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biography on Leonardo DiCaprio is an award-winning actor and a three-time Academy Award® nominee. DiCaprio#8217;s 5th collaboration with Director Martin Scorsese #8220;The Wolf of Wall Street#8221; is available on high including profits ricardos Blu-ray DVD now. DiCaprio starred as Jay Gatsby in “The Great Gatsby”, directed by Baz Luhrmann. Prior to “The Great Gatsby”, he starred in #8220;Django Unchained,#8221; where he received a Golden Globe nomination for his work. As the title role in “J. Edgar”, under the direction of leadership point, Clint Eastwood, he received Golden Globe, Critics’ Choice and Screen Actors Guild (SAG) Award® nominations for his work in bullion high the film.
Additionally, he starred in Christopher Nolan’s blockbuster “Inception,” and the dramatic thriller “Shutter Island,” which marked his fourth collaboration with director Martin Scorsese. DiCaprio earned an Oscar® nomination in 2007 for his performance in Edward Zwick’s drama “Blood Diamond,” also receiving Golden Globe, Critics’ Choice and Screen Actors Guild (SAG) Award® nominations for his work in the film. That same year, he garnered Golden Globe, BAFTA Award, Critics’ Choice Award and SAG Award® nominations for his role in the Oscar®-winning Best Picture “The Departed,” directed by Scorsese. He also shared in a SAG Award® nomination for Outstanding Motion Picture Cast Performance as a member of the ensemble cast of “The Departed.” He previously earned an Academy Award® nomination for what to write a personal essay on his performance in Scorsese’s acclaimed 2004 biopic “The Aviator.” DiCaprio’s portrayal of Howard Hughes in that film also brought him a Golden Globe Award for Best Actor in a Drama, as well as Critics’ Choice and bullion essay price, BAFTA Award nominations. Respiratory Question. He was also honored with two SAG Award® nominations, one for Best Actor and essay high price profits ricardos, another for Outstanding Motion Picture Cast Performance as part of the “The Aviator” cast. In addition to his acting work, DiCaprio launched his own production company, Appian Way. Under the Appian Way banner, he wrote, produced and narrated the acclaimed environmentally themed documentary “The 11th Hour.” Among Appian Way’s other productions are the aforementioned “Shutter Island” and “The Aviator,” as well as “The Ides of March,” “Red Riding Hood,” “Orphan,” “Public Enemies” and the soon to be released “Out of the Furnace” starring Christian Bale and Woody Harrelson and “Runner, Runner” starring Justin Timberlake and Ben Affleck. Born in Hollywood, California, DiCaprio started acting at dissertation the age of 14. His breakthrough feature film role came in Michael Caton-Jones’ 1993 screen adaptation of Tobias Wolff’s autobiographical drama “This Boy’s Life.” That same year, he co-starred in Lasse Hallstrom’s “What’s Eating Gilbert Grape,” earning his first Oscar® and Golden Globe nominations for his performance as a mentally handicapped young man.
In addition, he won the National Board of Review Award for Best Supporting Actor and the Los Angeles Film Critics Association’s New Generation Award for high price profits ricardos his work in the film. In 1995, DiCaprio had starring roles in three very different films, beginning with Sam Raimi’s Western, “The Quick and the Dead.” He also garnered praise for his performance as drug addict Jim Carroll in the harrowing drama “The Basketball Diaries,” and for his portrayal of disturbed pansexual poet Arthur Rimbaud in clinical Agnieszka Holland’s “Total Eclipse.” The following year, DiCaprio starred in Baz Luhrmann’s contemporary screen adaptation of “William Shakespeare’s Romeo + Juliet,” for which he won the Best Actor Award at the Berlin International Film Festival. He also joined an price profits, all-star ensemble cast in question “Marvin’s Room,” sharing in a SAG Award® nomination for Outstanding Motion Picture Cast Performance. What issue do you care about the bullion including price profits ricardos, most? New documentary #8220;Before The Flood#8221; to air globally on NatGeo on October 30th. Before the Flood presents a riveting account of the dramatic changes now occurring around the world due to climate change, as well as the actions we as individuals and bsl homework online, as a society can take to prevent catastrophic disruption of life on our planet. Bullion Including Price Ricardos. Leonardo calls for climate action at what a personal essay on Mayors summit in Paris.
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Leonardo and LDF join more than 400 institutions pledging to divest from fossil fuels. Leonardo and the Leonardo DiCaprio Foundation announced today they are joining over 400 institutions and 2,000 individuals participating in the pledge Divest-Invest pledge, along with governments and investors from 43 countries. 2nd Annual LDF Gala raises over $40 million. LDF held its annual fundraising gala in St. Tropez raising more than $40 Million to protect Earth’s last wild places and implement solutions to preserve and save the environment. Leonardo#8217;s new film #8216;The Revenant#8217; set in high Canadian wilderness. Leonardo DiCaprio will play the role of ken kesey essay, Hugh Glass in upcoming film The Revenant, shot entirely with natural light in bullion essay price ricardos the remote wilderness of Canada.
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For instance, an analysis of a poem might deal with the different types of. Essay , Greek loanwords , Literature 1348 Words | 4 Pages. ?A Quick Note Before You Begin Argumentative essays are also commonly known as persuasive essays . However, there are some . differences between the two even if they’re commonly considered to be the same. Bullion Including. Persuasive essays are short, around five to interview essay, six paragraphs. They usually focus on your side with occasionally one paragraph devoted to the opposing side. Bullion High. Persuasive essays focus more on clinical, the emotions of the reader. Argumentative essays are usually longer in length, ranging from as little as five paragraphs. Conclusion , Debut albums , Essay 863 Words | 4 Pages. 081 Compare and profits ricardos, Contrast Essay 3 What is comparison? What is contrast? To compare means to point out respiratory essay question similarities and to contrast means to bullion essay price profits, . point our differences.
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4 Steps to practitioner interview, an Effective Scholarship Essay Typically speaking, the scholarship essays which students turn in are, well, to put it . mildly, not that good. I'm going to generalize, but you should know this. They're typically boring, underdeveloped without sufficient details, and essay high, very unpersuasive. Remember, the scholarship essay is a piece of system essay, persuasion. The people reviewing your essay will be going through a bunch of applications, and you need to distinguish yourself.
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Category Scoring Criteria Points Student Evaluation Self Peer Teacher Evaluation Introduction 20 points A thesis statement makes the purpose of the essay clear. Essay Price Ricardos. (Thesis.
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One Flew Over the Cuckoo’s Nest Essay. One Flew Over the Cuckoo’s Nest published in high including price 1962 is a fiction novel by Ken Kesey. Ken Kesey Essay? The novel is set in an Oregon asylum and serves as a study of the institutional practice and the human mind. Its curious approach lays the foundation for a discussion concerning truth, as not each event described by the narrator is high profits, possible truth in the book’s reality, such an evaluation is made by the reader. One Flew Over The Cuckoo’s Nest is the creation of both the personal experiences of the author, Ken Kesey, and the particular culture in which it was written. Kesey developed the novel as he attended Stanford University as a graduate student in to write on their Creative Writing program as the winner of a Woodrow Wilson Fellowship. The novel was partly inspired by Kesey’s part-time job as an including ricardos orderly in clinical psychology dissertation a Palo Alto veterans’ hospital. It was moreover as a student at Stanford where Kesey started participating in experiments for the psychology department that involved the exercise of LSD. This use of LSD had driven Kesey to have hallucinations while working as an profits orderly. Kesey imagine seeing a large Indian mopping the flooring of the hospital; this hallucination prompted Kesey to include the character Chief Bromden as the novel’s narrator. “What is the clinical psychology, character of Bromden?
How he regain his sanity? ” A tall, half-Indian patient in the ward, Chief Bromden is the patient who has been considered the longest in the institution. Even though others believe that he is deaf and mute, Chief Bromden instead prefer not to speak, originally for the reason that others ignored him and then out of fear of Nurse Ratched. Essay High Price Profits? Chief Bromden is said to be the narrator of the novel. With the what a personal on, aid of McMurphy, he started to speak once more and reassert himself against Nurse Ratched and bullion essay high price ricardos her workers. Chief Bromden speaks to McMurphy and sooner overcomes his schizophrenia throughout his influence, distinguishing himself for the physical giant and mistreated man he has always been. Chief Bromden’s background has had an intense impact on his character. Society never treated him with the ken kesey essay, respect every person deserved, and not being competent to face up to it, he was forced into hiding out in a mental institution. Bullion Essay High Price Profits? The abandon from society all through his life turned the Chief into a paranoid, unconfident and reserved man.
The reader gets a quick look of Chief Bromden’s paranoia in nurse practitioner the start of the novel. General Discussion The One Flew Over The Cuckoo’s Nest novel in bullion essay including price profits some sense structures a bridge between the bohemian beatnik movements of the 1950s and the 1960s counterculture movement. Of View Essay? Kesey was significantly motivated by bullion essay high including price profits ricardos, the beatnik culture around Stanford, and in the novel Kesey deals with a number of themes that would be important in the counterculture movement, as well as notions of freedom from repressive authority and a more liberated observation of sexuality. Kesey himself became an interview essay extremely influential counterculture figure as piece of the Merry Pranksters. Bullion Essay Price Ricardos? Chief Bromden is a half American Indian. His father was a chief named Tee Ah Millatoona, which referred as The-pine-that-stands-tallest-on-the-mountain. That is why he is capable of using the bsl homework, title chief. He took on his mother’s last name of Bromden.
He spent his growing up stage in the Columbian gorge. The chief is massive and tall and would appear very unapproachable and threatening to those who meet him. He was committed to bullion essay high including profits ricardos the hospital institution and has been there for longer than anybody else, for over 15 years. Chief Bromden was put in nurse interview essay there after World War two. The chief was an electrician’s assistant in a training camp prior to the army shipped him off to bullion high profits ricardos Germany.
It is possibly due to working with electronics and the added tension of going to war that has led the chief to essay question have such a harmful preoccupation with electronics. Essay Including Ricardos? The chief has led everybody in the hospital, both staff and patients to interview think he is deaf and dumb. As a young child he was for all time ignored, by fellow students and adults, this could have been for the reason that he was so strange looking, being half American Indian and bullion price ricardos appearing so big and threatening yet being quite shy. I had to keep acting deaf if I wanted to hear at all” Chief Bromden said. He felt abandoned by his peers all through life and so as an adult decided that as people acted like he was invisible he might as well vanish, “It wasn’t me that started acting deaf, it was people that first started acting like I was too dumb to hear or see or say anything at to write essay on all” Chief Bromden said. So acting to be deaf and bullion essay price profits ricardos dumb was most likely a defense mechanism. For him, his silence is also exceptionally potent. As he is capable to to write a personal essay on hear all that went on in the ricardos, meetings where the doctors and nurses talk about the future of the patients. The doctors and nurses don’t hesitate to declare anything in front of him for the reason that they assume he can’t hear.
Chief Bromden said “They don’t bother not talking out loud about their hate secrets when I’m nearby because they think I’m deaf and dumb. ” The process and experiences that Chief Bromden has to a personal essay go through in order to regain his sanity is discussed below. In the first chapter, Kesey sets up the formation of the mental institution where the novel takes place. The authority figure is obviously Nurse Ratched, as yet known merely as Big Nurse, a woman whose character seems hardly human. Kesey makes the whole thing about bullion high Nurse Ratched mechanical and automated, such as her robotic movements and accurate speech. Clinical Psychology? She is essay high including, a representation of bsl homework bureaucracy and authority in general. Conversely, even within this first chapter there are signs that behind this apparently inhuman facade there is bullion essay high price ricardos, some great instability. Chief Bromden appears to believe that Nurse Ratched is ready to snap at what to write on the black boys at any minute, and her big breasts, the bullion price ricardos, one absurd part of her appearance, illustrate that she is unable of fully separating herself from typical human characteristics. The black boys, the bsl homework, workers at the institution, serve Nurse Ratched out of terror; on the other hand, their most well-known characteristic is an absolute hatred for all around them. Unlike Nurse Ratched, they are cruel, if only for the reason Nurse Ratched is incapable of feeling any satisfaction from the pain she inflicts.
This makes them a more immediate threat to patients such as Chief Bromden, but also more at risk. They go through from the bullion essay high including profits, same human failings that Nurse Ratched has concealed. Even though Chief Bromden is the narrator of the tale, his descriptions cannot be entirely trusted. He is clearly unreliable, as shown when he hallucinates the leadership of view essay, Air Raid and bullion essay high including price profits the fog machine. The fog symbolizes Bromden’s own mental clarity; it will reappear whenever Chief Bromden turn into less stable and leadership recede every time he becomes more coherent. It is significant that Chief Bromden is silent, for he stands for the more passive elements of society that submit to authority which is Nurse Ratched.
In chapter three having illustrates the support staff of the hospital, Chief Bromden turns to essay high profits ricardos the patients who occupy the psychology dissertation, institution. The majority of the patients are Acutes, meaning that they have the likelihood for rehabilitation and bullion high ricardos release, but Bromden makes the significant point that they also have the risk of becoming worse for the reason of their stay at the hospital, as established by what to write a personal, Ruckly and Ellis. Kesey makes obvious the lines of bullion high profits disagreement between McMurphy and Nurse Ratched. System Essay Question? Nurse Ratched signifies rules and order, while McMurphy symbolizes anarchy and disobedience. Yet a more significant characteristic that McMurphy displays is showmanship. In this chapter he grasps for attention, acting like a politician on a campaign stop.
This trait will cause McMurphy to be an bullion high including price profits easy target for those in question the institution, mainly Nurse Ratched. Chief Bromden releases the critique of the bullion high price, mental institution in One Flew Over the Cuckoo’s Nest to a bigger societal critique. Online? The social criticism of the events in the novel generally entails the idea that the institution is a microcosm for the entire society, but Kesey moreover makes the precise connection between the institution and other societal organizations. The mental institution is intended to repair damage done by schools, churches and families, however operates under the similar conditions as these organizations and hence suffers the same problems. In chapter six Chief Bromden’s suggestion that Nurse Ratched can direct the clocks at the ward show that Chief Bromden is frequently unreliable as a narrator, but nonetheless remains constant with Ratched’s domineering and bullion essay high price profits controlling personality. Harding, the president of the patients’ council and bsl homework a college graduate, continues to including serve as an expository device; it is he who gives details to McMurphy the causes for various events at the institution, such as the music.
Kesey establishes another contrast between McMurphy and Nurse Ratched in this chapter. His confrontation with Nurse Pilbow, one of leadership point of view Ratched’s nurses, underscores that Ratched signifies sexuality, as compared to the passionless and reserved Nurse Ratched. In chapter seven, this chapter once again serves to demonstrate that Chief Bromden is an unreliable narrator. Even though several of the details of his observation are true, others are mainly fantasy; Bromden worries that the workers are using the Vegetables for essay high profits ricardos terrible experiments and will do the same to him. On the other hand, Kesey makes it unquestionably clear that Bromden is having a hallucination in this chapter when Mr. Bsl Homework Online? Turkle, the night watchman, wakes him. In chapter twelve Kesey demonstrates these chapters in short succession. Two of essay high including these include little more than a paragraph.
This serves to ken kesey essay show the disjointed nature of Chief Bromden’s observations. He presents only short glimpses of events that transpire in the institution, none of which include any great importance. The most significant point that Chief Bromden makes is that the ‘insanity’ as illustrated by the fog is bullion price profits ricardos, a comfort for the patients. Interview Essay? It permits them to recede from the complexities of reality that McMurphy wants them to face. Bullion Essay High Profits Ricardos? In chapter fifteen Kesey uses Chief Bromden mainly as a narrator who illustrates external conditions, and hardly gives insight into Chief Bromden’s own psychology. On the interview, other hand, in this chapter Kesey gives several indication of the origin of Chief Bromden’s psychological problems. Bromden relates the imaginary ‘fog machine’ of the mental institution to the fog that surrounded him throughout wartime. This point out that Chief Bromden probably suffers from shell-shock caused by his war experience, and it is this shell-shock which driven him to lose his grip on including price profits, sanity. Kesey in addition gives a similar psychological deconstruction of Billy Bibbit. The beginning of Billy Bibbit’s problems leads to a strict Freudian interpretation.
He is the creation of a domineering mother who controls his all action, as well as deciding which woman is suitable for him to marry. That the first word Billy Bibbit stuttered was ‘mama’ is an obvious indication that she is the cause of his problems. His mother’s obvious collaboration with Nurse Ratched is additional evidence that Billy’s mother is the cause of most of his troubles. McMurphy assumes the part of a revolutionary in this chapter. When he rebels against Nurse Ratched by breaking from the recognized schedule to watch the bsl homework online, World Series, McMurphy at last abandons the rules and regulations of the ward.
This rebellion take place, though, only after it is obvious that McMurphy cannot take part in the apparently democratic system that Nurse Ratched controls. This is a significant point, for it reveals that McMurphy is not a casual anarchist bent on breaking down any system of governance, but rather a man driven to rebellion by essay price profits, an unjust system around him. Bsl Homework? Even though Nurse Ratched’s claim that the high price ricardos, vote is democratic, her vote consists the Chronics, who have no capability to make a rational choice required of voting. This guarantees that Nurse Ratched can keep the status quo, despite the clear support for clinical psychology McMurphy. When McMurphy shatters from essay high including price profits ricardos, his schedule to bsl homework watch the World Series, he makes an ultimate break from the ‘government’ of high including profits Nurse Ratched. It is a revolutionary measure on the level of the institution. The vote for the World Series is a defining moment for system Chief Bromden, for it is the first point through which he reasserts himself as a functioning person.
He does this in the course of his vote for McMurphy, the first ultimate, responsive action that Chief Bromden takes throughout the novel, and continues this pattern when he unites with McMurphy and high ricardos the other Acutes in the protest against Nurse Ratched. Clinical? This underscores a foremost theme of the novel, the including profits ricardos, importance of rational choice. It is the capability to practitioner essay choose that determines one’s status as a rational human being. One Flew Over the Cuckoo’s Nest in essay high profits ricardos a very important sense centers on the conflict between McMurphy, who characterizes this capability for choice, and Nurse Ratched, who does not permit persons to determine decisions for essay on themselves. In chapter sixteen the fog that Chief Bromden declares to high profits see is a symbol of his incoherence and incapacity to assert himself, therefore when Bromden makes the decision to ken kesey essay join the other men in dispute of Nurse Ratched, the fog vanish. This decision comes at a cost, on essay, the other hand; by making choices Chief Bromden becomes susceptible, as he realizes. He loses the protection of the fog for the privileges of human choice. Chief Bromden’s choice to present himself once again as deaf and dumb is a strategic move that serves both himself and, for the narrative intentions of the point, story, Kesey. Bromden uses the perception that he is deaf and dumb as a scheme to deflect harassment by the black boys, but this perception also permits Chief Bromden access to circumstances such as the staff meeting that would usually remain secretive. Kesey grants Bromden access to the staff meeting to gives better insight into both Nurse Ratched and the perceptions of bullion essay high price profits McMurphy.
In chapter seventeen Kesey demonstrates the change in Chief Bromden in this chapter, when the character awakes and watches the dog outside the window. Leadership Essay? This shows that Chief Bromden is now more aware of the outside world. He can conceive of existence outside of the high including ricardos, institution, as he could not before. McMurphy is the primary cause of bsl homework online this change. In chapter twenty four Chief Bromden’s stories about his childhood reveal that he, like Harding and Billy Bibbit, undergoes to some degree from a domineering female figure. Ricardos? Like Billy Bibbit, Chief Bromden is frightened by his mother, whom he describes as “twice as tall” as his father, who was himself a big man. Chief Bromden point out respiratory system question, that his mother dominated both him and his father, causal to bullion high including price ricardos the problems that both faced. It is from his father that Chief Bromden developed the thought of the Combine. The story that Chief Bromden tells McMurphy supplies a huge deal to a psychological analysis of the character. He appears to be deaf and dumb mainly for the reason that he has been frightened by others around him, whether heartless inspectors or his domineering mother.
However Chief Bromden reasserts himself once McMurphy proves him some degree of kindness and leadership respect. Chief Bromden is essay including price profits ricardos, possibly the best example that Kesey provides of the beneficial effect that McMurphy has on the patients in the institution. Kesey indicates later even when McMurphy discusses the control panel in the tub room. He gives Chief Bromden the thought that he might be able to raise the respiratory essay question, control panel and throw it all the way through the window, permitting an escape. The one question that remains is what will induce Chief Bromden to carry out this action. In chapter twenty seven Nurse Ratched does achieve a victory over McMurphy in essay high including price profits this chapter, but whatsoever victory she has will be short-term. The shock treatment does not radically affect Chief Bromden; he rapidly regains a sense of lucidity subsequently and returns to rationality. More significantly, the nurse who treats McMurphy’s wounds makes the significant point that other nurses are contradicted to Nurse Ratched’s behavior. Even though Nurse Ratched keeps a tight grip on her specific ward, she is susceptible within the very institutional structure she uses against her patients.
In chapter Twenty-Nine the what essay on, final chapter of One Flew Over The Cuckoo’s Nest culminates in a pyrrhic triumph for Nurse Ratched but a final triumph for the martyred McMurphy. The argument between the two characters aligns on sexual lines, as set up by the disagreement between Nurse Ratched and Billy Bibbit that instantaneously precedes it. McMurphy’s attack on Nurse Ratched results an exact exposing of the Big Nurse. Once again the sexual connotations are tough, for when he attacks her he reveals her breasts, the one sign of high profits her femininity. This also relates back to Harding’s previous suggestion that sex is the cure for Nurse Ratched; this chapter demonstrates that, if it is not the cure, it is surely a potent weapon against her. The outcome of this fight, nevertheless, is the final dehumanization of Nurse Ratched. When she proceeds to respiratory system essay question the ward, she is bullion high including price ricardos, incapable of speaking and hence has lost a foremost sign of humanity. This neatly parallels Chief Bromden, who in the path of the nurse interview, novel recovers his voice and his humanity.
McMurphy apparently loses his battle against bullion price profits ricardos, Nurse Ratched when she commands a lobotomy for him, but the victory is hollow; she loses power over the ward as the other patients free themselves of her grip and willingly leave the hospital. This moreover fits in well with the Christian symbolism of the novel; even though McMurphy dies for his reason, his disciples leave the bsl homework online, hospital to live in accordance to his teachings. They achieve the strength and the liberty to make independent choices that McMurphy proposed. Chief Bromden best exemplifies this. Throughout the course of the bullion essay, novel he has regained his voice, and he makes the ultimate step in the direction of self-realization at ken kesey essay the novel’s end.
By moving the control panel, Chief Bromden fulfills McMurphy’s desires and reasserts himself as a member of society. University/College: University of California. Type of paper: Thesis/Dissertation Chapter. Date: 27 February 2017. Let us write you a custom essay sample on One Flew Over the Cuckoo’s Nest. for only $16.38 $13.9/page. Haven't found the Essay You Want?
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Ricardo's High Price of Bullion Including, An Essay on …
an essay on cancer Today, prostate cancer is the second most common form of cancer. And because it is bullion essay including price profits, generally a disease of older men, prostate cancer is not in the top five in terms of bsl homework online, years of life lost. The American Cancer Society projects that in 2002, 189,000 new cases of prostate cancer will be diagnosed (American Cancer Society, 2006). In 2000, there were 32,000 deaths attributable to prostate cancer. Approximately 70 percent of all cases are diagnosed in men age 65 years and older. Prostate cancer is about twice as common in African-American men as in white men. Prostate cancer is a common form of essay price ricardos, cancer. In fact, more men will be diagnosed with prostate cancer than any other form of cancer, excluding only bsl homework skin cancer. Bullion Essay High! And about 3 percent of clinical, men will die from the disease.
Prostate cancer rates appear to essay high including profits ricardos be somewhat influenced by economics, regional geography, religion, and social stratification. For example, the highest rates of Prostate cancer in the United States occur in the Northeast, and lower rates are seen in the South. Rates are higher in urban areas than in rural areas. One suggested explanation of essay, this urban-rural difference is that rural people have more exposure to the sun, with subsequent increases in vitamin D production and calcium absorption. High-income urban areas record higher rates than lower-income rural areas. In the United States, Caucasians and blacks have higher rates of prostate cancer than do Hispanic Americans or Native Americans (American College of Physicians 1997). Most patients with prostate cancer have no symptoms. “Symptoms usually appear when the tumor causes some degree of urinary blockage at the bladder neck or the urethra” (Prostate Cancer, 2006). Also, symptoms include difficulty in starting and stopping the urinary stream, or even after urination, there is essay including profits, a sense of bladder fullness because the bladder has not been fully emptied” (Prostate Cancer, 2006). The risks increase with age and high fat diet (Coley 1997). Prostate cancer is essay, common for essay high including ricardos men age 70 years and older. Averaging data across eight autopsy studies estimated the prevalence of prostate cancer to be 39% in 70-to 79-year-old men.
The treatment of this disease varies dramatically from what to write a personal essay on country to country and within regions of the United States. For example, radical prostectomy is done nearly twice as often in the Pacific Northwest as it is in New England, yet survival rates and bullion including profits ricardos, deaths from prostate cancer are no different in the two regions. PSA screening finds many cases. However, in the great majority of cases, the men would have died of to write a personal essay on, another cause long before developing their first symptom of prostate cancer. When the disease is found, it is often “fixed” with surgical treatment. Essay High Including Price Profits Ricardos! However, the fix has consequences, often leaving the man incontinent and/or impotent. The outcome model considers the benefits of screening and point essay, treatment from the patient#8217;s perspective. Essay Price! Often, using information provided by patients, it is psychology, concluded that quality-adjusted life expectancy is optimized without screening and treatment (Coley 1997).
Prostate Cancer in the young (under age twenty) accounts for less than 1 percent of all cases. In this age group, the incidence rate is far higher in blacks than in whites (the opposite of what occurs in adults). The young group of patients tends to have a remarkably high incidence of a particular type of bullion essay including price, prostate Cancer. Evidence suggests that the main environmental factor is diet. Other environmental exposures, such as smoking, are likely to be involved in causing Prostate Cancer. In further support of the connection of to write a personal, diet to Prostate Cancer are a number of “migrant studies” which have examined the incidence of the disease in essay price profits ricardos, ethnic groups who have emigrated to other countries which have a contrasting rate of prostate cancer occurrence. For example, studies of Japanese immigrants to the United States showed that the mortality rate of Prostate Cancer among males rose to the prevailing rate or higher than the one among Caucasians (Hunink 1997). Respiratory Essay! Diagnosis includes the following methods: a digital rectal examination, a PSA blood test, a prostate biopsy, magnetic resonance imaging, computerized axial tomography and bone scans.
Somewhere between a quarter and a third of these men were found to have prostate cancer making the false positive rate about bullion essay including profits ricardos, 7 percent. Others have reported false positive rates in the range of 7 to 11 percent. The most common cause of a false positive PSA is an enlargement of the prostate gland. Clinical Psychology Dissertation! Because the prostate tends to enlarge with age, PSAs tend to rise with age. Therefore, false positives are less common in younger men and more common in older men. The false positive rate for subsequent PSA testing depends on whether the initial result was normal or not. If the men with abnormal PSAs are excluded, the false positive rate for price profits ricardos a repeat test drops to around 2 percent. Clinical! In other words, if a test was normal in the past, practitioners are much less likely to have a falsely abnormal test in the future (which in turn means that an abnormal result in subsequent testing is more likely to represent a cancer). However, if PSA was abnormally elevated once, it is very likely to bullion essay high price profits ricardos remain abnormal in the future—even if a patient never has prostate cancer (Hunink 1997). Diagnosis of clinical, cancer often leads to a radical prostectomy (surgical removal of the price profits prostate gland). A Personal! The success of the surgery would be confirmed by eradication of the including profits ricardos tumor, reduced prostate -specific antigen (PSA), and patient survival.
In contrast to essay the traditional biomedical model, an outcomes perspective embraces public health notions of benefit. Instead of focusing on disease process, benefit is defined in terms of life duration and quality of life. Studies have demonstrated that serum PSA is elevated in men with clinically diagnosed prostate cancer and that PSA levels above 4.0ng/mL have positive predictive value for prostate cancer. Despite the promise of PSA screening, there are also significant controversies (Fleming 1993). High Including Price Profits Ricardos! Based on the available literature (Fleming 1993), the preponderance of evidence suggests that after adjustment for the extent of nurse practitioner interview, disease, when treatment is comparable, there are no differences in survival from early stage prostate cancer that can be attributed to race. For more advanced disease, it is likely that the survival differences reflect differences in the distribution of disease at the time of diagnoses that are not accounted for in the staging system used. Since many of the patients treated for prostate cancer are staged clinically and not pathologically, accurately determining the true extent of bullion including price profits ricardos, disease in prostate cancer patients is more difficult than for breast cancer. The volume of the leadership typical prostate is 30,000 cubic millimeters. The six biopsy specimens typically represent about 150 cubic millimeters—roughly one-half of 1 percent of the organ.
And because only part of each specimen is sliced and placed on high including profits ricardos, a glass slide, the psychology volume of tissue actually examined by bullion essay high including price ricardos, the pathologist is about 3 cubic millimeters (or 1/10,000 of the gland). The examination of the slide then proceeds in stages: first the slides are assessed with the naked eye; then the entire slide is viewed using low-power magnification (20 times larger than life). Finally, particular sections are examined using high power magnification (100 times larger than life). Almost all biopsies are examined in under 30 minutes; most are read in under 15 minutes. To Write A Personal Essay! One example of the including profits differences between the traditional biomedical and the outcomes models concerns screening and treatment for prostate cancer. The war on a personal essay, cancer followed a traditional find it–fix it biomedical model. The identification of prostate cancer dictates treatment, which in turn is evaluated by changes in biological process or disease activity. In the case of bullion including profits, prostate cancer, a digital rectal exam may identify an asymmetric prostate, leading to a biopsy and the identification of prostate. The treatment methods include external-beam radiation therapy, radioactive seed implants, hormone therapy, radical prostatectomy, chemotherapy, cryotherapy, watchful waiting. For instance, “radioactive seeds implanted into the prostate have gained popularity in dissertation, recent years as a treatment for prostate cancer.
The implants, also known as brachytherapy, deliver a higher dose of radiation than do external beams, but over a substantially longer period of time” (Prostate Cancer, 2006 Feb). Transurethral resection of the prostate was quite popular in the late 1970s and 1980s and was performed frequently enough that the reported cases of essay high including profits, prostate cancer began to rise. Then, in the late 1980s, a new way to nurse practitioner essay find prostate cancer was developed: a blood test that measured prostate specific antigen (PSA). This test caused the number of price profits ricardos, cancer cases to point of view essay skyrocket (Curtis, Juhnke 2003). The problem arises when urologists (specialists in the male urinary and sex organs) are looking for prostate cancer in men with elevated PSA. Bullion Essay High Price Profits! In large part because of this blood test almost a million additional men have been diagnosed with prostate cancer in the last 25 years. Consider a typical scenario. What Essay! A patient has an elevated PSA level, but the doctor cannot feel a lump on the prostate.
Because there is no obvious place to biopsy, the urologist takes six biopsies, each one involving a separate insertion of a needle, to search for cancer in various parts of the prostate. Bullion Essay Profits! The goal is to respiratory essay sample throughout the prostate, with three biopsies on each side: one at the top, one at the mid portion, and one at the base. But no matter how systematic the approach, it still boils down to extracting six samples, each the bullion high price profits size of a wood splinter, from an organ the size of a small ball (Coley et al 1997). For localized and regional disease, the most common treatments are radical prostatectomy or radiation therapy, although some physicians may recommend “watchful waiting” depending on patient characteristics (such as age). Once the cancer has metastasized, there is no longer a choice in treatments. At this point, androgen ablation, either with hormone treatment or through orchiectomy, is the recommended treatment. If the androgen ablation ceases to contain the disease, then chemotherapy is used as a treatment of last resort.
The cost for treating prostate cancer depends largely on the type of treatment used. Interview Essay! A 2000 study of over essay price ricardos 10,000 men treated for early-stage prostate cancer found that the average costs of the initial work up for respiratory essay diagnosis, treatment, and high including profits ricardos, six-month follow up ranged from $12,000 to $30,300, depending on ken kesey essay, the type of treatment (Brandeis et al, 2000). Essay High Profits Ricardos! Treating with radical prostatectomy and adjuvant radiation is the most expensive, with an average cost of ken kesey essay, $30,300. Radical prostatectomy alone had a mean cost of essay including price, $18,300, and the adjuvant radiation alone typically had costs of ken kesey essay, $15,100. The least expensive form of high including profits, treatment for early-stage prostate cancer was brachytherapy (radiation through radioactive seeds implanted directly in the tumor), at about $12,000 (Brandeis et al, 2000). Based on these costs, with nearly 200,000 new cases each year, annual direct medical costs could range between $2.4 and $6 million.
All of the above costs are for clinical treating early-stages of prostate cancer. When the prostate cancer is discovered in later stages, it is likely to be much more expensive since extended treatments may be necessary. For metastatic disease, costs could include extended rounds of hormone treatments, chemotherapy, and palliative care, which could lead to even higher treatment costs. Whether or not a cancer is found is a function, in bullion essay high including profits, part, of its size. Big cancers are easier to what essay find than small cancers. When people hear that technological advances, like CAT scans and MRIs, make it easier to find cancer early, they are really learning that these technologies can detect small cancers. Without these technologies, many small cancers would go unnoticed. Some researchers use the term reservoir to describe these extra cancers. Bullion Essay Price Profits! These two conditions are very different in terms of the types of treatment choices and the consequences of those choices on the health and functioning of the patient, as well as the costs to the patient. Prostate cancer results in significant mortality among men, which requires prevention measures and nurse practitioner interview, early diagnosis. Works Cited Page.
1. American Cancer Society, 2006. www.cancer.org. 2. American College of Physicians. Screening for prostate cancer. Annals of Internal Medicine 126, 1997, 480–484. 3. Brandeis J, Pashos CL, Henning JM, et al. A nationwide charge comparison of the principal treatments for early-stage prostate carcinoma. Cancer 89 (8), 2000, 1792 – 1798. 4. Coley, C. M., Barry, M. J., Fleming, C., et al.
Early detection of bullion high including price profits ricardos, prostate cancer. Ken Kesey Essay! Part II: Estimating the risks, benefits, and costs. Annals of Internal Medicine 126, 1997, 468–479. 5. Curtis, R.C., Juhnke, G.A. Counseling the Client with Prostate Cancer. Journal of Counseling and essay including price ricardos, Development, Vol. 81, 2003, 160.
6. Fleming, C., Wasson, J. H., Albertsen, P. What A Personal! C., et al. A decision analysis of alternative treatment strategies for clinically localized prostate cancer. Journal of the American Medical Association 269, 1993, 2650–2658. 7. Hunink, M. G., Goldman, L., Tosteson, A. Essay! N., et al. Decisions about prostate cancer screening in managed care. Current Opinion in Oncology 9, 1997, 480–486. 8. Prostate Cancer. 2006. http://www.emedicinehealth.com/prostate_cancer/page5_em.htm. 9. Prostate Cancer.
2006. February http://www.cnn.com/HEALTH/library/DS/00043.html. 10. System Essay Question! Schover, L.R. Including Profits! Is There Sex after Cancer? Patients Must Focus on the Power of Love and Understanding, Rather Than the leadership point essay Actual Mechanics of Lovemaking to Enjoy a Life of Intimacy Once Again.
USA Today (Society for the Advancement of Education), Vol. Including Price! 132, November 2003, 30. CustomEssayPapers.com is a provider of high quality, custom writing services and can write any kind of paper, including case studies. Essay! CustomEssayPapers.com is profits ricardos, experienced in writing informative, detailed, and concise case studies on leadership point of view, any subject and using either kind of essay including price profits ricardos, case study approaches. If you need help with a case study, place your order for a case study and one of our professional writers will happily construct a case study for you or help you with any other writing assignment you may have: Essay , Research Paper , Thesis , Term Paper , etc. Place your order now to get an excellent custom-written case study! This entry was posted on a personal essay, Saturday, June 18th, 2011 at 4:33 am and is filed under Medicine. You can follow any responses to this entry through the RSS 2.0 feed.
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The Importance of what, Community Service - Paper. The Importance of Community Service Without community service people would not know the meaning of charity and bullion essay high giving back. It creates a better society and helps improve one’s individuality. Community service carries a reward that is beyond the obvious and clinical psychology tangible. Volunteerism is no longer just. The Importance of bullion including price ricardos, Keeping Track of Ppe(Personal Protective Equipment) Period 5/6 11-13-08 The Importance of Keeping Track Of PPE Knowing where your PPE is important at all times is practitioner interview, very important for high including, many reasons. The first reason being that if you do not know where it is you could miss the chance to go out on a call.
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VALUE OF TIME ( time ) Time goes first Time goes slow Times sees people die Time sees the grass grow Introduction:The value of time in our life and in this world knows no bound. What On! The time has started it’s march from the very beginning of the creation of the world. Essay High Ricardos! This very ancient march has no. The importance on being on time is cut and dry topic. There shouldn’t be any arguing the system question, topic because you should always be on time . Bullion Essay High Including Profits Ricardos! The consequences of being late can be so huge even to the littlest occasions.
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LEADERSHIP AND TEAM SKILLS MANAGING YOUSELF. HOW TO USE EFFECTIVE TIME MANAGEMENT AND ACHIEVE GOALS 1.1 IMPORTANCE OF EFFECTIVE TIME MANAGEMENT We all have the same amount of time in life, and time is psychology, limited. So by using time effectively you can reach your targets and goals in your professional. state of being accountable; liability to be called on to render an account; accountableness. It’s important to be accounted for no matter if you’re part of a formation or some type of business. Being accounted for let’s that subjects accountee know that he/she is at bullion essay high including, his point of place and what essay time . To be accounted. The Importance of Being Earnest and the Victorian Period The Victorian Era was a time of social reform. Society was rediscovering novels in bullion essay high including, its many structures. Essentially the late Victorian era was the beginning of a cultural resurgence. Although the Upper Class society still had a stronghold.
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Define Ethics? Discuss the Importance of Ethics to a Designer. Define ethics? Discuss the importance of ethics to a designer. Designers, due to ken kesey essay their field of work, are in a position where they can influence society.
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