Friday, December 27, 2019

Colorectal Cancer Cancer And Cancer - 2998 Words

Cancer occurs when abnormal cells in the body uncontrollably replicate forming a malignant tumor that invades nearby tissues. It has the capability to affect any part of the body and spread to tissues throughout the body. There are many different types of cancers including rectal cancer, colon cancer, breast cancer, lung cancer, and skin cancer. Rectal cancer is a disease in which cancer cells develop and form in the tissues of the rectum. Rectal cancer is typically classified with colon cancer where they are collectively called colorectal cancer. According to the Centers for Disease Control and Prevention, colorectal cancer is the second leading cause of cancer-related deaths in the United States and the third most common cancer in men and in women (CDC, 2014). Colorectal cancer is the third most commonly cancer diagnosed in men and second in females worldwide (Jemal, 2011). Certain ethnicities such as blacks have an increased chance of having colorectal cancer compared to whites an d other races. Colorectal cancer also has a higher incidence in men versus in women. It has been noted that about 90 percent of colorectal cancers are diagnosed in patients who are at the age of 50 and older. Two-thirds of these patients that were diagnosed were older than 65 years old. (Haggstrom, 2013). Some of the risk factors of colorectal cancer include environmental factors and genetic component, high fat, low-fiber diet, diet high in red meats, family history of colorectal cancer, maleShow MoreRelatedColorectal Cancer : Cancer And Cancer2594 Words   |  11 PagesColorectal cancer is a cancer of Colon or Rectum and sometime also referred as Bowel cancer. Majority of colorectal cancer are adenocarcinoma i.e. cancer of mucosa cell. Colorectal cancers are locally invasive in nature but metastasis is usually evident before local invasive symptoms. Clinically, colorectal cancer can be characterized into early stages i.e. stage I to III or more advance and deadly IV metastatic sta ge. Metastatic is the stage of colorectal cancer in which cancer spread from its originRead MoreColorectal Cancer : Cancer And Cancer1140 Words   |  5 PagesColorectal cancer, also called colon cancer, is a disease in which cancer cells form in the colon, which is the upper five to six feet of the large bowel, or large intestine. Hereditary factors play a role in colorectal cancer risk, but it can also be caused by outside factors. â€Å"Excluding skin cancer, it is the third most common cancer diagnosed in both men and women in the United States† (American Cancer Society). Colorectal cancer has been known since ancient times, and it is becoming less fatalRead MoreColorectal Cancer : Cancer Of The Colon939 Words   |  4 PagesColorectal cancer is cancer of the colon. It is also referred to as colon cancer. It is mostly found in people over the age of fifty. In the United States alone, it is the second leading cancer killer in the US. Colon cancer has four stages of canc er. The cancer can either be malignant or benign. The anatomy, signs and symptoms and treatments are all very important things to consider when encountering colon cancer. The anatomy of colon cancer is very intriguing. The colon is part of the gastrointestinalRead MoreCell And Breast Cancers And Colorectal Cancer1161 Words   |  5 Pagesthymidine monophostate (dTMP). 5FU interrupts the activity of TS and creates a shortage in the levels of dTMP. Thus the rapidly proliferating cells undergo death due to lack of thymidine nucleoside. The drug has successful applications in colorectal and breast cancers and is used in various combination therapies with methotrexate (Maddur et al., 2009). The concentration used for the experiments is 10  µM Oxaliplatin is an antineoplastic platinum drug. Platinum drugs target DNA synthesis by forming eitherRead MoreA Brief Note On Colorectal Cancer And Cancer2390 Words   |  10 PagesColorectal cancer is one of the global leading diseases and it is the third most common causes of death in both men and women in America. Approximately 1 in 12 Australians will develop colorectal cancer in their lifetime, and according to Bowel Cancer Australia, individuals are at risk if they are aged 50 years and over, have had an inflammatory colorectal disease or significant family history of colorectal cancer polyps. Although there are various treatments for colorectal cancer, complicationsRead MoreColorectal Cancer : The Third Most Common Type Of Cancer1296 Words   |  6 PagesIntroduction Colorectal cancer (CRC) is ranked as the third most common type of cancer in women. Furthermore, it is the fourth most dominant kind of cancer in men recorded all over the world. Consequently, CRC accounts for over a million new cases and more than half a million deaths every year. Colonoscopy allows early discovery and removal of precancerous lesions and may, therefore, effectively prevent or reduce the risk of Colorectal cancer. Although studies under hugely standardized conditionsRead MoreBreast Cancer : A Potential Risk Factor For Colorectal Cancer2076 Words   |  9 PagesIntroduction . The intake of red and/or processed meat is a potential risk factor for colorectal cancer (Chenni et al, 2013, pg 227). One of the recommendations to reduce the risk of colorectal cancer is to reduce the intake of red meat (Takachi et al, 2011, pg 604). Higher instances of colon cancer have been found in men than in women, because men generally consume more red meat than women (Zhu et al, 2013, pg 2). Some studies prove that an increase of colon tumors in rats connected inRead MoreColorectal Cancer And Its Effects On The Digestive System853 Words   |  4 PagesColorectal Cancer Colorectal cancer mainly starts at colon or the rectum. They are common in most of the way like features, but they have different treatment. What is the different between colon cancer and rectum cancer? Colon cancer happens first four to five feet of the large intestine and rectal cancer happens in the last few inches of the large intestine where it is connected to anus. Digestive system in our body Colon and rectum are both located in the digestive system. There are two partsRead MoreImplementation Of A Colorectal Cancer Screening Program1958 Words   |  8 PagesImplementation of a Colorectal Cancer Screening Program in a Rural Upper Midwest Federally Funded Health Center: An Evidence Based Project One of the many goals developed by the United States Government in its Healthy People 2020 campaign was to â€Å"reduce the number of new cancer cases, as well as the illness, disability, and death caused by cancer† (Healthy People 2020, 2016). This goal is further broken down by cancer types. The goals for colorectal cancer (CRC) is to reduce the 2007 baseline mortalityRead MoreColorectal Cancer : An End Stage Disease1135 Words   |  5 PagesThe availability of the peritoneal disease in relation to colorectal cancer has a poor prognosis; therefore, traditional treatment such as systemic chemotherapy is usually associated with less survival rate. Currently, several innovative individuals globally are seeking to utilise more rapid and thorough strategies for the management of colorectal cancer. Cytoreductive surgery (CRS) is one of the most popularised methods of managing the disease in some selected patients. Peritoneal carcinomatosis

Thursday, December 19, 2019

Britain s Political And Religious Structure During The...

Between the years 1529-1588 and in the Tudor era, Britain saw perhaps the biggest changes in its political and religious structure in its history. It changed from Catholicism to Protestantism, then back and back again. It also saw major changes in who ran the country, with more involvement from parliament. Different chief ministers (including Thomas Cromwell) had different impacts on Britain and the monarch, and the influence of them will be assessed in this essay. Thomas Wolsey was born in 1475, and rose his way the top. Before being made a cardinal, he became a priest and a successful politician, and he was the almoner (in charge of distributing funds to the poor) when Henry came to the throne in 1509. Wolsey held several important positions. He was the Bishop of Lincoln, Canon of Windsor and also Prince Bishop of Durham. One accomplishment that Wolsey is particularly remembered for, is organising the Field of The Cloth Of Gold. This was a festival planned to celebrate the alliance between England and France, with both monarchs, Henry VIII and Francis I strengthening their relationship. The treaty of London was also a huge accomplishment for Wolsey, as he was the one who designed the 1518 treaty. It was a non-aggression pact between the major European nations, (France, England, Holy Roman Empire, the Papacy, Spain, Burgundy and the Netherlands), all of whom agreed not to attack one another and come to aid if needed. Though it was not always s uccessful in stopping someShow MoreRelatedâ€Å"the Spirit of Renaissance and Elizabethan Era†5448 Words   |  22 Pagescentury. This era in English cultural history is sometimes referred to as the age of Shakespeare or the Elizabethan era, the first period in English and British history to be named after a reigning monarch. Renaissance literally means rebirth. It refers especially to the rebirth of learning that began in Italy in the fourteenth century, spread to the north, including England, by the sixteenth century, and ended in the north in the mid-seventeenth century (earlier in Italy). During this periodRead MoreRethinking Mercantalism Essay15042 Words   |  61 PagesRethinking Mercantilism: Political Economy, the British Empire, and the Atlantic World in the Seventeenth and Eighteenth Centuries Author(s): Steve Pincus Reviewed work(s): Source: The William and Mary Quarterly, Vol. 69, No. 1 (January 2012), pp. 3-34 Published by: Omohundro Institute of Early American History and Culture Stable URL: http://www.jstor.org/stable/10.5309/willmaryquar.69.1.0003 . Accessed: 06/09/2012 12:18 Your use of the JSTOR archive indicates your acceptance of the TermsRead MoreInstitution as the Fundamental Cause of Long Tern Growth39832 Words   |  160 PagesHandbook of Economic Growth edited by Philippe Aghion and Steve Durlauf. We thank the editors for their patience and Leopoldo Fergusson, Pablo Querubà ­n and Barry Weingast for their helpful suggestions. The views expressed herein are those of the author(s) and not necessarily those of the National Bureau of Economic Research.  ©2004 by Daron Acemoglu, Simon Johnson, and James Robinson. All rights reserved. Short sections of text, not to exceed two paragraphs, may be quoted without explicit permission providedRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pagesand permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, ele ctronic, mechanical, photocopying, recording, or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458, or you may fax your request to 201-236-3290. Many of the designations by manufacturers

Wednesday, December 11, 2019

Midwife Practice Knowledge and Skills

Question: Discuss about theMidwife Practicefor Knowledge and Skills. Answer: Introduction The midwifery skills require appropriate knowledge and skills to maintain the patients quality of life. This assignment is related to demonstrate the incident and personal experience related to the incident. There comes many occasions when midwives have to go through ethical and moral problems as well as have to recognize the importance of the role of the midwife. This reflective essay is based on the case study of a patient named as X. She is a 28 years old women with gravida para 1. Leaking liquor was noticed in her urine. The patient starts to feel increased leaking sensations and contraction pain. Once the fetal head was delivered it got recoiled in the perineum and turtle necking occur. This kind of situation is very difficult for the healthcare professional, and if the baby is not delivered within 5 minutes then chances of brain damage in child increases. Such difficult situations challenge the role of midwives and can also prepare them to for future challenges. Through this re flective essay I will attempt to evaluate the experience as a midwives student and how such experience can be helpful for future practice. Description of Care The patient X involved in this case is a 28 years old pregnant woman, who has been experiencing liquor leaking and pain. During the acute pain and delivery process, the head of the baby recoils against the perineum of mother. The turtle sign is identified, when the head of the baby suddenly retracts back, while it was emerging through vagina. This means that the cheeks of the baby bulges out, which resembles to the turtle pulling its head back into its shell. However, the delivery of the baby was done through McRoberts maneuver. This time is very difficult for the healthcare professionals and mainly for the midwife, who is committed to provide personal support and assistance to the women before and during delivery (Adams, 2015). Delivery of the baby is not easy and professionals as well as the mother have to face many challenges during the process of delivery (Aune, Amundsen, Aas, 2014). In the given case study turtle necking occur, which calls for the immediate professional care and quality interventions otherwise the life of the baby be in danger. The major danger is to face shoulder dystocia during turtle necking. This is the situation, where shoulder of the baby stuck in the pelvis or symphysis pubis (the pubic bone)of mother. Understanding the variations of shoulder dystocia is very important for the midwives. Acknowledgment of Feelings and Thoughts The role of midwife is to work in coordination with other professionals. During this case in Patient Xs situation, I felt very terrified, as the life of baby is very important. I concentrated on the skills and knowledge that I gained from my midwifery degree. This knowledge encourages midwives to consider patient safety and understand the variations and types of shoulder dystocia. The learning resources for midwives help to focus on the problems and how to solve them. I believe that role of midwife is to save the life by taking accurate action for problem solving. During the delivery of baby I felt terrified on the first place, it is because the life of baby was in danger and any delay in the appropriate intervention can result in severe brain and physical injuries in child. However, women are amazing and they are capable of delivering their babies with difficult challenges as well. Thus, later I felt that I am very lucky that I got a chance to take part in such delivery and all my fear was gone when I concentrated on knowledge I have gained, which says that there are many bizarre birth positions, delivery situations and movements, but still instinctive pelvic movementscan result in riskless deliveries. Baby need some time to come in comfortable position and appropriate knowledge and skills of the midwives can reduce the risk (Code of ethics for midwives in Australia, 2008). Thus, I felt happy to participate in this challenging delivery. Shoulder dystocia is a very unpredictable situation and healthcare professionals have to be prepared for such unpredictable situations. The role of professional communication and working in coordination is also important. This delivery experience helped me to enhance my nursing skills and supporting patients. Evaluation of Care Midwife is the person, who is recognized as being accountable and responsible professionals, who works in partnership with other women, who require care, support and advice during their period of pregnancy, labour, delivery, conducting birth of babies, postpartum period, and offering appropriate care to the new born. The role of midwife is to apply preventive measures and promote the birth of baby through normal delivery, detecting any kind of complications if appear, accessing appropriate assistance from other healthcare professionals and carrying emergency measures. The incident that took place was very challenging or me. My duty was to identify the problem and inform the professionals to seek their assistance. As, the turtle necking occurred, it was important to understand that such problem has occurred and require appropriate measure. It is appropriate to monitor each and every change in the condition of woman and baby. As the babys head appeared with puffed cheeks, it was obvious that turtle necking has occurred, which can result in shoulder dystocia (Politi et al, 2010). This case was beneficial to display the importance of team work and leadership. By seeing the problem, the whole team was activated and all the nursing professionals displayed good communication and effective team work. Thus, it was beneficial to take part in such case and enhance the skills and knowledge for future practice. However, this experience could have been detrimental, if I would have not focused on the patients and childs safety. But, good and effective team work was a very beneficial factor in resolving the problem of Shoulder dystocia. Analysis Shoulder dystocia can be a very serious and significant cause of neonatal and maternal injury. This kind of situation is characterized as a severe obstetrical emergency that complicates between 0.2% and 4.0% of vaginal births in the United States (Robins, 2012). Shoulder dystocia is the problem that occurs, when shoulder of the baby is failed to be delivered spontaneously. And from this situation I learnt that role of midwife is very important and additional maneuvers by the midwives in order to facilitate safe delivery for the child. The main risk associated with this kind of delivery is of substantial neonatal injuries and morbidities. This kind of problem requires working effectively and in coordination with team. According to Smith et al, (2013), there is limited research available on the topic about the factors that make women vulnerable to the risk of such delivery, and mainly such incidents occur in women, who do not display any signs of such problem. Thus, such cases are very beneficial for getting practical knowledge. The delivery done in this case was through McRoberts maneuver. It is important for the safe birth. Before that I learnt that it is important to give significant time to the child to adjust the shoulder (Simic, 2014). Sometime within five minutes child can take the necessary position and can come out easily, but if in five minutes it does not come in normal position then necessary professional assistance is required. I learnt that in such cases midwives should take immediate action. Not to make the bad situation worse, it is important to remember that babys shoulder should not be pulled. It is because pulling is the most common mistake that midwives do because they panic. Also continuous communication with the patient is very important. I learnt that continuous communication with the patient may reduce their stress and provide the support during difficult time. Action Plan According to Robins (2012) Midwives and physicians are entrusted as gatekeepers for the safety and wellbeing of the mother and infant during the birth process. When there are any kind of adverse outcomes of mortality or morbidity in the patient or the fetus, such situation can be very distressing for the healthcare professionals as well (Schneider, Whitehead, 2013). Thus, taking appropriate care and applying the knowledge and skills in the correct way are important to fulfill the duty of care (Borrelli, 2014). Midwives also have the role of educating people and counseling them (Code of professional conduct for midwives in Australia, 2008), thus I learn that communication with patient, as well as inter-professional communication is necessary for working in accordance to provide quality care and support (Yznaga, 2013). For the future action plan I would concentrate on patient and childs safety. I would concentrate on changing condition of patient, with regular communication and monitoring condition (Thelin, Lundgren, Hermansson, 2014). According the Code of professional conduct for the Midwives in Australia (2008), Midwives focus on a womans health needs, her expectations and aspirations, supporting the informed decision making of each woman. Thus, my focus will also on the health and safety of patient and will consider her expectation and dignity while practicing. Conclusion The role of midwife is very important in nursing and healthcare practice. This role is mainly dedicated to the pregnant mother, postpartum care and fetus safety. This role also includes attaining unsurpassed skills and experience. The case presented in this reflective essay helped me to gain great experience regarding complex deliveries. I learnt to appropriately demonstrate the duties of the midwife and gained experience and knowledge for future practices. I discussed the points that were beneficial to be learnt through this case and how complications can occur due to ignorance or getting panic. I would be able to practice in safe and competent manner in future. References Adams, M. C. (2015). A documentation standard for the maternal and child health nurse inVictoria. Aune, I., Amundsen, H. H., Aas, L. C. S. (2014). Is a midwife's continuous presence during childbirth a matter of course? Midwives' experiences and thoughts about factors that may influence their continuous support of women during labour.Midwifery,30(1), 89-95. Borrelli, S. E. (2014). What is a good midwife? Insights from the literature.Midwifery,30(1), 3-10. Code of professional conduct for midwives in Australia. (2008). Nursing and Midwifery Boardof Australia. Retrieved From: file:///C:/Users/Master/Downloads/Nursing-and-Midwifery-Board---Codes-and-Guidelines---Code-of-professional-conduct-for-midwives---August-2008.PDF Code of ethics for midwives in Australia. (2008). Nursing and Midwifery Board of Australia. Retrieved From: file:///C:/Users/Master/Downloads/Nursing-and-Midwifery-Board---Codes-and-Guidelines---Code-of-ethics-for-midwives---August-2008.PDF Politi, S., D?Emidio, L., Cignini, P., Giorlandino, M., Giorlandino, C. (2010). Shoulder dystocia: an Evidence-Based approach.Journal of prenatal medicine,4(3), 35. Robins, K. (2012). Psychological trauma of nurse-midwives following shoulder dystociacomplicated by neonatal morbidity or mortality. Schneider, Z., Whitehead, D. (2013).Nursing and midwifery research: methods and appraisalfor evidence-based practice. Elsevier Australia. Smith, L. A., Price, N., Simonite, V., Burns, E. E. (2013). Incidence of and risk factors forperineal trauma: a prospective observational study.BMC pregnancy and childbirth,13(1), 1. Simic, L. (2014). Birth Story.Performance Research,19(4), 24-30. Thelin, I. L., Lundgren, I., Hermansson, E. (2014). Midwives' lived experience of caringduring childbirtha phenomenological study.Sexual Reproductive Healthcare,5(3), 113-118. Yznaga, E. (2013). Interprofessional Roles Shoulder Dystocia: Maximizing Safety in Community Hospitals.

Tuesday, December 3, 2019

Public And Private Schooling Essays - Education, Youth, School

Public And Private Schooling As American support for the public education system dwindles, many parents find the only place for their children to receive a quality education is in a private school. The areas that are most important to a private school are also the ones that seem to be lacking in public schools. These include safety, order, teaching the basics and challenging young minds. Across the nation, public education systems continue to fail students, therefore many have chosen, like myself, to attend private Catholic high schools to receive an education that will better prepare them for college. Overcrowded public high schools have been dealt with the problems of insufficient funding, large class sizes, students who simply refuse to learn and are disruptive. Due to an increase in violent acts committed, many public high schools have instituted low level security measures to ensure the safety of students. The types of security found in these schools include closed campuses, controlled access to the school building and grounds, random drug and metal detector, banning certain types of clothing, and either full or part time security guards have been assigned. How can students be expected to learn and teachers educate in an environment like this? Through personal experience I have found out that it is almost impossible to focus on learning in an atmosphere that is forced to emphasize personal safety rather than education. My first eight years of education were spent at area public schools in and around Chicago, IL. During this time I witnessed approximately 100 fights, 3 teachers being assaulted by students and numerous drug and weapons arrests. Many of these acts were merely boyish fights and left no lasting impression. One incident that has scarred me for life was when a student came to school with a five-inch knife and proceeded to stab an administrator in front of approximately seventy students, myself included. I simply stood there not knowing what to do, too shocked to blink, too terrified to move. The victim recovered fully and the perpetrator, who at the time was fifteen, is now in jail. Is this the atmosphere that children should be placed in to receive the fundamental elements of education that will prepare them for high school and eventually college? There is enough concern about the quality of education in public schools that many private schools have been bombarded with applications in recent years. This is the case with my alma mater, Saint Mary's High School. Run by the Archdiocese of Chicago, it is a small, coeducational, Catholic school located in downtown Chicago, IL. With a graduating class of less than 150, Saint Mary's fosters a college curriculum with small controlled classes and an emphasis on personal, intellectual and religious growth all in a morally sound environment unlike anything found in public schools. The problems facing many public schools are non-existent at most private schools. They have no need to institute security measures because discipline is not a problem. Students know that the school board can expel anyone that hinders learning in the classroom. Disruptive and violent actions are taken seriously and are not tolerated under any circumstance. At Saint Mary's there are various types of honors courses designed for students that have specific interest in a particular subject. There is also a program set up for students to receive not only tutoring but instruction from Midshipmen attending the United States Naval Academy, located only a few blocks from the high school. This type of program not found in any public or private school is one that places Saint Mary's on a far superior level. For those who choose not to take any honors courses there is a challenging curriculum that places students in small classes therefore making learning a very personal experience between teacher and student. I found the most intriguing part of attending Saint Mary's was the emphasis they placed on religion. From the classroom to the athletic field students know that they are representing not only there family but Saint Mary's High School and the whole Archdiocese of Chicago. The mandatory religion classes taught were not focused on right and wrong but how to improve your own personal view of life. They challenged us to "Walk in the shadow of God" and learn from His teachings. Students at Saint Mary's are committed to serving the community and those in need, not to enhance a resume but because they truly want to. Private schools across the nation have fewer disciplinary problems than public schools because they can be selective in whom they choose to