Wednesday, August 26, 2020

Ubasute yama - Learn from a Story

Ubasute yama - Learn from a Story Ubasute yama is one of the Japanese folktales. Uba implies old lady and sute intends to discard or dispose of. Ubasute implies surrendering an elderly person. む㠁‹ã â€"〠Ã£â€šâ‚¬Ã£ â€¹Ã£ â€"〠Ã£â€š Ã£ Å"㠁 ¾Ã£  ¾Ã£  ªÃ£ Å¡Ã£  ¨Ã£  ®Ã¦ §ËœÃ£ Å"㠁„㠁 ¾Ã£ â€"㠁ÿ。㠁 Ã£  ®Ã£ Å¡Ã£  ¨Ã£  ®Ã¦ §ËœÃ£  ¯Ã¥ ¹'Ã¥ ¯â€žÃ£â€šÅ¡Ã£ Å"Ã¥ ¤ §Ã¥ «Å"㠁„㠁 §Ã£ â€"㠁ÿ。㠁‚ã‚‹æâ€" ¥Ã£â‚¬ Ã£  ¨Ã£  ®Ã¦ §ËœÃ£  ¯Ã£â‚¬ Ã¥ ® ¶Ã¦  ¥Ã£  «Ã¥â€º ½Ã¤ ¸ ­Ã£  «Ã§ «â€¹Ã£  ¦Ã¦Å" ­Ã£â€š'ç «â€¹Ã£  ¦Ã¦ 'ä º ºÃ£  «Ã£ Ã£â€šÃ£  ªÃ£ Ã£  ¨Ã£â€š'Ã¥' ½Ã£ ËœÃ£  ¾Ã£ â€"㠁ÿ。ã€Å"å… ­Ã¥  Ã£â€š'é Å¾Ã£ Å¾Ã£ Ã¿Ã¥ ¹'Ã¥ ¯â€žÃ£â€šÅ¡Ã£  ¯Ã¥ ± ±Ã£  «Ã¦  ¨Ã£  ¦Ã£â€šâ€¹Ã£  ¹Ã£ â€"。å ¾Ã£â€š Ã£  ªÃ£ â€žÃ¥ ® ¶Ã£  ¯Ã£  ¿Ã£  ªÃ£ Ã£â€š Ã£ â€"。〠Ã¨ ª °Ã£â€šâ€šÃ£ Å"〠Ã¥ ® ¶Ã¤ ¸ ­Ã£  ®Ã£â€šâ€šÃ£  ®Ã£ Å"æ ® ºÃ£ â€¢Ã£â€šÅ"る㠁 ®Ã£â€š'æ  Ã£â€šÅ"㠁 ¦Ã£â‚¬ Ã¤ »â€¢Ã¦â€" ¹Ã£  ªÃ£  Ã£  ¨Ã£  ®Ã¦ §ËœÃ£  ®Ã¥' ½Ã¤ » ¤Ã£  «Ã¥ ¾Ã£ â€žÃ£  ¾Ã£ â€"㠁ÿ。㠁•ã  ¦Ã£â‚¬ Ã£  Ã£  ®Ã¦ '㠁 §Ã¥ ¹'è€ Ã£ â€žÃ£ Ã¿Ã¦ ¯ Ã¨ ¦ ªÃ£â€š'㠁‹ã â€¹Ã£ Ë†Ã£ Ã¿Ã¨â€¹ ¥Ã¨â‚¬â€¦ 㠁Å"㠁šã‚šã€ Ã£â‚¬Å"æ  ¯Ã¥ ­ Ã£â€šË†Ã£â‚¬â€šÃ§ § Ã£  ¯Ã¥â€¦ ­Ã¥  Ã£  §Ã£ â„¢Ã£â‚¬â€šÃ¥ ± ±Ã£  «Ã¦  ¨Ã£  ¦Ã£  ¦Ã£ Å¡Ã£  Ã£â€šÅ"。〠Ã£â‚¬Å"㠁šæ ¯ Ã£ â€¢Ã£â€šÃ£â‚¬â€šÃ£  Ã£â€šÃ£  ªÃ£  ²Ã£  ©Ã£ â€žÃ£ Ã£  ¨Ã£  ¯Ã£  §Ã£  Ã£  ¾Ã£ â€ºÃ£â€šÃ£â‚¬â€šÃ£â‚¬ Ã£â‚¬Å"éš £Ã£  ®Ã¥ ® ¶Ã£  ®Ã£ Å¡Ã£  °Ã£ â€šÃ£ â€¢Ã£â€šÃ£â€šâ€šÃ£â‚¬ Ã¥â€° Ã£  ®Ã¥ ® ¶Ã£  ®Ã£ Å¡Ã£ ËœÃ£ â€žÃ£ â€¢Ã£â€šÃ£â€šâ€šÃ£â‚¬ Ã£â€šâ€šÃ£ â€ Ã¥ ± ±Ã£  «Ã¦  ¨Ã£  ¦Ã£â€šâ€°Ã£â€šÅ"㠁 ¾Ã£ â€"㠁ÿ。æ‚ ©Ã£  ¾Ã£  ªÃ£  Ã£  ¦Ã£â€šâ€šÃ£ â€žÃ£ â€žÃ£  §Ã£ â„¢Ã£â€šË†Ã£â‚¬â€šÃ£â‚¬ Ã¨â€¹ ¥Ã¨â‚¬â€¦ 㠁 ¯Ã£â‚¬ Ã£ â€"㠁 ¶Ã£ â€"㠁 ¶Ã¦ ¯ Ã¨ ¦ ªÃ£â€š'èÆ'Å"ä ¸ ­Ã£  «Ã¨Æ'Å"è ² 㠁†ã  ¨Ã£â‚¬ Ã¥ ± ±Ã£â€š'ç™ »Ã£â€šÅ¡Ã£  ¾Ã£ â€"㠁ÿ㠁Å"〠Ã£â€šâ€žÃ£  ¯Ã£â€šÅ¡Ã¦ ¯ Ã£â€š'Ã¥ ± ±Ã£  «Ã§ ½ ®Ã£  Ã¥Å¾ »Ã£â€šÅ¡Ã£  «Ã£ â„¢Ã£â€šâ€¹Ã£ Ã£  ¨Ã£  ¯Ã£  §Ã£  Ã£ Å¡Ã£â‚¬ Ã¦ ¯ Ã¨ ¦ ªÃ£â€š'èÆ'Å"è ² 㠁 £Ã£  ¦Ã£â‚¬ Ã¥ ¤Å"㠁㠁 £Ã£  Ã£â€šÅ¡Ã¥ ® ¶Ã£  «Ã¦Ë† »Ã£â€šÅ¡Ã£â‚¬ Ã£  Ã£ â€"㠁 ¦Ã£â‚¬ Ã¨ £ Ã£  ®Ã§' Ã¥ ±â€¹Ã£  «Ã©Å¡ 㠁â€"㠁 ¾Ã£ â€"㠁ÿ。 æ• °Ã¦â€" ¥Ã£ Ã¿Ã£  £Ã£ Ã¿Ã¦â€" ¥Ã£ 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Ã¨â‚¬Æ'㠁ˆã  ¦Ã£â‚¬ Ã£â‚¬Å"㠁 Ã£  ®Ã©â‚¬Å¡Ã£â€šÅ¡Ã£  㠁 ªÃ£â‚¬â€šÃ£â€š Ã£ â€"㠁Å"éâ€"é â€¢Ã£  £Ã£  ¦Ã£ â€žÃ£ Ã¿Ã£â‚¬â€šÃ£â€šâ€šÃ£ â€ Ã¥ ¹'Ã¥ ¯â€žÃ£â€šÅ¡Ã£â€š'Ã¥ ± ±Ã£  «Ã¦  ¨Ã£  ¦Ã£â€šâ€¹Ã£  ®Ã£  ¯Ã£â€šË†Ã£  Ã£ â€ Ã£â‚¬â€šÃ£â‚¬ Ã£  Ã£â€šÅ"㠁‹ã‚‰ã  Ã£  ®Ã¥â€º ½Ã£  ¯Ã£ Å¡Ã¥ ¹'Ã¥ ¯â€žÃ£â€šÅ¡Ã£â€š'Ã¥ ¤ §Ã¥Ë†â€¡Ã£  «Ã£ â„¢Ã£â€šâ€¹Ã¥â€º ½Ã£  «Ã£  ªÃ£â€šÅ¡Ã£  ¾Ã£ â€"㠁ÿ。 Romaji Translation Mukashi, wagamamana otonosama ga imashita.Sono otonosama wa toshiyori ga daikirai deshita.Aru hey, tonosama wa, kerai ni kunijuu ni tatefuda o tatete murabito ni konna koto o meijimashita.Rokujuu o sugita toshiyori wa yama ni suteru beshi. Shitagawanai ie wa mina goroshi.Daremo ga, iejuu no mono ga korosareru no o osorete, shikatanaku tonosama nno meirei ni shitagaimashita.Sate, sono mura de toshioita hahaoya o kakaeta wakamono ga ori,Musuko yo. Watashi wa rokujuu desu, Yama ni sutete okure.Okaasan. Sonna hidoi koto wa dekimasen.Tonari no ie no obaasan mo, mae no ie no ojiisan mo, mou yama ni suteraremashita. Nayamanakutemo ii desu yo.Wakamono wa, shibushibu hahaoya o senaka ni seou to, yama o noborimashita ga, yahari haha o yama ni okizarini suru koto wa dekizu, hahaoya o seotte, yoru kossori ie ni modori, soshite, ura no naya ni kakushimashita. Suujitsu tatta hey no koto, tonosama wa, murabito ni hai no nawa o tsukuru you meijimashita.Okaasan. Otonosama ga hai no nawa o tsukure to no koto desu. Yattemimashita ga dekimasen. Daremo dekinai to, nengu ga takaku narimasu.Musuko yo. Sore wa kantan desu yo. Oshiete agemashou.Musuko wa, iwareta toori, waranawa no wa o tsukuru to, sore o shiomizu no naka ni anger, kawakashite moyashi, dekita hai no nawa o shinchou ni tonosama no tokoro ni motte ikimashita. Onushi, nakanaka yaru na. Yokarou. Soredewa, mou sukoshi muzukashii mondai o dasou. Kore wa ippon no bou de aru. Dochira ga ne no hou de, dochira ga eda no hou ka, ichiryoujitsu ni, hakkiri sasenasai.Wakamono wa, bou o ie ni mochikaerimashita ga, tohouni kure, haha ni tazunemashita.Kantan desu yo. Mizu no haitta oke o motte kinasai.Musuko wa oke o youi shi, bou o mizu no naka ni iremashita.Mite goran. Shita ni aru hou ga nekko de, uita hou ga eda desu yo.Wakamono wa tonosama no mae de, kotae o iimashita. Yaru na. Soredewa ichiban muzukashii mondai o dasou. Tatakanakutemo oto ga deru taiko o tsukutte kinasai.Wakamono wa massaona kao o shite taiko o kakaete ie ni modoru to, haha ni tasuke o motomemashita.Totemo kantan desu yo. Yama de hachi o suuhiki tsukamaete kinasai.Hahaoya wa, sukoshi taiko no kawa o yurumeru to, hachi o sono naka ni wrath, mata kawa o shimemashita. Taiko ga oto o tatehajimemashita.Wakamono wa oto no suru taiko o tonos

Saturday, August 22, 2020

Alexander The Great Essays (418 words) - , Term Papers

Alexander The Great ALEXANDER THE GREAT This exposition is about Alexander the Great. He is supposed to be one of the best military personalities ever. This article will portray his asention in to the seat, his childhood, his extraordinary military driving force, his effect on the world, and his celebrated fights with Darius of Persia. Phillip III was Alexander's dad he was the ruler of Macedonia until he was killed in 330 BC. He prepared Alexander to succeed him. Aristotle showed him his incredible military strategies. This is the manner by which he picked up intensity of the Macedonia seat. Alexander strategies turned out to be helpful when he picked up his seat. Alexander took over Egypt, where hieroglyphic engravings show that he most likely introduced himself as the replacement to the Persian lord as the land's ruler as opposed to as an Egyptian pharaoh. On the coast, west of the Nile River Alexander established another city in 331 BC named Alexandria after himself, the first of the numerous urban communities he would later proceed to build up as far east as Afghanistan. During his time in Egypt Alexander likewise paid a puzzling visit to the prophet of the god Ammon. The Greeks viewed Ammon as indistinguishable from Zeus. Alexander told nobody the subtleties of his discussion to the prophet, yet the news got out that he had been educated he was the child of the god and that he happily acknowledged the assignment as obvious. All through his rein as lord he never had full control as long as his archrival Darius of Persia was near. Alexander had just viewed himself as ruler of Persia, however his entitlement to the seat was being referred to as long as Darius was as yet alive and on the loose. So in the late spring of 330 BC he walked north in quest for Darius. Alexander had nearly made up for lost time to him however Darius was killed by his own men, at last brought to insubordination by their long hatred of his fumble of the Persian resistance. At the point when Alexander happened upon Darius' body he requested it to be sent back to Persepolis to be covered in the regal burial ground of the Achaemenid lords. Presently, finally, Alexander was formally the extraordinary lord of Persia. All in all his triumphs affected the world significantly. He had such a solid standard and had even made a few countries that despite everything stand today. The incomparable General Patton once contrasted himself with Alexander the Great. This is only one case of the regard of his extraordinary military strategies. History

Friday, August 21, 2020

Stephen, Im Putting You On Notice!

Stephen, I’m Putting You On Notice! Believe it or not, admissions officers occasionally try to do things besides reading applications to MIT. One of the things I enjoy doing in my downtime (besides playing with Legos) is watching the  Colbert Report, which is one of my favorite television shows. During one  recent episode, Stephen Colbert interviewed Richard Hersh, a former university president who recently coauthored a book on how higher education is failing in America. During that interview Hersh who I think it is fair to say is somewhat down on education in America today had some very kind words to say about MIT.  (Thanks Richard. The check from Tim Beaver is in the mail). Stephen, though, had some unkind words about MIT, and moreover didnt seem to really get what makes this such a special place. Now, I know such complex concepts may be difficult for him to grasp (after all, truthiness will only get you so far), but, as someone who cares deeply about education, I felt compelled to try. So Stephen, a few of us here at MITAdmissions put something together in a form you might understand:

Sunday, May 24, 2020

Changes in Character in The Crucible by Arthur Miller

Changes in Character in The Crucible nbsp; One definition ofnbsp; crucible is a severe test of patience and belief, or a trial. This definition pertains to Arthur Millers four-act play, The Crucible.nbsp; The definition is suiting, because it is during this play that the wills of innocent women and men are put to the test when they are accused of things they did not do. It was the ultimate trial of determination and willpower to withstand such a wretched ordeal. Abigail Williams, Elizabeth and John Proctor, Mary Warren, Reverend Parris and even Reverend Hale had changed drastically because of what they had to go through during the course of the play. However, other characters such as Ezekiel Cheever and Marshall†¦show more content†¦Furthermore, in Act II, it is revealed that John Proctor attended mass scarcely because he hated Reverend Parris so much. His materialism (as proven with the gold candlesticks) was something that greatly bothered the town of Salem. In Act IV, Reverend Parris is humbled. Having been robbed by Abigail and her friend, Mercy Lewis, he is almost penniless, and thereby modest and sorrowful. He does not talk with the same biting command as he used to. nbsp; nbsp;nbsp;nbsp;nbsp;nbsp; Reverend Hale is another character that changes during the course of The Crucible. Upon his entrance in the midst of Act I, he is depicted as a strong, knowledgeable intellect. His intelligence seems to leave no room for compassion. This is evident by his interrogations which took place during Act III, the Trial, as well as the biographical information provided in Act I of The Crucible. However, his emotions do come out in Act IV. He appears sympathetic and kindhearted while begging the women in prison to confess to save their lives. nbsp; nbsp;nbsp;nbsp;nbsp;nbsp; Unlike the previous two, Ezekiel Cheever is one character in The Crucible who does not change throughout the course of the play.nbsp; He is shown as an astute gentleman and a patron of the town of Salem. For instance, when he visited John and Elizabeth Proctor at their home with aShow MoreRelatedWhat were the changes in John Proctors character throughout the play The Crucible? ( Arthur Miller)1938 Words   |  8 PagesIn The Crucible, John Proctor initially portrayed a sinful man whom had an affair, struggling to prove to his wife that he should be trusted again. The dishonesty of the betrayal of Elizabeth and his marriage to her changed, though, by the end of the play. This transition in Proctors character showed he transformed from a deceitful man and husband, to one whom was true to himself as well as his beliefs. This paper will discuss Proctors change in character and his struggle with getting to theRead MoreThe Crucible By Arthur Mills Essay1690 Words   |  7 Pages Because I am not worth the dust on the feet of them that hang! How may I live without my name? I have given you my soul; leave me my name! (Miller, 133) As The Crucible commences, Arthur Mills transports the reader to 17th century Salem, Massachusetts, to reenact the affliction of the Salem Witch Trials, ultimately leading to regret and fatality. Miller utilizes his troubled experience with McCarthyism to advance his writing of this controversial play. During 1692, Salem, Massachusetts, had beenRead MoreThe Crucible: How Is It Relevant to Todays Society? Essay823 Words   |  4 PagesThe Crucible is a complex and intriguing novel with events, characters and themes comparable to almost every period of human history. It is common for humans to fear change and what is unknown, in the play The Crucible this is witchcraft and the devil, in more recent times it can be seen in post World War Two and Cold War United States, through McCarthyism. The themes in the crucible are as important to people in the 21st century as in Salem in 1692. These include justice, reputation, hysteria, intoleranceRead MoreThe Allegorical Meaning of The Crucible by Arthur Miller Essay851 Words   |  4 PagesThe Crucible, a play by the famous playwright Arthur Miller, retells the story of the witch trials occurring in Salem during the seventeen century. Between lies, deceiving and treachery, Salem was the place of a relatively massive genocide solely based upon unproved facts and accusations. However, the real message being the story is something else altogether as The Crucible is an allegory denouncing McCarthyism. The present written task will focus on the following question â€Å"If the text had been writtenRead MoreSalem Witch Trials and True Essence1123 Words   |  5 PagesCrucible Essay Throughout the novel The Crucible, Arthur Miller describes how being put thought the Salem witch trials of 1692 brought out the true essence of various characters. Arthur Miller shows that the various victims who were put through trials would confess to save themselves and also the difficulties they had to face during their trial period. Characters like John Proctor, Giles Corey, and Reverend Hale were put through different kinds of trials each different from the others. EachRead MoreAnalysis Of Arthur Miller s The Crucible 1457 Words   |  6 PagesSteven Huang Ms. Folkrod English 3, Period 7 26 October 2014 Proctor’s Pride and Downfall A tragic hero is a hero in a story whose natural flaws or wrong judgments, associates with bad fate, causes his downfall or death. In Arthur Miller’s The Crucible, there are tragic heroes. In the late 1600s, there are a series of witch trials happens at Salem, MA. John Proctor, a farmer who lives in a farm with his wife Elizabeth Proctor, is the protagonist during the Salem witch trial. John is a candid, frankRead MoreArthur Miller s Real Life Events Behind Lies, Betrayal, And Conflict853 Words   |  4 PagesArthur Miller’s real life events behind lies, betrayal, and conflict. Arthur Miller was an American novelist who has wrote many plays, such as The Crucible. The Crucible 1953, recreates the Salem Witch Trials, focusing on paranoid hysteria as well as the individuals struggling to remain true to ideals and convictions (Cliff Notes). Prior to writing the play, Arthur Miller experienced scenarios in his life that persuaded him to write the drama noted in the Salem Wi tch Trials. For example, he was targetedRead MoreThe Crucible By Arthur Miller1355 Words   |  6 PagesProving a point was a necessity for Arthur Miller during the 1950’s, and he proves his point through The Crucible, a play about the Salem Witch Trials. Miller attacks the red scare, which was a time of fear of communism growing in America, and proves the how similar the two events were, and how they are important. As a political allegory of the red scare, Miller’s relatively accurate comparison between the red scare and the Salem Witch Trials through The Crucible demonstrates the theme of subjectiveRead MoreArthur Miller Research Essay1102 Words   |  5 Pages2012 Arthur Miller Research Essay Arthur Miller was an American playwright who wrote plays such as â€Å"The Crucible† and â€Å"Death of a Salesman† because he thought theatre could change the world. He wrote his works based on friends, his own life, and family. People believed he was a man of integrity and a hero because of the ways he portrayed himself. He was born in 1915 in Harlem, New York and raised in a very wealthy household by his parents, Isidore and Augusta Miller. After highRead MoreAnalysis Of Arthur Miller s The Crucible 961 Words   |  4 Pages Movie paper analysis of The crucible The circumstance brought upon a person can change them greatly. The Crucible edited and rewritten by Arthur Miller, is a movie which takes place in Salem, Massachusetts in 1692. The leading actors are Daniel Day-Lewis as Proctor, Winona Ryder as Abigail, Paul Scofield as Judge Danforth, Joan Allen as Elizabeth, Bruce Davison as Parris, and Rob Campbell as Hale. It was directed by Nicholas Hytner and was Based on the witch hunt which surrounded Massachusetts

Thursday, May 14, 2020

Cultural Competency And Health Care - 1462 Words

Cultural competency is secure, respectful, reciprocal relationships and partnerships, which respects for diversity and obey expectations and equity. In today’s society, cultural competency is quite important to the worldwide healthcare due to the cultural differences. In Melbourne, Australia, Monash Health is a community service in the local government area (LGA) of Monash. In order to demonstrate the features and importance of cultural competency, details of this community (Monash) are going to be described, for example, the main countries of birth, demographic composition, languages spoken and organizations and services. The cultural characteristics and cultural values of a prominent cultural community in Monash, the Chinese community,†¦show more content†¦- Therefore, Chinese language, especially the Mandarin are the mainly language spoken at home except for English. There are totally 2.9% Chinese-born people in Australia spoke Chinese, including Mandarin, Cantones e and Chinese, nfd, while 76.76% of people spoke English. Thus, around 400 out of 13763 people spoke Chinese in the year 2011. - The top 3 overseas birthplace of emerging communities are Bosnia and Herzegovina (118), Israel (112) and United Arab Emirates (106) in year 2006. However, the United Arab Emirates born population increased to 167, occupying the first place 5 years after, whereas Bosnia and Herzegovina ranked the third (145). Israel born population raised from 112 to 150, and be the second place in year 2011. - There are 44.71% population (year 2011) that born overseas in the city of Monash, which grew from 39.64% in year 2006. Besides, the percentage of Australia-born population dropped from 54.32% to 51.1% during this five years, indicating that more and more international residents are living in the city of Monash. - There are 551 organizations and services available to the city of Monash. When focus on the most prominent community in the city of Monash, 24 organizations and services are for Chinese community. These organizations are consist of various types, such as ethnic media (9), arts and culture (2), chambers of commerce (3), community associations (4), community language schools (3),Show MoreRelatedDiversity And Cultural Competency For Health Care1456 Words   |  6 PagesCultural diversity has different meaning to each and every one. Some of us considering cultural diversity to be acquired where for the others it’s a skill that they have to learn. It’s very important that the health care providers are knowledgeable and sensitive to cultural differences because they are the ones to deal with the patients of different background on a daily basis. Being cultural savvy will help them to give the best patient care. For that reason, health care workers must be especiallyRead M oreCultural Competency And The Health Care Field976 Words   |  4 PagesCultural competency is important in the health care field, especially in the United States, because of the great diversity. Knowing that people from different cultural backgrounds have specific beliefs on how the body works and is maintained. Researching these differences will allow the healthcare professional to use fewer stereotypes and treat each patient equally. Working in dental offices and attending school with people from the Pacific Islands has led me to develop stereotypes about their cultureRead MoreCultural Competency Improves the Quality of Health Care627 Words   |  3 PagesCultural competency is incredibly important to reducing health situations and improving access to good quality health care, health care that is imperative to the needs of diverse patients. â€Å"Cultural competence gives systems, agencies, and groups of professionals a chance to function effectively to understand the needs o f groups accessing health information and health care in an inclusive partnership where the provider and the user of the information meet on common ground.†(NIH, 2013). Cultural competenceRead MoreTeaching Health Care Students About Disability Within A Cultural Competency Context1166 Words   |  5 Pagesdifferently, even in health care settings, than people without disabilities. These differences come in several forms, including communication, coverage, and quality of care. It is important to instill positive, equal ways to interact with disabled patients early in health care students. Educators in various health care disciplines are advocating for a curricula to better serve disabled patients because currently there are major disconnects between the disabled patients and the health care providers. TheseRead MoreThe Importance Of Cultural Competency On A Healthcare Organization1021 Words   |  5 PagesImportance of Culture Competency in a Healthcare Organization The information in this paper is based on interviews from two executives, research, and personal experiences. Further it will define cultural competency and provide the viewpoints from two executive level employees on the importance of developing a culturally competent environment for their patients and staff in the healthcare setting. Cultural competency from the health care perspective is defined according to † (Betancourt, J.R.Read MoreThe Effects Of Culture On Health Care1642 Words   |  7 Pagesthe health care disparities. Consequently, it is essential that health care organizations improve its cultural competency. Overall, the increased diversity in the population and the documented health care disparities have made cultural competency essential in order, to ensure that every patient receives quality health care services (Haynes, 2016). The purpose of this paper is to explore the effect of culture on health care. Define the Role of Cultural Awareness in the Management of Health CareRead MoreConcept Usage And Professional Practice Model805 Words   |  4 Pagesclinic provides an organizational definition. The Marshfield clinic care team work hard to become your health care choice. This is achieved through affordable, valuable health care diminishing the weight of illness, and disability of your family and the community. (Marshfield Clinic, 2015). According to the Marshfield clinic (2015), â€Å"The mission of Marshfield clinic is to serve patients through accessible, high quality health care, research and education† (para 1.) The vision statement of the MarshfieldRead MoreReview For Enhancing Cultural Competency1559 Words   |  7 PagesOF REVIEW FOR ENHANCING CULTURAL COMPETENCY IN NEW NURSING GRADUATES Cultural competency is an indispensable in nursing practice so that nurses can deliver optimal care for patients from diverse cultural backgrounds. Therefore, insufficient knowledge and skills of cultural competency have continued to increase racial and ethnic inequalities in health care service for minority groups (Dunagan et al. 2013; Long, 2012). As nurses interact with clients they provide nursing care, education and advocacyRead MoreA Culturally Competent Health Care System1586 Words   |  7 PagesCultural competency is a set of appropriate behaviours, attitudes and policies among professionals and enables them to work efficiently in cross-cultural situations (NCCC, 2006). A culturally competent health care system can eliminate cultural inequities, provide greater quality of care, and have less patient dissatisfaction and more positive health consequences. A conclusion reached in a study (Palafox et al., 2002) states, culture influences the outcome of medical examination and; therefore, itRead MoreCultural Competency For A Nursing1619 Words   |  7 PagesCultural competency is extremely indispensable in nursing practice so that nurses can provide optimal care for patients from diverse cultural backgrounds. Therefore, insufficient knowledge and skills of cultural competency has continued to increase racial and ethnic inequalities in healthcare services especially for minority groups (Dunagan et al. 2013; Long, 2012). As Nurses interact with clients they provide care, education and advocacy at any point in need. Cultural awareness provides the bases

Wednesday, May 6, 2020

Breast Cancer Case Study - 803 Words

2.extravasation For metastatic outgrowth extravasation of tumor cells and secondary seeding are important. In secondary organs fibronectin expression is upregulated by primary tumors via resident fibroblasts, which serves as a docking site for VEGFR1+ hematopoietic progenitor cell (HPC) clusters and secondary seeding. During metastasis of breast cancer to lung, interaction of VCAM-1+ cancer cells with VLA-4-expressing macrophages, activates PI3K/Akt signaling in tumor cells, protecting them from caspase-induced apoptosis. Bone metastasis is also facilitated by interaction of VCAM1 with different integrin partner, ÃŽ ±4ÃŽ ²1, in osteoclasts. Thus, we can conclude that disruption of adhesion signaling between stromal cells and tumor cells can†¦show more content†¦Additional studies mention about how primary tumor hypoxia influences the premetastatic niche. Major BMDC contributors to hypoxia-induced pseudo-premetastatic niche are MDSCs and NK cells with impaired cytotoxicity.(Sceneay, 2012) (S ceneay J, et al. Primary tumor hypoxia recruits CD11b+/Ly6Cmed/Ly6G+ immune suppressor cells and compromises NK cell cytotoxicity in the premetastatic niche. Cancer research. 2012; 72:3906–3911. [PubMed: 22751463]) Organ tropism The circulating cancer cells that are released from primary tumors leave a micro- environment created by the supportive stroma of such tumors. Creating supportive stroma is a multi – step process, thus in some cases cancer cells seeded in new metastatic niches do not begin by inducing a supportive stroma because it already preexists. Such permissivity may be intrinsic to the tissue site (Talmadge and Fidler, 2010) or pre-induced by circulating factors released by the primary tumor (Peinado et al., 2011). Metastatic seeding of circulating tumour cells has been shown in some cases to be enhanced by the primary tumour, whose secreted products create an environment that favours establishment of metastases at unique distant sites, termed pre-metastatic niches. The most well-documented components of induced premetastatic niches are tumor-promoting inflammatoryShow MoreRelatedBreast Cancer Case Study929 Words   |  4 PagesIn the present study, we found that rate of pCR to neoadjuvant chemotherapy was 24.7% (n=25) in the whole cohort (n=101). This finding was consistent with the range of pCR rates to prospective randomized trials of preoperative chemotherapy of 15%-40% mentioned in the literature (Burstein et al., 2008). Moreover, high Ki-67 expression (cutoff 14%) was significantly correlated with achieving a pCR in the large cohort (p=0.016). This result matched with the finding of several studies that reported thatRead MoreBreast Cancer Case Study1234 Words   |  5 Pagesultimately lead to the progression of oral cancer. (Lee et al, 2010). c‑myc was among the first oncogenes found to be amplified in breast cancer, and it can contribute to many other forms of cancer (Victoria and Michael, 2007). It is a critical downstream effector of the Wnt/TCF pathway in colon cancer and activation of Myc might play a predominant role in the pathogenesis of tumors like pediatric hepatoblastoma (Sansom et al, 2007; Cairo et al, 2008). A study done in south Indian population has shownRead MoreBreast Cancer Case Study1306 Words   |  6 Pagesmetastases have caused substantial mortality and morbidity in cancer patients. Approximately 15% of women with breast cancer will be diagnosed with brain metastases (Zakaria et al., 2014). With early diagnosis and appropriate treatment, the quality of the patient’s life could be enhanced. Therefore, it is vital for patient s with a known primary tumour to undergo imaging studies once they develop neurological signs and symptoms. Imaging studies aid to accurately identify the type, number, size, and locationRead MoreEssay on Breast Cancer Case Study642 Words   |  3 Pagesï » ¿Luis F Vega Jr NUR 1211 Breast Cancer Case Study Mrs. Thomas, a 57 year old married lawyer, was found to have a 4 X 6 cm firm, fixed mass in the upper, outer quadrant of the right breast during a routine physical examination, and a stereotactic core biopsy indicated a malignant tumor. Although the surgeon recommended a mastectomy because of the size of the tumor, Mrs. Thomas chose to have a lumpectomy. Now three weeks postoperative, she is scheduled for chemotherapy. Subjective Data NeverRead MoreAdult Case Study : Male Breast Cancer3050 Words   |  13 Pages Adult Case Study: Male Breast Cancer Carly Regan Loyola University Chicago Introduction Overview When the topic of breast cancer is discussed in conversation, most will think of it as a female diagnosis. While the greatest percentages of patients diagnosed with breast cancer are female, it is still possible that males can be diagnosed. It is a diagnosis that practitioners should always keep in the back of their minds as a differential when a male presentsRead MoreBreat Cancer Screening Essay1514 Words   |  7 PagesBREAST CANCER SCREENING DR. DANA MORTEZ ARLECIA PURVIS JULY 17, 2011 Current research shows mammograms are stronger than in the past. In a recent study it has confirmed that mammograms benefit for women in their forties and fifties. Women feel confident about the benefits that are associated with a regular mammograms for finding cancer early. However, mammograms can have their limitations. A mammogram will miss some cancers, and it sometimes can leadRead MoreThe Treatment Of Breast Cancer1309 Words   |  6 Pages Introduction: Breast cancer is the most common malignant disease occurring in women in Saudi society. After study and research, it found that two-thirds of the injuries in the Saudi society are diagnosed in advanced stages. The reasons for that are the lack of education for necessary of Self-examination and clinical examination annual, leading to the spread of the disease further. In addition to genetic changes, environmental pollution, bad lifestyle , Obesity ,Lack of exercise are also factorsRead MoreGenome Wide Association Studies Essay1142 Words   |  5 Pageswide association study has been very useful in the recent years. It has helped researchers to detect genes that are not detected that easily. With the detection, it helps the researchers to prevent and treat the particular disease. Breast cancer has been one of the most common cancer in the world and the most common in women. Even though, breast cancer is detected easily with mammograms or self examination there are times where it c an be hard to detect. Genome wide association studies help to identifyRead MoreBreast Cancer : A Malignant Tumor1203 Words   |  5 PagesChapter I - Introduction Breast cancer is defined as a malignant tumor in the cells of the breast. A cancerous tumor develops when a group of malignant cells invade the tissue surrounding the breast and can spread to other parts of the body (Cancer.org, 2015). This type of cancer is most common in women. However, men can also fall victim to the disease. In 2015, about 230,000 new cases of breast cancer will be diagnosed in women and approximately 40,000 women will die from this disease (CancerRead MoreStrength Of Association1146 Words   |  5 Pagesrule out causality and may still be of significant effect on the disease under study. This is applied in a case where the exposure is in a common population. For instance passive smoking and lung cancer (Risk Ratio: 1.3) (Morein Stuart, n.d). Consistency: Repeated observation of an association in a different population under different circumstances showing the same results suggests that the results of a single study are not due to chance. Criticism: This should be applied cautiously to avoid chances

Tuesday, May 5, 2020

Health Information Management free essay sample

Health information management (HIM) is the practice of maintenance and care of health records by traditional (paper-based) and electronic means in hospitals, physicians office clinics, health departments, health insurance companies, and other facilities that provide health care or maintenance of health records. With the widespread computerization of health records and other information sources, including hospital administration functions and health human resources information, health informatics and health information technology are being increasingly utilized in information management practices in the health care sector. (wikipedia. rg/wiki/Health_information_management) Health information managements standards history is dated back to the introduction of the American Health Information Management Association, founded in 1928 when the American College of Surgeons established the Association of Record Librarians of North America (ARLNA) to elevate the standards of clinical records in hospitals and other medical institutions. Retrieved 2010-01-08. In 1938, AHIMA was known as American Association of Medical Record Librarians (AAMRL) and its members were known as medical record experts or librarians who studied medical record science. We will write a custom essay sample on Health Information Management or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The goal of this career was to raise the standards of keeping records in hospitals and other healthcare facilities. The individuals involved in this profession were promoters for the successful management of clinical records to guarantee their precision. In 1970 the organization changed its name to the American Medical Record Association (AMRA). Medical records professionals found employment in hospitals, health clinics, insurance companies, and other organizations that used medical records. In 1991 the organization became known as the American Health Information Management Association. As the organization grows, so does the need for more education in the field. The Administration has more responsibilities and more areas to govern; therefore their knowledge must also increase continually. Continuing education is a requirement for most employers. The Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) defines standards which higher education health information management and technology programs must meet to qualify for accreditation. Students who graduate from an accredited associates, bachelors or certificate program are qualified to sit for their respective exams for certification as a Registered Health Information Technician (RHIT) via graduation from an accredited associate or certification program or Registered Health Information Administrator (RHIA), which requires education through an accredited bachelor or certification program.