Review Of Surgery Versus Surgery Alone For Colorectal Cancer

Research Summary Study # 1 Neoadjuvant Chemotherapy Followed by Surgery Versus Surgery Alone for Colorectal Cancer This study was meta-analysis review, over six studies using randomized controlled clinical trials, and is Level I on the hierarchy of evidence (Stillwell et al., 2010). These trials were conducted between 2002 and 2012, and the researcher conduced their search in 2014. They compared 1393 patients (50.6% of their population studied) using neoadjuvant chemotherapy 1358 patients (49.2%) using surgery alone. All patients had colorectal cancer, and mirrored each other in the percent of male vs. female and age. The researchers separated their data by the location of the tumor –ascending, descending, transverse, sigmoid and rectum.†¦show more content†¦According to their conclusions overall among all of the studies, neoadjuvant chemotherapy seemed to reduce or delay the possibility of distant metastasis—especially to the liver— in patients with colorectal cancer (Huang, et al., 2014). Study # 2 Neoadjuvant Chemotherapy and Surgical Management of the Axilla in Breast Cancer: A Review of Current Data This is a systematic review that has looked over several randomized studies, nine in total, in regards to whether neoadjuvant chemotherapy (NAC) can impact patients who would otherwise have an axillary lymph node dissection (ALND). This is an example of a Level I evidence Stillwell et al., 2010). Sixty-one percent of women with stage I or II breast cancer will have a breast conservation surgery (BCS) and 36%, a mastectomy. However, in those with stage III, 72% will have a mastectomy instead of BCS (American Cancer Society, 2016). The researchers found studies that showed that some patients who could undergo breast-conserving therapy (BCT) after their tumor had been down-staged. The researchers mentioned data from another study that followed more than 403 patients, 22% of which had metastasis, but had a complete response to neoadjuvant treatment. Eighty-seven percent of the ones who had the complete response had a recurrence-free survival. They found overall that the patients with no de-negative sentinelShow MoreRelatedColorectal Cancer : Cancer And Cancer2998 Words   |  12 PagesCancer occurs when abnormal cells in the body uncontrollably replicate forming a malignant tumor that invades nearby tissues. It has the capability to affect any part of the body and spread to tissues throughout the body. 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Communication in Organization for Face of Dolphins-myassignmenthelp

Question: How Organizations Can Manage the Crisis They Face Of Dolphins Death. Answer: Organizations that are concerned with matters affecting aquatic animals such as SPCA have requested the Marine Life Park to take its objectives from the advanced abroad activities. This is whereby various bodies in certain countries like Costa Rica and Chile have banned programs such as swimming of dolphin as the degree of nearness to each other and noise from outside may befuddle and discomfort them catching and confining these animals(Saad, 2018). Holding the dolphins in a limited space forces them to convert into something different to what they are. This reduces the degree of significance to the quality of knowledge given to the public about the aqua life and their surrounding factors. SPCA also stated that when you compare dolphins to other sea creatures, dolphins do not thrive or perform well in terms of the generation when they are detained. ACRES has on record informed the Humane Society in the U.S and the entire World Society about taking care of the dolphins, by stating that these animals are encircled by even conditions that enhance their natural employment of auditoria features(Reid Northridge, 2003). Various reports have recommended control measures and procedure to stop the release of harmful acidic waste product into the seas where these species live in. The ship breaking yards and industries that carry out their activities around these areas should respond according to the rules and regulations set and passed by the ministry of shipping and ministry of environment. A research done by Deepesh V, who is a CPCB scientist recorded that state pollution control board (PCB) should inquire the occasions of distinguishing chemical waste discarding along the beaches and coastal regions, and lawful steps should be taken against them.(Allen Mortenson, 2011) It is also advisable for national aquarium services to stop their collective dolphin shows(WEI, 2018). Various scientific realms have ascertained that the buying and selling of these dolphins are not sustainable and have driven these creatures more and more near to the termination of their existence. The Animal Concerns Research and Education Society, one of the most powerful organizations in Singapore takes part in diminishing RWS for keeping dolphins in their restrained custody. When a new Marine Mammal Protection law was adopted in the U.S.A in the year 2014 unintentional catching of dolphins decreased rapidly, lowering the number of dolphins mortality. Various organizations from other parts of the world are recommended to adopt the same law in their regions for it has proved to be delivering positive results of rescuing dolphins from overfishing. Reference Allen, S. G., Mortenson, J. (2011). Field Guide to Marine Mammals of the Pacific Coast: Baja, California, Oregon, Washington, British Columbia. University of California Press. James B. Reid, Northridge, S. P. (2003). Atlas of cetacean distribution in north-west European waters. Joint Nature Conservation Committee. Saad, I. (2018, April 4). ACRES urges Resorts World Sentosa to release dolphins. Retrieved from Wild Singapore : https://wildsingaporenews.blogspot.co.ke/2012/12/acres-urges-resorts-world-sentosa-to.html#.WsO5LpNuaYU WEI, T. S. (2018, April 4). SPCA urges RWS to release dolphins after fourth death. Retrieved from We set you Thinking today: https://www.todayonline.com/singapore/spca-urges-rws-release-dolphins-after-fourth-death

TUGAS PENGANTAR DEMOGRAFI Essays - , Term Papers

TUGAS PENGANTAR DEMOGRAFI PIRAMIDA PENDUDUK KABUPATEN PATI TAHUN 2005, 2010, 2015 DAN ANALISISNYA -9525271145 Oleh : Mohammad Ammar Alwandi (16.9277) Piramida Penduduk Laki-laki/Perempuan Menurut Kelompok Umur 5 Tahunan dan Jenis Kelamin Kabupaten Pati Piramida Penduduk Laki-laki/Perempuan Menurut Kelompok Umur 5 Tahunan dan Jenis Kelamin Kabupaten Pati Tahun 2005 Tabel 1.1 PENDUDUK KABUPATEN PATI MENURUT KELOMPOK UMUR DAN JENIS KELAMIN TAHUN 2005 KELOMPOK UMUR LAKI LAKI PEREMPUAN JUMLAH (1) (2) (3) (4) 0 - 4 51590 48886 100476 5 - 9 56610 53749 110359 10 - 14 58315 55457 113772 15 - 19 61726 58679 120405 20 - 24 51097 54361 105458 25 - 29 49071 53259 102330 30 - 34 49495 54022 103517 35 - 39 49157 51608 100765 40 - 44 44013 42315 86328 45 - 49 34332 31379 65711 50 - 54 24598 27342 51940 55 - 59 22518 24919 47437 60 - 64 20403 24604 45007 65 - 69 14740 18586 33326 70 - 74 9697 12229 21926 75 + 6799 9311 16110 JUMLAH 604161 620706 1224867 Sumber : Pati dalam Angka Tahun 2006 BPS Kab. Pati Gambar 1.1 Piramida Penduduk Kabupaten Pati Tahun 2005 Piramida Penduduk Laki-laki/Perempuan Menurut Kelompok Umur 5 Tahunan dan Jenis Kelamin Kabupaten Pati Tahun 2010 Tabel 1.2 PENDUDUK KABUPATEN PATI MENURUT KELOMPOK UMUR DAN JENIS KELAMIN TAHUN 2010 KELOMPOK UMUR LAKI LAKI PEREMPUAN JUMLAH (1) (2) (3) (4) 0 - 4 47078 44203 91281 5 - 9 49852 47557 97409 10 - 14 52631 50185 102816 15 - 19 49052 48582 97634 20 - 24 37515 42458 79973 25 - 29 43262 49539 92801 30 - 34 45182 49233 94415 35 - 39 43252 47189 90441 40 - 44 44554 49083 93637 45 - 49 42505 45153 87658 50 - 54 37267 37101 74368 55 - 59 28126 26024 54150 60 - 64 18403 22170 40573 65 - 69 15735 19891 35626 70 - 74 11965 17055 29020 75 + 11748 17443 29191 JUMLAH 578127 612866 1190993 Sumber : Pati dalam Angka Tahun 2011 BPS Kab. Pati Gambar 1.2 Piramida Penduduk Kabupaten Pati Tahun 2010 Tabel 1. 3 PENDUDUK KABUPATEN PATI MENURUT KELOMPOK UMUR DAN JENIS KELAMIN TAHUN 2015 KELOMPOK UMUR LAKI LAKI PEREMPUAN JUMLAH 0 - 4 46954 44355 91309 5 - 9 48764 46351 95115 10 - 14 49461 47899 97360 15 - 19 49918 49124 99042 20 - 24 43518 45975 89493 25 - 29 39247 43811 83058 30 - 34 41595 46957 88552 35 - 39 44293 48735 93028 40 - 44 44978 48861 93839 45 - 49 43858 47790 91648 50 - 54 40260 42350 82610 55 - 59 34365 34941 69306 60 - 64 25661 27486 53147 65 - 69 17380 21271 38651 70 - 74 12602 16953 29555 75 + 14460 22739 37199 JUMLAH 597314 635598 1232912 Piramida Penduduk Laki-laki/Perempuan Menurut Kelompok Umur 5 Tahunan dan Jenis Kelamin Kabupaten Pati Tahun 2015 Sumber : Pati dalam Angka Tahun 2016 BPS Kab. Pati Gambar 1.3 Piramida Penduduk Kabupaten Pati Tahun 2015 Analisis Piramida Penduduk Analisis Menurut Bentuk Piramida Pada tahun 2005 piramida penduduk di Kabupaten Pati berbentuk Constrictive. Bagian dasar piramida kecil dan sebagian besar penduduk masih b erada dalam kelompok umur muda. Dari piramida di atas dapat diketahui bahwa pada masa lalu angka kelahiran tinggi namun proporsi penduduk yang dapat hidup terus ke usia dewasa dan menjadi tua lebih sedikit. Pada tahun 2010 badan piramida mulai menggembung, hal ini menandakan bahwa Infant Mortality Rate (Angka Kematian Bayi) sehingga bayi lahir dapat bertahan hidup sampai dewasa . Selain itu Fertility dan Mortality Rate menurun jika dibandingkan dengan tahun 2005. Hal ini bisa dilihat dari semakin berkurangnya penduduk di kelompok umur 0-4 dan bertambahnya penduduk di kelompok umur 75+. Jika ketiga piramida dibandingkan, maka dapat dilihat bahwa tiap tahun Fertility dan Mortality menu run. Hal ini bisa diamati pada piramida tahun 2015 yang menggembung dibagian badan piramid. Dengan demikian ada pertambahan penduduk usia tua. Hal yang menarik disini adalah dalam kelompok usia 20 - 34 cenderung mengalami penurunan tiap tahun. Kejadian ini diakibatkan banyak penduduk yang bermigrasi ke kota lain untuk mencari pekerjaan ataupun untuk mengenyam pendidikan (berkuliah). Menurut BPS Kabupaten Pati pendapatan utaman daerah ini adalah pertanian . Seiring dengan perkembangan zaman, para pemuda di Pati kurang

LEGALIZE IT essays

LEGALIZE IT essays We should legalize marijuana, because it causes more problems that it is illegal then it ever would if it were legal. I feel that the prohibition of marijuana is a bigger problem then the smoking of it. No one has ever overdosed on weed, more people die in alcohol related accidents then pot related accidents. The forbiddance of weed is the biggest reason for the exploding prison population. Many non-violent drug offenders are serving longer prison sentences, then murders, then rapist and other violent criminals. It cost taxpayers 30,000 dollars a year to imprison 1 non-violent drug offender . Thats why politicians are spending billions of tax dollars on building new prisons and jails to hold everyone, and at the same money for education , healthcare, and other important things are running short. The methods used by the government to stop drug abuse arent working . All they are doing is creating a black market for weed and other drugs. Stopping marijuana use cost billions of dollars to enforce and it makes millions of good hardworking, taxpaying, weed smoking individuals into criminals. Adult use of alcohol and tobacco are legal and accepted ,but adult use of marijuana is illegal. With alcohol you can die or get more impaired then with weed and cigarettes are Many people have the belief that we need to keep weed illegal to keep it away from our teenagers and children. That is a good theory and it makes sense, but it is false it doesnt work. There are at least 10 to 15 places that I know in walking distance, where I know I can get weed , but for me to get a beer it might take a half an hour to an hour standing outside a bar asking people to go in the bar or beer distributor and buy me some beer. In some countries like Holland it is legal to buy pot, but the percent of teenagers who smoke weed there is less then half of the amount of teenagers who ...

Cesar Chavezs Use of Antithesis and Diction to Portray His Beliefs on the Argument on Why Nonviolent Resistance Trumps Violent Resistance

Cesar Chavez's Use of Antithesis and Diction to Portray His Beliefs on the Argument on Why Nonviolent Resistance Trumps Violent Resistance Ten years following the assassination of Dr. Martin Luther King Jr., people still protested and empathized on behalf of his death, but labor union organizer and civil rights leader Cesar Chavez argues as to why nonviolent resistance, trumps violent resistance. Chavez is able to portray his belief to the people through his strong use of antithesis and diction, and while even alluding to a historical leader whose views and beliefs are still extremely well known today. Through his use of strong rhetoric, and specific examples Chavez is able to solidify his argument in favor of nonviolent resistance. Throughout the article, Chavez uses antithesis to contrast the cons of violent resistance, with the pros of his argument for nonviolent resistance. Chavez first shines light to one of the pros of nonviolent resistance when he claims that, â€Å"Nonviolence provides the opportunity to stay on the offensive, and that is of crucial importance to win any contest.† Chavez is trying to get the point across that it is better to stay on good, and safe terms, rather than â€Å"fighting fire with fire,† because that can easily get violent, dangerous, and out of hand fast. Chavez juxtaposes this idea of being civil and not, â€Å"fighting fire with fire,† with cons of violent resistance when he says that, â€Å"If we resort to violence then one of two things will happen, either the violence will be escalated and there will be many injuries and perhaps death on both sides, or there will be total demoralization of the workers.† Both the outcomes that Chavez portrays as a result of violent resistance are bad, and Chavez takes advantage of this situation in order to continue advocating for nonviolent resistance by soon after stating, â€Å"Nonviolence has exactly the opposite effect.† Chavez finally puts to rest his portrayal of the negative consequences of violent resistance after he says, â€Å"Violence does not work in the long run and if it is temporarily successful, it replaces on violent form of power with another just as violent.† This statement ends his juxtaposition against violent resistance, leaving the reader with a chance to think about the truth of this statement, and as seen through history this statement proves rather accurate. Chavez uses strong diction in an effort to persuade the reader to advocate for nonviolent resistance. When Chavez first begins to argue against violent resistance, he uses powerful words such as â€Å"escalated,† and â€Å"demoralization,† to describe the negative effects of violent resistance. The words have a negative connotation in the context that they are used, which adds to the argument against violent resistance. Chavez uses this diction in this specific paragraph because this is the first time he truly introduces the idea of violent resistance, and he wants to immediately make it appear bad, and negative. Another instance in which Chavez uses strong diction is when he uses the words â€Å"frustration,† and â€Å"impatience,† in order to express how he is aware of how people feel frustrated, impatient, and angry, but he follows this up by saying that is no reason to resort to violent resistance, because eventually things will work out. It is throu gh his strong use of diction, that Chavez is further able to leave a lasting impression on the reader as to why nonviolent resistance is a far more reasonable, and effective form of resistance. Chavez continues to argue in favor of nonviolent resistance, by alluding to Mahatma Gandhi, one of the most famous men in the world, who is known for his firm stance on nonviolent resistance. Gandhi was able to lead India to its independence without any use of violence. By alluding to Gandhi, Chavez is making an effort to prove to readers that things can get done without the use of violence, and the story of Gandhi shows just that. Chavez’s use of antithesis clearly portrays his reasoning as to how the pros of nonviolent resistance, outweigh the many cons of violent resistance, and through his use of strong diction, and an allusion that shows historical proof that nonviolent resistance is an effective strategy, Chavez is able to make a strong case for nonviolent resistance.

Caribbeanization of North America Essay Example | Topics and Well Written Essays - 1000 words

Caribbeanization of North America - Essay Example itians fled to the United States during the eighteenth and nineteenth century following political unrest in the mid 1790s, which is evident from their visible presence in contemporary American society. The continued migration of Haitians in large numbers was reminiscent of the prolonged political subjugation coupled with a severe dearth of opportunity followed by the ensuing economic hardships. The illegal migration of Haitians still continues in present day (Fox News, 2002). The Haitians are found in large numbers in various parts of the United States of America, especially, in New York and New Orleans where they migrated or were brought as slaves. The sheer number of Haitians in such popular metropolitan neighborhoods where they are highly visible as an ethnic population, account for the transformation of certain cultural habits, establishment of ethnic businesses including bakery shops, music, grocery stores, restaurants, etc which have heavy prominence to their respective cultures and ethnicity. The stores selling voodoo artifacts,provide a representation of predominantly Haitian culture. Besides the Little Haiti situated in the heart of Miami, signifies the settlement and amalgamation of the Caribbeans in America. Haitians are also seen in Louisiana where they were introduced in significant numbers between the years 1720 – 1780. Due to such large scale transformation of Africans in the locality, they soon outnumbered the whites; which is evident from the fact that blacks constituted a majority of the population in New Orleans, especially during the first four decades of the 19th century who eventually fled the regions following the surge in racial harassment and rising restrictions on slaves. The impact of Caribbean influence is however, apparent in American music, dance, arts, literature, as well as religious practices and politics. The Africans brought along with them their strong traditions and culture which eventually got merged with that of

Case Study He Said, She Said Example | Topics and Well Written Essays - 500 words

He Said, She Said - Case Study Example Presentation of the Key Facts It seems that Marie and Lenny have lived together for some time without Mike. The reason this seems this way is because Marie wants Mike to have a hands off approach in matters with Lenny. She is Mike’s fiancee but she does not allow him to have any real interaction about the discipline with Lenny. Lenny does whatever he pleases and in this particular instance, he defies his curfew. There could be many things going on with him until these wee hours of the morning. Marie does not seem to want to punish Lenny in any real way and this makes Mike very concerned with their relationship. As an example, in the present situation, Marie did not approach Lenny for the reason he was out until 2:45 am, but rather told him she was worried and that he should call if he is going to be out late. Her conflict style with Lenny seems to be very passive and one that seems to avoid conflict (Bragg, 2010). It seems that Marie does not want to make Lenny angry because h e is her child and the relationship with him is more important than discipline. Also, Lenny tells his mother he will do whatever she wants around the house as long as she allows him to stay out late. Mike on the other hand, sees where the situation is going and knows that Lenny needs discipline. He has a more assertive style but he seems to not show it because Marie will not let him.