Annotated Soap Note Assignment Example | Topics and Well Written Essays - 750 words

Annotated Soap Note - Assignment Example The pain does not extend to other areas and the mass is located close to the nipple and feels hard when touched. The lump emerged about three weeks ago. The patients report no change in the size of the breast and there is no discharge. Pertinent medical: immunizations up to date (last TD Jan 2015). She has undergone post mastectomy radiation therapy six months, 20mg/day tamoxifen, and 600mg ibuferon. The patient denies ever using hormonal drugs. Family history: Her mother passed away due to breast cancer at the age of 65 years. The father living (70-year-old) has history of hypertension and DM. has two siblings (brother 35 years old and sister 37 year old) both in good health. Social history: She admits smoking three to five cigarettes a day but denies using hard drugs and alcohol. The patient is single and has no children. She is an active dancer and participates in swimming. Her current diet is low calorie with a lot of fruits and vegetables. General: Presents in a normal state of â€Å"good† weight and health. No recent weight loss or gain. No presence of rash around the nipple of the left breast. There is pain on the lump when pressed. No lumps on the armpit. HEENT: no problem with hearing or vision. No headaches or dizziness. Normal nasal diameters, and no running nose or congestion. There is no evidence of removable or permanent dental. Last dental assessment conducted on January 2015. The lump is smooth, rubbery and moves with ease within the breast tissue. A fine needle aspiration was conducted to obtain a tissue for testing. There is no bleeding or discharge from the nipple and neither is there any change in color. The diagnosis is based on three assessments imaging, cytopathological and clinical. The three assessments aim to reduce the effect of any technique of diagnosis being less than 100% specific and sensitive to diagnose or eliminate breast cancer. The clinical assessment aim to

Statistical Analysis of Research Results Paper Example | Topics and Well Written Essays - 1500 words

Statistical Analysis of Results - Research Paper Example 239 5 56 29 570 8 97 50 241 2 58 29 580 11 108 56 242 3 61 31 590 13 121 63 243 5 66 34 600 9 130 67 245 2 68 34 610 8 138 71 246 7 75 39 620 10 148 76 247 6 81 42 630 6 154 78 248 4 85 43 640 7 161 82 250 7 92 47 650 12 173 89 251 3 95 48 660 9 182 93 252 6 101 51 670 2 184 92 253 8 109 56 680 1 185 92 255 9 118 61 690 5 190 96 256 6 124 63 710 4 194 98 257 9 133 68 720 1 195 97 258 7 140 71 730 1 196 98 259 6 146 74 760 1 197 98 261 5 151 76 770 1 198 99 262 4 155 78 780 2 200 100 263 5 160 80 790 1 201 100 264 2 162 81 265 7 169 85 266 8 177 90 267 6 183 92 269 2 185 92 270 12 197 100 271 2 199 99 300 2 201 100 Data from Table 1 shows that 51% of the students scored below the Grade 11 Math Score of 252 indicating that half of the populations may be having difficulty with the subject. However we see from Table 2 that the median SAT Math Score of the students is 570. Since SAT scores range from 200-800, a score of 570 for Math may be considered as above average and meets the minimum requirement of some major public universities in the country. With this result, it is of further interest to see consider some factors which have effect on SAT scores. The dataset contains 7 variables namely: Student Identifier Number, GPA, Track Rank, Grade 8 Science Assessment Score, Grade 8 Language Assessment Score, Grade 11 Math Assessment Score and Grade 11 SAT Score for Math. It is of interest to determine the how these variables affect each other. Pearson's correlation, often denoted as r, can be used to compute for the degree of relationship two variables have with each other. The closer the value is to 1, the more associated the two variables are. Values for the Pearson's correlation coefficient may be either...However we see from Table 2 that the median SAT Math Score of the students is 570. Since SAT scores range from 200-800, a score of 570 for Math may be considered as above average and meets the minimum requirement of some major public universities in the country. With this result, it is of further interest to see consider some factors which have effect on SAT scores. The dataset contains 7 variables namely: Student Identifier Number, GPA, Track Rank, Grade 8 Science Assessment Score, Grade 8 Language Assessment Score, Grade 11 Math Assessment Score and Grade 11 SAT Score for Math. It is of interest to determine the how these variables affect each other. Pearson's correlation, often denoted as r, can be used to compute for the degree of relationship two variables have with each other. The closer the value is to 1, the more associated the two variables are. Values for the Pearson's correlation coefficient may be either positive or negative. A negative value for Pearson's correlation indicates that as the value of one variable goes up, the value for its associated variables goes down or vice versa. A positive value for Pearson's correlation indicates that the values for both variables increase and decrease together. It is computed as follows: Ho

NEITHER PROFESSIONALS AMATEURS NOR BEGINNERS SHOULD PLAY ANYTHING BUT Essay

NEITHER PROFESSIONALS AMATEURS NOR BEGINNERS SHOULD PLAY ANYTHING BUT THE MUSIC OF THE GREAT MASTERS AND THEN SHOULD NOT ADD THE SLIGHEST OF THEIR OWN TO IT - Essay Example Originality, in this respect, is an important word. Originality may be described as a phenomenon that caters to the personal sense of creation that an artist indulges in. This sense of creation is something that is an outcome of the artist’s sense of aesthetics and what he or she feels will have a wide acceptance and appeal in the long run. In this regard, artists generally regard qualities like timelessness and mass appeal in the creation of work that will be demonstrated before people. Originality is an important concept for this paper due to the nature of the topic. Is it possible to remain original by playing classics – that too without adding a touch of your own to a piece of work? The role of originality here is in the creation. A musician may create a classic on his own and it will be called recreation. Most people might argue that it is important to render your own elements even when playing classics so as to ensure that there is a demonstration of how a person can improvise. In this regard, the counter argument is that the listener is usually not concerned with the technicalities. It very often happens that a recreation of a certain piece of work is not taken to well in its â€Å"improvised† form as there are constant comparisons with the original. This works against the musician in question, therefore making his work ‘a cheap imitation’.

Looking At The Golden Age Of Hollywood Film Studies Essay

Looking At The Golden Age Of Hollywood Film Studies Essay The Great Depression was a depressing time of hardship. There were economic troubles, financial collapses, and agriculture declines, but that didnt stop the fun. There was music, radio, dancing, dating, and family time. Also in the 1930s, movies became popular to social classes. Movies provided the reassurance of the future. Movies gave glimpses of what could be, and fascinated the people of the rural life, which led movies to become popular in demand. As the world entered a depression, Hollywood entered its Golden Age. The first attempt to make a movie was by Thomas Edison in the late 1870s. After creating the phonograph, he got the idea of creating a device that would show pictures along with the sounds from the phonograph. Although it was not a success, the process enlightened and sparked the ideas of others. In 1903, the first real attempt to make a motion picture movie or story-picture was by Edwin S. Porter with The Great Train Robbery. After Porters first story-picture came the following of many more. Not long after, Harry Davis came with the idea of creating a place to show these story-pictures. He built the first nickelodeon or five-cent theater in 1905, which caused the rise of many others. The first Hollywood studio, Nester, was built in 1911 and was followed by many others. Story-pictures earned the name movies from the locals and provided work for the local community. The first actors were not named because as the studios predicted, they would demand higher pay. The revealing of actors and actresss names started after Florence The Biograph Girl Lawrences accident. Studios also assumed that an audience would not sit through a film any longer than a short film. This assumption was stopped by the movie Birth of a Nation, a 3 hour film about the civil war. When the 1930s rolled around, there were horror films, comedy films, drama films, mystery films, and musicals. The most popular were horror and comedy films. Horror films of the 1930s were alluring and extraordinary films. The ominous characters pulled audiences in with their creepy costumes and strange accents. Back then, horror was escapism of the tragic feeling of The Depression. People gathered in cinemas to be scared by mythical monsters of fictitious worlds. Three famous horror films are Dracula (1931), Frankenstein (1931), and King Kong (1933). All three were crowd favorites and today are classics that people still watch in awe. Comedy films provided a temporary escape from life. They left, and still today leave, joy and smiles on peoples faces with their normally happy endings. Slapstick comedy and screwball comedy were both popular in the 1930s. Slapstick comedy was a silent, physical, and visual comedy that included horseplay. The Three Stooges (1930), is an example of slapstick comedy. Screwball comedy was included in the romantic comedy genre. Screwball comedy also included slapstick comedy. Screwball comedy was sophisticated romance films that pinpointed the battle of the sexes. The Awful Truth (1937) and Bringing Up Baby (1938) are examples of screwball comedy. In the 1930s, Shirley Temple was an extremely popular child actor/star. People believe Shirley Temples popularity and fame came from the hope and entertainment she gave during The Depression. Shirley Temple played in The Little Colonel, Curly Top, Little Miss Marker, and Heidi. Two other famous child actors were Carl Alfalfa Switzer and Scotty Beckett. Alfalfa and Scotty were introduced to the world in Our Gang aka The Little Rascals, a comedy series. They were two of the most well-known child stars on the show. Both are still very popular today because of the modern film The Little Rascals. Judy Garland, Dorothy from The Wizard of Oz, was a famous actress from the 1930s. She started acted at the age of 2  ½ and worked her way up. She was the only actress that was signed by MGM without a screen test. Judy went on to be a not only an actress, but also a singer. She was very popular in the 1930s. A popular actor of the 1930s is Bela Lugosi. He played as Count Dracula in 1931 film Dracula. It was his signature performance on Broadway that was made a classic by Universal Studios. Both actors are remembered today for their lead roles in those popular classics. Movies have come a long way. They showed the glamour of high society life. Movies were great ways to escaped hardships. Movies were reassuring and everyone enjoyed them. Movies have become more and more popular throughout the time periods. Hollywood s Golden Age is over, but yet still growing. McLellan, Derek. The Birth of Motion Pictures : From the Slot Machine to the     Ã‚  Ã‚  Ã‚  Ã‚  Nickelodeon.  The Golden Age of Hollywood. N.p., 2007. Web. 10 May 2010. McLellan, Derek. The Early Years.  The Golden Age of Hollywood. N.p., 2007. Web. 10 May 2010. Horror Begins To Talk And Scream.  Horror Film History. N.p., n.d. Web. 10     Ã‚  Ã‚  Ã‚  Ã‚  May 2010. Dirks, Tim. Comedy Films.  Filmsite. American Movie Classics Company LLC, 2010.  Web. 10 May 2010 Shirley Temple, SuperStar.  MovieActors. N.p., n.d. Web. 10 May 2010. Carl Alfalfa Switzer 1927 1959 Hollywood Forever .  Cemetery Guide. N.p.,     Ã‚  Ã‚  Ã‚  Ã‚  n.d. Web. 12 May 2010. Garland Biography.  The Judy Room. Scott Brogan, 1999-2010. Web. 12 May 2010. Biography.  Bela Lugosi. Lugosi Enterprises. Pasadena Computer Works, 2006.     Ã‚  Ã‚  Ã‚  Ã‚  Web. 12 May 2010.

Knowles Separate Peace Essays: Enemies of the Heart :: Separate Peace Essays

Enemies of the Heart  in  A Separate Peace Dealing with enemies has been a problem ever since the beginning of time. In A Separate Peace by John Knowels, the value of dealing with your feelings and dealing with your enemies is shown by Gene Forester, a student in Devon during World War 2 dealing with few human enemies, but his emotions create a nemesis far greater than any human enemy. "I never killed anybody," Gene had commented later in his adulthood, "And I never developed an intense level of hatred for the enemy. Because my war ended before I ever put on a uniform; I was on active duty all my time at Devon; I killed my enemy there." At Devon, Gene had a best friend, Finny, they were roommates and did many activities together. Finny was never the culprit, but usually the catalyst, for most of Gene's feelings, both good and bad. Gene was jealous of Finny's confidence, openness, modesty, superb athletic abilities, leadership skills, ability to deal with stress easily, care-free attitude, people skills and, of course, his good looks. Early in the story Finny demonstrated his openness when asked for his height, he said 5 foot, 8 ½ inches, while Gene replied 5 foot, 9 inches. Finny pointed out that they were the same height and Gene shouldn't be ashamed of his real height. Later that day, Finney suggests they skip dinner to go swimming in the river.   They are asked where they have been upon their return. Finny quickly replied that they were swimming in the river, something that is forbidden, and they got away with it. Gene said that the rules are very bent during the summer session, but it was actually Finny's people skills that had kept them out of trouble. Finny was very bold, as Gene many a time wished he was, on one occasion Finny wore a bright pink shirt "symbolizing the first U.S. bombing in Europe. Gene called him a "faerie" but really envied him. Later Finny wore the school tie as a belt and when questioned he claimed that it represented "Devon in the war." Gene was happily awaiting a scolding for Finny, but again, he got in no trouble. Another day the two were walking and came across a plaque near the pool claiming that A. Hopkins Parker held the record for swimming across the pool the fastest, Finny took one look at and thought he could beat it, so without any practice at all he plunged into the pool, Gene timed him and he beat it, just like that.

Sociological Theory Essay -- Social Inequality Sociology

It is a theme in sociology to discover where and why there are social inequalities, either as a result of class stratification, gender, race, and/or a combination of these factors. Theorist cannot explore, or even attempt to, discuss all of the issues so they develop explanations that, at times, coincide with one another. In dealing with the relationship between two conceptualized ideas, oppression/inequality and individualist/liberal ideology, theorist seem to focus on the cause and effect association that structures these ideas. Focusing on four theorist and their ideas for the production of these relationships we will discover how they intertwine and build on each person’s understanding of one topic, and show how it can branch to cover others, or expose the deficiencies and provide a new perception of the societal structure. After the examinations and suggestions made on how to make the communities we live in more inclusive of those who feel, and in fact are, oppressed ther e are no remedies that can cure the plague of society’s inequalities/oppressions, and whether they are evidence of individualist/liberal ideology does not matter. In T.H. Marshall’s â€Å"Citizenship and Social Class† he assesses the reasons for social inequality by examining the structure and definition of citizenship. He defends his argument by investigating the origin of citizenship in English history. In the beginning of his theory Marshall defines the individual pieces that produce citizenship; civil rights, political rights, and social rights. Civil rights are â€Å"the rights necessary for individual freedom-liberty of the person; freedom of speech, thought, and faith† (Marshall 1995 [1965]. p.94); political rights give permission to be a member of the politic... ...hley W. Doane and Eduardo Bonilla-Silva (eds.), â€Å"‘New Racism,’ Color-Blind Racism, and the Future of Whiteness in America.† In White Out: The Continuing Significance of Racism (New York: Routledge), pp. 271-312. Fraser, Nancy and Lynda Gordon. 1995. â€Å"Contract versus Charity: Why is There No Social Citizenship in the United States.† In Gershon Shafir (ed.), The Citizenship Debates (Minneapolis: University of Minnesota Press), pp. [XX]. Marshall, T. H. 1995 [1965]. â€Å"Citizenship and Social Class.† In Gershon Shafir (ed.), The Citizenship Debates (Minneapolis: University of Minnesota Press), pp. [XX]. Young, Iris Marion. 1996. â€Å"Gender as Seriality: Thinking Theoretically about Women as a Social Collective.† In Barbara Laslett and Ruth Ellen Boetcher (eds), The Second Signs Reader: Feminist Scholarship, 1983-1996 (Chicago: University of Chicago Press), pp. 713-738.

Briefly discuss why it was written

The chapter titled â€Å"THIS UNEXPECTED EVENT † : ANNIHILATION AT THE COWPENS was written to stress the strategic and consequential importance of the immemorial battle fought between the British and American armies at Cowpens in South Carolina in 1781.The American victors led by their Commander Daniel Morgan, used the most advanced and pioneer tactical strategies to counter the might of the British who had so far made victorious inroads into other parts of the world by using their time tested and advanced military strategies.The inspiration for using such a  strategy could have been taken from the double envelopment techniques used by Hannibal during the classic Battle at Cannae in 216 BC, whereby he 2 conclusively defeated the massive Roman army that was almost twice the size of his own. It is understood by many that the victory at Cowpens was due to a rare opportunity available to the American Commander and the presence of mind along with the trust imposed in him by his g enerals led to the landmark victory that had noteworthy consequences in setting the course for future events in American history. The battle at Cowpens was comparatively small in view of the other battlesof the time when the British struggled to establish their supremacy in America, but it proved that the so far considered to be unbeaten British Commander Tarleton was also vulnerable in the face of the new tactical strategies of the American infantry and cavalry. The results of the battle set the course for a reduction in the morale of the British army who were taken aback by the unimagined tactical techniques used by Morgan and his officers. The result of the battle was a confirmation that the Americans demonstrated proper use of battle techniques using the cavalry and infantry.The victory was indeed a landmark one and the remains of the battle ground and the remnants of the memoirs remain intact and preserved to this day to match the accounts of the actual battle field so as to re mind Americans of 3 the victory that paved the way and set course towards establishing their supremacy against the British. b. Writer’s Conclusion. What does the writer conclude about the period or event? The basis of forming conclusions about the Battle at Cowpens can be exhaustively had from the various vantage points set up and maintained at the actual battle site.On the strength of their location and description that is conclusively associated with the written accounts of the battle by several writers and the participants in the battle who were also commanders and rank holders in the cavalry and infantry, a feel of the actual thought process of Commander Morgan and his Officers can be experienced. The writer feels that indeed Commander Morgan was a pioneer in such battle strategy and displayed exemplary courage and leadership qualities to boost the morale of his people and to synchronize the timely availability of logistical support asand when required. His main line of d efense was based on tactical use of formations with an element of surprise and operational security. He used the militia very effectively by planning ahead and placing them at the right locations to counter enemy infringement. He established a skirmish line by effectively using advanced technology and light infantry that had so far 4 never been used in the 18th century. Although the British deployed their formations in a linear battlefield, there were psychological effects of fatigue that halted the initial signs of victory.Initially the British under the leadership of Tarleton, made victorious strides pushing back the Americans causing for some time discouragement amongst their ranks, but the British suddenly started to loose ground in the face of tactical moves by Morgan and his ranks. There had to be a fast retreat under immense pressure from the Americans leading to large number of casualties amongst the British. However in this context the battle is remembered due to its learni ng lessons by way of the great sense of battle discipline displayed amongst the soldiers, close combat techniques and the collection andassessment of battlefield information on the part of the British. The Battle at Cowpen paved the way for the future use of creating psychological impact as was done effectively when the retreating Americans under the orders of their Commander Howard took an about turn and indiscriminately fired at the Britishers who were unaware of such a move and which turned the table against them. In this context, Howard acted under instructions from Morgan as part of the plan and the effect of such fire 5 power was decisively in favor of the Americans. Consequently, anothernoteworthy conclusion of this event is that the battle is a perfect laboratory example for analysis of psychological factor working in war and how it can be effectively used against the enemy. Evidence Supporting the Conclusion. Incorporate evidence offered by the writer to support the chapter . Why should I believe this person? The Battle at Cowpen was a battle that set new trends and patterns of tactical strategies to counter enemy supremacy, which is aptly proved by the course of events that followed 1781 to set new landmarks in American history. Thechapter gives a detailed account of the battle, the course of events and the intricacies that changed the initial victorious trend of the British on the battlefield. All that is written in the chapter about the battle is supported by a real existence of the actual battle site and the different stages of the battle being earmarked by Vantage Points 1 to 12, which aptly prove that the site is there and that the battle did take place in 1781. The vantage points give an account of the different stages of the battle where most of the action happened and the visitor is made to have a taste and gut feeling of the battleactually happening before him, as the entire site can be viewed and observed 6 from one spot. So there is full ev idence in support of the chapter by way of the actual existence of the battle site that is maintained to this day. References Scott Withrow, Park Ranger, The Battle of Cowpen, may 2005, http://www. nps. gov/archive/cowp/batlcowp. htm The Battle of Cowpens 1781, http://www. britishbattles. com/battle-cowpens. htm John Buchanan, The American Revolution in the Carolinas, http://www. theamericanrevolution. org/battles/bat_cowp. asp