2011 Hurricane Names

2011 Hurricane Names 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 Below you will find the listing of hurricane names for the Atlantic Ocean for the year 2011. For every year, there is a pre-approved list of tropical storm and hurricane names. These lists have been generated by the National Hurricane Center since 1953. At first, the lists consisted of only female names; however, since 1979, the lists alternate between male and female. Hurricanes are named alphabetically from the list in chronological order. Thus the first tropical storm or hurricane of the year has a name that begins with A and the second is given the name that begins with B. The lists contain hurricane names that begin from A to W, but exclude names that begin with a Q or U. There are six lists that continue to rotate. The lists only change when there is a hurricane that is so devastating, the name is retired and another hurricane name replaces it. Thus, the 2011 hurricane name list is the same as the 2005 hurricane name list although four hurricane names were retired after the devastating 2005 hurricane season so on the 2011 list Dennis was replaced by Don, Katrina was replaced by Katia, Rita was replaced by Rina, Stan was replaced Sean, and Wilma was replaced by Whitney. 2011 Hurricane Names ArleneBretCindyDonEmilyFranklinGertHarveyIreneJoseKatiaLeeMariaNateOpheliaPhilippeRinaSeanTammyVinceWhitney

Analysis of Swingers essays

Analysis of Swingers essays Set against the backdrop of the mid 1990s Los Angeles club scene, Swingers, gives us an engaging and realistic look into the L.A. singles life, and serves as a parable for all of those out there that have looked for love, failed and have had the courage to get up and try again. The story centers around Mike (Jon Favreau), a struggling comedian and a generally nice guy, that has not gotten over breaking up with his girlfriend and the trials and tribulations that he takes to try to get back on the dating horse. Along with Mike on his journey to find new love are his friends, a group of struggling actors, that at times act as a Greek chorus to show us his progress and theirs towards meeting these new beautiful babies. The cast is, for the most part, amateurish. Obviously, this is a function of the film's meager budget. Everyone gives a gung-ho effort, but most fail to hit their marks dead on. Favreau himself comes off as little more than an actor playing an actor. Even his walk feels forced at times. Thankfully, it doesn't hinder his likeability, or the rest of the casts. The one standout, of course, is Vince Vaughn as "best friend" Trent. Vince has charisma to spare here, taking his role as the smooth-talking Don Juan to the outer limits. He embodies Trent completely, and through his character gave America several new catch phrases to be used in their everyday vernacular. The line, Your so money and you dont even know it, that he consistently gives to Mike throughout the film to booster his confidence can be now be found in everything from advertising to sports casting Director Doug Liman does a good job with the small independent film budget he is given, and shoots the film in a naturalistic almost documentary type of manner. The film is highly self reflexive and at times he resorts to gimmickry to catch the audience's attention (like the Goodfellas inspired steady cam walk through...

Gallery review Essay Example | Topics and Well Written Essays - 500 words - 4

Gallery review - Essay Example They bring about a sense of sexuality and romance. This exhibit is different from the others in the sense that it is catchy and controversial at the same time. Different people might interpret the pictures differently, but what really matters is the fact that; the pictures are an excellent piece of artwork (Barrett, 2003). Various aspects of the pictures are of interest to me, and call for further research. Students who viewed pictures in gallery two had different interpretations, which prompted a deeper insight of their meaning. Eye movement through the pictures was swift. I skimmed through the pictures to try and get an exclusive interpretation of their meaning. The picture’s visual attraction was of much interest than trying to understand what the artist had accomplished. The arrangement of the pictures below illustrates that eye movement was triggered by visual impression. After skimming through the pictures, I had a slight idea of what the artist was trying to communicate. My attention was drawn by the nudity of the last image. My eye movement around this image was in a circular motion. I scanned through this image to acquire some knowledge on why the artist thought of posting it (Barrett, 2000). The colours in the pictures enhanced their interpretation. A sexual aura and a sense of romance could not have been portrayed without the bright colours. The bright colours were an indication of a seamless compatibility between the pictures. These colours create an intimacy and energy that remained present in the images. The images from this gallery have a hidden meaning. They all involve a woman, which tries to bring out the idea of her lifestyle. The seamless documentary-style images try to bring about a sense of addiction and sex. The images might also tend to expose the preoccupations and interest of the artist and his subjects. Observing the pictures triggers the brain to teeter between realism and expanded ideas of the

Analysis of an important sources related to the previous research Term Paper

Analysis of an important sources related to the previous research - Term Paper Example Durkheim firmly believed that sociology is the ‘science of  institutions’, which aimed to delineate the structural "social facts" (Durkheim, 1895, 13).   He opined that social science should be holistic in nature and appeal, meaning that sociology should be the study of various incidents from the lives of common men which can be associated with the society at large, instead of just limiting oneself to studying the actions of just one individual. It is this very aspect that prompted me to choose Durkheim’s book Suicide (first published in 1897), for my research paper. The book enables one to comprehend the fact that suicide by a certain section of the population (young male population) at regular intervals reflects a grave social problem. It is thus necessary that we view the various instances of the young male suicides in UK together as one incident, and examine this incident from a broader social perspective, with a holistic angle. Durkheim believed that â€Å"society is a unity which displays characteristics that cannot be reduced to those of its component individuals† (Giddens, 2). If we wish examine this theory in the context of the large number young males that commit suicide both in UK and worldwide, we will have to review the entire scenario from a new perspective and search for certain fundamental reasons that are driving all these young men to commit suicide. According to the World Health Organization (WHO) more than 90,000 adolescents in the age group of 10-19 years commit suicide every year, while more than 4 million in this age range attempt suicide, worldwide (WHO, 2001), while in UK suicide forms to be the â€Å"The [second] biggest killers of boys and young men are suicide (10%)† (Boseley, Drink and drugs a leading cause of young deaths, 2009). It is seemingly impossible that such large numbers of young people committing suicide worldwide are doing so for the mere sake of some isolated personal reasons. So

Federal government of the United States Essay Example for Free

Federal government of the United States Essay  © 2010 Carnegie Endowment for International Peace. All rights reserved. The Carnegie Endowment does not take institutional positions on public policy issues; the views represented here are the author’s own and do not necessarily reflect the views of the Endowment, its staff, or its trustees. No part of this publication may be reproduced or transmitted in any form or by any means without permission in writing from the Carnegie Endowment. Please direct inquiries to: About the Author Nathaniel Ahrens is a visiting scholar in the Carnegie Energy and Climate Program, where his research focuses on climate, energy, and sustainable development issues in China. He is the president of Golden Road Ventures Ltd., a business development and strategic advisory firm that provides expertise and support for critical projects in China, including sustainable development, government procurement, agriculture, and media. Previously, Ahrens was senior product manager and director of international sales for Intrinsic Technology, a Shanghai-based telecommunications software provider. He also founded Shanghai Pack Ltd., a luxury-brand packaging company based in Shanghai and Paris. Ahrens is a member of the National Committee on U.S.–China Relations, the Asia Society, and serves as an honorary ambassador for the State of Maine. Indigenous innovation1 has become the greatest immediate source of economic friction between the United States and China. This trend is not unique to these two countries; policy makers globally are actively trying to stimulate domestic innovation. The burgeoning markets for biotech and environmentrelated products and services and, potentially even more important, countries’ efforts to emerge from the global economic slowdown all reinforce this trend. Mindful of this global scene, China has made indigenous innovation one of the core elements of its attempt to make a structural shift up the industrial value chain. Recently, however, indigenous innovation has been tarred with a protectionist brush. In both China and the United States, there have been increasing calls for buy-local stipulations and the erection of tariffs and non-tariff barriers to trade. In China, these measures primarily take the shape of government â€Å"local content† mandates and through the preferential treatment given to products officially classified as â€Å"national indigenous innovation products† (NIIP) in the government procurement process. In the United States, they have taken the form of buy-local provisions and efforts to shut out foreign companies. The conflict has been escalating dangerously. In the run-up to the recent Strategic and Economic Dialogue, the U.S. business community ranked indigenous innovation in China as its number one policy concern, above even the currency issue. As of this writing, the key points of contention remain unresolved. Yet despite the loud cries of protest against it, the global trend toward â€Å"homegrown† innovation is a healthy, positive development. Without innovation, countries cannot continually raise wages and living standards.2 Government procurement should play an important role in stimulating innovation, but maintaining open markets and international linkages is critical. But instead of following its current approach of short-term product substitution and picking winners by protecting them from competition, China should focus on proven, market-friendly ways of stimulating innovation. Government procurement’s primary roles should be market signaling, de-risking RD, bridging the finance gap, and stimulating demand. The United States would also benefit by refocusing its government procurement policies along the lines indicated in the key findings of this paper, especially concentrating on facilitating more open markets and elevating the importance of sustainable procurement. The following set of specific recommendations for China will stimulate innovation through open markets and the effective use of government procurement

The Speckled Band - Arthur Conan Doyle :: English Literature

The Speckled Band - Arthur Conan Doyle â€Å"What appeal would the story ‘the speckled band have had for a Victorian audience† The story â€Å"The Speckled Band† was written by Sir Arthur Conan Doyle, and published in â€Å"The Strand Magazine† in 1892. The story contains the very famous and popular character Sherlock Holmes. In this essay I will discuss the popularity of the Holmes stories for a Victorian audience. To do this I will look at the use of realistic locations, the originality of the Holmes character and the use of a first person narrator (Dr. Watson). â€Å"The Speckled Band† is a story that portrays life in the Victorian audience. In this story a woman pleas for help from Holmes about the death of her sister Julia. The story goes on to look for the audience to convict the woman’s stepfather. Holmes finds out the stepfather is planning to kill her and finds out that the stepfather was the cause of her sister’s death. The only motive Holmes had foe the stepfather for killing his stepdaughter was for the inheritance. He also commits the murders by cleverly training a snake to climb down a rope bell and on to the bed and poisoning the victim. The Victorian readers thought that Holmes was a real person in those days. This realism is created because Holmes lived at a real address in the stories, at Baker St. 221B and the stories are written as real cases. Holmes is a very charismatic and mysterious. In one of the stories he is called â€Å"the most perfect reasoning and observing machine† in ‘A scandal in Bohemia.’ He is shown as the Victorian ‘new man’, who uses his brains and scientific deductions to solve things. We are told how he makes â€Å"deductions as swift as intuitions.† He is also chivalrous and often helps women in distress, and he never accepts payment for his heroics, whilst he helps people within the Victorian community. He seems to be a loner and is seen as an individual and he doesn’t seem to like other people. Helen Stoner is the daughter of a tyrant of a stepfather where she is woman in anguish and agony. She is worried about becoming a victim as her sister was before her. Being a woman in distress is a key element in Victorian stories as well as the Holmes stories. She is seen as vulnerable and scared like a ‘hunted animal.’ Helen appears to be melodramatic, for example she wears a â€Å"black veil† when she visits Holmes, years after her sister’s death, and shows the audience that she is deeply distressed.

Enlightement Thinkers And Vincent Van Gogh Essay

The Enlightenment outlook embraced freedom and progress, viewing humanity with optimism – guarded optimism, but optimism nonetheless.   The era’s thinkers believed that humanity was essential good but flawed, though with the proper guidance and environment it could be improved, if not perfected.   Condorcet saw no limits to human potential, claiming that nature â€Å"has set no limit to the perfection of human faculties† (Gay 119) and that if humanity sought the right goals, the future would yield this. Similarly, Rousseau argued for humanity’s essential decency, yet he did not believe it was unconditional; he believed that â€Å"in the right circumstances, with the right education and the right society, man might become a decent citizen† (Gay 171).   In addition, Europeans considered Benjamin Franklin proof of their ideas – a man who had sought higher goals and outlets for his immense talents and energies and practiced Enlightenment virtues like civic duty and intellectual accomplishment.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Van Gogh shared the Enlightenment thinkers’ esteem for freedom and human dignity, writing in 1880 that â€Å"men are often faced with the impossibility of doing anything, imprisoned in some kind of cage. . . .   Sometimes the prison is called prejudice, misunderstanding, [or] fatal ignorance. . . .† (Suh 17)   He claimed he painted in order to ennoble laborers and the poor, whom many despised and viewed with little sympathy, hoping to â€Å"draw [people’s] attention to matters that need to be noticed† (Suh 43). For example, works like The Potato Eaters depict their subjects in difficult, even squalid conditions but do not condemn or judge them, as Van Gogh considered such people worthy of dignity.   Though Van Gogh was not overtly political (which several key Enlightenment thinkers were), he demonstrated an anti-elitist outlook resembling the Enlightenment sense of egalitarianism, and believed that humanity could fix its flaws by increasing its understanding of others and breaking free from the mental â€Å"prisons† he described. REFERENCES Gay, Peter.   The Enlightenment.   New York: W.W. Norton, 1977. Suh, H. Anna. Ed.   Vincent Van Gogh.   New York: Black Dog and Leventhal, 2006.

Music and Dance Essay

Filipinos are known as great musicians worldwide. This is seen in their dedication and intense love for music. Early Filipinos already developed their own music through their endemic songs and instruments. The Magellan expedition in 1521, witnessed among the Cebuanos instruments of timbale, and cymbal and other forms of drums. The most popular music instrument found in the country is the kudyapi a metal stringed instrument shaped like a boat, Tingguian nose flute called kalalen, the Muslim xylophone called kulintang. Negritos of Bataan and Zambales have the musical instrument called ban, the Visayans had a guitar looking which they called gangsa and the toltogan, a bamboo drum. Aside from instruments, our ancestors also expressed themselves through their songs with dance like; tagumpay, Tagalog sog of victory, Mang-ay-uweng, an Igorot’s labor song, Kinnallogong which is an Ilocano dance of a man facing a woman, tudub a harvest song together with dandansuy, balitaw the two popular song and dance in Agusan, Other Philippine ethnic dances are the following; Bonog- Cordillera dance portraying hunting, Salisid- Cordillera courtship dance, Palok- cordillera tribal dance, Idudu- Cordillera tribal dance which is a common among Itneg or Tinguian society, Lumagen- Kalinga traditional thanksgiving dance, Bendayan- Benguet dance commemorating the arrival of the headhunters and Binaylan- Agusan ritual dance which originated from the Bagobo tribe. Dressing and Ornamentation The ancient Filipinos have their own attire and their own fashion. The men in the barangay society wore the kanggan, described as a black or blue collarless, short-sleeve jacket. They also wore a bahag a strip of cloth wrapped around their heads was also used which is called putong. They also had jewels such as pendant, gold necklaces, gold teeth, gold armlets that were called kalombigas and gold anklets filled with agates, carnelian and other gems. The women had their own way of dressing themselves same as the men. They wore wide-sleeve jacket called baro or camisa, in their lower part they wore a skirt, a piece of colored cloth, which they called as tapis or saya by the Tagalog and Patadyong by the Visayans. Women wore jewelry consisted of gold necklace,  gold bracelets, large gold earrings and gold rings and teeth. In Visayans, the most tattooed Filipinos settled; they developed a social representation through body marks of various designs representing animals, flowers and geometric representations. There were two reasons: first, to enhance their physical body beauty, and second, for men to show their war records, the more enemy a warrior killed in the battle, the more tattoo was inched in his body. The women were less tattooed than men. When the Spaniards came to Visayas and upon seeing such people they called pintados r painted people, they called the island as Las Islas Pintados or Island of Painted People. A Cat Disease A disease that causes chronic gastrological disorders, IBD, is envisioned in a spectrum of severities. Cats can vomit heavily, and suffer from continuous diarrhea. Reasons for the disease are yet unknown. Bacterial infections, gastrological irritation, lack of vitamins are often quoted as factors contributing to the development of the disease. Veterinarians, treating IBD in cats, usually prescribe medicine and advice on the dietary management as well as make surgical choices. If untreated, IBD, can be fatal for cats. Research – conducted mostly by pet owners – shows that a cat’s diet can be critical. Further research will include inspection of several vaccines. So far, grain-free, raw meat diet has already proved to be largely beneficial. The Meteor Show The much advertised meteor show this summer was a memory ot behold. The air was crisp and cool. I did not even feel a hint of a breeze  on my skin as I lie on my back in the darkness. The warm temperature of the water against the cooler air created a drifting airy fog that whispered over the lake. Darkness enveloped the sky as only a slight curve of the moon shone in the night; consequently, this made the perfect stage for the breathtaking view of twinkling stars. In the still of the night many galaxies glittered from the depths of the sky as I felt hypnotically drawn into the mesmorizing show above me. Broad irregular bands of light from the Milky Way stretched across the sky while the big and little dipper shined brightly. As predicted, the meteor show began with various sized meteors cascading to the earth’s atmosphere about every fifteen to thirty seconds. Shots of light, followed by orange and white mist, describes the presence of the meteors. The panoramic view made it possible to witness several meteors at a time while marveling at each one. An event like this may only happen once in a lifetime, so I will cherish this moment and it will remain as one of my fondest memories. My First Time In The Emergency Room I went to the Emergency Room for the first time when I was thirteen years old. It all came about when I was skateboarding in front of my grandma’s house and I tried to do a trick. I almost pulled it of, but I messed it up in the end and headed to the ground with my hands down. My right wrist was twisted the wrong way in the air when I landed hard on the ground, it just broke it. At first it did not hurt at all, but when I looked down at my warped and twisted wrist , all of a sudden excruciating pain rushed through my wrist and I came unglued. Rolling around on the ground yelling and cussing in pain, my parents saw what happened and came running to my aid. My dad started moving it around saying, â€Å"it’s not broken,† as my mom was saying over and over again we need to go to the emergency room to get the real diiagnosis. After about fifteen minutes of yelling and screaming, I finally got up and held my wrist as I walked to the car. The whole way to the ER the pain got worse and worse. Later I foound out the  increase in pain was due to massive swelling against the broken bone. I had to sit in the waiting room for almost and hour which seemed loke forever. After waiting impatiently, I finally got into the doctor’s office where I got an X-Ray and found out my wrist was truley broken.

Critical Study of The NHS breast screening programme The WritePass Journal

Critical Study of The NHS breast screening programme Introduction Critical Study of The NHS breast screening programme IntroductionPathway through the Breast servicesConclusionReferencesRelated Introduction The NHS Breast Screening Programme began in 1988 and was set up by the Department of Health in response to the recommendations of a working group, chaired by Professor Sir Patrick Forrest. The report Breast Cancer Screening was published in 1986, and popularly known as The Forrest Report. NHSBSP began inviting women for screening in 1988 and started covering nationally in the mid 1990s. A report by the Department of Health Advisory Committee published in 1991 suggested that the programme would save 1,250 lives each year by 2010(Breast Cancer Screening 1991: Evidence and Experience since the Forrest Report, Department of Health Advisory Committee, NHS Breast Screening Programme 1991).The NHS Breast Screening Programme is an effective part of the UKs efforts to reduce the death toll from breast cancer. In September 2000, research was published which demonstrated that the screening programme had lowered mortality rates from breast cancer in the 55-69 age group. Early detection of breast cancer is an important factor in improving breast cancer survival. Breast screening is an opportunity for early detection of breast cancer. In 2010, research shows that benefits from screening mammography outweigh the harm in over diagnosis. . Between 2 and 2.5 lives are saved for every over diagnosed case. The aim of this essay is to critically analyse and evaluate the pathway through breast services with the relevant departments. Pathway through the Breast services Women registered with the General Practitioner, aged between 50 and 70 years old are routinely invited for breast screening at their local breast screening unit, it could be hospital based or in a mobile trailer. An invitation is sent once every three years.   Women over 70 years old will not receive an invitation but they are encouraged to make their appointment for the breast screening programme. Enclosed in the invitation is a leaflet about the facts about the screening programme.The author finds the leaflet very helpful because it has a lot of facts about the breast screening programme, and its benefits.   The leaflet sent is written in English. There is an available format with this leaflet from large print in English; for women who do not speak English as their first language, the leaflet is also available in other languages such as Arabic, Bengali, Cantonese, Polish, Punjabi and Urdu. It is even available in Braille format and a DVD for British sign language. The Departmen t of Health Cancer Reform strategy announced that effective on 2012 the NHSBSP would be extending the invitation to women aged between 47 and 73 years old. The author visited a mobile breast screening unit, based in the breast screening department car park. There were 55 patients booked on that day.   There were two women who did not attend their appointment.   The author observed that the unit was very relaxing despite the very busy list. Background music was playing while women waited for their mammograms to be performed. Music has been very successful in distracting patient’s attention from pain (Hawthorn and Redmond, 1998). The author strongly agrees with Hawthorn and Redmond that music helps in distracting ones attention from pain. One woman made a comment that music helped her relaxed since it was her first breast screening and the woman was very anxious and a little bit nervous. When a woman arrives for breast screening appointment, the radiographer will then greet the woman. The radiographer will check the woman’s personal details and reviews the questionnaire answered by the woman. In the x-ray room, the radiographer will explain the whole procedure such as the need of compression during the examination. The radiographer will answer all the woman’s questions before carrying out the examination. Giving proper applied compression is very important in producing a good mammography image (Bassett and Hendrick, 1994). Basett and Hendrick (1994) recommended that to give proper compression the radiographer should let women know the importance of compression, and inform when it is about to be initiated, it also should be done slowly and until the skin of the breast is tight without causing pain. After the mammogram, the woman was then given a leaflet for further information about the result of the examination, a contact number for inquiries and more i nformation and it also states that there is a possibility for a recall for assessment. The aim of breast screening assessment is to identify the abnormality found in the screening mammograms. If there is abnormality found, further tests are then needed. Testing for breast cancer should include a clinical examination, breast imaging, fine needle aspiration or core biopsy. These three tests are called triple assessment. Women recalled for further assessment from the breast screening, around one in six to have cancer (NHSBSP Pocket Guide, 2008). The assessment clinics have breast care nurses that help women during assessment or women who are diagnosed to have breast cancer. Breast care nurse gives advice, support and information. According to the Breast Cancer Care and Royal College of Nursing, the key role of the breast care nurse during the treatment pathway is to give information and emotional support. They give information about treatments, options and what to expect during the entire treatment (Breast Cancer Care and Royal College of Nursing December, 2004). The author strongly believes that having a breast care nurse is crucially important to women who are undergoing treatment. It would make their life a bit easier during treatment because someone is there to listen and help them throughout. The author asked a woman on how helpful the breast care nurse during the treatment pathway, and the woman said that her treatment would be totally different without the help of the breast care nurse. The breast care nurse has helpe d the woman from the day she was recalled for further assessments from breast screening. The breast care nurse has given her a lot emotional support and has given her a lot of information during the treatment journey. The woman is extremely glad that someone is there to listen to all her worries during tough times. The author visited an assessment clinic and observed the flow of the clinic that day. The author observed a woman recalled for assessment. The mammograms were read by two consultant radiologist. Double reading has been practiced in the breast screening programme. The opinion of the author is that having two readings is more effective than just having a single reading. Research shows that double reading may boost the number of cancers detected by some 9 to 15 percent (Brown et al, 1996). However, around 13% of the health service costs happen during the breast screening assessment (Clark and Fraser, 1996). The author visited a busy assessment clinic; one the cases observed was that the reporting radiologists have found in the mammogram a calcification in the upper inner quadrant of the left breast that is why the woman was recalled for further tests. Additional views were suggested specifically, left lateral and left magnification views.   After the additional views were done, the wo man went to the examination room and the radiologist explained the suspected abnormality found in the mammograms and further imaging required to confirm or exclude any abnormality. After hearing out the Consultant Radiologist’s explanation regarding examinations needed during the visit, the woman got so anxious and stressed out. The breast care nurse was there to give support in these times. A woman scheduled for breast biopsy procedures suffers anxiety about the result of their diagnostic procedures. The author believes that breast care nurse plays a very important role in the assessment team. Preoperative nurses have special ways in providing quality nursing care for patients waiting for breast biopsy procedures and their definitive diagnosis (Deane, 1997). The woman had a clinical examination; Stereotactic guide biopsy with specimen radiography was performed. The radiologist took five flecks of representative calcification and was sent to the pathology department for analy sis. Result will be ready for the multi-disciplinary team for review in two days. According to the clinical guidelines for breast screening cancer assessment, women who will have further tests should have their results discussed in a multidisciplinary meeting. There are two routine outcomes for assessment; the woman will still be invited for the breast screening programme or the woman will have further treatment (NHSBSP, Publication 49). The author visited a â€Å"one stop breast clinic† at a local breast care unit. Most patients were referred by their GP and there was a patient referred from breast screening assessment. A specialist should see GP referrals or referrals from the breast screening unit within two weeks from referral. Cancer reform strategy 2007 announced that in December 2009, all patients referred to a specialist with breast symptoms even if cancer is not suspected should be seen within two weeks of referral (DOH, 2007). The clinic had a mixture of patients. There were new referrals from the GP, follow up appointments from previous treatment and follow up for results of tests. The clinic had a consultant breast surgeon, registrar, breast care nurses, consultant radiologist, radiographer, and consultant pathologist, consultant oncologist. They are referred as the breast care team.   The Surgical guidelines for the management of breast cancer, Association of Breast Surgery, BASO 2009 states tha t it is now widely accepted that breast care team should be provided by breast specialists in each discipline and that multidisciplinary team form the basis for best practice.   â€Å"One Stop Clinic† is similar to the assessment clinic for women recalled from breast screening. The author observed that triple assessments were done just like women recalled for further assessment from breast screening and these tests are based on clinical examination, breast imaging, fine needle aspiration or core biopsy. Men who have suspected breast cancer will have the same investigations (NICE guidelines, 2009). The author’s opinion, it is important that every woman or man referred to a Consultant Breast Surgeon should have triple assessment, if possible for accurate diagnosis and should be done at the same visit. â€Å"Routine use of triple assessment can increase the speed and accuracy and reduce the cost of diagnosis. When the three tests give consistent results, a definite positive or negative diagnosis can be given 99% of the time. Thus minimises the need for open biopsy, thus preventing unnecessary surgery and reducing anxiety (NICE, 2009).† National Institute for Clinical Excellence suggested that the triple assessment should be available to patients with suspected breast cancer at a single visit (NICE, 2009). The author observed another woman in the outpatient clinic, a woman referred from breast screening that had shown in the mammograms clusters of micro calcification in the right breast. Core biopsy was done during her first visit in the assessment unit and in which turned out to be breast cancer. The woman’s case was reviewed with the Multidisciplinary team and further treatment was recommended. The woman was so anxious, and felt so hopeless but with the help of the breast care nurse to give support and advice, the woman felt a little better. Treatment was discussed during the visit. Another woman referred by the GP complaining on having breast lumps. The Consultant surgeon reviewed the woman’s notes before bringing the woman into the room. After reviewing the notes, the breast care nurse then brought the woman in for clinical examination. The surgeon thoroughly examined the woman’s breast. The surgeon then wrote down an imaging request form with its clinical indications for a Mammogram. The author then accompanied the woman to the Mammography Section of the Breast Unit and was then met by the radiographer.   The radiographer then explained the examination, like how many views to take, and the need to compress both breast and informed the woman might feel a little bit uncomfortable. The author has observed that the radiographer have explained very well about what happens during the whole examination. Good communication between a radiographer and patients is an important factor. The author visited the Pathology department and observed what happens in the department.   NHSBSP uses triple approach, known as triple assessment. Having a fine needle aspiration or breast core biopsy is part of the triple assessment. Fine needle aspiration entails placing a very thin needle inside the mass and extracting cells for microscopic evaluation. The samples are then smeared on a microscope slide and allowed to dry in air and fixed by spraying, or immersed in a liquid. The fixed smears are then stained and examined by a pathologist under the microscope. According to Bateman (2006), fine needle aspiration is the fastest and easiest method of breast biopsy, and the results are rapidly available, fine needle aspiration cannot distinguish between in situ and invasive carcinoma. Core biopsies are samples of cells are taken from the lump or area of abnormality using a needle. It can be performed under local anaesthesia in the outpatient setting. The sample will be sent to the Pathology department. The Consultant Pathologist will evaluate the sample. The accurate diagnosis of breast cancer and the pathological assessment of breast cancer tissue are big responsibilities by pathologists working within the field of breast disease. It is very important to distinguish the pathological changes of benign breast disease from those of early and established breast cancer. Once cancer is confirmed, the pathologist is required to provide an evaluation of the pathological features determining prognosis and the requirement for further treatment (Bateman, 2006). The author has realized that diagnosing a breast cancer relies on the pathological assessment of the breast cancer tissues and that the Consultant pathologist plays a very important role in giving the diagnosis accurately and the pathological assessment of the breast cancer tissue. The consultant pathologist is responsible in establishing the pathological assessment of the breast cancer tissue. The author’s opinion is that excellent histological diagnosis plays a very important p art to breast cancer staging and management. Woman diagnosed with breast cancer picked up from breast screening should be under the care of the Multidisciplinary team. There are some factors that they need to be considered on what treatment is best. The consultants will consider the stage and grade of cancer, health, and whether the woman has been through menopause. Different methods define the stage of cancer; the TNM system of staging describes the tumour size, number of affected lymph nodes, and what extent the cancer has spread (breakthrough).   When treating cancer, the breast consultant will discuss on what treatment is best for the patient. Before an operation is done, the surgeon will talk to the woman concerned about the best surgery that should take place for the woman’s case. According to the BASO surgical guidelines (2009), surgery should only be performed by a specialist who specialize breast diseases and who performs surgery of at least 30 cases per year The NHS Cancer Plan sets a maximum of one month wait from the date of diagnosis. Women diagnosed with breast cancer are given their first treatment within 2 months of an urgent GP referral or women who came from breast screening. Surgery is often the first treatment for breast cancer to remove cancerous tissues, and to find out if the lymph nodes are affected. Surgery is usually the first line of attack against breast cancer.   A range of operations should be available. If the cancer is not too large or diffuse, surgical options include mastectomy and breast conserving surgery. In such cases the choice should be made jointly by the surgeon and the patien t, who should be fully informed of all opinions and their potential risks, benefits and implications for further treatment (NICE, 2002). Before the operation, patient will be seen by a member of the breast surgical team for a pre-admission appointment.   The patient will stay overnight to prepare her for the operation the next day. Surgical considerations are; wide local excision is the removal of the breast tumor and some of the normal tissue that surrounds it. The breast is left intact with less disfigurement. Sentinel lymph node biopsy involves a tiny incision in the axilla and removing one to four lymph nodes, before having this surgery, radioactive tracer is injected two to twenty-four hours prior to surgery. When patient is already under general anaesthesia, blue dye will then be injected around the areola.   Both radioactive tracer and the blue dye will help in identifying the sentinel lymph nodes during the operation, once they are identified the consultant breast surgeon will then remove it and sentinel lymph nodes are sent to the pathology department for analysis.   Axillary clearance takes place if the sentinel lymph nodes are affected by cancer the consultant breast surgeon will remove the entire lymph glands in the axilla. If cancer cells are found in the sentinel lymph nodes patients are given another operation in about two weeks time or after the pathology report is available. The second operation involves the removal of further lymph nodes in the axilla. Research shows th at 20,000 women who will undergo sentinel node biopsy will be spared from unnecessary breast cancer surgery each year ( Goyal and Mansel, 2008).   According to Professor Mansel, ninety two percent of women who had sentinel node biopsy had a quick recovery and they were able to do their normal activities after three months compared to women who had a conventional operation and also they only stayed one night at the hospital compared to four nights. Under the written breast local guidelines, a woman who has had surgery of the breast should be identified on which adjuvant treatment should be given consideration(BASO,2009.). Adjuvant treatment includes radiation therapy, endocrine therapy, hormone therapy and targeted therapy. Radiation therapy is needed to the remaining breast tissues after an operation.   It is often used in combination with other treatments, such as chemotherapy to shrink the size of the tumour before removing it. Radiation therapy to the breast is a localised treatment. The target is directly aimed to the cancer.   It uses high-energy rays to stop cancer cells from spreading and growing. It is often used to destroy remaining breast cancer cells in the breast, chest wall, or axilla. The oncologist may suggest treatment in a specific area; it could be the breast alone, axilla and supraclavicular area. The author visited the Radiation Therapy and observed  Ã‚   what happens in the department.   The author observed that for the patient’s first appointment will be a planning session in the planning CT scanner or in a stimulator. This is not formal consultation. The main purpose of this first visit it to plan and arrange the radiation therapy. The author observed a woman for h er first appointment. The woman’s breast cancer was detected through breast screening. When the woman arrived for her first appointment, the woman was asked for her details and appointment card then she was then told by the receptionist to go to the stimulator. The stimulator is where the planning takes place. This stage helps the consultant oncologist to target the specific area for treatment. Measurements are measured accurately and ink marks are marked on the patient’s skin for the accurate target. This stage helps the consultant oncologist to target the specific area for treatment. After all accurate measurements are recorded the next stage would be treatment. The radiographers are not in the room with the patient although they are equipped with video camera and intercom so they can see and hear the patient in the treatment room at all times.   The Radiation therapy team consist of radiographers, physicist and oncologists.   The author observed that the unit is very busy and not enough staff for a very busy unit. The author asked the radiographer about patient waiting during the visit and the specialist radiographer said that it is quite difficult to judge how long each patient will take and also to get start the radiation therapy process, there is a long wait for appointment for radiation therapy. Patient can get an appointment as long as three months. According to Dr Michael Williams , vice president of the Royal College of Radiologists, in The Telegraph article, he said current waiting times were â€Å"simply not acceptable†.   There are shortage of radiographers and radiation therapy units. The author believes that if the government invests and expands the coverage for radiation therapy units in various places in the United Kingdom then waiting time will be reduced and patient anxiety will lessen. The oncology unit provides a wide range of services such as clinical and support services. The breast care team in this unit includes a consultant oncologist, two breast care nurses, clinical oncology assistant, and nursing team. The breast care team work closely together with the radiology department at the local NHS hospital to ensure that patients are given the multidisciplinary approach. Patients with breast cancer are given a holistic service in their battle with breast cancer.   There is a 24 hour emergency contact number for patients undergoing chemotherapy. The breast care nurses in this unit are always ready to respond to patients needs and concerns during their treatment. After treatment for breast cancer, women should have a care plan with the GP or a Specialist to detect local recurrence or side effects of any treatment the woman has had.   A written care plan should be made for every woman diagnosed with breast cancer. Dates of review for any adjuvant therapy, details of surveillance mammography, and contact details for any urgent referral to a specialist and support services should be in the care plan. Copies are given to the general practitioner and to the woman (NICE, 2009.) Breast care service does not end after having treatment.   After treatment, women are given follow ups and are offered yearly mammography.   Women who are part of the NHSBSP are given yearly screening for five years and will have the routine screening every three years after that. Conclusion The author has learned and gained a lot of knowledge through this essay. Research and visits to various departments that are part of the pathway through breast care services has been extremely educational and helpful in the author’s profession as a radiographer. The pathway through breast services with the relevant departments work really hard as a team. Each individual who is part of the pathway is very dedicated, committed and has the understanding to women undergoing breast screening and to women fighting with breast cancer. The experience that the author had with all the research and visits is very valuable; it made the author become a better radiographer and has gained the motivation to pursue Post Graduate Award in Mammography. It has given the author to put into practice all the experiences learned from Consultants, nurses and patients during the department visits. As a future mammographer, it has instilled in the author’s mind and heart that high quality standar ds should be carried out at all times, it is vital to follow the quality assurance guidelines for radiographers to be able to give a first class service. NHSBSP was established in 1988. In the last 22 yrs since NHSBSP has started its service for breast screening to women in England, between 50 to 70 years old every three years, over 100,000 women had their breast cancer detected in this programme.   The author therefore concludes that the programme is a vital factor in detecting early stage of breast cancer and it definitely does save many lives. The author would like to thank the people behind the NHSBSP for their commitment and effort to make this programme a success, job well done! The author wishes continued success with this programme. From 1988 up to the present, there have been a lot of changes with NHSBSP, like in 2008; the government invested  £100 million in digital mammography equipment throughout the NHS and also the programme will expand its age group between 47- 73 years old in 2012. Therefore, the author concludes that   with these changes, a lot of women will benefit more and will be given the best service and with the latest technology there is to offer in the pathway through breast services. Through the years, breast care awareness has increased rapidly with the help of the NHS Breast Screening Programme. â€Å"Be Breast Aware† leaflets from the NHS Cancer screening programme is available and it gives a lot of information on how to be become aware of the changes of the breasts , what normal breasts feels like, and what changes you need to look out for .A lot of women nowadays even men are breast aware with the help NHSBSP campaign. It is essential to be breast aware before it is too late in the detection of any breast diseases. The author agrees with the facts, research, studies and department visits gathered together, the author concludes that having routine breast screening definitely helps in detecting early stage of breast cancer. The author would like to extend a big heartfelt thank you to the breast care team and to all those individuals who have given their time and effort during the authors’ department visits even with their busy tight schedule. The author is very much thankful to the women who had given their time with the author in sharing their bad and good experiences with their treatment journey. The breast services pathway is continually improving and the author concludes that in order to improve the pathway in breast services, it is important that  Ã‚   consultants, radiographers, breast care nurses, and the rest of the staff who work in the relevant departments in the pathway through the breast services should work hand in hand as a team. Good communication within the team and to the women that belongs in the NHSBSP are key factors to ensure that   Ã‚  good service is maintained for each individual undergoing breast screening or any examination in relation to breast diseases. References Hawthorn,   J.   and Redmond, K (1998). Pain: causes and management. Blackwell   Sciences Ltd., UK. Breast Cancer Care and Royal College of Nursing (2004). Time to care: maintaining access to breast cancer nurses. [Online]. Available from: http://rcn.org.uk/_data/assets/pdf_file/0008/78641/002494.pdf .[Accessed 18 December 2010] Brown, J. et al. (1996). Mammography screening: an incremental cost effectiveness analysis of double versus single reading of mammograms. March, 312 (7034). [Online]. Available from: http://bmj.com/content/312/7034/809.full. Date accessed: 20 December 2010 NHSBSP (2001). NHSBSP Publication No. 49, NHS Cancer Screening Programmes. [Online]. Available from: http://cancerscreening.nhs.uk/breastscreen/publications/nhsbsp49-1st.pdf. [accessed: 2 January 2011]. National Institute for Health and Clinical Excellence Guidelines(2009) Early and Locally Advanced Breast Cancer: Diagnosis and Treatment. The National Collaborating Centre. [Online]. Available from: nice.org.uk/nicemedia/pdf/CG80NICEGuideline.pdf. [Accessed 3 November 2010]. Deane, K A (1997). The Role of the Breast Clinic Nurse. AORN Journal. 66(2): 304-7, pp 304-310. Goyal , A and Mansel, R. (2008). Current opinion in oncology. Recent Advances in Sentinel Lymph Node Biopsy for Breast Cancer. November, 20 (6), pp 621-626. Bassett, L and Hendrick R E. (1994). Quality Determinants of Mammography: Clinical Practice Guidelines. AHCPR Publication. 13. pp 23-24. British Association of Cancer Oncology (2009).Surgical Guidelines for the Management of Breast Cancer. Elsevier Publication. [Online]. Availablefrom: baso.org.uk/Downloads/YEJSO_2782.pdf .[Accessed: 20 January 2011]. NHSBSP, (2008). Breast screening:   a pocket guide. Department of Health Publications.   [Online]. Available from: cancerscreening.nhs.uk/breastscreen/publications/nhsbsp-pocket-guide-2008.pdf . [Accessed 26 October 2010]. Bateman, A C. (2006). Womens health medicine. Pathology of Breast Cancer. January, 3 (1), pp 18-21. [Online]. Available from: http://download.journals.elsevierhealth.com/pdfs/journals/1744-1870/PIIS1744187006001193.pdf . [Accessed   12 January 2011]. Donnelly, L.   (2007). Government pledges to cut radiation therapy wait. The Telegraph. 2 December 2007. [Online]. Available from: telegraph.co.uk/news/uknews/1571199/Government-pledges-to-cut-radiotherapy-wait.html .[Accessed 27 January 2011]. Does breast screening save lives?. [Online]. Available from: cancerscreening.nhs.uk/breastscreen/save-lives.html . [Accessed 29 October 2010]. Going further on cancer waits: the symptomatic breast two week wait standard (2009). [Online]. Available from: http://ncin.org.uk . [Accessed 24 January 2011]. Healthcare services for breast Cancer (2002). Improving Outcomes in Breast Cancer. National Institute for Clinical Excellence. [Online]. Available from: nice.org.uk/nicemedia/live/10887/28766/28766.pdf .[Accessed 3 November 2010]. Breakthrough Breast Cancer. The best treatment. [Online]. Available from: http:// www.breakthrough.org.uk . [Accessed 18 November 2010].

University of Rhode Island (URI) Admissions Facts

University of Rhode Island (URI) Admissions Facts The University of Rhode Island has an acceptance rate of 73%, making it a generally accessible school. That said, admitted students tend to have grades and standardized test scores that are average or better. The admissions process is holistic, and students will need to submit high school transcripts, scores from the SAT or ACT, a personal essay, and a letter of recommendation. The rigor of your high school curriculum will play a meaningful role, so those AP, IB, and Honors classes can all strengthen your application. If you have any questions, be sure to get in touch with the admissions office at URI. Will you get in? Calculate your chances of getting in with this free tool from Cappex. Admissions Data (2016) University of Rhode Island Acceptance Rate: 73Â  percentGPA, SAT and ACT Graph for URITest Scores: 25th / 75th PercentileSAT Critical Reading: 480 / 580SAT Math: 490 / 590SAT Writing: - / -What these SAT numbers meanSAT score comparison for Rhode IslandAtlantic 10 Conference SAT score comparisonACT Composite: 22 / 27ACT English: 21 / 26ACT Math:Â  21 / 26What these ACT numbers meanACT score comparison for Rhode IslandAtlantic 10 Conference ACT score comparison University of Rhode Island Description Located in Kingston, the University of Rhode Island often ranks highly for both its academic programs and its educational value. For its strengths in the liberal arts and sciences, URI was awarded a chapter of the prestigious Phi Beta Kappa Honor Society. High achieving students should look into the URI Honors Program which offers special academic, advising and housing opportunities. In athletics, the University of Rhode Island Rams compete in the NCAA Division I Atlantic 10 Conference for most sports, with football competing in the Colonial Athletic Association. Enrollment (2016) Total Enrollment: 17,822Â  (14,812 undergraduates)Gender Breakdown: 44Â  percent Male / 56 percent Female84 percent Full-time Costs (2016-17) Tuition and Fees: $12,884 (in-state); $28,874 (out-of-state)Books: $1,200 (why so much?)Room and Board: $12,278Other Expenses: $2,043Total Cost: $28,405 (in-state); $44,395 (out-of-state) University of Rhode Island Financial Aid (2015-16) Percentage of New Students Receiving Aid: 93 percentPercentage of New Students Receiving Types of AidGrants: 84 percentLoans: 81 percentAverage Amount of AidGrants: $10,680Loans: $6,408 Academic Programs Most Popular Majors: Accounting, Business Administration, Communication Studies, English, Human Development and Family Studies, Nursing, PsychologyWhat major is right for you? Sign up to take the free My Careers and Majors Quiz at Cappex. Graduation and Retention Rates First Year Student Retention (full-time students): 83Â  percent4-Year Graduation Rate: 42 percent6-Year Graduation Rate: 63 percent Intercollegiate Athletic Programs Mens Sports: Football, Baseball, Golf, Soccer, Basketball, Cross Country, Track and FieldWomens Sports: Softball, Tennis, Volleyball, Basketball, Cross Country, Rowing, Soccer, Track and Field If You Like URI, You May Also Like These Schools University of Connecticut: Profile | GPA-SAT-ACT GraphProvidence College: Profile | GPA-SAT-ACT GraphUniversity of Delaware: Profile | GPA-SAT-ACT GraphBoston University: Profile | GPA-SAT-ACT GraphSyracuse University: Profile | GPA-SAT-ACT GraphSacred Heart University: Profile | GPA-SAT-ACT GraphUniversity of New Haven: Profile | GPA-SAT-ACT GraphBrown University: Profile | GPA-SAT-ACT GraphQuinnipiac University: Profile | GPA-SAT-ACT GraphRhode Island College: ProfileRoger Williams University: Profile | GPA-SAT-ACT GraphNortheastern University: Profile | GPA-SAT-ACT Graph Data Source: National Center for Educational Statistics

Spanish Language in Schools Essay Example | Topics and Well Written Essays - 1000 words

Spanish Language in Schools - Essay Example The first study to track Toronto high school students through Ontario's new four-year curriculum also show that students who speak Spanish, Portuguese or Somali are at higher risk than kids who speak any other of the city's most common languages. And they are more likely to fail Grade 9 math and flunk the Grade 10 literacy test, and are less likely to apply to college or university. (American Renaissance, 21 September 2008). The result of the survey is without a doubt shocking and this is the biggest pitfall which is taking place in many schools around the globe. Once a student drops out, his/her whole life will be affected because of that decision and not all can become Bill Gates even after dropping out. The whole census was taken in order to find out what exactly was the reason of the students not faring well in their exams and the facts which came out were really shocking. The background of the student matters a lot, if a student belongs to Mexico or Portugal and the school authorities have Spanish as a compulsory language in the curriculum, the student would be very disappointed because his background is not apt in learning the language and moreover if he fails to show any improvement, the disappointment will reach a different level and the student will surely think of dropping out. All these things matter a lot to the students; the pressure these days on days in huge and coping with that pressure is not that easy. Spanish should be taught in the schools but it shouldn't be made compulsory because the students in a school will surely be from diverse backgrounds and some other language other than Spanish can be introduced but in that case also it should not be made a compulsion. By learning a language no student can become intelligent and develop as a person, a schools curriculum should have subjects which will develop the overall personality of the s tudent and learning Spanish will certainly not do that. "The purpose of learning Spanish is to communicate with the people who speak the language and to understand their cultures." (Kuala High school, 21 September 2008). Though it can be argued that learning Spanish has many advantages but overall its effects on students is very negative, especially for the students from diverse backgrounds. Spanish is very difficult to learn and the pronunciation is very complicated, the same makes the language very tough to learn. The schools which include Spanish in their curriculum make a big mistake and those schools never take into consideration the students from diverse background, which is the biggest mistake which they make and the same results in the students dropping out from the school and ultimately spoiling their career. The situation should be well understood by the school authorities and it should not continue, the people responsible behind introducing Spanish in the school's curriculum should learn from their mistakes before it's too late . The most important point here is the diversity of students studying in various schools and the immigration policies. There are so many people who travel and settle in different countries and if the native language of that country is included in the curriculum then they will surely be discouraged and will feel like giving up studies forever. So many times it so

Reclassification of marijuana Annotated Bibliography

Reclassification of marijuana - Annotated Bibliography Example 2. The article titled Medical Marijuana: Legalities and Health Condition Uses describes possible therapeutic applications and uses of marijuana in medicine as well as the benefits it gives to patients. In addition to this, the article provides the information on legal and semi legal marijuana use in various countries and in the USA by states. The article can be used in the research for it provides a short review of positive sides and also shows that many countries have chosen to use marijuana in medicine because of the benefits it gives. 3. The article The Pharmacologic and Clinical Effects of Medical Cannabis summarizes the information on the medical use and benefits of medical cannabis for patients. In particular, the article describes pharmacodynamics of cannabis and describes its role in treating the most common conditions, which are pain and muscle spasms. The article is useful and relevant to the research as it shows that marijuana should be reclassified for its use leads to significant improvement in different types of muscle spasticity and pain. 4. The article titled The Medical Necessity for Medicinal Cannabis describes the research on the influence of cannabis on the state of patients with cancer. The article provides evidence on the improvement in symptoms, such as nausea, vomiting, weight loss, loss of appetite, anxiety, depression etc. The positive effects of marijuana on different cancer-related symptoms described in the article suggest the use of cannabis in medical practice should be legalized. 5. The article Marijuana: Myths vs. Reality deals with the most common misconceptions associated with the use of cannabis in medicine and marijuana legalization. The article lists the myths and, more importantly, dispels them. The article can be useful for the research for it puts common myths and misconceptions about medical use of marijuana to rest and provides background for the further