Teacher Certification Admission Essay :: College Admissions Essays

Throughout high school and during my undergraduate studies, education was never a top priority for me. Only during the past two years, in the "real world", have I realized the importance of education. I look back at those years and wish I had done more and realized all the potential I had in my hands and not wasted so much time. During my undergraduate career my social activities consumed my life. My friends were not motivated to do well in school so I followed their lead. My grades were low, and I did not even care. After I graduated in 1997 with a Psychology B.A. and lost touch with my old friends and old ways, I have realized that I should have spent more time doing some soul searching and thinking what it was that I wanted to do with my life. I liked Psychology but what I really wanted to do was work with children more closely. I had spent my junior and senior years involved in internships at Head Start and at a High School in a Program for teenaged mothers. I loved my work ther e. At Head Start I was a Teacher Aid for the pre-school, teaching the children to read, numbers etc. And at the High School I counseled the teenaged mothers, took care of their kids while they went to school and after the school day I tutored them with their homework. After being out of school for a while, I started to miss that. The feeling that I was teaching something those kids, the feeling that I was making a difference. I was determined to find a job in education, with my background in Psychology, how hard could it be? I found work at a residential school for runaways and abused teenaged females. It was great! I was ready to go, I was going to change the world and change those girls lives. What I didn't realize is that will alone does not make me a teacher and that I needed training, a lot of training. I made a lot of mistakes in that job. I got discouraged and decided to forget about working with children, forget teaching and do something else that paid more. So, I got a job as a Secretary, I did that for about two years. Teaching, working with children was always on my mind.

Neuropsychology of Language

The neuropsychological approaches are gradually leading to important discoveries about many aspects of brain function, and language is no exception. Progress has certainly been made in identifying the structure and form of language(s), its universal features, its acquisition and so on, but, until recently, this work has tended to ignore pathologies of language. More recently, neuropsychologists have begun to draw parallels between aphasic disorders and disruption to specific linguistic processes. This work provides evidence of a double dissociation between semantic and syntactic processes, and illustrates clearly that no single brain ‘language centre’ exists. The development of research tools such as the Wada test, and, more recently, structural and functional imaging procedures, has enabled researchers to examine language function in the brains of normal individuals. This work considers the various ways that scientists have examined lateralisation, and the conclusions that they have drawn from their research. The work supports the view that language is mediated by a series of interconnected cortical regions in the left hemisphere, much as the 19th century neurologists proposed. In addition, this work considers recent explorations of language functions in the brain using neurophysiological techniques. At first glance, the two cortical hemispheres look rather like mirror images of each other. The brain, like other components of the nervous system, is superficially symmetrical along the midline, but closer inspection reveals many differences in structure, and behavioural studies suggest differences in function too. The reason for these so-called asymmetries is unclear, although they are widely assumed to depend on the action of genes. Some writers have suggested that they are particularly linked to the development in humans of a sophisticated language system (Crow, 1998). Others have argued that the asymmetries predated the appearance of language and are related to tool use and hand preference. Scientific interest in language dates back to the earliest attempts by researchers to study the brain in a systematic way, with the work of Dax, Broca and Wernicke in the 19th century. Since then, interest in all aspects of language has intensified to the point where its psychological study (psycholinguistics) is now recognised as a discipline in its own right. In 1874 Karl Wernicke described two patients who had a quite different type of language disorder. Their speech was fluent but incomprehensible and they also had profound difficulties understanding spoken language. Wernicke later examined the brain of one of these patients and found damage in the posterior part of the superior temporal gyrus on the left. At the same time as characterising this second form of language disorder, which we now call Wernicke's aphasia, Wernicke developed a theory of how the various brain regions with responsibility for receptive and expressive language function interact. His ideas were taken up and developed by Lichtheim and later, by Geschwind. In Broca's aphasia, as with most neurological conditions, impairment is a matter of degree, but the core feature is a marked difficulty in producing coherent speech (hence the alternative names of ‘expressive' or ‘non-fluent' aphasia). Broca's aphasics can use well-practised expressions without obvious difficulty, and they may also be able to sing a well-known song faultlessly. These abilities demonstrate that the problem is not related to ‘the mechanics' of moving the muscles that are concerned with speech. Wernicke's first patient had difficulty in understanding speech yet could speak fluently, although what he said usually did not make much sense. This form of aphasia clearly differed in several respects from that described by Broca. The problems for Wernicke's patient were related to comprehension and meaningful output rather than the agrammatical and telegraphic output seen in Broca's patients. Broca's and Wernicke's work generated considerable interest among fellow researchers. In 1885, Lichtheim proposed what has come to be known as the ‘connectionist model of language' to explain the various forms of aphasia (seven in all) that had, by then, been characterised. Incidentally, the term ‘connectionist' implies that different brain centres are interconnected, and that impaired language function may result either from damage to one of the centres or to the path-In Lichtheim's model, Broca's and Wernicke's areas formed two points of a triangle (Franklin 2003). The third point represented a ‘concept' centre where word meanings were stored and where auditory comprehension thus occurred. Each point was interconnected, so that damage, either to one of the centres (points), or to any of the pathways connecting them would induce some form of aphasia. Lichtheim's model explained many of the peculiarities of different forms of aphasia, and became, for a time, the dominant model of how the brain manages language comprehension and production. Three new lines of inquiry – the cognitive neuropsychology approach, the functional neuro-imaging research of Petersen, Raichle and colleagues, and the neuroanatomical work of Dronkers and colleagues – have prompted new ideas about the networks of brain regions that mediate language. Researchers in the newly emerging field of developmental cognitive neuroscience seek to understand how postnatal brain development relates to changes in perceptual, cognitive, and social abilities in infants and children (Johnson 2005). The cognitive neuropsychological approach has underlined the subtle differences in cognitive processes that may give rise to specific language disorders. The functional imaging research has identified a wider set of left brain (and some right brain) regions that are clearly active as subjects undertake language tasks. The emerging view from these diverse research approaches is that language is a far more complex and sophisticated skill than was once thought. A universal design feature of languages is that their meaning-bearing forms are divided into two different subsystems, the open-class, or lexical, and the closed-class, or grammatical (Johnson 1997). Open classes have many members and can readily add many more. They commonly include (the roots of) nouns, verbs, and adjectives. Closed classes have relatively few members and are difficult to augment. They include such bound forms as inflections (say, those appearing on a verb) and such free forms as prepositions, conjunctions, and determiners. In addition to such overt closed classes, there are implicit closed classes such as the set of grammatical categories that appear in a language (say, nounhood, verbhood, etc., per se), and the set of grammatical relations that appear in a language (say, subject status, direct object status, etc.). The work supports a model of hemispheric specialisation in humans. While it would be an oversimplification to call the left hemisphere the language hemisphere and the right hemisphere the spatial (or non-language) hemisphere, it is easy to see why earlier researchers jumped to this conclusion. Whether this is because the left hemisphere is preordained for language, or because it is innately better at analytic and sequential processing, is currently a matter of debate. The classic neurological approach to understanding the role of the brain in language relied on case studies of people with localised damage, usually to the left hemisphere. Broca and Wernicke described differing forms of aphasia, the prominent features of the former being non-fluent agrammatical speech, and those of the latter being fluent but usually unintelligible speech. Their work led to the development of Lichtheim's ‘connectionist' model of language, which emphasised both localisation of function and the connections between functional areas. Bibliography Brook, A. & Atkins K. (2005). Cognition and the brain: the philosophy and neuroscience movement. Cambridge, NY: Cambridge University Press. Crain, W. (1992). Theories of Development: Concepts and applications. Englewood Cliffs: Prentice Hall. Crow, T.J. (1998). â€Å"Nuclear schizophrenic symptoms as a window on the relationship between thought and speech.† British Journal of Psychiatry, 173, 303-309. Franklin, Ronald D. (2003). Prediction in Forensic and Neuropsychology: Sound Statistical Practices. Lawrence Erlbaum Associates: Mahwah, NJ. Johnson, M. H. (1997). Developmental Cognitive Neuroscience. Oxford: Blackwell Publishers Ltd. Johnson, M. H. (2005) Developmental Cognitive Neuroscience. Blackwell, Oxford, 2nd Ed. Kolb, B., & Whishaw, I.Q. (1996). Fundamentals of human neuropsychology, 4th edition, New York: Freeman and Co. Maruish, Mark and E. Moses, Jr. (1997). Clinical Neuropsychology: Theoretical Foundations for Practitioners. Lawrence Erlbaum Associates: Mahwah, NJ. Loring, D.W. (1999). INS Dictionary of Neuropsychology. Oxford: Oxford University Press. Stirling, J. (2002). Introducing Neuropsychology. Psychology Press: New York.   

Internal & External Economies in Mumbai Essay

The long run – increases in scale A firm’s efficiency is affected by its size. Large firms are often more efficient than small ones because they can gain from economies of scale, but firms can become too large and suffer from diseconomies of scale. As a firm expands its scale of operations, it is said to move into its long run. The benefits arising from expansion depend upon the effect of expansion on productive efficiency, which can be assessed by looking at changes in average costs at each stage of production. How does a firm expand? A firm can increase its scale of operations in two ways. 1. Internal growth, also called organic growth 2. External growth, also called integration – by merging with other firms, or by acquiring other firms By growing, a firm can expect to reduce its average costs and become more competitive. Long run costs The firm’s long run average cost shows what is happening to average cost when the firm expands, and is at a tangent to the series of short run average cost curves. Each short run average cost curve relates to a separate stage or phase of expansion. The reductions in cost associated with expansion are called economies of scale. Internal and external economies External economies External economies and diseconomies of scale are the benefits and costs associated with the expansion of a whole industry and result from external factors over which a single firm has little or no control. External economies of scale include the benefits of positive externalities enjoyed by firms as a result of the development of an industry or the whole economy. For example, as an industry developes in a particular region an infrastructure of transport of communications will develop, which all industry members can benefit from. Specialist suppliers may also enter the industry and existing firms may benefit from their proximity. Internal economies Internal economies and diseconomies of scale are associated with the expansion of a single firm. The long run cost curve for most firms is assumed to be ‘U’ shaped, because of the impact of internal economies and diseconomies of scale. However, economic theory suggests that average costs will eventually rise because of diseconomies of scale. Types of internal economy of scale 1. Technical economies are the cost savings a firm makes as it grows larger, and arise from the increased use of large scale mechanical processes and machinery. For example, a mass producer of motor vehicles can benefit from technical economies because it can employ mass production techniques and benefit from specialisation and a division of labour. 2. Purchasing economies are gained when larger firms buy in bulk and achieve purchasing discounts. For example, a large supermarket chain can buy its fresh fruit in much greater quantities than a small fruit and vegetable supplier. 3. Administrative savings can arise when large firms spread their administrative and management costs across all their plants, departments, divisions, or subsidiaries. For example, a large multi-national can employ one set of financial accountants for all its separate businesses. 4. Large firms can gain financial savings because they can usually borrow money more cheaply than small firms. This is because they usually have more valuable assets which can be used as security (collateral), and are seen to be a lower risk, especially in comparison with new businesses. In fact, many new businesses fail within their first few years because of cash-flow inadequacies. For example, for having a bank overdraft facility, a supermarket may be charged 2 or 3 % less than a small independent retailer. 5. Risk bearing economies are often derived by large firms who can bear business risks more effectively than smaller firms. For example, a large record company can more easily bear the risk of a ‘flop’ than a smaller record label. Economy of Mumbai Mumbai is the and entertainment capital of India, it is also one of the world’s top 10 centres of commerce in terms of global financial flow, generating 5% of India’s GDP, and accounting for 25% of industrial output, 70% of maritime trade in India ( &), and 70% of capital transactions to . The city houses important financial institutions such as the , the , the , the and the corporate of numerous and . It is also home to some of India’s premier scientific and nuclear institutes like , , ,, , , and the . The city also houses India’s () and . Mumbai’s business opportunities, as well as its potential to offer a higher , attract migrants from all over India and, in turn, make the city a of many communities and . Mumbai is India’s largest city (by population) and is the financial and commercial capital of the country as it generates 6.16% of the total GDP.16105137 It serves as an economic hub of India, contributing 10% of factory employment, 25% of industrial output, 33% of income taxcollections, 60% of customs duty collections, 20% of central excise tax collections, 40% of India’s foreign trade and 4000 crore (US$680 million) incorporate taxes.138 As of 2008, Mumbai’s GDP is 919600 crore (US$160 billion),139 and its per-capita (PPP) income in 2009 was 486,000 (US$8,200),10140 which is almost three times the national average.80 Its nominal per capita income is 125,000 (US$2,100),141 (US$2,094). Many of India’s numerous conglomerates (including Larsen and Toubro, State Bank of India, Life Insurance Corporation of India, Tata Group, Godrej and Reliance),105 and five of the Fortune Global 500 companies are based in Mumbai. 142 Many foreign banks and financial institutions also have branches in this area,105 with the World Trade Centre being the most prominent one.143 Until the 1970s, Mumbai owed its prosperity largely to textile mills and the seaport, but the local economy has since been diversified to include engineering, diamond-polishing, healthcare and information technology.144 As of 2008, the Globalization and World Cities Study Group (GaWC) has ranked Mumbai as an â€Å"Alpha world city†, third in its categories of Global cities.145 Mumbai is the 3rd most expensive office market in the world. Mumbai was ranked among the fastest cities in the country for business startup in 2009.146 State and central government employees make up a large percentage of the city’s workforce. Mumbai also has a large unskilled and semi-skilled self-employed population, who primarily earn their livelihood as hawkers, taxi drivers, mechanics and other such blue collar professions. The port and shipping ind ustry is well established, with Mumbai Port being one of the oldest and most significant ports in India. 147 In Dharavi, in central Mumbai, there is an increasingly large recycling industry, processing recyclable waste from other parts of the city; the district has an estimated 15,000 single-room factories.148 Most of India’s major television and satellite networks, as well as its major publishing houses, are headquartered in Mumbai. The centre of the Hindi movie industry, Bollywood, is the largest film producer in India and one of the largest in the world as well as centre of Marathi Film Industry.149150Along with the rest of India, Mumbai, its commercial capital, has witnessed an economic boom since the liberalisation of 1991, the finance boom in the mid-nineties and the IT, export, services and outsourcing boom in 2000s.151 Mumbai has been ranked 6th among top 10 global cities on billionaire count, ahead of Shanghai, Paris and Los Angeles.11 Mumbai has been ranked 48th on the Worldwide Centres of Commerce Index 2008.152 In April 2008, Mumbai was ranked seventh in the list of à ¢â‚¬Å"Top Ten Cities for Billionaires† by Forbes magazine,153 and first in terms of those billionaires’ average wealth.154 Mumbai is the world’s 38th largest city by GDP. Mumbai is India’s largest city, and is called the financial capital of the country. It serves as an important economic hub of the India, contributing 10% of all factory employment, 40% of all income tax collections, 60% of all customs duty collections, 20% of all central excise tax collections, 40% of India’s foreign trade and Rs. 40 billion (US$ 800 million) in corporate taxes. Mumbai’s per-capita income is Rs. 48,954 (US$ 980) which is almost three times the national average. Many of India’s numerous conglomerates (including State Bank of India, LIC, Tata Group, Godrej and Reliance), and five of the Fortune Global 500 companies are based in Mumbai. Many foreign banks and financial institutions also have branches in this area, the World Trade Centre (Mumbai) being the most prominent one. Until the 1980s, Mumbai owed its prosperity largely to textile mills and the seaport, but the local economy has sin ce been diversified to include engineering, diamond-polishing, healthcare and information technology.| | | | Mumbai is home to the Bhabha Atomic Research Centre, and most of India’s specialized, technical industries, having a modern industrial infrastructure and vast, skilled human resources. Rising venture capital firms, start-ups and established brands work in aerospace, optical engineering, medical research, computers and electronic equipment of all varieties, shipbuilding and salvaging, and renewable energy and power.| State and central government employees make up a large percentage of the city’s workforce. Mumbai also has a large unskilled and semi-skilled self employed population, who primarily earn their livelihood as hawkers, taxi drivers, mechanics and other such blue collar professions. The port and shipping industry, too, employs many residents, directly or indirectly. In Dharavi, in central Mumbai, there is an increasingly large recycling industry, processing recyclable waste from other parts of the city; the district has an estimated 15,000 single-room factories. | | The media industry is another major employer in Mumbai. Most of India’s major television and satellite networks, as well as its major publishing houses, are headquartered here. The centre of the Hindi movie industry, Bollywood produces the largest number of films per year in the world; and the name Bollywood is a portmanteau of Bombay and Hollywood. Marathi television and Marathi film industry are also based in Mumbai.| Along with the rest of India, Mumbai, its commercial capital, has witnessed an economic boom since the liberalization of 1991, the finance boom in the mid-nineties and the IT, export, services and outsourcing boom in this decade. The middle class in Mumbai is the segment most impacted by this boom and is the driver behind the consequent consumer boom. Upward mobility among Mumbaikars has led to a direct increase in consumer spending. Mumbai has been ranked 48th on the Worldwide Centres of Commerce Index 2008. In April 2008, Mumbai was ranked seventh in the list of â€Å"Top Ten Cities for Billionaires† by Forbes magazine.| | | External and internal shocks serious setbacks to economic growth| Economic growth is likely to fall to 6 per cent this year as external and internal shocks are serious setbacks to the country’s economic growth.The Central Bank has not revised its economic growth forecast for the year, but current conditions suggest that economic growth would slip from 7.2 per cent that it estimated earlier this year to even below 6 per cent, if global demand for exports continues to be unfavourable and the prevailing drought conditions persist. The falling international oil prices are the one favourable development that could mitigate the economic slide.Global conditionsThe international economic downturn is widespread. Even China’s state capitalism has been unable to weather the global storm and the Chinese economy is expected to slow down this year. The Indian economy may experience a precipitous decline in its growth. India’s economic progress that had been impressive in the l ast decade has been halted and its first quarter economic growth dipped to just 5.3 per cent. India’s slower growth could affect the Sri Lankan economy in several ways. India is an important trading partner. About 5 per cent of our exports are to India. | Furthermore, foreign investors tend to view investment prospects regionally. India’s troubles could intensify foreign investor concerns on Sri Lanka as a destination for FDI. Moreover our long term economic expectations are linked to the fortunes of India.The most pertinent global developments for Sri Lanka in the short run is the instability of European economies that have slowed down and reduced their purchasing power of commodities exported by us. European countries and the US that accounted for 54 per cent of our exports last year is a sizeable one for industrial exports. The decrease in exports to Europe is being felt in the trade statistics this year. The American economy too has not recovered adequately, and this being an election year, is not expected to regain a growth momentum. With these two main markets affected, our industrial exports have faced a drop of 3.1 per cent in the fir st four months of the year.What is particularly disconcerting is that there is a trend of decreasing industrial exports, especially of garments. In March industrial exports declined by 10.2 per cent and in April it declined by 8.7 per cent, compared to the respective months of last year. Tea exports to the Middle East and Russia too have been adversely affected and in the first four months, tea exports decreased by 11.8 per cent, contributing heavily to the decline in agricultural exports by 11.7 per cent compared to the previous year’s first four months. Total exports declined by 3.1 per cent in the first four months of this year compared to the same period last year. Indications are that both industrial and agricultural exports would face adverse conditions and are not likely to recover.ImportsImports continue to make a serious dent in the trade balance. Although consumer imports declined by 3.3 per cent, intermediate and investment goods continued to increase. Imports were much higher than exports and resulted in a trade deficit of US$ 3.3 billion in the first four months. If this trend continues the trade deficit could be as much as US$ 10-11 billion. This would certainly strain the balance of payments as it is too large to be bridged by worker remittances, tourist earnings, other service earnings and capital inflows. The expectation of higher amounts of foreign direct investments is unlikely. Therefore once again there would be a drain on reserves or increased foreign borrowing to meet the trade deficit, as well as repay capital borrowed earlier and to service interest payments.Economic stabilityThe stabilisation of the economy is becoming an uphill task with exports declining and imports continuing to rise. Consequently the trade deficit is continuing to widen even though some imports are showing signs of decelerating. The exchange rate has depreciated as much as 17.5 per cent since Nov. 21, when the government devalued the rupee by 3 per cent. | Global conditions are no doubt at the root of the problem. The economic policies pursued in the recent past too were not modified to take into account the realities of the global situation and the unrealistic path of development that was pursued, without consideration of resource availability and balance of payments implications of the consumption-investment pattern.Internal shockAs if the external shocks are not enough, the country is in the throes of a severe drought. While the hopes are that the monsoon is a delayed one, the current expectations are that a severe drought is likely.This is likely to reduce paddy as well as other crop outputs in the main paddy growing areas. It is estimated that the Yala 2012 crop will decline by about 30 to 4 0 per cent. There may be a need to importing rice this year. If international rice prices increase then it would result in a further strain on the balance of payments.The impact of a drought on the capacity for hydro electricity generation is serious. Increased thermal generation would necessitate higher petroleum imports. The gains by the reduction of oil prices could be wiped out by increases in the amount of oil imports. Meanwhile in the first four months of this year import expenditure on oil increased by 34 per cent.Silver liningsThere are a few silver linings amidst these dark clouds. International oil prices are falling. Though, as usual, there is volatility in oil prices, they are hovering at a much lower level that in the early part of the year. Oil prices of around US$ 90 per barrel could be a significant boon. Complementing this is the US decision to exempt Sri Lanka from the ban on oil imports from Iran. This too could bring some relief with the possibility of importing Iran crude on concessional and differed payment terms.Worker remittances that are an important source of funding the trade deficit are continuing to increase. In the first four months remittances increased by 16 per cent compared to that of the comparab le period last. This is good news in a context when there was considerable uncertainty about remittances growing owing to the turmoil in the Middle East.Policy imperativesOnly about one half of the probable trade deficit of US$ 11 billion is likely to be offset by remittances. Tourist earnings that are increasing may finance about 10 per cent of the trade deficit. Therefore the current account deficit would have to be financed largely by either running down the reserves or through borrowings that are contingent liabilities. In this context every effort must be made to reduce imports through appropriate pricing policies, reduction of government expenditure and conservation measures. Reducing the price of petroleum products would be an inadvisable measure.|

Different Type Of Treatment For Breast Tumors Health Essay

Cancer is one of the most common malignances in adult females. This paper has given me the chance to research the different types of chest malignant neoplastic diseases and different modes of interventions. In this research paper will give an overview of the physiology and hazards factors and different ways to naming the disease. Once diagnosed with this lay waste toing disease the different types of intervention from chemo to surgical intercessions. I would non desire to bury to include the psychological impact on the adult females and household members after being diagnosed with this malignance. This undertaking will give me the chance to larn more about the disease procedure and other facets of interventions other than surgical. As an Operating Room nurse I have had exposure to the surgical interventions of the disease. Breast malignant neoplastic disease is the most common malignance in adult females and histories for18 per centum of all female malignant neoplastic diseases. The per centum of adult females who develop chest malignant neoplastic diseases are normally post- menopausal, but more than 8,000 are under the age of 50 old ages of age. McCready, Tracey. â€Å" Management of patients with breast malignant neoplastic disease. ( Continuing professional development: oncology ) . â€Å" A Nursing Standard17.41 ( 2003 ) : 45+.A Academic OneFile. Web. 22. Screening methods like chest malignant neoplastic disease consciousness, clinical chest scrutinies, mammography, Ultrasound, MRI has increased early detainment in chest malignant neoplastic disease. Consequently, we have more statistics report organize these showing trials. Screening, diagnosing, and intervention are indispensable to survival, and the importance of early detainment should non be overemphasized. Patients should be good informed what their options are for intervention. Some adult females avoided the diagnosing, believing that the intervention was worse than the disease. This topic usage to be a tabu. The end of showing is to place chest malignant neoplastic disease at the earliest phase, which allows the highest possible remedy. Therefore, many adult females spouse up with their physicians and other health care suppliers to seek the right reply for their diagnosing. The five twelvemonth endurance rate for chest malignant neoplastic disease identified in the earliest phases is now 98 per centum. The mortality rate has dropped by 30 per centum since 1992, which is advancement! We still need to perpetrate to bar by making all we can make to halt malignant neoplastic disease before it starts. These statistics should remind us to eat healthier, more veggies and less nutrient with no nutritionary value, and non gorge in alcoholic drinks. Healthy life styles change such a low-fat diet and exercising can hold signi ficant impact on chest malignant neoplastic disease endurance. These good wonts will cut down your hazard. Plan a scheme for good wellness and act upon your organic structure ‘s destiny. We must besides back up research into environmental and other possible causes for malignant neoplastic disease. Breast malignant neoplastic disease starts as a precancerous mass that progresses to presymptomatic tumour ( the tumour so little that can non be detected by mammography or physical scrutiny ) , so to tumours that are detected by mammography and eventually tumours that are big plenty to be detected by physical scrutiny. Buyske, Jo, et Al. â€Å" Breast malignant neoplastic disease in the 1890ss. â€Å" A AORN JournalA July 1996: 64+.A Academic OneFile. Web. 22. With mammography the tumours can be detected as early before going tangible, every bit little as 1mm in size leting for a greater likeliness of early sensing that can take to bring around. Mammograms are recommended by the A merican Cancer Society on adult females every one to two old ages from age 40 and 50 old ages of age, adult females younger than 18 should execute monthly chest introspection and have one-year scrutinies by their doctors. Womans with higher than mean hazard factors, may necessitate more intensive surveillance. Hazard Factors: Every adult female is indiscriminately at hazard of developing chest malignant neoplastic disease sometime in her life. There are several factors that increase the hazard of the disease development. The biggest hazard factor of all is age, with the bulk of chest malignant neoplastic diseases being diagnosed in the post-menopausal age group. Oestrogen has being evidenced as a critical endocrine in the increased hazard factor for chest malignant neoplastic disease. Early menses before the age of 11, are at increased hazard and those have late climacteric ( after the age of 50 ) are twice likely to develop chest malignant neoplastic disease. The likeliness of chest malignant neoplastic disease increases with the age of the adult females ‘s first gestation. After the age of 30 the hazard additions. Womans who have their first gestation at a higher age are more predisposed to breast malignant neoplastic disease. In fact, adult females who have non given birth run a h igher opportunity of happening. A alteration in endocrines during gestation besides has an consequence on the development of chest malignant neoplastic disease. It is more preventable in multiparity and gestations at an early age. Oral preventives and endocrines replacing tablets are besides important. There is a little hazard associated with taking the unwritten preventive pill before the age of 20 are at higher hazard than adult females who begin at an older age, There is a little hazard associated with the usage of endocrine replacing tablets and for the first one to four old ages after usage has ceased. McCready, Tracey. â€Å" Management of patients with breast malignant neoplastic disease. ( Continuing professional development: oncology ) . â€Å" A Nursing Standard17.41 ( 2003 ) : 45+.A Academic OneFile. Web. 22. Family history provides the strongest hint to the possibility of familial chest malignant neoplastic disease. A female parent, sister or girl with chest malignant neoplastic disease is a strong va riable in the development of chest malignant neoplastic disease. Hereditary chest malignant neoplastic disease attributed to a mutant in a peculiar cistron ( i.e. , BRCA1or BRCA2 ) can be passed on the following coevals, transmitted in an autosomal dominant form. The cistron mutant may arise from the paternal or maternal side and each progeny of a BRCA bearer has a 50 per centum opportunity of inheriting the mutant. Gostout, Bobbie S. , Noralane M. Lindor, and Sandhya Pruthi. â€Å" Identification and direction of adult females with BRCA mutants or familial sensitivity for chest and ovarian malignant neoplastic disease. â€Å" A Mayo Clinic ProceedingsA 85.12 ( 2010 ) : 1111+.A Academic OneFile. Web. 22. Factors that indicate likeliness of a BRCA cistron mutant are: Multiple instances of early- oncoming chest malignant neoplastic disease ( age, & lt ; 50 twelvemonth old ) , a combination of chest and ovarian malignant neoplastic disease in the same adult females bilateral chest malignant neoplastic disease, one household member & lt ; 50 twelvem onth old with chest malignant neoplastic disease or ovarian malignant neoplastic disease and Ashkenazi Jewish heritage, male chest malignant neoplastic disease, a comparative with documented BRCA1 or BRCA2 mutant and multiple instances of chest malignant neoplastic disease across several coevalss in a household. The increased usage of familial testing has being helpful in observing this mutant that increased the potency of chest malignant neoplastic disease in adult females. This familial mutant of BRCA1 and BRCA2 has accounted for 60 per centum of familial chest malignant neoplastic disease and ovarian malignant neoplastic disease. Womans with this germline mutant in BRCA1 and BRCA2 or a familial sensitivity for chest malignant neoplastic disease have markedly increased hazard of early-onset chest malignant neoplastic disease and ovarian malignant neoplastic disease. Gostout, Bobbie S. , Noralane M. Lindor, and Sandhya Pruthi. â€Å" Identification and direction of adult females w ith BRCA mutants or familial sensitivity for chest and ovarian malignant neoplastic disease. â€Å" A Mayo Clinic ProceedingsA 85.12 ( 2010 ) : 1111+.A Academic OneFile. Web. 22. With this two cistrons inhered through a first grade household, it is recommended they seek familial guidance. Familial guidance is considered the mainstream of a multidisciplinary attack to the intervention of familial chest malignant neoplastic disease. Decrease Schemes: Once it has being identified the adult females to be a bearer of the BRCA1 or BRCA2 there are different options offered for intervention. Chemoprevention- tamoxifen a raloxifene, selective estrogen receptor modulators approved for chest malignant neoplastic disease hazard decrease, are by and large prescribed for 5 old ages, and their function beyond this clip frame is unknown. . Gostout, Bobbie S. , Noralane M. Lindor, and Sandhya Pruthi. â€Å" Identification and direction of adult females with BRCA mutants or familial sensitivity for chest and ovarian malignant neoplastic disease. â€Å" A Mayo Clinic ProceedingsA 85.12 ( 2010 ) : 1111+.A Academic OneFile. Web.22. Other options may be bilateral contraceptive mastectomy ( known as hazard decrease mastectomy ) . Your sawbones will explicate the different types of mastectomies, simple mastectomy, where the whole chest is removed and some alar lymph nodes may besides be removed and hypodermic mastectomy, where less breast tissue is surgically excised. These processs significantly cut down the hazard of chest malignant neoplastic disease in adult females with first degree household history of the disease. Several surveies have shown a 90 per centum to 95 per centum decrease in chest malignant neoplastic disease hazard among BRCA bearers, intending that adult females with BRCA mutants can accomplish a degree of chest malignant neoplastic disease hazard that is the same or lower than that of the general population. Gostout, Bobbie S. , Noralane M. Lindor, and Sandhya Pruthi. â€Å" Identification and direction of adult females with BRCA mutants or familial sensitivity for chest and ovarian malignant neoplastic disease. â€Å" A Mayo Clinic ProceedingsA 85.12 ( 2010 ) : 1111+.A Academic OneFile. Web. 22. A Womans can hold rehabilitative surgery station these processs with expanders, a pocket is created under the thorax ‘s pectoral muscle major musculus and the expanders is filled with sal ine, and subsequently on hold breast implants. Tram Pedicle Flap is another option which is a flap of tegument, fat and implicit in musculus is cut from the venters and anastomosed as a chest. Another option is a Deep Free Flap, a flap of tegument and fat that is removed from the venters, along with blood vass that have been dissected from the implicit in musculus and with this a chest is made. Once the chest mass has being found on mammography, which is the most of import diagnostic tool, the sawbones will desire to make obtain a sample of life tissue. Biopsy may be done if the physician is concerned about chest malignant neoplastic disease because of unnatural findings on the mammogram or chest ultrasound, or during physical scrutiny. A chest biopsy is the remotion of chest tissue to analyze it for marks of chest malignant neoplastic disease or other upsets. Several different types of biopsies can be done. Open biopsy which involves a little scratch in the chest and take portion ( incisional ) or all ( excisional biopsy ) of the country. If the full ball or country is removed, it is a lumpectomy. If the sawbones can non easy experience the ball or cyst, a biopsy under needle localisation will be done under ultrasound to turn up the ball ; this acerate leaf will be left in topographic point to assist the sawbones during the incisional biopsy. The sawbones will take the nuc leus of tissue environing the wire, and send the specimen to pathology and radiology. The biopsy can uncover certain of chest abnormalcies that are non malignant neoplastic disease or precancerous, adenocarcinomas, fibrocystic chest disease, intraductal villoma, mammary fat mortification. Other biopsies may demo precancerous chest conditions, untypical ductal hyperplasia and a typical lobular hyperplasia. Then there are the two chief type of chest malignant neoplastic disease found, ductal carcinoma, most chest malignant neoplastic diseases are of this type and lobular carcinoma. Biopsy consequences are deciding if there will be a demand for chest surgery in combination with radiation and chemotherapy. In order to cognize if the lymph nodes holding being invaded with malignant neoplastic disease it is recommended to hold a lookout node biopsy. This cognition will avoid alar node dissection if the lymph node is non affected. Internal mammary nodes can besides be assessed during the p rocess to finish the theatrical production procedure. Staging of chest malignant neoplastic disease: Staging the chest malignant neoplastic disease is critical constituent in the development of the individualised intervention program. Stage 0- ( noninvasive carcinoma, carcinoma in situ ) this is really early phase chest malignant neoplastic disease is considered precancerous. Stage 1- this is an early phase of chest malignant neoplastic disease, the size of the leery lesion measures up to two centimetres in dimension, and no lymph nodes are involved. In this phase adult females may hold a chest -sparing surgery like a lumpectomy with radiation intervention or they may hold a mastectomy ( remotion of full chest ) they can be have Reconstruction surgery following the process. Breast preservation surgery is the most popular intervention because most carcinomas have a restricted size and big tumour can be reduced in size with anterior chemotherapy before surgery. Radiation therapy along with chemo therapy and /or endocrine therapy may besid es be given after the surgery to destruct any staying malignant neoplastic disease cells. Stage 2- the tumour steps between two to five centimetres or the malignant neoplastic disease has spread to the lymph nodes under the arm on the same side as the chest malignant neoplastic disease. This phase is divided into two classs stage 2 A and phase 2 B. Phase 2 A-Three ways it can attest itself. There is no tumour found in the chest but the alar lymph nodes are positive for malignant neoplastic disease cells. Cancer in the chest spans two centimetres and alar lymph nodes are involved. Tumor is larger than two centimetres and smaller than five centimetres, and does non impact the alar lymph nodes. Stage 2 B- may include one of the followers: The dimension of the tumour is between two and five centimetres and has metastasis to the alar lymph nodes. The chest malignant neoplastic disease is larger than five centimetres, but no lymph are non affected. Treatment may be breast economical surge ry ( lumpectomy ) followed with radiation therapy or a mastectomy with or without breast Reconstruction. Another method used is the tegument and nipple-sparing mastectomy that preserves the nipple-areolar. Several options can be offered to the patient, from the simple arrangement of chest expanders to the usage of musculocutaneous flaps ( thoracodorsal or abdominal flap [ TRAM ] ) . Sometimes chemotherapy is given before the surgery to shrivel the tumour or after surgery to destruct any staying malignant neoplastic disease cells. Womans may besides hold a combination of other interventions, such as endocrine therapy. Phase 3 -the size of the tumour is more than two inches in diameter across and has spread to the alar lymph nodes, or has metastasis to other lymph nodes or tissue near the chest. Phase 3 malignant neoplastic disease is divided into other subcategories, phase 3A, phase 3B and phase 3C, Stage 3 A- The tumour measures more than five centimetres. The lymph nodes are affect ed. Stage 3B-The malignant neoplastic disease has invaded to tissues environing the chest, such as tegument or chest wall, the tumour may run in size. Axillary lymph nodes or lymph nodes beneath the chest under the ribs may be affected. Stage 3C-There is a possibility of the metastasis or distributing to the chest tegument or chest wall. In this phase the malignant neoplastic disease has spread to lymph nodes around the clavicle and may be in lymph nodes around chest bone. Chemotherapy and/or targeted therapies are given foremost in order to shrivel the tumour prior to surgical intercession. After surgery adult females may hold chemotherapy, radiation, endocrine therapy or a combination of intervention to assist forestall reoccurrence. Stage 4- ( Metastatic ) -The malignant neoplastic disease has spread beyond the chest alar and internal mammary lymph nodes to other parts of the organic structure near or distant to the chest. Womans with metastatic malignant neoplastic disease will have targeted intervention depending on where the malignant neoplastic disease has spread. Bone is the most common site.treatments may include orthopaedic oncology, endocrine therapy, chemotherapy, radiation therapy or combination of interventions. By larning the different phases of chest malignant neoplastic disease it can give the patient an educated determination of her pick of intervention. This information along your general wellness will let you along with your wellness attention squad to individualise your intervention for chest malignant neoplastic disease. We besides have to see there chest tumours that will non react to hormone therapy. Normal chest tissue has hormone receptors that respond specifically to the stimulatory effects of oestrogen and Lipo-Lutin. The bulk of chest malignant neoplastic diseases retain oestrogen receptors and in these malignant neoplastic diseases oestrogen will retain proliferative control over the malignant neoplastic disease cells. It is utile to cognize the oestrogen receptor position of the malignant neoplastic disease to foretell which patients will react to hormone therapy. Cancer that lack endocrine receptors will non react to hormone therapy. McCready, Tracey. â€Å" Management of patients with breast malignant neoplastic disease. ( Continuing professional development: oncology ) . â€Å" A Nursing Standard17.41 ( 2003 ) : 45+.A Academic OneFile. Web. 22. This information is utile in finding forecast and intervention methods. In decision, in research for this paper I have learned of the different types of chest malignant neoplastic diseases and the options of intervention. Working as an operating room nurse I was ever involved with the surgical intervention of the diagnosing but was non cognizant of the involved and diagnostic testing to make this intervention. It is apparent that the attention for patients with breast malignant neoplastic disease is a multidisciplinary attack. To be able to make up one's mind on the individualize intervention when they are experiencing less able to make so. Bing diagnosed with chest malignant neoplastic disease is really scaring for any adult females in add-on ; doing determinations on the different types of intervention can be overpowering. Healthcare suppliers need to promote adult females to lift above the negativeness of the disease and take control of their organic structure by doing an individualize determination. Nurses must take advantage of every chance to autho rise these adult females to do their intervention picks. Console and soothe them resuscitating assurance in them. Communicating efficaciously and supplying supportive attention are really of import to their long term accommodation to their diagnosing of chest malignant neoplastic disease. Sometimes a patient ‘s liberty is more desirable than the demand for accurate information. Today we have better cognition about the showing, diagnosing and intervention of chest malignant neoplastic disease. Technology, testing and early detainment must go on to come on so malignant neoplastic disease is no longer the most common malignant neoplastic disease in adult females. We need to maintain focal point on bar making all we can to halt malignant neoplastic disease before it starts. Committedness to the bar of chest malignant neoplastic disease is indispensable. In order for things to go on we have to perpetrate to them, nil happens automatically. It is astonishing the Numberss of utilizat ions for the human voice. We talk and cry, speak and sing mutters and complain, congratulations and proclaim. But the best usage of our voice is to show empathy and cognition and offer words of encouragement for these patients and their household members thru this annihilating disease. Mentions Buyske, Jo, et Al. â€Å" Breast malignant neoplastic disease in the 1890ss. â€Å" A AORN JournalA July 1996: 64+.A Academic OneFile. Web. 22. Gostout, Bobbie S. , Noralane M. Lindor, and Sandhya Pruthi. â€Å" Identification and direction of adult females with BRCA mutants or familial sensitivity for chest and ovarian malignant neoplastic disease. â€Å" A Mayo Clinic ProceedingsA 85.12 ( 2010 ) : 1111+.A Academic OneFile. Web. 22. McCready, Tracey. â€Å" Management of patients with breast malignant neoplastic disease. ( Continuing professional development: oncology ) . â€Å" A Nursing Standard17.41 ( 2003 ) : 45+.A Academic OneFile. Web. 22..A

Gender and Sexual Studies - Transgendered Children Essay

Gender and Sexual Studies - Transgendered Children - Essay Example In addition, a California teen identified as Taylor has started a campaign to boycott Girl Scout cookies as a direct response to the admittance of transgendered members (Girl Scout Launches Cookie, 2012). These occurrences have resulted in considerable difficulties and raised complex questions as to the moral ramifications of identity. The popular understanding of the transgendered child is one that identifies or manifests any of the characteristics of the opposite sex (About our transgendered, 2007). One recognizes that this is distinguished from the notion of the transsexual in that the transgendered child may not contain physical characteristics of the opposite sex, but mentally manifests transgendered personality tendencies. Of course, such a notion raises a variety of further difficulties regarding identity. For instance, determining when to label an individual male or female is more complex than simple physical characteristics, as such labels carry with them personality element s. For the individual in the video, Taylor, distinguishing between male and female is a matter of physicality; that is, if one has the organs of a male, then they are male. When further examining Taylor’s contentions and those that seek to restrict transgendered children’s admission to the Girl Scouts it’s clear that their underlining argument is highly problematic. In considering the argumentative position of these individuals, one notes they rely on an antiquated notion of sex and gender identity. Oriel (2000) distinguishes between the Traditional Binary Gender Model and the Revolutionary Gender Model. The Traditional Binary Gender Model considers biological sex, gender expression, and sexual orientation as clearly distinguished between male and female. Oriel (2000) argues that research into the biological sciences has largely discredited the Traditional Binary Gender Model in favor of the Revolutionary Gender Model. The later model argues that gender distinct ions are largely hybrid and dynamic and that individuals will hold separate types of biological sex, gender expression, and sexual orientation. Such findings largely discredit the distinctions made by individuals such as Taylor who seek to clearly distinguish between males and females. In further considering the question of the transgendered child there is a question of whether they should be considered male or female. Currently, the Girl Scouts consider gender categorization to be one of the brain, contending that individuals should be admitted to the Girl Scouts based on whether they identity with the socially constructed notion of femininity. In determining the nature of gender identity on a broader scale, it’s clear that both the Girl Scouts and their opponents have made a mistake in their categorizations. To a large degree the mistake that has been made is a logical error and constitutes an over reliance on linguistic categorizations. Perspectives as embodied by Taylor a nd her video are assuming that necessarily there must be a distinction between male and female. Influenced perhaps by Biblical and social tradition, this argument is based not on biology, but on the assumption that since the word ‘male’ and ‘female’ exists, there must be a corresponding subject in the real world. When one bases categorization on scientific rationality and deconstructs traditional assumptions of ‘

Leadership Essay Example | Topics and Well Written Essays - 1250 words - 19

Leadership - Essay Example According to a definition cited by Stanley (2005, p.108), a clinical leader is a leader who holds quantifiable medical and scientific skills, knowledge and proficiency in nursing practice and one who employs the use of interpersonal proficiency to facilitate provision of quality care by nurses and other care providers. There are also other factors that are used in explicating nursing leadership. Further explication by Stanley (2005, p.109) asserts that excellence in clinical practice coupled with provision of a conducive or positive environment that empowers nurses are fundamental elements of nursing leadership. Another definition of nursing leadership asserts that a nurse leader is "A nurse directly involved in providing clinical care that continuously improves care through influencing others" (Stanley, 2005, p.109). In extrapolation, this definition of a nurse leader shows that it is not a prerequisite for nurse leaders to be higher-ranking officials in nursing practice. In other w ords, a nurse can be a leader despite the position held. There are a number of leadership theories that in essence categorises leadership. One of these theories is denoted by Curtis, Vries and Sheerin (2011, p.307) to include trait theory. This theory focus primarily on individual characteristics that facilitate leadership. The second theory is referred to as the behaviour approach that expounds leadership in a leaders viewpoint and in fact spotlights on leadership behaviours (Curtis, Vries and Sheerin, 2011, p.307). The third theory is the contingency approach that views leadership in the context of the interface and communication between a leader, existing circumstances and his or her actions (Curtis, Vries and Sheerin, 2011, p.307). Fourthly is the transformational theory that spotlights on the association or connection between a leader and his or her employees (Curtis, Vries and Sheerin, 2011, p.307). Though all the leadership theories and styles

Processing Theory of Consumer Choice Essay Example | Topics and Well Written Essays - 1750 words

Processing Theory of Consumer Choice - Essay Example The following argument will establish a correlation between ecolabelling and consumer behavior and argue for the regulation of these labels by governmental institutions. According to the Green Gauge Report, which is published annually by Roperstarch Worldwide, society's concern about environmental issues is currently at, or near, historically high levels (Green Gauge Report, 2002). As a result, in the last 20 to 30 years the concept of environmental marketing has materialized. This concept is defined as satisfying consumer wants and needs, but doing so in a way that minimizes impacts on the natural environment. This form of marketing has been popularized in both the marketing literature and by companies seeking a strategy that enables them to market their products in a socially responsible, sustainable manner (Esty and Wilson, 2006). Australia has embraced ecolabelling, in direct response to consumer demands. Indeed, studies on ecolabelling indicate that Australia leads all other countries in the provision of environment-related information on its products (Case Study). The rationale for doing so directly emanates from the very concept of consumer ma rket demands and consumer behavior therein. Accordingly, in order to establish a correlation between ecolabelling and consumer behavior, the latter will be briefly overviewed. Consumer behavior (CB) may be defined as the scientific study of the processes consumers use to select, secure, use, and dispose of products and services that satisfy their needs (Esty and Wilson, 2006). Its development is linked to both psychology and sociology. For example, concepts such as attitude, values, motivation, personality, perception, cognition, social influence, and cultural influence have all played a major role in explaining consumer behavior (Esty and Wilson, 2006).