Hepatocellular Carcinoma research paper. PAPER NEEDED

Topic: Hepatocellular Carcinoma
FINAL PAPER:
1. Formatting:
a. Minimum of 4 pages, maximum of 6 pages NOT including name, title, date, etc. You must actually write 4-6 pages of text.
b. Page count also does NOT include references, figures, or any cover pages.
c. Margins should be 1” on all sides
d. Calibri font, 11pt
e. Double-spaced
**Deviations from this format will result in lost points**
2. Guidelines for writing:
a. Elaborate on each of the 5 major points of information outlined in the Summary Outline portion of these guidelines. This includes defining terms that are new/unfamiliar to you.
b. Ensure that proper use of grammar and sentence structure is used prior to submitting the assignment. In other words, proof read your paper! Be aware that help is available to you at Hood for this (see section (i) below)
c. While short statements and lists are acceptable in the summary outline, they are NOT acceptable in the final paper.
i. When discussing the different types of cancers that can arise in your organ, you must also provide a brief description of each type of tumor to indicate how they are all different despite being found in the same organ/organ system.
ii. You only need to do further research (numbers 2-5 of the Summary Outline) on ONE of the types of cancer that you describe for your organ/organ system.
1. You should consider choosing a tumor type that has the most information available to make it easier on yourself.
2. DO NOT attempt to research all of the different cancers for this paper – just choose one.
d. Figures and tables are welcomed if they are relevant, but not required. Any figure or table that is included must be appropriately referenced and it must be described in the text of the paper. DO NOT simply insert a figure/table without any context.
e. You must reference all information that you gather. Each reference should be numbered. To reference information, add the appropriate reference number in parentheses just prior to the period of the sentence in which the information is stated. Example: “Approximately ten thousand people in the U.S. have this type of cancer (1).”
f. You must provide a separate “References” section at the end of the paper where you list the full reference information. This must be done using the Counsel of Science Editors (CSE) format. Refer to this website for more information (click on “Examples of end references”): https://writing.wisc.edu/Handbook/DocCSE_NameYear.html
i. You must include a minimum of 4 different references. This means that all your references should not be from the same place (e.g. all from various WebMD pages). There is a lot of information out there, best not to limit yourself!
ii. There is no maximum number of references, but about 10 is sufficient.
g. Acceptable references are: websites such as those associated with the National Institutes of Health (NIH), National Cancer Institute (NCI), Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA), and other government agencies; websites from clinics such as the Mayo Clinic and Johns Hopkins, as well as other cancer centers and hospitals; WebMD and Scientific American.
h. Unacceptable references are: Wikipedia, news agencies (e.g. CNN, Fox, etc.), blogs, Facebook (or any other social media platforms), and other non-scientific/non-clinical sources.
Summary Outline for reference. (please elaborate more on answers find out further information)
1. Name all of the types of cancer that can arise in the organ or organ system you chose.
Hepatocellular Carcinoma- the most common of all liver cancers. This cancer occurs in people that have chronic liver diseases that are mostly caused by Hep-B and Hep-C
Intrahepatic Cholangiocarcinoma– the second most common primary liver tumor. “These cancers start in the cells that line the small bile ducts (tubes that carry bile to the gallbladder) within the liver. (Most cholangiocarcinomas start in the bile ducts outside the liver.)”
Liver Angiosarcoma– This is rare cancer, and it begins in the lining of the blood vessels in the liver. This cancer is common for people that have been exposed to vinyl chloride or thorium dioxide and “arsenic or radium, or to an inherited condition known as hereditary hemochromatosis.”
Hepatoblastoma– This is another rare cancer that is commonly connected to children. The cells from this cancer are similar to fetal liver cells.
Hepatocellular Carcinoma
2. How common is cancer you chose in 1a?
Very common,
“About 42,220 new cases (30,610 in men and 11,610 in women) will be diagnosed” (ACS) As of 2018
75 percent of liver cancer patients have this form of cancer
How deadly is cancer you chose in 1a (i.e., what is the “mortality” rate)?
Up to 75 percent of all patients die if it is not detected early
“About 30,200 people (20,540 men and 9,660 women) will die of these cancers” (ACS) As of 2018
Morbidity
Heavy upper abdomen
Pale and chalky stool in most cases accompanied by dark urine.
The patients may also experience nausea and vomiting
skin and the eyes of the patient develop a yellow like pigment color, a condition referred to as jaundice
Unexplainable weight loss.
Are there any genes known to cause cancer you chose in 1a?
One chemical called: Aflatoxins, can cause damage to TP53 a tumor suppressor gene.
Infection of the liver cells that are connected to Hep-B and Hep-C can also damage the DNA.
What are the available treatment options for cancer you chose in 1a? How effective are they at reducing either morbidity or mortality?
· Surgery- this is only for tumors that have not grown into the blood vessels.
· Tumor ablation- destroying the tumor without removing them. This is less likely to cure cancer.
· Tumor embolization- injecting substances to stop blood flow to cancer cells. Only good for patients that tumors are big and not for patients that have liver disease.
· Radiation therapy- most common, does work.
· Targeted therapy- chemotherapy drugs, more effective than chemo itself.
· Chemo- not that effective in patients with liver cancer.

Health -Care System
1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?
2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?
3. How does technology improve patient outcomes and the health-care system?
4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?
2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •
What does the organization/agency do that supports the hallmarks of quality? •
What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •
How has the organization/agency affected facilities where you are practicing and your own professional practice?
Essentials of Nursing Leadership & Management
6th Edition
Sally A. Weiss  MSN, EdD, RN, CNE, ANEFRuth M. Tappen  EdD, RN, FAAN

ISBN-13: 978-0-8036-3663-7
Discussion
The thesis statement is probably the most important sentence in the paper, so it is important that it is clear and correct. Remember that the thesis statement is normally ONE sentence (usually the last sentence of the introduction) that asserts the topic and prepares the readers for the rest of the paper.
Once you have the thesis statement, you can begin to think about the topic sentences. Each body paragraph will have a topic sentence and that sentence will prepare the reader for each paragraph. These sentences are also important because they help tie back to the thesis statement and keep the paper organized.
For this work,
Post your thesis statement and your topic sentences. (Remember, you need a minimum of four topic sentences for this assignment.)
 Psychology homework help
 n this discussion, you are going to be asked to do a bit of critical thinking. Have you ever heard this expression? “Opposites attract.” What about this one? “ Birds of a feather flock together.” Both of these say something about what attracts one person to another and both are commonly used expressions. The problem is they are opposites.
 
Suppose we wanted to know whether people tend to marry those who have interests and values that are different from their own (opposites) or whether they tend to marry those with similar interests and values (birds of a feather). How might we find out? As you create your discussion post, consider the following:
What are the steps involved in conducting research?
How do we determine what type of research is suitable for a particular problem?
What type of research would be useful in this case?
How would we go about doing it?
Propose a simple research project that would allow you to answer the question: Which of the two statements in quotation marks above applies best to selection of marriage partners in the United States? Choose one of the research methods listed in Module 4 that you think would be the most useful and practical for exploring this question. Explain why this method would be appropriate. Describe in some detail the steps that you would take in setting up and carrying out this research.
Corporate Compliance
You are a corporate compliance officer for a hospital.  You are also a feature writer for The Medical Reporter , an online health magazine.  The editor asks you to write an 8 pageS feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your “hotline” regarding a potential fraud and abuse issue.  The caller indicated that Dr. Greedy was billing for services that had not been provided.  You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped.   Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues.  Your research should include the following aspects:
I. How to conduct an investigation.  It should include the following elements:
a. Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?
b. Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?
c. Obtaining additional information as necessary and developing a plan for the investigation:  What other items are important to the investigation?
d. Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.
e. Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.
II. How to develop a correction action plan. The plan may suggest:
2. A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.
2. A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.

Assignment 1 Grading Criteria Maximum Points
Discussed the process for reviewing the initial healthcare fraud and abuse complaint and the items to look for to determine validity. 36
Explained the steps to take to determine who is involved in the complaint. 32
Discussed how to obtain additional information to develop a plan for the investigation and the items, which would be important to the investigation. 32
Explained how to conduct interviews with staff, residents and/or management and the types of questions to ask in the interview. 32
Identified the criteria to determine if the allegations are substantiated or unsubstantiated. 32
Explained how to determine when a recommendation for a subsequent audit or follow-up to the complaint is necessary. 36
Discussed the best course of action when a recommendation to refund any overpayments to federal government, insurance company or individual payer is warranted. 36
Written ComponentsStyle (8 points): Tone, audience, and word choice Organization (16 points): Introduction, transitions, and conclusion Usage and Mechanics (16 points): Grammar, spelling, and sentence structure APA Elements (24 points): In text citations and references, paraphrasing, and appropriate use of quotations and other elements of style 64
Total: 300
Criteria Maximum Points
GR1 Discussed the process for reviewing the initial healthcare fraud and abuse complaint and the items to look for to determine validity. 36 points
GR2Explained the steps to take to determine who is involved in the complaint. 32 points
GR3 Discussed how to obtain additional information to develop a plan for the investigation and the items, which would be important to the investigation. 32 points
GR4 Explained how to conduct interviews with staff, residents and/or management and the types of questions to ask in the interview. 32 points
GR5 Identified the criteria to determine if the allegations are substantiated or unsubstantiated. 32 points
GR6 Explained how to determine when a recommendation for a subsequent audit or follow-up to the complaint is necessary. 36 points
GR7 Discussed the best course of action when a recommendation to refund any overpayments to federal government, insurance company or individual payer is warranted. 36 points
GR8 Written Components: Style (8 points): Tone, audience, and word choice Organization (16 points): Introduction, transitions, and conclusion Usage and Mechanics (16 points): Grammar, spelling, and sentence structure APA Elements (24 points): In text citat 64 points
Overall Score Total Score 0 or more
Discussion
Create an outline for the “Marginalized Group Career Counseling  Essay” in Topic 8.
Include at least four required scholarly references for the paper in  your outline.
Refer to “Four Main Components for Effective Outlines,”   located on the Purdue OWL website for help in completing your  assignment. https://owl.english.purdue.edu/owl/resource/544/01/
This assignment uses a scoring guide. Please review the scoring  guide prior to beginning the assignment to become familiar with the  expectations for successful completion.

PCN-525: Outline
Scoring Guide

Grading Category Points Comments
The outline contains a rough draft of an explanation of who the population is and why it is important for this group to receive career counseling. 0/10
The outline contains a rough draft of statistics on the group. 0/10
The outline contains a rough draft of a discussion of career counseling theory to be used with the group. 0/10
The outline contains a rough draft of a basic plan for counseling utilizing chosen theory. 0/10
The outline contains a rough draft of environmental/personal barriers that may prevent the client from finding work. 0/10
The outline contains a rough draft of local resources available to help the client obtain work. 0/10
The outline contains a rough draft of a conclusion related to your plan. 0/10
Outline follows principles from the “Four Main Components for Effective Outlines,” located on the Purdue OWL website. 0/10
The outline contains a minimum of four references. 0/20
Total 0/100

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Nursing Teaching

  • Contain the title of the lesson.
  • Identify and describe the learners.
  • Describe the educational setting: staff development, patient education, family education, and so forth.
  • Include learner assessments: educational level, developmental level, readiness to learn, and so forth.
  • Provide a purpose and rationale for selecting the topic/disease.
  • Describe the philosophical or theoretical basis for teaching approaches used in the lesson.
  • Focus on 1 disease/3 audiences.
  • Support answers with relevant examples and journal articles.

NURSING+COMMUNICATION

Hey guys This assignment is related to Nursing and communication
The essay question is discussing the communication between the nurse, patient and patients family. Please only use refrences that are between 2007-2012 and relevant journals. I have attatched to articles that i hope will help
Many thanks

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Assessment 3: Part B Essay (35%) Date Due: Week 10 – Monday 30th April 2012 by 1300hrs Length: 1200 words Overview In their professional practice, nurses need to communicate in many different ways. By the time you start this essay you will have learnt about how they might effectively do this as professional practitioners. This essay provides you with an opportunity to demonstrate your growing understanding of what it means to communicate effectively as a nurse. It also allows you to demonstrate your capacity to think critically about issues (i.e. to give consideration to context and / or other perspectives), organise ideas logically, and to write them down in a scholarly way. It is important, therefore, to develop your work beyond being descriptive. Details Present an essay (1200 words) that gives your response to the following question: According to the Australian Nursing and Midwifery Council (ANMC) National Competency Standards for the Registered Nurse (2006), nurses are required to “communicate effectively with individuals/groups to facilitate provision of care” (p. 7). Explain why it is necessary for a nurse to communicate effectively in their professional practice. Your explanation should take account of self-awareness and the effect of this on communication in relation to ONE of the following aspects: EITHER 1) Communication between the nurse, the patient and the patient’s family To prepare and write this essay effectively, you should ensure that it is: ? Well researched – you must refer to AT LEAST five (5) relevant, reliable and current sources to support your ideas. These sources may be accessed from any or all of the following: course readings, relevant electronic databases such as CINAHL and MEDLINE, and / or library shelves. ? Logically structured – you should organise your response following the conventional essay format that comprises an introduction, a body and a conclusion. In the introductory paragraph (about 10%), introduce which aspect you will…

Quiz Ch.5

1. What are three types of cancers that are specifically AIDS-related? Choose 3 answers from the following list.
Kaposi’s sarcoma
Cervical cancer
Lymphoma
Lung cancer
Brain cancer
2. What are the three main clinical stages of HIV infection? Choose 3 answers from the following list.
Exposure
Initial infection and the asymptomatic period
Initial symptoms
Immunological damage
Death
3. Many AIDS patients have opportunistic infections, beginning in the early immune failure stage and progressing to full blown AIDS. List 3 or more of the AIDS defining symptoms associated with full blown AIDS, and explain why these generally kill the patients, when the infections associated with early immune failure generally do not. (This is a thought question. You won’t find a direct answer in the book)
4. A patient presents with swollen lymph nodes and fever. He tests negative in the HIV antibody test but high levels of HIV are detected in his blood by PCR. His CD4 T cell count is within the normal range. What is your diagnosis?
Asymptomatic HIV infection
Early immune failure
Acute phase seronegative HIV
End stage AIDS
5. How long does it usually take before an untreated HIV-infected individual develops symptoms of AIDS?
10-12 years
1 year
2 years
20 years
6. Which class of anti AIDS drugs is used to prevent the virus from integrating into the host genome so that it can live indefinitely in a dormant state inside the host.
Nucleoside reverse transcriptase inhibitor
Non-nucleoside reverse transcriptase inhibitor
Protease inhibitor
Integrase inhibitor
7. Which class of drug interferes with the maturation of the virus by preventing a long nonfunctional polypeptide from being cut into three separate functional proteins?
Fusion inhibitor
Integrase inhibitor
Protease inhibitor
CCR5 inhibitor
8. What is the approximate annual cost of triple combination therapy for HIV infection?
$2,000
$5,000
$15,000
$25,000
9. Will triple combination therapies be useful in treating HIV infection in developing countries? Explain your answer.
10. What is the major limitation in the use of Nucleoside Reverse Transcriptase Inhibitors ( NRTIs) for AIDS treatment?
ANALYZE HOW FINANCIAL REIMBURSEMENT AFFECTS QUALITY OF CARE, AND CONVERSELY, HOW QUALITY OF CARE AFFECTS FINANCIAL REIMBURSEMENT.
Health Policy and Financial Considerations
As future leaders in the nursing profession, it is critical that you understand the scope and role of policy and finance in relationship to individual and population outcomes. For this discussion, consider the following:Where can you find current trends in policy and finance as they apply to healthcare in general? To your area specifically?(DENVER COLORADO)
Analyze the relationship between legislative processes and their impact on healthcare financing and service delivery systems.
Analyze how financial reimbursement affects quality of care, and conversely, how quality of care affects financial reimbursement.
Analyze the roles individual nurses and professional organizations play in influencing health policy.
Be sure to support your discussion with references to the literature as appropriate.
must be at least 150 words with at least one APA formatted reference in the post and at the end as a reference.