Nursing student essay

Argumentative Essay Topics: Ideas, Tips, and More. You spend a great deal of education on essay, writing argumentative essays. If you choose to be a freelance essay writer, you can expect the closed twice its close essay same. Essay. In most cases, your professor or client gives a certain topic that you have to personal essay about yourself discuss throughout the paper. You research, develop an argument, find evidence to support your claims, and so on.

But, there also comes the time when you’ll have to choose the topic by yourself. This can be quite tricky, you either can’t think of anything or you opt for a title that makes the entire essay writing process more difficult. Nursing Student Essay. While everyone wants the topics liberty to write about topics they choose, it is student essay, essential to be cautious. That’s why I’m going to give you some topic ideas and a position, a few tips to student write about different niches. Before we move on, in engineering order to deliver high-quality argumentative essay every time, I suggest you read this post and learn how to create a functional outline regardless of the given/chosen topic. Let’s move on to topics, shall we? How to nursing student choose a topic for an argumentative essay? In cases when you get to choose the topic for an argumentative essay, you have to essay philosophers be wise and student essay, find a title that will intrigue a reader. You don’t, really, want your professor or client to roll their eyes because the title seems boring.

At the same time, it should also be easy to research, that way you’ll find evidence to support claims you make. Here are some general rules to bear in essay philosophers mind when choosing a topic: First of all, when you have the essay freedom to write an essay, essay about anything you want, the first thing to consider is nursing student, how much you care about the speech therapy homework issue. Let’s face it; if you don’t care about some certain topic or don’t agree with it, you won’t do your best. On the other hand, writing about stuff we truly feel passionate about is nursing essay, always helpful. Besides general knowledge you have about the topic, you won’t mind dedicating some time to research, writing process, and other factors necessary for the high-quality essay. For example, if you don’t care about politics, then don’t choose a political topic. Essay About. If you’re passionate about economy and finances, then go for student essay, it. What you think and how much you care about the subject always matter. Okay, this is where people usually make mistakes. They choose a topic that is homework, too vague and essay, find it difficult to personal about yourself compose a coherent essay with substance. Let’s say you want to nursing discuss Donald Trump and effects of his victory, that’s way too vague.

You’ll find yourself lost without being able to create an argument and develop it properly. On the other hand, if you focus on one aspect of his victory, e.g. On Greek Philosophers. socioeconomic, religions, race etc. you’ll do better. Nursing Student Essay. Just like the essay writing process itself, the subject should be specific, precise, and phd thesis, detailed, too. Plus, it’s going to make things a lot easier for you. The argumentative essay requires developing arguments, naming evidence, taking into account opposing views and debunking them.

Therefore, you shouldn’t stay away from a little bit of controversy. This is the perfect time for you to student essay take risks and gain an advantage. How? Your professor or client reads tons of essays and a vast majority of defend a position topics them are written by people who like to play it safe. Your essay will be more “refreshing” and it’s needless to mention it is intriguing and a reader won’t be bored. To make sure your paper stands out student, you can, also, benefit from opting for an unusual subject. It can be something that others don’t discuss but it’s related to the topic you’re interested in. Of course, this requires more thorough research. You’ll highly likely come across a paper wherein someone else addressed the matter in a different manner and you can use it to get ideas and inspiration for your own.

Believe in yourself and your argument. Emily Dickinson Twice Its Close Essay. Always make sure you’re not picking some topic (regardless of how usual or unusual it may be) just to shock and get attention. You have to strongly believe in your argument. If you don’t believe in it yourself, then you can’t expect others to nursing student essay do so. Basically, when choosing a topic it’s important to personal about ensure you’re passionate about the subject, have no fear about the student essay controversy, and you strongly believe in argument and phd thesis in mechanical engineering, your own capability to write the paper.

To help you out, I am going to mention a few ideas below. Legal argumentative essay topics are popular and student essay, usually refer to dickinson my life before essay laws that a writer would like to create, abolish, or change. Moreover, you can also discuss positive or negative benefits of nursing student some specific law. Phd Thesis In Mechanical Engineering. Although most people think they can’t or shouldn’t write legal topic because they’re not law students, that’s not correct. When writing a legal argumentative essay you don’t have to super technical. Student Essay. Research the subject thoroughly and emily my life closed twice before its close, use some legal expressions to demonstrate the knowledge of the subject and that’s it. Here are some topic ideas for the legal argumentative essay: At what age should girls have access to birth control without the consent of their parents? Do the benefits of medical marijuana justify its legality? Does outlawing controlled substances only nursing essay, create a larger black market? Does the US law system offer enough protection for victims of domestic abuse? Does Trump’s refusal to in mechanical engineering take refugees deny basic human rights to people in need?

In what situations, if any, does a woman have a right to an abortion? Is the drinking age appropriate (should it be lower, higher, or stay the same)? Is the process of student essay electoral vote fair? Online abuse should court treat it as any other kind of personal essay yourself abuse? Should cigarettes and other tobacco products be outlawed? Should corporations be granted personhood? Should the nursing student death penalty be abolished? Should nuclear weapons be outlawed worldwide? Should prostitution be legal? Should the United States put more restrictions on gun ownership and use? Ethical argumentative essay topics.

Moral or ethical argumentative essay topics are, by far, the most popular and the easiest subjects to discuss. They cover a number of moral dilemmas from animal testing to the death penalty. Yes, you can discuss death penalty here is well, but from the moral point of view i.e. is this type of sentence ethical or not. Essay. Moral essay subjects are very debatable because everyone’s got different opinions and it’s easy for you to develop a strong argument. Just stick to the outline and you’re going to do great. Here are some topic ideas: Are atheists less moral than theists? Are members of oppressed minority groups kept back by nursing student, policies which encourage them to see cultures foreign to themselves as innately superior? Are nude photographs appropriate in museums that are open to the public? Are parents overexposing their children online? Do patients have a right to die via physician-assisted suicide?

Do pre-employment drug tests infringe on personal privacy rights? Does freedom of speech give people the therapy homework sheets right to use hate speech? Is animal testing necessary? Is death penalty right or wrong? Is human reproductive cloning morally acceptable? Should children’s beauty pageants be banned? Should consumers buy items from countries that endorse child labor? Should hunting with the sole purpose to entertain be banned?

Should schools and businesses give more incentives for people to do volunteer work? Social argumentative essay topics. These topics usually overlap with ethical and legal subjects. Nursing. The biggest difference here is that they deal more about how people in society act and respond to defend a position essay topics different factors. For example, you can write about something that personally affects you or someone you know. It can be from nursing catastrophic health care to negative experiences in education, the judicial system, and so on. Social topics can refer to just about anything, here are some examples: Are tattoos acceptable at the workplace? At what age should citizens be allowed to vote in the United States?

Can heterosexual men and women truly be friends with no hopes or expectations of anything more? Can online dating replace meeting a person in real life? Do prisoners deserve the right to emily my life closed twice before vote? Excessive alcohol consumption in minors does it stem from too much freedom and lack of parental control? In what case(s) could it be considered fair for a company to not hire a candidate who smokes cigarettes? Is education in nursing the US failing teenagers across the cause essay nation? Too much pressure, expensive college enrollment, bullying what can be done? Is there too much pressure on teenagers to go to college? Most prisoners released on nursing student, parole return to prison within 12 months is it the engineering system’s failure? Should more rights be given to immigrants?

Should the student essay United States make English the official national language? Should there be a legal curfew for minors? Should women wear less revealing clothing in order to curb men’s catcalling? Why online dating websites should be responsible for rapes and essay about, murders committed by members who are registered sex offenders. Advertising and media argumentative essay topics.

Advertising and media evolved dramatically during last few decades thus posing as an endless source of essay topics. You can easily merge these topics with society as media has a major influence on our lives. Argumentative essays about advertising and media usually include how media (internet, TV, news, movies, magazines) affects society, positive and student essay, negative benefits, what is acceptable or not, how to change certain aspects, you name it. Cause And Effects Of Bullying. Below, you can see some title ideas: Are public service announcements effective? Do journalists have a duty to eliminate as much bias as possible?

Do teenagers drink and essay, smoke because advertisements make them think it is “cool” to do so? Do TV shows and movies have the responsibility of homework sheets being more diverse? How “fake news” trend changes a political and nursing student, social life? How do reality shows impact society? In what situations should advertisements for alcohol and tobacco products be allowed?

Is it acceptable for companies to advertise in emily dickinson my life twice its close schools? Is print advertising obsolete? Sex and violence on TV how do they change us? Should news shows talk about celebrities? Should sex be allowed to be portrayed on nursing essay, prime-time television? Should warnings and side effects be made more clear in engineering advertisements? Spikes in violence on TV co-occur with violence on the streets what can be done? Where should networks draw the line for violence on television? Stuck on Your Argumentative Essay?

Check out these example persuasive essays. Family argumentative essay topics. Since every family is different and our family live is influenced by a wide spectrum of factors, argumentative essay topics about this subject are numerous. Nursing Student Essay. That said, when writing a family argumentative essay, you should bear in mind it’s difficult to generalize and consider that some statements and rules apply to personal yourself all families. Nursing Essay. If you choose this subject, you should be more specific and speech therapy, write about certain aspect only and conduct thorough research to make your argument. Nursing Essay. You can research about marital psychology, child development, personal stories of other families in similar situations, etc. Emily Dickinson Closed Before. Here are some ideas: At what age should parents talk to their children about sex? Do children deserve/need an student essay, allowance?

Is a child’s room really theirs, or is on greek, it their parents’? Is it acceptable for women to nursing student essay breastfeed in public? Is it okay for parents to monitor teens’ internet use? Should all people who want to defend a position essay have kids undergo a psychological evaluation prior conceiving? Should parenting classes be compulsory? Should parents be able to spank their children? Should parents buy presents for kids to motivate them to study and do their homework? Should parents pay children for good grades? Should parents push their children to do things they don’t want? Should parents push their kids into extracurricular activities such as music or sports?

Should single people be able to adopt children as easily as couples? Staying married for the sake of children only harms them, why? Why helicopter parenting never works? Why should all kids have certain chores on a daily basis? Argumentative essays can be fun to write as you get to develop a proper discussion and prove you’re right (and who doesn’t like that?). When choosing a topic yourself it’s always important to be wise and, thankfully, today’s society is an abundant source of all kinds of subjects. Make sure you click on the link above and read how to construct an nursing student essay, argumentative essay outline properly (if you haven’t already!). Now that you know how to write this type of essay, how to and effects of bullying choose topics, you’re ready for your next assignment and your professor/client will be impressed.

Good luck!

literacy homework These homework sheets are inspired by nursing student essay, the works of Dr. Suess! Use in conjunction with a Dr. Suess Unit, Read Across America or just for fun!

Worksheets include a variety of standards such as: Telling Time, Skip Counting, Adding, Patterns, Rhyming, Reading Simple Sentences, and Following Directions. From experience, students love completing these fun homework sheets. Kindergarten NO PREP Math and Literacy Homework Yearlong BUNDLE. Perfect for Back to School! Set yourself up for success with this super easy to manage NO PREP Kindergarten Math and Literacy Homework for cause and effects, the ENTIRE YEAR! Just print and student essay go!

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Want to incorporate more literacy in in mechanical, your science classroom? Here's a Nonfiction SWAG template for your students to Sketch a preview, Write a summary, Answer questions, and Generate connections. Student! I use this as biweekly Friday homework for my middle school students and it takes away much of my prep work! Students love it and essay it has really help increased science literacy in my classroom :) Gene to Protein Literacy Homework Article - Science Sub Lesson. NO PREP Sub lesson science article with text-dependent questions OR help align your lessons with Common Core informational text OR use as homework!

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Students can choose which activities they want to do each night. If the student completes all the month's choices and a parent has initialed each choice, then the philosophers child is student essay, rewarded in some way. Pop Art Word Search - lesson starter, plenary, cover, literacy, homework. A fun Pop Art word search PDF with key terms relevant to this art movement. These print well at its close, A5 (two to an A4 sheet) so are an nursing, economical, fun way to embed student learning on Pop Art. Literacy Homework--Magic Tree House Fact Tracker: American Revolution. 13 days literacy homework written response questions to and effects of bullying essay, go along with reading Magic Tree House Fact Tracker: American Revolution. There is a teacher model provided in the beginning and nursing each question has a student checklist to help them work independently.

This book is a Guided Reading level N and the text is non-fiction. Questions can be used for therapy, homework or independent work. Literacy Homework--Magic Tree House Fact Tracker: American Revolution [KEY] ANSWER KEY to go along with 13 days literacy homework written response questions to go along with reading Magic Tree House Fact Tracker: American Revolution. There is a teacher model provided in student essay, the beginning and each question has a student checklist to cause essay, help them work independently. This book is a Guided Reading level N and the text is non-fiction. Questions can be used for nursing, homework or independent work.

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Multiple choice questions to answer as students read the text. Literacy Homework-- Pippi Longstocking. Guided written response questions to go along with the defend essay book. Literacy Homework-- Pippi Longstocking [KEY] Answers to accompany the guided questions to the text. Daily Literacy Morning Work (Sight Words / Beginning Sounds / Reading) Daily Literacy Morning Work - Includes: Sight Words, Beginning Sounds and Reading Daily Literacy BUNDLE now available!

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There is also a homework helper to go along with it. Some questions repeat, but they are many weeks apart. It is Common Core aligned. Literacy Topics include: *Identifying a correct sentence *Combining two simple sentences *Syllables *Contractions *Irregular Plural Nouns *Past Tense Verbs *Compound Words *Synonyms and. This take-home books set for Kindergarten or first grade students includes printable readers (levels A-E), written response sheets, parent instruction sheets, and parent videos! ------ This bundle of 52 take-home books is student essay, perfect for pre-readers or students whose instructional reading level is A, B, C, D, or E. You can send them home or even use them at school for guided or independent reading. The materials that accompany these books will help educate and emily twice before its close essay support families in fostering their. Math Homework for nursing, 1st Grade - WHOLE YEAR.

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Adjuvant Paclitaxel and Trastuzumab for Node-Negative, HER2-Positive Breast Cancer. Sara M. Tolaney, M.D., M.P.H., William T. Student! Barry, Ph.D., Chau T. Dang, M.D., Denise A. Yardley, M.D., Beverly Moy, M.D., M.P.H., P. Kelly Marcom, M.D., Kathy S. Albain, M.D., Hope S. Cause! Rugo, M.D., Matthew Ellis, M.B., B.Chir., Ph.D., Iuliana Shapira, M.D., Antonio C. Wolff, M.D., Lisa A. Carey, M.D., Beth A. Overmoyer, M.D., Ann H. Essay! Partridge, M.D., M.P.H., Hao Guo, M.S., Clifford A. Hudis, M.D., Ian E. Krop, M.D., Ph.D., Harold J. Burstein, M.D., Ph.D., and Eric P. Winer, M.D. Personal About Yourself! N Engl J Med 2015; 372:134-141 January 8, 2015 DOI: 10.1056/NEJMoa1406281. No single standard treatment exists for patients with small, node-negative, human epidermal growth factor receptor type 2 (HER2)–positive breast cancers, because most of these patients have been ineligible for the pivotal trials of adjuvant trastuzumab. We performed an uncontrolled, single-group, multicenter, investigator-initiated study of student essay, adjuvant paclitaxel and trastuzumab in 406 patients with tumors measuring up to 3 cm in greatest dimension. Patients received weekly treatment with paclitaxel and trastuzumab for 12 weeks, followed by 9 months of trastuzumab monotherapy. Emily Closed Before Its Close! The primary end point was survival free from invasive disease. The median follow-up period was 4.0 years. The 3-year rate of survival free from invasive disease was 98.7% (95% confidence interval [CI], 97.6 to 99.8). Among the 12 relapses seen, 2 were due to student essay distant metastatic breast cancer. Excluding contralateral HER2-negative breast cancers and its close essay nonbreast cancers, 7 disease-specific events were noted.

A total of 13 patients (3.2%; 95% CI, 1.7 to 5.4) reported at least one episode of essay, grade 3 neuropathy, and 2 had symptomatic congestive heart failure (0.5%; 95% CI, 0.1 to 1.8), both of whom had normalization of the left ventricular ejection fraction after discontinuation of trastuzumab. A total of 13 patients had significant asymptomatic declines in ejection fraction (3.2%; 95% CI, 1.7 to 5.4), as defined by the study, but 11 of these patients were able to resume trastuzumab therapy after a brief interruption. Among women with predominantly stage I HER2-positive breast cancer, treatment with adjuvant paclitaxel plus trastuzumab was associated with a risk of early recurrence of on greek philosophers, about 2%; 6% of patients withdrew from the study because of protocol-specified adverse events. (Funded by Genentech; ClinicalTrials.gov number, NCT00542451.) Overexpression of the human epidermal growth factor receptor type 2 (HER2) occurs in approximately 15 to 20% of invasive breast cancers and was historically associated with poor clinical outcomes. 1-4 Trastuzumab, a humanized monoclonal antibody that binds HER2, improves the outcomes for student patients with HER2-positive breast cancer. Four phase 3 randomized trials involving more than 8000 patients showed that when trastuzumab was administered in combination with or after chemotherapy, the risk of recurrence was decreased by and effects, approximately 50% and overall survival improved. 5-9 These trials focused largely on patients with stage II or stage III HER2-positive breast cancers. Although patients with stage I HER2-positive tumors are expected to derive a smaller absolute benefit from nursing student essay, adjuvant therapy than those with larger or node-positive tumors, they remain at more than minimal risk for speech homework a recurrence of breast cancer. 10-14 However, given the more limited benefit from adjuvant treatment in these patients, the decision to use trastuzumab and chemotherapy is influenced by student, the toxicity of the treatment regimen. Currently, no single standard treatment regimen is recommended for patients with stage I HER2-positive breast cancer.

We conducted a single-group, multicenter, investigator-initiated study to characterize the prospective outcomes in a group of defend topics, patients uniformly treated with paclitaxel and trastuzumab, a regimen that is expected to be less toxic than the traditional adjuvant regimens. Enrollment required a pathological diagnosis of nursing student essay, adenocarcinoma of the breast, with immunohistochemical staining for the HER2 protein of 3+ intensity or amplification of the HER2 gene on fluorescence in situ hybridization (ratio of HER2 to engineering chromosome 17 centromere [CEP17], ?2.0). Student Essay! The invasive tumor had to measure no more than 3 cm in the greatest dimension; there was no lower limit on tumor size. Emily Closed Its Close Essay! Initially, the protocol required patients to have histologically proven node-negative disease. The protocol was amended to allow entry of patients who had one lymph-node micrometastasis if an axillary dissection was completed and no further lymph-node involvement was detected. Other requirements included adequate hematopoietic and liver function and a left ventricular ejection fraction of 50% or greater. Nursing Student Essay! The institutional review board at my life closed twice its close essay each participating institution approved the nursing student study. Emily Closed! Written informed consent was provided by all the participants. The study was designed by the first author and the last two authors. The data were collected by the Dana–Farber Cancer Institute and analyzed by the lead and assistant statisticians (the second and the fifteenth authors, respectively) in student, collaboration with the first and last authors, both of whom vouch for the completeness and accuracy of the data and analyses and for the fidelity of the essay study to the protocol.

No one who was not an student essay author contributed to the writing of the manuscript. Genentech provided funding for the study but did not provide paclitaxel or trastuzumab; these agents were commercially supplied, and the costs were billed to insurance companies. The protocol is available with the full text of this article at NEJM.org. Essay On Greek! Treatment consisted of the nursing essay intravenous administration of essay philosophers, 80 mg of paclitaxel per square meter of body-surface area weekly for student 12 weeks and a loading dose of 4 mg of intravenous trastuzumab per kilogram of body weight on day 1, followed by 2 mg per kilogram weekly, for a total of 12 doses. After the completion of 12 weeks of treatment with trastuzumab, the my life closed dosing of trastuzumab could be continued on nursing student essay, a weekly basis, or the regimen could be changed to my life before its close 6 mg per kilogram every 3 weeks for 40 weeks to nursing student complete a full year of intravenous treatment with trastuzumab. Patients who underwent lumpectomy were required to receive either partial-breast radiation, which was performed before the initiation of the protocol therapy, or radiation of the whole breast, which was initiated after the completion of treatment with paclitaxel. Personal About! Treatment with trastuzumab was continued during the time the patient was receiving radiation therapy. Adjuvant hormonal therapy was recommended for women with hormone-receptor–positive tumors after the completion of paclitaxel therapy. Student Essay! The protocol required assessment of the cause of bullying left ventricular ejection fraction with echocardiography or multigated acquisition scanning at baseline and at nursing essay 12 weeks, 6 months, and 1 year after the start of protocol therapy. If a patient received a diagnosis of grade 3 or grade 4 left ventricular systolic dysfunction, trastuzumab was discontinued.

Interruption of dosing with trastuzumab was required if either of the following conditions was met: a decrease in the ejection fraction of 10 to 15 percentage points from baseline, with the ejection fraction at personal about least 1 percentage point below the lower limit of the nursing student normal range at the radiology facility in which the assessment was performed; or a decrease of 16 or more percentage points from baseline. If either of these conditions was met, another assessment of ejection fraction was required after 4 weeks; if the ejection fraction did not increase substantially and two consecutive interruptions in speech therapy, the protocol therapy were required, the essay patient was withdrawn from the therapy homework sheets study treatment. The primary measure of efficacy was the number of student, events of invasive disease (recurrence and emily dickinson my life closed new invasive disease) and death from any cause, as defined by essay, the standardized efficacy end-points (STEEP) criteria. 15 We used a group-sequential Poisson test that was based on the total patient-years of follow-up. In designing the trial, a 3-year event rate of 9.2% was deemed to be unacceptable in personal about, this patient population. In contrast, a 3-year rate of invasive disease of 5% would be considered to be successful, and nursing essay the study was powered to have a 95% probability of rejecting the null hypothesis. The planned sample size was 400 patients. Two interim analyses for futility were scheduled after accrual of 225 and emily dickinson closed twice 800 patient-years, with a final analysis conducted after accrual of 1600 total patient-years of follow-up. If 39 or fewer events of invasive disease were observed at the time of the final analysis, the regimen would be considered to be effective.

Overall one-sided type I and nursing type II errors of 0.05 were controlled in a group-sequential design by means of a Pocock-style error-spending function for beta that is constrained by the exact Poisson distribution. Estimation of the survival and of cumulative probability functions for survival free from invasive disease was performed by means of the Kaplan–Meier product-limit method; confidence boundaries were calculated on the log-scale with the use of essay on greek philosophers, Greenwood’s formula for the variance. Planned subgroup analyses were performed in strata defined according to student essay tumor size (?1 cm or 1 cm) and hormone-receptor status (with a positive status defined as staining of cause of bullying essay, 1% or more of either the estrogen receptor or the nursing essay progesterone receptor on cause of bullying essay, immunohistochemical analysis). The analyses of the incidence of nursing essay, adverse events, including planned analyses of cardiac toxicity and neurotoxicity of grade 3 or higher, were reported with 95% confidence intervals from the binomial distribution. Closed Twice Before Essay! In an amendment to the protocol, the follow-up period was extended to nursing essay 10 years for all patients. Participants who were alive and free from recurrence were censored at the date of the last follow-up.

A total of 410 patients were enrolled in the study between October 9, 2007, and September 3, 2010 (see Table S1 in the Supplementary Appendix, available at NEJM.org); 406 of these patients began the essay on greek protocol therapy ( Figure 1 Figure 1 Enrollment and Follow-up. ). The data and safety monitoring board at the Dana–Farber/Harvard Cancer Center reviewed data on toxicity on nursing student, a semiannual basis. The first interim analysis was performed at 167 patient-years, before the target accrual was reached, and the subsequent interim analysis was performed after the accrual of 841 patient-years. On the basis of the strength of the data at the second analysis, the study team asked the board to consider early release of the data from a third interim analysis, which was performed after accrual of 1316 patient-years. The board released the data to the study team, and the results were initially presented after accrual of defend a position, 1435 patient-years. Nursing Essay! The results shown here are from all data available as of April 21, 2014, including 1605 patient-years of follow-up, and represent the final analysis.

The median age of patients in the study was 55 years (range, 24 to 85). Closed Twice Before Essay! A total of 272 patients (67.0%) had hormone-receptor–positive disease. Among these patients, 62.2% had tumors that measured 1 cm or less in the greatest dimension, and 68.3% had tumors that measured more than 1 cm in the greatest dimension; a majority of the tumors (56.2%) were high-grade. In the total study population, 49.5% of the patients had tumors that measured 1 cm or less (stages T1mic [?0.1 cm], T1a [0.1 to ?0.5 cm], and T1b [0.5 to ?1.0 cm]); 8.9% of the patients had tumors that measured between 2 and 3 cm (stage T2). Six patients (1.5%) had nodal micrometastases ( Table 1 Table 1 Baseline Characteristics of the nursing Patients. ). Speech Sheets! Among the 406 patients who began the nursing protocol therapy, 356 (87.7%) completed all 52 weeks of therapy; 24 discontinued therapy because of protocol-specified toxic effects, and 6 patients discontinued because of other toxic effects. By the time of the final analysis, 29 patients had left the study: 2 patients died from emily dickinson my life closed twice before its close, causes unrelated to breast cancer (0.5%), 17 patients withdrew consent (4.2%), and essay 10 were lost to follow-up (2.5%) ( Figure 1 ). The median follow-up time was 4.0 years; the philosophers maximum follow-up period was 6.2 years. Nursing! A total of 12 patients had invasive disease events or died ( Table 2 Table 2 Events Observed for speech therapy the Primary End Point of Disease-free Survival. ): 2 had distant metastases (one of which was HER2-negative), 4 had local or regional recurrences, 4 had contralateral breast cancer (3 of whom had HER2-negative breast cancer), 1 died from a rapidly progressive primary ovarian cancer, and 1 died from a stroke after participating in the study for 71 months. Student! Four patients had an event that was not considered to speech sheets be a relapse of invasive disease (second, nonbreast primary cancers in the bladder, thyroid, or lung), and data for these patients were censored at the date of essay, diagnosis of the second cancer; 4 patients received a diagnosis of dickinson my life before essay, ductal carcinoma in situ (an event not categorized as a relapse of invasive disease) and continue to be followed for relapse of invasive disease. According to the sequential Poisson test, the primary outcome was highly significant (P0.001). Nursing Student Essay! The Kaplan–Meier plot and the 95% confidence interval for survival free from topics, invasive disease ( Figure 2A Figure 2 Probabilities of Disease-free Survival and Recurrence-free Interval. Panel A shows the probability of disease-free survival in student, the intention-to-treat population, and Panel B the and effects of bullying essay recurrence-free interval in the intention-to-treat population (unlike recurrence-free survival, the recurrence-free interval did not include death from cancer other than breast cancer).

The shading in Panels A and nursing student B denotes the 95% confidence intervals. Panel C shows the probability of disease-free survival according to tumor size, and Panel D the probability of disease-free survival according to hormone-receptor (HR; estrogen receptor or progesterone receptor) status. Tick marks represent the time of phd thesis engineering, censoring for patients who were recurrence-free. ) show a 3-year rate of 98.7% (95% confidence interval [CI], 97.6 to 99.8). Nursing Student Essay! Patient outcomes even exceeded the 95% 3-year rate of personal essay about, survival free from invasive disease that defined success in nursing essay, powering the study to reject the null hypothesis (uncorrected Poisson model, P0.001). Personal! The duration of the recurrence-free interval (which, unlike recurrence-free survival, did not include death from nursing essay, cancer other than breast cancer) according to standardized efficacy end points 15 was considered to be an exploratory end point. Six patients had a local or regional recurrence or a distant recurrence or died from breast cancer ( Table 2 ). The 3-year rate of therapy, recurrence-free survival was 99.2% (95% CI, 98.4 to 100) ( Figure 2B ). Survival curves in subgroups defined according to tumor size (?1 cm vs. Nursing Essay! 1 cm) and hormone-receptor status (positive vs. negative) ( Figure 2C and 2D ) showed that the rate of recurrence in these subgroups was lower than anticipated (the lower boundaries of the 95% confidence interval for yourself survival free of invasive disease at 3 years in the subgroups exceeded 96.0%). During 12 weeks of combined therapy, 13 patients (3.2%; 95% CI, 1.7 to student 5.4) reported at least one grade 3 episode of neuropathy. No grade 4 neurotoxic effects were reported (0%; 95% CI, 0 to 0.9). Two patients (0.5%; 95% CI, 0.1 to 1.8) had grade 3 systolic dysfunction of the phd thesis left ventricle (symptomatic congestive heart failure) during active therapy — at 6 months and 11 months — and essay both recovered after the discontinuation of trastuzumab.

A clinically significant asymptomatic decline in ejection fraction (as defined in phd thesis engineering, the protocol) that led to an interruption in treatment with trastuzumab occurred in 13 patients (3.2%; 95% CI, 1.7 to 5.4); in 2 of these patients, the student essay ejection fraction did not normalize, and the patients were unable to complete the remaining year of trastuzumab therapy. A total of 7 patients had grade 3 or grade 4 allergic reactions to the study treatment, and only 1 of these patients was able to complete treatment. Alopecia was expected in the vast majority of patients; data regarding its incidence were not collected. Other specified toxic effects reported during the 52 weeks of protocol therapy are summarized in Table 3 Table 3 Most Common Adverse Events Occurring during Protocol Therapy. . Two controversies affect the management of stage I HER2-positive breast cancer. Therapy Homework Sheets! The first involves defining the threshold for initiating systemic therapy. Guidelines from the nursing student National Comprehensive Cancer Network (NCCN) suggest that adjuvant chemotherapy with trastuzumab should be considered in patients with small, node-negative tumors, including patients with T1bN0 tumors (with N0 denoting no regional lymph-node involvement), but the NCCN acknowledges that such patients are generally not included in randomized trials of adjuvant therapy. 16 The second controversy relates to the determination of the safest and most effective regimen, bearing in mind the potential for considerable toxic effects with chemotherapy and trastuzumab and the generally favorable outcomes in on greek, women with very small tumors. Many physicians recommend treatment regimens such as doxorubicin, cyclophosphamide, paclitaxel, and trastuzumab (ACTH) or docetaxel, carboplatin, and trastuzumab (TCH). These regimens are associated with substantial toxic effects and are commonly used in patients who have a much higher risk of disease recurrence, according to nursing student the results of randomized trials. 5-8 These studies enrolled a limited number of patients with stage I breast cancer. In the joint analysis, only 5.7% of patients had node-negative disease.

8 Both the Herceptin Adjuvant (HERA) study (2 years vs. 1 year of adjuvant trastuzumab for HER2-positive breast cancer) and defend the Breast Cancer International Research Group 006 (BCIRG-006) study included greater numbers of node-negative patients, including a limited number of patients with stage I disease. Nursing! 6,7 Only the BCIRG-006 study allowed the emily dickinson my life closed before essay enrollment of patients with node-negative tumors measuring less than 1 cm in the greatest dimension. In our trial, we administered adjuvant therapy prospectively only in patients with small, node-negative, HER2-positive tumors and used a treatment regimen similar to ACTH, but omitting doxorubicin and nursing student cyclophosphamide. The results suggest a low risk of cancer recurrence (less than 2% at 3 years) with a regimen in which the rate of serious toxic effects was low (with an incidence of heart failure that was only 0.5%).

The results must be considered in the context of several studies that have examined the risk of disease recurrence in patients who have not received trastuzumab or, in most cases, chemotherapy. The limitations of these studies are clear; they included a modest number of patients, and there were biases inherent to their retrospective designs. The largest of the studies focused on 520 patients in the NCCN database who had small HER2-positive cancers (tumors up to 1 cm in the greatest dimension). Homework Sheets! 10 The 5-year rate of survival free from distant recurrence was 94% for patients with T1bN0 hormone-receptor–negative tumors, 93% for T1aN0 hormone-receptor–negative tumors, and 94 to 96% for patients with T1a–bN0 hormone-receptor–positive disease. A study from the student M.D. Anderson Cancer Center suggests that among 98 patients with T1a–bN0 HER2-positive tumors, the defend a position essay topics 5-year rate of recurrence-free survival was 77.1%, and the 5-year rate of nursing essay, survival free from cause and effects, distant recurrence was 86.4%. 11 In a study of essay, 117 node-negative, HER2-positive tumors measuring up to 2 cm in the greatest dimension in a tumor registry in British Columbia, Canada, the 10-year rate of relapse-free survival was 68.3% among patients with hormone-receptor–negative tumors and and effects of bullying essay 77.5% among patients with hormone-receptor–positive tumors. 17 Although recurrence rates vary across these studies, the rates range from approximately 5 to 30%, with distant recurrences occurring in as many as 20% of patients with tumors measuring up to 1 cm in the greatest diameter. The studies consistently suggest that the nursing student essay risk of recurrence, at least in the first 5 years, is and effects essay, higher in the hormone-receptor–negative group than in the hormone-receptor–positive group. The median follow-up for patients in essay, our trial is only 4.0 years, but the benefits that were observed in the initial published reports of the randomized trials of adjuvant trastuzumab-based chemotherapy were maintained with additional follow-up. The study population in emily dickinson closed its close, our trial had a higher proportion of hormone-receptor–positive tumors (67%) than did the populations in the pivotal adjuvant trastuzumab studies (51 to nursing 54%), 5-7 although the proportion of hormone-receptor–positive tumors in our trial is a position essay, consistent with that reported in some studies involving women with small, node-negative tumors.

The higher frequency of hormone-receptor–positive tumors in our study could have implications for late recurrence, and all patients will be followed for 10 years to facilitate a comprehensive description of patient outcomes. Because the influence of chemotherapy on the risk of recurrence is generally most notable during the first several years after diagnosis, 18 it seems unlikely that a different chemotherapy regimen administered with trastuzumab would affect the risk of late recurrence. Nursing! We recognize that a prospective, randomized trial would have been the best option. Emily Dickinson Closed Twice Before Essay! However, we did not believe that such a design would have been feasible given the accumulating evidence from retrospective studies. Patients and their providers may have been unlikely to essay enroll in a trial that included a group in which patients would not receive trastuzumab. Some clinicians and investigators might have argued for a trial of trastuzumab alone versus trastuzumab plus chemotherapy, but there are limited data indicating that trastuzumab alone is an effective approach. 19-21 Instead, we opted for a regimen of phd thesis in mechanical, trastuzumab plus chemotherapy that would be associated with fewer toxic effects than the established regimens for patients with a higher risk of recurrence. The regimen we used in nursing, this study was associated with patient outcomes that were better than expected on the basis of historical data.

However, the study does not provide data to support the use of trastuzumab-based chemotherapy in all patients with small HER2-positive tumors, and there will be many patients with T1a disease and some with T1b disease who will decide with their physicians to avoid the toxic effects of a trastuzumab-based regimen. Supported by Genentech. Disclosure forms provided by and effects of bullying, the authors are available with the full text of this article at NEJM.org. This article was updated on January 8, 2015, at NEJM.org. We thank all the essay patients who participated in this trial and all the investigators at the participating centers; Rebecca Gelmon for her assistance with the phd thesis engineering study design and the development of the statistical analysis plan; and Jennifer Savoie, Michelle Demeo, Emily Morley, Kathryn Josephs, and Jessica Sohl for their assistance with data management. From the Departments of Medical Oncology (S.M.T., B.A.O., A.H.P., I.E.K., H.J.B., E.P.W.) and Biostatistics and Computation Biology (W.T.B., H.G.), Dana–Farber Cancer Institute, and Department of Hematology–Oncology, Massachusetts General Hospital (B.M.) — both in Boston; Breast Cancer Medicine Service, Department of Medicine, Solid Tumor Division, Memorial Sloan Kettering Cancer Center, and Department of Medicine, Weill Cornell Medical Center, New York (C.T.D., C.A.H.), and Department of Medical Oncology, Hofstra North Shore–LIJ School of Medicine, New Hyde Park (I.S.) — all in New York; Sarah Cannon Cancer Center, Department of Medical Oncology, Nashville (D.A.Y.); Department of nursing, Medicine, Division of Medical Oncology, Duke Cancer Institute, Durham (P.K.M.), and Department of Medical Oncology, University of North Carolina, Chapel Hill (L.A.C.) — both in North Carolina; Cardinal Bernardin Cancer Center, Department of Medicine, Division of Hematology–Oncology, Loyola University Chicago Stritch School of essay yourself, Medicine, Maywood, IL (K.S.A.); Comprehensive Cancer Center, Department of Medicine, Division of Oncology, University of California, San Francisco, San Francisco (H.S.R.); Department of Medical Oncology, Washington University in nursing, St. Louis, St. Louis (M.E.); and Johns Hopkins Kimmel Cancer Center, Department of Oncology, Baltimore (A.C.W.). Address reprint requests to Dr.

Winer at the Department of Medical Oncology, Dana–Farber Cancer Institute, 450 Brookline Ave., Boston, MA 02215, or at ewiner@partners.org. Slamon DJ , Clark GM , Wong SG , Levin WJ , Ullrich A , McGuire WL . Human breast cancer: correlation of relapse and survival with amplification of the HER-2/neu oncogene. Science 1987;235:177-182. Slamon DJ , Godolphin W , Jones LA , et al. Studies of the dickinson my life closed HER-2/neu proto-oncogene in human breast and ovarian cancer. Science 1989;244:707-712. Seshadri R , Firgaira FA , Horsfall DJ , McCaul K , Setlur V , Kitchen P . Clinical significance of HER-2/neu oncogene amplification in primary breast cancer. Nursing Essay! J Clin Oncol 1993;11:1936-1942.

Press MF , Pike MC , Chazin VR , et al. Her-2/neu expression in node-negative breast cancer: direct tissue quantitation by computerized image analysis and association of essay, overexpression with increased risk of recurrent disease. Cancer Res 1993;53:4960-4970. Romond EH , Perez EA , Bryant J , et al. Trastuzumab plus adjuvant chemotherapy for nursing student operable HER2-positive breast cancer. N Engl J Med 2005;353:1673-1684. Piccart-Gebhart MJ , Procter M , Leyland-Jones B , et al. Trastuzumab after adjuvant chemotherapy in homework sheets, HER2-positive breast cancer. N Engl J Med 2005;353:1659-1672. Slamon D , Eiermann W , Robert N , et al. Adjuvant trastuzumab in HER2-positive breast cancer.

N Engl J Med 2011;365:1273-1283. Romond E, Suman VJ, Jeong J-H, et al. Trastuzumab plus adjuvant chemotherapy for HER2-positive breast cancer: final planned joint analysis of overall survival (OS) from NSABP B-31 and NCCTG N9831. Presented at the San Antonio Breast Cancer Symposium, San Antonio, TX, December 4–8, 2012. abstract. Goldhirsch A , Gelber RD , Piccart-Gebhart MJ , et al. 2 Years versus 1 year of adjuvant trastuzumab for nursing essay HER2-positive breast cancer (HERA): an open-label, randomised controlled trial. Lancet 2013;382:1021-1028. Vaz Duarte Luis I , Ottesen RA , Hughes ME , et al. Outcomes by tumor subtype and on greek philosophers treatment pattern in women with small, node-negative breast cancer: a multi-institutional study. J Clin Oncol 2014;32:2142-2150.

Gonzalez-Angulo AM , Litton JK , Broglio KR , et al. Student! High risk of recurrence for patients with breast cancer who have human epidermal growth factor receptor 2-positive, node-negative tumors 1 cm or smaller. J Clin Oncol 2009;27:5700-5706. McArthur HL , Mahoney KM , Morris PG , et al. Adjuvant trastuzumab with chemotherapy is on greek, effective in women with small, node-negative, HER2-positive breast cancer.

Cancer 2011;117:5461-5468. Nursing Student Essay! Curigliano G , Viale G , Bagnardi V , et al. Clinical relevance of HER2 overexpression/amplification in patients with small tumor size and node-negative breast cancer. J Clin Oncol 2009;27:5693-5699. Fehrenbacher L , Capra AM , Quesenberry CP , et al. Essay! Distant invasive breast cancer recurrence risk in human epidermal growth factor receptor 2-positive T1a and T1b node-negative localized breast cancer diagnosed from student essay, 2000 to 2006: a cohort from an essay philosophers integrated health care delivery system. J Clin Oncol 2014;32:2151-2158. Hudis CA , Barlow WE , Costantino JP , et al. Proposal for standardized definitions for efficacy end points in adjuvant breast cancer trials: the STEEP system.

J Clin Oncol 2007;25:2127-2132. National Comprehensive Cancer Network website (http://www.nccn.org). Chia S , Norris B , Speers C , et al. Human epidermal growth factor receptor 2 overexpression as a prognostic factor in a large tissue microarray series of node-negative breast cancers. J Clin Oncol 2008;26:5697-5704. Peto R , Davies C , Godwin J , et al. Comparisons between different polychemotherapy regimens for early breast cancer: meta-analyses of long-term outcome among 100,000 women in 123 randomised trials. Lancet 2012;379:432-444. Baselga J , Tripathy D , Mendelsohn J , et al. Phase II study of weekly intravenous recombinant humanized anti-p185HER2 monoclonal antibody in patients with HER2/neu-overexpressing metastatic breast cancer. J Clin Oncol 1996;14:737-744.

Cobleigh MA , Vogel CL , Tripathy D , et al. Multinational study of the efficacy and safety of humanized anti-HER2 monoclonal antibody in women who have HER2-overexpressing metastatic breast cancer that has progressed after chemotherapy for metastatic disease. J Clin Oncol 1999;17:2639-2648. Vogel CL , Cobleigh MA , Tripathy D , et al. Efficacy and safety of trastuzumab as a single agent in first-line treatment of HER2-overexpressing metastatic breast cancer. J Clin Oncol 2002;20:719-726. George W. Nursing Student! Sledge. . 2018. HER2-Positive Breast Cancer. The Breast, 763-768.e2.

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Systemic Therapy. Management of Breast Diseases, 335-390. Phuong Dinh, Martine J. Piccart. . 2016. HER2-Targeted Therapy. Management of phd thesis in mechanical, Breast Diseases, 391-410. Emily J. Guerard, Madhuri V. Essay! Vithala, Hyman B. Muss. . 2016.

Breast Cancer in the Older Adult. Management of Breast Diseases, 519-528. Trevor A Jolly, Grant R Williams, Sita Bushan, Mackenzi Pergolotti, Kirsten A Nyrop, Ellen L Jones, Hyman B Muss. . Defend Essay! (2016) Adjuvant Treatment for Older Women with Invasive Breast Cancer. Women's Health 12 :1, 129-146. Quyen D. Chu, Prakash Peddi. . (2016) Should Sentinel Lymph Node Biopsy for Patients with Early Breast Cancer be Abandoned? Not So Fast. Clinical Medicine Insights: Oncology 10 , CMO.S32817. Bryan P Schneider, Anne O'Neill, Fei Shen, George W Sledge, Ann D Thor, Stephen P Kahanic, Paul J Zander, Nancy E Davidson. . (2015) Pilot trial of paclitaxel-trastuzumab adjuvant therapy for early stage breast cancer: a trial of the ECOG-ACRIN cancer research group (E2198). British Journal of Cancer 113 :12, 1651-1657. Adrienne G Waks, Sara M Tolaney. . (2015) The evolving understanding of small HER2-positive breast cancers: matching management to nursing essay outcomes.

Future Oncology 11 :24, 3261-3271. Shom Goel, Sara Tolaney. . (2015) Optimizing the Management of Metastatic HER2-Positive Breast Cancer. Current Breast Cancer Reports 7 :4, 190-202. Jesus Anampa, Della Makower, Joseph A. Sparano. . (2015) Progress in yourself, adjuvant chemotherapy for breast cancer: an overview. BMC Medicine 13 :1. Arianna Bonomi, Antonietta Silini, Elsa Vertua, Patrizia Bonassi Signoroni, Valentina Cocce, Loredana Cavicchini, Francesca Sisto, Giulio Alessandri, Augusto Pessina, Ornella Parolini. . (2015) Human amniotic mesenchymal stromal cells (hAMSCs) as potential vehicles for drug delivery in nursing, cancer therapy: an in therapy homework, vitro study.

Stem Cell Research Therapy 6 :1. Jasmeet Chadha Singh, Stuart M. Lichtman. . (2015) Targeted Agents for HER2-Positive Breast Cancer: Optimal Use in Older Patients. Drugs Aging 32 :12, 975-982. J. A. Nursing! Garcia-Saenz, B. Bermejo, L. G. Estevez, A. G. Palomo, X. Gonzalez-Farre, M. Margeli, S. Cause Of Bullying! Pernas, S. Servitja, C. A. Student Essay! Rodriguez, E. Ciruelos. . (2015) SEOM clinical guidelines in cause essay, early-stage breast cancer 2015. Clinical and nursing student Translational Oncology 17 :12, 939-945. Emily Dickinson Closed Twice Its Close Essay! Rachel A. Freedman. . (2015) Treatment of Breast Cancer in the Elderly. Student Essay! Current Oncology Reports 17 :11. S. Antolin-Novoa, E. Blanco-Campanario, A. Anton, M. I. Gallegos-Sancho, R. Perez-Carrion, I. Essay On Greek! Pelaez, A. Galan-Brotons, L. Nursing Student Essay! de la Cruz-Merino, A. Murias-Rosales. . Defend A Position Essay! (2015) Adjuvant regimens with trastuzumab administered for nursing essay small HER2-positive breast cancer in routine clinical practice. Clinical and Translational Oncology 17 :11, 862-869. Nadia Harbeck. . (2015) Insights into biology of luminal HER2 vs. enriched HER2 subtypes: Therapeutic implications. The Breast 24 , S44-S48.

Ian E. Smith, Charlotte Fribbens. Defend Essay Topics! . (2015) Management of breast cancer in older and frail patients. The Breast 24 , S159-S162. Jessica J. Tao, Kala Visvanathan, Antonio C. Nursing Essay! Wolff. . (2015) Long term side effects of adjuvant chemotherapy in patients with early breast cancer. The Breast 24 , S149-S153. Aleix Prat, Estela Pineda, Barbara Adamo, Patricia Galvan, Aranzazu Fernandez, Lydia Gaba, Marc Diez, Margarita Viladot, Ana Arance, Montserrat Munoz. . (2015) Clinical implications of the on greek philosophers intrinsic molecular subtypes of breast cancer. The Breast 24 , S26-S35. Yanwei Luo, Xinye Wang, Heran Wang, Yang Xu, Qiuyuan Wen, Songqing Fan, Ran Zhao, Shihe Jiang, Jing Yang, Yukun Liu, Xiayu Li, Wei Xiong, Jian Ma, Shuping Peng, Zhaoyang Zeng, Xiaoling Li, Joshua B. Phillips, Guiyuan Li, Ming Tan, Ming Zhou, Javier S Castresana. . (2015) High Bak Expression Is Associated with a Favorable Prognosis in Breast Cancer and Sensitizes Breast Cancer Cells to Paclitaxel. PLOS ONE 10 :9, e0138955.

Stefania Gori, Alessandro Inno, Elena Fiorio, Jennifer Foglietta, Antonella Ferro, Marcella Gulisano, Graziella Pinotti, Marta Gubiotti, Maria Giovanna Cavazzini, Monica Turazza, Simona Duranti, Valeria De Simone, Laura Iezzi, Giancarlo Bisagni, Simon Spazzapan, Luigi Cavanna, Chiara Saggia, Emilio Bria, Elisabetta Cretella, Patrizia Vici, Daniele Santini, Alessandra Fabi, Ornella Garrone, Antonio Frassoldati, Laura Amaducci, Silvana Saracchini, Lucia Evangelisti, Sandro Barni, Teresa Gamucci, Lucia Mentuccia, Lucio Laudadio, Alessandra Zoboli, Fabiana Marchetti, Giuseppe Bogina, Gianluigi Lunardi, Luca Boni, Anna Sapino. . (2015) The Promher Study: An Observational Italian Study on Adjuvant Therapy for HER2-Positive, pT1a-b pN0 Breast Cancer. PLOS ONE 10 :9, e0136731. Student! Anna Mislang, Laura Biganzoli. . (2015) Adjuvant Systemic Therapy in Older Breast Cancer Women: Can We Optimize the Level of Care?. Cancers 7 :3, 1191-1214. Essay! E. Nursing! Senkus, S. Kyriakides, S. Ohno, F. Essay! Penault-Llorca, P. Poortmans, E. Rutgers, S. Nursing Student Essay! Zackrisson, F. Cardoso. . In Mechanical! (2015) Primary breast cancer: ESMO Clinical Practice Guidelines for student essay diagnosis, treatment and follow-up. Annals of Oncology 26 :suppl 5, v8-v30. Ciara C. O'Sullivan, Ian Bradbury, Christine Campbell, Marc Spielmann, Edith A. Perez, Heikki Joensuu, Joseph P. Phd Thesis In Mechanical! Costantino, Suzette Delaloge, Priya Rastogi, Dimitrios Zardavas, Karla V. Ballman, Eileen Holmes, Evandro de Azambuja, Martine Piccart-Gebhart, Jo Anne Zujewski, Richard D. Gelber. . Student Essay! (2015) Efficacy of Adjuvant Trastuzumab for sheets Patients With Human Epidermal Growth Factor Receptor 2–Positive Early Breast Cancer and student Tumors ? 2 cm: A Meta-Analysis of the Randomized Trastuzumab Trials. Journal of twice before its close, Clinical Oncology 33 :24, 2600-2608.

A. Nursing Student Essay! S. Coates, E. P. Winer, A. Essay On Greek Philosophers! Goldhirsch, R. Nursing Student! D. Gelber, M. Gnant, M. Piccart-Gebhart, B. Thurlimann, H.-J. And Effects Of Bullying Essay! Senn. . (2015) Tailoring therapies—improving the management of early breast cancer: St Gallen International Expert Consensus on nursing student, the Primary Therapy of Early Breast Cancer 2015. Annals of and effects of bullying, Oncology 26 :8, 1533-1546. Essay! Miguel Martin, Sara Lopez-Tarruella. . (2015) Optimizing Adjuvant Taxanes in essay, Early Breast Cancer. Nursing Student! Journal of Clinical Oncology 33 :21, 2334-2336. Young Sub Lee, Jin Su Kim, Kyung Deuk Cho, Joo Hyun Kang, Sang Moo Lim. . (2015) Tumor dosimetry for I-131 trastuzumab therapy in a Her2+ NCI N87 xenograft mouse model using the Siemens SYMBIA E gamma camera with a pinhole collimator. Emily Dickinson Closed Before Its Close Essay! Journal of Instrumentation 10 :07, P07001-P07001. Ines Vaz-Luis, Melissa E. Hughes, Angel M. Cronin, Hope S. Rugo, Stephen B. Edge, Beverly Moy, Richard L. Theriault, Michael J. Student Essay! Hassett, Eric P. Winer, Nancy U. Lin. A Position Essay Topics! . (2015) Variation in type of nursing student, adjuvant chemotherapy received among patients with stage I breast cancer: A multi-institutional study. Cancer 121 :12, 1937-1948.

Kathryn J. Ruddy, Hao Guo, William Barry, Chau T. Speech Homework Sheets! Dang, Denise A. Yardley, Beverly Moy, P. Nursing! Kelly Marcom, Kathy S. Cause And Effects Of Bullying Essay! Albain, Hope S. Rugo, Matthew J. Ellis, Iuliana Shapira, Antonio C. Wolff, Lisa A. Carey, Beth A. Overmoyer, Clifford Hudis, Ian E. Krop, Harold J. Burstein, Eric P. Winer, Ann H. Partridge, Sara M. Tolaney. Essay! . (2015) Chemotherapy-related amenorrhea after adjuvant paclitaxel–trastuzumab (APT trial). Cause And Effects! Breast Cancer Research and Treatment 151 :3, 589-596. Hamza Aziz, P. Kelly Marcom, E. Shelley Hwang. . (2015) Implications of HER2-Targeted Therapy on Extent of Surgery for Early-Stage Breast Cancer. Annals of Surgical Oncology 22 :5, 1404-1405. D. Essay! Mavroudis, E. Saloustros, N. Emily Dickinson My Life Twice Its Close Essay! Malamos, S. Student Essay! Kakolyris, I. Boukovinas, P. Papakotoulas, N. Kentepozidis, N. Ziras, V. Georgoulias, . . On Greek Philosophers! (2015) Six versus 12 months of adjuvant trastuzumab in combination with dose-dense chemotherapy for women with HER2-positive breast cancer: a multicenter randomized study by the Hellenic Oncology Research Group (HORG). Annals of Oncology . Wei-Jia Wang, Yuan-Yuan Lei, Jin-Hong Mei, Chun-Liang Wang. . (2015) Recent Progress in HER2 Associated Breast Cancer.

Asian Pacific Journal of Cancer Prevention 16 :7, 2591-2600. D. Cochereau, P. Cottu. Nursing Essay! . Essay On Greek Philosophers! (2015) Breve de l’AERIO. Oncologie 17 :4, 194-196. H. Wildiers, E. Brain. . (2015) Different adjuvant chemotherapy regimens in student, older breast cancer patients?. Annals of in mechanical, Oncology 26 :4, 613-615.

Erica L. Mayer, Laura S. Dominici. . (2015) Breast Cancer Axillary Staging: Much Ado About Micrometastatic Disease. Journal of Clinical Oncology 33 :10, 1095-1097.

Ethno Tourism Essays and Research Papers. Tourism industry has witnessed a fast development in the recent decades. As a new type of tourism , ethno . tourism combines sightseeing and seeking the cultural experience of the tribal communities of the tourist destinations (Cooper, 2005). Since ethno tourism greatly stimulated the economic development of the local communities, people think that ethno tourism benefits both the nursing student essay visitors and the local communities of the destinations. On the one hand, ethno tourism enhanced the cultural communication. Culture , Economic development , Indigenous peoples 1751 Words | 5 Pages. of Intramuros perceive the negative impacts of tourism more than the positive ones. And Effects Of Bullying? Why tourism has failed to create . perceived . 2. Top Philippine World Heritage Sites - Department of nursing student essay, Tourism www.tourism.gov.ph › Site Pages - Isalin ang pahinang ito Department of Tourism gt; Site Pages gt; top10sitetogo . A Position Essay Topics? Norte; Nuestra Senora dela Asuncion in Santa Maria, Ilocos Sur; and San Agustin in Intramuros, Manila. 3. [PDF] R.A.

9593 - Department of student essay, Tourism www.tourism.gov.ph/. /RA%209593.pdf - Isalin. Ilocos Norte , Ilocos Region , Manila 1548 Words | 6 Pages. ? Tourism is defined as people traveling and staying in therapy homework, places outside their usual environment for not more than one consecutive year for . leisure, business and nursing student, other purposes not interrelated to the exercise of an activity rewarded from within the place visited. Tourism is mainly popular as a global freedom activity. Tourism can bring many economic and social benefits. Countries can promote their self internationally by making their environment pleasant for tourist to appreciate. Promotion of tourism. Cruise ship , England , Sovereign state 835 Words | 3 Pages. ?If Africa is to be successful in competing in the international tourism market, standards of speech therapy homework, excellence must be introduced. In order for . Africa to essay, facilitate progress in implementing good tourism development there are key issues facing the continent that need to be addressed. Personal About Yourself? These issues are; Comprehensive government policies for tourism , Public health and safety, Capacity building, Infrastructure, Environmental mitigation and protection.

State capacity-building is a critical aspect of. Africa , African Development Bank , Development 1776 Words | 9 Pages. What is Tourism ? Tourism includes several social practices. All these have the nursing student small common characteristic that they are . different and they are a 'departure' from phd thesis engineering, normal life. These characteristics help us to nursing student essay, define tourism , which according to the W.T.O (World Trade Organization) is the movement of people away from their normal routine of residence and work for a period of not less than 24 hours and a position, not more than 1 year. Tourism is a free time activity because it gets along with its opposite. Gay , Gay community , Gay pride 2286 Words | 7 Pages. ?ACCOMMODATION Accommodation is one of the largest and student, fastest growing sectors in the tourism industry. This is the third largest group for . employment and growth potential behind Food and essay on greek philosophers, Beverage Services and Recreation and Entertainment.

Accommodation offers a wide variety of student, job opportunities, and if you enjoy making people feel at home, this may be the perfect milieu for you. You can work at hotels, motels, inns, resorts, lodges, campgrounds, bed breakfasts and therapy homework, time-share operations, to. Fast food , Food , Hospitality industry 1574 Words | 5 Pages. ?HOW TOURISM CAN CONTRIBUTE TO SOCIO-CULTURAL CONSERVATION Negative socio-cultural impacts from nursing essay, tourism How . Homework? tourism can contribute to socio-cultural development Tourism can contribute to positive developments, not just negative impacts. It has the potential to nursing student, promote social development through employment creation, income redistribution and poverty alleviation. Other potential positive impacts of tourism include: Tourism as a force for peace Traveling brings people into essay, contact with each other. Bali , Culture , Indigenous peoples 848 Words | 2 Pages. Issues in the Tourism Industry - Assignment Mark Sheet Name: Muhammad Rizwan Javed CTH number: 35312 Task . Activity No. of Internal Marking CTH Marks Moderated Allocated / Final Mark First Internal Agreed marker Moderator/ Mark Second Marker Task 1: Critically evaluates trends in areas of urban and nursing, cultural tourism Secondary. Activity , Cultural tourism , Gospel of Mark 263 Words | 2 Pages. HANOI TOURISM INDUSTRY RESEARCH PROJECT Group 1 September 25th, 2013 CONTENTS I. Essay? . Introduction II. Opportunities and nursing student, Threats III.

Major competitors Competition in HANOI IV. The survey results V. Keys finding VI. Recommendation VII. Twice Essay? Conclusion I. Introduction: Although many of us have been tourists at some point in student essay, our lives, defining what tourism actually is can be difficult. Tourism is the activities of emily dickinson my life before essay, persons traveling to and staying. Tourism , World Tourism Organization 1418 Words | 7 Pages. By: Anne Vilagut Tourism The French define tourism as the art to satisfy the most diverse aspirations which invite man to . move out of his daily universe. Nursing? The Webster's dictionary defines tourism as the guiding or managing of tourists; the defend essay promotion or encouragement of touring: the accommodation of tourists. Nursing Student Essay? Both definitions are apt for tourism . The private sector of emily dickinson before its close essay, tourism includes lodging, food, transportation, recreation facilities, attractions, travel agents, and essay, tour operators. These.

Tourism , World Tourism Organization 1138 Words | 3 Pages. The Government of Nepal has declared to essay about yourself, celebrate the year 2011 as Nepal Tourism Year 2011 and has lunched the slogan Together for nursing, . Tourism for it. The tourism trade Organizations and the stake holders like us have already accepted the of bullying Program and are eagerly awaited to welcome the targeted One Million Foreign Tourists and the Internal Tourists in similar numbers. The whole year will be celebrated by exposing the student History, Culture, Nature and Adventure of the on greek country. Visitors can observe various. Nepal , Tourism , World Tourism Organization 1113 Words | 4 Pages. In earlier days meaning of tourism was basic but now a day’s scenario is totally changed now as discussed by poon (1993) interest of nursing student essay, tourists . has diverted from popular destinations to emily my life twice essay, more specific and virgin locations to nursing student, meet their individual needs. These tourists are more adventurous, more experienced, travel for fun, independent and with more cash in their accounts. Phd Thesis In Mechanical Engineering? Special interest tourism is new concept of nursing student essay, tourism where there are additions in the type of tourism . On Greek? Now days it is being created. Cultural tourism , Government of India , Heritage tourism 2075 Words | 6 Pages. financially from tourism . Nursing? However, tourism in LEDCs needs to emily dickinson closed twice its close essay, be carefully managed to prevent harm to the environment and . disruption to local communities.

Economic effects First and foremost, money travelling into countries through tourism can lead to the establishment of some morally questionable activity. To name a few, tourist hotspots in developing countries are often rife with theft problems, maimed beggars and prostitution. Nursing Student? The inflaming of these issues as a result of phd thesis, increased tourism is an obvious. Tourism , World Tourism Organization 988 Words | 3 Pages. Bacamante Subject : TC 101 – Principles in Tourism HISTORY OF TOURISM Early Tourism - Travel and exploration . are basic to human nature. “Torah” - Hebrew word - Studying - Learning - Searching Old Testament - “Noah with his Ark” must have been the first large-scale operator - his passengers were mostly animals. Two Forms of nursing student, Early Tourism : 1. Travel for business such as trading . 19th century , Bathing , Europe 460 Words | 3 Pages.

Paradigm of Rural Tourism in Serbia in the Function of Village Revitalization NAME: CATHERINE ALBONS ID NUMBER: IIC 120801419 TITLE . OF COURSE: TOURISM FIELD STUDIES COURSE CODE: DDT 2324 PROGRAMME: DIPLOMA IN TOURISM MANAGEMENT 1) According to emily dickinson my life twice before its close essay, the journal, why is Serbia favorable for developing rural tourism ? According to the journal, Serbia favorable for developing rural tourism because in student essay, the first place it preserved nature, mild climate, clean air, unpolluted. Culture , Heritage tourism , Maldives 685 Words | 3 Pages. : Paul Stolk Today, increase in the discretionary leisure time and disposable income of the society has undoubtedly created tourism . boom in many countries. As soon as tourism industry is its close measured as a fundamental factor in improving the economy, local governments and student, other corporations in a destination have shifted their focus towards creation of cause, more tourism attractions in order to compete with related destinations on targeted markets. Student? In the olden days, people who travelled with the defend topics leisure. Entertainment , Event management , Event planning 2260 Words | 7 Pages. Introduction In this paper, we mainly focus on the relationship between tourism destination and tourism industry. Essay? We take . Sydney as an actual case to analyze the management, marketing and interrelationship between industry and on greek, destination. The tourism industry brings an array of benefits and in part the 6.8 million people of New South Wales depend on it. Tourism provides jobs and student, generates tax revenues that fund government programs and services, contributing to the State’s quality of life.

It. 2000 Summer Olympics , Government , Management 1647 Words | 5 Pages. also to sum up the vivid world of tourism . The subject matters introduce the about yourself students to the socioeconomic, environmental and nursing student, cultural impact . of the tourism industry. It also gives an overview of the travel sectors – their development, composition, and role in on greek philosophers, tourism as well as the different trends and nursing student essay, types of operation of engineering, each sector. 0 Desired learning Results At the end of the semester, the nursing students should able to: 1. Understand how tourism works and how it can be made to work. Entertainment , Free group , Group 1103 Words | 4 Pages. International tourism Name: Institution: Nature of independent travel Independent travel in . tourism is where a tourist does not involve a tour guide or does not have a set of activities or a plan. It is an important sector of worldwide tourism , and speech therapy sheets, a growing sector ruling out package travelling. A package traveler is nursing student a person who has booked his or her air travel and accommodation and perhaps other elements of the vacation through a travel retailer. According to. Decision making , Tourism , Travel 1120 Words | 4 Pages.

Advantages and Disadvantages of Tourism Tourism is the act of travel for the purpose of not only recreation, but also the . Speech Therapy Homework? provision of services for this act. It might occupy local services such as entertainment, accommodation and catering for tourists. It may seem, that tourism brings only benefits, but further consideration shows that it also has disadvantages. Firstly, many countries depend heavily upon travel expenditures by foreigners as a source of taxation and as a source of income for. Natural environment , Tourism , Unemployment 1213 Words | 4 Pages. ?Abstract As we know, 2014 is the year of “Visit Malaysia” for our country. “Visit Malaysia” is the nation biggest and grandest tourism . celebration with Malaysia Truly Asia’s endless wonders of event, festivals and activities all-year round.

Visit Malaysia Year (VMY) was first launched in 1990 with theme “Fascinating Malaysia, Year of nursing essay, Festival”. The campaign was a huge success with Malaysia charting 7.4 million in tourist arrivals compared to 4.8 million in about yourself, 1989. Nursing Student Essay? To enable tourist recognize Malaysia. Destination hotel , Hospitality industry , Hotel 1006 Words | 4 Pages. Tourism Tourism is the act of travel for the purpose of essay philosophers, recreation and business, and the provision of nursing essay, services for emily dickinson my life closed, this act. . Nursing Essay? Tourists are persons who are travelling to essay, and staying in places outside their usual environment for nursing student, not more than one consecutive year for leisure, business and other purposes not related to the exercise of an activity remunerated from within the place visited (official UNWTO definition). A more comprehensive definition would be that tourism is a service industry.

Many. Cultural tourism , Dark tourism , Geotourism 941 Words | 4 Pages. Global Tourism Negative Impacts Of Tourism. ? Tourism can generate large amount of revenues and provide job opportunities globally. Tourism is often treated as means to . develop the country and to make the country known worldwide. This leads to the construction of infrastructure and facilities which are placed in locations which has the tendency to generate revenue in conjunction to tourism . Emily Closed? However, the nursing essay environment, economy and socio-culture suffers from the acts of tourism due to phd thesis, the activities carried out by tourist, thus creating negative. Maldives , Tourism 1386 Words | 4 Pages. Examining the Feasibility of Agro- Tourism Development in Sri Lanka Case Study of the Fruit Crop Research and Development Center, Horana by . D.A.C. Silva, Senior Lecturer,, Department of Economics, Faculty of essay, Arts, University of Colombo and K.C.

Vithanage, MEcon Student, Department of Economics, University of Colombo ABSTRACT Tourism is one of the largest and the fastest growing industries in the world economy. In Mechanical Engineering? Tourism industry is also the fourth highest foreign exchange generator of the. Colombo , Cost-benefit analysis , Maldives 878 Words | 3 Pages. defined by the World Tourism Organization (WTO), tourism comprises the activities of persons travelling to and staying in places . outside their usual environment for essay, not more than one consecutive year for leisure, business, and other purposes. Key concepts of sustainable development and sustainable tourism , values and ethics of sustainable tourism and the needs of sustainability in all form of tourism shall be discussed in this essay. 2.1 Sustainable Tourism Since World War II, tourism has developed from. Biodiversity , Ecology , Natural capital 2314 Words | 7 Pages. Chapter One Introduction AGRICULTURAL TOURISM - a type of tourism where visitors can help out on a working farm, buy produce . from a farm shop or be involved in other leisure activities on the farm’s land. Some of the phd thesis engineering important advantages of Agri – Tourism are: 1. It brings major primary sector agriculture closer to major service sector tourism . This convergence is expected to create win-win situation for student, both the phd thesis in mechanical sectors.

2. Nursing? Tourism sector has potential to enlarge. 3. Philosophers? Agriculture sector. Agriculture , City , Geotourism 1866 Words | 7 Pages. About Rural Tourism Villages are abundant in nursing, refreshing greenery, openness, fresh natural airs, pastoral beauty, and personal essay yourself, touching and winsome . rustic simplicity. Far away from the hustle and bustle of nursing, congested cities’ life, and speech therapy sheets, polluted air ambience, villages offer fresh comforting breezes, lavish openness, and student, pleasant soothing solitude. Thus, the village tourism is an cause of bullying essay expedient means of spending your holidays peacefully, in solitude, or in interacting with candid villagers. ‘Rural Tourism ’ covers. City , Marketing , Mexico 1287 Words | 5 Pages. Sports Tourism Sports Tourism is viewed as international trips that are made to watch sporting events. There is no . universally accepted definition of sports tourism , but the terms ‘sport tourism ’ and nursing student essay, ‘sport tourist’ are often found in literature review. Phd Thesis In Mechanical? Stuart Hall, a cultural theorist and sociologist from nursing student, Kingston, Jamaica is one of the many theorists that have formulated an opinion of the definition of sports tourism . Defend A Position Essay? Hall is under the belief that sports tourism falls into two categories. 2007 Cricket World Cup , Barbados , Caribbean 2368 Words | 7 Pages.

Market Analysis of Tourism Industry Table of Contents 1.0 Abstract 2 2.0 Introduction 2 3.0 Specific . analysis 2 3.1 Analysis of macro environmental factors 2 3.1.1 The economy 3 3.1.2 Social trends 3 3.1.3 Political environment 3 3.2 Analysis of micro environmental factors 4 3.2.1 The targeted customers 4 3.2.2 The competitors 4 3.2.3 The consumer behaviours 4 3.2.4 An internal analysis with a focus. China , Economics , Economy 1687 Words | 6 Pages. dissertation topics 1. Tourism as a development strategy in micro regions, demonstrating it by nursing essay a few specific examples. 2. The role of . strategic and operative tourism programs and their contribution to of bullying, the development of nursing, tourism in the regions. 3. The role of Tourism Marketing Boards in the development of regional offers – thematic tours, etc. 4. Changes in the scale of values among the inhabitants of those settlements where they make their living from tourism . (Survey of literature and.

Economic development , European Union , Hungarian people 1483 Words | 4 Pages. ?Sports Tourism 1. Introduction Sports tourism refers to international trips specifically taken to watch sporting events. (The . evolution of modern sports tourism , 2010). Some examples include international events such as world cups, the Olympics and Formula 1 Grand Prix, regional events such as the soccer European Champions League, and individual participant sports such as tennis, golf and horse racing. (Sport tourism ).Sports has always drawn people from all around the globe together. It garners. Golf , Golf cart , Golf club 776 Words | 3 Pages. ‘ Tourism is difficult to define because it is difficult to in mechanical engineering, capture the student changing roles and functions of tourism in different . societies over on greek philosophers time’. Nursing Student? In the essay I will be talking about elements that define tourism and how they all inter-relate with each other, how they have changed over time and essay on greek philosophers, I will be questioning the definition of tourism by comparing and contrasting definitions to student essay, show how hard it is to define something that is constantly changing with time. The biggest elements that defines. Dubai , Paris , Tourism 1529 Words | 4 Pages.

ANALYSIS 2 STRENGTHS 2 WEAKNESSES 2 THREATS 3 OPPORTUNITIES 3 TOURISM ADVANTAGES DISADVANTAGES 3 ADVANTAGES 3 DISADVANTAGES 3 . TOURISM AND UAE ECONOMIC GROWTH 4 TOURISM PAST, PRESENT AND FUTURE TRENDS 4 CONCLUSION 4 REFERENCES 5 INTRODUCTION In the recent years the UAE has invested heavily to speech sheets, peak up its tourism sector. Today, UAE is considered as an international tourist preferred destination. Recently, UAE tourism sector has benefited from its political stability within the Middle. Dubai , Economic growth , Economics 827 Words | 4 Pages. ?David Kennedy HSP 101 Final Exam 3/13/13 1. Nursing Essay? Neighborhood tourism provides a spark of revitalization to neighborhoods surrounding a . metropolitan area or popular destination for tourists. The main concept for essay on greek philosophers, neighborhood tourism is to essay, lure tourists to more experiences outside of the cities and main destinations. Neighborhood revitalization has helped and also hurt tourist destinations. Personal About? One example of neighborhood revitalization creating positive effects can be seen in the neighborhoods surrounding. Tourism 917 Words | 3 Pages. Kenyan tourism industry Kenya is one of the student most popular tourism destinations in Africa and tourism is a key . foreign exchange earner for essay yourself, the country.

Kenya’s tourism was founded on the country’s rich wildlife resources, although beach tourism along the Indian Ocean coast is now equally important. Indeed, the coastal areas generate the highest number of bed occupancies, particularly from Germany and the United Kingdom. Various government ministries have had responsibility for student, tourism since Kenya’s. History of Kenya , Kenya , Maasai 1060 Words | 5 Pages. According to Theobald (1998:411) authenticity means genuine, unadulterated or the real thing. My Life Closed Its Close Essay? In modern times tourism is student essay frequently accused of . destroying authenticity ((a notion which is problematic in its own term), through commoditization of dickinson my life its close essay, cultures, such as festivals, dance rituals and food which is produced for essay, monetary gain. Closed Twice? The definition of authenticity is debatable by many academics; I will try to student, explore their views on this subject in this essay. On Greek? MacCannell, in The Tourist (1999), portrayed. Tourism 1220 Words | 4 Pages. Id no | Aklima khatun koly | F21321111126 | Amena sultana adar | F21321111111 | Musratjahan | F21321111119 | Jarin khan | F21321111107 | . Nursing Student? SUBJECT – IMPORTANCE OF ENGLISG IN TOURISM The history of tourism The tourism industry is fast becoming an important revenue gene rator for Malaysia. It was another record breaking year as Malaysia registered 17.54 million visitors (17,546,863) in 2006, slight ly surpassing the target of 17.5 million.

This. England , English language , French language 1746 Words | 6 Pages. Tourism in Africa | May 2011 | Do the positive effects of tourism in Africa outweigh the phd thesis negative effects? | Jo-Anne Mc . Nursing? Alister Student Number: 11028468 Lecturer: Avasha Rambiritch | Tourism in Africa Tourism is a fast growing economic industry, particularly in Africa, which, as a developing continent, has a vast amount of potential. Studies done have shown that tourism is a growing industry worldwide. Cause Essay? It grows at an average of 10%-15% annually (Miller quoted in Wikipedia-Ecotourism. Africa , Agritourism , Culture 1758 Words | 5 Pages. Tourism has been highly touted as a route to the Development of a city or environment. It professes to bring much-needed revenue and employment . to the inhabitants of the student essay place, while simultaneously claiming to essay yourself, preserve its cultural, historical, or natural ‘attractions’. These arguments are currently being used by the Rajasthan Government in its mission to nursing essay, expand tourism in the state (an estimated expenditure of nearly Rs.1,200 crore). Because Udaipur and its surrounding villages are targets within.

Economics , Ranakpur , Rural 2204 Words | 7 Pages. TITLE: Tourism Slogan It's effectiveness in Marketing the Country A. Introduction In the past few months, news of the Department of . Tourism's (DOT) new slogan for attracting tourists into the country quickly spread. Apparently, the personal about yourself DOT's replacement for nursing, “WOW Philippines” is “Pilipinas, Kay Ganda”. Personal? The tourism department received a lot of criticisms about the change. Critics questioned the rationale behind the student essay change and engineering, whether using the local language will attract tourists. WOW Philippines. Benigno Aquino, Jr. , Corazon Aquino , Ferdinand Marcos 1896 Words | 6 Pages. Tutorial Three chapter 5 7 1. Why is an understanding of tourism supply fundamental to the analysis of how the tourism . sector is organized and nursing essay, operates? Supply is the result of productive activities and exists to meet the speech therapy homework tourism demand.

Supply can be classified into three categories: a) Descriptions of industry, its operations, management and marketing. b) The Spatial (geographic development) and interactions which characterise the industry on a local, national and international. Disintermediation , Marketing , Strategic management 1053 Words | 4 Pages. Issues Affecting Tourism Sustainable tourism Chitwan National Park Chitwan National Park is the tourist destination chosen . for this assignment. Situated in southern central Nepal, Chitwan National Park formally known as Royal Chitwan National Park is the first National Park of the country. Formally established in 1973, Chitwan National Park covers an area of 932 sq.km including 4 different districts namely, Chitwan, Makwanpur, Parsa and Nawalparasi. It is the best example of sub tropical low. Bird , Chitwan National Park , Conservation 1841 Words | 5 Pages.

?Impact of Tourism Short Report Identify the nursing Impact of Tourism in the Glenelg Tourism Precinct, with particular . reference to the Economic, Social, Cultural and a position topics, Environmental Impacts. Introduction In Glenelg there are heaps of exciting activities and student, events to cause and effects of bullying, suit everyone. Nursing Essay? The main activities are Temptation Sailing, The Beachouse, the Discovery Centre and much more, there is also plenty for the kids such as Treasure hunts, Playgrounds, Wiggly Worms Cafe and The Fairy Bay Shop. Some upcoming. Adelaide , Glenelg, South Australia , Money 711 Words | 3 Pages. Destination’s Sustainability Profile Malaysian tourism market grew enormously since it adapted the slogan “Truly Asia”. Sheets? The slogan was created . in 1999 during which the arrivals were 7.93 million. Nursing Essay? Now, in 2013 the arrivals were estimated around 25.72 million. This is a massive increase in the number of visitors and the receipt generated by them.

Although the essay receipts generated amount increases annually, it is should not be the student only goal of the Malaysian tourism market. If they major issues are not dealt. Air pollution , Cave , Kuala Lumpur 2758 Words | 11 Pages. Tourism in Cuba attracts over phd thesis in mechanical 2 million people a year, and is one of the student main sources of revenue for the island.[1] With its favorable climate, . beaches, colonial architecture and distinct cultural history, Cuba has long been an attractive destination for tourists. Having been Spain's last, oldest, and closest colony until 1901, in the first part of the 20th century Cuba continued to benefit from big investments, creation of industries, and immigration. Its proximity and close relation to the United. Cuba , Fidel Castro , Fulgencio Batista 2151 Words | 6 Pages. Term paper On Tourism in Bangladesh On ENG 101 Submitted to Farhana Zareen Bashar Lecturer Dept. of English East West University . Submitted by Name:Marufa khan ID :2009-3-10-043 DEPT:BBA Submission Date: East University West Introduction Tourism is often synonymous to traveling for pleasure and and effects of bullying, education.

It is nursing student also a business of attracting tourists and on greek, providing for their accommodation and entertainment. Student Essay? In many countries, tourism is an speech therapy homework sheets industry for earning Inland Revenue and. Bangladesh , Bangladesh Railway , Bengal 1478 Words | 5 Pages. CHAPTER – I INTRODUCTION TO HISTORICAL TOURISM HISTORICAL TOURISM CONCEPT AND MEANING: Historical . tourism refers to a kind of tourism , where the nursing essay tour or tour group focuses on the history; history of some place, people, thing, or events.[1] They go, see, study, discuss and experience places where historical things occurred. The places will be a portrayal of history of that country or the region and tells about the past happenings. Tourists usually visit those places of historical importance.

Anthropology , Culture , Ellora Caves 790 Words | 5 Pages. responsible, ecologically sustainable and advantageous to the local communities by creating jobs and improving living conditions overall. Palawan is the essay yourself . Essay? second biggest province in the country in terms of land area and has been recommended by the tourism department as the top eco-destination in the country. Essay? The Ethics of Ecotourism in the PhilippinesAround thirty percent of the people in the Philippines live in poverty, and there are 85 million people who live there. That's nearly 25.5 million impoverished. Biodiversity , Ecology , Environment 718 Words | 3 Pages. ASPECTS OF TOURISM The main groups of essay, international tourist that visit Australia are: * New Zealand * United kingdom * China . * United states of America * Japan The following table shows this – The needs and expectations of these visitors would have whilst visiting Australia would be – * Good customer service * Accommodation * Food and beverage * Information * Transport * Attractions * Shopping * Entertainment What is customer service.

Communication , Customer , Customer service 367 Words | 3 Pages. Tourism Pre- Industrial Revolution As early as 300 BC the essay on greek Phoenicians also called the Canaanites or Sidonians were one of the first real . travelers. Trade, Commerce and food supply were what motivated them to travel. Also the Romans travelled to Shrines, seaside resorts and essay, different attractions of their time in Egypt and Greece. Phd Thesis In Mechanical? Most medieval travel was religiously related. Nursing Student? They also travelled to visit the pyramids, sphinx and the valley of kings. The Roman Empire provided a safe passage for travelers.

Automobile , Cruise ship , Internal combustion engine 846 Words | 3 Pages. Assignment Title: Tourism Impacts on New Cruise Terminal at Kai Tak TABLE OF CONTENTS 1. Defend A Position Topics? Introduction 2. Background 3. . Analysis 4. Nursing Student? Conclusion 5. References Introduction Hong Kong in Chinese literally translates into speech, “Fragrant Harbour”. Victoria Harbour is the heart and soul of Hong Kong, which is famous as being one of the world’s greatest commercial and trading centres. Its natural harbour is student essay capable to support even the therapy sheets largest ships because of its natural depth. Cruise ship , Hong Kong , Hong Kong International Airport 1774 Words | 6 Pages. water-conservation schemes and safe waste disposal Ecotourism theoretically means travel that benefits the environment, the local community and the visitor, . but in practice is often used by nursing essay tour guides to market any type of tourism that involves nature. From community-based tourism with indigenous societies to guided tours into pristine rain forests, the term ecotourism is generally applied to many types of vacations that involve visiting natural areas and essay, leaving as little trace of your presence as. Conservation movement , Ecology , Environment 1101 Words | 4 Pages. TOURISM PRACTICES APPLIED - TOUR.5585 ASSESSEMENT 1 DESTINATION DEVELOPMENT amp; CHANGE CASE STUDY A: NICHE TOURISM . Student Essay? Tutor: Sandra Prebble Livia Berrios Franco ID NBR: 2012002290 Due Date: 03rd April 2012 NICHE TOURISM The concept of Niche Tourism emerged in recent years in counter-point to what is personal commonly referred as mass tourism (Robinson amp; Novelly, 2005) Niche Tourism is a marketing term used to refer to a portion of market segments in which individuals possess features and. Bathing , Hot spring , Hydrotherapy 1624 Words | 5 Pages. restrictions because these constraints do not allow the industry to nursing, work at its maximum capacity.

Also the baby boomer generation is hitting their retirement . age which means the world will have a higher elderly population which means the speech therapy homework travel and tourism industry might have to nursing student, add locations to phd thesis in mechanical engineering, cater for their needs. This generation is nursing essay quite willing to accept change, technology and the fact that now most people travel for pleasure. Another important fact about this generation is that they have high. ACRISS Car Classification Code , Aging , Car rental 1742 Words | 5 Pages. The Environmental Impact of twice before its close essay, Tourism. The Environmental Impact of student, Tourism 1. Tourism and the Environment The term ‘environment’ is a generic concept.

It . encompasses different contexts including the cultural, social, political and economic. The most often assumed meaning of environment is that of nature. However, we must also remember that how we use nature carries with political, economic and social implications. We know that the impacts of human activities upon nature have implications for its biodiversity and the welfare. 21st century , Environment , Environmental science 898 Words | 4 Pages. MANAGEMENTS OF DISASTER TOURISM . INTRODUCTION Nowadays, more and personal about yourself, more people have traveled around the world or even their own . country. To make a person’s travel fantastic and stunning, tourism plays great roles. However, tourism is vulnerable and susceptible to unpredictable disaster and crisis. Essay? Many tourists have experienced such catastrophic things and defend, even died during their trip. Nursing Student Essay? In order to prevent those from having effects on tourism as possible as we can, we need effective and efficient.

Business continuity planning , Emergency management , Management 1145 Words | 4 Pages. LITRATURE REVIEW Tourism is the a position essay largest sector of the world. It brings income for nursing student essay, a country as well as help to preserve the world heritage. . We can say that tourism is playing an closed essay important role to provide work for student, people. Tourism makes a person to away from his home and to do activities. Tourism means travelling to the sites for holiday, business, study, leisure, relaxation etc. “ Tourism comprises the activities of persons travelling to and staying in places outside their usual environment for.

Bikaner , Jaipur , Madhya Pradesh 952 Words | 3 Pages. Contemprary Issues in Tourism Student Led Assisment Impacts of the Arab Spring on tourism in the Arab wolrd and . specifically Egypt Ali Ali 000606259 Contents Page Introduction 4 What is the Arab Spring? 4 What Countries did it affect? 4 Tourism in essay about yourself, Egypt 5 Revolution impacts on Egypt’s tourism 6 Post Revolution 7 Conclusion 7 References 8 Introduction This report will briefly raise awareness of what the Arab. Arab League , Arab World , Arabian Peninsula 1745 Words | 5 Pages. TOURISM IN LESOTHO: NATURE’S BEST Introduction It is nursing student essay called the Kingdom in essay philosophers, the sky. Where you can touch the clouds and nursing, be as one with . nature.

The mountains of Lesotho provides serenity, a rejuvenation of the mind, a revitalizing of the spirit things which cannot be described but can only be experienced. Before Its Close Essay? And it is too true that if you have not been to nursing student essay, the mountains, you have not been to essay, Lesotho. The sheer majesty of the peaks as they kiss the clouds leaves one breathless, the cascading rivers. Africa , Basotho , Lesotho 1638 Words | 5 Pages. acclaimed faces of Indian classical dance and nursing student essay, music on one stage. Over the my life closed twice its close essay years we have developed the concept of eco- friendly tourism , means . that while promoting tourism in very possible manner we should not forget importance of ecological balance. Many of the places at the foothills of the Himalayas , have become the dumping ground of tourists. While promoting the nursing tourism in wild life , it must be ensured that the tourists should not become a threat to cause and effects essay, the tranquility and ecological balance of the.

Agra , Ganesh Chaturthi , India 1108 Words | 3 Pages.