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Eid Al-Fitr Every country has some days which are celebrated by people, and they are called . Driving Essay. festivals . In fact, most festival days in the world come from religion. In Saudi Arabia, Saudi people celebrate in Eid Al-Fitr, which comes after month of Ramadan, which is the Muslims fasting. Indeed, people usually dress new clothes, do some celebration in the morning, and eat special food. First of all, as every festival in the world ,people wear. Eid ul-Fitr , Islam , Islamic calendar 486 Words | 2 Pages.
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I feel that this particular. Berkeley County, South Carolina , Cash , Cash drawer 770 Words | 4 Pages. The Greatest Festivals In Islam In Islam, celebration is a form of thanking Allah, the paper in apa, One True God. Complementary Alternative Medicine Research. Celebration, in Islam, is . Papers On Jumping. merry-making, going out to alternative medicine paper parties, visiting and meeting friends and relatives and having clean fun, and also a form of physical and spiritual purification. Islamic celebrations include taking a bath, putting on clean or new clothes, wearing perfume and going to essay the mosque or a place of congregation for Salat, a form of prescribed prayers. The dates and days of celebration. Eid al-Adha , Hajj , Islam 904 Words | 3 Pages. reality through its manifestation of all five human senses thus allowing the audience to vicariously experience the moment captured. Of the alternative medicine, thousands of . photographs taken by my family and I, there is one that I would call my favorite . The first thing that comes to persuasive essay mind while looking at this picture, especially for someone not from my eclectic Bengali family, would be wow.
The amalgam of colors, faces and complementary alternative medicine paper, personalities may be overwhelming to look at for some but for me, the beauty lies within the questions 2009, chaos. Alfred Stieglitz , Anxiety , Family 1154 Words | 3 Pages.
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Regarding homework, do you grade for completion?Do you assign homework and give a grade based only on completion? Is this effective? How much effort is a student really putting into the. Do you assign homework and give a grade based only on completion? Is this effective?
How much effort is a student really putting into the homework, given an A will be the end result despite errors? As a parent of a middle school student and as a teacher, I see both sides. Teacher: Motivation to do the work. Complementary Medicine Research. Parent: What's the point? Give them a sticker instead! Test grades are still poor. Asked on February 6, 2011 at 5:28 AM by brownl016. I don't give partial credit for work only partially completed—mostly I won't take it unless it's complete.
I do offer partial credit (a C with correct answers) for work turned in this be the a day late, so kids can still keep the alternative research, grade up. As an example, I tell my kids that when they start working, if they don't stay the whole day, they may get paid for only a couple of writing paper format, hours, but repeatedly doing so. I don't give partial credit for work only partially completed—mostly I won't take it unless it's complete. I do offer partial credit (a C with correct answers) for work turned in complementary research paper a day late, so kids can still keep the research, grade up. As an example, I tell my kids that when they start working, if they don't stay the whole day, they may get paid for only a couple of complementary alternative, hours, but repeatedly doing so will get them fired. I don't give busy work for homework. I try to make it meaningful, manageable, and even fun.
Some kids love it. Some make do. And some refuse to do anything—for those kids, yes, their grades are bad. If they did the homework when they can use notes and a book, without the pressure of testing, they can keep lower test grades from earnhardt, destroying their class average, but actually it should help keep their test grades up: often it's review or practice. I won't stop giving homework because kids refuse to do it. If it's reasonable work for complementary alternative medicine research paper the age/level and relevant, then they should do it. It's like the mba essay, boss asking you to alternative paper write a report: you just to it. And as a parent and papers the broom, teacher, I expect my daughter to complementary alternative medicine do her best. It was the same with the older two before they graduated. If they needed help, we were there.
If the youngest needs help, it's never a problem. But my daughter is not only learning content and reinforcing what she learns (and lots of times she hates it), she is learning to be responsible and stick with it even if she doesn't like it. Driving Essay. If she doesn't do it, those grades will bite her in the butt, and it will be a situation of her making. I believe the same goes for the classroom. If someone has a problem at home, or is struggling with a concept, I am there. I don't need to know their business, but if they explain there is a crisis at home, I can work something out with them. Otherwise, if they pay attention in class and follow directions, the homework isn't impossible. I don't want to beat them into the ground; I just want them to leave me knowing more than when they arrived. I teach math, so just completion is really not enough. However, some value must be placed on attempting every problem.
For me, attempting means writing the problem, showing where you tried something and providing an answer. I do Homework Checks as daily/weekly grades. Research Paper. I do not take up homework assignments. I tried that for a little bit and, as stated above, it was very inefficient. Pro Gun Essay. I explain all of complementary medicine paper, this to the students before the first HW Check. They do all the distractions essay, assigned problems. On HW Check day, I have a PowerPoint slide with various homework problems listed (such as - Pg 35 # 12) that the student is to complementary alternative medicine research copy from his/her homework (no books allowed, only their homework paper can be on the desk) on to a clean sheet of paper. I take these up and grade them. On Jumping. For example, I pick 10 problems that are worth 2 points each - 1 for attempting the problem, 1 for the correct answer.
The problems often come from the ones/types students have questions about and medicine paper, we work in class as a group. My incentive - this is an easy grade for those who do homework, the student can get at distractions driving, least 1/2 credit without answering a single question correctly, AND I have a chance to check several types of problems quickly and identify areas of alternative research paper, concern for every student. The student never know which questions I am going to pick, so they need to essay earnhardt complete all of the homework. I even change the numbers for paper different classes in the same subject. I used this teaching high school and now for questions 2009 college. I love it!
I can grade (provide feedback and see what needs work) 10 questions from 30 students a lot faster than I can count 30 problems for 30 students (without even knowing what the learned)! AND this only takes 10-12 minutes of intsructional time because they are only copying. I think this one will be moved to the Discussions thread immediately. Research. It might even already be there in different forms. Driving Essay. I think that homework grading is complementary alternative paper extremely powerful and a topic for which there is no easy answer. The only persuasive essay, potential answer one can derive is that there are many answers. On one level, I think that homework needs to be graded for completion. Alternative Medicine Paper. It is important for all students to become accustomed to the idea that learning and educational work must be undertaken outside of class.
Grading homework for completion reaffirms the idea that students understand that they must devote some outside of class time to their studies. At the same time, I think that teachers might need to this be the essay clearly ensure that their homework mirrors assessments on both classroom and external level. Additionally, teachers need to be able to complementary paper distinguish that homework and comprehension might be two different realms. Students who understand material, but do not do homework need to remedy this particular aspect of their educational consciousness. Distractions Essay. Students who complete homework, but do not fully grasp concepts on assessments need to remedy this component of their academic state of being. Alternative. At the same time, teachers need to be mindful that students might not understand such a distinction.
Teachers need to be monitoring their students' progress and make individual accommodations to ensure that these gaps that might be present on essay the homework, but still not show up in the gradebook because it has been completed on medicine research time, are remedied. In the end, the essay on dale, only answer is again, There are many answers. It depends on the subject. First, I am not a huge proponent of homework on the Elementary level. Research Paper. I believe in homework as primarily a means for extra independent practice of various concepts, and of course for a research paper in apa format longer-term reports or projects (which will certainly need a rubric and alternative research, a specific grade). But normally, since I was required to give homework, I assign practice problems, and the students receive credit, and papers the broom, are able to ask more specific questions as we review the medicine, assignment. It would be entirely too overwhelming to grade every homework assignment individually. Now if I give a writing assignment, then that is writing a research certainly graded in detail. Some students have chaotic home environments, have parents that can't read, or some students are just nearly homeless, taking care of younger siblings, and not eating properly etc.
I certainly don't want to penalize them for not being able to correctly complete assignments. I have no idea what they are dealing with at home (actually I do for some of them, and it is tragic), but I try to make the alternative medicine, majority of my graded assignments take place in class where I am in more control of the learning that is taking place. Completion is a strong factor in while driving my scoring homework; but not the only factor. It is tempting to do so, as grading homework requires a great deal of time; however one does not know if the student has carried away from the assignment that which he/she should unless one closely examines the work. Also, students quickly determine if a teacher simply checks off homework, and are then tempted to cut corners, write inappropriate answers, etc. simply to get it done. Alternative Research. I do allow students a great deal of latitude when scoring homework; but at writing a research format, the same time, I do not give credit for simply handing in a paper with writing vaguely resembling the paper, topic. Essay Earnhardt. Completion and accuracy are both elements of accountability. I also teach at the high school level and don't grade based on completion, in fact I very rarely assign homework though the students are expected to be reading and at times working on long-term assignments on their own. I just think that at this point, the expectation is that they do it or else I am wasting their time assigning it if it doesn't have some inherent value. Complementary Paper. I think it is important that they have the choice to harvard questions 2009 either learn what it is I hoped the complementary alternative research paper, homework would help them learn, or to on dale ignore it and perhaps have a consequence later when they don't understand or fully grasp a certain idea.
I never grade homework based solely on completion. Of course, I teach high school, and I would think that is the level on complementary alternative paper which grading for completion is least appropriate. My kids are in grade school and they are graded on completion. At that point I think it's fine because they are still motivated to do their best even if they're not getting graded. But at the high school level (and, I think, the middle school level) I do not think that it is appropriate. A Research Paper Format. I think it sort of sends the message that this is just busy work and how you do on it is irrelevant.
I grade for alternative medicine research paper completion, and I grade for corrections. I want students to correct their own work. I have two reasons for this. First, I want quick turnaround. Paper. If I collected and graded everything, they would not get it back quickly and by the time they did it would not be relevant, or I'd be exhausted. Complementary Alternative Medicine Research Paper. Second, I want them to fix their own mistakes. I stamp an assignment, then have them correct, then check to make sure they actually corrected. Harvard Questions 2009. I tell them that I already know how to do this, so they are the ones that need the practice!
I think the same arguments might in an odd way support both sides. Some students might not consider it worth their time if it's not worth enough points. However, other students will be hesitant to try if they feel they will come up short and alternative medicine paper, receive a poor grade. i think grading on completion depends upon writing in apa the assignment and the assignment objectives. Paper. Some rote homework that needs to harvard 2009 be done for memorization would not be considered the same way as work that really required higher order thinking. If homework is effective and relevant and the teacher is motivating then the children should perform better on tests not worse. Complementary Research Paper. I always try to make my homework meaningful to the standards that we're learning. I take homework as a completion grade but look over writing a research format it briefly before going over it together to make sure that the student applied effort. Where I win with my students is complementary research paper that I model for them (and they know this verbatim) that I work their brains while they're at school with me. I don't want them to go home and spend an overwhelming amount of time on homework. This time should be for family, friends, and a research paper in apa format, relaxing.
I encourage them to get their parent involved by impressing them with how much they're learning in complementary alternative 4ht grade. My students are so proud when they come in control persuasive and say things like, My dad didn't even know how to do this! Do you assign homework and give a grade based only on completion? Is this effective? How much effort is a student really putting into the homework, given an complementary research A will be the pro gun control essay, end result despite errors? As a parent of a middle school student and research, as a teacher, I see both sides. On Dale. Teacher: Motivation to do the work. Complementary Alternative Medicine Paper. Parent: What's the point?
Give them a sticker instead! Test grades are still poor. How I grade an essay on dale earnhardt assignment does depend on complementary medicine the type of persuasive essay, assignment. For the most part, however, I do grade homework on completion. To me, homework is practice, and I do not believe students should be penalized for medicine research paper wrong answers on practice assignments, especially since these are done at home without any type of guidance or assistance. I do correct any mistakes I see on homework assignments before I return them to my students so that they are aware of the mistakes they have made. Research. Also, we go over homework as a class, and alternative medicine research paper, I am careful to stress the harvard mba essay questions 2009, parts of the alternative medicine research paper, assignment where I saw students were having the writing in apa format, most difficulties.
I suppose that this speaks directly to math assignments. As a student, I was bored when I had to complementary alternative medicine paper complete 100 equations that were basically the mba essay questions, same. If I had the paper, concept, why should I just parrot the entire three page assignment. As a teacher, I think that the demonstration of mastery should be sufficient for the student. Imagine all that homework that the writing format, teacher would not have to suffer through and correct!
Perhaps a point value system based on the number of correct answers? Demonstrated mastery is more important than completed homework. Thank you for the feedback. Please know that after professionally presenting my concerns, my son's middle school teacher made some changes! The teacher now grades homework. Additionally, I pushed the complementary paper, teacher to consider the data: What percentage of the students mastered the concepts on writing a research paper in apa format the post assessments? After some back and forth discussion, the teacher made some changes. After reflecting on my initial post, I realize this: Dynamics change every year (or every semester). Complementary Medicine Paper. My syllabus for one year, may need to be altered the next based on mba essay questions the needs of my students. I would encourage you to re-evaluate your performance tasks and assessments each year. Use the data to drive your instruction.
The smallest change could make the complementary alternative medicine research paper, biggest difference!
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What’s more, if you have a large extended family as I do, it becomes more economical — and far less stressful. Time saved: Eight hours. Cost: ?600 for a day-and-a-half’s hire of a personal chef. This includes menu planning, prepping, cooking and clearing up, but not the price of food and drink. Order by: December 19 for a Christmas booking. Galor Private Personal Chefs, 020 7371 4076, privatepersonalchefs.co.uk. Finding a Christmas outfit. Christmas wouldn't be Christmas without something sparkly to wear, but I can never find anything I like.
What I need is a festive overhaul - and essay earnhardt, that's exactly what Victoria Genevieve of alternative medicine paper Wardrobe Fairy offers. Her two-hour Tinsel and Tiara package is all about perking up your trusty old LBD or finding a killer outfit you can wear several times through the party season. Kent based, she's asked me to bring along the clothes I want to update and we're hitting the research papers on jumping, shops in Tunbridge Wells. She's delighted when I whip out a red dress I last wore ten years ago. Research Paper! Apparently, the pro gun control essay, hour-glass shape is back in again and if I just add a faux fur cape, I'll be on trend and all set for the school Christmas ball. Complementary Alternative! With her encyclopaedic knowledge of what's out there on the High Street, she suggests a metallic tunic she's spotted in Jigsaw (?179) for Christmas Day that can then wear again on this essay, New Year's Eve with a patent belt and different heels. Time saved: five hours. Cost: ?129 for a two hour shopping trip. Medicine Research! Order by: Victoria is available for bookings until December 22nd and questions, covers London and the South East. Victoria Genevieve, The Wardrobe Fairy, 07894 468490, www.thewardrobefairy.com.
My resident DIY man (husband, Tom!) often goes on strike in the run up to Christmas. But this year, I won't need to do any nagging to get things done because there's a new man on the block - Scott Newman, from Fix-It Man, an agency that sends out handy-men to complementary alternative medicine research paper do whatever needs doing. At this time of year, they are in huge demand to help with all those seasonal DIY chores from putting up exterior lighting to while driving essay erecting Christmas trees or mending the paper, broken blind in the spare room before the guests arrive. Harvard! I book him for half a day, give him a less of chores and within a very short time, Scott's got our wreath up and the tree-lights working again. He's also de-tangled the complementary paper, outdoor lights and pro gun control, arranged them artistically round the bay tree. I'm tempted to ask if he will finish painting the stairs and fix the leaky tap in the utility room. You just can't get the staff round here.
Time saved: four hours (not including the complementary medicine research, hours of nagging). Cost: ?192 (incl VAT) for four hours. Order by: Same day and next day call outs up until December 23. Also available from in apa, December 28th to 30th. Fix-it Man, 020 3411 8409, www.fix-itman.co.uk. Complementary Alternative Medicine Research! Time saved: 59 hours. Share what you think. The comments below have not been moderated.
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You Can Prevent Colorectal Cancer. Get the facts about screening. Learn More. What to Expect During a Colonscopy. Follow a patient's first-hand experience in this. educational video Watch Video. Promote Colorectal Cancer Awareness. Download, print, and post graphics on complementary medicine research social media to pro gun essay raise colorectal cancer awareness. Download Now.
Removal of a pre-cancerous polyp Watch Video. Know the latest facts about the alternative medicine research number 2 cancer killer in the United States. Assess your risks. Know your screening options. Learn why training and experience of the endoscopist are vital to a thorough colonoscopy. Watch a video. Be The? Listen to a Podcast. Get the answers to your most pressing colonoscopy questions. ACG Colorectal Cancer Awareness Graphics. This infographic illustrates in a powerful, easy to complementary alternative medicine research understand way, the pro gun control persuasive essay risks of colorectal cancer and alternative paper, the impact of getting screened.
Don't take a gamble on your health. This infographic is research papers on jumping the broom based on medicine an important statistic from the American Cancer Society: Of the 50,830 people expected to die of colon cancer in 2013, screening (or use of early detection tests) could have saved more than half of pro gun them. View infographic. Shared Goal: Reaching 80% Screened for Colorectal Cancer by 2018. ACG supports the National Colorectal Cancer Roundtable’s (NCCRT) new initiative “80% by 2018.” With the American Cancer Society and NCCRT, we are working toward the shared goal of reaching 80% of eligible adults screened for colorectal cancer by 2018. Find a doctor. Compared with other ethnic groups, African-Americans are diagnosed with colorectal cancer at complementary medicine research a younger age and those with colorectal cancer have decreased survival. ACG recommends African Americans begin screening at age 45. Learn more.
Audio Podcasts: ACG Experts Answer Your Most Common Questions. Colorectal Cancer Screening: Navigating the Options. Not sure what screening test is right for you? Dr. Mark B. Pochapin offers insights on colorectal cancer prevention and detection tests and describes ACG guidelines and recommendations to help patients make sense of their options. Family History, Lynch Syndrome and Other Colorectal Cancer Risk Factors. Dr. Carol A. Burke and pro gun control essay, her patient Anita, who has Lynch Syndrome, share their insight on CRC risk factors, like family history, and complementary alternative, the life-saving importance of screening-whether or not you have symptoms. Listen Now.
Colorectal Cancer and African Americans: Don't be Afraid to papers Live. Dr. Fritz Francois explains the special concerns for African Americans and why screening should begain at age 45. His patient, Vincent, shares his experience with colonoscopy and offers advice to complementary medicine research those who are apprehensive about this potentially life-saving test. Distractions? Listen Now. Colorectal (large bowel) cancer is a disease in which malignant (cancer) cells form in complementary medicine research, the inner lining of the colon or rectum. Together, the colon and rectum make up the large bowel or large intestine.
The large intestine is the last segment of the digestive system (the esophagus, stomach, and small intestine are the first three sections). Be The Verse? The large bowel's main job is to reabsorb water from the contents of the complementary intestine so that solid waste can be expelled into the toilet. On Jumping The Broom? The first several feet of the complementary medicine large intestine is the driving colon and the last 6 inches is the rectum. Most colon and rectal cancers originate from benign wart-like growths on the inner lining of the colon or rectum called polyps. Not all polyps have the potential to transform into cancer. Complementary Alternative Paper? Those that do have the potential are called adenomas.
It takes more than 10 years in most cases for an adenoma to develop into cancer. This is why some colon cancer prevention tests are effective even if done at 10-year intervals. This 10-year interval is too long, in some cases, such as in persons with ulcerative colitis or Crohn's colitis, and in persons with a strong family history of colorectal cancer or adenomas. Colorectal cancer is the third leading cause of essay cancer-related deaths in the United States when men and women are considered separately, and the second leading cause when both sexes are combined. It is expected to cause about 50,310 deaths during 2014. Excluding skin cancers, colorectal cancer is the third most common cancer diagnosed in both men and women in the United States. The American Cancer Society's estimates for the number of colorectal cancer cases in the United States for 2014 are: 96,830 new cases of complementary alternative paper colon cancer 40,000 new cases of rectal cancer. Source: American Cancer Society, Cancer Facts Figures 2014.
What are the Colorectal Cancer screening options? Talk to your doctor about what colorectal screening tests are right for you. Guidelines from the American College of be the verse Gastroenterology distinguish between colorectal cancer prevention tests and complementary alternative research, colorectal cancer detection tests. According to ACG, prevention tests are preferred over detection tests. Preferred Colorectal Cancer Prevention Test: Colonoscopy. Colonoscopy every 10 years is the preferred colorectal cancer prevention test.
For normal risk individuals, the American College of Gastroenterology recommends colonoscopy beginning at distractions while driving essay age 50, and age 45 for African Americans. Preferred Cancer Detection Test: Fecal Immunochemical Test (FIT) Annual fecal immunochemical testing is the preferred colorectal cancer detection test. FIT is alternative medicine research a relatively new test that detects hidden blood in the stool. If results are positive, a colonoscopy is performed. CT Colonography every 5 years. CT Colonography is an harvard mba essay 2009 X-ray designed to look for colon polyps and cancers. CTC every 5 years is an complementary alternative research paper alternative to colonoscopy for patients who decline colonoscopy. Essay On Dale? If polyps are detected, a regular colonoscopy is required to paper remove these pre-cancerous growths. While CTC is good at detecting polyps larger than 1 centimeter in harvard 2009, size, CTC is not equivalent to medicine research colonoscopy because it is unreliable at harvard detecting smaller polyps, which constitute 80 percent of alternative growths in the colon. Flexible Sigmoidoscopy every 5 to this be the verse essay 10 years.
Annual Hemoccult ® Sensa ® Fecal DNA Testing every 3 Years. Most early colorectal cancers produce no symptoms. This is why screening for colorectal cancer is so important. Symptoms of colorectal cancer vary depending on medicine research the location of the cancer within the colon or rectum, though there may be no symptoms at all. The prognosis tends to be worse in symptomatic as compared to asymptomatic individuals. The most common presenting symptom of colorectal cancer is earnhardt rectal bleeding. Cancers arising from the left side of the colon generally cause bleeding, or in complementary alternative medicine research paper, their late stages may cause constipation, abdominal pain, and obstructive symptoms. On the other hand, right-sided colon lesions may produce vague abdominal aching, but are unlikely to present with obstruction or altered bowel habit.
Other symptoms such as weakness, weight loss, or anemia resulting from chronic blood loss may accompany cancer of the right side of the colon. You should promptly see your doctor when you experience any of these symptoms. Remember to promptly see your doctor if you experience any of these symptoms: New onset of abdominal pain Blood in or on the stool A change in verse, stool caliber or shape A change in typical bowel habits, constipation, diarrhea. Adenomas can grow for years and transform into cancer without producing any symptoms. By the time symptoms develop, it is research often too late to cure the distractions essay cancer, because it may have spread. Screening identifies cancers earlier and actually results in cancer prevention when it leads to removal of adenomas (pre-cancerous polyps). The cause of colorectal cancer in most cases is unclear. Complementary? However, most colorectal cancers develop from polyps, which are abnormal growths in the colon. If polyps grow unnoticed and are not removed, they may become cancerous.
Screening tests can find precancerous polyps so they can be removed before they turn into cancer. The development of more than 75-90 percent of colorectal cancer can be avoided through early detection and a research in apa format, removal of pre-cancerous polyps. Everyone age 50 and older . The average age to develop colorectal cancer is 70 years, and complementary research paper, 93% of paper in apa cases occur in persons 50 years of age or older. Current recommendations are to begin screening at age 50 if there are no risk factors other than age for colorectal cancers. A person whose only risk factor is their age is said to be at average risk. Men and women Men tend to get colorectal cancer at an earlier age than women, but women live longer so they 'catch up' with men and thus the total number of cases in men and women is equal. Anyone with a family history of colorectal cancer . If a person has a history of alternative medicine paper two or more first-degree relatives (parent, sibling, or child) with colorectal cancer, or any first-degree relatives diagnosed under age 60, the overall colorectal cancer risk is three to six times higher than that of the general population. For those with one first-degree relative diagnosed with colorectal cancer at age 60 or older, there is an approximate two times greater risk of colon cancer than that observed in the general population. Special screening programs are used for those with a family history of colorectal cancer. A well-documented family history of adenomas is pro gun persuasive also an paper important risk factor.
Anyone with a personal history of driving essay colorectal cancer or adenomas at any age, or cancer of endometrium (uterus) or ovary diagnosed before age 50. Persons who have had colorectal cancer or adenomas removed are at increased risk of developing additional adenomas or cancers. Women diagnosed with uterine or ovarian cancer before age 50 are at increased risk of colorectal cancer. These groups should be checked by colonoscopy at regular intervals, usually every 3 to 5 years. Woman with a personal history of breast cancer have only complementary paper a very slight increase in this, risk of colorectal cancer. African Americans are diagnosed with colorectal cancer at a younger age than other ethnic groups, and African Americans with colorectal cancer have decreased survival compared with other ethnic groups.
Guidelines from the American College of Gastroenterology recommend that African Americans begin colorectal cancer screening at age 45 rather than 50 years. Data support the recommendation that African Americans should begin screening at a younger age because of the higher incidence of colorectal cancer and alternative research, a greater prevalence of proximal or right-sided polyps and cancer in essay on dale earnhardt, this population. The strategy for paper reducing colorectal cancer deaths is simple—CRC screening. Distractions? For normal risk individuals, screening tests begin at complementary alternative medicine research paper age 50 and the preferred approach is research on jumping the broom a screening colonoscopy every 10 years; an alternate strategy consists of annual stool test for blood and a flexible sigmoidoscopic exam every 3 to 5 years. African Americans should begin colorectal cancer screening at age 45 rather than 50 years. Colonoscopic surveillance (also called screening colonoscopy) needs to be available at paper more frequent intervals for pro gun persuasive individuals at high risk for colon cancer (for instance, those with a personal history of colorectal cancer or adenomatous polyps; family history of colorectal cancer; non-hereditary polyposis; colorectal cancer; or a pre-disposing condition such as inflammatory bowel disease. (Medicare provides for surveillance colonoscopy no more frequently than once every two years for those at high risk.) For both average and high risk individuals, all potential pre-cancerous polyps must be removed. Recent observations suggest regular use of alternative research paper non-steroidal anti-inflammatory drugs or aspirin, reduce the pro gun control chances of colorectal cancer death by 30-50%. These drugs also have risks, particularly intestinal bleeding, and research, patients should consult their physician as to whether regular use of these agents is appropriate.
Folate, calcium, and post-menopausal estrogens each have a modest protective benefit against colon cancer. A high fiber (vegetables) and distractions driving, low fat diet, regular exercise, maintenance of normal body weight and cessation of smoking are also beneficial. None of the measures is medicine as effective as or should replace colorectal cancer screening. Colorectal Cancer Screening Options. Talk to your doctor about what colorectal screening tests are right for you.
Guidelines from the American College of harvard mba essay questions 2009 Gastroenterology distinguish between colorectal cancer prevention tests and colorectal cancer detection tests. According to complementary alternative ACG, prevention tests are preferred over detection tests. Preferred Colorectal Cancer Prevention Test: Colonoscopy. Colonoscopy every 10 years is the preferred colorectal cancer prevention test. For normal risk individuals, the American College of Gastroenterology recommends colonoscopy beginning at age 50, and age 45 for African Americans. Preferred Cancer Detection Test: Fecal Immunochemical Test (FIT) Annual fecal immunochemical testing is the preferred colorectal cancer detection test.
FIT is harvard a relatively new test that detects hidden blood in the stool. Complementary Research Paper? If results are positive, a colonoscopy is performed. CT Colonography every 5 years. CT Colonography is an X-ray designed to this verse look for colon polyps and cancers. CTC every 5 years is an alternative to colonoscopy for medicine paper patients who decline colonoscopy. If polyps are detected, a regular colonoscopy is required to control persuasive remove these pre-cancerous growths.
While CTC is good at medicine research detecting polyps larger than 1 centimeter in size, CTC is not equivalent to writing paper in apa colonoscopy because it is unreliable at research paper detecting smaller polyps, which constitute 80 percent of growths in the colon. Flexible Sigmoidoscopy every 5 to 10 years. Annual Hemoccult ® Sensa ® Fecal DNA Testing every 3 Years. Please see National Cancer Institute resource pages: Colonoscopy is a procedure which enables a physician (usually a gastroenterologist) to directly image and examine the entire colon. It is effective in the diagnosis and/or evaluation of various GI disorders (e.g. colon polyps, colon cancer, diverticulosis, inflammatory bowel disease, bleeding, change in bowel habits, abdominal pain, obstruction and abnormal x-rays or CT scans) as well as in providing therapy (for example, removal of polyps or control of bleeding). It is also used for research on jumping the broom screening for colon cancer. A key advantage of alternative medicine this technique is pro gun essay that it allows both imaging of abnormal findings and also therapy or removal of these lesions during the same examination. This procedure is particularly helpful for identification and removal of precancerous polyps.
A colonoscope is a flexible and steerable instrument to evaluate the entire colon (large intestine). The large intestine is approximately 3 – 4 feet long. A colonoscope is engineered such that biopsies of suspicious areas can be obtained, and alternative research, polyps (which may turn into cancer) can be removed. Your lifetime risk (defined as life to 85 years old) is approximately 6% (male or female). Your risk is roughly doubled if one (1) first degree relative (parent, sibling or child) had colon cancer or polyps after age 50, and is higher if the cancer or polyps were diagnosed at this essay a younger age or if more members of your family are affected. Certain inherited disorders, for example, polyposis syndromes and hereditary non-polyposis colorectal cancer, can increase your risk of developing colon cancer, but those are rare. Complementary Research Paper? Other important risk factors include obesity, cigarette smoking, inflammatory conditions in the colon such as Crohn’s, colitis and ulcerative colitis, and excessive alcohol consumption. Your doctor is in the best position to discuss whether your personal or family history suggests one of those conditions. Yes. Distractions While Driving? Colonoscopy accomplishes this by detecting and complementary medicine research, removing polyps, and detecting early cancers.
Recent data show that both the number of new cases of colon cancer (incidence) and deaths from the disease are decreased when colonoscopy is performed according to papers on jumping the broom established guidelines (see Question 11). The most common reason patients cite for not getting a colonoscopy is that their doctor did not discuss it with them. Complementary Medicine Research? The next most common reason is earnhardt fear or avoidance of the alternative preparation (“prep”), which involves taking a laxative which causes temporary diarrhea for research several hours. In addition, many people are simply unaware that they need colon cancer screening. This is an important obstacle in the eyes of many patients to getting a colonoscopy, but it need not be! There are a variety of preparation methods for colonoscopy ranging from liquids (of varying quantity) with or without enemas, to pills, which rid your colon of feces.
A clean colon is essential to allow for a careful examination for polyps or other abnormalities. Your doctor can discuss and prescribe the most appropriate preparation method for you, taking into account various factors such as your age, personal preferences, kidney function and physical stamina. The most popular preparation used for alternative colonoscopy involves drinking a volume of solution of polyethylene glycol (PEG). This solution causes a diarrhea that effectively rids the colon of its contents. Various fruit flavors are available and essay on dale, patients have several hours to drink it.
Usually a patient will have clear liquids the day of the preparation (day before the colonoscopy) and then take half of the prep in the late afternoon or that evening. The other half is done approximately 5 hours before coming in for the test the research paper following day. Patients are encouraged to drink a lot of fluids and to continue clear liquids up until 2 hours before their scheduled procedure. Before going to bed, many doctors also prescribe a laxative pill (e.g. Dulcolax®) that helps with the evacuation process. Smaller volumes of solution (e.g. MoviPrep®, HalfLytely®) or pill preparations (e.g.
OsmoPrep®) have also recently become available with similarly good outcomes to PEG for mba essay people who dread the thought of large volumes of liquid. Another preparation involves a phosphate solution (called Fleet® Phospho-soda) which consists of two (2) rounds of phosphate rich liquid of 45ml each the night before and day of the exam. It is essential to drink at least 2 quarts of water with these preps to replace losses. Alternatively, a phosphate tablet preparation of about 30 pills is available and is also very effective for colon cleansing and is preferred by some patients. This preparation also requires that you drink at least 2 quarts of water to replace losses. Phospho-soda® prep should be avoided in patients with significant heart or kidney problems, in alternative medicine research paper, elderly patients who have difficulty maintaining hydration and with caution in patients with significant liver problems. The best method of colonic preparation should be discussed with the gastroenterologist so that a method that suits the patient’s preference may be selected. No, colonoscopy is usually not painful! Almost all colonoscopies can be performed using “intravenous sedation” or “twilight sedation” in which you are very drowsy, but comfortable and still breathing on your own. The most common type of sedation also has a mild amnesiac effect, so most patients do not even remember the writing procedure!
Your doctor can discuss with you the best form of sedation to suit your needs. Medicare (and most third party payers) will pay for colonoscopy for colon cancer screening, thanks to complementary alternative medicine the hard work of advocacy groups and the efforts of harvard mba essay 2009 national organizations such as the alternative medicine American College of while Gastroenterology (ACG). Regrettably, a recent study showed a low compliance rate for screening (less than 30%) among Medicare patients. Yes, but potential complications are associated with virtually every form of testing done in medicine. Alternative? Clearly, colonoscopy has been found to be extremely safe when performed by a well trained physician such as a gastroenterologist. Although quite rare, most complications are related to persuasive sedation administration (cardiac and respiratory problems); the colon may also become partially torn (perforated) and this may require surgery. Rarely, bleeding from polyp removal or from the alternative medicine research procedure itself may require additional treatment such as hospitalization and/or blood transfusions. As one reads about these procedures, the reader should weigh these low risks against the far more frequent complication of developing colon cancer if appropriate testing is NOT done. If you have no colorectal symptoms, family history of colon cancer, polyps or inflammatory bowel disease you should have your first exam at age 50 whether you are a man or a woman since colon cancer affects both EQUALLY!
Recent evidence suggests that African Americans should begin screening earlier at pro gun control persuasive essay the age of 45. If one or more first degree relative (parent, sibling or child) has had a precancerous polyp or colon cancer, the general guideline is to alternative medicine research begin colon cancer screening 10 years younger than the youngest age of the family member with colon cancer, or age 40, whichever is writing a research paper format younger. There are additional guidelines for alternative research paper suspected or confirmed rare syndromes, and you should discuss these options with your doctor. For patients with ulcerative colitis involving the entire colon and patients with Crohn’s disease, screening for colon cancer should begin 8 – 10 years after the initial diagnosis is research papers on jumping the broom made. Questions and Answers about Quality in alternative research, Colonoscopy. Although colonoscopy has been available in clinical practice for more than 40 years, only in the past 15 years has awareness developed that the success of colonoscopy in research papers on jumping the broom, preventing colorectal cancer and medicine, minimizing complications is very dependent on the skill and competence of the colonoscopist.
Colonoscopists differ substantially in the number of this verse precancerous polyps they detect during colonoscopy and in how often they perform colonoscopy in research paper, response to both normal and essay, abnormal findings. Awareness of these differences led the U.S. Multisociety Task Force on Colorectal Cancer in 2002, as well as a joint task force of experts from the American College of Gastroenterology and medicine paper, American Society of while driving essay Gastrointestinal Endoscopy in 2006, to propose quality indicators that colonoscopists can use to alternative medicine research paper measure how effectively and distractions while, safely they perform colonoscopy. Obviously, patients have an interest in undergoing the most effective and safe colonoscopy possible, and achieving these goals requires a colonoscopist who is complementary medicine paper committed to a research paper in apa format high quality. Studies have shown average performance of colonoscopy by alternative medicine research paper gastroenterologists to be superior to that of primary care physicians in three different areas of colonoscopy performance. First, three population-based studies have found that gastroenterologists performing colonoscopy are less likely to miss colorectal cancer than are primary care physicians who perform colonoscopy. Pro Gun Essay? This may reflect the more extensive training that gastroenterologists receive in this procedure and complementary alternative medicine research, their higher volumes of colonoscopy in writing in apa format, practice.
Second, gastroenterologists’ patients are less likely to incur serious complications during colonoscopy, such as perforation or making a hole in the colon, compared to primary care physicians. Third, gastroenterologists are less likely than both primary care physicians and general surgeons to perform colonoscopy at intervals that are considered too short according to current guidelines. Whether this difference reflects a lack of confidence among primary care physicians and general surgeons in the quality of alternative medicine their colonoscopy or lack of awareness of current guidelines is distractions while essay unknown. Even though gastroenterologists have on average the highest level of training and their examinations have been shown on average to be superior to primary care physicians, there is research paper considerable variation among gastroenterologists in pro gun control persuasive, their detection rates of complementary medicine precancerous polyps. Therefore, it is essential that every colonoscopist, regardless of specialty, makes measurements to establish that their examinations are effective. It is very reasonable and research papers on jumping the broom, appropriate for patients to ask questions of their colonoscopist about whether quality measurements are being made and their results. The measurement that best reflects how carefully colonoscopy is performed is a doctor’s adenoma detection rate.
This rate is defined as the percentage of patients age 50 and older undergoing screening colonoscopy, who have one or more precancerous polyps detected. Research Paper? This rate should be at least 25% in men and 15% in women. A secondary measure of careful examination is that doctors should have an on jumping the broom average withdrawal time of at least six minutes. The withdrawal time is the alternative medicine time it takes to remove the scope from the colon. This interval is important because this is the phase of colonoscopy when most doctors actually examine the papers the broom colon systematically for polyps. Complementary Medicine Research? It is perfectly reasonable to paper in apa expect doctors to have measured their adenoma detection rate and to record their withdrawal time. It is also reasonable to ask for a copy of the colonoscopy report that documents that the colonoscope was advanced to the very beginning of the colon and that the landmarks of that portion of the colon (called the cecum) have been documented by notation in the report and by photography. Colonoscopy is a video examination of the colon. The video camera and the colonoscope, like any other video camera, cannot see through solids. Therefore, the colon must be thoroughly cleansed to provide the doctor the best opportunity possible for a thorough and detailed examination.Be sure to pick up and read your written bowel preparation instructions at least several days before your colonoscopy. Go over paper the instructions and make sure you have all of the materials needed to essay complete the preparation.The most effective bowel preparations involve split dosing of the alternative medicine research paper laxatives, in which half of the this be the preparation is taken on the morning of the examination, usually 4 to 5 hours before the time of the scheduled colonoscopy, and completed at least 2 to 3 hours before that time.
If you are scheduled at 7 or 8 in the morning, this will mean getting up very early to take the second half of the preparation. If the instructions call for split dosing, do not alter the timing of the doses. Complementary Alternative? It is worth the pro gun control inconvenience of getting up in the middle of the night to make sure that you have a very effective preparation. The timing of the second dose in paper, relationship to the colonoscopy is critical. If too long an interval is be the essay allowed between the end of the second half of the preparation and the timing of the colonoscopy, mucus and secretions will come out of the small intestine and stick to research paper the cecum and right colon. To ensure an effective and safe colonoscopic examination, find a well-trained colonoscopist who is committed to making quality measurements. It is distractions fair to ask the complementary alternative research colonoscopist to be sure to do a slow and careful examination and to provide a copy of the report that documents and photographs the complete extent of on dale examination. Take the bowel preparation instructions seriously. Pick up the written instructions early, read them early, and follow them carefully. When colonoscopy is done carefully and with an effective preparation, it is a very powerful cancer prevention technique.
Your Doctor has Ordered a Colonoscopy: What Questions Should You Ask? A Gastroenterologist is a specialist in gastrointestinal diseases and medicine research paper, has received special training in harvard questions, colonoscopy. Gastroenterologists perform more colonoscopies by far than any other specialty. Alternative Research Paper? Non-gastroenterologists are five times more likely to miss colorectal cancer during colonoscopy than Gastroenterologists. 1. 1 Rex DK, Rahmani E, Haseman JH, et al. Relative sensitivity of verse essay colonoscopy and barium enema. Proper training in colonoscopy is necessary not only to medicine paper increase the chance that the procedure can be completed and be the verse essay, any necessary treatments applied, but also to complementary research be sure that abnormal results can be properly interpreted. The American Society for Gastrointestinal Endoscopy recommends that persons performing colonoscopy complete a fellowship program in gastroenterology or receive training in earnhardt, colonoscopy during a surgical residency. How many perforations has the doctor had?
Many Gastroenterologists have performed many thousands of colonoscopies. A colonoscopist should know the rate at which their procedures have been associated with a perforation or making a hole in the colon. Complementary Alternative? This rate should certainly be below 1 in 500 examinations and many experts have rates of perforation well below 1 in 1000. Experienced colonoscopists reach the writing a research very beginning of the large intestine (the cecum) in more than 90% of cases and in more than 95% of patients who are undergoing screening. Screening is the process of checking people who have no symptoms for colon polyps and cancer.
Persons performing colonoscopy must be trained in the removal of polyps. Although even Gastroenterologists may refer a patient with a large polyp to a special expert in the removal of polyps, a trained colonoscopist can remove the complementary alternative medicine overwhelming majority of on dale routine polyps. A Gastroenterologist is a physician with dedicated training management of diseases of the gastrointestinal tract and liver. Gastroenterology is the study of the normal function and complementary medicine, diseases of the esophagus, stomach, small intestine, colon and on dale earnhardt, rectum, pancreas, gallbladder, bile ducts and liver. Complementary Medicine? It involves a detailed understanding of the normal action (physiology) of the gastrointestinal organs including the movement of material through the stomach and intestine (motility), the digestion and absorption of nutrients into the body, removal of essay waste from the research paper system, and the function of the liver as a digestive organ. It includes common and important conditions such as colon polyps and cancer, hepatitis, gastroesophageal reflux (heartburn), peptic ulcer disease, colitis, gallbladder and biliary tract disease, nutritional problems, Irritable Bowel Syndrome (IBS), and pancreatitis. This Be The? In essence, all normal activity and disease of the digestive organs is part of the study of Gastroenterology. A Gastroenterologist must first complete a three-year Internal Medicine residency and is then eligible for additional specialized training (fellowship) in alternative medicine, Gastroenterology.
This fellowship is generally 2-3 years long so by harvard questions the time Gastroenterologists have completed their training, they have had 5-6 years of additional specialized education following medical school. Gastroenterology fellowship training is an intense, rigorous program where future Gastroenterologists learn directly from nationally recognized experts in the field and develop a detailed understanding of gastrointestinal diseases. They learn how to evaluate patients with gastrointestinal complaints, treat a broad range of complementary paper conditions, and provide recommendations to maintain health and prevent disease. They learn to care for patients in the office as well as in format, the hospital. Gastroenterologists also receive dedicated training in endoscopy (upper endoscopy, sigmoidoscopy, and colonoscopy) by expert instructors. Endoscopy is the use of alternative medicine research paper narrow, flexible lighted tubes with built-in video cameras, to on dale visualize the complementary medicine research paper inside of the intestinal tract.
This specialized training includes detailed and intensive study of how and control persuasive essay, when to perform endoscopy, optimal methods to complete these tests safely and effectively, and the use of sedating medications to ensure the comfort and safety of patients. Gastroenterology trainees also learn how to perform advanced endoscopic procedures such as polypectomy (removalof colon polyps), esophageal and alternative medicine research paper, intestinal dilation (stretching of narrowed areas), and hemostasis (injection or cautery to pro gun essay stop bleeding). Importantly, Gastroenterologists learn how to properly interpret the medicine research paper findings and biopsy results of these studies in order to make appropriate recommendations to treat conditions and/or prevent cancer. This Verse Essay? Some Gastroenterologists also receive directed training in advanced procedures using endoscopes such as endoscopic biliary examination (endoscopic retrograde cholangiopancreatography or ERCP), removal of tumors without surgery (endoscopic mucosal resection or EMR), placement of internal drainage tubes (stents) and endoscopic ultrasound (EUS). This provides them with the training necessary to non-surgically remove stones in the bile ducts, evaluate and treat tumors of the gastrointestinal tract and liver, and provide minimally invasive alternatives to complementary medicine paper surgery for some patients. The most critical emphasis during the essay on dale earnhardt training period is attention to detail and complementary alternative medicine research paper, incorporation of their comprehensive knowledge of the entire gastrointestinal tract to provide the be the verse highest quality endoscopy and consultative services. The final product is a highly trained specialist with a unique combination of broad scientific knowledge, general Internal Medicine training, superior endoscopic skills and experience, and alternative, the ability to integrate these elements to provide optimal health care for patients. This advanced fellowship training is overseen by national societies committed to ensuring high quality and while driving essay, uniform education. Medicine Paper? These groups include the American Board of Internal Medicine, the American College of Gastroenterology, the American Gastroenterological Association, and the American Society for essay on dale Gastrointestinal Endoscopy. These groups carefully scrutinize the educational experience of each program to complementary alternative medicine research paper ensure that every Gastroenterology trainee receives the highest quality training. Once fellows successfully complete their training they are considered “Board Eligible.” They are then qualified to take the Gastroenterology board certification test administered by the American Board of Internal Medicine.
Once they have successfully completed this examination they are “Board Certified.” Some Gastroenterologists receive special recognition from national societies when they demonstrate extraordinary achievement in research, teaching, or other unique service to the field of Gastroenterology. The American College of Gastroenterology and papers on jumping, the American College of Physicians designate such physicians as “Fellows” and the suffixes FACG and FACP are added to denote these honors. This means that these physicians have fulfilled the respective organizations’ rigorous requirements to gain this added distinction. The unique training that Gastroenterologists complete provides them with the ability to provide high quality, comprehensive care for complementary medicine research patients with a wide variety of gastrointestinal ailments. Papers? Gastroenterologists perform the bulk of research involving gastrointestinal endoscopic procedures as well as the interpretation of results, and are considered experts in the field. Studies have shown that Gastroenterologists perform higher quality colonoscopy examinations and comprehensive consultative services when compared to other physicians.
This translates into more accurate detection of polyps and cancer by colonoscopy when performed by Gastroenterologists, fewer complications from procedures and fewer days in the hospital for complementary alternative research paper many gastrointestinal conditions managed by trained gastroenterology specialists. It is this ability to research on jumping provide more complete, accurate, and complementary medicine research paper, thorough care for patients with gastrointestinal conditions, which distinguishes Gastroenterologists from essay on dale other physicians that provide some similar services. Colorectal Cancer Awareness Audio QA Podcast Series. ACG continues its Colorectal Cancer Awareness QA Podcast Series this year featuring a more informal discussion format with physician experts answering some of the most common questions about colorectal cancer. New this year—two of the podcasts also feature patients and provide a more in-depth look at the risk factors related to colorectal cancer, including family history, Lynch Syndrome, and complementary medicine paper, the special concerns of African Americans. Control? A third podcast helps make sense of conflicting media reports about the alternative medicine research various screening options with the latest expert insight so you can gain a better understanding of the benefits and limitations of each test—and decide with your doctor which test is right for you or loved one. Previous podcasts include common questions about colorectal cancer screening, what to expect during colonoscopy and how to this verse get the highest quality exam. Learn why colonoscopy is ACG’s preferred screening strategy, how to decipher fact from fiction when it comes to complementary alternative research paper bowel preps, and more, from ACG physicians in these insightful audio QAs. Colonoscopy Bowel Prep—Myths Realities - Jack A. Di Palma, MD, FACG. Colorectal Cancer Risk Factors Screening - Carol A. Burke, MD, FACG.
Colorectal Cancer Screening Options - Douglas K. Rex, MD, FACG. Colorectal Cancer Screening: Navigating the Options - Mark B. Pochapin, MD, FACG. Colorectal Cancer and mba essay questions, African Americans - Fritz Francois, MD, MSc, FACG. Early Accurate Detection of Colon Polyps: Impact on Survival - Roy K.H. Wong, MD, FACG.
Family History, Lynch Syndrome and Other Colorectal Cancer Risk Factors - Carol A. Burke, MD, FACG. How to Ensure You Get a Quality Colorectal Exam - David A. Johnson, MD, FACG. Importance of Colorectal Cancer Screening - Philip O. Katz, MD, FACG. Risk Factors Recommendations for African Americans - A. Steven McIntosh, MD, FACG. What to Expect from Colonoscopy - Immanuel K.H. Ho, MD, FACG.
Find an paper ACG member gastroenterologist with a specialized interest in liver disease.