, Instagram, LinkedIn, You tube, Blogger, MySpace, and Flickr (Mergel 87). Although the main use of social networking sites is social interaction, as the name suggests, the integration of various services in such sites has attracted a number of specialized clientele over the years (Rasquinha). In turn, this scenario has

The future of the entertainment and media industry in the USA Essay

The future of the entertainment and media industry in the USA - Essay Example Nothing can match up to the difference the media has created in our lives and with time it can only get better. Talking about the future of the media, it is vivid how large the impact is going to be with every step towards perfection of evolution and advancement in technology, every day, every month and every year. â€Å"The media is a clever businessman and a better speaker than any politician† and to reach to the mass ensuring success it has come up with reality shows on almost every channel that keeps the mass glued to their television sets. The news hour debates keep the elderly in the family busy after work, the sitcoms and reality events keep the youth engrossed and why won’t they if it’s a good platform to portray your talent and feel the taste of success being in the limelight in reality shows like the American Idol. The future of the media can only get better as aforementioned and there’s no reason why it shouldn’t. My aim would be to add t o the profits while bringing in something new to this wonderful industry. There is much scope for experimentation and evolution in this particular industry.

Project management report of urban regeneration project south america Essay

Project management report of urban regeneration project south america - Essay Example It also sets out a timetable for the preparation and review of these documents and covers a rolling 3-year period. The LDF is made up of the following Local Development Documents (LDDs) Statement of Community Involvement (SCI) which delineates the standards the project management team intends to adapt in an attempt to involve the community in the preparation of the LDDs and the planning application process in Guayaquil In producing the LDS the project management team has taken into consideration the fact that the Imagen Objetivo has been completed and a draft scheme has been received from the key stakeholders (Planning Portal 2005). The Pertinent Development Plan Documents (DPDs) and Supplementary Planning Documents (SPDs) which will be prepared over the course of four years. These plan documents coincide with the phases of development Some of the planning policy documents that the will be produced will be development plan documents and others, such as supplementary planning documents, will not. The project management team recognizes the fact that any recommendations in the Planning Inspectors report are binding. As a general rule, supplementary planning documents are not subject to a public examination but will still be the subject of public consultation before they are adopted by the Council. For the purposes of operating within a clear time constraint, the project live cycle was designed to be coincidental with the LDS. As such, the project phasing begins with a strong focus on the development of the Commercial Centre first and foremost and subsequently the development of the New Plaza Civica, the food court, the public walkway, the refurbishment of the old fish market, the cultural centre and finally the development of the New National Art Gallery and Museum. The rationale behind beginning with the development of the Commercial Center relates to the

Education leadership Essay Example | Topics and Well Written Essays - 500 words

Education leadership - Essay Example ?s model relies on the personal responsibility of the individual participants within the system to administer the policies that ensure a safe environment to all involved. The first and primary goal is to focus on the end that leads to the maximalization of utility for the learning process. As such, the ways in which strategic goals and plans are implemented are entirely concentric around this. Rather than getting caught up in the minutia that many other educational approaches are so oftentimes ensnared, Clark’s approach seeks to focus on the end goal as a means of attempting to gain both educator and student buy in for the strategic goals and changes that will be pursued. This model helps to keep both parties focused on the true goal rather than becoming distracted by minutia. What is unique about Clark’s approach is the fact that many of the positions that may be required at a traditional school such as substitute teachers are not a requirement for his model. Rather, it is beholden upon the other staff members to shift their schedules and classes so that the subject matter can be covered with the class regardless (Clark 2011). Again, this focuses on the personal responsibility framework and encourages educators to not miss a single day of class for any reason other than a legitimate one. What is unique about Ron Clark’s approach to education is that he fully embraces corporate sponsors in attempting to recruit the raw capital that is required to perform the educational experimentation and development that his model encompasses. Although many forms of education have actively sought to separate themselves from such â€Å"corporate† sponsorship, Clark has embraced this due to the fact that it is highly likely that many of the students that he serves to educate will at least at some point in their life be employed by such a sponsoring entity. In this way Clark does not see that such sponsorship dilutes the educational process; rather, it is a form of

Alhajry Unit 5 Essay Example | Topics and Well Written Essays - 1000 words

Alhajry Unit 5 - Essay Example Causes of global warming According to research, the human population has created a significant imbalance between living and planet earth in which the result has been the occurrence of natural disasters reported over the past a hundred years. Ideally, the rise of global temperature started mid twentieth century because of the increase in greenhouse gas emissions to earth’s atmosphere (Maslin 9). Environmentalists agree with the fact that the global temperature’s have increased by 0.5 degrees and will be on an increasing trend for years to come. Researchers indicate that 1990 was the hottest year of the twentieth century with scientists indicating that the global temperatures would rise by at least 3 degrees within the next a hundred years. First, air pollution and the greenhouse effect are the principle causes of global warming as the former is through factory emissions and vehicle gases (Maslin 10). The latter is through the entrapment of gases by green houses that help the sun to cool off, hence influencing the globe to experience higher temperatures. Over the years, the ozone layer has also experienced depletion as the atmosphere has allowed the penetration of harmful gases that heat up the earth. In essence, the ozone layer is the outermost layer of the atmosphere that prevents the damaging of the earth’s surface from radiations that are cancerous. The depletion of the ozone layer due to the heating up of the atmosphere and the resulting puncturing of the same (Ozone Holes) has allowed cancer-causing radiations to penetrate the earth leading to global warming. Further, the sulfur dioxide gas released during volcanic activities also causes global warming as they tend to cause blockage of the sunlight from reaching the earth’s surface hence distorting the global temperatures. With the rise of the global population, there has been an increase in human activity especially on forest as many strive to attain lands to settle in, which ha s led to the increased deforestation levels and decreased crop cover. Deforestation causes global warming because the cutting down of trees decreases the production of oxygen by plants and increases the concentration rates of carbon dioxide in the atmosphere. Essentially, plants take in carbon dioxide and produce oxygen during the process of photosynthesis in which if forest cover decreases then there would be plenty of harmful carbon dioxide for human beings. On the other hand, the increased use of fertilizers that contain nitrogen oxide as compared to the conventional animal manure has also paved way for increased global temperatures as these fertilizers have heat storage capabilities. Nitrogen oxides have higher heat retention capacities as compared to carbon dioxide and when they get into the atmosphere, they destroy the ozone layer faster hence allowing the penetration of ultraviolet rays. The burning of fossil fuels on a daily basis is another cause of global warming because t hese fuels contain high levels of carbon (Haldar 11). Burning them increases carbon levels in the atmosphere as there is no complete consumption of the same. In the end, the increased establishment of industries and continued human activities continues to rise, the global temper