1. Introduction: Squamous cell carcinoma of the head and neck (SCCHN) can be ranked as the sixth leading cancer by incidence worldwide (1,2). Every year, there are more than 550,000 patients diagnosed with head and neck cancers worldwide and around 300,000 related deaths (3). Squamous cell carcinomas represent 90% of cases and mostly arise from the epithelial lining of the oral cavity, oropharynx, larynx, and hypopharynx. SCCHN can be divided into three stages: early stage (I/II), locally…
but sometimes it’s difficult because of school work overload. Patient doesn`t abuse alcohol, but drinks socially, no use of tobacco or smokes or use of illegal drugs. Review of systems • Vital signs: RR = 20 BP = 138/74 P = 88 % sat = 98% (RA) T = 99.2 (oral) • HEENT: patient hair is normal, pupils are equal, and do respond to light, tympanic membranes are normal pharynx is…
“Dream lofty dreams, and as you dream, so you shall become. Your vision is the promise of what you shall one day be; your ideal is the prophecy of what you shall at last unveil” stated British philosophical poet James Allen. Since the dawn of time humanity has sought to find order in the world, to find means by which one could determine the future. In this endeavor many across time and culture have pointed their discerning minds to dreams. Dreams have been believed to hold the secret to future…
In “the Urban Revolution”, Gordon Childe identifies ten specific criteria in a process that he believes transforms villages and defines a city, civilization, or society. It is through this process that we can easily categorize and compare settlements and cities from ancient times. Two of these criteria, social stratification and occupational specialization, address important aspects of any civilization, such as the existence of specialists in fields like politics and religion. These aspects are…
“Weak-willed and socially malleable, so concerned with their community status, so fearful of being rejected by their social circle, that they unhesitatingly engage in minor acts of betrayal.” This is how world renowned literacy critic Johann Nodrav described the female characters in Munro’s fiction. Munro always writes unflinchingly about life. Betrayals, small and large, run through her short stories as steadily as a river. In stories such as “Day of the Butterfly”, “The Shining Houses”, and…
It is possible that a number of factors play a role in the disease, including genetics, environment, occupation, radiation and infection. Some genetic abnormalities have been linked to MM such as c-myc, N-ras, K-ras, TP53, (HLA)-Cw5, and HLA-Cw2. It has been found that about half of all people with myeloma have translocation of chromosomes. What this means is that part of one chromosome gets swapped for part of a different chromosome. This switch causes the…
Pharaoh Akhenaten was a controversial ruler, too uninvolved with public interest to be popular among his subjects. Whether it be forcing new ideas upon the people or his complete disregard for their safety and well-being, Akhenaten’s approval rating was so low that the pharaoh was all but erased from history by his successors. Little is known about Akhenaten himself. His reign was short-lived- only lasting sixteen years. His main wife, Nefertiti, was likely seen by him as an equal. The two had…
Language acquisition plays a key role in a child’s development as it is a prerequisite to gaining knowledge and skills. In the area of language acquisition, there are two areas that have caused controversy among scientists. These two areas are known as nature and nurture. There is evidence to prove that both the areas have an influence on a child’s development. This theory is known as nature vs nurture. The two sides of this theory are compared as there are people on each side who believe that…
popular than you think like the Washington Monument. The pyramids are used as tombs and also contain a lot of magical power. They go inside a few tombs like the pyramids to find weapons and gods. There were many other symbols like the crook and flail of Ra and…
to the Rosewood Court located at 1888 N. Fair Oaks Avenue regarding a person found deceased at the above residence. Dispatch stated Pasadena Paramedics were on scene. Upon our arrival, Pasadena Fire Department Rescue Engine #36 / Paramedics #36 (RA #36 Paz) were on scene. I walked in front of apartment #323 and contacted PFD Paz, who stated there were no obvious signs of foul play. He stated when they arrived; they found the decedent sitting on a chair in his bedroom, deceased. Paz pronounced…