Sunday, May 17, 2020

Love Poems for that Special Lady - 2111 Words

LOVE POEMS FOR THAT SPECIAL LADY ROY L KEITH Copyright Page content to be provided by TRAFFORD INTRODUCTION I AM DEDICATING THIS TO A LOVELY LADY THAT INSPIRED ME TO WRITE THESE POEMS. EVEN THOUGH I CAN’T EXPRESS MY DEEPEST GRATITUDE TO HER. I DEDICATE THIS BOOK TO HER. THANKS FOR EVERYTHING APRIL. A Single Rose All the love that history knows, is said to be in a single rose. Yet all that could be found in two, is less than what I feel for you. Angels With the angels still near and dear to the heart This couple shall prosper and never grow apart For it’s not always the eye that is the first to see What really matters in life and what is meant to be So remember that to love is time well spent And what brought you two together was heaven sent So, go hand and hand to a future unknown Knowing that with the Lord, you will never be alone Love is when you look into someones eyes and see their heart Take a moment every day Look deep into each others eyes Never hesitate to show affection Small gestures will keep a love alive Talk openly about your feelings Take time to show that you care Treasure each and every moment Because to find true love is rare â€Å"April† We sat side by side in the morning light and looked out at the future together Love feels no burden, thinks nothing of trouble, attempts what is above its strength, pleads no excuse of impossibility It is therefore able to undertake allShow MoreRelated Essay on Lust and Love in Shakespeare’s Sonnet 130 and Campion’s There is a Garden860 Words   |  4 PagesLust and Love in Shakespeare’s Sonnet 130 and Campion’s There is a Garden in Her Face  Ã‚     Ã‚   When a comparison is made between There is a Garden in Her Face by Thomas Campion and Sonnet 130 by William Shakespeare, the difference between lustful adoration and true love becomes evident. Both poems involve descriptions of a beloved lady seen through the eyes of the speaker, but the speaker in Campions poem discusses the womans beautiful perfections, while the speaker in Shakespeares poem showsRead More Comparing Form and Content of Jabberwocky, The Raven, and Lady of Shalott955 Words   |  4 PagesComparing Form and Content of Jabberwocky, The Raven, and Lady of Shalott      Ã‚  Ã‚   In many poems, the use of imagery and sound causes the reader to consider them to be good or bad. Repetition, alliteration, the use of metaphors and images together with rhymes and the text itself work together to create that special feeling or message the poet wants to share. The Romantics believed that poetry should express the poets feelings or state of mind and should not be worked with or thought throughRead MoreA Comparison Of The PoeThe Raven And Ligeia1056 Words   |  5 PagesThe Raven and Ligeia Edgar Allen Poe is known as a dark gothic writer. 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Both poems are clearly love poems; however, the types of love that each one representsRead MoreRepetition Of Lucille Clifton s White Lady1291 Words   |  6 PagesRepetition in Lucille Clifton’s â€Å"white lady† I like persimmons. I like persimmons. I like persimmons. There. I’ve repeated the phrase thrice. Now, if I asked you to identify whether I like persimmons or not, you would, almost certainly, say â€Å"yes.† Having the same statement reiterated three times makes one more confident that it’s not only important, but that it’s a fact in this context! In Lucille Clifton’s â€Å"white lady,† a tone of desperation is conveyed through repetition of words, phrases, andRead More Sonnets: The Power of Love Essay1581 Words   |  7 PagesPower of Love  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The majority of Elizabethan sonnets reflect two major themes: time and love. William Shakespeare, too, followed this convention, producing 154 sonnets, many of which deal with the usual theme of love. Because the concept of love is in itself so immense, Shakespeare found several ways to capture the essence of his passion. Therefore, in his poetry he explored various methods and used them to describe the emotions associated with his love for a mysterious dark lady. TheseRead MoreMutual Forbearance Poem Analysis1419 Words   |  6 Pagesrelationship, and for some, of life itself. It is in this widespread influence that the conceptions of love and marriage are such powerful topics in modern and classical literature, specifically poetry, the more lyrical structure providing a more aesthetic and artistic impression on the reader, usually the object of the poet’s desires. Yet, William Cowper’s poem Mutual Forbearance – Necessary to the Happiness of the Married State C owper twists the expectations of marriage to something more unstableRead MoreShakespeare Sonnet 144 Theme1207 Words   |  5 PagesShakespeare’s well-known collection of poems tie two controversial and famous concepts within the numerous forms of poetry together in a mesh that puzzles the speaker beyond words. The sonnets written by Shakespeare give his readers insight to the love problems that he reflects, ponders, and battles in his mind in well over 2,000 written lines in the entire collection. The first half of these sonnets are directed towards a young man, and the other section is speaking of a â€Å"dark lady† who holds the speaker’s heartRead MoreExamples Of Heroism In The Faerie Queene1029 Words   |  5 Pagesare only four out of the many that are shown but are definitely significant characters to this epic poem. They all share some common similarities and differences other than the fact that they are vital characters to this epic poem. Also, they in dividually have their own unique characteristics and traits which eventually lead them to be heroes. Out of the many knights presented throughout the poem, there is one knight in particular whos the only to reappear in every book. He is also a great hero;Read MoreEmily Dickinson Transcendentalism757 Words   |  4 Pagesexceptional poet. She is a philosophical woman, and her poems reflect that. She wrote about things people thought aren’t topics that women should be discussing, such as life, death, love, success, and the impact of society. She doesn’t follow the rules women or poets are supposed to follow, but that is what makes her a great author. Though her poems are unusual and against the norm of poetry, she is undeniably a transcendentalist author, as depicted in her poems This is My Letter to the World and The Soul Selects

Wednesday, May 6, 2020

Breast Cancer Patients Treated With Endocrine Therapy

When it is assumed that 40 % of breast cancer patients treated with endocrine therapy are resistant to this therapy it becomes a problem within the health world, because that such a larger number of patients are not being cured from this treatment. Researchers have studied the Cyclin D1 (CCND1) amplification for being the possible cause for tamoxifen resistance. Cyclin D1 is found within 10-20% of breast cancer patients making it a prime suspect too why patients are becoming resistant to treatment procedures. Not only does CCND1 amplification preferentially occurs in ER positive breast cancer patients, but also eight different studies have shown data linking poor response of tamoxifen therapy too CCND1. FISH (Fluorescence in situ†¦show more content†¦This means the average number of tumor blocks per breast cancer was 6.0 in this study. All in all the results show that the CCND1 amplifications is rarely heterogeneous in breast cancer. The high degree of homogeneity seen for C CND1 amplification suggests that this alteration represents an early event in breast cancer development in a small subset of breast cancers and that the CCND1 amplification status determined in a core biopsy will be highly representative of the entire tumor and appropriate for predicting treatment outcome if applicable. (CDKs) cyclin-dependent kinases are a family of serine/threonine kinases that are controlling progression throughout the cell cycle. In this review the main focus is going to be on cyclin D1 and other similar manner of functions. Cyclin D1 plays one of the most important roles in the cell cycle, because it will lead to progression through association with CDK4 and CDK6. The problem discussed is that within Cyclin D1 the DNA damage response and repairs alarms the chromosome stability. Metastasis has become a major cause of death in cancer patients that resulted in studies of cellular migration making it essential for tumor metastasis. Scientist have figured out that cyclin D1 binding of pk27 contributed to cellular migration. The review very comprehensive it is 9 pages of solid information even though 4 of the 9 pages are references. No, all the references are not related to the problem underShow MoreRelatedA Study On Breast Cancer843 Words   |  4 PagesBreast Cancer Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in women (Up to Date, 2014). The associated risk can be as high as 12% for every woman in the United States, regardless of family history (American Cancer Society, 2013). For this reason, care begins with patient education, risk stratification, and preventative medicine. 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More specifically, these cancers are either papillary thyroid cancer (PTC) or follicular thyroid cancers (FTC), with 80.2% being diagnosed as papillary and 11.4% as follicular (Avram, 2012). DTC is the fifth most common cancer among females and has ten year survival rates of 97% for PTC and 94% for FTC (Khan et al.Read MoreEssay on New Treatments for Breast Cancer1923 Words   |  8 PagesTreatments for Breast Cancer Breast Cancer affects one in eight of American women, and is the second most common cause of cancer death in America. I chose to write my term paper on breast cancer because it is a disease that has effected some members of my family. Due to this possibly inherited condition, I felt that researching the topic would help me learn ways to prevent the disease and educate myself to perform self-exams that may result in early detection. Breast cancer is a malignant tumorRead MoreThyroid Cancer Essay989 Words   |  4 PagesThyroid Cancer is a thyroid neoplasm that develops in the thyroid gland. The thyroid gland consists of two large lobes that are connected by the isthmus and is located below the larynx on both sides of the trachea. The gland secretes hormones from the hypothalamus that may be stored in the colloid or released into the blood in capillaries. In the endocrine system, the thyroid gland secretes hormones that act on cells with specific receptors called target cells. When cancer develops in the thyroidRead MorePathogenesis And Treatment Of Breast Cancer1235 Words   |  5 Pagesis known that cancer, in general, is a group of diseases that is characterized by the out-of-control growth and spread of a group of abnormal cells, which can often times result in death. More specifically, breast cancer is a hormonally dependent disease, which causes malignancy in the epithelial cells of the ducts and/or lob ules of the breast (Lippman, 2012). Therefore, â€Å"women without functioning ovaries, who never receive estrogen-replacement therapy, do not develop breast cancer† (Lippman, 2012)Read MoreHormone Replacement Therapy in Transgendering the FTM Transsexual1759 Words   |  8 PagesHormone Replacement Therapy in Transgendering the FTM Transsexual Gender may well be the most defining factor in the spectrum of elements that comprise the human persona. In fact gender is so basic to our identity, most people mistakenly assume that our sense of being male or female is defined with absolute certainty by our anatomical sex. Contrary to popular belief, our sense of gender and anatomical sex are two distinct elements; each developing at different times in different parts ofRead MorePhysioEx 9 Ex. 11 review sheet1186 Words   |  5 Pagesï » ¿physioex 9.0 Review Sheet Exercise 4 Endocrine System Physiology Name: Kelly E. Fischer Lab Time/Date: 7:00 PM/Wednesday Activity 1 Metabolism and Thyroid Hormone Part 1 1 Which rat had the fastest basal metabolic rate (BMR)? The normal rat had the faster basal metabolic rate, because it was not missing its pituitary gland or its thyroid gland. 2 Why did the metabolic rates differ between the normal rat and the surgically altered rats? How well did the results compare with your predictionRead MoreThe Most Vital Functions Of The Nervous System1233 Words   |  5 Pagesexpensive public health condition with annual cost to society exceeding that of combined costs of diabetes, cancer, and heart diseases. Then, we have set of diseases that follow chronic pain. This includes, but not limited to, depression, stress related disorders and diseases caused due to immobility. Regrettably, chronic is usually co-morbid with other conditions like diabetes and cancer, and its incidence increases with age. Hence, if left unchecked, all we can expect is a steady rise in its prevalenceRead MoreOsteoporosis Is The Most Common Bone Disease1800 Words   |  8 Pageshigh risk for fracture receiving androgen deprivation therapy for non-metastatic prostate cancer †¢ Treatment to increase bone mass in women at high risk for fracture receiving adjuvant aromatase inhibitor therapy for breast cancer Dosage and administration †¢ Prolia should be administered by a healthcare professional †¢ Administer 60 mg every 6 months as a subcutaneous injection in the upper arm, upper thigh, or abdomen †¢ Instruct patients to take calcium 1000 mg daily and at least 400 IU vitamin

Individual Focused Reflection

Question: 1 a) Reflect on and describe how your beliefs and attitudes towards people who have mental health issues have changed from before you started this mental health unit and since being involved in the unit. In your answer discuss factors that may have influenced your opinions prior to your study such as your own experience of mental health issues or that of someone you know; your knowledge base; your age, beliefs, ethnicity, etc. b) Consider the application of the model cultural safety in nursing care that we discussed in lectures in week 1 and in the tutorial in week 2. Thinking about your response to Part 1a, discuss how your own culture including your beliefs/opinions, values and attitudes may present challenges to your capacity to give care. 2a)Consider the material covered in his unitup to and including week 4 of the semester including the therapeutic use of self. What do you think you might find difficult about mental health nursing and the therapeutic use of self what do you think you will do well? That is, discuss your strengths and possible limitations. b)Following on from Part 2a, explain how you will use your learning in this unit to enhance your practice from a mental health perspective in two (2) specific nursing practice settings. The practice settings must not be mental health specialty practice settings. Demonstrate how your knowledge and skills of mental health and mental health nursing will enhance the care you provide in the settings you choose. Answer: 1 a)Unfortunately, many people hold a negative view about the people having mental health issues. My beliefs and attitudes towards the people suffering from mental health have changed as one of my uncles suffers from it. I have been with the uncle as a kid and did not understand much about mental health issues. I used terms such as mad and crazy observing his aggression issues. I felt insecure and scared around people with mental health issues. But, with time my knowledge base has expanded. With my growing age, I started researching about the mental health issues on the internet. I extended my knowledge base regarding prenatal issues and post-birth defects. As I belong to Asian background, with Nepalese ethnicity, I only know English and Nepali as the two languages. My family has visited several medical centres and educational institutions for these special cases. Therefore, my beliefs, attitudes and values changed as I observed the issue in many people. My respect and sympathy for t he special people increased. I felt sorry for the people undergoing mental health issues as it is not only devastating for them, but the entire family. They are undergoing pain and might not be able to express or communicate the issues surrounding them. My attitude towards psychiatric treatment has changed and I feel free to talk about the issues surrounding mental illness. I seek recommendations from psychiatrists or acquaintances that can provide me knowledge for the same. My compassion towards the people has also increased as I can feel and connect with them. b) Cultural safety is essential in nursing practice and it empowers the healthcare practitioner and the patient. As a mental care practitioner, I would have to work with people of different gender, generation, different ethnicity, religious belief and different levels of disability. My own culture, beliefs and opinions might challenge the capacity to give care. I feel sympathetic towards the patients suffering from mental health issues. My aim is to improve the health status and wellbeing of the patients. Having extreme concern can disrupt the medical treatments necessary for the patients. The patients may be provided with Electroconvulsive Therapy that is a shock treatment to relieve people from psychiatric illness. I must never make assumptions about the individuals beliefs and try to know more about the health problems faced by the individual. I am not very comfortable with dealing severe cases. As I have had a personal experience of my uncle with aggression, I might be unable to provide quality care to such patients. I might hesitate to serve people with a huge generation gap. I may also find it problematic to coordinate with people who have use language other than English. As I do not know language other than English, it would be difficult to communicate and coordinate with the patients not understanding or speaking English. Lack of cultural awareness and failure to provide culturally competent care can greatly increase the stresses experienced by critically ill patients and can result in inadequate care provided by healthcare professionals. 2a)According to Knight (2012), therapeutic use of self is recognized as an important tool as it shall give me the ability to use my personality in full awareness to establish relatedness and structure nursing interventions. With my caring personality, I have the ability to put patients at ease. I possess effective team working skills that enable me to work well with doctors, physicians and other nurses. I can control the stress levels so that the patients can remain calm in medical situations. With excellent communication skills, I can establish strong connections with the family members of patients. Effective communication also helps in building their faith in me. I have reliable time management skills that allow me to properly administer medical concerns. However, I am unable to handle pressure that may restrict me from performing duties effectively in the nursing practice. I get nervous easily and lack confidence. I plan for the worst try to do everything in my power to make sure it doesn't happen. I guess my weakness would be that I am a perfectionist. I am an "A" type personality. I want everything to be just perfect and it bothers me when things are not arranged in the manner I want. But retrospectively it is also strength in a manner as I don't stop till I am satisfied. I want the best working conditions to work and I want peoples respect if they want my respect in return. I prefer my nursing leaders motivating me for work rather than acting as a transactional leader. b) In the first nursing setting, I shall play the role of mental health counsellor. As one of my greatest strengths is communication, I can use that skill for mental health counselling. I can involve the patients in getting to know their issues and help solve them. As a mental health counsellor, I can regularly interact with the patients. I can use psychotherapy to improve the individuals mental health and resolve compulsions or emotions (Bearman et al., 2013). The range of factors affecting mental health of the individuals shall be assessed using different therapeutic tools. I shall provide them with social stigma and help develop their relationship with others. Counselling shall not just be available for the patients, but also their family members. In the other nursing setting, I can provide occupational therapy in which the mental health patients can lead fulfilling and meaningful lives. I can engage with some of the hardest service users who are enduing mental illness. I shall pr ovide quality care and involve the patients in productive roles where they can develop in a collaborative manner. I shall bring the patients in environment in which they could engage by doing pottery or woodwork. I shall use empathetic skills and ensure patients and their family that they can lead good quality of life. I shall look at their strengths and provide a different perspective to their life. Occupational therapy shall be used to make the individuals independent. The client-centred treatment shall help in great recovery of mental health patients (Sturkenboom et al., 2014). References Bearman, S. K., Weisz, J. R., Chorpita, B. F., Hoagwood, K., Ward, A., Ugueto, A. M., ... Research Network on Youth Mental Health. (2013). More practice, less preach? The role of supervision processes and therapist characteristics in EBP implementation.Administration and Policy in Mental Health and Mental Health Services Research,40(6), 518-529. Knight, C. (2012). Therapeutic use of self: Theoretical and evidence-based considerations for clinical practice and supervision.The Clinical Supervisor,31(1), 1-24. Sturkenboom, I. H., Graff, M. J., Hendriks, J. C., Veenhuizen, Y., Munneke, M., Bloem, B. R., ... OTiP Study Group. (2014). Efficacy of occupational therapy for patients with Parkinson's disease: a randomised controlled trial.The Lancet Neurology,13(6), 557-566.