Wednesday, April 15, 2020
CHEMOTHERAPY AND RADIATION THERAPY Essays - Medicine,
jjkn CHEMOTHERAPY AND RADIATION THERAPY A Research Presented to the Department of Arts and Sciences Cavite State University - Carmona Carmona, Cavite In partial fulfilment of the requirements for the degree of Business Management Major in Marketing Management Leocel Bado Mycris Jean D. Bragat Sharra Jannieca R. Capuz Remi Ann T. Culaban Chresna Mae N. Sarmiento November 2017 ACKNOWLEDGEMENTS W e are really grateful because we managed to complete our General Chemistry research within the time given by our lecturer Profes sor Earl Cyril G. Rosaldo. This research cannot be completed without the effort and cooperation form our group members, Leocel, Mycris Jean, Sharra Jannieca,Remi Ann and Chresna Mae.We would like to thank our school librarian for allowing us to use book references from the library about Chemotherapy, We also thank Professor Richmond K. Quilatan for lending us his Radation Theraphy Book reference. Last but not the least we would like to express our gratitude to our family for giving us the place to do our research. THE AUTHORS II ABSTRACT Bado, Leocel C., Bragat, Mycris Jean D., Capuz, Sharra Jannieca R., Culaban, Remi Ann T., Sarmiento, Chresna Mae N., Chemotherapy and Radiation Therapy. A n Undergraduate Research. Bachelor of Science in Business Management major in Marketing Management. Cavite State University - Carmona Campus, Carmona, Cavite. November 2017: Earl Cyril G. Rosaldo Chemotherapy (chemo) and Radiation Therapy are the most common types of cancer treatment. Both are designed to effectively kill cancer cells, they are very different forms of treatment in terms of their process, and the effect on the body. III TABLE OF CONTENTS ACKNOWLEDGEMENT.. ABSTRACT. TABLE OF CONTENTS.. LIST OF TABLES (if you have) .... LIST OF FIGURES (if you have) .. LIST OF APPENDIX TABLES (if you have) LIST OF APPENDIX FIGURES (if you have) . INTRODUCTION... 1 Background of the Study .. __ Statement of the Problem . __ Scope and Limitations .. __ Significance of the Study .. __ Definition of Terms .. __ PROCESS/MECHANISM/PATHWAY .. Process No. 1 .. . Process No. 2 .. . Process No. 3 .. . DISCUSSION. Title of the first topic . Title of the second topic IV 5000625-85724 __ __ __ __00 __ __ __ __ CONCLUSIONS...... Conclusions .... REFERENCES...... APPENDICES..... CHEMOTHERAPY AND RADIATION THERAPY Leocel Bado Mycris Jean D. Bragat Sharra Jannieca R. Capuz Remi Ann T. Culaban Chresna Mae N. Sarmiento -5715057150 An undergraduate research manuscript submitted to the Faculty of Department of Arts and Sciences of Cavite State University - Carmona Campus, Carmona, Cavite, in partial fulfilment of the degree of Bachelor of Science in Business Management major in Marketing Management. Prepared under the supervision of Earl Cyril G. Rosaldo. -57150311150 INTRODUCTION INTRODUCTION TO RADIATION THERAPY Radiation Therapy, often referred to as radiation oncology , began approximately a year after x-trays were discovered in 1895. It is a medical specialty that involves the treatment of malignant and benign tumors by the app lication of ionizing radiation. A medical student, Emil H. Grubbe, together with a physician friend treated an advanced case of breast cancer with x-ray on January 19, 1896. He continued his research but eventually contracted skin cancer and lost his left hand. By 1899, the first cancer, a basal cell epithelioma, has been cured by radiation. The initial responses observed in the treatment of skin and other superficial tumors generated the hope that a cure for cancer had officially been found. This hope was soon followed by a wave of disappointment and doubt when tumor recurrences and injuries to normal tissues began to appear. The treatments often involved single massive exposures aimed at the eradication of tumors, and the patients who survived the immediate post irradiation often developed major complications. Because of this disappointing result, the use of x-rays to treat tumors would soon have been abandoned had it not been for laboratory and clinical work by Claud Regaud and Henri Coutard . They found that by administering fractionated doses of radiation (smaller doses rather than a large single does), they could achieve the same tumor response but without serious injury to adjacent normal tissues. The clinical pioneers in radiation therapy, mostly surgeons and dermatologists, used the " erythema d ose," or radiation dose necessary
Thursday, March 12, 2020
Passive Periphrastic Latin Construction
Passive Periphrastic Latin Construction The passive periphrastic construction in Latin expresses the idea of obligation of must or ought. A very familiar passive periphrastic is a phrase attributed to Cato, who was bent on destroying the Phoenicians. Cato is said to have ended his speeches with the phrase Carthago delenda est or Carthage must be destroyed.There are two parts to this passive periphrastic, one adjectival and one a form of the verb to be. The adjectival form is the gerundive - note the nd before the ending. The ending is, in this case, feminine, nominative singular, to agree with the noun Carthago, which, like many place names, is feminine.The agent, or in Catos case, the person who would be doing the destroying, is expressed by a dative of agent. Carthago____________Romae__________________ delenda estCarthage (nom. sg. fem.) [by] Rome (dative case) destroyed (gerundive nom. sg. fem.) to be (3rd sg. present) Eventually, Cato got his way. Heres another example: Marc Antony probably thought: Cicero____________Octaviano__________________ delendus estCicero (nom. sg. masc.) [by] Octavianus (dative case) destroyed (gerundive nom. sg. masc.) to be (3rd sg. present) See Why Cicero Had to Die. Index of Quick Tips on Latin Verbs Types of Latin VerbsLatin SupineLatin Verb EndingsLatin InfinitivesLatin Verbs - Internal Thematic VowelLatin Verbs - Person and NumberLatin Verbs - Prepositions in VerbsLatin Verbs - Sequence of Tenses in Indirect DiscourseLatin Words - Where Do You Add on Endings?Passive Periphrastic
Tuesday, February 25, 2020
Classical Mythology Essay Example | Topics and Well Written Essays - 2250 words
Classical Mythology - Essay Example He writes: "As a guiding principle I believe that every poem must be its own sole freshly created universe, and therefore have no belief in 'tradition' or a common myth-kitty... To me the whole of the ancient world, the whole of classical and biblical mythology, means very little, and I think that using them today not only fills poems full of dead spots but dodges the poet's duty to be original." (Larkin 1983:69) Larkin has a right to his view but from what we have witnessed, literature from Renaissance till today is in awe of Greek and Roman mythological characters. And when we discuss mythology, we simply cannot ignore the role played by Homer in reinforcing myths. And one of his key epics dealing with images of classical mythology was Iliad. In this paper, we shall focus on the role of heroism in ancient world with reference to Iliad and how a modern hero borrows from ancient definition of a hero. Homer's Iliad presents the oldest yet most enduring picture of hero and heroism. Who is a hero and what constitutes heroism are questions that Iliad answers but in a manner which may not appeal to modern sensibilities. For us today, hero is a man of who is sensitive, courageous and responsible with compassion for the community. However apart from courage, no other attribute mattered for construction of a heroic figure in Greek epics of ancient times. Homer follows tradition when he creates heroe s and develops a heroic code in his work Iliad but there are occasions where the poet tried to deviate from conventional picture of a hero and from these deviations emerge a new and more reformed image of heroism. A modern day hero borrows from ancient picture of a hero in terms of enduring courage. However a serious distinction must be made here. When we talk about modern hero in this paper, we are only referring to modern mythical heroes like superman and Spiderman and not necessarily heroes in ordinary literature. This distinction is made because while in the ancient plays, heroes were people with extraordinary courage and strength, in modern literature, a protagonist is called a hero and he can be as weak or flawed as any ordinary person. Fishwick explains this difference in these words: "Different ages and cultures vary the heroic personality, but all heroes are true to their age. Whatever their situation, the motives they urge are elementary, the morality they advocate is obvious. History is not very effective without people, and people are ineffective without leaders. The search for heroes is inherent in human nature. Pre-literate societies allow men, heroes, and gods to stand on a footing of tolerable equality. In remote areas of the world men are still deified in their own lifetime. The idea of aloofness in super-human power comes late in history." (Fishwicck, 1954: 3) Homer's ideal hero may have many shades but he is invariably a traditional image of ruthless ambition and unbridled courage at least for most of the epic: "Everywhere can be found, reshaped according to shifting cultural standards, the ideal hero, chevalier sans pear et sans reproached, the crafty hero, the boaster, the grim and aging warrior, the slightly buffoonish hero, the aged king, the warrior virgin, the wise counselor, or the young reckless fighter." (Cedric H. Whitman: p. 26) Homer's heroes most notably, Achilles and Agamemnon were products of a society that weighed a man's worth in terms of public honor.
Sunday, February 9, 2020
Functional Analysis of Capsim Business Simulation Essay
Functional Analysis of Capsim Business Simulation - Essay Example In addition, the paper analyses how each of the functional unit integrates and interacts with other functional units. Finally, the paper provides my recommendations for a business leader in managing a $40 million manufacturing business. The simulation provides a rare chance in experiencing how managing a full business while utilizing the benefits of reports helps in showing the correlations existing between the outcomes in a business and the management decisions (Forgang, 2004). The units of the simulation include production, marketing, finance, research & development (R&D), Human resources and (TQM) total qualities management (Bossche, Gijselaer & Milter, 2011). Production involves the behaviors that firms exhibit at the market places in regards to the creation of goods along with services. This is mainly done for the purpose of satisfying their consumer wants (Dusseau & Wilson, 2010). The production managers involved in a business should engage in comprehending the relationships th at exist between the business inventory levels and their carrying costs along with their market shares (Dusseau & Wilson, 2010). They should also understand the relationship existing between their production capacities and the number of excess hours that their employees have to work to achieve their goals (Sitomer, 2010). This is because a business may end up incurring losses in their operations when their expenses in catering for the overtime hours worked and the cost of this labor exceeds their earnings (Clawson & Haskins, 2006). The production managers in a business will be responsible for producing beneficial results through their efforts of automating the production processes and increasing their manufacturing capacities (Forgang, 2004). Marketing, in a manufacturing environment, refers to the processes through which businesses indulge in creating value for their customers while at the same time building strong relationships with them (Wankel, Arthur & Stoner, 2009). It also in volves creating solutions along with relationships that will either be of long or short term benefit to the business (Dusseau & Wilson, 2010). The marketing manager in a business will be responsible for comprehending the relationship that exists between their margins on prices along with contributions and prices along with demand (Forgang, 2004). They will also be responsible for understanding the relationships existing between the promotions of their budget along with increasing awareness for the business products. The marketing manager and his team should be charged with the task of establishing the business sales budget and accessibility to these funds (Sitomer, 2010). The marketing department in a business may be affected by the new products that are being launched by the research & development departments since they had not been accounted for in their operations and are unknown in the market (Wankel, Arthur & Stoner, 2009). The activities of these departments can also be affect ed by a businessââ¬â¢s production capacity along with the costs it incurs in its operations (Dusseau & Wilson, 2010). Finances in a business are used as measures for ascertaining whether a business is making profits on its investments or not. Finances in a business are mainly affected by their time values since they change on a day to day basis (Sitomer, 2010). Businesses allocate their money and assets to certain uses but under conditions of uncertainty or certainty (Bossche, Gijselaer
Thursday, January 30, 2020
Physician Payment Reform Essay Example for Free
Physician Payment Reform Essay 1. The three goals of the Physician Payment Reform is to decrease medicare expenditures by promoting preventative care and preventing unnecessary hospital stays. The next goal is to Re-distribute physicians payments more equitably by ensuring that physicians receive a fair payment for services rendered. The last goal is to ensure quality health care at a reasonable rate. 2. Modifier -25 would be the appropriate choice, it is a separately indentifiable service that was provided by the same physician on the same day. 3. Medicare pays physicians for services based on three basic compnents called relative value units. The first is Physician work which is the time, skill, and training it takes to provide a particular service. The next is practice expense which is everything that goes into running a practice, like equipment, rent, supplies, etc. The last of these is malpractice, which covers the cost of professional liability expenses. 4. The three types of persons eligible for medicare are the elderly who are age 65 and older. The second are people who are disabled and drawing by social security disability The third are people who are in the stage of renal failure (ESRD). 5. The six basic location methods to find main terms in the index of CPT are; procedure/service, synonym, eponymous, anatomic site, condition of disease, and abbreviations. 6. 99253 is the appropriate E/M code of the initial impatient consultation. The consultation was with a detailed history, a detailed exam, and MDM of low complexity 7. The four elements of history are the chief complaint, the second is the history of present illness. The third is the review of systems, and the final is past, family, and/or social history. 8. The complexity of medical decision making is based off of the number of diagnoses, risk or morbidity (complication or death), and the amount of data (complexity). 9. The appropriate CPT code for this scenario is 99214. The re is a detailed history, a detailed exam, and a MDM of moderate complexity. 10. The three key components that are present in every patient case, (except counseling encounters or time-based codes) areà history, examination and medical decision making. 11. The correct CPT code for this clinic note is 99396. It is a 42-year-old female who is going for a routine physical exam, which is a preventative measure to ensure her health. 12. The appropriate CPT code would be 99341. This case is for a home visit with a problem focused history, a problem focused exam, as well as a straight forward MDM. 13. The four levels of history type are problem focused, expanded problem focused, detailed and comprehensive. 14. The appropriate CPT code is 99281, and the ICD-9 code is 918.1. 15. This scenario has a problem focused history, a problem focused exam and a straight forward MDM (or of low complexity.) Therefore the correct CPT code is 99231. 16. If a patient were discharged from the hospital with a diagnosis of probable myocardial infarction without a history of MI in the past, the coder would use the ICD-9 diagnosis code 410 for this stay. 17. The correct CPT code is 13160, and the correct ICD-9 code is 998.32. 18. The difference between outpatient and inpatient measures of time is that outpatient care is when a patient comes in and receives a medical procedure or treatment and goes home immediately. As where with inpatient care they will receive a medical procedure and stay at the hospital. 19. In this scenario the patient has a fracture of the distal radius, the appropriate CPT code for this is 25600. 20. Four of the five graft types in the musculoskeletal system are bone graft, tissue, fascia, and cartilage. 21. The procedure that was performed in this scenario is on the placement of a halo. The correct CPT code for this scenario is 20661. 22. Since the procedure in this scenario is a left heath catherterization with coronary angiography and left ventriculogra, the correct CPT code for this is 93452. 23. The correct CPT code for the placement only of a dual-chamber pacemaker is 33208. 24. In this scenario the proced ure is for the replacement of a pulse generator in an old pacemaker, the correct CPT code is 33228. 25. The correct CPT diagnosis code is 58558, and the correct ICD-9 code is 621.0. 26. This outpatient clinic scenario is for a bilateral screening mammogram, the correct CPT code is 77057. 27. The correct CPT code for this scenario, an MRI of the brain, is 70552. 28. This scenario is for a dialysis progress note, the correct CPT code is 90947. 29. The correct CPT code for a pulmonary walking stress test is 94620. 30. Physical status modifier P3 indicates a patient with severe systemic disease. 31. The correct CPT codeà for a patient who receives anesthesia for revision of total hip arthroplasty is 01215. The physical status modifier would be P2, because the patient has mild systemic disease. 32. The main term in the diagnosis of fractured clavicle is fractured. 33. The main term in the diagnosis of globe adhesions is adhesions. 34. The main term in the diagnosis of urinary retention is retention. 35. The main term in the diagnosis of acute pneumonia is pneumonia. 36. The correct code for personal history of peptic ulcer is V12.71. 37. The correct code for family history of breast cancer (for a), female is V16.3. 38. The correct code for the preoperative evaluation is V72.83, the code for COPD is 496. 39. In this scenario it is for a simple repair of a superficial wound of the nose measuring 5.2cm, the correct CPT code for this is 12014. 40. To correctly code a lesion excision you must first know the size, location, and number of lesions. You must also know if it is malignant or benign to properly code. 41. The appropriate CPT code for an unlisted procedure of the neck or thorax is 21899.
Wednesday, January 22, 2020
Comparing Relationships in Josephine Miles Housewife and Cathy Songs Picture Bride :: Comparison Compare Contrast Essays
Relationships in Josephine Miles' Housewife and Cathy Song's Picture Bride Having a relationship is a very exciting and sense of belonging thing. A relationship between a man and a woman can have extremely great times and also can bring out the worst times. There are just certain things that you have to do and believe to have a relationship work out right. Times are changing rapidly, and so are relationships. Both people in the relationship need to have the same feelings, or else things just do not work out. Before, women in the relationship were expected to do all of the housework and take care of the children. These days, women just do not normally do this by themselves. Our modern women believe in the 50-50 type of lifestyle. In Josephine Miles' "Housewife," the narrator is talking about a woman who basically is very unhappy. "Occasional mornings when an early fog/ not yet dispersed stands in every yard/ And drips and undiscloses, she is severely/ Put to the task of herself," explains how this woman gets up, before it is completely light out, and is already working on her daily work. (Pg. 285 lines 1-4) She does not get to sit and relax first thing in the morning, she goes straight for her chores, which she probably continues nonstop the whole day. "But when the fog at the glass pauses and closes/ She is put to ponder/ A life-line, how it chooses to run obscurely/ In her hand, before her," is basically showing how she wants to do something else with her life. (lines 9-12) She is wonde ring if she will ever be able to do something besides take care of the house and family. Many people, not as much today, are set up with their future husbands/wives. In royal families and certain cultures, the parents pick who their child's spouse will be. This obviously in most cases will lead to a very unhappy married life. How could you spend your life with someone that you do not even love? Why should someone get to choose your mate for you? There are also what they call "mail order brides." These women usually come from poor communities, who just want to get away and come to the United States or elsewhere and make a better life for them. Cathy Song's poem, "Picture Bride" is about this type of marriage. "Did she simply close/ the door of her father's house/ and walk away," shows that the husband is questioning the type of life that his bride had.
Monday, January 13, 2020
Hyphenated American
Chinese Americans tend to keep their separate identity In the United States, there are multiple hyphenated Americans groups, such as African- American, Asian- American, Irish- American, and Indian- American. People hold American nationality, but have a foreign birth or origins tend to identify themselves in some term of Hyphenated Americans. It means that they are not only Americans, but also involve in different ethnicity, religion, language, and culture. Chinese- Americans comprises the largest ethnic group of Asian Americans.Most of the early Chinese workers immigrated from Guangdong province in China for the Gold Rush (ââ¬Å"Chinese Immigrants and the Gold Rushâ⬠, n. d. ). Since 1865, lots of Chinese worker come to the United States and worked on the famous Transcontinental Railroad project. The Chinese also worked as small merchants, gardener, laundry workers, farmers, and so on. More and more Chinese Americans immigrated with their children from mainland China, Hong Kong, Macau, and Taiwan(ââ¬Å"Chinese Historycal Society of Southern Californiaâ⬠, 2010).The Chinese Americans try to keep their Chinese culture, language, and community, and they tend to retain the separate identity. Chinese Americans tend to live together in their own culture community. According to the 2010 census, the Chinese American population was around 3. 8 million, and half of them lived either inà Californiaà orà New York (ââ¬Å"Race Reporting for the Asian Population by Selected Categories: 2010â⬠, 2010 ). The Chinatown in San Francisco was the oldest and largest Chinese community in the United States.People can find Chinese culture elements everywhere in the Chinatown, for example, herbal shops, temples, dragon parades, Chinese book store, Chinese restaurant, Chinese language school, and even Chinese hospital. People living in the Chinatown communicate in Chinese language, and live exactly the same life style as people in China. Chinese Americans in New York also have such community in the Flushing area, know as Chinatown. There are Chinese transportation companies; travel agencies, and Chinese language school also. Almost every child in Chinese American family has attended Chinese language school after their regular school time.Their parents want them to keep ancestorââ¬â¢s culture, so they will always remember that they are rooted in China. There is a Columbus Chinese Christian Church in Columbus Ohio. Every Sunday, thousands of Chinese American Christians living in Columbus get together and model in the bible through teaching, music, and worship. After the teaching, people share a big dinner of Chinese food. Most of them speak Chinese, and only the new generations who were born in America prefer to speak English. Many of the old immigrated Chinese American even cannot speak English at all.Even though the kids speak English with each other, they can still speak frequently in Chinese with their parents. Chinese Americans stay in th eir own community to retain their culture, language, and customs. Chinese Americans are pride of their ethnic and culture. Music and dance are the common language among all human being. Chinese Americans hold Shen Yun performances all around the United States to spread Chinese art and music. Every year, students can see posts about Shen Yun performance on the wall around the OSU campus. The video Shen Yun 2013 Trailer on the Shen Yun website also shows some significant parts of the performance.Dancers wearing different styles of Chinese traditional ancient clothes performed the Chinese cultures of different dynasty and different ethics. The music play by Chinese traditional instruments was as good as the dancing. As it said in the video, the aim of the performance is to revive 5000 years of divine civilization. It shows Chinese Americansââ¬â¢ strong sense of pride of Chinese culture. Many of the new generation of Chinese American, which is also known as American born Chinese (ABC ), had a hard time to define themselves identity.A short story named ââ¬Å"The Paper Menagerieâ⬠written by Ken Liu won the 2012 Hugo Awards. This short, bittersweet story describe Ken suffered a pain of having a Chinese born mom who was different with every elseââ¬â¢s mom, also, whose accent and broken sentences embarrassed him (Ken, 2012). His mom taught him Chinese, cooked Chinese food, and made him Chinese tradition paper animals as toys. She liked to see the Chinese parts in her son. However, he hated his chink face and all the other Chinese parts from his mother. He refused to talk to her in Chinese even though she can barely speak English.After reading her lasting letter inside the paper animals after his motherââ¬â¢s death, Ken finally understand his motherââ¬â¢s life and know how much she loved him (Ken, 2012). There is an America born Chinese girl Amy Tan who define herself a completely American, and she wants nothing to do with China. However, she actually struggled a lot about which country she truly belongs to. Then she had a trip back to China with her mother. Tan said that once she touched Chinese soil, she better understood her connection to the land and to the country.She finally understood how she belongs to two cultures at the same, which make her accept her hyphenated identity, and view herself as a Chinese American. She said ââ¬Å"I discovered how American I was. I also discover how Chinese I was. I discovered a sense of finally belonging to a period of history, which I never felt with American historyâ⬠. She realized that ââ¬Å"Once you were born Chinese, you cannot help but feel and think Chineseâ⬠(Lemontree, n. d. ). Ken and Amy all tried to refuse everything about China, and they want nothing to do with Chinese.Finally, somehow, they find the way to connect their Chinese heritage and American nationality, and they accept themselves as who they are. American born Chinese new generation all suffered from an un expected pain of trying to belong. They have Chinese faces; they were mostly raised up in Chinese community and eat Chinese food; they have Chinese friends and their family members speak Chinese at home. They donââ¬â¢t know which nation and culture they truly belong to. Sometime they feel embarrassed about having such a different family, and try to integrate into the American society.Their parents hope they can hold the hyphenated identity, because they are pride of Chinese ethnic and culture. Young generations always refuse to do so, but the Chinese heritages do exist in their body, and will have influences on their life. They need to honor their ancestorââ¬â¢s culture and accept combination of being Chinese and American. Reference Chinese Historycal Society of Southern California. (2010). Retrieved on Nov. 21, 2012, from http://www. chssc. org/history/histtimeline. html Chinese Immigrants and the Gold Rush (n. d. ). Retrieved on Nov. 21. 2012, from http://www. pbs. rg/wgbh/a mex/goldrush/peopleevents/p_chinese. html Ken,L. (2011). The Paper Menagerie. Fantasy & Science Fiction. Retrieved on Nov. 21, 2012, from http://a1018. g. akamai. net/f/1018/19022/1d/randomhouse1. download. akamai. com/19022/pdf/Paper_Menagerie. pdf Lemontree. (n. d. ). Hyphenated Identity: A Long Research Journey, Retrieved on Nov, 21, 2012, from http://ayjw. org/articles. php? id=696640 Race Reporting for the Asian Population by Selected Categories: 2010. (2010). U. S. Census Bureau, Retrieved on Nov. 21, 2012, from http://factfinder2. census. gov/faces/tableservices/jsf/pages/productview. xhtml
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