Symptoms And Treatment Of Breast Cancer - 1377 Words

Fibrocystic Condition Fibrocystic condition, commonly referred to as fibrocystic disease, is known to be the most common lesion found within the breast tissue. In comparison with breast cancer, this lesion is often painful and can often produce multiple lesions throughout the breast tissue. The lesions are known to fluctuate in size most often around the premenstrual phase, which is also when most pain is experienced (Giuliano, 2014). Fibrocystic condition is most common in women age 30 to 50 and is rarely seen in postmenopausal women who are not receiving hormone replacement. Fibroadenoma Fibroadenoma is common in younger women and most commonly occurs within 20 years of puberty (Giuliano, 2014). These masses are typically â€Å"round†¦show more content†¦Screening Clinical breast exam. The clinical breast exam is a highly disputed topic in the medical field. Organizations such as ACOG and the American Cancer Society recommend physicians perform a clinical breast exam every three years in patients age 20 to 39 years old (Fletcher, 2013). However, there are other organizations believe there is insufficient evidence which show true benefits of such an exam. Ideally, the clinical breast exam should be performed on a patient approximately one week after there menstrual cycle, which is when the breast tissue is least engorged and lumps are more easily felt (Salzman, 2012). Patients should be supine with their arm positioned over their head. The breast tissue should be palpated in a vertical manner, with the pads of the middle three fingers, moving slowly i n small, circular motions applying different grades of pressure (Salzman, 2012). In an ideal clinical breast exam, the breast tissue as well as well as the nipple areolar complex, the axillae, the supraclavicular area, and the chest wall should be examined. Mammography. To this day, mammography remains the mainstay of screening for breast cancer. Mammograms are an x-ray picture of the breast, and

Tax Evasion and Tax Audit Free Essays

Definition of Tax Evasion: Tax evasion usually entails taxpayers deliberately misrepresenting or concealing the true state of their affairs to the tax authorities to reduce their tax liability and includes in particular dishonest tax reporting, such as declaring less income, profits or gains than actually earned or overstating deductions,. It is an illegal practice where a person, organization or corporation intentionally avoids paying his/her/its true tax liability. Examples of practices which are considered tax evasion: Knowingly not reporting income * Under-reporting income (claiming less income than you actually received from a specific source * Providing false information to the NBR about business income or expenses * Deliberately underpaying taxes owed * Substantially understating your taxes (by stating a tax amount on your return which is less than the amount owed for the income you reported). We will write a custom essay sample on Tax Evasion and Tax Audit or any similar topic only for you Order Now Tax Audit: A tax audit is an investigation into the background of tax returns submitted by an individual or business to a tax agency. While it is true that a tax audit may be called due to some perceived irregularity in one or more returns, it is also true that an audit may be done simply as part of a random sampling. Tax audit is when the IRS decides to examine your tax return a little more closely and verify that your income and deductions are accurate. Tax return is chosen for audit when something you have entered on your return is out of the ordinary. There are three main types of IRS audits: the mail audit, the office audit and the field audit. How to cite Tax Evasion and Tax Audit, Papers

SAT Literature Subject Test Terms to Know Essay Example

SAT Literature Subject Test Terms to Know Paper allegory A story with underlying symbols that really represent something else. A character can be allegorical. alliteration Repetition of a consonant sound for emphasis. allusion A reference to something or someone, usually literary. anachronism Placing a person or object in an inappropriate historical situation. It can be deliberate or unintentional. analogy Comparing something to something else. anecdote A short narrative, story, or tale. antagonist The major character opposing the protagonist. Usually the villain. anthropomorphism Assigning human attributes, such as emotions or physical characteristics, to nonhuman things. Often used for attributing human characteristics to animals. Similar to personification, but usually is applied to animals, while personification is applied to all types of things. argument A summary or short statement of the plot or subject of a literary work. diction The authors choice of word and sentence structure, taking into account correctness, clearness, and effectiveness. Typically, there are four levels: formal, informal, colloquial, and slang. elegy A mournful and melancholy poem or song, usually to pay tribute to a deceased person. emphasis Special forcefulness of expression that gives importance to something singled out. fable A story that has a moral, usually involving animals as the main characters. figurative language Language characterized by figures of speech such as metaphors and similes as well as elaborate expression through imagery. hyperbole A deliberate exaggeration. imagery An authors use of descriptive and figurative language used to create a picture in the readers minds eye. indirect dialogue Language that communicates what was expressed in the dialogue, without using a direct quotation. irony An expression of meaning that is opposite of the literal meaning. meaning Something that one wishes to convey, especially by language. metaphor A comparison like a simile, without the use of like or as. Its a little subtler. Its important to note, however, that in literary criticism, the word metaphor is frequently used when, strictly speaking, the term simile applies. meter The rhythm of a poem. The most common is iambic. narrative A literary representation of an event or a storythe text itself. onomatopoeia A word intended to simulate the actual sound of the thing or action it describes. oxymoron A phrase in which the words are contradictory. paean An expression of joyful praise. parable A story that has a moral. paradox This is a phrase that appears to be contradictory but actually contains some basic truth that resolves the apparent contradiction. parallelism The repetition of sounds, meanings, or structures to create a certain style. parody A literary work in which the style of an author is imitated for comic effect or ridicule. pastoral A work that deals with the lives of people, especially shepherds, in the country or in nature (as opposed to people in a city). pathos Something that evokes a feeling of pity or sympathy. personification Assigning human attributes to something nonhuman. perspective The viewpoint from which the narrator or character sees things. point of view The vantage point from which a story is presented to a reader. protagonist The main character, usually the hero. rhyme scheme The way that a poems rhymes are arranged. satire Ridicule of a subject, usually as a social criticism. simile A comparison of two things using the words like or as. stanza The divisions in a poem, like a paragraph to prose. structure The framework of a work of literature; the organization or overall design; often provides clues to character and action. style The authors unique manner of expression; the authors voice. syntax The ordering of words into meaningful patterns such as phrases, clauses, and sentences; poets often manipulate syntax, changing traditional word order in an attempt to draw attention to particular words or phrases. theme The central meaning or dominant idea in a literary work; theme provides a unifying point around which the plot, characters, setting, point of view, symbols, and other elements of a work are organized. tone Style or manner of expression.

Professionalism in healthcare Essays

Professionalism in healthcare Essays Professionalism in healthcare Essay Professionalism in healthcare Essay The term professionalism as applied in health profession is normally multifaceted and can thus be divided in to three classes; professional parameters, professional behaviors, and professional responsibilities. Professional parameters are those that include legal and ethical issues. Professional behaviors are those that relate to discipline as concern knowledge and skills, appropriate relationships with clients and colleagues as well as desirable appearance and attitudes. Professional responsibilities on the other hand concerns responsibility to the profession as well as to the practitioner, clients, employers and the society. Over the past years the issue of professionalism has been a major concern within the healthcare sector (medical). The professionalism or lack thereof as exhibited by many medical practitioners as includes radiologists and other related concern have been witnessed in the wider scope of the health profession Effective health care service delivery is largely dependent on high degrees of skill in professionalism. The professionalism skills are essential to all practitioners who believe and subscribe to vision of a successful radiology profession. Any health care professions like radiology that exhibits high level of excellence in the provision of health care research and education are promoting professionalism. With reference to past research a great number of issues as concerns quality and safety in radiology have been identified (Lane, F. Donnelly Janet, L. Stife. 2006). ). Errors that involve medication, wrong site procedures, mistakenly identifying patient’s procedural complications among other complications all relate to the radiology field in health care to varied extents. Arguments suggesting that systems issues are essential to obtaining better quality and safety is equally very valid to radiology as it is to other health care services. Particular cases such as lost or inaccessible images and reports, delayed communication of patients’ results as well as inadequate information about patients are known issues in radiology that have been addressed through the implementation of both hospital and radiology information systems. This has in effect minimized the operational costs while at the same time the level of quality and service has greatly improved. Through such institutions as ACR, which has taken a leading role in nurturing programs that seek to address various issues that are unique to radiology. These issues include but are not limited to practice guidelines, level of technical standards appropriateness of criteria to use in examination imaging and programs accreditation. Even though it is often not easy to measure the skills subjective attitudes that amounts to excellent professionalism skills in any field of heath sciences like radiology, and as such come up with an outstanding radiologist, in my opinion there is a great sense of professionalism within the health sciences as applies to radiology. This is due to the development of various programs that have stressed on the significance of the professionalism skills. These programs have to an extent created measures that motivate positive radiologists’ behaviour. Such tools like the 360- degree feed back have also helped to establish the level of professionalism in health sciences that is very appreciable. However like in every discipline where participants have for long been termed as â€Å"professionals† there still exists such perceived problems of sub optional professional behaviour as well as communication. This is due to the fact that initially topics that relate to interpersonal skills as well as professionalism were not so much stressed in medical education. The dedication toward the training and sensitizing in professionalism and its significance has been largely lacking. In spite of these, the various programs developed I do believe would help to better the level of professional in the various sectors of health sciences.

Whats the Average High School GPA

What's the Average High School GPA SAT / ACT Prep Online Guides and Tips Nearly all high school students have, at some point, wondered whether their GPAs are good or not. One way of knowing is to look at the national averages. What is the average high school GPA?Is your GPA above average?How do you compare with all the other high school students in the country? In this article, I'll give you an overview of the national averages for high school GPA so that you can see where you stand. I’ll also tell you what these averages mean for you and how to understand them better in the context of the college application process. What’s the Average High School GPA Nationally? According to a 2017 study written about onInside Higher Ed, the average high school GPA in 2016 was 3.38. This study also found thatthe average high school GPA has risen steadily over the years. This increase in the average GPA has a lot to do with grade inflation (which we talk about in more detail below). In addition to this study, the National Center for Education Statistics (NCES) offerssome data on average high school GPAs in the US, althoughthis data is from2009, so it'sa bit out of date. (Unfortunately, NCES has not conducted a similar study since 2009.) The NCES study provides a fairly thorough look at average high school GPAs, so we're going to use this study for our analysis below. Because the average GPA has risen since 2009 (when the study was conducted), it's safe to assume that the 2018 GPAs will actually be a bit higher, though the trends will remain the same. Now let's take a closer look at the GPA data, starting with the overall averages. High School GPA Averages Here are the high school GPA averages, according to NCES: Overall GPA average: 3.0 Average in core academic courses (math, science, English, and social studies): 2.79 Average in other academic courses (foreign language and other academic courses not in the core curriculum): 3.14 Average in other courses (physical education, cooking, health): 3.39 As you can see, the national overall average GPA is 3.0. Butthis might be deceptive: the average GPA in core subject areas is actually a bit lower (2.79), meaning the overall average is only brought up to 3.0 by the higher grades students receive in courses that are not part of the core curriculum. The core curriculum in the NCES data consists of math, science, English, and social studies courses. The average GPAs for these different types of courses were as follows: Math: 2.65 Science: 2.70 English: 2.85 Social studies: 2.89 This data shows that students tend to have lower average GPAs in math and science courses compared with English and social studies courses. Average High School GPAs by Gender and Ethnicity NCES also provided some interesting (and a bit upsetting) statistics on how average high school GPA differs with regard to gender and ethnicity: Average GPA By Gender: Males: 2.90 Females: 3.10 Average GPA By Ethnicity: Asian/Pacific Islander: 3.26 White: 3.09 Hispanic: 2.84 Black: 2.69 According to this data, female students tend to have higher average GPAs than male students do. In addition, Asian/Pacific Islander students have the highest average GPA, whereas Black students have the lowest.This observed disparity between the average GPAs of different ethnic groups is a result of many intersecting socioeconomic factors, including family income, school quality, and other stressors that could impact a student's academic performance. Overall, there has been an upward trend over time with regard to average high school GPA.This is related to the phenomenon of grade inflation,whereby students seem to be earning artificially higher grades for the same quality of work. From 2000 to 2009, the average GPA for high school students increased from 2.94 to 3.0.As an even more drastic comparison,in 1990 the average GPA was only 2.68! Why Does High School Grade Inflation Happen? So how does something like grade inflation become a problem?Essentially, teachers are pressured by administrators, parents, and students to give out higher grades.If students are doing poorly, it reflects badly on the school.Once some schools start giving higher grades, other schools have to follow suit to avoid looking bad in comparison and to prevent jeopardizing students’ chances at college admission. It’s a cycle that’s tough to control because everyone likes to feel as though they’re doing well, but this trend in grade inflation has some negative consequences. First, itforces increased reliance on standardized tests as measures of academic ability.It also harms high-achieving students who are unable to stand out from the crowd when their whole class has the same perfect GPA. The motto of our educational system? What’s the Average GPA at Your High School? These NCES statistics can only tell you so much if you don't consider the average GPA at your high school and the way it‘s calculated. First, you should know whether your high school reports GPAs on a weighted or unweighted scale.Weighted GPAs can be higher than 4.0 and take the difficulty of a student’s coursework into account. The most difficult coursework is typically represented by AP, IB, and/or Honors classes. If your school uses weighted GPAs, the national average won’t necessarily compare directly with the number you see on your transcript. For example, at my high school- which used a weighted scale- GPAs went up to 5.0. If a student earned an A+ in an AP or Honors course, that translated into a 5.0. By contrast, an A+ in a low-level course translated to a 4.0. This wonky scale meant that the average weighted GPA was a 3.36, so a 3.0 would have been below average in the context of my school's GPA scale. Even if your school doesn't use weighted GPAs, the difficulty of your classes is an important factor. If you have a GPA that’s not super impressive but you’re in the hardest classes, you will have a better chance of being accepted to selective schools than someone with a slightly higher numerical GPA in lower-level classes. Want to build the best possible college application? We can help. PrepScholar Admissions is the world's best admissions consulting service. We combine world-class admissions counselors with our data-driven, proprietary admissions strategies. We've overseen thousands of students get into their top choice schools, from state colleges to the Ivy League. We know what kinds of students colleges want to admit. We want to get you admitted to your dream schools. Learn more about PrepScholar Admissions to maximize your chance of getting in. What’s the Average GPA for College Admission? The most important average you should take into account is the average GPA of admitted students to colleges that interest you. To find the average GPA for a college, Google "[School Name] PrepScholar."Our database gives the average GPA requirements for tons of schools. Here's an example of our page for the University of Mississippi (colloquially called Ole Miss): Don’t freak out if your own GPA is a little below the average you see on a school's page. This info should serve as a reference point rather than a hard rule. Remember that every high school has different ways of measuring and calculating GPA, so these comparisons have somewhat limited utility. What’s most important is that you’re challenging yourself in your classes.Especially if you’re applying to very selective schools, the average GPA nationally and for your school doesn’t give you the best sense of where you should be.At the most competitive schools, the majority of accepted students have GPAs in the 3.75-4.0 range, meaning that these schools almost exclusively accept applicants with an A average. On the flip side, even with a GPA that's below the national average, you might have a good chance of getting accepted to some less selective schools whose average GPAs are around the 2.5-3.0 range. You just have to do your research so you know what to expect. When you apply, colleges receive a lot of specific details about your high school in addition to your transcript, so if there are special circumstances that made your GPA skew higher or lower, the school should be able to adjust its standards accordingly. The ivory tower where admissions officers are imprisoned day and night as they're forced to review endless college applications. Conclusion: Average High School GPA Nationally, the average high school GPA (based on 2016 data) is around 3.38.However, as we saw with the NCES study, this number can vary across different demographics (including gender and ethnicity) and high schools. Be sure totake into account how your high school calculates GPA before comparing yourself with the national average.By far, the most important average to consider is the average GPA of admitted students at schools that interest you. Just remember to take these numbers with a grain of salt since they might reflect a different GPA scale than the one used at your high school. Finally, don't forget that the difficulty of your coursework is usually more important to schools than the actual number of your GPA. Whether you’re considered above or below average depends mostly on how much you’re willing to challenge yourself. What's Next? Now that you've learned about average GPA, you might be curious about average SAT scores and average ACT scores.Read these guides to get the scoop! Beginning your college search?Then read my guide on how to choose the best college for you. If you're set on attending a very selective school,check out our popular in-depth guide on how to get into Harvard and the Ivy League! Want to improve your SAT score by 160points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:

Inside Obama's Presidency Essay Example | Topics and Well Written Essays - 500 words - 1

Inside Obama's Presidency - Essay Example The second challenge was the huge bonuses awarded as compensation to the banks; .the public was angry. When Obama met with the top banks C.E.O’s, most people expected that he would take on a hard approach against them, but this was not the case to the dismay of many. The banks seemed to have gotten it all on silver Plata. Another challenge was the reforms on the health care. Again he tried to take a bipartisan approach, but there came the problem; dealing with the congress that often slows down processes. The republicans were on his case: they did not vote for the motion. When faced with the issue of terrorism and handling Osama Bin Laden, he had to make the verdict to send U.S troops to Iraq. Leon Panetta, the CIA director, had information that Osama lived in a compound in Pakistan. The American troops went for the raid, and that reported that Osama had been killed. Another obstacle came which Obama had not foreseen. During the mid-term elections, his party lost to the republicans. Most of his supporters had been ousted, and he now had to take another approach to get things done. To take care of the debt crisis, he met John Boehner, who let him down when he needed him the most. To Obama it seemed that he had total confidence in his governance. He was so sure that his bipartisan approach would work. But if we would gauge his performance on this, I’d say that he was not successful. In all instances, he had to look for a second option. For example, looking at the stimulus bill, it passed without the votes from the republicans. Clearly, his promise to offer bipartisan solutions did not see the light of day. This was not because he was not willing to do so, but because the republicans were not ready to cooperate. From the first term’s performance, Obama tried too much to change how things worked: he had too many expectations that there wouldn’t be politics. He ought to have taken it as it is. In politics, everybody tries to be better

Conflicts In Earnings Management Essay Example | Topics and Well Written Essays - 4500 words

Conflicts In Earnings Management - Essay Example Empirical studies suggest that managers have the propensity to report earnings that exceed the forecast of analysts, precisely because negative earnings surprises tend to trigger adverse market responses and critical judgment of managerial ability and performance. This fact leads companies to implement strategies that reduce the likelihood of undershooting expectations of the analysts. Several authors have explained that companies may avoid reporting negative earnings in a number of ways. One of those ways is to apply discretionary accruals in order to manipulate earnings in the positive direction, which is also referred as accrual based earnings management (Badertscher, et al, 2009; Cohen, Dey & Lys, 2008). Another way is to adopt the real earnings management technique, where managers undertake actual economic actions so as to maintain accounting appearances. Although earnings management technique is employed only to meet forecast of the analysts, it entails a fair share of conseque nces when this technique abused. This fact leads the researcher to comment on accounting fraud, whose occurrences has plagued the world economy significantly.   Accounting fraud can be committed by individuals in the form of implementing earnings management techniques frequently or by abusing the creative accounting methods. There are a number of motives that might compel an individual to take such an action (Das & Kim, 2011). Firstly, companies might resort to account manipulation strategy.