Personal Narrative Stay Out Of The Basement - 889 Words

It has always been a dream of mine to sit down and get to know R.L. Stine (Robert Lawrence) better. When I was a child; even now as an adult I enjoy his movies. One of my favorites is Goosebumps: Stay out Of the Basement. Do not get me wrong all of his movies are good; but for some reason I was interested in Goosebumps: Stay out Of the Basement. If my dream came true; I would start by finding out his life story. I believe that is the conversation I want to have with a great writer like R.L. Stine. I want to know how he began creating movies. Why did he pick such a scary subject? What made him start in this kind of business? And the last question would be did he live in Ohio County, WV all his life? My husband told me to get my things†¦show more content†¦By the time I finished, he finally woke up. While he was getting ready I got my papers ready to ask questions. Since it was early we went and had breakfast. When we finished eating breakfast it was 8:30 am , so we decided to go sight-seeing. Columbus, Ohio is bigger than what we are used to so it took a couple hours. The time was now 10:30 am, so we tried to find the University. We were not familiar with the area, so it took us a couple of minutes to find it. We arrived at the University at 11:15 am which gave me time to relax and breathe before R.L. Stine and I met. We went to the front desk and told them why we were here, so they told us to have a seat and he would be here shortly. It was finally time to meet the person I have always wanted to meet. He walked up to us and shook our hand; I almost fainted. He said, â€Å"Your husband told me you had a lot of questions for me†? I said â€Å"Yes sir, sir I do but I don t know where to start. R.L. Stine said let’s start by going to the commons’. We all sat down and I got my paper filled with questions out. ‘My first question to ask you is: What made you start in this kind of business? â€Å"He said† Even though I was te enage boy, I didn’t like hunting, fishing, and camping. †This is hard to believe†, I said. He also said that he would rather create movies. â€Å"My next question for you is, â€Å"What made you choose the series Goosebumps?† His response was â€Å"I tried to make comical movies; but that didn’tShow MoreRelatedMy Most Embarrassing Moment - Personal Narrative Essay737 Words   |  3 PagesMy Most Embarrassing Moment - Personal Narrative Ding! Ding! Ding! It was everywhere, pen, pencil, papers, rubbers, sharpeners and games. I woke up in a room which looked like a recycling truck. I was so hooked up with my homework and playing my games to the next level that I didn’t even know that I went to sleep. I wasn’t in the mood to go to school. 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University Services That Assist International Students

University Services that assist International Students in their successful Transition to studying in the US Gopi Nadh Kancharla Fairleigh Dickinson University Abstract Introduction Each and every international student will definitely feel it difficult initially to the sudden change of culture, environmental conditions and language. It would be a common scenario in most of the international student cases including me. Being an international scholar, I found it really hard to accommodate these changes, but the sources provided by my university specially in case of the international students helped me a great deal overcoming these troubles. Every university should provide their international students†¦show more content†¦The workshop is a friendly face to face conversation that helps the students to get advices regarding all aspects of student requirement. Reading and Writing Enhancement Workshops The basic requirement for any international non English speaking student is a proper reading and writing. Fairleigh Dickinson University has taken an initiative by starting a program named English as a Second Language (ESL) specially for non native speakers of English. The students are made to attend classes which consist of lots of activities and learning. Students are provided with certain tasks as research papers where the student has to analyze and write on several issues. The students’ writing skills are assisted by Metro Writing Studio (MWS) which focuses mainly on the writing skills of the student. MWS helps the students to focus on their writing by making them comfortable with the formats of writing and by guiding them whenever required. Students are given access to almost all the materials and research papers from experts regarding the field. These sources helps the students to redirect their research by presenting their ideas with the ideas of the experts. In addition academically, students should be provided with guidance towards the career options where Curricular Practical Training (CPT) and Optional Practical Training (OPT) are considered. The CPT and OPT include the areas where students are assisted with the

Backus-Naur Form Free Essays

The Backus-Naur Form, which is also called the BNF, the Backus Normal Form and or the Backus-Naur formalism, is a notation used in the description of a part of syntax of â€Å"sentences† of a language. In about 1959, the Backus-Naur Form was suggested by John Backus, a constituent or part of the thirteen members which comprise the Algol 60 committee. Moreover, John Backus, besides from being a constituent of IBM, is also a major figure responsible for FORTRAN. We will write a custom essay sample on Backus-Naur Form or any similar topic only for you Order Now The Backus-Naur Form, has been used since then to describe the syntax of Algol 60. The BNF along wit its extensions have become standard tools for describing the syntax of programming notations, and in many cases, parts of compliers are generated automatically from a BNF description (Gries, 1981). The specification of the Backus-Naur Form includes a set of derivation rules. This set of deviation rules are written as â€Å"symbol :: = expression with symbols. The symbol in this formula is considered to be nonterminal. The sequences of symbols create the entire expression. Furthermore, sequences separated by a vertical bar â€Å"|†, may also consist the expression. The â€Å"|† sign is made use of in order to point out a definite choice. Expression which are not found on the left side, are considered to be terminals. In the present, Backus-Naur Form specifications are created in a form which it is easily read by humans and oftentimes, they are informal, including certain syntax rules and extensions (Bergin, 1996). Syntax rules and extensions state that optional items should be enclosed in square brackets, like in â€Å"[item-x]† and that items which repeat or occur 0 or more times should be enclosed in curly brackets, such as in â€Å"word ::= letter { letter }. † While, items which repeat or occur 1 or more times should be followed using a â€Å"+. † Syntax rules and extension also state that the non-terminals should be written or typed using plain text, instead of using italics and angle brackets. While the terminals appear in bold. Optional choices in a production should be separated through the use of the vertical bar symbol, like in â€Å"alternative-A| alternative-B. † If an item in the Backus-Naur Form is repeated, an asterisk â€Å"*† should be placed after the item and that simple parenthesis are used, by enclosing the item, to group the items (Chomsky, 1957). References Bergin, T. J. , Gibson, R. G. (1996). History of Programming Languages. New York: Academic Press. Chomsky, N. (1957). Syntactic Structures. Mouton: The Hague. Gries, D. (1981). The Science of Programming: Springer-Verlag. How to cite Backus-Naur Form, Papers

Digital Marketing Strategies of Apple-Free-Samples-Myassignment

Question: Discuss about the Digital Marketing approaches that have been adopted by Apple.Inc. Answer: Introduction The rising globalization all over the world has demanded every organization to utilize its strategies in the brand identification and its recognition amongst the masses. Different companies adopt different strategies to make the brand easily accessible to the consumers (Wilson, Richard and Colin Gilligan). This report deals with the understanding of the digital marketing strategies and process that has been adopted by Apple. Inc to reach its customers as well as analyze how the company acts to make itself more recognized to the consumers, globally. The purpose of this report is to understand and analyze the digital marketing approaches that have been adopted by Apple.Inc. Company background Apple has a preexisting reputation as one of the most prestigious brands in the consumer electronic industry. The company owns a huge customer base that are devoted to the same and the brand. Apple is certainly one of the brands with a strategic model of marketing that includes the digitalized platform as one of the key foundations for the propagation of the brand (Hollensen). Found by Steve Wozniak and Steve Jobs, this company is one of the high soaring company in the electronics industry and all credits goes to the effective management and the marketing strategies that has been adopted by the company. Apple and Digitalized marketing Apple is significantly one of the most valuable companies that is currently streamlining its global marketing efforts and management (Chernev). The technology giant has reconstructed its existing relationships with its own advertising agency, TBWA Media arts lab to focus in the more creative and digital marketing campaigns and fewer efforts on the translation or the localization of the big brand campaigns for the globalized markets (Ryan). Figure 2: The chart showing the number of social media and its followers (Source: Ryan) The advertising agency is primarily focusing on the introduction of a new operating model to keep up with the progress and pace based on the way the consumers accept and perceive about the media and its contents. This has been one of the strategic methods to reduce the increasing cost in the digitalized marketing and advertising. Apple has focused more in the reduction of the digitalized marketing costs to spend more of the capital on the expansion of the creative works that are targeted to the regional audiences than broadening of the spectrum in translating campaign for consumers all over the world. Even though the company has made its cuts in the traditional creative departments, however it started expanding of the other departments on the more prominent and impacting social media platforms like Facebook and Instagram rather than choosing television as one of the prime source of advertising and digital marketing (Chaffey et al.). Figure 1. Apple iphone 6 with the digital platforms (Source: Chaffey et al) Considering the fact that other companies have done much more in their spectrum of digital marketing for their products, Apple has taken much less efforts considering the impacts of the mass media, culture and technological attributes. However, Apple has taken its operations, from the ads to the marketing in a new height, so it is considerably fascinating to see how Apple has made a significant approach towards the digital marketing. Apple has undertaken its decisions of adopting the digital platform as one of the significant marketing tools to reach to its customers. Hence, apples recent action is a noteworthy shift in the direction of on demand marketing, which primly focuses on the active response to the customers and the potential customers. The understanding and the shifting of the marketing concepts, from always on to always relevant and from marketing at customers to marketing as a service, has been thought to be more effective in terms of the digital marketing relativity (Miller). Conclusion With the help of this report, it can be concluded that Apple has made certain initiatives in order to achieve its competence with respect to the digitalized marketing strategy of the other companies. Apple has chosen to focus on the marketing strategy by using the social media as the platform of digital marketing and advertising of its products. This is effective since Apple has decided to cut off the excess cost of the traditional marketing and advertising methods as well as effectively use the surplus revenue in finance the development of the products and targeting a specific group for faster sales of the products. Apple has also instructed own advertising agency to focus less on the translation of the marketing and advertising strategies to target every segment all over the globe, instead the marketing strategy to focus only on one specific target can be considerably effective for the better marketing of the products, in its line. References "Apple Ads | Digital Marketing Social Media Campaigns."Digital Agency Network, 2017, https://digitalagencynetwork.com/brands/apple/ "Apple Could Be Moving Its Entire Ad Strategy Out Of The Mad Men Era And Into The Modern Day."Business Insider, 2017, https://www.businessinsider.in/Apple-Could-Be-Moving-Its-Entire-Ad-Strategy-Out-Of-The-Mad-Men-Era-And-Into-The-Modern-Day/articleshow/33622482.cms Chaffey, Dave, Paul Russell Smith, and Paul Russell Smith.eMarketing eXcellence: Planning and optimizing your digital marketing. Routledge, 2013. Chernev, Alexander.Strategic marketing management. Cerebellum Press, 2014. Coffee, Patrick, and Patrick Coffee. "Apple Shifts Global Marketing Strategy, Restructures Its Relationship With TBWAMedia Arts Lab."Adweek.Com, 2017, https://www.adweek.com/brand-marketing/apple-shifts-its-marketing-strategy-to-focus-on-digital-and-regional-campaigns/#/ Hollensen, Svend.Marketing management: A relationship approach. Pearson Education, 2015. Miller, Michael.B2B digital marketing: Using the web to market directly to businesses. Que Publishing, 2012. Ryan, Damian.Understanding digital marketing: marketing strategies for engaging the digital generation. Kogan Page Publishers, 2016. Wilson, Richard MS, and Colin Gilligan.Strategic marketing management. Routledge, 2012.

Western Culture And Indian Culture Essay Example For Students

Western Culture And Indian Culture Essay Australasia, and is not restricted to the continent of Europe. Where Western Culture and Indian culture come at a cross roads is further explain by Naor, Linderman, Schroeder in their idea that â€Å"non-significant difference between Eastern and Western countries for the dimensions of institutional collectivism, in-group collectivism, assertiveness, uncertainty avoidance, and humane orientation can be attributed to their strong link to people’s behavior and work-related attitude† (Naor et al, 2010, p. 194). Political pluralism, prominent subcultures, or even counter cultures such as the New Age movements are all Tendencies that have come to define modern Western societies. This results in the process of human migration and globalization. We will write a custom essay on Western Culture And Indian Culture specifically for you for only $16.38 $13.9/page Order now A current dilemma in Western societies is whether Western civilization is strong enough to create a world order based on the principles of international law and personal liberty that are deeply embedded throughout the whole tradition of Western political thought, or whether citizens in Western societies could be impacted by the emergence of other more economically stable societies that have equal international dominance as the western world. What are people referring to when they talk about Western culture? One can understand that understanding of Western Culture can point towards various traditions, customs, values, and different belief systems that made their origin from Europe and are based on European culture. An obvious example of a country that is stricken with Western culture is in the culture of America. Western culture can encompass a variety of cultures such as the Spanish, French and British cultures. Westerns complex is so inherently diverse and complex because of its adaptability to en. . nly those that have been developed within our own borders? This would not be beneficial for individual countries or our global world because it has been made clear that humanity only flourishes with the constant cultural adaptions that are built upon one another, just like the cultures of India and the Western world. More specifically, how does India influence the Western world and the global world in particular? One can see this in the existence of Bollywood, yoga, and spiritual mantras on a global scale. examples. These were all features of Indian society that were once only existent in the culture of India but have now become apparent throughout the international world, and particularly in Western societies. In the western culture, yoga is a popular activity as a facet of physical activity. An Indian folk dance known as bhangra has been used as a popular western

Leukemia Case Study Essays

Leukemia Case Study Essays Leukemia Case Study Essay Leukemia Case Study Essay Leukemia are cancers of the blood- forming tissues. White blood cells may be produced in excessive amounts and are unable to work properly which weakens the immune system. The patient is a 68 year old male admitted on 02/07/201 S with chief complaint of weakness and shortness of breath. Patient was admitted to the medical- surgical unit with pneumonia. Description of Condition First of all, What is Leukemia? In healthy person, white blood cells are produced in the bone marrow and then it transfer to the blood in a continuous basis. Bone marrow is the spoon). Tissue inside the bone where blood cells are made. They are produced by stem cells in the long bones. According to Assignations and Workman (201 3), Leukemia accounts for 2% of all new cases of cancers and 4 % of all deaths from cancer (as cited in American Cancer Society, 2011). In a person with ML the same process occurs, except the white blood cells production proceeds to an excessive uncontrollable rate of immature white bloo d cells. In acute leukemia, the leukemia or blast cells function abnormally and accumulate in the peripheral blood, the bone marrow, and central nervous system. At an uncontrollable rate leukemia cells dont stop diving when should. Most patients with acute leukemia will only live few months if left untreated. Body then is deprived of essential components for its immune system. Leukocytes(white blood cells) protect our bodies from infections and cancer development. Furthermore, it presents with pare skin, patchier, bleeding from minor cuts, lack of energy , and mild fever and aches in the joints or bones(Leukemia and Lymphoma Society, 2011). There are may types of leukemia, but the four most common forms are derived from only two types of cells, lymphocytes, and employees. There are subtypes of these diseases, which are classified depending on pacific cell type involved or degree of maturity. The estimates for leukemia in the United States for 2014 are about 1 8,860 new cases of Acute Myeloid Leukemia. Most will be in adults. (American Cancer Society, 2014). Etiology and Risk factors The exact cause of leukemia is unknown. There are many different origins and risk factors for the four main kinds of leukemia and while some may be directly linked, there are others that show small linkage to anything at all. Environmental and genetic factor are involved in the development of leukemia. Risk factors to the development of leukemia include environmental actors, immunologic factors, genetic factors, reduced production of blood cells in the bone marrow, exposure to chemical and drugs, viral infections, and ionizing radiation. ML has no main risk factors, but does have a few potential risk factors like excessive exposure to benzene, a chemical found in cigarette smoke and work places (Leukemia and Lymphoma Society, 2011). Smoking is a risk factor for many diseases such as lung cancer, heart disease, kidney disease among others but what most people fail to realize, It is a risk factor for leukemia. Leukemia can be acute, with sudden onset and short oration, or chronic, with slow onset and persistent symptoms for years. According to Assignations and Workman (201 3), With Leukemia, cancer most Often Occurs in the Stem cells or early precursor leukocyte cells, causing excessive growth or a specific type of immature leukocyte (p. 880). Also, the cells accumulate in the blood and in certain organs, forcing out healthy cells and interfering with the function offbeat organ. ML is caused by abnormalities of our DNA that controls the development in your bone marrow. These abnormal cells build up and replace healthy cells. Sign and Symptoms The patient with acute leukemia has abnormal labs like decrease hemoglobin and homoerotic levels, low platelet count and abnormal white blood cells counts. There are some changes associated with acute leukemia due to these abnormal labs. The blood circulate through the body thus affecting all organ systems. There are may symptoms of ML, in the early stages, the symptoms of ML may resemble the flu. Symptoms of leukemia are linked with the blood function because the initial pathogenesis of the disease in on the bone marrow . The following are the common manifestations of leukemia : anemia , bleeding or bruising bone and joint ins , recurrent infections due to an increase in immature white blood cells, swollen lymph nodes abdominal distress , and breathing difficulty. Anemia due to a low ROB count. Because red blood cells carry oxygen throughout the body . The anemia occurs due to the incapacity of the bone marrow to produce red blood cells in association with the overcrowding Of the bone marrow with the proliferating cancerous cells . Manifestations of this symptom include the tiredness of the patient, faster breathing , and paleness, fatigue and short of breath. Patient is unable to do simple this like bathing because there is no energy. Also, skin becomes pale and cool to touch as a result of reduced tissue perfusion. Leukemia which is a low WEB count or decrease in production of mature, healthy, functional white blood cells. Leukocytes, which in turn weaken the body immune response; thus, the patient is vulnerable and prone to recurrent infections. Recurrent infections that can be viral or bacterial and occurs over the past weeks are brought about by the disrupted capacity of the immune system to mount an immune response due to the presence of immature white blood cells . Thermodynamic a low blood platelet count. The platelets are the load cells responsible for blood clotting. A shortage of blood platelets may lead to easy bruising or bleeding. The multitudes of cells present in the bone marrow results to pain in joint and bone . Abdominal distress is an outcome of the pooling of leukemia cells in the liver spleen , and kidney which causes the swelling of these organs. Because of enlarged liver or spleen or surrounding organs due to the build up Of abnormal cells spleen and liver may cause feeling of fullness (loss of appetite). This leads to weight loss, anorexia, nausea. Blood clotting times and factors are abnormal. Clotting time is prolonged as well. Patient History and Medication Reconciliation Patient is a 68 year old male. He was admitted on 02/07/2015 with chief complaint of weakness and shortness of breath. Patient has a past history of coronary artery disease status post MI, trial fibrillation status post pacemaker, leukemia, in remission, Hyperglycemia, Hypertension, anomic brain injuries after cardiac arrest, who has been complaining of weakness over the last 2 weeks. The patients family were concerned for pneumonia and they call EMUS. He was found to have pneumonia by chest x-ray in the Emergency Room. Patient diagnostic test in the ERE include White blood cell 3. , Hemoglobin 11 . 1, platelets 90, sodium 129, potassium 4, chloride 92, vicars 27, BUN 19, creating 0. 2, glucose 137, EKE is sinus rhythm at 72 beats per minute, wide SIRS, nonspecific inter ventricular block, SST-T abnormality, dioxin 0. 7, trooping less than 0. 01, BAN 5081. The patient past us racial history include CAB, material valve replacement with mechanical valve, Hernia repair, pacemaker in place. Patient is allergic to codeine. Patient had itch skin as stated by wife. Patient has a history of smoking long time ago. Smoked 1 pack daily for 20 years. The patient uses alcohol rarely. Patient lives at home with his wife. Patient home medication include Emendation 200 MGM once daily, transportation 20 MGM once daily, dioxin O. 25 MGM once daily, hydrazine 25 MGM ;ice dally, shorebird 20 MGM twice daily, lowercase 1 MGM Q. H. S PR. , meteorology MGM once daily, proton 40 MGM once daily, superannuation 25 MGM once daily, soma 0. 4 MGM once daily, Commanding 1 MGM once daily. Patient was admitted to the medical-surgical floor with pneumonia patient will be put on elevating and given ethylene as needed for fever. Patient is positive for dizziness, positive for shot-term memory loss, positive for dry cough, positive for shortness of breath. No chest pain, no nausea or vomiting. No abdominal pain, no diarrhea, no constipation Positive for fever. Nursing Assessment, Medications, and Labs Patient noted to be sleeping on arrival. Patient breathing normally with occasional cough. Patient recent Vitals (0)38. 2-76-18 on 2. 5 L 1 19/54. Patient had no pain at this time. Patient is on fall precautions. Patient noted to be confused and respond to voice only. Patient physical exam reveals him to be alert and oriented to person, place, and time. He communicates, though not readily. His speech and vision are intact but only to voice. Patient spends to voice commands only, and when looking at him in the eye. He has an equal grip bilaterally and can move all extremities, though he is slightly weak and needs assistance with nursing activities such as with reposition. Patient is on telemetry monitor. His apical pulse 78. Capillary refill is less than 2 s. No Jugular vein distention noted. His peripheral pulses are weak and equal. No B/L peripheral edema noted. Patient had flowstone in place. No shortness of breath noted. No nasal flaring. Chest expansion symmetrical. His left lung is clear on auscultation, but right upper lobe of the Eng rancho was heard on auscultation, his respiratory rate is 18, and his oxygen saturation is 98% on 2. L of oxygen via nasal canal. Patient is able to turn, cough and deep breath. Patients wife assisted him with the use of incentive speedometer at 1200. Patient noted to have a pacemaker on right chest wall. Also, on the left chest patient has an infusorians that hasnt been access. In the middle of the chest patient has an old scar form CAB. He has positive bo wel sounds in all quadrants on auscultation , and his abdomen is soft, round, and non tender. He had a small loose brownish bowel moment this morning. Patient is passing flatus. He is on a regular diet, but his appetite has been poor for the past few weeks his wife stated. Wife stated that patient did not have anything to eat for breakfast except for a few sips of juice. For lunch, wife fed patient about 25% and 120 ml of milk. Patient takes pills whole. Patient has his own teeth, and does not wear glasses. No bladder distention noted. No burning on urination. Client is incontinent of urine. This morning nursing student put a new condom catheter. Client is voiding appropriately and his urine is clear and yellow. No foul odor or cloudy. He appears pale and is unkempt. His skin is warm, dry, and intact. NO ash noted. Oral cavity dry. He appears somber and is slow to comply with nursing instructions. Patient has a saline lock on left arm on the thumb side. No pain, rather, edema noted. At 1 100, 0. 9% INS IV fluids 50 ran_/hrs. Patient is on bed rest. He is out of bed with assistance of 2. And transfer with assistance of 2. He needs assistance to set up meal tray. Patient was wash this morning, though he was tired. He was turn at 1200, 1400. Patient ID band was in place. Call bell in reach. Patient demonstrated ability to push button on call bell. Partial side rails up, fall risk identified, fall alert sigh in place. Patient is a DON/DIN. When talking with wife, she stated that she is the primary caregiver at home. Her husband sleep in a regular bed. Case manager was in this morning discussing with the wife of the patient about possible discharge to a nursing home. Patient current medication list include for angina therapy, Shorebird Monetarist to be given 20 MGM orally 2 times per day, Mentality agents; Lowercase 1 MGM orally every day at bed time, Antichrists; moderation administer consistently in regards to food/meals 200 MGM orally everyday. Anticoagulants; warring 2 MGM orally every day, patient currently not on medication. Interdisciplinary; transition 20 MGM orally every day. Interventions therapy engage; hydrazine 25 MGM orally 2 times per day. Beta adrenaline blocker; meteorology ERE 150 MGM orally every day. Cardiac Interlopes; Dioxin 127 meg orally every day. Diuretics; superannuation 17. 5 orally every day. Peptic ulcer therapy; proton 40 MGM orally every morning. Prismatic Hypertrophy agent; Tomlinson ERE 0. 4 MGM orally everyday. Patient is on Sodium Chloride 0. 9 IV 50 ml/hrs continuous. Levitation in DEW MGM IV every 24 hrs. Opprobrium-alabaster 0. OMG-3 MGM inhalation every 6 hrs. Bonaparte 200 MGM orally three times a day as needed for cough. Suffering 600 MGM oral every 12 hours to reduce viscosity of secretions. Chlorinating 25 MGM orally. Patient lab include: on 02/07/15 CB with Dif include Interruption 14. 6, Lymphocyte 21. 0, Monocots 64. 1, Censorship 0. 2. On 02/10/15, WEB count 1. 9, Hemoglobin 9. 6, Homoerotic 28. 9, Platelets 62, BUN 34, creature 0. 70, sodium 133, potassium 4. 3, Albumin 2. 8, promote 35. 5. On 02/12/15, WEB count was 0. 8, ROB count 2. 75, Hemoglobin 9. 0, Homoerotic 26. 8, Platelets 42, Interruption 4. 9, Lymphocytes 85. , Monocots 9. 7, Promote 35. 5, INNER 3. 23. On 2/9/15 patient had an cardiograms which show iterate left ventricular dilation, Hyperkinetic inferior wall. Severely reduced FEE estimated at 20-30%. Normally function mechanical valve. Diagnostic procedure and Treatment Diagnosing acute myeloid leukemia (ML) and ML subtype usually involves a series of tests including complete blood count and bone marrow aspiration and biopsy (Leukemia and Lymphoma Society, 201 1). The gold standard for diagnosing leukemia is an examination of cells obtained from bone marrow aspiration and biopsy. The bone marrow full immature cells. This cells have tags( antigen) on the surface of cell. The specific antigens can alp diagnose the type of leukemia. Due to accelerated research and advances in oncology medicine in recent years, there are several forms of treatment available for the patient with leukemia. The main types of treatment selected for most patients with leukemia today are chemotherapy, radiation, and stem cell transplantation also know as homeopathic stem cell transplantation(HOST) (Assignations Workman, 201 3, p. 883-889). The type of treatment selected by the patient and doctor is based on many factors including the type of leukemia, the age of the patient, and other health issues or problems the patient may have. There are a few efferent treatments recommended for ML depending on the severity and the individual patient. A combination of chemotherapy drugs is the most popular initial treatment. Antibiotics may also be recommended to prevent infection which is very common in this disease. Drug therapy for patient with ML is divided in three distinctive phases: Induction, consolidation, and maintenance (Assignations Workman, 2013, p. 83) Chemotherapy is the use of anticancer drugs design to slow or stop the growth of rapidly diving immature cells in the body. While chemotherapy targets cancer cells, it can also damage health cells and cause unpleasant side effects. ML treatment is generally done in two phases: induction therapy, consolidation therapy; thus,Len induction chemotherapy a combination of dr ug is used to destroy as many leukemia cells as possible and bring blood counts to normal (Leukemia and Lymphoma Society, 201 1). At this phase of treatment patient emotional, physical, social state are vulnerable. The anticancer drugs take a toll on the body, making the patient more at risk for infection. Nausea, vomiting, diarrhea, loss of hair, mouth sores, are among the many undesirable side effects patient experience while going through this phase. Prolonged hospitalizing are common while the patient is entropic (Assignations Workman, 2013, p. 884). Then, consolidation chemotherapy is used to destroy any remaining leukemia cells that cannot be seen in the blood or bone marrow. It consist of another course of either the same drugs use for induction at a different dosage or a different combination of chemotherapy drugs; HOST also may be considered, depending on the disease subtype and the patients response to induction therapy (Assignations Workman, 2013, p. 884). Not only do the body immune system is weak by the mass production f immature WEB, but chemotherapy severely suppresses the bone marrow leaving patient at an increase risk for infection. Nursing care for this patient is vital. Nurses caring for the patient with leukemia face many challenges. It is crucial that should not only understand the disease process, but treatment course as well. This enables them to educate their patient, administer treatment safely, and manage for possible side effects; but also to provide support to the patient and family. HOST is the standard treatment for the patient with leukemia who has a closely matched donor and who is in temporary remission after induction These treatments are lethal to the bone marrow, and without replacement of the stem cells by transplantation, the patient would die of infection or hemorrhage (Assignations Workman, 201 3, p. 85). Stem cells are classified by the source. HOST started with the use of allegoric is transplantation of bone mallow form a sibling or matched unrelated donor and has advanced to the use of human leukocyte antigen(HAL) There is tautologys, in which patient receives their own step cell which are collected before high-doses therapy Lastly, genetics are those that come form identical sibling (Assi gnations Workman, 201 3, p. 85). After, the frozen stem cells are thaw and given as blood transfusions by a central venous catheter or a venous access device. In order for the body to successfully take the transplanted cells a process called engagement is key to the whole transplantation process (Assignations Workman, 2013, p. 887). The period after transplantation is difficult for both the patient and family due to the patient weaken immunity. During and aftermath prevention of complications Life-threatening complications in particular can require complex physical treatment but, more significantly, may arouse complex emotional, psychological and spiritual issues for both patient and nurse. The care focuses on the patient taking chemotherapy and HOST. The most difficult task for the nursing during this processes is maintain hope through this long recovery period. Infections are a major complication in patients with acute myeloid leukemia (ML) undergoing intensive chemotherapy, these complications are still associated with severe morbidity and mortality. Meghan, T et al. (2012) emphasized, Preventing infection is a paramount goal for nurses caring for patients with leukemia. Interruption among hospitalized patients with acute leukemia puts them at a high risk of infection (p. 80). Hand hygiene is to be one of the most effective ways to prevent the transmission of infection. It is important to teach the patient about hand washing to prevent infections while this vulnerable state. Patient should be place in single rooms to prevent cross contamination. The most common infections are fungal, bacteria, and dome residual viral breakthrough (Assignations Workman, 201 3, p. 419). It is important to keep equipment used by the patient in the room, this will ensure there is no contamination. Assisted personal should be taught about washing hands often in between patients and use hand sanitized when you cant use soap and water. Avoid people with colds or the flu, thus, visiting patient should wear a mask at all times. These steps can help reduce the chances of coming into contact with someone who is sick. Patients are wipe out the majority of the time after treatment that self care is often neglected. It is imperative to teach patient, family, and assisted personal that some aspects of personal care cannot be put off for a later time. Mouth care is vital to prevent infection. Brush your teeth after meals and before bedtime, using an extra- soft toothbrush that wont hurt your gums. Inspect mouth for any sores, and report any open sores immediately. Clean your toothbrush at least weekly by either rinsing it liquid laundry bleach and then rinsing the bleach with hot running water. Skin is often the only body part protecting the patient, thus, any break can be a major potential for infection. Bathe regularly with warm water. Be careful to dry your skin completely. Use lotion to prevent cracks in your skin. Open cut and cracks may let bacteria in. Keep your skin hydrated and moisturizer. Dry, cracked skin is more likely to break and become susceptible to infections. Furthermore, squeezing or scratching pimples can rate open sores that would also place you at higher risk of infection. The same is true of biting or tearing at your cuticles. Use an electric razor instead of a blade. This may help you to avoid cuts. Patients should avoid anything raw vegetables, fruit. Cook all food thoroughly. This will help kill any potential germs that may be on raw food. Teach patient to avoid eating raw fruits and vegetables; undercooked meat, eggs, and fish, pepper, apical. The priority nursing interventions for patient with interruption are protecting him or her form infection and teaching patient and family about ways in which they can educe infection. Total patient assessment, including skin, lung, mouth, close inspection of venous access device insertion site(illustrating Workman, 201 3, p. 41 9). The patient should be monitor continuously for infection. Take temperatures according to hospital policy. Monitor the patients CB with differential. Inspect the mouth during every shift for lesions. A complete respiratory assessment should be assess for any presence of crackles, wheezes, and diminish breath sounds. Ask the patient to report any burning, painful urination, also, report any foul odor or cloudiness. It is important to maintain aseptic technique when dealing with central venous devices for dressing changes and administration of chemotherapy drugs at all times. Inspect open areas, such as C.V. every 4 hours for manifestations of infection. Change IV tubing according to hospital protocol. In addition, the patient is also vulnerable from minimal injury. Thermodynamic is defined as a decreased number of platelets in the blood, which can result in poor blood clotting. Thermodynamic is induced by chemotherapy, this poses the patient at great risk for excessive bleeding (Assignations Workman, 201 3, . 89). Patient with thermodynamic often experience include: Easy bruising, bleeding from your nose, rectum (black or bloody bowel movements), or stomach (vomiting blood or coffee-appearing material). Encourage the patient to stand unclothed in front of a mirror once a day to check for areas of bruising. Patchier, which are red spots in the skin. Economies which are larger reddish-blue patch es (bruises) on your skin. In women, periods that are heavier than normal. There are ways to manage this condition, they include: medications that stimulate the formation of platelets. One of this medication is Megan (Assignations Workman, 2013, p. 421) Patient should caution to avoid taking aspirin because it increases risk for bleeding. Patients should use electrical razors. If patient want to blow nose they should do it gently. Also, they should avoid hard food. If patient wears dentures they should fit the mouth properly. If patient want to cut nails they should do so with care. Patient should avoid becoming constipated or straining by taking a stool softener. If any bleeding does occur, instruct the patient to apply pressure to the area and seek help. The most important specs of care of this patient is to maintain a safe, hazardous free environment. Moreover, the patient also suffers from anemia. Normal production of red blood cell is limited with leukemia. Anemia is relatively common in patients who undergo chemotherapy. The goal with anemia is to conserve energy and improve red blood cell counts. Anemia depends on the extend of disease and intensity of treatment. Patients are often left feeling of tiredness which may interfere with every day activities. Fatigue is the most common sign of anemia Patient may become short of breath, dizzy. As Meghan, T et al. 012) advised, Blood transfusions are given to relieve symptoms and improve patients quality of life. (p. 81). Transfusions may be one way to alleviate patients symptoms though the correction effort is fast the duration is limited ant transient. Drug therapy include the administration of arthroscopies-stimulating agent. This agents that boost the production of red blood cells. It is important for nurses to be understanding and helpful during this time of weakness and to reassure patient that is only temporary. There are ways in which nurses can help patient cope with low energy level angina from medication to nursing activities. For example, nursing staff and assisted personnel should space out nursing activities throughout the day and perform any activity possible when the patient has the most energy. It is important to monitor respiratory status during activity to determine if the patient is able to tolerate. Also, nutrition plays a vital role and should be consider because the patient needs enough calories to meet and maintain demand of body. Lastly, malnutrition among patients with leukemia is high. It is very common problem among hospitalized patient, in general; anyway, who wants to eat when sick! It is the nurse, that need to educate abut the importance of nutrition. There are many causes of malnutrition including pain, fatigue, depression, and side effects of chemotherapy. The simple most obvious cause is loss of appetite due to alter taste. Some symptoms include sore mouth, dry mouth, pain, taste and smell changes, diarrhea, fatigue, anxiety, nausea and vomiting. When encourage patient about nutrition modifications is important to keep in mind to include the patient in decision making as much as possible giving a sense of power. Asking the patient about what are some likes and dislikes.

Book review Assignment Example | Topics and Well Written Essays - 1000 words

Book review - Assignment Example Despite being an anarchist, he strongly opposed the use of violence to solve the problems facing society. Rather, he believed that the society could be reformed through active non-violence. The story in the novel The Adventures of Caleb Williams revolves around Caleb, who despite being a poor orphan, manages to get better education. He later earns a lot of respect from community members owing to his enlightenment. The novel, basically, gives an account of the position taken by Caleb with respect to the wealthiest man in the neighborhood, Mr. Falkland (Godwin 2004, p.5). The fact that Mr. Falkland has a lot of wealth in the village makes his respectable to the extent that villagers, including Caleb, worship him. Nevertheless, Caleb appears to be very suspicious of Mr. Falkland. He believes that Mr. Falkland engages in unethical activities. As a result, Caleb decides to investigate Mr. Falkland’s past only to unearth some damning information. In the novel The Adventures of Caleb William, Godwin as the author tries to expose the rot in the political and social spheres of England during the 18th century (Godwin 2004, p.6). Godwin exposes vices by giving an overview of the injustices that were the orders of the day in the prison system. He also exposes the oppression of peasants by landlords, the oppression of the poor by the elite, as well the oppression of common citizens by government. The author reveals the injustice of the political and social system through various scenes. For example, he exposes an incident in which Mr. Falkland, knowingly and willingly, witnesses the execution of two innocent men for a crime that he committed himself. This is brought out when Caleb exposes the secret murder of Tyrrel, one of the landlords, by Falkland. Immediately after the murder, Caleb informs the public that Falkland used his power and wealth to blame two innocent men for the murder that led to the execution of the two innocent men (Godwin 2004, p.9). Nevertheless, when Falkland discovers that Caleb knows the truth about the incident, he threatens Caleb with grave consequences, warning him against exposing him further to the public. Despite the threats that he receives from Falkland, Caleb goes ahead to expose murder to the public, a move that puts him at loggerheads with Falkland. Caleb ends up paying the price of revealing the truth when Falkland implants jewelry in his bag later accusing him of being a thief (Godwin 2004, p.16). Without the authorities carrying proper and impartial investigations, Caleb ends up in prison. After staying in prison for a while, Caleb makes a daring escape but he is later recaptured in the streets of London. However, his release from prison comes quick with the intervention of Falkland. Falkland actually uses his power and wealth to manipulate Caleb’s release from prison (Godwin 2004, p.20) after he senses that he is in jeopardy of revelation of his deeds to a greater extent if he keeps Caleb in prison. As a result, Caleb is released from prison without a trial. This shows how injustice, impunity, and corruption were rife in the society during the time that the novel was written. Godwin’s fictional story gives a clear depiction of painful and intolerable oppression and the kind of bullying that the good people of 18th century were subjected to in their pursuit for justice and equality. Despite being set