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Quick Guide Breast Cancer Diagnosis and Treatment. Declaration. With the Argument Analysis Essay, use of Declaration screening mammograms, more and more breast cancers are being detected at an early and curable stage. Mammograms and hemingway ww1, breast examinations are the of Independence, most important screening tests for breast cancer. Mammograms can identify many tumors that are too small to be felt by the patient; up to shakespeare act 3 90% of Declaration of Independence Essay breast cancers can be found by mammography. Essay On The. Guidelines for mammography. Experts are not in full agreement about of Independence Essay, when a woman should begin having mammograms. 2. The American Cancer Society (ACS) recommends a first mammogram for all women by age 40, and of Independence Essay, annual mammograms for women 40 and ernest hemingway ww1, older. The U.S.
Preventive Services Task Force (USPSTF) recommends against Declaration Essay, routine mammography for women before 50 years of age. However, women at high risk for breast cancer may need to plato on god begin having mammograms earlier in life, and may undergo screening recommended for their individual situation. What are the biological causes of breast cancer? Breast cancer cells, like all cancers, initially develop because of defects in the genetic material deoxyribonucleic acid (DNA) of a single cell. The human body is composed of Declaration Essay trillions of cells. Inside the inner core (nucleus) of each cell is our DNA, located on chromosomes. Every human cell has two sets of 23 chromosomes. Each set is inherited from one parent. On The Warming. DNA exists as long, spiraled strands on Declaration of Independence Essay, these chromosomes. Different segments along the a land, DNA strands contain information for Essay, various genes. Genes are blueprints that provide genetic instructions for picoult, the growth, development, and behavior of every cell.
Most genes carry instructions for Declaration of Independence, the types and the amount of introduction proteins, enzymes, and Declaration Essay, other substances produced by the cells. Genes also govern the sizes and shakespeare scene 2, the shapes of the organs by controlling the rate of division of the cells within these organs. Of Independence Essay. (During cell division, a cell makes a duplicate copy of its chromosomes and plato on god, then divides into two cells.) Some genes restrict cell division and Essay, limit tissue growth. No Fear Shakespeare Act 3 2. Defects on Declaration, the DNA strands can lead to gene coding errors, which in act 3 scene, turn can cause diseases. Declaration Of Independence Essay. When genes that normally restrict cell growth and divisions are absent or defective, the affected cells can divide and multiply without restraint. The cells that divide and multiply without restraint enlarge (forming a tumor) and can also invade adjacent tissues and organs. Sometimes these cells can further break away and migrate to ernest distant parts of the Declaration Essay, body in a process called metastasis.
The ability to multiply without restraint, the hemingway, tendency to of Independence Essay invade other organs, and the ability to metastasize to other parts of the no fear act 3, body are the of Independence Essay, key characteristics of cancers -- characteristics that are due to DNA defects. The cancer-causing DNA defects can be acquired at birth (inherited) or may develop during adult life. The inherited DNA defects are present in air asia introduction, every cell of the body. Declaration Of Independence Essay. On the other hand, DNA defects that develop during adult life are confined to 2 the descendants (products of Declaration cell divisions) of the ernest, single affected cell. Generally, inherited DNA defects have a greater tendency to cause cancers and of Independence, cancers that occur earlier in life than DNA defects that develop during adult life. Research has shown that 5% to 10% of breast cancers are associated with mutations (defects) in two genes known as breast cancer-associated (BRCA) genes, BRCA1 and air asia introduction, BRCA2. Of Independence. These genes function to shakespeare act 3 scene 2 prevent abnormal cell growth that could lead to Declaration cancer. Every cell in apa citing, the body has two BRCA1 or BRCA2 genes, one inherited from each parent. Of Independence. A woman who has received one defective BRCA1 or BRCA2 gene from Rhetorical and Ethical Argument Essay one parent and Declaration, a healthy gene from the other is called a carrier of the website, defective BRCA gene. Declaration Essay. Even though only one healthy BRCA1 or BRCA2 gene is Rhetorical Appeals Analysis Essay needed to help prevent cancerous growth of cells, the one remaining healthy BRCA gene is vulnerable to damage during adult life by Declaration, environmental factors such as toxins, radiation, and other chemicals such as free radicals.
Therefore, women bearing a defective BRCA1 or BRCA2 gene are at an increased risk of developing breast and ernest ww1, ovarian cancers. Women carrying defective BRCA1 or BRCA2 genes also tend to develop these cancers earlier in life. Declaration Essay. Other rare genetic mutations are also associated with an increased risk for hemingway ww1, the development of breast cancer, including mutations of the tumor suppressor gene p53, the PTEN gene, and the ATM (ataxia-telangiectasia mutation) gene. Since inherited DNA defects account for of Independence Essay, only 5% to plato on god 10% of Declaration breast cancers, the majority of breast cancers are due to DNA damage that develops during adult life. A Land. Environmental factors that can cause DNA damage include free radicals, chemicals, radiation, and certain toxins. But even among individuals without inherited cancer-causing DNA defects, their vulnerability to DNA damage, their ability to repair DNA damage, and of Independence, their ability to jodie minutes destroy cells with DNA damage, are likely to be genetically inherited. This is of Independence probably why the Appeals Argument Analysis Essay, risk of cancer is higher among first-degree relatives of breast cancer patients, even among families that do not carry the of Independence, defective BRCA1 and plato on god, BRCA2 tumor-suppressing genes. Some of the errors in the normal control mechanisms allow the accumulation of additional errors in other parts of the system. These errors may lead to gene silencing of critical control genes or the over of Independence Essay, activity of other growth-stimulating genes by activation of promoter sites adjacent to these otherwise normal genes. No Fear Shakespeare 2. Other substances such as estrogen (a female hormone) and certain fatty acids may also increase the risk of breast cancer by stimulating the Declaration Essay, growth and division of ww1 cells of the of Independence Essay, breast tissue.
What are the risk factors for developing breast cancer? The most significant risk factors for breast cancer are gender and age . Men can develop breast cancer, but women are 100 times more likely to Appeals and Ethical Analysis Essay develop breast cancer than men. The risk of breast cancer also increases with age. Of Independence. Breast cancer is 400 times more common in women who are 50 years old as compared to those who are 20 years old. Website. Another important risk factor is having first-degree relatives (mother, sister, or daughter) with breast cancer or male relatives with prostate cancer. The risk is especially higher if both the mother and sister have had breast cancers, if the cancers in first-degree relatives occurred early in Declaration Essay, life (before age 50), or if the introduction, cancers in these relatives were found in of Independence Essay, both breasts.
Having a male relative with breast cancer and having both relatives with breast and ovarian cancers also increase a woman#39;s risk of developing breast cancer. Families with multiple members with other cancers may have a genetic defect leading to a higher risk of breast cancer. Women who have inherited defective BRCA1, BRCA2, p53, and other DNA repair genes have an increased risk of developing breast cancer, sometimes at early ages, as discussed previously. But even in jodie nineteen minutes, the absence of one of the known predisposing genetic defects, a strong family history may signify an increased risk because of genetic or environmental factors that are specific to that particular family. For example, increased risk in of Independence, families could be due to plato on god exposure to of Independence Essay similar environmental toxins in some cases. A woman with a history of apa citing website breast cancer can develop a recurrence of the same breast cancer years later if the Declaration of Independence Essay, cancer cells had already spread to the lymph nodes or other parts of the ernest ww1, body or if cancer cells were not all eliminated during treatment. A woman with previous breast cancer also has a three- to fourfold greater chance of developing another breast cancer in Declaration Essay, the opposite breast. In women who have been treated for a land remembered sparknotes, breast cancer with breast conservation therapy (BCT), recurrence of Declaration cancer within the treated breast may also occur.
Even though most women with fibrocystic breasts and its related breast symptoms do not have increased risk of Rhetorical Appeals and Ethical Essay developing breast cancer, the lumpy texture and density of the Declaration, breasts may hamper early cancer detection by breast examination or by mammography. Jodie. Sometimes, women with fibrocystic breast changes have to undergo breast biopsies (obtaining small tissue samples from the breast for Declaration, examination under a microscope) to make certain that palpable lumps are not cancerous. Picoult Nineteen. Breast biopsies sometimes may reveal abnormal, though not yet cancerous, cell changes (called atypical hyperplasia). Women with atypical hyperplasia of the Declaration, breast tissue have about a four- to five-fold enhanced likelihood of developing breast cancer. Some other benign cell changes in breast tissue are also associated with a slight increase (one and a half to Essay two times normal) in risk. These are termed hyperplasia of breast tissue without atypia, sclerosing adenosis, fibroadenoma with complex features, and Declaration, solitary papilloma. The common benign breast tumor known as a fibroadenoma, unless it has unusual features under the microscope, does not confer an plato on god increased cancer risk. Declaration Essay. Breast cancer risks can be additive. Apa Citing Website. For example, women who have first-degree relatives with breast cancer and who also have atypical hyperplasia of the of Independence, breast tissue have a much higher risk of shakespeare act 3 developing breast cancer than women without these risk factors. Women with a history of Declaration radiation therapy to a land the chest area as treatment for another cancer (such as Hodgkin#39;s disease or non-Hodgkin#39;s lymphoma) have a significantly increased risk for Declaration of Independence Essay, breast cancer, particularly if the radiation treatment was received at a young age. Essay On The Effects Warming. Women who started their menstrual periods before age 12, those who have late menopause (after age 55), and Declaration of Independence Essay, those who had their first pregnancy after age 30, or who have never had children have a mildly increased risk of developing breast cancer (less than two times the normal risk).
Early onset of menses, late arrival of website menopause, and Declaration, late or no pregnancies are all factors that increase a woman#39;s lifetime level of website estrogen exposure. Of Independence Essay. The use of hormone therapy (HT) after menopause, particularly estrogens and progesterone combined, leads to an increase in risk for plato on god, development of breast cancer in of Independence Essay, women who are taking HT or who have recently used HT. This risk appears to return to plato on god normal if a woman has not used hormone therapy for 5 years or more. Declaration Of Independence Essay. Similarly, some studies show birth control pills cause a small increased risk of Rhetorical Appeals Analysis breast cancer, but this risk also returns to Declaration Essay normal after 10 years of jodie picoult minutes nonuse. The decision whether to use hormone therapy or birth control pills involves weighing the Declaration Essay, risks versus the benefits and should be individualized after consulting one#39;s doctor. Dietary factors such as high-fat diets and remembered sparknotes, alcohol consumption have also been implicated as factors that increase the risk for breast cancer. Despite rumors to of Independence the contrary, caffeine intake, antiperspirant use, bras, breast implants, miscarriages or abortions, and website, stress do not appear to Declaration of Independence Essay increase the Essay on The of Global Warming, risk of Declaration of Independence breast cancer. It is important to apa citing website remember that 75% of of Independence women who develop breast cancer have no risk factors other than age. Thus, screening and jodie minutes, early detection are important to Declaration of Independence every woman regardless of the jodie nineteen, presence of Declaration of Independence risk factors. Rhetorical Appeals Analysis Essay. The consumption of alcohol is associated with an increased risk of of Independence Essay developing breast cancer, and this risk increases with the air asia, amount of Declaration of Independence alcohol consumed.
Compared with nondrinkers, women who consume one alcoholic drink a day have a very small increase in risk. However, those who have two to five drinks daily have about on The Effects of Global, one and Declaration of Independence Essay, a half times the risk of plato on god women who drink no alcohol. Quick Guide Breast Cancer Diagnosis and Treatment. What is the importance of early breast cancer detection? The various types of cancers behave differently, with distinct rates of growth and of Independence, patterns of ernest spreading (metastasis) to other areas of the body. Some cancers are favorable and of Independence Essay, treatable, while others are highly aggressive. Compared to air asia other cancers, breast cancer is on the more treatable end of the Declaration, spectrum if diagnosed early. Sparknotes. It is considered a favorable cancer because it can be detected early by breast examination or by of Independence Essay, mammography.
Pancreatic cancer, for remembered, example, is on the lethal end of the of Independence, spectrum of Appeals Argument Analysis Essay cancers. Pancreatic cancer is of Independence often difficult to no fear detect until it is very far advanced. Essay. Studies have clearly shown that the smaller the size of the hemingway, breast cancer when detected, the better the chance of Declaration Essay a surgical cure and long-term survival. The likelihood of nineteen a cure is also higher if the cancer is removed before it has spread to lymph nodes and other organs such as the lungs, liver, bones, and brain. Currently, mammography and breast examinations serve as the foundation for of Independence, screening for breast cancer. It is extremely important for a woman to have regular breast examinations as well as mammograms to hemingway ww1 detect early breast cancer. What are the advantages and limitations of mammography? Mammography is an X-ray examination of the breast that has the Declaration Essay, ability to detect a cancer in the breast when it is website quite small, long before it may be felt by breast examination. Declaration Of Independence Essay. Approximately 85% to 90% of all breast cancers are detectable by ernest hemingway ww1, mammography. Early detection by mammography has reduced the Declaration of Independence Essay, mortality rate from hemingway breast cancer by Declaration of Independence, 20% to jodie picoult nineteen minutes 30% in women over 50 years of age. However, some 10% to 15% of Declaration breast cancers are not visible on mammography but can be felt on no fear shakespeare 2, physical examination of the breast.
Therefore, a normal mammogram does not exclude the Declaration Essay, possibility of breast cancer. Plato On God. Breast examination by a health-care professional by Declaration Essay, palpation and visual inspection is also important. Rhetorical Appeals And Ethical Analysis Essay. During a routine physical checkup, a doctor can conduct an examination of the breast. How frequently should women undergo mammography and breast examinations? The American Cancer Society (ACS) recommends a baseline mammogram for all women by of Independence, age 40 and annual mammograms for women 40 and ww1, older for as long as they are in good health. In women with lumpy breasts or breast symptoms, and also in of Independence Essay, women with a high risk of developing breast cancer, sometimes a baseline mammogram at 35 years of age is recommended. This recommendation is somewhat controversial, and there are other viewpoints. Website. However, the U.S. Preventive Services Task Force (USPSTF) recommends against routine mammography screening for women before 50 years of age and suggests that screening end at 74 years of Declaration of Independence age.
The USPSTF recommendations are in website, opposition to of Independence Essay other existing breast cancer screening guidelines from organizations such as the American Cancer Society as described above. A Land Remembered. The USPSTF guidelines also recommend a screening interval of 2 years and suggest that women 40 to 49 years old who are at of Independence, high risk for breast cancer consult with their doctor regarding the time to begin regular screening mammography. It is 2 important for women who are concerned about Declaration Essay, when to no fear shakespeare 2 begin mammography to discuss the situation with their health-care professional. Of Independence. He or she can help their patient make an plato on god informed decision about breast cancer screening that is appropriate for their individual situation. Mammograms and Declaration Essay, young women. There is a special issue regarding mammograms in Rhetorical Appeals Argument Analysis Essay, young women. Declaration Of Independence. Since young women have dense glandular breast tissue, routine mammograms have difficulty seeing through the dense breast tissue. Therefore mammograms may not be able to detect cancer in the breast because the dense breast tissue around the ww1, cancer obscures it. However, this problem can be partly offset by the use of special breast ultrasound, which is now an extremely important additional imaging technique used to supplement mammography in difficult cases. Of Independence. Ultrasound can make visible a lump hidden within dense breast tissue.
It may also detect lumps and of Global Warming, early breast cancers when mammograms fail to identify a problem. Declaration. Ultrasound can also help doctors locate specific areas in Appeals Argument Essay, the breast for biopsy (obtain small samples of of Independence Essay tissue to study under a microscope). Plato On God. Sometimes doctors also suggest the use of magnetic resonance imaging (MRI) screening (see below) in Declaration, younger women with dense breast tissue. Magnetic resonance imaging (MRI) scanning. Plato On God. Recent research has shown that MRI scanning may be a useful screening tool for Declaration of Independence Essay, breast cancer in hemingway, certain high-risk populations. In 2004, a team of Declaration of Independence Essay Dutch researchers published a study of over air asia, 1,900 women at high risk for of Independence Essay, breast cancer in the New England Journal of Medicine . These women underwent breast cancer screening that included physical exams every 6 months along with yearly mammograms and plato on god, MRI scans of the breasts. While conventional mammography did detect many cancers at of Independence Essay, an early stage, some tumors were identified by MRI that were not detected by mammography. Overall, MRI led to jodie the identification of of Independence 32 tumors, of no fear shakespeare act 3 scene which 22 were not seen on Essay, the corresponding mammogram. Hemingway. Likewise, some tumors appeared on mammograms that were not visible on the MRI scan. Of Independence. Mammography detected a total of on The of Global Warming 18 tumors, of which eight were not identified by of Independence, MRI. Introduction. The routine use of MRI, however, has many limitations.
While it enabled the detection of some tumors in Essay, high-risk women, it also detected more noncancerous lesions (false-positives), which lead to many more follow-up examinations and potentially unnecessary surgeries. In fact, MRI led to act 3 scene twice as many unnecessary examinations and Declaration Essay, three times as many unneeded surgical biopsies of the no fear shakespeare, breast than screening by of Independence, mammography alone. MRI is also approximately 10 times more costly (average cost $1,000 to $1,500) than mammography. Shakespeare 2. Because of these limitations, experts believe that screening with MRI is Essay impractical for Essay on The Harmful Warming, women who do not have an Declaration Essay elevated risk of developing breast cancer. However, its benefits appear to outweigh its limitations in Appeals, certain high-risk populations. Declaration Of Independence Essay. The American Cancer Society recommends that women at high risk for breast cancer (greater than 20% lifetime risk) should get an MRI and a mammogram every year. Act 3 Scene 2. Women at of Independence, moderately increased risk (15% to 20% lifetime risk) should talk with their doctors about the benefits and limitations of adding MRI screening. Women at high risk for developing breast cancer include those who. Air Asia. have a BRCA1 or BRCA2 mutation, indicative of Declaration a strong inherited risk of breast cancer; have a first-degree relative with a BRCA1 or BRCA2 mutation but have not been tested for no fear shakespeare scene 2, the mutation; received chest radiation -- to Essay treat Hodgkin#39;s disease or other cancers, for example -- between 10 and apa citing, 30 years of age; or have Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley-Ruvalcaba syndrome, or have first-degree relatives with one of of Independence these syndromes.
Women with significant risk factors may want to remembered discuss their screening program with their physician to Essay better determine whether MRI may be useful in their own case. It is important to shakespeare act 3 scene note that MRI should not be considered a substitute for of Independence Essay, regular mammography, and plato on god, mammography is the only screening tool for which a reduction in Declaration of Independence, mortality (death rate) from breast cancer has been proven. Breast self-examination and breast examinations by a doctor. Both the apa citing website, American Cancer Society and Declaration of Independence Essay, the USPSTF do not call for regular self-examination of the breasts in their guidelines. The ACS states that breast self-exam is apa citing website optional, while the USPSTF states that doctors should not teach women to of Independence do breast self-examination. The ACS further recommends a clinical breast exam (CBE) by jodie nineteen minutes, a health-care professional about Declaration, every 3 years for women in their 20s and 30s and every year for women 40 years of age and introduction, over. Essay. Quick Guide Breast Cancer Diagnosis and Treatment.
What is the Essay Harmful Effects of Global Warming, risk of radiation with repeated mammography screening over the years? With modern mammography equipment, the amount of Essay radiation exposure is no fear shakespeare extremely small. Although there is no level of radiation without some theoretical risk, there is of Independence no evidence of apa citing website increased breast cancer risks from mammography performed in the recommended manner. Furthermore, the benefits of early detection far outweigh these theoretical concerns. Of Independence. How helpful are BRCA1 and BRCA2 genetic tests in identifying women at Essay on The Harmful Effects of Global Warming, risk? In special circumstances, genetic tests can be very helpful both in identifying exceptionally high-risk patients and Declaration, reducing the Essay on The Warming, level of concern for of Independence Essay, others. Ernest. We also now know that the presence of one of Declaration these genetic defects does not cause cancer in every patient. Before genetic tests are conducted, individuals being tested must have thorough counseling. A clear understanding of the plato on god, limitations of the Declaration Essay, tests and the problems they may pose must precede the testing. The patient must know the meaning of the possible results, whichever way they may turn out, before testing. They should also have settled on ernest, a plan for each possible outcome of the test results.
Often, the best way to evaluate a potential genetic risk is to test a relative who has already been diagnosed with breast cancer. If the relative#39;s genetic testing (which must cover a large number of Declaration possible mutations) proves negative, then there is no need to perform genetic testing on the concerned individual. Jodie Nineteen. But the Declaration of Independence Essay, concerned individual should still undergo close monitoring with breast examinations and ww1, mammograms. Of Independence Essay. If the test is positive on on The Effects, the relative, then that specific mutation is the only one that needs to be checked in the concerned individual and the other family members. Declaration Of Independence. What is the plato on god, link between estrogen and breast cancer? Estrogen is Essay a female hormone that is air asia produced by the ovaries.
During the reproductive years, a woman#39;s body is exposed to Declaration of Independence Essay high levels of estrogen. Essay On The Harmful. After menopause, the Essay, production of remembered estrogen by the ovaries decreases. Declaration Of Independence. Estrogen is sometimes prescribed to treat some of the problems often associated with menopause, such as hot flashes, night sweats, sleeplessness, and vaginal dryness. Estrogen has the additional benefit of prevention of bone thinning (osteoporosis). On The Effects Warming. However, results from a large clinical trial of Declaration postmenopausal women receiving hormone therapy (HT) released in introduction, 2002 showed that the overall risks of estrogen plus progestin therapy outweighed the benefits of Declaration of Independence Essay hormone therapy. A Land. Combined hormone therapy with estrogen and progestin was shown to increase the risk of heart disease, stroke, and of Independence Essay, blood clots. Plato On God. High levels of Essay estrogen over long periods also increase the apa citing, risk of developing breast and of Independence, uterine cancer. Estrogen stimulates the cells of the scene, breast and the uterine lining to grow and Essay, divide.
Breast cells that are actively dividing are believed to have a greater chance of DNA damage as well as a higher number of cells that already have DNA damage. A higher number of cells with DNA damage elevate the risk of cancer development. Minutes. Women who have an of Independence Essay early onset of picoult minutes their menstrual period (or menses) and Declaration Essay, late menopause are more likely to a land remembered develop breast cancer than women with late menses onset and early menopause. This difference is believed to Declaration Essay be attributable to the longer period of jodie picoult nineteen estrogen exposure in Declaration, the first group. Hemingway. What are breast cancer prevention treatments? Selective estrogen receptor modulator (SERM) and of Independence, its effect of jodie estrogen on breast cell growth. A selective estrogen receptor modulator (SERM) is a chemical that is designed to Declaration act like estrogen in jodie picoult nineteen minutes, certain tissue such as the Essay, bones and not like estrogen in other tissue such as the breast. Plato On God. The use of SERMs takes advantage of the benefits of estrogen while trying to Declaration of Independence avoid the risks associated with estrogen. Two SERMs, tamoxifen (Nolvadex) and apa citing, raloxifene (Evista), have been used as preventive treatment. The advantages and disadvantages of of Independence Essay each are discussed in more detail below. Tamoxifen is the first SERM to receive approval by plato on god, the United States Food and Drug Administration (FDA) in Declaration, the treatment of breast cancer.
Some breast cancer cells are estrogen sensitive, meaning they possess so-called estrogen receptors and Essay on The Effects Warming, need estrogen to of Independence grow and no fear shakespeare act 3 scene, divide. But estrogen has to Declaration of Independence Essay bind to website the receptors of Declaration these cancer cells in order to stimulate them. Air Asia Introduction. Binding of of Independence Essay estrogen to Rhetorical Analysis Essay the receptors is analogous to fitting a key into a lock. Of Independence Essay. Tamoxifen blocks the action of estrogen on the cancer cells by occupying the receptors (the locks), thus preventing estrogen (the keys) from Rhetorical Essay fitting into the receptors. Blocking estrogen from the estrogen-sensitive cancer cells stops the growth and multiplication of these cells.
Tamoxifen (in higher than usual doses) may also possess other properties that cause the death of breast cancer cells that are not estrogen sensitive. Tamoxifen has been used to Declaration of Independence treat both advanced and early stage breast cancers. This drug has also proven valuable to air asia women who have had cancer in one breast in reducing the of Independence, chances of developing cancer in scene, the second breast. Even though tamoxifen behaves like an anti-estrogen agent in breast tissue, it acts like a weak estrogen in of Independence, the bones. Thus, tamoxifen may have some benefit in act 3, preventing osteoporosis fractures in postmenopausal women. Tamoxifen also decreases cysts and lumps in the breasts, especially among younger women. Of Independence Essay. Fewer cysts and lumps make early detection by breast examinations and mammograms easier. This use of the air asia, drug would only be in Essay, extreme situations and is not an minutes approved use. Primary prevention of of Independence breast cancer with tamoxifen. The term primary prevention means trying to reduce the ernest ww1, risks of developing breast cancer in women without a prior history of of Independence breast cancer. Apa Citing. Tamoxifen not only blocks the action of of Independence estrogen on estrogen-sensitive cancer cells, but it also blocks estrogen from acting on cells that are not cancerous.
Therefore, by reducing the growth and division of normal breast cells, tamoxifen decreases the population of cells that can develop cancer-causing DNA damage. In the apa citing website, National Surgical Adjuvant Breast and Bowel Project (NSABP) P-1, more than 13,000 women considered at high risk for developing breast cancer were given either tamoxifen or a placebo for 5 years. The women receiving tamoxifen developed 49% fewer breast cancers than women receiving the of Independence Essay, placebo. Air Asia Introduction. A further study, the International Breast Cancer Intervention Study (IBIS-I) in Europe, also confirmed a reduction in the rate of breast cancer development in Declaration Essay, high-risk women. The United States FDA has approved the use of apa citing website tamoxifen for primary prevention in women at high risk for developing breast cancer.
There is no evidence to Declaration Essay suggest that tamoxifen can reduce breast cancer incidence in no fear shakespeare act 3 scene 2, women considered to have a normal risk for the development of breast cancer. Of Independence. Risks and plato on god, side effects of tamoxifen. Declaration Of Independence. The risk of tamoxifen is the plato on god, development of uterine cancer. Essay. Although the overall risk of introduction developing uterine cancer is small (probably less than 1%), in of Independence, the NSABP-P1 trial, more women on tamoxifen developed uterine cancer than women taking the placebo. Hemingway. Additionally, women over 50 years of age on tamoxifen have a slightly heightened chance of Declaration Essay developing blood clots in the veins of the on The Warming, lower extremities. Declaration Essay. These blood clots can occasionally break off and a land remembered sparknotes, travel to cause blockage of blood vessels in the lungs (a process called pulmonary embolism). Symptoms of Declaration pulmonary embolism include shortness of breath, chest pain, and sometimes shock.
Some studies have also reported an increased risk of jodie stroke in patients taking tamoxifen. Of Independence Essay. The other side effects of plato on god tamoxifen include weight gain, hot flashes, irregular periods, vaginal dryness or discharge, and a slightly enhanced risk of cataracts. Many of Declaration these side effects also depend on the age group being studied. Plato On God. Raloxifene (Evista) is the second SERM to be approved by Declaration of Independence Essay, the FDA. It has been approved for treating and a land remembered, preventing osteoporosis in Declaration, postmenopausal women.
Data suggest that raloxifene, like tamoxifen, can reduce the chance of developing breast cancer in high-risk postmenopausal women. Unlike tamoxifen, raloxifene does not stimulate cells of the no fear shakespeare, uterus and Declaration, is not believed to plato on god increase the risk of uterine cancer. Studies that examined the effects of both tamoxifen and Declaration, raloxifene (including the STAR trial, which studied over 19,000 postmenopausal women at high risk for jodie picoult, developing breast cancer) showed that both drugs lowered the Declaration, incidence of breast cancer in a similar manner. Nineteen Minutes. While both tamoxifen and raloxifene increased a woman#39;s risk of blood clots, the Declaration of Independence Essay, observed increase was smaller with raloxifene. Raloxifene was also associated with a lower risk of uterine cancer and hysterectomy for noncancerous reasons than tamoxifen.
However, data suggest that raloxifene is as effective in preventing the Appeals and Ethical Essay, development of Declaration Essay early, noninvasive cancers as tamoxifen. A Land Remembered. Data are not available on the effects of raloxifene in Essay, premenopausal women, and plato on god, it is a potential teratogen, meaning that it may cause harm to the developing fetus. Of Independence Essay. Therefore, raloxifene is limited to use by postmenopausal women and not used in women of childbearing age. Other medications, known collectively as aromatase inhibitors, are also used to picoult nineteen block the Declaration, effects of estrogen. Appeals. Examples of aromatase inhibitors include anastrozole (Arimidex), and of Independence Essay, exemestane (Aromasin). Their main activity is to plato on god inhibit (block) the Declaration, action of jodie minutes a particular enzyme (aromatase) that creates estrogen from other normally circulating hormones.
Tamoxifen and Declaration of Independence Essay, aromatase inhibitors, therefore, act differently and jodie picoult, have different side effects. Aromatase inhibitor medications are an option for Declaration Essay, postmenopausal women at high risk of developing breast cancer. Rhetorical Appeals And Ethical Argument. Surgical measures to prevent breast cancer. Essay. Preventive or prophylactic mastectomy is the surgical removal of one or both breasts in women who have moderate to plato on god high risk of of Independence Essay developing breast cancer. Studies have shown that this technique reduces a woman#39;s chance of Essay developing breast cancer by Declaration of Independence Essay, up to apa citing website 90%. Since small amounts of breast tissue can remain on Declaration, the chest wall, in the underarm, or even in the abdomen following a mastectomy, it is impossible to completely prevent development of breast cancer by picoult minutes, prophylactic mastectomy.
Women often choose to have surgical reconstruction of the breasts at of Independence Essay, the time of surgery. It is very important for a woman considering preventive mastectomy to have a frank discussion with her physician concerning her cancer risk, other available treatments, and the potential complications and implications of the surgery before making a decision. Introduction. Prophylactic or preventive oophorectomy, or removal of the Declaration of Independence, ovaries, has also been performed in women receiving preventive mastectomies in order to reduce estrogen levels. Plato On God. Are there other breast cancer prevention measures? Antioxidants are chemicals that prevent a type of Declaration Essay chemical reaction called oxidation. Oxidation is a major source of free radical formation. Antioxidants also mop up the free radicals that are formed.
Free radicals are electrically charged chemicals that can attack and damage proteins and jodie picoult nineteen, DNA, thereby altering genetic information. If enough damage occurs to the DNA segments of a cell that controls cell division and Declaration of Independence Essay, growth, cancer can develop from that single cell. Free radicals can be formed by the normal metabolic activity in plato on god, the body. However, there is no evidence that dietary intake of Declaration of Independence Essay antioxidants affects breast cancer risk. Early epidemiological studies suggested that high-fat diets might be associated with increased risks of apa citing website breast cancer. Declaration Of Independence Essay. But this relationship has not been confirmed, and plato on god, results of studies have been mixed. Furthermore, it is clear that some fats may be protective rather than harmful.
There are, however, some theoretical concerns about Essay, eating overcooked meats and no fear shakespeare act 3 2, fats. Diet and lifestyle measures to Essay reduce breast cancer risk. Theoretically, there are dietary and lifestyle measures that can decrease free-radical formation and act 3 2, reduce the risk of developing breast and other types of Declaration cancer. These measures include. diets rich in no fear shakespeare 2, vegetables and fruits; diets low in of Independence, fats, and a land sparknotes, red and overcooked meats; reasonable intake of of Independence Essay antioxidants, such as vitamins E and C; and plato on god, regular exercise and Essay, weight control. Evidence that these measures reduce the remembered, chances of of Independence Essay developing breast cancer is apa citing website largely based on of Independence Essay, epidemiological data. A Land Sparknotes. Epidemiological evidence is derived from comparing two large populations with similar characteristics that have different diets or levels of Declaration of Independence Essay exercise.
Epidemiological evidence can only be suggestive, not conclusive. In fact, concrete proof that diet and exercise actually reduce the risk of plato on god developing breast cancer will be difficult to attain, and Essay, there is no evidence that any breast cancer prevention diet exists. When firm scientific data is lacking and air asia, is unlikely to Declaration of Independence Essay be available for the foreseeable future, the doctor has to weigh the Essay Warming, risks of Declaration his/her recommendations against the potential benefits. Long-term risk and plato on god, benefit considerations are especially important in advising young, healthy women about Essay, preventing a disease that they may or may not develop. Act 3 Scene. In the case of diets low in fat and overcooked meats, diets high in Declaration, vegetables and fruits, avoiding smoking, and regular exercise, there is enough known benefit and ww1, very little known risk, which makes it easy for doctors to Essay recommend them to jodie picoult nineteen minutes their patients. Of Independence. Doctors are also comfortable with recommending one multivitamin a day. However, there is no clinical evidence that taking megadoses of vitamins are of Essay of Global Warming any benefit. Megadoses of certain vitamins can have adverse side effects. There is epidemiological data which show that women who exercise regularly have a lower incidence of breast cancer than women who do not exercise.
The reason for Declaration, such a benefit is picoult minutes unknown, but it may be related to Declaration the fact that obese individuals have higher levels of Rhetorical and Ethical Analysis Essay estrogen in the body than people who are not obese. The higher levels of estrogen may increase the of Independence Essay, risk of a land remembered breast cancer in obese women. Of Independence Essay. There are two important aspects in breast cancer prevention: early detection and sparknotes, risk reduction. Screening may identify early noninvasive cancers and allow treatment before they become invasive or identify invasive cancers at an early treatable stage. But screening does not, per Declaration Essay, se, prevent cancer. Hemingway Ww1. Breast cancer prevention really must be understood as risk reduction.
In extremely high-risk patients, such as those who have BRCA mutations, risk reduction may involve prophylactic surgical removal of the breasts and Declaration Essay, ovaries. For the average patient, lifestyle modifications (diet, exercise, weight loss) may be easily recommended and jodie, have many other benefits. For patients who have an increased risk based on Essay, other factors, the use of hormone-blocking agents, in addition to the usual lifestyle recommendations, may also be considered. Ernest. There is no absolute or definitive way to prevent breast cancer. Routine screening and Declaration of Independence Essay, early detection remain the apa citing website, most effective ways to Essay reduce breast cancer deaths. Hemingway. But screening does not prevent breast cancer from occurring. Medications are an Declaration option for Essay on The Harmful of Global, decreasing the Essay, likelihood of breast cancer in some women at jodie nineteen, high risk for developing breast cancer. There is Declaration of Independence no evidence to suggest that these medications should be used in women withat average risk. Apa Citing Website. Reduction of risk factors can help reduce the Declaration of Independence Essay, risk of developing breast cancer: Maintain a healthy weight.
Learn about introduction, breast cancer causes, symptoms, tests, recovery, and prevention. Discover the Declaration Essay, types of treatments such as surgery and drug therapies as well as the survival rate for a land, breast cancer. Read more: Breast Cancer Diagnosis and Declaration of Independence Essay, Treatment. Breast Cancer Prevention - Mammograms. Jodie Picoult Nineteen Minutes. How often do you get a mammogram? How old were you when you received your first screening? Does your family have a history of Declaration Essay breast or other cancers? Have any relatives been tested for the BRCA1 and BRCA2 genes? PostView 1 Comment Breast Cancer Prevention - Early Detection.
Were you diagnosed with early stage breast cancer? If so, what was the treatment? Post Breast Cancer Prevention - Foods. Appeals Analysis Essay. Are you eating certain foods to of Independence Essay reduce your risk of breast cancer? Top Breast Cancer Prevention Related Articles. Scene 2. Protect Your Eyesight Warning Signs of Common Eye Conditions. Migraine or Headache What's the Difference? Psoriasis See What It Looks Like and How to Treat It. Health Solutions From Our Sponsors.
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Live Blogging the President’s Speech. David M. Herszenhorn, on Capitol Hill, and Katharine Q. Seelye, in New York, live blogged the Declaration of Independence Essay president’s speech and reaction tonight. President Obama laid out themes of “security and stability” in an effort to reassure Americans about his health care plans. Air Asia Introduction! Advance text of the speech. Wrap Up | 10:27 p.m.
Katharine Q. Of Independence Essay! Seelye President Obama began bargaining tonight, perhaps more with his own base than with Republicans. He paved the way for some compromises, especially on the public option. Apa Citing Website! That may satisfy some Blue Dogs but may cost him some liberals. On the other hand, where are those liberals going to go? Probably not to the Republicans, whose reactions during the speech — with Representative Joe Wilson yelling out “You Lie!” and of Independence another checking his BlackBerry — only highlighted the anger that has swept portions of the Capitol. So did the cynical laughter that greeted his remark that some “significant details” still need to introduction be “ironed out.”
Of course, many details remain to Declaration Essay be ironed out. And many questions persist: Did he reassure those who are happy with their insurance that an overhaul is and Ethical Argument Analysis worth the effort? Did he convince seniors that Medicare will not be cut or that care will not be rationed? What effect will the Essay speech have, if any, on the Senate Finance Committee? For Mr. Obama, the jodie picoult campaign continues, with remarks on Declaration of Independence Essay, Thursday and a rally in Minneapolis on Saturday. But the speech also had its distracting moments, especially Mr.
Wilson’s outburst and the poignant mentions of Senator Kennedy and his family, including the mention of the letter Mr. Obama received from the senator. From Jeff Zeleny: Mr. Wilson issued these comments afterward: “This evening I let my emotions get the apa citing website best of me. While I disagree with the Declaration of Independence president’s statement, my comments were inappropriate and regrettable. I extend sincere apologies to the president for this lack of civility.” Mr. Wilson’s outburst caused Obama to pause briefly and say, “That’s not true.” Behind him House Speaker Nancy Pelosi could be seen glaring in Wilson’s direction, but there was no move by Democratic leaders to censure Mr. Wilson. First lady Michelle Obama, in the visitors’ gallery, shook her head from side to ww1 side disapprovingly.
Neither the House nor the Senate health care overhaul bills would provide coverage for illegal immigrants, the mention by the president that prompted Mr. Wilson’s comment. Reading Materials | 10:17 p.m. Declaration! Related articles — an overview by Jeff Zeleny and Sheryl Stolberg; details of the no fear scene plan by Jackie Calmes and Robert Pear. The Medical Lobby’s Take | 10:07 p.m. David Kirkpatrick Chip Kahn, top lobbyist for Declaration of Independence Essay the for-profit hospitals’ Federation of.
American Hospitals, watched the air asia introduction president’s speech tonight. A Republican, Mr. Kahn stressed how Mr. Obama carefully parsed his support still for a public insurance option. Doctors and Declaration hospitals strongly.
oppose such a program because they fear it could drive private insurers out of business, especially if it were paying Medicare rates or under the control of a federal health department. Mr. Obama’s call for a public plan, however, omitted any discussion of what rates it might pay or who might control it, and at one point he referred to shakespeare scene it only as a “not for profit” as opposed to government. plan. “It is the payment of Medicare rates that is the issue for Declaration of Independence us, the control by government fiat!,” Mr. Kahn said. “He worded it really carefully, because he said ‘not for profit’ and he didn’t say it had. to be controlled by the government,” Mr. Kahn added. “The way he described it, we could support that!” Chasing Down Lies | 9:32 p.m. An outburst by one of the House members during Mr.
Obama’s speech has caused a little bit of a flap, and we’re still trying to sort out the details. But The Times’s Carl Hulse reported that Representative Joe Wilson, Republican of South Carolina, shouted out plato on god, that the president lied as Mr. Obama asserted that his health care plan would not cover illegal immigrants. From Mr. Hulse:
Following the speech, Rahm Emanuel, the White House chief of staff, approached lawmakers on the floor to ask who had accused Mr. Obama of Declaration lying. Mr. Emanuel was told it was Representative Wilson. “No president ever has been treated like that, ever,” Mr. Emanuel told reporters. Later on plato on god, CNN television interviews, Senator John McCain, Republican of Arizona, called for Mr. Wilson to apologize, saying it would be disrespectul in any forum. Jackie Calmes points to the biography of Mr. Wilson in CQ’s “Politics in America,” which includes this line: “Wilson’s sharp and careless remarks sometimes land him in hot water.” One example listed was Mr.
Wilson’s constant criticisms of Senator John Kerry during the Democrat’s presidential campaign, and even includes a reference to Declaration of Independence Mr. Wilson’s characterization of the news that Strom Thurmond had fathered a daughter with a black woman. Even after the longtime Republican senator’s family acknowledged the paternity, Mr. Wilson called the notion a “smear on the image” of Mr. Thurmond. Mr. Wilson, 62, whose district runs from the coastal border of Georgia into central South Carolina, from ernest hemingway Hilton Head to Columbia, was first elected to the House in 2001. McCain’s take | 9:42 p.m.
Katharine Q. Seelye On CNN, Senator John McCain basks in Declaration of Independence, the re-run of Mr. Obama’s shout-out to act 3 him, and he says soothingly that “there are a lot of things we can agree on.” But Mr. Obama’s proposal for Declaration of Independence Essay pilot projects on altering the malpractice system is not one of Rhetorical Essay them. A pilot project, Mr. Essay! McCain said, “doesn’t get it,” in terms of limiting suits and costs.
He also said that Mr. Obama’s allusion to Mrs. Palin, his former running mate, was unnecessary “and did nothing to contribute to bipartisan dialogue.” But he went mavericky on her charge that the air asia introduction Democrats would create “death panels.” Asked if he believed there would be such panels, Mr. McCain said no. More Reviews | 9:29 p.m.
Katharine Q. Seelye Here’s something that the administration will take as encouragement — a neutral statement from Senator Susan Collins, Republican of Maine. In other words, unlike many other Republicans, she didn’t trash Mr. Obama’s speech. She, of Essay course, is one of the very few (perhaps two or three) Republicans who may be in the persuadable camp (the other being her Maine colleague, Olympia Snowe). Ms. Collins said in her statement that she was deeply concerned about the price tag of any overhaul, but concluded on this non-committal note: “The Senate Finance Committee continues to shakespeare 2 work to come up with bipartisan legislation that addresses these concerns. Declaration Of Independence! I look forward to seeing what its negotiations produce.” In this debate, non-committal might be considered a win. G.O.P. Rebuttal | 9:18 p.m. Katharine Q. Seelye Representative Charles Boustany of Louisiana, a surgeon, has delivered a brief Republican response.
He has the same problem typical of those who deliver such responses (and not, in his case, just relative anonymity) — he is standing by website, himself somewhere, without the animation that comes from interacting with a live audience. At the same time, Michael Steele, chairman of the Declaration Republican National Committee, put out apa citing, a statement summing up the Republican view: “The president has proven his ability again to speak very well and say very little. He continued to try and Declaration of Independence sell his government-run health care experiment even though it will increase costs, increase taxes and increase the deficit.” From Bernie Becker “Republicans are ready – and we’ve been ready – to work with the president for common-sense reforms that our nation can afford,” said Dr. Boustany, now in his third term representing a district in southwestern Louisiana, adding “it’s clear the American people want health care reform, but they want their elected leaders to get it right.” Dr.
Boustany talked of picoult four areas where he thought there was an opportunity for Declaration consensus, including ensuring everyone has access to coverage and allowing insurers to ernest ww1 offer wellness incentives. But as his Republican colleagues have been doing for weeks, Dr. Boustany also stood firm against of Independence Essay increased government involvement in the health care system. “Replacing your family’s current health care with government-run health care is not the plato on god answer,” he said. Declaration Essay! “In fact, it’ll make health care much more expensive.” Reviews Start Spilling In | 9:09 p.m. David M. Plato On God! Herszenhorn Lawmakers are still milling about the House chamber, but the Essay Republican Senate leader, Mitch McConnell, has already issued a statement trashing the president’s proposals and urging him to take up Republican ideas instead. “The false choice between a massive government takeover, or no reform at all, is one that has been soundly rejected across the country,” Mr. McConnell said in the statement. For the moment, it seems, Mr. Essay! Obama’s belief that partisan acrimony can be surmounted will have to wait for another day.
It’s Over | 9:06 p.m. The president’s speech lasted 47 minutes. He closes on a strong note: What was true then remains true today. I understand how difficult this health care debate has been.
I know that many in this country are deeply skeptical that government is looking out for them. I understand that the politically safe move would be to kick the can further down the road – to defer reform one more year, or one more election, or one more term. But that’s not what the moment calls for. That’s not what we came here to do. We did not come to fear the future. We came here to shape it. I still believe we can act even when it’s hard. I still believe we can replace acrimony with civility, and gridlock with progress. I still believe we can do great things, and that here and now we will meet history’s test. A Kennedy Remembrance | 9:00 p.m. David M. Herszenhorn Mr.
Obama is speaking emotionally now about the late Senator Edward M. Kennedy and his passion for Declaration of Independence providing universal health insurance to jodie Americans. And the president just gave an important shout-out to Senator Charles E. Grassley of Declaration Essay Iowa, the senior Republican on the Finance Committee and a lead negotiator in the effort to broker a compromise health care bill. The TV cameras are showing Mr. Kennedy’s widow, Victoria, tearing up as she listens while sitting with the first lady, Michelle Obama. Mr. Kennedy’s children are also in attendance. Tossing a Bone Their Way | 8:55 p.m.
Katharine Q. Seelye Perhaps surprisingly, Mr. Obama makes a nod to the clamor for changing the malpractice system (a k a tort reform). This is apa citing one way of showing he is open to Republicans. Declaration Essay! He says that changing malpractice will not be a silver bullet, but he knows that doctors practice defensive medicine, which helps drive up costs. So, he said, he would support a Bush idea of shakespeare act 3 2 demonstration projects in individual states to test some ideas about “how to put patient safety first and let doctors focus on practicing medicine.”
Just recently, Howard Dean, the former chairman of the Democratic National Committee, noted that members of of Independence his party don’t want to tackle this issue because of the Rhetorical Appeals and Ethical Analysis Essay powerful trial lawyers lobby. Eldercare | 8:52 p.m. David M. Herszenhorn Mr. Obama was just trying to make one of the of Independence Essay toughest arguments in the health care debate but perhaps one of the plato on god most important: that better medical care is often cheaper medical care and that government spending on Medicare can be reduced substantially not by limiting treatment and care for Americans over 65, but by providing more effective and better coordinated care. Many Americans over 65 are worried that proposed Medicare cuts would limit their access to care. The president tries to reassure them: “So don’t pay attention to those scary stories about how your benefits will be cut – especially since some of the same folks who are spreading these tall tales have fought against Medicare in the past, and just this year supported a budget that would have essentially turned Medicare into of Independence Essay a privatized voucher program. That will never happen on Appeals and Ethical Argument Essay, my watch. I will protect Medicare.”
Chilly G.O.P. Reception | 8:51 p.m. Carl Hulse, the Times’s chief Congressional correspondent, is in the House chamber and says the mood is extremely tense, with very sparse Republican applause. Update | 8:49 p.m. Katharine Q. Seelye He may be walking the wire, but he just dumped his “progressive friends.” The public option, he said, is “only a means” to the long-sought end of ending insurance company abuses. “And we should remain open to other ideas that accomplish our ultimate goal.”
Dimes and the Deficit | 8:45 p.m. Fiscal conservatives join with Democrats in Essay, jumping to their feet and no fear shakespeare act 3 2 applauding when Mr. Obama promises his plan won’t add a dime to the deficit. Of Independence! The camera focuses in closely on Senator Olympia Snowe, Republican from Maine, who is considered a critical vote for jodie picoult minutes Democrats on this issue but also often raises the Essay financial ledger in discussing how to pay for hemingway ww1 initiatives. On Those Death Panels | 8:43 p.m. David Herszenhorn “It is a lie, plain and simple,” Mr. Obama says about the charge that health care legislation would create “death panels” to counsel the of Independence elderly to air asia forgo care near the end of their lives. But almost as shocking as that false allegation is that Mr. Obama is still fighting it weeks after major media outlets reported that it had no basis. Mr.
Obama says he doesn’t want to put private insurance companies out of of Independence business. “I just want to hold them accountable,” he said, as be begins a careful tight-rope on the issue of creating a government-run health care plan, a so-called public option. What’s clear from the speech is that Mr. Obama is willing to settle for a public option on a so-called “trigger” that is, a public plan would kick in only if the health care legislation fails to provide affordable insurance for and Ethical Analysis a sufficient number of Americans. Liberals will likely be disappointed. Declaration! Republicans will probably not be appeased. Ernest Ww1! It’s a walk on a wire, but he seems to be keeping his balance. A Shout Out to a Rival | 8:41 p.m. David M. Declaration Essay! Herszenhorn A seemingly genuine smile and applause from minutes his old opponent, John McCain, as Mr. Obama says low-cost insurance should quickly be made available to hose who need it, even before the major provisions of Declaration Essay any overhaul take effect in four to five years.
Update | 8:38 p.m. Hemingway! Katharine Q. Seelye Republicans may be applauding, some, at the big clarion calls. Declaration Of Independence! But elsewhere, they are more critical. The Republican National Committee, for example, notes that Mr. Obama has said that “the health care problem is the deficit problem,” and adds: “Too bad his government-run health care experiment will just make it worse.”
Just a Few Details Left | 8:31 p.m. Light chuckles erupt in the audience as the president suggests, grinning, that there are just a few details left to be ironed out in his plan. Update | 8:31 p.m. Plato On God! David Herszenhorn “That’s what Americans can expect from Declaration of Independence this plan, more security and Rhetorical Appeals and Ethical Argument Analysis Essay more stability.” Security and stability seem to be a refrain in this speech, reflecting a keen awareness on the part of the White House that Americans feel deeply uncertain about the prospects of sweeping health care legislation. But Mr.
Obama still faces the of Independence Essay challenge of hemingway ww1 presenting enough detail to reassure folks who already have insurance and worry they have more to lose than to gain from any changes. Stop the of Independence Shouting | 8:28 p.m. David Herszenhorn “The time for bickering is over,” Mr. Obama declared. And there was notable applause from Senator Susan Collins, Republican of Maine, and Judd Gregg, Republican of New Hampshire, two of the most earnest members of the Senate who disdain bickering but neither has expressed support for the Democratic proposals on health care. Something for the G.O.P. | 8:27 p.m. David Herszenhorn But now the Repblicans are standing, even John Boehner, the House Republican leader, applauding Mr. Obama’s assertion that it’s better to build on the existing system than start from jodie minutes scratch. Up and of Independence Clapping | 8:26 p.m. Ernest Hemingway Ww1! Katharine Q. Seelye Who needs Pilates if you’re a Democrat and in the House tonight?
The members of President Obama’s party are getting plenty of Declaration exercise, standing up and Rhetorical Analysis Essay applauding at numerous lines of Declaration of Independence his speech. Alas, the Republicans, who have been fairly stationary so far, may need a trip to the gym. First, the Insured | 8:23 p.m. David Herszenhorn Mr. Obama is making his initial pitch to the 180 million Americans who currently have health insurance — stressing the risks to every American that they could lose their coverage if they lose or change their jobs, or for act 3 scene any number of technical reasons. Many of these Americans are among those showing up in of Independence Essay, polls who don’t really understand what’s in the bill for them, or “what’s in act 3 2, this for me?” as Mr. Declaration Of Independence Essay! Obama asked in no fear shakespeare scene 2, an earlier speech. And now we are starting to hear the bitter pill: Americans pay more for health care than people in any other country but get worse results.
Those facts are indisputable. But another problem is that even if health care legislation is adopted, Americans will still likely pay for more health care than people in of Independence, any other developed country. A Little History | 8:20 p.m. The president has just given the requisite nod to jodie Representative John Dingell of Michigan, the most senior member of the House, and a champion of a health care overhaul. His father began introducing bills for overarching health care decades ago, and Declaration of Independence Essay Mr. Rhetorical Appeals! Dingell continues to do so, the president notes. It’s the Economy First | 8:18 p.m.
David Herszenhorn Mr. Declaration Of Independence Essay! Obama’s opening comments, about the improvements in the economy — “we have pulled this economy back from the brink” — are not just a bit of self-praise for his administration and Congressional Democrats but rather a pointed reminder that not a single House Republican voted for his economic stimulus package. And so his opening would seem to and Ethical Analysis Essay be a warning to Republicans who so far have opposed his health care proposals. President Obama Enters | 8:12 p.m. Katharine Q. Of Independence! Seelye The sergeant-at-arms announces his arrival into the House chamber: “The president of the United States.” Mr. Ernest Hemingway Ww1! Obama enters the chamber at of Independence Essay 8:11, along with Senator Mitch McConnell, the Republican leader, grinning rather uncomfortably behind him. And not quite glad-handing his colleagues the way Mr. Obama is. Senator Harry Reid, the Democratic leader, also looks rather unanimated. Mr. Obama has an embrace — and kiss — for Mrs.
Clinton. He whispers in her ear and they share a laugh. His introductory applause as he walked the apa citing website aisle and reached the podium lasted a full five minutes. The Cabinet Arrives | 8:04 p.m. Katharine Q. Declaration Of Independence Essay! Seelye Members of the Cabinet, including Secretary of State Hillary Rodham Clinton, have arrived and are making their way down the plato on god aisle. It is interesting to see Secretary of State Hillary Clinton, in a fire-engine red suit. She was so associated with health care for so long — not exactly to her advantage — but has been totally absent from the current debate. Is anyone else wondering whether she has talked with President Obama about Declaration health care? Lately?
It was one of the few policy areas that the two disagreed on during the Democratic primaries. And speaking of her husband, former President Bill Clinton, he too gave a joint speech to shakespeare act 3 scene 2 Congress about health care in 1993. Declaration! At our sib-blog, Economix, Catherine Rampell looked at sections of Mr. Clinton’s address that might serve Mr. Obama well 16 years later. Prebuttal Flies Around | 8:03 p.m. Katharine Q. Plato On God! Seelye The level of of Independence Essay rebuttal and pre-buttal flying around the Web is rather dizzying tonight. And Ethical Argument! It reflects how high the Declaration stakes are.
And it reflects just how many moving parts there are to air asia introduction a big national debate. And, of course, it reflects the sophistication on Declaration of Independence Essay, both sides of the Rhetorical and Ethical Argument Analysis Essay spin machines, honed during recent presidential campaigns. But here is an Declaration of Independence Essay “oh, really?” moment. Plato On God! On MSNBC, Senator Dick Durbin, Democrat of Illinois, was asked if he explained to his junior colleague, Barack Obama, that “the politics of governing are about a thousand times more complicated than the politics of Declaration Essay campaigning?” Mr. And Ethical Argument Analysis! Durbin replied: “Well, we did sit down and talk. And believe me, his experience in the Illinois State Senate prepared him for the rough and tumble of of Independence Congress on website, Capitol Hill.” The Kennedy Clan | 7:53 p.m. David Herszenhorn The president’s speech hasn’t even started but a sub-theme of Declaration of Independence Essay his talk is plato on god already clear: do it for Teddy. Senator Edward M. Kennedy, the Massachusetts Democrat who died of brain cancer last month, was a strong advocate for overhauling the of Independence health care system.
And Mr. Plato On God! Kennedy’s family will be at of Independence the Capitol tonight in air asia introduction, a strong showing of of Independence Essay support for Mr. Obama. Website! Mr. Essay! Kennedy’s widow, Victoria Reggie Kennedy will be sitting with the first lady, Michelle Obama. And Mr. Kennedy’s children will be special guests of the House speaker, Nancy Pelosi. One son, Representative Patrick Kennedy, a Rhode Island Democrat, would be in the chamber anyway. Ted Kennedy, Jr. will be in the speaker’s box along with his sister, Kara Kennedy, and two. of Senator Kennedy’s grandchildren, Grace Kennedy Allen, 14, and Max Greathouse Allen, 12.
Mr. Obama is almost certain to pay tribute to Senator Kennedy in his speech. And with so many family members in the audience the jodie nineteen message is clear: health care is Declaration of Independence a legacy issue for. Mr. Kennedy, the former chairman of the Senate health committee.
Congress Mills About | 7:48 p.m. David Herszenhorn The Senate, led by Vice President Joseph R. Biden Jr. is arriving now in the House chamber. No Fear Shakespeare Act 3 2! Mitch McConnell, the Republican leader, seems unusually chipper. Max Baucus, the chairman of the Declaration Essay Finance Committee and a leading architect of the health care legislation is smiling tightly and shaking hands. (Here’s what Mr. Baucus had to say earlier today.)
Readers Seek Answers | 7:45 p.m. Katharine Q. Seelye We asked our readers yesterday to tell us what they would like to hear President Obama say tonight. The main thing is, they want him to be very specific about and Ethical Analysis Essay what he wants. Of Independence! In that, they are no different from members of Congress, especially Democrats who are trying to Rhetorical Appeals and Ethical Argument defend his goals. Of Independence! From the ernest ww1 excerpts of Mr. Obama’s speech released so far, he is offering some specifics but they are not markedly different from what he has said before. Here’s what one reader wrote: “It’s not good enough to of Independence Essay say that there will be no rationing when funding is getting cut by hundreds of apa citing billions. It’s not believable if he says that we will pay for of Independence the healthcare for 47 million people (at $10k/person, i/e. $470 billion/year x 10 years =$4.7 trillion) – and that this will be paid for by finding ‘efficiency’.
Bah.” At the introduction same time, some readers are fed up with numbers: “Keep it simple,” one advised. Declaration Essay! “If he starts pulling all kinds of numbers out of the air I’m going to be pulling my hair out.” Clearly, President Obama is Rhetorical and Ethical Argument Analysis Essay facing a tough audience tonight. There are a couple of other common threads running through the comments. Many readers want to hear him support a public option, which seems unlikely. Some think he should extend Medicare, which also seems unlikely.
“President Obama should adhere to his moral pronouncements and do the Declaration of Independence Essay right thing: a public option for competition and universal coverage as a RIGHT, not a privilege, for those who can’t afford the premiums that insurers impose,” another reader wrote. Readers also like the plato on god idea of overhauling the malpractice insurance situation, an Declaration issue that has been raised repeatedly at the town-hall-style meetings. “Wherever I go, even avowed Democrats do not favor the current reform package,” wrote one reader. “They want to see tort reform, more competition from the insurers themselves and less government.” In a preview from the Capitol, David Herszenhorn offers us the apa citing website leadup to tonight’s speech on health care reform: Even before a few snippets of President Obama’s big speech on health care were released by the White House on Wednesday evening, many lawmakers and staff members on of Independence Essay, Capitol Hill were in air asia introduction, full battle mode. Senator Charles E. Grassley of Iowa, the senior Republican on the Finance Committee and a lead negotiator on the health care legislation, issued a statement urging Mr. Obama to use his speech to promise that he will not pursue a government-run health insurance plan.
“To start building the kind of legislation that could win the support of 70 to 80 senators, the President needs to demonstrate that he’ll fight, through the end, for a proposal that reaches common goals without creating government health care.” Mr. Grassley also used his pre-speech statement to level blistering criticism at the versions of health care legislation approved by Declaration of Independence, the Senate health committee, and by plato on god, three committees in the House of Declaration Representatives. Democrats, meanwhile, sharpened their daggers and took aim at Representative Charles Boustany of Louisiana, a former cardiac surgeon who was tapped to give the Republican response to Appeals and Ethical Analysis Mr. Obama’s speech. The Democrats circulated copies of a video in which Mr. Of Independence Essay! Boustany seemed to support the so-called “birthers,” whose claims about the legitimacy of introduction Mr. Declaration Of Independence Essay! Obama’s Hawaiian birth certificate have been largely discredited. Democrats also pointed to malpractice suits brought against Mr. Hemingway Ww1! Boustany during his medical career (few doctors are not sued), and distributed excerpts of interviews in Declaration of Independence, which he seemed to make comments critical of Republicans on the health care issue. In terms of defining the camps, some Congressional Democrats and White House officials have expressed hope that retiring Republican lawmakers might be more likely to sign on to compromise health care legislation.
But one of those departing Republicans, Senator George V. Jodie Picoult Minutes! Voinovich of Ohio, lashed out even before Mr. Obama had said a word: “To date, many of his ideas have lacked vital details and have left me with more questions than answers. I am pleased that he has pledged to clear up the ‘ambiguity’ tonight, and I hope my questions will finally be addressed.” Mr. Essay! Voinovich also complained that Mr. Obama, in his public remarks on health care, rarely if ever mentions medical malpractice lawsuits as a factor in no fear act 3 scene 2, the nation’s high health care costs – a criticism echoed by many other Republicans. Declaration Of Independence! Details of the no fear shakespeare scene 2 president’s plans were not revealed in Declaration of Independence, early excerpts released by the White House, but the advanced text indicates that he will try to appeal to those who have differed — sometimes vehemently — with him: “Well, the website time for bickering is over.
The time for games has passed. Declaration Of Independence Essay! Now is the plato on god season for action. Now is when we must bring the Essay best ideas of both parties together, and show the jodie picoult nineteen minutes American people that we can still do what we were sent here to of Independence do. Now is the time to deliver on plato on god, health care. The excerpts also included a warning to of Independence some of the president’s opponents: “Know this. I will not waste time with those who have made the calculation that it’s better politics to shakespeare kill this plan than improve it. I will not stand by while the of Independence Essay special interests use the same old tactics to keep things exactly the way they are. If you misrepresent what’s in the plan, we will call you out.
And I will not accept the act 3 status quo as a solution. Not this time. Not now.” In the Capitol, the House chamber is ready. Security has been extra tight all day. And there will be special guests, including Victoria Reggie Kennedy, the widow of Declaration Essay Senator Edward M. Kennedy, sitting in the box with the first lady, Michelle Obama. One of our White House correspondents, Sheryl Stolberg, listed others — some of whom are ordinary citizens with health stories to tell — who will be seated with her tonight.
Mr. Obama has declared health care to be his top domestic priority, which arguably makes this the most important speech since his inaugural address. Picoult! Colleague Katharine Q. Seelye looked at other presidents and Essay how they’ve used joint addresses during times of crises, and some not. In this speech, every phrase will be analyzed, every word scrutinized and the tenor of every rhetorical point weighed carefully. (Minute by minute actually, with not only journalists but even the Cato Institute and the Republican National Committee live blogging the Rhetorical Appeals and Ethical Argument speech, and with Democrats offering rapid response.) The question, of course, is can Mr. Obama make the big sell, not just to Congress but to the American public. Stay tuned. Comments are no longer being accepted.
Can we really believe anything a man says who’s credentials are NOT in order? “…whose claims about the Declaration of Independence Essay legitimacy of Mr. Jodie Minutes! Obama’s Hawaiian birth certificate have been largely discredited.” LARGELY? how about totally? is the times actually endorsing the birthers? come on, now. when will the mainstream media start acting like journalists? The president will talk for about 45 minutes. He’ll try to bore his audience away. Why? What will he save till last? I will not be characterized as some sort of radical for opposing this health care plan.
I happen to sincerely believe the of Independence Essay government should not force anybody to buy insurance they can’t afford. I sincerely believe the government should not promise subsidies it doesn’t have the money to Analysis deliver. I sincerely believe that the plan should not encourage employers to Declaration Essay check if workers have insurance from apa citing their spouse in Declaration, making hiring and lay-off decisions. All those things are in the plan, Mr. President. I challenge anybody to ww1 prove those are misrepresentations. I challenge anybody to Declaration Essay prove this plan is better than the status quo. This is not about your political future, President Obama. You are making decisions that adversely affect my life, and scene 2 I never got a seat at of Independence Essay the table. Obama desperately needs something that cuts through the lies and exaggerations while at apa citing website the same time making reform important even to those who think they’re happy with their current situation.
It will not be easy… Does Grassley really think that anyone believes that _any_ health reform bill proposed by any group of Democrats could garner the support of “70 or 80? Senators? Please – how ignorant does he believe us to be? If even two Republicans sign onto any health reform bill to of Independence Essay come from the Democrats, I’ll be amazed. Air Asia! The Republicans aren’t out to Declaration of Independence Essay do what’s best for the country, but are only seeking to obstruct the Democrats, with an air asia introduction eye towards 2010. The obstructionists have had their say. Let’s listen first. Speak second.
This is all about Obama not us. He’s great at Essay reading from a teleprompter. Listen to what the no fear shakespeare act 3 scene people want. re B.Mull “This is not about your political future, President Obama. You are making decisions that adversely affect my life, and I never got a seat at the table.” You did get a seat at the table, it was called the 2008 presidential election and you lost. The average Malpractice insurance premium for an OBGYN.
is about $200,000. Will Obama take on the trial lawyers and Declaration of Independence propose tort reform and risk alienating these big democrat donors? That would be a big boost for his chances to get something passed in Congress. There is nothing in the 1000 page democrat house bills that even make mention of it. There is much money to be saved in tort reform. No honorable person can oppose health care reform in America! It appears that Obama must be using Bill Clinton’s wristwatch.
10 minutes is a lot of lost ad revenue for the networks and cable outlets. If Obama demands a government option, Heathcare in 2009 is DOA. “I happen to sincerely believe the government should not force anybody to buy insurance they can’t afford” (B. Mull, writing at 8:01 pm). The government requires people to buy insurance in order to hemingway ww1 legally drive a car. Do you have a problem with that?
Sounds like everyone – Democrats and Republicans — will be disappointed in Mr. Obama’s speech this evening. Here we go with the same old, same old. I wonder what his teleprompter will tell him to say tonight. Obama is as much to Declaration Essay blame as anyone for nineteen minutes the scare tactics.
He was unprepared to discuss the proposals at the town hall meetings, providing only Declaration anecdotes and misinformation about doctors’ care and their fees. Tonight, he needs to minutes give facts regarding the hard costs of this plan to of Independence citizens. We cannot afford to permit the deficit to soar any higher. He won’t. but he should explain why he wanted to rush a health-care bill plan through before the August recess and air asia why he waited until now to Declaration of Independence spell out his preferences. He also should let all know that any legislation will not be in apa citing, effect until 2013–after the next presidential election. Declaration! That must be accidental, right? I hope Obama can finally explain what he wants in heathcare reform after delegating the entire process to congress and special interests. Yawn.
I’ll be watching since I’m a political junkie, but the larger electorate has made up its mind (R’s #038; D’s), or is still confused as to what the President really wants (Indy’s). This speech should have been given months ago. Too little, too late. Severe malpractice award limitations will create a moral hazard in the health care industry. Those of you concerned about quality health care need to Rhetorical Appeals and Ethical Essay think through your political puppetry. Starts by establish credibility by of Independence, implying economic stimulus has helped stop the recession. Politicians have had nothing to do with the recent bull market. Indeed, they’ve made things worse.
Repubs sit on the first applause line. I believe that health care should be very limited and provide for the basic needs only. I believe it should be provided to all children untill they reach 18. Claims crisis. Rhetorical And Ethical Argument! There is no crisis.
Only 5 million to 10 million citizens are uninsured and can’t afford basic health insurance or aren’t covered by government programs. We’re the only country in the world that hasn’t made the mistake of turning health insurance and health care over to politicians. Rising health insurance premiums are as unsustainable as rising housing costs proved to be. Insurance carriers are as merciless as our Financial #038; Investment Sector. Prescriptions tracked news in the health care industry, including coverage of Declaration patients, insurers, medical professionals and drug-makers. Coverage of these and related issues continues in the Business and Health sections, as well as on the Well blog. The Times is picoult nineteen discontinuing the Prescriptions blog.Readmore… Drug Costs Pose Smaller Financial Burden Amid Generic Boom. Americans are using more prescription drugs, but the Essay financial burden of Rhetorical Essay those drugs on families is falling, according to a new study.
A big reason is the rise of generics.Readmore… Drug Makers Dial Down TV Advertising. Pharmaceutical companies have cut spending on television advertising by 20 percent over the last five years, according to a Nielsen study. Declaration Of Independence Essay! Analysts expect drug advertising to continue to fall as more brand-name drugs face generic competition.Readmore… F.D.A. Approves Drug for picoult an Advanced Skin Cancer. The drug, Erivedge, made by Genentech, was approved for adults with basal cell carcinoma that has spread elsewhere in the body or those who are not candidates for surgery or radiation.
Readmore… Despite Generic Rivals, Branded Drugs Still Sell Well. Drug companies are finding lucrative foreign markets for their brand-name drugs after patents expire in the United States and unleash generic competition. Readmore…
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Family Love Essays and Research Papers. James Joyce is a story of a young girl who must make a decision between an unhappy life that she is familiar and comfortable with and a life of Declaration of Independence Essay, possible . happiness, love , and the unknown. If she leaves with the scene, sailor she has become fond of, she would have the chance to run off to of Independence Essay, unknown fun, unlimited dreams, and the possibility of love , or the plato on god, possibility of a life of solitude. If she chose to stay with her father who was abusive and unwilling to of Independence Essay, change his ways, she would most certainly have a. Failure , Family , Father 1071 Words | 3 Pages. Love , Family , Sacrifice The Five People You Meet In Heaven written by Mitch Albom tells a story about a man named Eddie who . dies, and before he is allowed into introduction Heaven, he must meet five people who individually have a lesson for Essay him to learn. The Last Lecture by Randy Pausch is a book about himself and his last lecture. Pausch has been diagnosed with pancreatic cancer and has a short time to live. Both books talk about life, death, sacrifice, courage, and apa citing family and the importance these factors. Carnegie Mellon University , Jeffrey Zaslow , Love 1140 Words | 3 Pages.
?Jont’e Davis Elizabeth Perkins English 1102 13 September 2013 Family and Love : Oedipus the King Family and Declaration of Independence Essay . love is apa citing important, it’s something that is very hard to live without. These are two things everyone has in their life. At times people may feel like they cannot make it far without either, because it plays a huge part in Declaration, their daily life or success. Plato On God! It has been this way for ages. In Oedipus the Declaration of Independence, King, Oedipus recognizes that there is plato on god no difference between his current situation and the one. Family , Greek mythology , Ismene 871 Words | 3 Pages. The Changing Concepts of Sex, Love and Family.
The changing concepts of sex, love and family Love , sexuality and of Independence family are three interrelated . concepts that have had dramatic changes over the millennia. From the bestial, yet necessary act of sexual intercourse, through the hemingway, complicated and often not understood feeling of love we end up with the smallest social unit that comprises society – the family . The interpretations of love , sex and the structure of family have always varied through the centuries, but no matter how, they have always. Feminism , Interpersonal relationship , Love 1583 Words | 4 Pages. non-living object. Declaration Essay! That feeling is love . However, when one is forced to define love , he or she often turns to romance to find the air asia introduction, . meaning. It is described to be everything pink and pretty, full of hearts, roses, cuddly stuffed animals, chocolates, kisses, and hugs. Declaration Of Independence! Love is also expressed as the butterflies in no fear shakespeare 2, the stomach, hair on the back of the neck rising to the occasion, hesitant lump in the throats, giddiness in the eyes, and fireworks in the hearts.
However, love exists outside the of Independence Essay, realm of romance. Emotion , Love , Outline of self 1281 Words | 4 Pages. ? Advantages of a Big Family A big family has some very strong advantages. Jodie Picoult Nineteen! First of all, it has a lot of members . and there is Declaration of Independence Essay more than one earning member in 2, a large family . In addition, members can help each other in bad times. A large family has parents, children and Declaration Essay uncles, aunties and grandparents. Therefore, children can enjoy the company of all the members. They are never alone. A large family also has a joyful atmosphere. Scene! Everyone has his/her story at the end of the day and they. Childhood , Cost of raising a child , Family 730 Words | 3 Pages. from interpersonal affection (I love my mother) to Declaration of Independence, pleasure (I loved that meal).
It can refer to air asia introduction, an emotion of a strong attraction and . personal attachment. It can also be a virtue representing human kindness, compassion, and affection—the unselfish loyal and benevolent concern for the good of another. It may also describe compassionate and affectionate actions towards other humans, one's self or animals. Ancient Greeks identified four forms of of Independence Essay, love : kinship or familiarity (in Greek. Attachment theory , Friendship , Human bonding 942 Words | 4 Pages. Love Love is something that most humans look for in life because it comes with one of the greatest amount of pleasure a . Rhetorical Appeals Argument Essay! human being can experience. The love for our mother and our entire families is one of the Declaration of Independence Essay, first thing a baby feels and Rhetorical Appeals Argument as the Declaration, years goes by we know that life is about two big thing: success in work field and being able to apa citing, find people that will love you for who you are. Declaration Of Independence! Being able to love is one of the most important thing because it can lead to a great amount of trust and. English-language films , Family , Homosexuality 2815 Words | 7 Pages. The Role of Fire in Romantic and Family Love on Reading the Aeneid. There are two integral pieces of love in Virgil's epic Aeneid: the romantic, lustful love (as felt by introduction Dido for Aeneas) and the . grounded, honest, family love (as felt between Aeneas and Anchises).
There is a dynamic relationship between the two sides of love which causes each to emphasize the other ? an emphasis that is facilitated by Virgil's common use of of Independence Essay, fire and flame imagery to describe both types of love . Upon analyzing the lustful episode between Dido and Aeneas and the image. Aeneas , Aeneid , Anchises 1215 Words | 4 Pages. Philippines today March 29, 2009 at Appeals Essay, 5:52 pm A. Definition of Essay, Courtship in the Philippines “Courtship is the best part of a girl’s romance and . love life”. This is the reason why in the earlier courting practices there have been a lot of rituals involved. Thus, in website, those times, before they get married they are able to Essay, enjoy the labors of a suitor for her love even if it takes a year or more of courtship. Shakespeare Act 3 2! In the span of courtship, they are able to enjoy themselves by being treated with outmost care and. Arranged marriage , Courtship , Dating 2691 Words | 7 Pages. ? Love Everyone has felt love at of Independence Essay, one point in their life. It could have been between two people, a pet or even a non-living . object.
You could have experienced it as a little crush or the real thing as a whole. Some people sometimes will go a lifetime without finding that one person for them, but then there’s other times people fall in and out of love like it’s nothing to them. Hemingway Ww1! You can love many things but the love between two people is Declaration of Independence Essay priceless. Different types of people experience different. English-language films , Friendship , Interpersonal relationship 1262 Words | 4 Pages. ?Tinisha Simpson Professor Foreman English 205 T-Th 9:25/11 Paper #3 My Perception on Family Ugh, my life, my life, my life! Where are . the plato on god, ones that are supposed to of Independence Essay, be here regardless? Where are the ones that I’m supposed to plato on god, turn to Declaration of Independence, in my time of need? Family , aren’t they supposed to be the ones that you can count on when no one else is there?
I guess, but then comes the questions that continually play over in and Ethical, my head, why did things turned out the way it did? Why couldn’t I have been dished. Biology , Family , Kingdom 1346 Words | 4 Pages. “ Love for another often hides a greater love for of Independence Essay oneself” By a close comparison of your two texts, discuss the representation of . sex and seduction. In both Milton’s ‘Paradise Lost’ and Ford’s ‘Tis Pity She’s a Whore’ sex is represented as a catalyst for ernest hemingway sin.
The love which is promised by many of the central characters in the poem and the play often has a falsehood and is used as a facade for the character’s true egotistic needs within. Declaration Of Independence! One can see a falsehood in Giovanni’s admitted love for. Adam and apa citing website Eve , Garden of Eden , Interpersonal relationship 1102 Words | 3 Pages. people would not imagine how Valentine’s day affect America and of Independence Essay other countries from economical to emotional. Valentine’s day is easy to recognize for its . Plato On God! many symbols: cupid which represents an angel who helps mates get together or fall in of Independence Essay, love , hearts, arrows, love cards, letters and the colors white and red representing purity and blood.(Thompson) There are many legends about the origin of Valentine’s day, but there are two that are more realistic and important. This holiday started in one place and. Chocolate , Love , Lupercalia 1480 Words | 4 Pages. ? Family is shakespeare where we all belong to and from where our identity comes from.
A person is valued based on his family and upbringing. Declaration Essay! . Air Asia! We all belong to a family and it is Declaration of Independence Essay our family that keeps us together through thick and thin. Without having a family , no person is complete and the completeness comes with good family bonding. Now what is a family ? By just saying that you live with your family does not hold any values to being a part of the family . Plato On God! Four or five persons living under one roof does not become. An American Family , Divorce , Family 2188 Words | 5 Pages. fell in love with Maria, the sister of the leader of the rival Puerto Rican gang.Romeo and Juliet is undoubtedly the most popular romantic . Of Independence! love story to ever hit the literary world. It talks about Appeals Essay intense passion between the star-crossed lover Romeo and Juliet. Their love was doomed from the start because of their feuding families - the Montague represented by Romeo and Capulet, by Juliet.
The overriding theme, of Declaration of Independence, course, between the two stories – Romeo and Juliet and The West Side Story is love – deep. Family , Interpersonal relationship , Juliet Capulet 462 Words | 2 Pages. parents and families play the most important role in the lives of ernest, their children, many challenges and pressures that families . Declaration Essay! face have been given increasing concern. For example, separation and divorce, family violence and ernest hemingway financial problems. This essay will discuss the importance of of Independence Essay, effective parent/teacher partnerships in early childhood education, and focus on ww1, one particular challenge that a family may face and of Independence identify the effects that this challenge may have on children and hemingway their families . A range. Child , Childhood , Early childhood education 2095 Words | 7 Pages. ?Neidalina Ortiz Composition II Instructor Candace Peters Love Write your final draft analysis essay that evaluates a . Declaration Essay! specific concept (such as love , competition, or fame). Use the guidelines shown in Chapters 5 and shakespeare act 3 2 6 to develop your ideas and shape your essay. You should include 3-5 outside resources in your assignment. Love is defined as a deep tender, ineffable feeling of affection and solicitude toward a person, such as a rising from kinship, recognition. Affection , Emotion , Friendship 597 Words | 3 Pages.
?Introduction – Part 1: In writing this statement I will explore the ideas and customs associated with what love is known to be, with reason . and argument. I will mostly be analyzing romantic love , in relation to lovers. However with too much reasoning and argument comes confusion, so more argument than reasoning will be my approach. Of Independence! If you are not open to the negativities of love then my opinion has no value to you. For the positives of any topic are pleasing whether or not one can assimilate. Idea , Interpersonal relationship , Irrationality 1253 Words | 3 Pages. ?Jalissa Goolsby Professor Rhodes English 29 January 14 Fatherless Love The vision of apa citing website, my Fatherless Love have . became more and more of a blur to my past childhood memories of not having him there in my life as a young girl. Declaration! This is my life not a story I always wanted to air asia introduction, be daddy’s girl growing up.
Not having my father there when I became mature or when I had my first break up played a major impact in my young life. ‘‘Dance With My Father’’ by Luther Vandross is a song that is Essay very. 2006 albums , American films , Emotion 1309 Words | 4 Pages. ? Is It Love ? Jazmine M Hawkins Georgia Perimeter College Abstract This paper explores the findings of no fear shakespeare act 3 scene 2, . multiple researchers’ theories of Declaration, love ? It breaks down what we can be classified as passionate love and compassionate love ? What does love have to do with your attention span? Some researches define love scientifically saying that love is a production of plato on god, a mixture of hormones and of Independence chemical reactants while others say love is self-defined and can only be judged. Attachment theory , Developmental psychology , Human bonding 1362 Words | 4 Pages. one-word topic Love . This piece was written in 45 minutes (actually I had more time, I but I wasted too much time - some of it unnecessary - . to think of what to write), so mind you, I was in introduction, quite a hurry. Personally, I don't think it's that good. Of Independence Essay! I really wish they gave us more time for this written paper for English. Shakespeare Act 3 Scene! Could've produced a better essay with more time, I think. So anyway, here you go. Comments will be appreciated.
Love (SPM Trial Exams Essay) by Lee Zhi Wei Love . It is the Declaration of Independence Essay, one. Doubt , Heart , Human 959 Words | 3 Pages. February 1st 2012 True Love and its Obstacles Love is one of the no fear 2, most important things to the survival of the human race, . because it allows humans to work together and connect with each other. To live life without love is not living a fulfilled life. Finding true love may seem like the difficult part of Declaration of Independence Essay, a relationship with another human being, but the obstacle that hinders the plato on god, relationship coming together is the Declaration of Independence, most difficult part. No Fear Scene! My essay will explore the theme “true love ” and the obstacles that. Brothers Grimm , Cinderella , English-language films 1739 Words | 4 Pages. different attitudes towards love ; I have selected four poems that consider this issue and show the poets true thoughts on Declaration Essay, love . . Two of my texts, ‘Leaving Prince Charming Behind,’ written by Karlo Mila and ‘Advice to a discarded Lover,’ written by Fleur Adcock, both look at the theme of love and past relationships in air asia, a negative and quite a depressing manner. Whereas, the other two texts deal with both the poets sweet, happy and Declaration more realistic attitude towards the power of apa citing, true love . ‘To the girl who stood. English-language films , Fairy , Fairy tale 1201 Words | 3 Pages.
Love : What It Really Means What is love ? When someone tells you that they love you, how are you supposed to . respond? There sometimes seems to be no way to of Independence Essay, decipher the implication behind the words I love you. When one loves someone or something, to what extent is their desire? It would be ideal if the English language could have more words for love . Jodie Picoult Nineteen Minutes! Love is so complicated in Declaration of Independence, and of itself, that even if you were to have different words; it would still be challenging to clarify. Because the English. Agape , Emotion , Friendship 905 Words | 3 Pages. Love plays a significant role in air asia, every human beings life.
There are many different forms of love in a person’s life. A person . feels a different love for their friend then they do for an intimate lover. They feel different love for their families and parents then they feel for animals or objects. An individual usually learns what love is from a young age, and it progresses as they get older. Some people have trouble experiencing some forms of love because they feel like they are unable to Essay, due to past.
Agape , Friendship , Interpersonal relationship 2175 Words | 6 Pages. several years. They are very devoted to helping and taking care of each other. Marcy and Martin have only been dating for a month but feel a very strong . desire to be together. Act 3 Scene 2! Doug and Danni are experiencing __________ love , while Marcy and Martin are experiencing __________ love . a. compassionate; passionate b. passionate; compassionate c. accommodating; compassionate d. Of Independence Essay! passionate; accommodating 15. Plato On God! Sheldon and Sandy are in marriage counseling. When Sandy complains that. Attitude change , Elaboration likelihood model , Interpersonal attraction 1794 Words | 7 Pages. is the theme of of Independence Essay, love . Philia, Eros, and Agape are the three types of apa citing website, love present in the play and Declaration of Independence Essay are what represent the theme . of love . These three types of love , Philia, Eros, and Agape are expressed by the different characters in the play. Rhetorical Argument Analysis! The expression of the theme of love in the play is not just there by accident; William Shakespeare put it in this comedic and Declaration of Independence romantic play with a purpose.
Philia is one of the three kinds of Rhetorical Appeals and Ethical Analysis Essay, love expressed in the play. Of Independence! The type of love that Philia represents. Agape , Friendship , Greek words for love 1173 Words | 3 Pages. Love is a variety of different feelings, states, and attitudes that ranges from interpersonal affection (I love my mother) to . pleasure (I loved that meal). It can refer to an emotion of a strong attraction and personal attachment. It can also be a virtue representing human kindness, compassion, and affection—the unselfish loyal and picoult minutes benevolent concern for the good of another. It may also describe compassionate and affectionate actions towards other humans, one's self or animals. . Attachment theory , Friendship , Interpersonal relationship 1862 Words | 6 Pages. Running Head: LOVE What’s Love Got to Declaration of Independence, Do with It?
Kathryn Barr Dr. Salome Dubenetzky PSY 301 . January 7, 2013 LOVE Attraction is ernest ww1 defined as a person or thing that draws, attracts, allures, or entices; a characteristic or quality that provides pleasure, an attractive feature. Initially because of this attraction two people who are mutually attracted will begin or a friendship. In the Essay, beginning of a relationship love is introduction strong and it. Interpersonal attraction , Interpersonal relationship , Love 1594 Words | 5 Pages. Sociology – The Family Essay Plan Describe and evaluate the following views of the family ; * Functionalist * Marxist . Declaration! * Feminist * Interactionist Compare these views making reference to the changing nature of family structures, gender roles and family patterns. Introduction Introduce and explain the concept of family in sociology. What is the family ? What is the purpose or function of a family ? Briefly mention the perspectives which are you going to plato on god, discuss and the main differences. Family , Feminism , Functionalism 365 Words | 3 Pages.
BAPTIST THEOLOGICAL SEMINARY Family to Declaration of Independence, Family Submitted to Dr. Gene Jefferies in picoult nineteen, partial fulfillment of the . requirements for the completion of EVAN 525 Contemporary Evangelism by Shawn T. Hunt October 4, 2014 Abstract The book Family to Family is a concrete guide for the family that has lost connection with itself. The very purpose of the book as stated by the authors is to “discover God’s purpose for your family , develop a family mission statement, establish core. An American Family , Christian terms , Christianity 1858 Words | 8 Pages. ?Shuo Zhang Family The world is made up of many families . Everyone lives in a unique family , and tries their best . to Essay, make their lives better. In talking about a family , there are three crucial factors: family relationships, communication, and lifestyle. Air Asia! Family relationships determine the way that parents and children get along with. Declaration Of Independence Essay! Communication is the most influenciae method to solve a family’s problems. Family members’ characters are due to the kind of jodie minutes, lifestyle they have.
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Two main characters Gan and T’Gatoi are not only Essay tagged as living in a different social classes, but more importantly, they are different living beings. They have different appearances, biorgans. Black-and-white films , English-language films , Interpersonal relationship 1390 Words | 3 Pages. of a Family Family is plato on god defined as a group of people related by Essay blood, marriage, or adoption living together. Ernest! Remember: We are not . defining families by how many, and what kind of people they have. We define them by Declaration of Independence Essay what they do.
Definitions Spouse - someone who is married: a husband or wife Common-law partner - used to describe a relationship between a man and woman that is considered to introduction, be a marriage because the man and of Independence woman have lived together for no fear act 3 scene a long period of time Functions of the Family What. Cohabitation , Common-law marriage , Extended family 644 Words | 3 Pages. The role of the Family in Society It has been said that the family is the bedrock of society and can be proven by the fact that . all over the world every society is structured by the same pattern. A man and woman marry and form a family . This process is repeated multiple times making multiple families which form villages, regions, and eventually countries. Declaration! When several countries come together they form a continent and all of the ww1, continents make up the Essay, world. The foundation of website, this entire process. Family , Father , Interpersonal relationship 1594 Words | 5 Pages. Tough love is an expression used when someone treats another person harshly or sternly With the intent to help them in the long run.
The . phrase was evidently coined by Bill Milliken when he wrote the book Tough Love in 1968 and has been used by numerous authors since then. Tough love was originally intended for Declaration of Independence Essay adult drug addicts, not for young children still learning about picoult life. Tough love as used by the parents in public places only teaches a child the harmful and illogical lesson that. Child , Drug addiction , Love 1326 Words | 4 Pages. Family History: Keeping a Love Story Alive. ?Ayehisa Rubi Gil Professor Joseph Haske English 1301 June 16,2014 Essay #1: Family History It all started on Declaration Essay, a very hot windy summer in . 1985, as I was walking home from school on a Thursday afternoon. I was speed walking trying to get home as quick as possible because the weather was unforgivingly hot, when I accidentally tripped on a rock on the sidewalk. I fell on plato on god, my hands and knees while all my school papers started flying all over the place. I got up quickly, trying to grab all my homework. 2007 singles , 2009 albums , Debut albums 1081 Words | 4 Pages.
? “The Tragedy of Declaration of Independence Essay, a Desperate and Hopeless Love ” What are the limits of love ? Is despairing love boundless and plato on god . its ill-fated actions expected to be understood? How far is too far in an attempt to ease the hurt of a broken heart? These are questions that many have asked since the beginning of time to which no one has ever really adequately answered. This satiating of an intense desire for another result in a varying of consequential results based on culture, customs, and the time frame in which. Bipolar disorder , Love , Major depressive disorder 1313 Words | 4 Pages. Love is Declaration Essay something that means very different things to different people. For some, love can be purely romantic, or even purely . sexual. For others, real love is utterly unconditional and jodie picoult minutes only truly exists between family members, or between people and a deity. And for some people, love is Declaration fluid, ever changing, and Appeals Analysis everywhere, and is felt for family , friends, partners, pets, and even inanimate objects, dead artists, and fictional characters.
None of these people would be right or wrong, but one thing. Bonobo , Emotion , Feeling 930 Words | 3 Pages. ?Alejandra What in Declaration of Independence Essay, the world is shakespeare act 3 scene reality? What is love ? There are many opinions on what love is, is Essay . No Fear Act 3 Scene 2! love solely just chemistry, or biologically, a powerful neurological condition like when we are hungry or thirsty, just in a more permanent state. We talk about love being blind or unconditional, in the sense that we have no control over the feeling. Love blinds you making you react differently to different situation or events. Love has been written, made to a song or a verse or even to. 1999 singles , 2006 albums , Debut albums 1961 Words | 5 Pages.
Love and Marriage Ever wonder why so many happy marriages become failed marriages? Love plays a big part of failed and happy . marriages. Happy marriages are hard to obtain and keep in this day of age. Declaration! Marriage is defined as “an intimate or close union” by scene 2 Merriam Webster. Declaration Essay! Marriage has been used for mutual benefit, personal benefit, or just the simple uniting of air asia introduction, a couple in love . Happy marriages seem to be rare now with the stress of Declaration, jobs, life’s struggles, or just the simple temptations that can.
Full-time , Husband , Interpersonal relationship 1988 Words | 5 Pages. ? Love and plato on god loyalty are two things that should not be taken in of Independence Essay, vain! If you offer attractive pay, you’ll probably succeed in hiring good . employees. But if you reward employees with something unexpected, you’re likely to get more productivity out of them. The takeaway: The lesson goes beyond the simple test that the introduction, researchers undertook.
They say it shows that the of Independence Essay, right strategy can lead to stronger results. Jodie Picoult Nineteen! In an interview with the Harvard Gazette, researcher Deepak Malhotra suggested that employers. Feel Good Inc. Of Independence! , Fuck , Hyundai Dynasty 973 Words | 4 Pages. ?IMPORTANCE OF FAMILY The word family has multiple meanings in the dictionary. It is ‘a social unit living together’ or ‘parents . and their children, considered as a group, whether dwelling together or not’. In a broader term, relatives can also be added to this group. But it is much more than that. Family is the first learning place of an individual in this world. Starting from Rhetorical and Ethical Essay childhood till old age, he learns everything from his family . He sees his family members walking and starts trying that.
Extended family , Family , Father 2244 Words | 6 Pages. hurt. Because how can you give your dreams to Essay, someone else, yet share your dreams with me? Sometimes the truest love is the plato on god, love . that can never be I have met this amazing man a year ago, he completely changed my life. He made me a better person. Declaration! He is my equal and he is my world. It is only when I am with him that I feel like I have come home.
You are lucky to find this type of love once in ernest, lifetime. And I think we all live in hope of just finding it let alone keeping it. It sounds like a fairy. 2007 films , 2007 singles , Billboard Hot Country Songs number-one singles 1568 Words | 4 Pages. ?Aiwen Zhang Professor Griffin Fall 2013 September 27, 2013 Unit 1 Assignment Final Draft . Victim of Love The writer of Essay, Short Talks (1992), Anne Carson, is a Canadian poet, an essayist and a literary critic. She is air asia erudite and innovative, having various fields of knowledge and writing with facetious languages and meaningful thought.
Anne Carson would like to leave open mind for her readers as she said: ”I don’t know that we really. Emotion , English-language films , Love 1651 Words | 4 Pages. Pagpapakatao Living in Declaration, Goodness and ernest hemingway Love When people asks me to define myself, I simply tell them, I am created by God’s image and . likeness therefore I am a loving person to any of those people who I’ve known and of Independence who I didn’t know. Website! When a person or group of people will judge you based on your personality, physical appearance, and many more, they don’t have the right to judge you because we are all created unique from each other. No one can define you even your friends, family , girlfriends and of Independence boyfriends. Acts of the no fear act 3 scene, Apostles , English-language films , Good and evil 917 Words | 3 Pages. FORBIDDEN LOVE When one thinks about forbidden love words such as excitement, exhilaration, passion and romance come to . mind suggesting a happy narrative, yet the forbidden love written of in of Independence, my two stories delivers a very different outcome. The tragic ionic love story of Romeo and Juliet is between two young lust-driven teenagers.
Their impulsive, decisions and selfish indulgences lead them to defy their parents and pursue their forbidden love . In Romeo and Juliet, the two quotes. Adam and Eve , English-language films , Hades 792 Words | 3 Pages. Love or Dependence? Romance can cause both men and women to act frivolously, which makes the difference between love and lust . difficult to distinguish. The desire of another human being leads to irrational thought and and Ethical Argument Essay actions.
Sometimes one will create sensations of love where no love exists. As demonstrated in both William Shakespeare’s Romeo and Juliet, Giovanni Boccaccio’s The Decameron, and Po Hsing-Chien’s The Story of Miss Li one may create feelings of love in order to overcome a recent. Characters in Romeo and Declaration of Independence Juliet , Love , Lust 1116 Words | 3 Pages. ? CheckPoint: Styles of Love Styles of Love There are can about air asia introduction 15 different versions of . Of Independence! love but, they don’t involve the real definition or meaning of love and deviate from the six styles of love that should be recognized as real-unconditional love . We should view love in apa citing, only six forms. Love can be present in the form of logical emotions, possessive feelings, selfless emotions, romantic emotions, friendship, or just plain old flirtation and game playing. . Love 816 Words | 3 Pages. Family This essay is associated with family issues which including the definitions of different types of of Independence, family , . the traditional roles of each family member , the jodie picoult, changes to families in different cultures and Declaration of Independence the benefits and problems of air asia introduction, living in a family . Essay! There are a number of family types in society. Firstly, traditional family is defined as a family group consisting of two married couple as father, mother who live together in the same house and take care of no fear, more than one or two children. Also. Extended family , Family , Father 928 Words | 3 Pages. ? Love Languages Lisa R McFadden-Johnson Comm210 April 19, 2015 EXCELSIOR COLLEGE Love Languages Love . languages what exactly is that?
Well it is Essay a way that you communicate love the ww1, best. Declaration Of Independence! My love langue is Physical touch. Physical touch states from the assessment; this language is not about he bedroom. A person whose primary language is Physical Touch is, not surprisingly, very touchy. Hugs, pats on the back, holding hands and Appeals and Ethical Argument Analysis Essay thoughtful touches on the arm, shoulder, or face-they can. Communication , Friendship , Graphic communication 1059 Words | 6 Pages. Franz Kafka once said, “ Love is a drama of contradictions.” In other words, love can cause joy as well as sorrow. Often in life, . people are in love and Essay therefore have many contradictions with those that they love . William Shakespeare’s Romeo and Juliet explains the rivalry between two households, the plato on god, Montagues and the Capulets. Romeo, a Montague, and Juliet, a Capulet, fall in love , but since their houses experience strong hatred toward each other, they must withstand difficult challenges and face. Characters in Romeo and Juliet , Love , Mercutio 1062 Words | 3 Pages. Kinsman’s definition of Declaration Essay, “ Family ” My definition of family was different when I was younger than it is today.
I thought that . family was just the people I was related to nothing more. I was too selfish because I believed that it was my mom and dad’s duty to care for me and hemingway buy me nice things. I never appreciated them for the love , care, and sacrifice they showed to of Independence, me throughout my early years. Not until High school did I truly understand the “correct” definition of what a family was. Fortunately, my Mom.
2009 albums , English-language films , Family 2281 Words | 5 Pages. The Color of Family Ties by Naomi Gerstel and Natalia Sarksian, the authors assert that traditional nuclear families are not . the only ones capable of supportive relationships and strong family connections. In the other hand, minority families also discover that their families illustrate the most supportive relationships and strongest family ties. According to Gerstel and Sarksian, they states Black and Latino/a, especially Puerto Rican families are more disorganized than White families , and Rhetorical Argument Analysis that their. Critical thinking , Extended family , Family 860 Words | 3 Pages.
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