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The unicycle will be used to encourage. 668 words - 3 pages. The automobile has not merely taken over the street, it has dissolved the living tissue of the city. Its appetite for space is absolutely insatiable; moving and parked, it devours urban land, leaving the buildings as mere islands of habitable space in a sea of dangerous and ugly traffic.--James Marston Fitch, New York Times, May 1, 1960. ? Automobiles, I feel we are too reliant on definition thesis them in our society. Americans need a kick in the pants to walk, take the city bus or my favorite solution, pedal a bicycle. Organic Paper? There are a myriad of ways that commuting by bike is of symbols, superior to driving an automobi.
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American Journal of Organic Chemistry - Scientific & Academic
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I shouldnt use a functional style if: I want to latex highlight my upward career mobility. I am a student or entry-level candidate that lacks experience. I lack relevant or transferable skills. To learn more about what should be in included in a functional resume, click here. A combination resume is literally a combination of the reverse-chronological and functional resume formats. Chemistry Paper! Combination resumes will often begin with a professional profile or summary of personal essays on interacial, qualifications that includes skills, abilities, and achievements relevant to the job opening. (This is the functional part.) This introductory section is organic research paper then followed by list phd thesis latex, your reverse-chronological professional experience, education, and additional sections. (This is the organic research paper, reverse-chronological part.)
I should use a combination resume format if I want to showcase a relevant and qiqi yan thesis, well-developed skill set. I want to transfer to chemistry research paper a different industry. I am a master at what I do. I shouldnt use a combination resume format if I am a student or entry level candidate. I want to emphasize my educational experience.
I lack relevant qualifications and skills. To learn more about essays on interacial what should be in included in a combination resume format, click here. If you have any specific questions not answered in this guide please feel free to post them in the comments at the bottom of the chemistry research paper, page and one of our Senior Resume Experts will be glad to structural engineering answer them for you! PS. Need that job?
Be sure to download our Resume Checklist to ensure that youve written a complete, professional resume. Click Here to Download. Our Resume Checklist. If I apply a admin. job but I only chemistry, have relevant experience several years ago, and now in school learning social service. How can I make my resume? Emphasize old skills and transferable skills from qiqi yan thesis, social service in a combination or functional resume. Chemistry! Good luck on the job hunt!
Yes, if you have several impressive awards/honors then they can definitely be place above your professional experience. Persuasive Essay About! Good luck on the job hunt! We suggest using a combination format. Organic Chemistry Research! Best of latex, luck on the job hunt! We suggest that you stick with the chemistry research paper, traditional reverse-chronological format. Good luck! I did a career shift recently to teaching after having a graduate degree and 10 years experience in planning and development. I have recently completed a graduate degree in education and have 2 years of paper, teaching experience in a preschool setting and trying to now make the shift to elementary age. Do you think I should use a combination resume? A combination resume should work for your situation.
Check out our combination format writing guide for more info: https://resumegenius.com/resume-formats/combination-resume-samples. For a chronological resume, if I completed an internship with a past employer while simultaneously being employed by them does the internship go above or below the primary employment experience? (E.g., I worked at research paper, HSBV from 8/2013 12/2015, with my internship also at on playing games, HSBV from organic chemistry research paper, 1/2015 5/2015, so right in the middle of my employment with them. Should the internship be listed before, or after?) You should list you internship after your employment. Good luck! I have what I perceive to be a unique situation (I understand everyone thinks they are different).
I am an army veteran of nearly 7 years and qiqi yan thesis, now I am studying to get my BS is chemistry research Homeland Security. I joined the army at personal essays on interacial, 19 in 2006 and got out in 2013. From 2013 until January of this year, I have been trying to make my own way as an organic chemistry paper entrepreneur. I was largely unsuccessful and in order to stay on top of list latex, my bills I ended up taking odd jobs during the day while working as a bouncer at various bars and clubs at organic chemistry paper, night. I am currently looking for an internship as part of thesis paper, my degree program so i need to paper create a resume. I thought a functional resume would be ideal so as to blur the past 3 years.
However, I understand from this article that students should use a chronological resume. I need to know how firm that rule is. Also, if anyone has any specific guidance for my resume I am very willing to qiqi yan thesis accept advice. Thanks. In your situation, we would suggest using a functional format. This will allow you to chemistry focus on your skills that are relevant to essays the internship you are applying for. Good luck on the job hunt and thank you for organic chemistry, your service! Okay so I am a third year college student looking for on playing, a part-time job that fits my class schedule and isnt in the fast-food industry to help me pay rent next year. I have never had to organic paper write a resume for any of my other jobs so Im at a loss as to what to do. I am applying as an entry-level applicant but I also didnt work during my freshman year and about half of my sophomore year.
Therefore Im not really sure how to approach this and list of symbols latex, I really need this job. Organic Research! Please help! Thanks! Good luck on the job hunt! Consider adding a Publications section to include your research and writing experience.
Good luck on the job hunt. Several positions require a chronological resume be included. I am over 40, most recent position was over 5 yrs ago as a Seasonal Tax Professional with HR Block. Recently received my AA degree. I do not include employment start end dates on my resume for many reasons but I am not trying to look like someone who can not or will not follow directions either. Please share your thoughts. Hi I used to be a pediatric nurse for two years till moved to this country on 2012 and have been working at Walmart since then, recently got my RN license and want to start working as a nurse what type would you recommend me? In your case, we suggest using a functional resume. Best of definition, luck on the job hunt! Hi, I am presently working as Project Manager in construction company and before this I worked as Operations Manager in chemistry a different company. Now I want to apply for games, a job (Title : Plant Manager).
I am confused which format I should choose to post for this job opportunity. Please recommend. We suggest sticking with the traditional reverse-chronological format. Best of chemistry research, luck! Detailing all 18 years of definition paper, your experience might be overdoing it.
With three pages, there is likely some redundant information that you could cut. However, if you truly feel that all of your content is relevant and of interest to organic research the employer, then stick with what you have. Best of luck on the job hunt! I am now trying to rejoin the lunches, full-time workforce after almost a 17 year absence. Research! Prior to marriage mother hood I was a very successful Director of qiqi yan thesis, Public relations for organic research, a well known beauty company in NYC (1990-1996). Definition Paper! After that I joined a small firm on Long Island as their first ever Director of PR and paper, advertising (1997-1999). Then babies came. 6 years later I joined a local firm as their Director of Operations (office manager) from 2006-2009.
Then my family and list phd thesis, I moved to Switzerland and just returned after 7 years. I was a teacher of chemistry, English as a Second Language. I am looking for work in almost any capacity: From Communications manager to administrative assistant. I am struggling with how to present my resume. Definition Thesis Paper! Ive been letting my cover letters explain the history and why I would be a good fit for any given position, but Im sure my resume is holding me back. Any ideas. Thanks in organic advance! If youre looking to get back into communications or office management, then it might be better to on playing use a functional format. This will allow you to chemistry research paper emphasize your skills instead of the persuasive essay school, dates of chemistry research, your work experience. Thesis Structural Engineering! As far as explaining work gaps in your cover letter, check out this how-to guide: https://resumegenius.com/cover-letters-the-how-to-guide/cover-letter-red-flags-solutions. While I was in high school I did my internship at for State Farm.
After I graduated I was offered a job there and stayed there for 2 years. Chemistry! I have recently worked at the National Instituted of Health for thesis paper, a year. I currently want to go back to finding an organic chemistry research office job or something related and persuasive about, need help deciding what type of resume I should use? Based on the info youve given us, a Chronological format would still be appropriate. Best of luck! If the paper, the position you are applying for is also an administrative job, then stick with the traditional Reverse-Chronological resume format. Good luck on the job hunt! Glad you liked it! Hi there! This is great.
I was just wondering, if Ive been at the same position for qiqi yan thesis, 3 years (2014-present) but did a second job for 6 months in 2015 that I would like to chemistry list, would I put that first (since technically 2015 is more recent than 2014)? Or would I list that after my current position, since Im still presently in this role? Thanks! List your current position first. Best of luck! A combination or functional resume would be suitable. Best of luck! It sounds like a functional format would be a good choice.
Good luck on the job hunt! Hi there Elizabeth, You have a bit of flexibility with the resume format, but when in games doubt go with reverse-chronological. Because youre lacking in transferable skills, Id recommend working on your resume objective to get your application started on the right foot. https://resumegenius.com/how-to-write-a-resume/career-objective-writing-guide. Also consider the soft skills youve built during your time working in a call center. Many of these could potentially be transferable. https://resumegenius.com/how-to-write-a-resume/skills-section-writing-guide.
Good luck with your job application! Yes, a combination resume is perfectly suited to someone of your experience, even with the career change. Good luck making the shift back into your previous field! If you are aiming for a new industry, you cant go wrong with the classic reverse-chronological resume format. Good luck landing your fellowship! Share Resume Format Guide Reverse-Chronological, Functional, #038; Combination Styles
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Adenomas can grow for years and transform into persuasive essay about school, cancer without producing any symptoms. By the time symptoms develop, it is often too late to cure the cancer, because it may have spread. Organic Paper. Screening identifies cancers earlier and personal, actually results in cancer prevention when it leads to removal of adenomas (pre-cancerous polyps). The cause of colorectal cancer in most cases is organic research, unclear. However, most colorectal cancers develop from list of symbols phd thesis latex polyps, which are abnormal growths in the colon. Organic Chemistry. 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 removal of persuasive essay school lunches pre-cancerous polyps. Everyone age 50 and research paper, older . The average age to develop colorectal cancer is 70 years, and 93% of 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 phd thesis latex, 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 research, thus the total number of cases in men and women is video, equal. Anyone with a family history of colorectal cancer . If a person has a history of 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 chemistry, 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 about lunches colorectal cancer. A well-documented family history of adenomas is also an important risk factor.
Anyone with a personal history of 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 chemistry increased risk of colorectal cancer. Persuasive About School Lunches. These groups should be checked by colonoscopy at regular intervals, usually every 3 to 5 years. Woman with a personal history of paper breast cancer have only a very slight increase in risk of colorectal cancer. African Americans are diagnosed with colorectal cancer at on interacial 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 organic chemistry a younger age because of the higher incidence of engineering colorectal cancer and a greater prevalence of proximal or right-sided polyps and cancer in this population. The strategy for reducing colorectal cancer deaths is simpleCRC screening. For normal risk individuals, screening tests begin at age 50 and organic chemistry research paper, the preferred approach is a screening colonoscopy every 10 years; an alternate strategy consists of annual stool test for blood and a flexible sigmoidoscopic exam every 3 to qiqi yan thesis, 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 more frequent intervals for individuals at high risk for organic paper, 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. List Phd Thesis Latex. (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 organic non-steroidal anti-inflammatory drugs or aspirin, reduce the definition thesis paper chances of colorectal cancer death by 30-50%. Organic Chemistry Research. These drugs also have risks, particularly intestinal bleeding, and 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 low fat diet, regular exercise, maintenance of normal body weight and definition thesis, cessation of smoking are also beneficial. None of the measures is as effective as or should replace colorectal cancer screening. Colorectal Cancer Screening Options. Talk to organic research paper, your doctor about what colorectal screening tests are right for you. Guidelines from the American College of Gastroenterology distinguish between colorectal cancer prevention tests and structural, 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 research paper American College of structural 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 paper preferred colorectal cancer detection test. FIT is 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 X-ray designed to personal marriages, look for chemistry paper, colon polyps and cancers. CTC every 5 years is an alternative to colonoscopy for patients who decline colonoscopy. If polyps are detected, a regular colonoscopy is required to remove these pre-cancerous growths.
While CTC is qiqi yan thesis, good at detecting polyps larger than 1 centimeter in size, CTC is not equivalent to chemistry research, colonoscopy because it is unreliable at detecting smaller polyps, which constitute 80 percent of persuasive essay school lunches 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 research paper, 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 screening for colon cancer. A key advantage of of symbols phd thesis this technique is that it allows both imaging of research 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). Persuasive About Lunches. The large intestine is approximately 3 4 feet long. A colonoscope is engineered such that biopsies of suspicious areas can be obtained, and polyps (which may turn into organic paper, cancer) can be removed.
Your lifetime risk (defined as life to 85 years old) is essay about, approximately 6% (male or female). Your risk is organic chemistry paper, 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 a younger age or if more members of your family are affected. Certain inherited disorders, for personal essays on interacial, example, polyposis syndromes and hereditary non-polyposis colorectal cancer, can increase your risk of developing colon cancer, but those are rare. Other important risk factors include obesity, cigarette smoking, inflammatory conditions in organic research paper the colon such as Crohns, colitis and ulcerative colitis, and definition paper, excessive alcohol consumption. Your doctor is in the best position to paper, discuss whether your personal or family history suggests one of those conditions. Yes.
Colonoscopy accomplishes this by detecting and persuasive essay lunches, removing polyps, and chemistry, detecting early cancers. Recent data show that both the qiqi yan thesis number of new cases of colon cancer (incidence) and deaths from the disease are decreased when colonoscopy is performed according to established guidelines (see Question 11). The most common reason patients cite for not getting a colonoscopy is chemistry research, that their doctor did not discuss it with them. The next most common reason is fear or avoidance of the preparation (prep), which involves taking a laxative which causes temporary diarrhea for several hours. In addition, many people are simply unaware that they need colon cancer screening. This is an important obstacle in the eyes of thesis structural many patients to getting a colonoscopy, but it need not be! There are a variety of organic chemistry research 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 colonoscopy involves drinking a volume of phd thesis solution of polyethylene glycol (PEG). This solution causes a diarrhea that effectively rids the colon of its contents.
Various fruit flavors are available and patients have several hours to drink it. Chemistry Research. 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 following day. On Playing Video Games. 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 chemistry research 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 people who dread the thought of large volumes of liquid. Another preparation involves a phosphate solution (called Fleet® Phospho-soda) which consists of essay on playing video games two (2) rounds of organic 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 essay games 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 organic chemistry least 2 quarts of water to replace losses. Phospho-soda® prep should be avoided in about lunches patients with significant heart or kidney problems, in 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 patients 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 chemistry research paper sedation also has a mild amnesiac effect, so most patients do not even remember the persuasive school lunches 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 the hard work of advocacy groups and the efforts of national organizations such as the American College of 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 chemistry research paper testing done in thesis structural engineering medicine. 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 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 procedure itself may require additional treatment such as hospitalization and/or blood transfusions. As one reads about organic paper these procedures, the reader should weigh these low risks against the far more frequent complication of developing colon cancer if appropriate testing is essays, 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 organic chemistry 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 begin colon cancer screening 10 years younger than the youngest age of the family member with colon cancer, or age 40, whichever is younger.
There are additional guidelines for 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 Crohns disease, screening for colon cancer should begin 8 10 years after the initial diagnosis is made. Questions and Answers about Quality in 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 qiqi yan thesis success of colonoscopy in preventing colorectal cancer and minimizing complications is very dependent on the skill and competence of the colonoscopist. Chemistry Paper. Colonoscopists differ substantially in the number of precancerous polyps they detect during colonoscopy and in how often they perform colonoscopy in response to both normal and abnormal findings. Awareness of essay on playing these differences led the U.S. Organic. Multisociety Task Force on Colorectal Cancer in 2002, as well as a joint task force of experts from the American College of Gastroenterology and American Society of Gastrointestinal Endoscopy in 2006, to propose quality indicators that colonoscopists can use to measure how effectively and safely they perform colonoscopy. Obviously, patients have an qiqi yan thesis interest in undergoing the most effective and safe colonoscopy possible, and achieving these goals requires a colonoscopist who is committed to high quality. Studies have shown average performance of colonoscopy by organic chemistry research, gastroenterologists to be superior to that of primary care physicians in three different areas of thesis 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. This may reflect the organic chemistry research paper more extensive training that gastroenterologists receive in this procedure and thesis engineering, their higher volumes of colonoscopy in 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 their colonoscopy or lack of awareness of current guidelines is unknown. Even though gastroenterologists have on average the highest level of chemistry paper training and their examinations have been shown on average to be superior to primary care physicians, there is considerable variation among gastroenterologists in thesis paper their detection rates of organic research paper precancerous polyps. Persuasive About. Therefore, it is essential that every colonoscopist, regardless of specialty, makes measurements to establish that their examinations are effective. It is very reasonable and 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 doctors adenoma detection rate. This rate is chemistry research paper, defined as the percentage of patients age 50 and older undergoing screening colonoscopy, who have one or more precancerous polyps detected. Persuasive School Lunches. This rate should be at least 25% in men and chemistry, 15% in women. A secondary measure of marriages careful examination is organic chemistry, that doctors should have an average withdrawal time of at least six minutes.
The withdrawal time is the time it takes to remove the scope from the colon. Definition Paper. This interval is important because this is the phase of colonoscopy when most doctors actually examine the colon systematically for polyps. It is perfectly reasonable to 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 paper 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 about school cecum) have been documented by notation in the report and by photography. Colonoscopy is a video examination of the colon.
The video camera and research, the colonoscope, like any other video camera, cannot see through solids. Therefore, the colon must be thoroughly cleansed to provide the school doctor the best opportunity possible for a thorough and detailed examination.Be sure to chemistry research paper, pick up and read your written bowel preparation instructions at qiqi yan thesis least several days before your colonoscopy. Organic Chemistry. Go over engineering, the instructions and make sure you have all of the materials needed to organic chemistry research paper, complete the preparation.The most effective bowel preparations involve split dosing of the definition paper laxatives, in which half of the organic research preparation is taken on the morning of the examination, usually 4 to 5 hours before the time of the definition scheduled colonoscopy, and organic chemistry paper, completed at personal on interacial 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 chemistry second half of the preparation. If the instructions call for thesis structural, split dosing, do not alter the timing of the chemistry paper doses.
It is worth the 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 relationship to the colonoscopy is critical. If too long an interval is 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 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 fair to essay about school, ask the chemistry paper colonoscopist to list of symbols phd thesis, be sure to do a slow and research paper, careful examination and to of symbols phd thesis latex, provide a copy of the report that documents and photographs the paper complete extent of examination. Take the bowel preparation instructions seriously. Pick up the essay on playing video 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 organic gastrointestinal diseases and has received special training in colonoscopy.
Gastroenterologists perform more colonoscopies by phd thesis latex, far than any other specialty. Non-gastroenterologists are five times more likely to chemistry research paper, miss colorectal cancer during colonoscopy than Gastroenterologists. 1. 1 Rex DK, Rahmani E, Haseman JH, et al. Relative sensitivity of list of symbols phd thesis colonoscopy and barium enema. Proper training in colonoscopy is necessary not only to increase the chance that the organic paper procedure can be completed and any necessary treatments applied, but also to 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 colonoscopy during a surgical residency. How many perforations has the list of symbols phd thesis latex doctor had?
Many Gastroenterologists have performed many thousands of colonoscopies. A colonoscopist should know the organic paper rate at which their procedures have been associated with a perforation or making a hole in essay on playing the colon. This rate should certainly be below 1 in organic paper 500 examinations and many experts have rates of perforation well below 1 in 1000. Experienced colonoscopists reach the 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. Personal Essays On Interacial. 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 overwhelming majority of organic chemistry paper 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 qiqi yan thesis normal function and diseases of the organic chemistry research paper esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. It involves a detailed understanding of the personal essays marriages normal action (physiology) of the gastrointestinal organs including the movement of material through the stomach and paper, intestine (motility), the digestion and absorption of nutrients into the body, removal of waste from the system, and the function of the liver as a digestive organ.
It includes common and important conditions such as colon polyps and list latex, cancer, hepatitis, gastroesophageal reflux (heartburn), peptic ulcer disease, colitis, gallbladder and biliary tract disease, nutritional problems, Irritable Bowel Syndrome (IBS), and pancreatitis. In essence, all normal activity and disease of the digestive organs is part of the paper study of Gastroenterology. A Gastroenterologist must first complete a three-year Internal Medicine residency and is then eligible for additional specialized training (fellowship) in Gastroenterology. This fellowship is generally 2-3 years long so by 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 engineering nationally recognized experts in the field and develop a detailed understanding of research paper gastrointestinal diseases. They learn how to evaluate patients with gastrointestinal complaints, treat a broad range of conditions, and provide recommendations to maintain health and prevent disease. They learn to care for personal on interacial marriages, patients in the office as well as in the hospital. Gastroenterologists also receive dedicated training in endoscopy (upper endoscopy, sigmoidoscopy, and colonoscopy) by expert instructors. Endoscopy is the use of narrow, flexible lighted tubes with built-in video cameras, to visualize the organic paper inside of the intestinal tract. This specialized training includes detailed and intensive study of how and when to perform endoscopy, optimal methods to complete these tests safely and effectively, and the use of sedating medications to ensure the comfort and list phd thesis, safety of patients. Gastroenterology trainees also learn how to perform advanced endoscopic procedures such as polypectomy (removalof colon polyps), esophageal and intestinal dilation (stretching of narrowed areas), and hemostasis (injection or cautery to organic, stop bleeding).
Importantly, Gastroenterologists learn how to properly interpret the findings and qiqi yan thesis, biopsy results of these studies in paper order to make appropriate recommendations to treat conditions and/or prevent cancer. 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 personal essays marriages, 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 organic research paper gastrointestinal tract and structural, liver, and provide minimally invasive alternatives to surgery for organic chemistry, some patients. The most critical emphasis during the training period is attention to detail and incorporation of their comprehensive knowledge of the entire gastrointestinal tract to provide the highest quality endoscopy and consultative services. The final product is of symbols latex, a highly trained specialist with a unique combination of research paper broad scientific knowledge, general Internal Medicine training, superior endoscopic skills and experience, and 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 uniform education.
These groups include the American Board of Internal Medicine, the American College of Gastroenterology, the American Gastroenterological Association, and the American Society for Gastrointestinal Endoscopy. These groups carefully scrutinize the educational experience of each program to 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 essays marriages 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 organic chemistry national societies when they demonstrate extraordinary achievement in qiqi yan thesis research, teaching, or other unique service to the field of Gastroenterology. The American College of Gastroenterology and 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 chemistry research paper respective organizations rigorous requirements to gain this added distinction. The unique training that Gastroenterologists complete provides them with the ability to essay on playing video games, provide high quality, comprehensive care for patients with a wide variety of organic paper gastrointestinal ailments. Gastroenterologists perform the qiqi yan thesis bulk of research involving gastrointestinal endoscopic procedures as well as the organic chemistry research paper 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 essay the hospital for many gastrointestinal conditions managed by trained gastroenterology specialists. It is this ability to provide more complete, accurate, and thorough care for patients with gastrointestinal conditions, which distinguishes Gastroenterologists from 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 yeartwo of the organic chemistry research paper 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 definition, the special concerns of chemistry paper African Americans. A third podcast helps make sense of conflicting media reports about the phd thesis latex various screening options with the latest expert insight so you can gain a better understanding of the benefits and limitations of each testand 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 organic research paper, get the highest quality exam. Latex. Learn why colonoscopy is ACGs preferred screening strategy, how to decipher fact from organic chemistry research paper fiction when it comes to bowel preps, and more, from ACG physicians in essay on playing video games these insightful audio QAs. Colonoscopy Bowel PrepMyths 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 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. Organic Chemistry. 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 ACG member gastroenterologist with a specialized interest in liver disease.
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International Journal of Organic Chemistry - Scientific Research
consumer essay This account was written in 1969 for research paper publication in Marihuana Reconsidered (1971). Sagan was in his mid-thirties at that time. He continued to definition, use cannabis for the rest of organic paper, his life. It all began about ten years ago. I had reached a considerably more relaxed period in my life a time when I had come to feel that there was more to living than science, a time of awakening of my social consciousness and amiability, a time when I was open to new experiences. I had become friendly with a group of people who occasionally smoked cannabis, irregularly, but with evident pleasure.
Initially I was unwilling to qiqi yan thesis, partake, but the apparent euphoria that cannabis produced and the fact that there was no physiological addiction to the plant eventually persuaded me to organic chemistry research paper, try. My initial experiences were entirely disappointing; there was no effect at all, and I began to entertain a variety of hypotheses about definition paper, cannabis being a placebo which worked by expectation and hyperventilation rather than by chemistry. Chemistry Research. After about five or six unsuccessful attempts, however, it happened. I was lying on my back in a friends living room idly examining the pattern of shadows on the ceiling cast by qiqi yan thesis a potted plant (not cannabis!). I suddenly realized that I was examining an intricately detailed miniature Volkswagen, distinctly outlined by the shadows. I was very skeptical at research, this perception, and tried to find inconsistencies between Volkswagens and what I viewed on the ceiling. But it was all there, down to hubcaps, license plate, chrome, and even the small handle used for opening the trunk. When I closed my eyes, I was stunned to find that there was a movie going on the inside of my eyelids. Flash . . Games. . a simple country scene with red farmhouse, a blue sky, white clouds, yellow path meandering over green hills to the horizon. . . Flash . . Chemistry Research Paper. . same scene, orange house, brown sky, red clouds, yellow path, violet fields . . . Flash . List Latex. . . Flash . . . Flash.
The flashes came about chemistry research, once a heartbeat. Each flash brought the essay same simple scene into view, but each time with a different set of organic, colors . . . exquisitely deep hues, and astonishingly harmonious in their juxtaposition. Since then I have smoked occasionally and enjoyed it thoroughly. It amplifies torpid sensibilities and produces what to essay video, me are even more interesting effects, as I will explain shortly. I can remember another early visual experience with cannabis, in which I viewed a candle flame and discovered in the heart of the flame, standing with magnificent indifference, the black-hatted and -cloaked Spanish gentleman who appears on the label of the organic chemistry paper Sandeman sherry bottle. Looking at fires when high, by the way, especially through one of thesis structural, those prism kaleidoscopes which image their surroundings, is an extraordinarily moving and beautiful experience. I want to explain that at no time did I think these things really were out there.
I knew there was no Volkswagen on the ceiling and there was no Sandeman salamander man in the flame. I dont feel any contradiction in research these experiences. Theres a part of me making, creating the perceptions which in everyday life would be bizarre; theres another part of me which is a kind of observer. About half of the pleasure comes from the observer-part appreciating the on playing video work of the creator-part. I smile, or sometimes even laugh out loud at the pictures on the insides of organic paper, my eyelids. In this sense, I suppose cannabis is psychotomimetic, but I find none of the panic or terror that accompanies some psychoses. Possibly this is definition thesis paper, because I know its my own trip, and that I can come down rapidly any time I want to. While my early perceptions were all visual, and organic chemistry research, curiously lacking in images of human beings, both of these items have changed over the intervening years. I find that today a single joint is qiqi yan thesis, enough to get me high. I test whether Im high by closing my eyes and looking for the flashes.
They come long before there are any alterations in my visual or other perceptions. Chemistry Research. I would guess this is a signal-to-noise problem, the visual noise level being very low with my eyes closed. Another interesting information-theoretical aspects is the personal marriages prevalence at least in my flashed images of organic chemistry, cartoons: just the outlines of figures, caricatures, not photographs. List Latex. I think this is organic chemistry research paper, simply a matter of information compression; it would be impossible to grasp the total content of an thesis structural image with the information content of an ordinary photograph, say 108 bits, in organic chemistry the fraction of a second which a flash occupies. And the persuasive about school lunches flash experience is designed, if I may use that word, for organic research paper instant appreciation.
The artist and viewer are one. This is not to say that the images are not marvelously detailed and complex. I recently had an image in which two people were talking, and the words they were saying would form and essay about lunches, disappear in yellow above their heads, at about a sentence per heartbeat. In this way it was possible to follow the conversation. At the same time an occasional word would appear in red letters among the yellows above their heads, perfectly in context with the organic chemistry paper conversation; but if one remembered these red words, they would enunciate a quite different set of statements, penetratingly critical of the conversation. The entire image set which Ive outlined here, with I would say at qiqi yan thesis, least 100 yellow words and something like 10 red words, occurred in something under a minute.
The cannabis experience has greatly improved my appreciation for chemistry paper art, a subject which I had never much appreciated before. The understanding of the intent of the artist which I can achieve when high sometimes carries over to when Im down. This is one of thesis paper, many human frontiers which cannabis has helped me traverse. Organic. There also have been some art-related insights I dont know whether they are true or false, but they were fun to formulate. For example, I have spent some time high looking at the work of the Belgian surrealist Yves Tanguey. Qiqi Yan Thesis. Some years later, I emerged from a long swim in the Caribbean and sank exhausted onto a beach formed from the erosion of a nearby coral reef.
In idly examining the arcuate pastel-colored coral fragments which made up the organic beach, I saw before me a vast Tanguey painting. Perhaps Tanguey visited such a beach in his childhood. A very similar improvement in my appreciation of music has occurred with cannabis. For the essay on playing first time I have been able to organic, hear the separate parts of a three-part harmony and personal essays, the richness of the counterpoint. I have since discovered that professional musicians can quite easily keep many separate parts going simultaneously in organic chemistry research their heads, but this was the first time for me. Again, the paper learning experience when high has at least to some extent carried over when Im down. The enjoyment of food is research paper, amplified; tastes and list latex, aromas emerge that for organic chemistry research some reason we ordinarily seem to of symbols phd thesis latex, be too busy to notice. I am able to research paper, give my full attention to the sensation. Persuasive School. A potato will have a texture, a body, and taste like that of other potatoes, but much more so.
Cannabis also enhances the organic research paper enjoyment of sex on the one hand it gives an exquisite sensitivity, but on qiqi yan thesis the other hand it postpones orgasm: in part by distracting me with the profusion of image passing before my eyes. The actual duration of orgasm seems to lengthen greatly, but this may be the usual experience of time expansion which comes with cannabis smoking. I do not consider myself a religious person in the usual sense, but there is a religious aspect to some highs. The heightened sensitivity in all areas gives me a feeling of communion with my surroundings, both animate and inanimate. Sometimes a kind of existential perception of the absurd comes over me and I see with awful certainty the hypocrisies and posturing of organic chemistry paper, myself and my fellow men. And at other times, there is a different sense of the absurd, a playful and whimsical awareness. Both of list of symbols latex, these senses of the organic research paper absurd can be communicated, and some of the most rewarding highs Ive had have been in sharing talk and of symbols latex, perceptions and humor. Cannabis brings us an awareness that we spend a lifetime being trained to chemistry research, overlook and forget and put out of our minds. A sense of on playing video, what the world is really like can be maddening; cannabis has brought me some feelings for what it is like to be crazy, and how we use that word crazy to avoid thinking about things that are too painful for us. In the Soviet Union political dissidents are routinely placed in insane asylums.
The same kind of chemistry research paper, thing, a little more subtle perhaps, occurs here: did you hear what Lenny Bruce said yesterday? He must be crazy. When high on cannabis I discovered that theres somebody inside in those people we call mad. When Im high I can penetrate into the past, recall childhood memories, friends, relatives, playthings, streets, smells, sounds, and tastes from a vanished era. I can reconstruct the actual occurrences in persuasive lunches childhood events only half understood at chemistry research, the time. Essays On Interacial Marriages. Many but not all my cannabis trips have somewhere in them a symbolism significant to me which I wont attempt to describe here, a kind of mandala embossed on the high. Free-associating to this mandala, both visually and as plays on chemistry paper words, has produced a very rich array of insights. There is a myth about such highs: the user has an illusion of great insight, but it does not survive scrutiny in the morning. I am convinced that this is an error, and definition paper, that the organic devastating insights achieved when high are real insights; the main problem is putting these insights in a form acceptable to the quite different self that we are when were down the thesis structural engineering next day. Some of the hardest work Ive ever done has been to put such insights down on tape or in writing.
The problem is organic chemistry research paper, that ten even more interesting ideas or images have to be lost in the effort of list phd thesis latex, recording one. Chemistry Paper. It is easy to understand why someone might think its a waste of persuasive essay lunches, effort going to all that trouble to set the thought down, a kind of intrusion of the Protestant Ethic. But since I live almost all my life down Ive made the effort successfully, I think. Incidentally, I find that reasonably good insights can be remembered the next day, but only if some effort has been made to set them down another way. If I write the insight down or tell it to paper, someone, then I can remember it with no assistance the definition thesis following morning; but if I merely say to myself that I must make an effort to remember, I never do. I find that most of the paper insights I achieve when high are into social issues, an area of thesis, creative scholarship very different from the one I am generally known for. Organic Chemistry. I can remember one occasion, taking a shower with my wife while high, in which I had an idea on the origins and invalidities of list of symbols latex, racism in terms of gaussian distribution curves. It was a point obvious in a way, but rarely talked about. Organic. I drew the curves in soap on thesis the shower wall, and went to paper, write the idea down. One idea led to another, and at the end of about an thesis structural hour of extremely hard work I found I had written eleven short essays on a wide range of social, political, philosophical, and human biological topics.
Because of chemistry research, problems of space, I cant go into the details of persuasive, these essays, but from all external signs, such as public reactions and expert commentary, they seem to contain valid insights. I have used them in university commencement addresses, public lectures, and in my books. But let me try to at least give the flavor of such an insight and chemistry paper, its accompaniments. One night, high on cannabis, I was delving into my childhood, a little self-analysis, and making what seemed to me to be very good progress. Thesis Paper. I then paused and thought how extraordinary it was that Sigmund Freud, with no assistance from drugs, had been able to achieve his own remarkable self-analysis. But then it hit me like a thunderclap that this was wrong, that Freud had spent the decade before his self-analysis as an experimenter with and paper, a proselytizer for cocaine; and it seemed to me very apparent that the genuine psychological insights that Freud brought to the world were at least in part derived from his drug experience. I have no idea whether this is in fact true, or whether the list historians of Freud would agree with this interpretation, or even if such an organic chemistry paper idea has been published in the past, but it is an persuasive essay lunches interesting hypothesis and organic paper, one which passes first scrutiny in the world of the downs. I can remember the qiqi yan thesis night that I suddenly realized what it was like to be crazy, or nights when my feelings and perceptions were of a religious nature.
I had a very accurate sense that these feelings and perceptions, written down casually, would not stand the usual critical scrutiny that is my stock in trade as a scientist. Chemistry. If I find in the morning a message from myself the thesis night before informing me that there is a world around us which we barely sense, or that we can become one with the universe, or even that certain politicians are desperately frightened men, I may tend to disbelieve; but when Im high I know about this disbelief. And so I have a tape in which I exhort myself to take such remarks seriously. I say Listen closely, you sonofabitch of the morning! This stuff is real! I try to show that my mind is working clearly; I recall the name of a high school acquaintance I have not thought of in thirty years; I describe the color, typography, and format of a book in another room and these memories do pass critical scrutiny in the morning. I am convinced that there are genuine and valid levels of organic chemistry research, perception available with cannabis (and probably with other drugs) which are, through the defects of our society and our educational system, unavailable to us without such drugs. Such a remark applies not only to self-awareness and to persuasive, intellectual pursuits, but also to perceptions of real people, a vastly enhanced sensitivity to facial expression, intonations, and choice of words which sometimes yields a rapport so close its as if two people are reading each others minds.
Cannabis enables nonmusicians to know a little about what it is like to be a musician, and nonartists to grasp the organic paper joys of art. But I am neither an artist nor a musician. What about my own scientific work? While I find a curious disinclination to think of my professional concerns when high the attractive intellectual adventures always seem to be in every other area I have made a conscious effort to think of a few particularly difficult current problems in my field when high. It works, at on interacial, least to a degree. I find I can bring to bear, for example, a range of relevant experimental facts which appear to be mutually inconsistent. So far, so good. At least the recall works. Then in trying to conceive of a way of reconciling the disparate facts, I was able to come up with a very bizarre possibility, one that Im sure I would never have thought of chemistry, down. List Phd Thesis Latex. Ive written a paper which mentions this idea in passing. I think its very unlikely to be true, but it has consequences which are experimentally testable, which is the hallmark of an acceptable theory.
I have mentioned that in the cannabis experience there is a part of your mind that remains a dispassionate observer, who is able to take you down in a hurry if need be. I have on a few occasions been forced to organic research paper, drive in heavy traffic when high. Ive negotiated it with no difficult at all, though I did have some thoughts about the marvelous cherry-red color of traffic lights. I find that after the drive Im not high at all. There are no flashes on the insides of my eyelids. If youre high and qiqi yan thesis, your child is calling, you can respond about as capably as you usually do. I dont advocate driving when high on cannabis, but I can tell you from personal experience that it certainly can be done. Organic. My high is always reflective, peaceable, intellectually exciting, and sociable, unlike most alcohol highs, and there is never a hangover. Through the years I find that slightly smaller amounts of cannabis suffice to produce the same degree of high, and in one movie theater recently I found I could get high just by inhaling the cannabis smoke which permeated the theater. There is a very nice self-titering aspect to cannabis. Each puff is a very small dose; the list of symbols phd thesis time lag between inhaling a puff and organic research, sensing its effect is small; and there is no desire for more after the high is there.
I think the ratio, R, of the time to sense the list of symbols latex dose taken to research, the time required to take an excessive dose is an important quantity. R is very large for LSD (which Ive never taken) and reasonably short for cannabis. Small values of R should be one measure of the safety of psychedelic drugs. When cannabis is legalized, I hope to see this ratio as one of he parameters printed on the pack. I hope that time isnt too distant; the illegality of cannabis is outrageous, an impediment to full utilization of qiqi yan thesis, a drug which helps produce the serenity and insight, sensitivity and fellowship so desperately needed in this increasingly mad and organic, dangerous world. This entry was posted on Monday, April 20th, 2009 at essay, 9:02 am and is filed under Essays, Read. You can follow any responses to this entry through the RSS 2.0 feed. You can skip to the end and leave a response. Chemistry. Pinging is currently not allowed.
101 Responses to Mr. X by Carl Sagan For Bruce Gelman. February 22, 2016 at 5:16 pm. I would bet that a LOT of astrophysicists, and even more astrophysics students are stoners