...Multiple Myeloma Multiple Myeloma is a form of cancer which affects the plasma cells of the body, which are white blood cells. Multiple Myeloma, first described in 1848, is a disease “characterized by a proliferation of malignant plasma cells and a subsequent overabundance of monoclonal paraprotein.” To understand how Multiple Myeloma affects an infected person’s plasma cells, it helps to have a general understanding of how normal blood cells are formed and how they act. Most blood cells develop from stem cells, which can be found in bone marrow (soft material inside our bones – the “filling”). Stem cells mature into white blood cells, red blood cells, or platelets.2 The purpose of white blood cells is to fight off infection, while red blood cells carry oxygen and platelets aid in blood clotting, which controls bleeding. Plasma cells make antibodies, which are parts of the immune system and help the body protect itself from germs and other harmful substances (Exhibit 1).2 Myeloma begins when a plasma cell begins dividing uncontrollably, which sets off a chain reaction of abnormal cell divisions. These abnormal plasma cells are called myeloma cells. Eventually, there is a large buildup of myeloma cells in the bone marrow, potentially damaging the outer, solid part of the bone. The reason the disease is called multiple myeloma because it usually affects several bones in any given infected person. The myeloma cells, instead of creating the normal antibodies, create...
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...Evidence-Based Nursing Care for Multiple Myeloma Patients Evidence-Based Nursing Care for Multiple Myeloma Patients Comprised of the blood cells, blood, lymph, and other organs involved in the formation or storage of blood, the hematologic system allows the human body to maintain adequate oxygenation and tissue perfusion (Ignatavicius & Workman, 2010, p. 876). Because every cell, tissue, organ, and system is dependent on blood circulation for survival, hematologic problems involving impaired production, impaired function, or abnormal destruction of blood cells are likely to have wide-reaching effects on the patient's health and wellness (Ignatavicius & Workman, 2010, p. 876). This is especially clear when examining cancers of the hematologic system, including multiple myeloma. A cancer of certain white blood cells in the bone marrow known as plasma cells, “myeloma” refers to a tumor of the bone marrow, and “multiple” refers to more than one area of the bone marrow being affected (Mangan, 2006, p. 64hn1). Because the disease is incurable, and because only 30 percent of patients survive longer than five years after diagnosis, living with multiple myeloma can be difficult for patients and their families (Mangan, 2006, p. 64hn1). As health care providers on the front lines of patient care, nurses must be aware of the multi-system manifestations of multiple myeloma, be able to make the assessments needed to identify and prevent complications...
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...Multiple Myeloma Practical Apllication of dsdsd Nikolitsa Vagenas Azusa Pacific University Case Study: Multiple Myeloma What is Multiple Myeloma? What is it Yiayia are you going to be okay? I remember saying these exact words after finding out that my grandmother had been diagnosed with cancer, this was about seven years ago. When she was first diagnosed with cancer, she made sure that the whole family knew right away and this took a toll on my family. Before this had all happened, my Yiayia, Greek for grandmother, knew she had multiple myeloma she complained about having back pain. We just assumed it was from her osteoporosis, which causes bones to become fragile (Osteoporosis Mayo Clinic Staff, 2014)....
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...Jacob Frederick 5-29-12 Buller Composition II Marijuana: Medicine or Menace? I have had strong feelings about this issue before it was even brought up as a topic for debate in our class. My opinion on the topic has not changed in the slightest, but I did learn a lot of interesting details concerning it. I have always felt that marijuana should be legalized, or at the very least, people with serious medical conditions should have access to it. And marijuana doesn’t even have to be legalized in my opinion, but it should definitely be decriminalized. I don’t think anyone who wants to smoke a plant that they grow themselves should have to suffer consequences, considering they are responsible in their recreational smoking. I do feel that if it were legalized, that there should be an acceptable age limit to buy and/or consume marijuana, comparable to that of alcohol. There are beneficial as well as harmful effects concerning marijuana, but that goes for a lot of things people do in everyday life. And I feel that a lot of time has been spent shining the spotlight on the harmful effects of marijuana, while little research has been done or even allowed, on the benefits of marijuana. While preparing for the debate, I encountered many sources on each end of the spectrum; including some in the middle. Many of the sources I looked at seemed rather credible, but others were most definitely biased. One example of a blatantly biased comment was, "Most pot smokers drink alcohol heavily...
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...Hey Class, Here are the question and and answers for the midterm. Multiple choice questions with the answers 1. In the neolitchic revolution, the growth of communities was a result of B)Farming and domestification of animals 2.Francis Bacon argued that scientific method different from logic and mathematical in that D)scientific inquiry starts with the phenomena and ends in theory. 3.Wajcman argues that the perception of technology as necessarily masculine is D)socially constructecd, and a result of parrent of production and consumption of the technologies 4.The instruduction of four uniform time zones in the united states was a direct result of C)The impact of a fully interated reailroad system 5.One of the chareacteristics wikiart is B) it's collaberative and ever-changing 6.according to Winner, the use of computer technologies to supervise workersis B) A reflection of a political relationship 7.The term Luddite refers to C) Workers who rejected new technologies 8.Which of the following consider a scholarly resource? B) Journal of the American Medical Association 9.Bill Joy compare the threat ofself-replicating nanotehcnology with A) The use of living cells in genetic engineering 10.The term nanotechnology was first used to referred to B) Production techonology Essay questions 50 points each 1. (TCO 1&2) Landes argues that these were cultural differences between the East and the West that affected the development and application of some technologies...
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...FOR DISPENSING CANNABIS TO SOMEONE THAT IS NOT ALLOWED TO UTILIZE CANNABIS AND WILL BE SUBJECT TO A ADDITIONAL CHARGE OF $2,000, FOR THE ABUSE OF THE REASONABLE RELIEF OF PAIN ACT. ANGELA INGRAM POL110 – AMERICAN EXPERIENCE ANDREA MILES – INSTRUCTOR JUNE 22, 2012 SENATE OF THE UNITED STATES OF AMERICA 2011 SESSION INTRODUCED BY: PRIMARY SPONSOR: REP. ANGELA INGRAM SECONDARY SPONSOR: REP. JOSE PEREZ AN ACT REGARDING ALTERNATIVE TREATMENT FOR SERIOUS DISEASES THAT CAUSE CHRONIC PAIN. 1. PURPOSE: THE PURPOSE OF THIS BILL IS TO LEGALIZE MEDICINAL MARIJUANA 2. TO ALLEVIATE THE PAIN AND SUFFERING OF PATIENTS WITH CHRONIC ILLNESSES 3. LIKE MULTIPLE SCLEROSIS, CANCER, HIV/AIDS, PARKINSON ’S DISEASE OR 4. CROHN’S DISEASE. 5. THE HOUSE OF REPRESENTATIVES OF THE UNITED STATES OF AMERICA 6. HEREBY ENACTS AS FOLLOWS: 7. SECTION 1: SHORT TITLE 8. THIS ACT SHALL BE KNOWN AND MAY BE CITED AS THE “REASONABLE RELIEF OF 9. PAIN” ACT 10. SECTION 3: FINDINGS....
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...CMA Certification Franklin University Professor 10 May 2013 CMA Certification CMA stands for Certified Management Accountant and it is the “advanced professional certification specifically designed to measure the accounting and financial management skills that drive business performance” (How To Become a CMA, n.d.). The Institute of Management Accountants governs the CMA exam and there are quite a few requirements one must meet in order to even be eligible to sit for the exam. First of all, you must be a member of the Institute of Management Accountants to be eligible for the CMA program. The other eligibility criteria includes paying the entrance fee, satisfying the education qualification, satisfying the experience qualification, receiving passing scores for all required examination parts, and compliance with the IMA Statement of Ethical Professional Practice. The entrance fee for Professional members is $225 and the entrance fee for students and academic members (members U.S., Canada, or Mexico) is $75. The education qualification includes having a bachelor’s degree, in any area, from an accredited college or university. Applicants may also have degrees that are not from accredited institutions but they must be evaluated by an independent agency. To be eligible for the experience qualification, applicants must have at least 2 years of continuous professional experience in management accounting and/or financial management. This experience is expected to be gained...
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...Multiple Sclerosis Devastates Lives Dr. Miller states on page 293 in his book Coping with Chronic Illness “Multiple Sclerosis is the most predominant of the human demyelinating diseases.” Multiple Sclerosis is the demyelinating of the central nerve system of the brain and spinal cord. The demyelinating process is the destruction of the fatty material, myelin, which insulates nerves. The damage is caused by the immune system treating the myelin as a disease. The results of the attack of the immune system cause cognitive loss throughout the body. The history of Multiple Sclerosis begins with Jean Cruveilhier, professor of pathology at the University of Paris, who is credited for the first documentation and description of MS in 1830. In the 1880’s, Dr. Freud treated his nanny for Multiple Sclerosis and is credited for the first treatments of MS. Prior to the use of the MRI in 1981 diagnosis was difficult, the most common method used to test for Multiple Sclerosis was by dunking the patient in a hot tub of water to try and bring about the symptoms of MS. (Kalb, R. (1996). Multiple Sclerosis page 43) There are many theories as to the onset of Multiple Sclerosis. As stated by Ronald Schapira, M.D. in his book Symptom Management in Multiples Sclerosis page 11,” Until the cause of MS is determined, it is unlikely that a cure will be found”. Some believe that it is a viral infection. If it is a viral infection then why would only some people exposed to the virus contract...
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...Rogers Professor Benham ENC 1101 October 4,2011 Effect of Multiple Sclerosis Multiple Sclerosis is an autoimmune condition of the nervous system and the brain. This means that the body’s innate ability to attack potentially harmful foreign bodies backfires. When this happens, the immune cells that should target the pathogens attach normal and healthy cells instead. Multiple sclerosis is such a condition in which the nerve endings are damaged due to the loss or destruction of the myelin sheath, a protective covering. The sensitivity and effective transmitting capability of the nerves are then compromised. (All Health Online) There are five types of Multiple Sclerosis, however the severity and type of multiple sclerosis depends upon the size and location of the plaque. There are five common types of multiple sclerosis: 1) Benign Sensory multiple sclerosis, which is a form of multiple sclerosis is the less effective on the body, it usually doesn’t get worse and it usually accompanied with loss of sensation and vision problems.2) Benign exacerbating/remission Multiple Sclerosis, fluctuates but comes closely back to baseline after the attack. 3) Chronic Relapsing-Progressive Multiple Sclerosis is another type of MS where the patents’ have more server episodes. 4) Chronic Progressive Multiple Sclerosis is a more progressive condition where symptoms get worse without a distinct attack. 5) Acute Progressive Multiple Sclerosis involves a rapidly progressive downhill course, where...
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...MULTIPLE CHOICE QUESTIONS Each question consists of a stem, which supplies the central question or problem. Each question contains responses, from which individuals must choose the correct response. Incorrect responses are called distracters, and the correct response is simply called the answer. Multiple-choice questions can appear in a variety of forms. The stem can be a complete direct question as in the following: Which of the following systems does the stomach belong? A. skeletal B. respiratory C. nervous D. digestive Or, the stem can be in the form of an incomplete statement, as follows: A neutered male horse is called a : A. gelding B. pinto C. palomino D. roan Individuals are asked to identify the best response from among those listed. Multiple-Choice Questions can be used to measure achievement in all six levels of the cognitive domain. Constructing Multiple-Choice Questions- The stem should be significant. The best stem for a multiple-choice question is one that would make a good completion question if you didn't supply responses to choose from. The stem should state the question or problem, sufficiently so that only the right choice is justified as the answer. MULTIPLE-CHOICE QUESTIONS FOR SIX COGNITIVE LEVELS The following are the six cognitive levels that should be used in the construction of your multiple choice questions. Construct one question from each level for a total of 6 questions per...
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...This set of 28 questions, taken from prior examinations, covers topics in Chapters 1, 2, 3, 4, and 5. The purpose of sample multiple choice questions is to acquaint you with the style and substance of typical exam questions over this material. Please be aware that: 1. multiple choice format questions are only one of many resources available to prepare for testing events – reading textbook chapters and working through chapter examples, studying the end-of-chapter review problem and accompanying solution, and reviewing assigned homework items and the published solutions may be more powerful methods to increase your understanding of the topics covered in the course. 2. the exam questions used this quarter will be similar but different from these example questions – understanding the main concepts in each chapter is critical to success on the testing events; remembering a sample question may be of some help but the format of a question on the same topic often differs rendering memory a distant second choice to understanding. The Questions: 6. Scheney Company uses the weighted-average method in its process costing system. The company's work in process inventory on March 31 consisted of 20,000 units. The units in the ending work in process inventory were 100% complete with respect to materials and 70% complete with respect to labor and overhead. If the cost per equivalent unit for March was $2.50 for materials and $4.75 for labor and overhead, the total cost in the...
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...Neural correlates of interspecies perspective taking in the post-mortem Atlantic Salmon: An argument for multiple comparisons correction Craig M. Bennett1, Abigail A. Baird2, Michael B. Miller1, and George L. Wolford3 1 3 Psychology Department, University of California Santa Barbara, Santa Barbara, CA; 2 Department of Psychology, Vassar College, Poughkeepsie, NY; Department of Psychological & Brain Sciences, Dartmouth College, Hanover, NH INTRODUCTION With the extreme dimensionality of functional neuroimaging data comes extreme risk for false positives. Across the 130,000 voxels in a typical fMRI volume the probability of a false positive is almost certain. Correction for multiple comparisons should be completed with these datasets, but is often ignored by investigators. To illustrate the magnitude of the problem we carried out a real experiment that demonstrates the danger of not correcting for chance properly. GLM RESULTS METHODS Subject. One mature Atlantic Salmon (Salmo salar) participated in the fMRI study. The salmon was approximately 18 inches long, weighed 3.8 lbs, and was not alive at the time of scanning. Task. The task administered to the salmon involved completing an open-ended mentalizing task. The salmon was shown a series of photographs depicting human individuals in social situations with a specified emotional valence. The salmon was asked to determine what emotion the individual in the photo must have been experiencing. Design. Stimuli were presented...
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...Santana Morrison Management Coming into Winston Salem State I was going to major in Accounting, until I took Principles of Financial Management my first semester here. I did really well in the class, but it came down to me having to pass the final exam in order to pass the class. The exams giving throughout the year were mainly short answer and a few multiple choice questions, but the final exam was all multiple choice. I made a B on the final, which was the highest grade I made out of all the exams. I didn’t like that and the fact that the professor told us that if we made a C in the course we shouldn’t go on to accounting two. I did let it discourage me and somewhat had an effect on changing my major, but I should have not let that change my mind. In another course we had quizzes every Thursday, I missed two quizzes (due to surgery and illness) and it brought me from a high C to a D. The professor always told me to email him even when I had questions for the final exam and asked if I could meet with him to go over the study guide. When I took the exam I couldn’t answer many questions because I felt like I didn’t have extra help and even tutors here on campus couldn’t help me, but that’s another issue. I feel that the curriculum for business maybe a little challenging at times. Also, professors should always encourage their students and help them when they need help, but not by email. I decided to pick up the Human Resource Concentration last spring and so far I like the HR...
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...IIBM Institute of Business Management Examination Paper MM.100 Distribution & Logistics Management Section A: Objective Type & Short Questions (30 marks) • This section consists of Multiple Choice questions & short note questions. • Answer all the questions. • Part one questions carry 1 mark each & Part Two questions carry 5 marks each. Part One: Multiple Choices: 1. It deals with the movement of finished goods from the last point of production to the point of consumption. a. Marketing Channel Management b. Logistics Management c. Boundaries d. Relationships 2. Which conflict is one of the major bottleneck in the development & maintenance of partnering channel relationship a. Channel conflict b. Management conflict c. Logistics conflict d. Distribution conflict 3. The phase of externally integrated business function era (1990s onwards) is recognized as the era of a. Logistics Management b. Human Resource Management c. Financial Management d. Supply Chain Management 4. may be conducted from time-to-time or at least once in a year to know about change in the expectation levels & actual performance a. Customer Service Monitoring cell b. Formal Customer Satisfaction Survey c. Customer Conference d. Customer Feedback System 5. The firm‟s incomplete or inaccurate knowledge of customer‟s service expectations is known as ...
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...CURRICULUM VITAE Natesha M D Email id: nateshamd@gmail.com Contact no:+919738204174 Alternate no: +918867148108 |Career Objective | Looking for a technical company where I get to learn and contribute to the company’s growth, to put forward my capabilities to the best of my ability with a constant endeavor to grow both as an intellectual and as human being. |Educational Qualification | |Year of Passing |Discipline/Specialization |Board/University |School/college |% | |2012 |B. E. in Computer Science and |VTU |Govt. Engineering College |60.1 | | |Engineering | |Hassan | | |2008 |XII |PUC |Govt. Boys College |51.33 | | | | |Holenarasipura. | | |2006 |X |KSSEB ...
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