Breast Cancer Essay Example for Free

Breast Cancer Essay In regard to its origin, dynamics and consequences breast cancer can be considered to be the second leading cause of cancer death among US and European women (Smith-Bindman et al, 2003).   Every year over 200,000 women are diagnosed with breast cancer, and though statistical data remains constant, the issue gets significant psychological and public resonance (Jemal et al, 2004). The overall lifetime risk for American women constitutes 1:8, which essentially means that out of eight females born today, one will receive a breast cancer diagnosis during her lifetime (Ogden, 2004).    Mortality rates are highest among older African American women (American Cancer Society, 2001).   Simultaneously, statistics reveals that diseased woman’s life expectancy decreases by nineteen years. Although medical scientists and practitioners debate on the methods regarding disease treatment and how to diminish the number of breast cancer cases, many public health analysts indicate about an education exigency of young people.   Despite the fact that the younger generations are not aware of the importance of detecting breast cancer early, with the help of teens getting involved and teaching others about breast cancer, more lives will be saved. The educational program developed for young people to prevent, forecast and diminish consequences of breast cancer involves several important aspects.   Primarily, audience should know the essence of the disease, in particular its nature, various risk factors associated with it and methods of its prevention.   Younger generation should be informed about how breast cancer or its first signs could be detected, what constitutes post-diagnosis procedure and treatments of the disease.    However, from the critical point of view, the main objective of such programs is to prevent the appearance of the disease and decrease to the minimum lethal consequences.   This primary concern and emphasis are stipulated with the conditions under which if breast cancer is detected on its early stages, patients have from 78% to 92% survival rate (Ogden, 2004:10). Breast cancer is considered to be a group of undifferentiated cells reproducing under extremely rapid rate in the area of the breast in women.   The earliest changes usually appear in the epithelial cells of the terminal end buds of the breast milk system, where new cancer cells form tumors.   If cancer cell are active, the tumor increases at significant rate and may result in metastasis. Being a complex process in which cells are separated from their initial tumors and supplied trough blood and lymph systems to other organs, metastasis spreads the cancer throughout the body.   According to generally accepted medical practice, if size of a lump does not exceed one centimeter, it is indicated as benign (Hart, 1999), however, in every case adequate medical consultation should be provided. Medical specialists distinguish risk factors for breast cancer that individual can change and those that cannot be affected (Barton, 2005).   Constant risk factors are considered to be being a woman, getting older, having a family history as well as previous breast cancer history, having radiation therapy to the chest area, being Caucasian, getting periods young, usually before 12 years old, having late menopause, never having children and having genetic mutation that increases individual’s risk. There were several studies conducted regarding genetic mutation for breast cancer, and it was disclosed that 3%-10% of breast cancers are related to changes in either gene BRCA1 or the gene BRCA2 (Ogden, 2004).   Simultaneously, younger audience should be taught that along with so called uncontrolled risk factors, there are several factors that can be affected by individual’s behavior. Thus, taking hormone replacement therapy, birth control pills, not breastfeeding, moderate and heavy alcohol drinking, being overweight and not exercising can actually being qualified as risk factors for breast cancer, though not as much important as gender, age and family history (Barton, 2005:28). However, factors mentioned above can be controlled by every woman in order to reduce chances of developing a breast malignancy.   From the practical point of view, cancer risk factors are based on probabilities, therefore proper screening and early detection remain to be the most adequate methods in reducing the mortality associated with breast cancer.   Ã‚  Ã‚  Ã‚   During the education process, the main thing that should be emphasized is that the effectiveness of treatment is directly related to the stage on which a breast cancer is detected (Barton, 2005; Ogden, 2004).   The common medical practice indicates that regular mammography screening allows decreasing the mortality of breast cancer by 30% (Hart, 1999:144), which means that every woman should get a yearly mammogram starting from age 40 or even earlier.   Ã‚  Ã‚  Ã‚   During the mammography screening, the x-ray picture sometimes detects various substances in the breast, essence, character and nature of which is not recognizable and thus, it may provoke unnecessary worrying of both patient and health professional (Barton , 2005).   Young woman are recommended to have a compulsory clinical breast exam done by a health professional.   In addition, during clinical breast exam everywoman has an opportunity to learn how to conduct self-examination for lumps and shape of the breast. One should not underestimate the value of clinical breast exams or self-examination because 15% of tumors are felt but cannot be detected by regular mammographic screening (Fletcher et al, 2003:1674).   Although a lump in the breast is the most common way women discover a breast cancer, younger women should understand that any changes in a breast require further medical consultation and investigation.   Among the clinical tests that are conducted in modern oncological clinics, some women are a chance to know if they have a chance of getting the disease by simply tracing back cases of breast cancer throughout   the history of relatives. Contemporary oncologists consider the following signs to be those that require immediate attention from health specialist: Thickening or density in the breast or underarm; Ulcerated or inverted nipple; Puckered or dimple skin; Redness or swelling of the breast; A lump near the breast, including the underarm, collarbone and neck (Ogden, 2004:20-22). If these abnormalities have been detected, and it should be specifically emphasized during the education program, individual should get immediate consultation (physical exam) from a health professional, get a mammogram and possibly an ultrasound, and visit a breast surgeon for examination if needed.   Contemporary medicine possesses various treatment techniques for breast cancer, in particular, radiotherapy, toxic chemotherapy combinations, hormonal treatments and prophylactic mastectomies are used to treat early lesions. 20-year follow-up data from the NSABP B-06 trial (Mirshahidi, 2004:25) have confirmed that radiation therapy clearly decreases the rate of locoregional recurrence in patients who undergo lumpectomy. Usually, radiation treatment is given after, rather than before, chemotherapy (Mirshahidi, 2005:24). Newer radiation techniques include partial breast irradiation, partial breast irradiation and brachytherapy, and interstitial brachytherapy. These techniques are under investigation and, at this point, may be used in the context of a clinical trial (Giap, 2004). Another effective treatment of the disease, adjuvant treatment, is defined as the use of systemic therapy for microscopic metastatic disease after surgical resection of the primary tumor. Chemotherapy and antiestrogen therapy are the two major forms of adjuvant treatment, and patients may be given one or both. A meta-analysis conducted by the Early Breast Cancer Trialists Collaborative Group (Mirshahidi, 2004: 25) showed the benefit of adjuvant therapy in premenopausal and postmenopausal women and in women with node-negative and node-positive disease. Breast cancer can affect almost every individual, however there are certain risk factors according to which one woman has more chances for breast cancer diagnosis.   From the statistical point of view, the lifetime risk of any woman getting the disease is about 1:8, however the lifetime risk of dying from breast cancer is lower than 1:28 (Ogden, 2004). General education about the disease, possible risk factors and various screening and detection methods allow women to notice the disease or its signs before giving it a chance to spread.   Simultaneously, education and enhanced awareness of younger generation regarding a breast cancer reveals new opportunities in preventing the disease, its consequences and diminishing lethal cases. References American Cancer Society. (2001). Cancer facts and figures, 2001 (Publication No. 5008.96).   Ã‚  Ã‚   Atlanta: American Cancer Society Hamid R. Mirshahidi, MD Jame Abraham, MD. (2004). Managing early breast    cancer.  Postgraduate Medicine.  Minneapolis: Oct. 116(4), 23-27 Joy Ogden (2004). Understanding Breast Cancer, Wiley, 2004 Diane Hart. (1999).  Diagnosis and treatment of breast cancer. Plastic Surgical Nursing.  Pitman:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Fall.19(3): 137-145 Wylie Burke (2005). â€Å"Taking Family History Seriously†, Annals of Internal Medicine.    Philadelphia: 143(5):388-390 Huan B Giap (2004). â€Å"Accelerated breast brachytherapy: an effective and convenient alternative   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   for selected patients with early-stage breast cancer.† Women’s Oncology Review. Boca   Ã‚  Ã‚  Ã‚  Ã‚   Raton: 4(4):251-261 Mary B. Barton, MD (2005) â€Å"Breast cancer screening.†Ã‚  Postgraduate Medicine.  Minneapolis:   Ã‚   Aug 118(2):  27-35 Fletcher S.W, Elmore J.G. (2003). â€Å"Clinical practice. Mammographic screening for breast   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   cancer.† New England Journal of Medicine; 348(17):1672-80 Smith-Bindman R., Chu P.W, Miglioretti D.L., et al. (2003). â€Å"Comparison of screening mammography in the United States and the United Kingdom.† JAMA; 290(16):2129-37 Jemal A, Clegg LX, Ward E, et al.( 2004). Annual report to the nation on the status of cancer,    1975-2001, with a special feature regarding survival. Cancer; 101(1):3-27

Themes Of Bob Dylans Music Essay -- essays research papers

Bob Dylan was recognized by his poetry and song writing. He usually wrote songs about protesting and religious themes. Although the theme of Bob Dylan’s work is depressing, it is necessary to consider how the events in his life affected his music. Also Bob Dylan had other musicians that influenced him in his early years.Bob Dylan was born in Duluth Minnesota on the date of May 24th 1941. By the time he was ten years old he was writing poems and had taught himself to play guitar. He later changed his name from Robert Allen Zimmerman to the famous name Bob Dylan. In 1962 Bob visited his big early influence Woodie Guthrie in the hospital. Finally Bob Dylan got to meet him and become friends with his lost idol who was slowly dying of Huntington’s disease in Morristown, New Jersey, Dylan had written him a song called song to Woody. A famous quote from this song is â€Å"Bout a funny old world that’s coming along. Seems sick and it’s hungry, it’s tired and it’s torn, it looks like it’s dying and it’s hardly been born.†After he graduated high school in the early 1959 Dylan found himself playing folk music. This is also the time he began to write his legendary folk songs. In the 1960s Bob Dylan had turned the themes of his music to protest what many people consider the wrongs of society. In his songs he writes about the â€Å"luckless, the abandoned and’ forsaken,† as he put it in â€Å"chimes of Freedom.† He condemned the Ku Klux Klan in â€Å"The Death of Emmett Till† and the John Birchites in â€Å"Talking’ John Birch Paranoid Blues.† In Masters of War†he damned the war makers. And in Blowing’ in the wind, â€Å"he created probably his most famous song, though Dylan once stated that he wrote that song just for his friends. In fact, this anti racist, antiwar anthem is, in its deepest sense, a subtitle plea for awareness. (â€Å"How many times must a man look up/ Before he can see the sky? / Yes ‘n’ how many ears must one man have/ before he can hear people cry?†) Dylan had the characteristics of a biblical prophet, but also he had a sense of humor and irony (â€Å"Talking Bear Mountain Picnic Massacre Blues†). One soon started to notice that he was a beginning to write songs that saw the world as consisting not just of heroes and villains but mostly cowardly people caught up in all-to-human situations. In the song â€Å"Who killed Davey Moore?† Dave Moore was a boxer who got killed by another boxer in... ...ngled Up in Blue,† â€Å"Idiot Wind,† â€Å"Simple Twist of Fate† and â€Å"Shelter From the Storm.† Dylan’s greatest album to date.In 1977 Dylan and Sara divorced and in 1978 he acted in the movie â€Å"Renaldo & Clara† and that same year converted to Christianity. In 1985 he performed at â€Å"Live Aid† and â€Å"Farm Aid† and contributed to â€Å"We Are the World.† In 1970 Dylan received an Honorary Doctorate of Music from Princeton University. In 1988 Dylan was introduced to the R&R Hall of Fame. In 1991 Dylan received a Grammy Award for â€Å"Lifetime Achievement.† In 1997 Kennedy Center Honors Dylan for achievement in the arts. President Clinton stated, â€Å"He probably had more impact on people of my generation than any other creative artist.† In 1998 he was the winner of three Grammy awards in major categories for â€Å"Time Out of Mind†: The album of the Year, Best Male Contemporary Rock Vocal Performance, and Best Contemporary Folk Album. In 2000 Dylan is awarded â€Å"The Polar Music Prize† by the Royal Swedish Academy of Music for his â€Å"indisputable influence on the development of 20th century popular music as a singer-songwriter. They also nominated Dylan for the Nobel Prize in Literature in 1997, 1998 and 1999.

Life Changing Disaster

It was the most terrifying moment of my life, a storm that I will never forget. It came to us as a surprise, in the middle of the night, when everyone was asleep. It was powerful and deadly for many. It changed my life completely when It left me and family with a destroyed home for months. Of course nobody knew what was going to come next and how things will be. It was dark and windy and nobody was awake In the house when I heard a loud bang outside my window.I woke up and saw a tree broken from Its roots lying on the driveway of my neighbors' house. Next thing I know, my mother ran to my room and opened the door. She had woken up from the sound of the tree falling as well. The first thing that came to our minds was to go straight to the basement in case a tornado was coming. My dad checked all the windows and locked all the doors while I and my mom collected water and food to bring to the basement in case we had to stay there for a while.The storm was roughly six or seven hours long during which e heard trees, houses' windows and other things breaking from the strong wind. Finally the storm had passed and we went upstairs to see nothing but broken windows and furniture thrown around the house by the wind. The storm was the most destructive one in the area recorded in nearly a hundred years according to statistics we heard on the news. It had left people without shelter for weeks and even months. Three of my neighbors were killed by the storm, along with hundreds more in the area which it had hit.Nobody knew where it came from or owe it happened to be so powerful but the outcome of it was horrifying. I was only seven years old and already had seen death and destruction. A psychological scar was given to me by the hands of the destructive wind. For months I was afraid of encountering another disaster like that one. I begged my parents to move our bedrooms to the basement Just to be safe. They knew it had a large Impact on my perception of storms and wind overall but chose to let me try and overcome my fear by facing it.The bedrooms stayed where they were but we had to eve out of the house and to a motel for a month while the house was being worked on by my dad and uncle. Even till this day the sound of wind Is more terrifying to me than death Itself. The loud whistling of the wind and the dancing of the trees makes me shiver Like a child. Days pass and people forget about what happened on that dark autumn night. Only the children who lost their parents and the people who lost their spouses still remember the terror. Now I know to always expect the unexpected and try to prepare for the worst so if it comes, I could be ready.Life Changing Disaster By denouncement September 24, 2010 was powerful and deadly for many. It changed my life completely when it left me and It was dark and windy and nobody was awake in the house when I heard a loud bang outside my window. I woke up and saw a tree broken from its roots lying on the large impact on my p erception of storms and wind overall but chose to let me try and Even till this day the sound of wind is more terrifying to me than death itself. The loud whistling of the wind and the dancing of the trees makes me shiver like a child.

The Epic Of Gilgamesh An Act Of Love And Trust - 1225 Words

What Defines Innocence? While sex is an act of love and trust, a lot of people throw it around as though it were a football. Many people regret their first sexual encounter because of who they did it with or because they weren’t ready, but they continue to perform the act because they feel that since they already lost their innocence, there is no use in staying abstinent. However, just because one has had sex does not mean they have lost their innocence. Sex is an act of growing and learning, not of losing self-respect and innocence. Sex should be seen as a natural act of mankind that one should not be ashamed of; however, it really depends on who the person is and how they feel about themselves. Through the stories of The Epic of Gilgamesh, â€Å"Degradation in Erotic Life†, and â€Å"Sex†, the reader can see that the act of sexual intercourse will not cause a loss of innocence as long as one is confident in themselves. The Epic of Gilgamesh: Book One by Stephen Mitchell tells the story of a king named Gilgamesh. He is an overall great king: â€Å"Surpassing all kings, powerful and tall / beyond all others, violent, splendid, / a wild bull of a man, unvanquished leader,† (Mitchell 71). However, he causes a lot of anger in his kingdom because he chooses any girl he pleases and has sex with her. Because of this, the people make a request that the gods do something to control Gilgamesh. Their request is met by the making of Enkidu, a double for Gilgamesh, who will keep peace in theShow MoreRelatedThe Role Of Women In The Epic Of Gilgamesh1189 Words   |  5 Pages The Epic of Gilgamesh follows a tale of two brothers tasked with defeating an all-powerful beast, yet they aren’t the most important characters in this story. 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