Tuesday, May 26, 2020

Find Out Who is Concerned About Tess of the D Urbervilles Essay Topics and Why You Need to be Paying Attention

Find Out Who is Concerned About Tess of the D Urbervilles Essay Topics and Why You Need to be Paying Attention So How About Tess of the D Urbervilles Essay Topics? He is not a one-sided villain. The absolute most significant trait within her character is that she is equipped to create such reflections as to amuse even Angel. Jack Durbeyfield is additionally a nocturnal blood-sucker. Alec does not seem in Chapters 12-43. Although Alec is an ideal case of a literary vampire, he isn't the only in the novel. Alec has been attempting to catch Tess's affection, but Tess has been attempting to avoid that, however not successfully, this is precisely what is happening within this moment. The price depends upon the size and urgency. Angel symbolises the fantastic part of society. The majority of the scenes he had shot were exteriors that take place in the very first half of the movie. The first couple of images that came to mind were not too pleasant things whatsoever. Others might need to be expanded upon a bit. Well, it is a distinctive oven, Pinkie. Cake is essential, Pinkie Pie stated. Stubbard-tree a type of apple tree. Up in Arms About Tess of the D Urbervilles Essay Topics? Her once straightforward life is currently trifled with complexity. Moreover, there's no visible divine justice too. This contextual awareness is also essential as a way to understand Hardy's masculine building of femininity generally, and female sexuality particularly. Without coming to terms with the high degree of his love, Aschenbach would have not been able to experience this kind of overwhelming urge to write. The death of Tess is needed by the genre and it's not unexpected. Tess is a woman and it's her status for a woman which causes plenty of events that happen to her. As a consequence of the judgmental nature present within society, Tess is not able to present her child a suitable Christian burial. Tess was the person who was judged, and not the violator of her body that was often true in that time period. A Startling Fact about Tess of the D Urbervilles Essay Topics Uncovered Educators holding lifetime certificates are exempted from the renewal procedure. If your math homework is too hard, we can discover a mathematician that's smart and skilled enough to finish your whole content, it'll be experienced math-guy available online with numerous positive reviews, that's a promise to our customers! We're certain your school years ought to be the best years of your life. It is possible to also talk about the issues that arrive with having a football program. Thus, enable the x-ray games begin! You do not have to be worried about your personal details that could be viewed, as we handle the matter on a safe network. Every couple of years, providers must conduct a thorough self-study to gauge the grade of their CPE offerings, the outcomes of which ought to be utilized to improve activities available to educators. Our website can provide many handy, even unique benefits. Due to its compelling shipping style, it is not hard to get lost in the words on the pages. This paper topics are based on the full book. It's undeniable this story hinges on several unfortunate coincidences. A few of these stories are simply too interesting to leave out. The seasons bring modifications to the story also. At the moment, we do have a specific interest in a couple of specific forms of cat stories. For this write-up, a great deal of people didn't call back. Different varieties of animals, for example, play important roles in the novel. These 50 prompts are supposed to help you discover that topic. Cat names, since you can see here, must hold some quite special meaning for a number of people. We might desire to obey a different track. The folks are taciturn, close fisted, and frequently brutal. Do you own a word for amniomorphic' well, what can you know! You might also need to appear at a few of the videos on YouTube where homeless men and women describe their lives. They're seduced by men and women like Alec. An educator may submit an application for renewal as early as six months before the expiration date of the normal certificate. However, because the novel progresses, it will become apparent they are alike.

Friday, May 15, 2020

Essay on Breast Cancer Case Study - 642 Words

Luis F Vega Jr NUR 1211 Breast Cancer Case Study Mrs. Thomas, a 57 year old married lawyer, was found to have a 4 X 6 cm firm, fixed mass in the upper, outer quadrant of the right breast during a routine physical examination, and a stereotactic core biopsy indicated a malignant tumor. Although the surgeon recommended a mastectomy because of the size of the tumor, Mrs. Thomas chose to have a lumpectomy. Now three weeks postoperative, she is scheduled for chemotherapy. Subjective Data Never had a routine mammogram Never practiced Breast Self-Examination (BSE) States she deserves to have breast cancer for being so careless about her health Chose to have a lumpectomy to remove the tumor despite its large size because she believes†¦show more content†¦What can the nurse do to help Mrs. Thomas reduce or manage the common physical effects of the chemotherapy? Nausea Vomiting - anti-emetic drug, eat and drink slowly, drinking enough fluids Mouth sores (Mucositis) – OTC anesthetics, ice chips or popsicles, gargling Diarrhea - drink plenty of fluids, high-protein foods, cooked vegetables, fresh fruits without the skin Hair loss - wear some kind of head covering (scarf, turban, hat, or wig) 4. What does the finding that Mrs. Thomas’s tumor is estrogen receptor-positive mean? What additional treatment modalities might this suggest? This means that estrogen, but not progesterone, may be supporting the growth and spread of the cancer cells. Your doctor usually will prescribe some form of hormonal therapy at some point in your treatment plan. 5. How could the nurse help Mrs. Thomas cope with her feelings of guilt and maintain a positive relationship with her husband? The nurse could listen to and explore Mrs. Thomas’s feeling of guilt. Inform her about support groups and counseling that are available in her area. 6. What are some possible reasons that Mrs. Thomas did not perform BSE or have mammography performed? Not confident in the technique of BSE Fear that something may be found Losing her sexual identityShow MoreRelatedBreast Cancer Case Study929 Words   |  4 PagesIn the present study, we found that rate of pCR to neoadjuvant chemotherapy was 24.7% (n=25) in the whole cohort (n=101). This finding was consistent with the range of pCR rates to prospective randomized trials of preoperative chemotherapy of 15%-40% mentioned in the literature (Burstein et al., 2008). Moreover, high Ki-67 expression (cutoff 14%) was significantly correlated with achieving a pCR in the large cohort (p=0.016). This result matched with the finding of several studies that reported thatRead MoreBreast Cancer Case Study1234 Words   |  5 Pagesultimately lead to the progression of oral cancer. (Lee et al, 2010). c‑myc was among the first oncogenes found to be amplified in breast cancer, and it can contribute to many other forms of cancer (Victoria and Michael, 2007). It is a critical downstream effector of the Wnt/TCF pathway in colon cancer and activation of Myc might play a predominant role in the pathogenesis of tumors like pediatric hepatoblastoma (Sansom et al, 2007; Cairo et al, 2008). A study done in south Indian population has shownRead MoreBreast Cancer Case Study803 Words   |  4 Pagessecondary organs fibronectin expression is upregulated by primary tumors via resident fibroblasts, which serves as a docking site for VEGFR1+ hematopoietic progenitor cell (HPC) clusters and secondary seeding. During metastasis of breast cancer to lung, interaction of VCAM-1+ cancer cells with VLA-4-expressing macrophages, activat es PI3K/Akt signaling in tumor cells, protecting them from caspase-induced apoptosis. Bone metastasis is also facilitated by interaction of VCAM1 with different integrin partnerRead MoreBreast Cancer Case Study1306 Words   |  6 Pagesmetastases have caused substantial mortality and morbidity in cancer patients. Approximately 15% of women with breast cancer will be diagnosed with brain metastases (Zakaria et al., 2014). With early diagnosis and appropriate treatment, the quality of the patient’s life could be enhanced. Therefore, it is vital for patients with a known primary tumour to undergo imaging studies once they develop neurological signs and symptoms. Imaging studies aid to accurately identify the type, number, size, and locationRead MoreAdult Case Study : Male Breast Cancer3050 Words   |  13 Pages Adult Case Study: Male Breast Cancer Carly Regan Loyola University Chicago Introduction Overview When the topic of breast cancer is discussed in conversation, most will think of it as a female diagnosis. While the greatest percentages of patients diagnosed with breast cancer are female, it is still possible that males can be diagnosed. It is a diagnosis that practitioners should always keep in the back of their minds as a differential when a male presentsRead MoreBreat Cancer Screening Essay1514 Words   |  7 PagesBREAST CANCER SCREENING DR. DANA MORTEZ ARLECIA PURVIS JULY 17, 2011 Current research shows mammograms are stronger than in the past. In a recent study it has confirmed that mammograms benefit for women in their forties and fifties. Women feel confident about the benefits that are associated with a regular mammograms for finding cancer early. However, mammograms can have their limitations. A mammogram will miss some cancers, and it sometimes can leadRead MoreThe Treatment Of Breast Cancer1309 Words   |  6 Pages Introduction: Breast cancer is the most common malignant disease occurring in women in Saudi society. After study and research, it found that two-thirds of the injuries in the Saudi society are diagnosed in advanced stages. The reasons for that are the lack of education for necessary of Self-examination and clinical examination annual, leading to the spread of the disease further. In addition to genetic changes, environmental pollution, bad lifestyle , Obesity ,Lack of exercise are also factorsRead MoreGenome Wide Association Studies Essay1142 Words   |  5 Pageswide association study has been very useful in the recent years. It has helped researchers to detect genes that are not detected that easily. With the detection, it helps the researchers to prevent and treat the particular disease. Breast cancer has been one of the most common cancer in the world and the most common in women. Even though, breast cancer is detected easily with mammograms or self examination there are times where it c an be hard to detect. Genome wide association studies help to identifyRead MoreBreast Cancer : A Malignant Tumor1203 Words   |  5 PagesChapter I - Introduction Breast cancer is defined as a malignant tumor in the cells of the breast. A cancerous tumor develops when a group of malignant cells invade the tissue surrounding the breast and can spread to other parts of the body (Cancer.org, 2015). This type of cancer is most common in women. However, men can also fall victim to the disease. In 2015, about 230,000 new cases of breast cancer will be diagnosed in women and approximately 40,000 women will die from this disease (CancerRead MoreStrength Of Association1146 Words   |  5 Pagesrule out causality and may still be of significant effect on the disease under study. This is applied in a case where the exposure is in a common population. For instance passive smoking and lung cancer (Risk Ratio: 1.3) (Morein Stuart, n.d). Consistency: Repeated observation of an association in a different population under different circumstances showing the same results suggests that the results of a single study are not due to chance. Criticism: This should be applied cautiously to avoid chances

Wednesday, May 6, 2020

Starters vs Relievers Essay - 1062 Words

Starting Pitchers vs. Relief Pitchers There are many differences and similarities between relief pitchers and starting pitchers. There are many different types of relief pitchers that each team has in its bullpen. While starting pitcher each team usually has about 5 starters that rotate through each game, which leaves the rest of the game up to the relief pitchers once the starter can no longer go. People do not normally realize that saying a person is a pitcher is quite a general statement. For example starting pitchers is defined as the pitcher who delivers the first pitch of the game to the first batter. Even if that pitcher gets hurt on that pitch he is still the starter. Normally starting pitchers are supposed to go the†¦show more content†¦Once a runner reaches the goal switches to a no hitter if they got on an error or walk. If they got on with a hit the goal is to get a shutout, which is when the opposing team scores no runs. Also if the starting pitcher goes all the innings in the game whether it is seven or nine they are rewarded with the complete game. Normally when a pitcher reaches any of their goals they achieve a win. Starting pitchers normally have at a minimum three effective pitches. They need pitches to get ahead in the count on the batter and then a strike out pitch. A strike out pitch is a pitch with a lot of break or movement and is hard for the batter to pick up and normally ends with freezing the batter or a swing and miss. A relief pitcher or commonly called a reliever is a pitcher that comes in at any time during the game after the first pitch of the game is thrown. The starter can be removed for multiple reasons such as; injury, ineffectiveness, fatigue, ejection, or depending on the batter. There are many types of relief pitchers for example closers, set-up pitchers, middle relief, left-handed specialist, long relievers and mop up relief. Many relief pitchers were starters in the primes of their careers but ca n no longer endure the stress given with being a starter. This is because as a relief there is more time for rest between outings and the pitcher doesn’t throw as many pitches in one outing.Show MoreRelatedBrand Building Blocks96400 Words   |  386 Pagesthe brand. Research in psychology has shown that recognition alone can result in more positive feelings toward nearly anything, whether it is music, people, words, or brands. Studies have demonstrated that, even with nonsense words (like postryna vs. potastin for example), consumers instinctively prefer an item they have previously seen to one that is new to them. Thus, when a brand choice is made--even when the decision involves products like computers or advertising agencies-the familiar brandRead MoreProject Managment Case Studies214937 Words   |  860 Pagestrainers assigned b) Develop training plan Customization Programming a) Programming commences b) Testing C) Incorporate in system d) Documentation changes made User Training Implement Training Plan Determine Conversion Methodology Manual vs. tape-to-disk Internal vs. contracted Prepare Conversion Data a) Define conversion specs. b) Review cost conversion specs. Perform Conversion a) Write conversion programs b) Test validity of progr ams Test Accounts Payable a) Test for integrity of data b) Test

Tuesday, May 5, 2020

Disaster Recovery Plan free essay sample

Plan Provide an overview of the organization that will be delivered to senior management, defining the business goals and objectives and the size, layout, and structure of the organization. TechWidgets Inc. , is an e-commerce company that provides merchandise to its customers through a web store. The core infrastructure is made up of 10 web servers in a single cluster to handle browsing requests, 5 servers in the web store clusters to hand transactions and processing and a data cluster stored on a storage area network (SAN). The core network is connected to the internet via 2 high speed connections (T-3) from two different providers. This infrastructure is replicated in the organizations alternate hot site for immediate failover in the event of a disaster to prevent any unscheduled downtime as well as being able to appropriately load balance any spikes in activity that would provide a less than adequate shopping experience for customers. The primary data center is located in Los Angeles, California and the hot site data center is located in Atlanta, Georgia. When it comes to data backup and restoration for the servers at DLIS after any given natural disaster, we recommend using the services of Carbonite for offsite vaulting. Their services include automatic backup, anytime anywhere access, easy file recovery, web-based dashboard, automatic video backup, free valet Install, U. S based support, unlimited computers, external drives and NAS devices, HIPAA Compatible, and unlimited Windows Servers. For email services we recommend using Outlook: email cloud. Migrating email to the cloud offers substantial financial savings and eliminates on-site mail system infrastructure. The company can avoid email server backups, shrink email support time, off-load maintenance, and bypass the need for server-based anti-virus, anti-spam and email filtering products, For email security, we recommend using Barracudas Email Security Service. They offer business continuity, security, data loss prevention, encryption, and optimized email. When a disaster strikes, Barracuda is prepared to forward emails to a secondary email server and spooling emails for up to 96 hours which ensures emails are delivered during disaster recovery situations. Their security uses the most advanced technology to block the latest spam, viruses, worms, and DoS attacks. For DLP (Data Loss Prevention), they scan emails and attachments for keywords like social security and automatically block or encrypt sensitive emails. Lastly, they provide the option for users to encrypt their emails while administrators can enforce encryption policies on classes of email. RISK MANAGMENT There are many potential disruptive threats which can occur at any time and affect the normal business process. We have considered a wide range of potential threats and the results of our deliberations are included in this section. Each potential environmental disaster or emergency situation has been examined. The focus here is on the level of business disruption which could arise from each type of disaster. Potential disasters have been assessed as follows: Potential Disaster Probability Rating Impact Rating Brief Description Of Potential Consequences Remedial Actions Flood 3 4 All critical equipment is located on 1st Floor Fire 3 4 FM200 suppression system installed in main computer centers. Fire and smoke detectors on all floors. Tornado 5 Electrical power failure 3 4 Redundant UPS array together with auto standby generator that is tested weekly remotely monitored 24/7. UPSs also remotely monitored. Loss of communications network services 4 4 Two diversely routed T1 trunks into building. WAN redundancy, voice network resilience Probability: 1=Very High, 5=Very LowImpact: 1=Total destruction, 5=Minor annoyance PLAN TRIGGERING EVENTS Key trigger issues at headquarters that would lead to activation of the DRP are: Total loss of all communications Total loss of power Flooding of the premises Loss of the building ASSEMBLY POINTS Where the premises need to be evacuated, the DRP invocation plan identifies two evacuation assembly points: †¢Primary – Far end of main parking lot; †¢Alternate – Parking lot of company across the street ACTIVATION OF EMERGENCY RESPONSE TEAM When an incident occurs the Emergency Response Team (ERT) must be activated. The ERT will then decide the extent to which the DRP must be invoked. All employees must be issued a Quick Reference card containing ERT contact details to be used in the event of a disaster. Responsibilities of the ERT are to: †¢Respond immediately to a potential disaster and call emergency services; †¢Assess the extent of the disaster and its impact on the business, data center, etc. ; †¢Decide which elements of the DR Plan should be activated; †¢Establish and manage disaster recovery team to maintain vital services and return to normal operation; †¢Ensure employees are notified and allocate responsibilities and activities as required. DISASTER RECOVERY TEAM The team will be contacted and assembled by the ERT. The teams responsibilities include: †¢Establish facilities for an emergency level of service within 2.  0 business hours; †¢Restore key services within 4. 0 business hours of the incident; †¢Recover to business as usual within 8. 0 to 24. 0 hours after the incident; †¢Coordinate activities with disaster recovery team, first responders, etc. †¢Report to the emergency response team. EMERGENCY ALERT, ESCALATION, AND DRP ACTIVATION This policy and procedure has been established to ensure that in the event of a disaster or crisis, personnel will have a clear understanding of who should be contacted. Procedures have been addressed to ensure that communications can be quickly established while activating disaster recovery. The DR plan will rely principally on key members of management and staff who will provide the technical and management skills necessary to achieve a smooth technology and business recovery. Suppliers of critical goods and services will continue to support recovery of business operations as the company returns to normal operating mode. EMERGENCY ALERT The Emergency Response Team (ERT) is responsible for activating the DRP for disasters identified in this plan, as well as in the event of any other occurrence that affects the company’s capability to perform normally. One of the tasks during the early stages of the emergency is to notify the Disaster Recovery Team (DRT) that an emergency has occurred. The notification will request DRT members to assemble at the site of the problem and will involve sufficient information to have this request effectively communicated. The Business Recovery Team (BRT) will consist of senior representatives from the main business departments. The BRT Leader will be a senior member of the companys management team, and will be responsible for taking overall charge of the process and ensuring that the company returns to normal working operations as early as possible.