Read this research paper Essay Example | Topics and Well Written Essays - 1000 words

Read this research paper - Essay Example PET (Jeong et al 1). Out of the 154 patients, eighty?one patients received de?nitive CRT and 73 received trimodality therapy (Jeong et al 1). I feel that research presented enough data to help me judge for myself how the experiment turned out. Notably, the research presented data, which included criteria for determining which patients should receive de?nitive CRT rather than surgery after preoperative CRT (Jeong et al 1). Moreover, the research ensured that the 72 patients of the 73 patients under trimodality therapy underwent transthoracic esophagectomy and one underwent transhiatal esophagectomy to enhance clarity in analyzing the collected data and the results (Jeong et al 2). Additionally, there was a follow-up, which started from the beginning of the Radiotherapy thus enhancing uniformity and correctness of the research. This would be significant for me in judging how the experiment turned out. Notably, the researchers used the AJCC 6th edition TNM stage classi?cation and the mu ltiple logistic regression analysis to determine the pathologic stage and the PET?CR to estimate the propensity score (Jeong et al 2). These methods present efficient, professional, and reliable data that is enough for me to establish how the experiment turned out. More so, the nonparsimonious model that addressed all the variables in the experiment derived significant data that would facilitate an independent opinion on the direction of the experiment (Jeong et al 2).The research presents data on the characteristics of the 154 patients, treatment response, and survival rates. The presented data is enough for me to make an informed decision on how the experiment turned out (Jeong et al 2). Question 3 The data mentioned by the author had a unique pattern. In fact, the data shows that all the 154 patients had squamous cell carcinoma with the majority of them being men (Jeong et al 2). Another pattern shows that 45 Gy was the mean total radiation dose in the preoperative CRT group whil e the 50 Gy was the mean total radiation dose in the de?nitive CRT group (Jeong et al 2). Furthermore, we can establish a superiority pattern where the rate of pCR was superior in the PET?CR group than in the PET?CR group (Jeong et al 2). More so, there was a treatment failure pattern where most of the 154 patients experienced treatment failure (Jeong et al 3). Another pattern was clear where local failure was the major failure site in the de?nitive CRT group while distant metastasis was the major pattern of failure in the trimodality group (Jeong et al 4). Another common pattern in this research was surgery being a signi?cant prognostic factor for LRFS in the entire patients (Jeong et al 3). Nevertheless, I can establish that the research did not address the problem of age with relation to surgery. Discussion Question 1 An analysis of the data in this research concludes that the addition of surgery showed higher DFS and LRFS rates than those of the PET?CR subgroup of de?nitive CRT patients (Jeong et al 5). More so, it concludes that PET?CR after CRT was a signi?cant prognostic factor for OS, DFS, and LRFS in locally advanced esophageal squamous cell carcinoma (Jeong et al 5). Ultimately, the research concludes that despite achieving PET?CR, surgery still seems to improve local tumor control (Jeong et al 5). The

Electricity Industry in the U.S Essay Example | Topics and Well Written Essays - 750 words

Electricity Industry in the U.S - Essay Example Coal is the leading electricity generating source. In 2013, 39.1% of electricity was generated using coal. Natural Gas was second with 27.4%. The nuclear source contributed to 19.4% of the total electricity generated in that year while renewable sources like solar and wind generation had 12.9%. Other sources of electricity had the least percentage of only 1.2%. Compared to the same data recorded in 2006, the share controlled by natural gases had dropped dramatically from 70%. Nuclear energy was contributed to 20% in 2006 while renewable energy rose from 3% in 2006. However, the percentage contributed by coal was not shown in 2006. Hence, it could be assumed that a coal production is a form of electricity generation in the US. The electricity industry in the U.S is comprised of several companies and stakeholders that offer services through electricity generation, transmission and distribution. Other industrial players are domestic and commercial market operators besides product sales personnel. A survey conducted in 1996 showed that there were at least 3200 utility firms engaging in power distribution. Among the 3200 firms, at most 1000 engaged in electricity generation (Only ten were government owned while the rest were private enterprises) (Blume, 2007, p. 83). In the US, electricity transmission is carried out under the supervision of independent system operators and regional transmission firms. The electricity transmitting organization focusses at offering equity services rather than being profit oriented. These utilities and organizations are controlled by public institutions, for example, Department of energy that generates electricity policies and Environmental Protection Policies that develop environmental policies.

Development of Tourism in Saudi Arabia Essay Example | Topics and Well Written Essays - 11250 words - 1

Development of Tourism in Saudi Arabia - Essay Example The researcher tried not to choose participants who visited Saudi Arabia just once. People who visited the country twice but with short intervals (probably in months) were also not considered to be taken as participants for this paper’s survey, as this could impact the results and this could also prevent in finding out the reality. This is because, to notice the development of any country, months are really not enough. At least one and the half year is ideal to notice some of the changes. Normally, countries strive and work on several projects which take months to be finalized and to be actually executed. Operations do not just start. It takes a lot of time because each project involves a lot of finance and that financial plan or budget needs to be planned, designed, tested, approved and need to pass several stages before being operational. This point is very important. For active developers, one and the half year of a gap is considered as reasonable, while in third world coun tries with lazy executors, identical changes take more than five to seven years. For any country, the growth and the development in the industry of tourism brings a number of positive results. This, not only, includes the foreign investments but a lot more than that in a number of ways. A country receives investments when it is rich in resources. Especially, the oil reserves and the petroleum reserves are normally considered as the blessings and fortune of any country. The foreign investments open doors to the foreign engineers and to the other foreign employees. When the investment projects are a little more than the average number of projects, a country faces a lot of problems in acquiring professional services from the local workforce. Therefore, it opens doors to the foreign professionals to apply and offer their services. However, the local engineers and professionals are given priority over the outsiders in many cases. A company may acquire foreign services for a long-term or for a short-term contract.

Study of a nursing theory ( choose a nursing theorist ) for use in Research Paper

Study of a nursing theory ( choose a nursing theorist ) for use in practice - Research Paper Example One such theorist is Jean Watson who developed and conceptualized the "Theory of Human Caring". According to Watson (2009), "nursing is a lifetime journey of caring and healing, seeking to understand and preserve the wholeness of human existence, and to offer compassionate, informed, knowledgeable human caring to society and humankind." In this essay, application of Watson's theory to clinical nursing practice will be exercised for better understanding of the concepts of the theory. Context of development of theory Jean Watson, an imminent theorist and nurse educator has contributed immensely to the nursing profession. Her most popular conceptualization of nursing profession is the Theory of Transpersonal Caring which is commonly known as the Theory of Human Caring. The nurse educator was born in West Virginia. She graduated from the Colarado University and completed Master's degree from the same University. Her specialty was psychiatric-mental health nursing. She did her Ph.D in cou nseling in psychology. She is currently a distinguished professor at the Colarado University. She is the founder of the Center for Human Caring located in the same city as the University she is employed at (Cara, 2003). The theory is the output of the professor's experience in the field of psychology, mental health and counseling, her specialty subjects during her post graduation and doctorate degrees. This theory emphasizes the humanistic aspect of the noble profession of nursing based on principles of scientific knowledge acquired through education, learning, research and training. Thus, this theory is very important for the profession of nursing both theoretically and practically. Watson (2009) opined that "the ability to resolve conflicts between what nursing is and what nurses supposedly do, may be the most critical challenge for the discipline and for the profession’s survival into this millennium." Watson strongly believed that resolution of conflicts at all levels of society is crucial, because; such conflicts can affect health care at any level (Cara, 2003). The theory of Human caring was brought out in 1979. According to Watson, nursing is a profession that is distinct from other health related professions. Based on this distinct nature of the profession, she defined, ascertained and opined about the distinct role of the profession in the caring for humans who are sick. Infact, this theory defined the role of nurse. According to the theory of Human Caring, nurses impart care by establishing a good relationship with the patients and also their relatives (Sitzman, 2007). Nurses have to treat patients by including all aspects of life, the mind, body and spirit and not just deal with physical ailments of the body. Thus, nurses are expected to provide holistic care to the patient. It is because of holistic care that various needs of the patient like spiritual, emotional, psychological, economical and physical needs of the patient are met. The theor y strongly upholds the fact that nurses must display acceptance towards patients and their relatives in an unconditional manner and whatever treatment is instituted is done with positivism. Nurses are expected to cause health promotion and well-being through appropriate knowledge concerning the medical condition of the patient and also through medical interventions. Above all, it is expected that

Desire satisfaction theory Essay Example | Topics and Well Written Essays - 750 words

Desire satisfaction theory - Essay Example It gives weight on the present action time and can cause tension with previous desires and cause regrets in the long run (Shafer-Landau, The ethical life, 2014). It is important to note that pleasure and pain are often inside people’s heads. Thus, the well being of individuals consists in the satisfaction of the people’s preferences and desires. The most important part of desire satisfaction is the overall level of desire achieved in the entire life of an individual. The more desire satisfaction an individual has in his life, the better for them. It is important to note, however, that we desire things because they have independent good on us and not that they are good because they will ultimately satisfy our desire for them. Objective theory of human life suggests things that has items that are neither useful in pleasurable experience or in satisfaction of our desires. For instance, we can consider either knowledge or even friendship. This theory suggests that we take what is self sufficient according to us, as what makes life worthy of any choice and lacking nothing. If, for instance, an individual views that well-being is only existent in friendship and pleasure, another individual can dispute this by showing that knowledge is also something that enables the well-being of individuals. To determine what goes into this list, it is important to rely on reflective judgment or intuition. This makes the theory less satisfactory compared to the other two theories. It is clear from this theory that intuition does not rule out argument. Argument brings individuals to see the truth. Intuitions can also be mistaken thus proving to be a strong defense line for hedonists. The most convincing theories of the three is the hedonism theory. It state that individuals always acts in pursuit of what their minds think will give them the greatest pleasure over pain. Human beings, in this theory, have been given two choices

Education and Testing Standards - Wisconsin Essay

Education and Testing Standards - Wisconsin - Essay Example The document provides objectives that teachers are expected to achieve and measured via the scores of their students. However, it does not dictate how these are to be taught. The strategy is left to the teacher to determine and implement. You will find, however, that there are three main points common in all grade levels: training students towards critical thinking, use of technology as aid to learning, and giving the students the confidence to learn, impart what they know, and ask questions and explore to know more. The measure of these standards is where each grade level differs. Reading and Writing for the early years of K-5 put emphasis on understanding the details of the text while later years concentrate on understanding the subtext, understanding the context, and analysing characters via their personal experience. Interstate School Leaders Licensure Consortium (ISLLC) Administrator Standards The CCS is a 13-page administrator standard that clearly defines the responsibilities of administrative officials involved in the education of children. Like CCS, it defines the expectations but does not provide for how these expectations are to be met. The document is pretty straight forward but very helpful for teachers in order to understand the point of view of administrators when they make decision and set direction of a school. There are always some differences between how teachers see things and how administrators will do things because of the very nature of their obligations. In summary, they have seven major concerns: (1) know the teachers’ objectives, how they can develop in their profession, teaching style, and how students see the student, (2) know the students in terms of knowledge, disposition, and performance, (3) nurture a school conducive for learning, (4) nurture a system that will help push the students forward, (5) establish relationship between the families and communities of students, (6) work with integrity, ethics and fairness, and (7) learn and work with a larger political, social, legal, and cultural perspective. Interstate New Teachers Assessment and Support Consortium (INTASC) Teachers Standards The INTASC is a 10-page teachers standard. It sets the minimum requirements of a teacher in terms of knowledge, character, and teaching skill. It does not set objectives on what a teacher must achieve at the end of a school year. It is a requirement on what a teacher should be to be able to effectively teach their courses to students and use the strategies set forth by the CCS. Of the 10 points, four are most likely the hardest to measure or determine: a teacher’s ability to set a collaborative learning environment, the use of both formal and informal assessment strategies, understand how students are different and still be able to come up with a strategy that would nurture all students, and understand how to be of help to the students on an intellectual, social and personal level without invading privacy. How t he Documents Are Similar Never the Details. These documents set the objectives that teachers and administrative personnel must achieve for students to learn what they are expected to possess for college and, eventually, the professional world. To a certain extent, it also provides the strategies that teachers can utilize to achieve the objectives but none of these documents provide specific steps on how to get to the

Relationship Analysis in A Christmas Carol Essay

Relationship Analysis in A Christmas Carol - Essay Example In books, the tone of communication is enough to describe the relationship between two characters and the author does not need to explain the relationship separately. The analysis in this paper will be done in a similar manner, i.e. by considering the tone of communication between the characters. Thus, this analysis would show that the context and manner of communication define the relationship between the individuals communicating with each other. This is also one of the most important aspects of the interpersonal communication. The main character of the book is Ebenezer Scrooge who has been described as being a stingy and miser person who stays away from philanthropic activities and spends every penny after giving it a significant thought. Scrooge has no value for the acts of kindness or benevolence and all he cares about is accumulation of wealth. Jacob Marley was the business partner of Scrooge who has been disclosed to have been dead for seven years when the story starts to unfo ld. On the Christmas Eve in the 1840’s Scrooge is visited by the ghost of his dead business partner Jacob Marley who tries to convince Scrooge to change his ways. In the past, Marley has been described as being the only friend, administrator, business partner and mourner of Scrooge therefore it can be said that both the characters had a similar personality, i.e. they both had love for money. After seven years of the death of Marley, Scrooge is visited by the ghost of Marley. Initially the character of Marley does not communicate directly with Scrooge but makes Scrooge feel his appearance in different ways. He then appears in the fireplace in Scrooge’s bedroom. Ultimately, the ghost of Marley appears in front of Scrooge himself. This is where the first verbal communication between these two characters takes place. Initially the character of Scrooge responds coldly to the appearance of the ghost and asks what does the ghost wants from him. The ghost of Marley replies, â €Å"Much!† Scrooge then asks who the ghost was and Marley replies, â€Å"Ask me who I was.† The character of Marley then reminds Scrooge that he was his only friend in his life. Scrooge still remains doubtful but the manner of his dialogue suggests that he is not as cold as he was at his first reaction. He offers Marley a seat and remains unsure whether a ghost would need one. Scrooge remains skeptical whether Marley is real or not and the communication between the characters takes another turn when Scrooge behaves as if Marley is just a figment of his imagination and it is not a real ghost. At one point, Scrooge expresses to Marley that it must be something he had eaten that is playing tricks on his mind. The ghost of Marley lets out a cry that makes Scrooge so afraid he fell upon his knees and begged from mercy. Here, it can be said that the context of communication has changed completely as compared to where it started. Initially, the character of Scrooge was cold t owards the character of ghost Marley. Perception of the characters also plays an important part in the effectiveness of communication between two individuals. If the perceptions of individuals are similar, there would be effective communication between them as the receiver would understand what the sender is trying to communicate (Robbins, 2009). However, if there is difference in perceptions there would be distortion in the flow of communication and a lot of reconciliation would also be required. In this book, the character of