Cancer management Free Essays

Presentation The point of this case report is to give a wellspring of data in regards to patients with Bulky stage 1B cervical malignancy by concentrating on ideal consideration and treatment pathway of a patient. The writer plans to portray significant logical perceptions from clinical preliminaries, and consequently give keen data to grow information and new research effectively present. Notwithstanding a ‘well established’ UK screening program for distinguishing cervical pre-obtrusive ailment there are still around 2,800 instances of cervical malignant growth per annum and 1,000 ladies despite everything bite the dust from cervical disease every year (Cancer explore UK, 2003). We will compose a custom paper test on Disease the board or on the other hand any comparable subject just for you Request Now The contextual analysis centers around a patient with squamous cell carcinoma of the cervix uteri (exocervix and endocervix), inadequately separated and organized by FIGO arranging framework at IB2 N1 (supplement A). The FIGO arranging framework (Appendix 1), depends on clinical assessment (review, palpation, colposcopy), radiological assessment of chest, kidneys, and skeleton, and endocervical curettage and biopsies. The FIGO arranging suggestions were last modified in 1995. Stage IB (T1b) incorporates every intrusive tumor constrained to cervix bigger than stage 1A2 injuries. Stage T1b mysterious is not, at this point utilized. Stage IB injuries (limited to cervix) were partitioned into stage IB1 clinical sores (?4cm in size) and stage IB2 sores (4cm in size). There were no progressions in different stages, including the 1987 meanings of stages IA, IA1, and IA2 (FIGO, 1995). Brady et al (1999) recognize squamous cell carcinoma of the uterine cervix beginning at the squamous columnar intersection (change zone) of the endocervical waterway and portio of the cervix. This sore is often connected with extreme dysplasia and carcinoma in situ, which has the chance of advancing to an intrusive carcinoma in 10 to 20 years. The dangerous procedure gets through the cellar layer of epithelium and attacks the cervical stroma. On the off chance that attack was under 3mm, the injury was named microinvasive or hastily intrusive (stage IA1) the likelihood of lymph hub metastasis is about 1% (Bohm et al, 1976). Perez et al (1998) proposed frequency of pelvic hub metastases to be roughly 15% in stage IB, 25% to 30% in stage IIB, and half in stage IIIB disease.Incidence of para-aortic hub metastases was seen as around 5% in stage IB, 19% in stage IIB, and 30% in stage IIIB malady. Fagundes et al (1992) presented the tumor may spread to adjoining vaginal fornices or to paracervical and parametrial tissues, with inevitable direct attack of bladder, rectum, or both. They pushed the most widely recognized metastatic destinations as lungs (21%), para-aortic hubs (11%), mediastinal and supraclavicular lymph hubs, bones, and liver. Writing audit measures: The latest type of writing accessible was distributed logical articles in type of electronic diaries. Writing discovered included, surveys regarding the matter of Cervical disease and distributed clinical preliminaries which exhibited clinical advantages and ensuing assessment. Diaries were gotten to by means of web utilizing PubMed and Science Direct databases. Papers were chosen dependent on value of theoretical and pertinent articles were removed from reference records. Essential pursuit terms: ‘Cervical cancer’ ‘Squamous cell carcinoma of cervix’ ‘Cancer of the cervix’ Optional hunt terms: ‘Poorly separated IB2 N1 Cervical cancer’ ‘IB2 N1 Cervical Cancer’ ‘Ovarian Transposition + Cervical Cancer’ ‘Phase 1 preliminaries +Cervical Cancer’ ‘Treatment pathway + Cervical Cancer’ ‘Supportive consideration + Cervical Cancer’ ‘HPV + Cervical Cancer’ Rejection rules: A large portion of the references utilized were under eight years of age, albeit more established articles were evaluated to note advancement of treatment. Quiet case introduction The patient case is of a twenty multi year elderly people ladies (gravida 0, para 0). She had no familial history of Cervical malignancy or some other sort. She devours two units of liquor for every week and is an incidental smoker with a one pack for each year history. She is right now utilized and works thirty-six hour out of each week. In November 2008, quiet gave an unusual cytologic (Papanicolaou) smear test and some postcoital spotting. She precluded any structures from securing vaginal release however commented a sentiment of overwhelming weakness and pelvic agony. A general physical assessment of the patient was done with uncommon consideration regarding supraclavicular (nodal) regions, mid-region, and liver. A cautious pelvic assessment which incorporated a bimanual palpation of the pelvis occurred. Following a strange smear test the patient was alluded for a colposcopic assessment, where high evaluation cervical dysplasia was found. The patient was therefore alluded in October to her nearby medical clinic for a LLETZ (enormous circle extraction of change zone of cervix) biopsy of cervix. Examples got during this system distinguished an intrusive, respectably separated squamous cell carcinoma of enormous cell keratinising type. Vascular intrusion was not distinguished. The tumor was arranged as IB+. November 2008, differentiate MRI of midsection and pelvis finished, which closed an enormous homogenous mass being seen emerging from lower end of cervix stretching out marginally more to one side. Cervical trench was noted to seem protected and the endometrium and rest of uterus seemed ordinary. There was doubt of augmentation of tumor into the upper vaginal divider. A privilege sided straightforward ovarian sore was noted, with a typical left ovary watched. An enormous lymph hub was found in the privilege pelvic sidewall profoundly dubious of being metastatic. No Para-aortic lymphadenopathy noted. Finishing up arranging on MRI grounds was recorded as a Stage T2b, N2 cervical malignancy. In light of MRI discoveries, persistent was alluded for EUA (assessment under sedation) for thought of trachelectomy, in November. Trachelectomy is a careful expulsion of the uterine cervix. EUA recorded an enormous 5cm exophytic tumor and on checking out it on 360? no perceptible invasion into vagina was seen.In request to give better definition an endo-cervical loop MRI was acted in December 2008, which further affirmed a complete 6cm exophytic cervical malignant growth and expanded right pelvic lymph hub. Because of this the patient was not a perfect possibility for a trachelectomy. The patient was next alluded for an EUA, cystoscopy, colonoscopy, sigmoidoscopy and biopsies. Technique was uneventful. No vaginal or parametrial inclusion were distinguished. Cystoscopy, sigmoidoscopy and colonoscopy were typical. This gave a closing arranging of Ib/2a. The patient’s case was talked about inside a MDT (multi-disciplinary group) meeting. Here it was concluded that chemo-radiotherapy would be favored treatment. The patient’s fundamental concern was conservation of fruitfulness because of her young age. Because of the movement of malady and brisk finish from analysis to treatment, the patients family, patient and accomplice all turned out to be bothered, and a referral was made to an authority gynae †nurture, where data with respect to treatment, anticipation and reactions could be clarified and examined once more. The oncologist alluded patient to a fruitfulness expert in December 2008, to talk about potential choices for richness saving preceding patient initiating radiotherapy and chemotherapy. From this gathering it was concluded that the patient was to experience ovarian transposition to avoid them from the radiation dissipate impact from the proposed adjuvant radiotherapy. Inside a similar methodology in December, persistent experienced a laparoscopic para-aortic hub appraisal, which along these lines characterized the radiotherapy field. The aftereffects of the appraisal were examined inside a MDT meeting whereby it was discovered that the solidified area of the dubious right obturator hub affirmed harm, in spite of the fact that, the para-aortic lymphadenectomy was negative. Patients assent, tallness and weight were taken so as to ascertain Cisplatin chemotherapy measurements required for attendant chemotherapy. December 2008, understanding continued to beginning radiotherapy endorsed at 50.4Gy in 28 divisions with a four field method at 10MV. Notwithstanding this she initiated her first associative chemotherapy of Cisplatin 40MG/M2 60MG, first of four cycles. The patient was checked on all through her radiotherapy and chemotherapy and endured both well with least reactions. Thusly the patient was agreed for intrauterine and intravaginal high portion rate brachytherapy for February 2009. The patient was noted to be down and discouraged and extremely weepy and communicated worries of not adapting. The patient was alluded to a CLIC/Sargent social specialist for help and counsel in January 2009. Preceding first part of brachytherapy, tolerant experienced EUA. It demonstrated a decent relapse of tumor, yet was as yet cumbersome. A smit sleeve was embedded just as intrauterine cylinder and ovoids. Tolerant was conceded for brachytherapy (16.5Gy to point An of every three parts) which continued without entanglement, quiet was along these lines released. Following brachytherapy, an outside shaft pelvic side divider help was performed at 5.4Gy in three portions. The patient was surveyed five weeks post treatment in March 2009. She noted slight entrail changes and saw that she was releasing limited quantities of pee. This was excused as radiotherapy related. The patient was given vaginal dilators and gave directions just as an illustrative DVD. Understanding transferred her feelings of dread of being re-contaminated by HPV. Persistent was urged to converse with long accomplice in regards to HPV testing. The patient additionally referenced encountering a couple of night sw

Privacy in a Digital Age Essay Example | Topics and Well Written Essays - 1000 words

Protection in a Digital Age - Essay Example Finally, the most upsetting disclosure of lives turning out to be open is that with our lives pulling out all the stops and advanced, they have additionally gone unfilled and shallow. Life in this age has neither the solace nor the glow of a basic way of life which won a couple of years back. In this manner, opening the screens of one’s private space and permitting the world to burst in is maybe an intentional and frantic endeavor to make fantasies of a cheerful and fulfilled life. The ongoing years have seen an adjustment in the disposition of individuals towards their work and profession decisions. Prior, occupations were essentially considered as a way to win cash and have an agreeable existence. Despite what might be expected, today individuals request quality in their work alongside an attractive bundle, which will help them to skim through the stepping stool of achievement. As Sun Microsystems CEO Scott McNealy broadly announced some time back, â€Å"Privacy is dead, ma nage it.† People today are so shy of time that occasionally they don't have a private life! A significant lump of a person’s life is spent in the open eye, and along these lines the inquiry for a continuous individual life is only a dubious cloud in an unmistakable sky. Business related issues are gobbling up the hours implied for investing quality energy with the friends and family. Then again, the circumstance in earlier years was in finished restriction. Individual and family life was given the primary goal as individuals were not presented to the delights of a cutting edge way of life and subsequently, were not all that eager. In addition, the meaning of protection has changed in the current age. Today, individual data is given out without a moment's notice. As referenced in the JWT White Paper a couple of years back, â€Å"Citizens of present day social orders live in a universe of advanced information, creating a data trail as they email, shop with dedication car ds, surf the Web, and make remote calls (WPP)†. This is completely intrusion of security, however isn't seen any longer. Looking at changing recognitions towards security, the significant fallen angel is the web. One can talk up close and personal with an outsider and post individual pictures on an open gateway for the world to see. In middle of this structure of an endless social gathering, expecting any level of protection is simply unrealistic reasoning. As Simson Garfinkel writes in his book Database Nation, â€Å"We realize our security is enduring an onslaught. The issue is that we don’t realize how to retaliate (MSNBC).† This is actually the problem which individuals today are looking as occupants of an unmistakably automated society. Though prior, photos used to be considered as the most striking and private records of individual minutes imparted to uncommon individuals, they have been stripped down to simple fine art set up for show. The most overwhelmin g result of the debilitated state of protection is the fierce demise of insider facts. At the point when individual lives are set up in plain view through informal communication locales and one is continually in contact with various individuals who know as much about them as an ignorant knows a book, keeping things individual seems out of date. In contrast to this circumstance, in earlier years individuals used to wildly monitor their private lives and the most close to home issues were imparted distinctly to a bunch of individuals. In any case, the enticement of broadcasting one’s lives is appealing to such an extent that every other feature of genuine seem dubious. The web has transformed individuals into open mannequins which are in plain view all the

Faculty in the News The Fight for Iran COLUMBIA UNIVERSITY - SIPA Admissions Blog

Faculty in the News The Fight for Iran COLUMBIA UNIVERSITY - SIPA Admissions Blog In an interview with CNNs Christiane Amanpour, Professor Gary Sick said “As the regime has cracked down harder and harder, they’re getting better at it. Repression does work. And they are now much more organized in terms of keeping things quiet and keeping the opposition down than they were before.   Click here to view the CNN video. Professor Sick served on the National Security Council under Presidents Ford, Carter, and Reagan. He was the principal White House aide for Iran during the Iranian Revolution and the hostage crisis.

Some Tips on Car Restoration - 1665 Words

Some Tips on Car Restoration Whenever someone decides to take the initiative to restore a car, it requires a serious commitment. I have seen too many people begin work and never finish. The successful car restorer chooses a car that fits his/her personality and budget, and follows the job through to the end. One must have a love for the process as well as the product, or the project will be rushed and end up to be worthless. I learned this tedious process when I was just fourteen years old, barely able to perform the difficult and sometimes dangerous tasks that are required to complete a show car. I would not recommend taking the steps I did my first time, so I will outline the best method I have learned through experience.†¦show more content†¦The small block Chevrolet V-8 is the engine to get if you want to keep your options open. There are endless possibilities for carburation, exhaust, ignition, cooling, and transmission compatibility. These engines can generate a nywhere from 150 horsepower to a stout 800 ponies with the help of nitrous oxide fuels. For the common enthusiast, an aluminum air intake and a four barrel carburetor combine to make the perfect upgrade. This is the path I took, increasing the horsepower of my 307 cubic inch V-8 from 200 to around 245. If oil is passing by the pistons into the firing chambers and being exhausted in the form of blue smoke, rebuilding the engine is a good idea. This process is not as difficult as it might seem, but there are many specialty tools required like an engine hoist, piston ring pliers, and a cylinder reamer. It is a good idea to have it done professionally if the tools are not readily available. I was lucky enough to have the garage space and tools to complete the job myself, but I would only recommend this if you have a lot of time to spend on your engine. The more time that is spent on the engine the better the project will be in the end. Once the mechanical systems of the car have been completed, the interior (passenger compartment) is the most logical step to complete next. The cloth that lines the roof is called the headliner. If it is in good shape, you are already half done.Show MoreRelatedClassic Cars And Its Effects On Modern Cars902 Words   |  4 PagesClassic cars are often a prized possession to the owner. Classic cars also tend to be delicate and harder to repair than newer cars. Original classic cars, that have not been restored, can have their value drastically lowered if they are damaged and need to be repaired. Repairing classic cars, with original parts, can be difficult and expensive, but using newer parts can lower their value by ruining their original condition. Therefore, when shipping a classic car it’s essential to find the rightRead MoreEssay about Racism and Prejudice in America629 Words   |  3 Pageswas on the tip of the American tongue. It was an inevitable change that was brought about by dedicated people. These people were not only African-American, but were representative of all kinds of ethnicities, religions, and even social background. In the end history repeated itself. Equal rights may have taken 10 steps forward, but it also took 9 steps back. Institutional racism served as a mechanism of repression. It is still doing the same today. When the Civil War ended, restoration began, butRead MoreEssay on Reducing the Risk of Financial Loss: Paying for Insurance702 Words   |  3 PagesINTRODUCTION Generally, everybody have their own valuable thing in life such as a car, house, furniture or a business that could expose to the risk or unexpected worst scenario. (1) Risk can be defined as uncertainty in regard to cost, loss or damage while destruction or loss of capital is certain in connection with a business process, it can be charged up in advance as a cost. It is not a risk. Apart from that, health could be considered as valuable thing as it related to the ability to work. AllRead MoreA Brief Note On Beach Pollution Prevention And The National Resource Defense Council1940 Words   |  8 Pagesmultiple scientists, environmentalists, and biologists who have years of schooling and experience. This is just one example of the tragic effects of pollution. Although this is across the country, this can easily happen off the coast of Florida or even in some local rivers and lakes. Why is This Important? Pollution prevention is serious everywhere, but Florida has a certain reason that water pollution needs to be avoided at all costs. In the Department of Environmental Protections’ article â€Å"Aquifers,†Read MoreTimes Arrow by Martin Amis Essay1827 Words   |  8 Pagesbody the narrator is for some unknown reason trapped in. Bar the fact that it is in reverse, the plot is simple: The narrator wakes up from his deathbed and discovers that he is living his life backwards. He finds out that he is a doctor, living in small-town America. His name is Tod Friendly. He gets younger and comes out of retirement, breaking up with his old lovers before meeting them in intimate embraces. All the while it becomes clearer and clearer that there is some great secret in his futureRead MoreGreen Car Essay2021 Words   |  9 Pagescommittee is essential. This group can be charged with coordinating many of the greening activities, making recommendations to relevant school decision- makers, and facilitating communication among -- and actions by -- the whole school community. Use our tips for starting your Green Team. 2. Adopt An Environmental Vision Statement or Planet Pledge Each school produces its own vision statement, setting out what the students and/or school community are striving to achieve. The Environmental Vision StatementRead MoreGreen Car Essay2027 Words   |  9 Pagescommittee is essential. This group can be charged with coordinating many of the greening activities, making recommendations to relevant school decision-makers, and facilitating communication among -- and actions by -- the whole school community. Use our tips for starting your Green Team. 2. Adopt An Environmental Vision Statement or Planet Pledge Each school produces its own vision statement, setting out what the students and/or school community are striving to achieve. The Environmental Vision StatementRead MoreGlobal Pollution4546 Words   |  19 Pagesgenerate construction pollution problems affecting both home owners and construction site owners. Moreover, construction workers (especially in the past) may be exposed to pollution. These aspects will be discussed in more details below, along with tips and measures to prevent and face pollution, as well as to recover the costs. If you live in a home close to a construction site (i.e., within 1 block or less) you may face the following type of pollution: * Air Pollution– the air you breathe mayRead MoreThe American Furniture Styles2191 Words   |  9 PagesWhen going antiquing as a beginner its good to know some of the basics so you don t get ripped off by unsavory dealers. Most vendors are honest and upfront, but like car shopping, a little information can save you a lot of time and money. Below is a brief overview of some of the major American Furniture Styles. The Federal Period: (1785-1815) This is the earliest period of antiques likely to be found in antique stores, anything that claims it is colonial or earlier is most likely a reproductionRead MoreTaxation and Income Statutory Income16735 Words   |  67 Pagesmoney. 2.Capital does not have the character of income: For tax law purposes we need to distinguishing income and capital for several reasons: a) ordinary concepts notion of income does not include capital; [see below] b).general deductions [and some specific deductions, eg: repairs] specifically excludes deductions for capital outlays c) capital receipts may generate capital gains CGT; concessional tax treatment; the gain might be discounted by 50%. d) trust distribution of corpus [capital] is

The Dangers Of Texting While Driving - 1239 Words

Driving While Intexticated The invention of the automobile has revolutionized transportation; likewise, the more recent invention of mobile devices, such as the cell phone, has transformed the world of communication. However, there’s no doubt that using the two together is not the safest way to go. In our modern technological society, people are inclined to constantly use their hand-held devices wherever they go. Texting while driving is a growing habit that not only teens, but adults as well have. According to statistics from a Federal Motor Carrier Safety Administration, drivers who are texting are 23.2 times more likely to crash than those drivers who are not texting. Driving is a task that requires undivided attention and focus. One of the dangers of texting while driving is the attention taken away from the road. Texting while driving is considered typing, sending, and reading text messages or e-mails, and other related tasks on a hand-held device while operating a motor vehicle. When a driver is d istracted by their phone, they are unaware their surroundings. Just a few seconds of inattention or distraction can result in fatal consequences. According to the National Safety Council, cellphone use was involved in 26% of motor vehicle crashes in 2014. Texting while driving endangers life and property, and it needs to be avoided completely. Teenagers are notorious for being on their phones 24/7. Driving is a new a skill that teenagers learn; therefore multitasking is mostShow MoreRelatedThe Dangers Of Texting While Driving1561 Words   |  7 Pagesways in which this powerful object can be dangerous. Texting while driving is one danger many do not realize until something drastic happens. Texting while driving is not only a threat to us, but as well as other drivers, passengers, and pedestrians. However, with the lack of enforcement on the laws and punishments, the use of cell phones while driving does not come as a threat to drivers, which needs to change. Using a cell phone while driving causes an overwhelming amount of accidents, injuriesRead MoreThe Dangers Of Texting While Driving977 Words   |  4 Pagescaused by texting while driving (â€Å"Cell Phone†). Likewise, that is about half the percentage of accidents kindled by drunk driving. Driving preoccupied is injurious; furthermore, adding texting into the equation yields the greatest amount of accidents. One text could alternate a person’s entire life, or worse, cease their life. The danger of texting while driving is an outlandish issue that can be diminished by prohibiting its use and offering phone-disabling devices in vehicles. Texting and drivingRead MoreThe Dangers Of Texting While Driving1252 Words   |  6 Pagesof driving. Many drivers, across the globe, engage in the practice without contemplating about the potential detrimental effects of their actions. Notably, researches have depicted that texting while driving is one of the major causes of road accidents. As a matter of fact, accidents caused due to messaging while driving has superseded those, which are instigated by drunk drivers. Drivers are inclined to the belief that they can send some messages without negatively impacting on their driving abilitiesRead MoreThe Dangers Of Texting While Driving1840 Words   |  8 PagesThe danger of texting and driving by teens as well as adults is very disturbing. As we do our investigation, both groups know they should not text and drive, however overwhelmingly they do so anyway, despite the danger it seems as if they cannot resist. We now know that texting while driving is not just a teenage problem it i s a World Wide problem. Each day, an average of more than nine people is killed and more than 1,060 injured in crashes caused by distracted driving, according to the CDC.Read MoreThe Dangers Of Texting While Driving2213 Words   |  9 Pageswasn t any cars coming. These are the type of disasters that texting while driving can cause. As a kid being able to drive is a point in our life that we can t wait to reach. It feel like it’s a new chapter of freedom especially as teenager ranging from 16-18 years old. With the technology astronomically growing day by day our cell phones are becoming a huge distraction when driving. Drivers are putting themselves in hazardous danger, and not just them, but others surrounding them. Being able toRead MoreThe Dangers Of Texting While Driving2265 Words   |  10 Pageswasn t any cars coming. These are the type of disasters that texting while driving can cause. As a kid being able to drive is a point in our life that we can t wait to reach. It feel like it’s a new chapter of freedom especially as teenager ranging from 16-18 years old. With the technology astronomically growing day by day our cell phones are becoming a huge distraction when driving. Drivers are putting themselves in hazardous danger, and not just them, but others surrounding them. Being able toRead MoreThe Dangers Of Texting While Driving1014 Words   |  5 PagesTexting While Driving Texting while driving has become a major problem in the United States. Many people lose their lives each year. It is sad because these deaths can be 100 percent prevented. No text, email, or social media status is worth dying for. The modern conveniences of smartphones allow us to have the world at our fingertips for business, education, and entertainment, however they have also increased distraction levels, and reduced verbal communication. The distractions, illegal issuesRead MoreInvestigating The Dangers Of Texting While Driving934 Words   |  4 PagesAssessment #3 To investigate the dangers of texting while driving, a true experiment is needed to determine if texting is a cause of traffic accidents. A true experiment is thought to be the most accurate type of experimental research, and it is the only type that can establish a cause and effect relationship. Thus, a true experiment can find if texting is a cause that affects traffic accidents. To begin, the experiment will take place on a major road, located in an urban city because a large numberRead MoreThe Dangers of Texting While Driving Essay939 Words   |  4 Pagesespecially when it comes to texting and driving. Texting and driving has been the leading cause of car accidents in the recent years, a great portion of them which have ended with deadly results. The â€Å"norm† is not so safe anymore, especially when it is done carelessly. Most people think texting and driving is underrated. Some feel that they are excellent drivers and can multitask without a worry in the world. There’s certainty that the victims of texting and driving had this same exact thoughtRead MoreDangers of Texting While Driving Essay1481 Words   |  6 PagesSamantha is on her way home from work, driving 55 mph, and her husband texts her to see if she can pick up some milk from the grocery store for supper. She grabs her phone and reads the message. She looks up at the road before she replies to him and she is head on with another car 10 feet away from her, she slams on the breaks and swerves to try to miss the car. She rolls her car three times, landing in the ditch, where the car is upside down. The gentlemen in the other car calls 911. Police, ambulance

Night World Dark Angel Chapter 8 Free Essays

Gillian stood perfectly still and watched David disappear around a corner. (It’s not time for the plan yet, kid. Now buck up. We will write a custom essay sample on Night World : Dark Angel Chapter 8 or any similar topic only for you Order Now A cheery face is worth diamonds.) Gillian tried to put on a cheery face. The strange day continued. In each class, Gillian appealed to the teacher for a new book. In each class, she was bombarded with offers of notes and other help. And through it all Angel whispered in her ear, always suggesting just the right thing to say to each person. He was witty, irreverent, occasionally cutting-and so was Gillian. She had an advantage, she realized. Since nobody had ever noticed her before, it was almost like being a new girl. She could be anything she wanted to be, present herself as anyone, and be believed. (Like Cinderella at the ball. The mystery princess.) Angel’s voice was amused but tender. In journalism class, Gillian found herself beside Daryl Novak, a languid girl with sloe eyes and drooping contemptuous lashes. Daryl the Rich Girl, Daryl the World-weary World Traveler. She talked to Gillian as if Gillian knew all about Paris and Rome and California. At lunch, Gillian hesitated as she walked into the cafeteria. Usually she sat with Amy in an obscure corner at the back. But recently Eugene had been sitting with Amy, and up front she could see a group that included Amanda the Cheerleader, Kim the Gymnast, and others from The Clique. David and Tanya were at the edge. (Do I sit with them? Nobody asked me.) (Not with them, my little rutabaga. But near them. Sit at the end of that table just beside them. Don’t look at them as you walk by. Look at your lunch. Start eating it.) Gillian had never eaten her lunch alone before-or at least not in a public place. On days Amy was absent, if she couldn’t find one of the few other juniors she felt comfortable with, she snuck into the library and ate there. In the old days she would have felt horribly exposed, but now she wasn’t really alone; she had Angel cracking jokes in her ear. And she had a new confidence. She could almost see herself eating, calm and indifferent to stares, thoughtful to the point of being dreamy. She tried to make her movements a little languid, like Daryl the Rich Girl’s. (And I hope Amy doesn’t think I’m snubbing her. I mean, it’s not as if she’s back there alone. She’s got Eugene.) (Yeah. We’re gonna have to talk about Amy sometime, kid. But right now you’re being paged. Smile and be gracious.) â€Å"Jill! Earth to Jill!† â€Å"Hey, Jill, c’mon over.† They wanted her. She was moving her lunch over to their table, and she wasn’t spilling anything and she wasn’t falling as she slid in. She was little and graceful, thistledown light in her movements, and they were surging around her to form a warm and friendly bulwark. And she wasn’t afraid of them. That was the most wonderful thing of all. These kids who’d seemed to her like stars in some TV show about teenagers, were real people who got crumbs on themselves and made jokes she could understand. Gillian had always wondered what they found so funny when they were laughing together. But now she knew it was just the heady atmosphere, the knowledge that they were special. It made it easy to laugh at everything. She knew David, sitting quietly there with Tanya, could see her laughing. She could hear other voices occasionally, from people on the fringes of her group, people on the outside looking in. Mostly bright chatter and murmurs of admiration. She thought she heard her name mentioned. †¦ And then she focused on the words. â€Å"I heard her mom’s a drunk.† They sounded horribly loud and dear to Gillian, standing out against the background noise. She could feel her whole skin tingling with shock and she lost track of the story Kim the Gymnast was telling. (Angel-who said that? Was it about me-my mom?) She didn’t dare look behind her. â€Å"-started drinking a few years ago and having these hallucinations-â€Å" This time the voice was so loud that it cut through the banter of Gillian’s group. Kim stopped in mid-sentence. Bruce the Athlete’s smile faltered. An awkward silence fell. Gillian felt a wave of anger that made her dizzy. (Who said that? I’ll kill them-) (Calm down! Calm down. That’s not the way to handle it at all.) (But-) (I said, calm down. Look at your lunch. No, at your lunch. Now say-and make your voice absolutely cool-â€Å"I really hate rumors, don’t you? I don’t know what kind of people start them.†) Gillian breathed twice and obeyed, although her voice wasn’t absolutely cool. It had a little tremor. â€Å"I don’t know either,† a new voice said. Gillian glanced up to see that David was on his feet, his face hard as he surveyed the table behind her as if looking for the person who’d spoken. â€Å"But I think they’re pretty sick and they should get a life.† There was the cold glint in his eyes that had given him his reputation as a tough guy. Gillian felt as if a hand had steadied her. Gratitude rushed through her-and a longing that made her bite down on her lip. â€Å"I hate rumors, too,† J.Z. Oberlin said in her absent voice. J. Z. the Model was the one who looked like a Calvin Klein ad, breathlessly sexy and rather blank, but right now she seemed oddly focused. â€Å"Somebody was putting around the rumor last year that I tried to kill myself. I never did find out who started it.† Her hazy blue-green eyes were narrowed. And then everyone was talking about rumors, and people who spread rumors, and what scum they were. The group was rallying around Gillian. But it was David who stood up for me first, she thought. She had just looked over at him, trying to catch his eye, when she heard the tinkling noise. It was almost musical, but the kind of sound that draws attention immediately in a cafeteria. Somebody had broken a glass. Gillian, along with everyone else, glanced around to see who’d done it. She couldn’t see anybody. No one had the right expression of dismay, no one was focused on anything definite. Everybody was looking around in search mode. Then she heard it again, and two people standing near the cafeteria doors looked down and then up. Above the doors, far above, was a semi-circular window in the red brick. As Gillian stared at the window she realized that light was reflecting off it oddly, almost prismatically. There seemed to be crazy rainbows in the glass†¦ And something was sparkling down, falling like a few specks of snow. It hit the ground and tinkled, and the people by the door stared at it on the cafeteria floor. They looked puzzled. Realization flashed on Gillian. She was on her feet, but the only words that she could find were, â€Å"Oh, my God!† â€Å"Get out! It’s all going to go! Get out of there!† It was David, waving at the people under the window. He was running toward them, which was stupid, Gillian thought numbly, her heart seeming to stop. Other people were shouting. Cory and Amanda and Bruce-and Tanya. Kim the Gymnast was shrieking. And then the window was going, chunks of it falling almost poetically, raining and crumbling, shining and crashing. It fell and fell and fell. Gillian felt as if she were watching an avalanche in slow motion. At last it was over, and the window was just an arch-shaped hole with jagged teeth clinging to the edges. Glass had flown and bounced and skittered all over the cafeteria, where it lay like hailstones. And people from tables amazingly distant were examining cuts from ricocheting bits. But nobody had been directly underneath, and nobody seemed seriously hurt. (Thanks to David.) Gillian was still numb, but now with relief. (He got them all out of the way in time. Oh, God, he isn’t hurt, is he?) (He’s fine. And what makes you think he did it all alone? Maybe I had some part. I can do that, you know-put it into people’s heads to do things. And they never even know I’m doing it.) Angel’s voice sounded almost-well-piqued. (Huh? You did that? Well, that was really nice of you.) Gillian was watching David across the room, watching Tanya examine his arm, nod, shrug, look around. He’s not hurt. Thank heaven. Gillian felt so relieved it was almost painful. It was then that it occurred to her to wonder what had happened. That window-before the glass fell it had looked just like the mirror in her bathroom. Evenly shattered from side to side, spidery cracks over every inch of the surface. The bathroom mirror had cracked while Tanya was being catty about Gillian’s room. Now Gillian remembered the last thing she’d wanted to ask Angel last night. It had been about how the mirror came to do that. This window †¦ it had started falling a few minutes after someone insulted Gillian’s mother. Nobody had heard it actually break, but it couldn’t have happened too long ago. The small hairs on the back of Gillian’s neck stirred and she felt a fluttering inside. It couldn’t be. Angel hadn’t even appeared to her yet†¦ But he’d said he was always with her†¦ An angel wouldn’t destroy things†¦ But Angel was a different kind of angel. (Ah, excuse me. Hello? Do you want to share some thoughts with me?) (Angel!) For the first time since his soft voice had sounded in her ear, Gillian felt a sense ofover- crowdedness. Of her own lack of privacy. The uneasy fluttering inside her increased. (Angel, I was just-just wondering†¦) And then the silent words burst out. (Angel, you wouldn’t-would you? You didn’t do those things for my sake- â€Å"break the mirror and that window-?) A pause. And then, in her head, riotous laughter. Genuine laughter. Angel was whooping. Finally, the sounds died to mental hiccups. (Me?) Gillian was embarrassed. (I shouldn’t have asked. It was just so weird†¦) (Yeah, wasn’t it.) This time Angel sounded grimly amused. (Well, never mind; you’re already late for class. The bell rang five minutes ago.) Gillian coasted through her last two classes in a daze. So much had happened today-she felt as if she’d led a full life between waking up and now. But the day wasn’t over yet. In her last class, studio art, she once again found herself talking to Daryl the Rich Girl. Daryl was the only one of that crowd that took art or journalism. And in the last minutes before school ended, she regarded Gillian from under drooping eyelashes. â€Å"You know, there are other rumors going around about you. That you and Davey-boy have something going behind Tanya’s back. That you meet secretly in the mornings and†¦Ã¢â‚¬  Daryl shrugged, pushing back frosted hair with a hand dripping with rings. Gillian felt jolted awake. â€Å"So?† â€Å"So you really should do something about it. Rumors spread fast, and they grow. I know. You want to either deny them, or†-Daryl’s lips .quirked in a smile-â€Å"disarm them.† (Oh, yeah? And just how do I do that?) (Shut up and listen to her, kid. This is one smart cookie.) â€Å"If there’re parts that are true, it’s usually best to admit those in public. That takes some of the punch out. And it’s always helpful to track down the person starting the rumors-if you can.† (Tell her you know that. And that you’re going to see Tanya after school.) (Tanya? You mean-?) (Just tell her.) Somehow Gillian gathered herself enough to repeat Angel’s words. Daryl the Rich Girl looked at her with a new expression of respect. â€Å"You’re sharper than I thought. Maybe you didn’t need my help after all.† â€Å"No,† Gillian said without Angel’s prompting. â€Å"I’m always glad for help. It’s-it’s a rough world.† â€Å"Isn’t it, though?† Daryl said and raised already arched eyebrows. (So it was Tanya who spread that stuff about my mom.) Gillian almost stumbled as she trudged out of art class. She was tired and bewildered. Somehow, she’d have thought Tanya was above that. (She had help. It takes a really efficient system to get a rumor to peak circulation that fast. But she was the instigator. Turn left here.) (Where am I going?) (You’re gonna catch her coming out of marketing education. She’s alone in there right now. The teacher asked to see her after class, then unexpectedly had to run to the bathroom.) Gillian felt distantly amused. She sensed Angel’s hand in these arrangements. And when she poked her head inside the marketing ed room, she saw that Tanya was indeed alone. The tall girl was standing by a cloudy green blackboard. â€Å"Tanya, we need to talk.† Tanya’s shoulders stiffened. Then she ran a hand across her already perfect dark hair and turned. She looked more like a future executive than ever, with her face set in cool lines and her exotic gray eyes running over Gillian in appraisal. Without Angel, Gillian would have dried up and withered away under that scrutiny. Tanya said one word. â€Å"Talk.† What followed was more like a play than a conversation for Gillian. She repeated what Angel whispered to her, but she never had any idea what was coming. The only way to survive was to give herself up completely to his direction. â€Å"Look, I know you’re upset with me, Tanya. But I’d like to deal with this with a little maturity, okay?† She followed Angel’s instructions over to a desk and brushed absent fingers over its imitation-wood top. â€Å"I don’t think there’s any need for us to act like children.† â€Å"And I don’t think I know what you’re talking about.† â€Å"Oh, really?† Gillian turned and looked Tanya in the face. â€Å"I think you know exactly what I’m talking about.† (Angel, I feel just like one of those people in a soap opera-) â€Å"Well, you’re wrong. And, as a matter of fact, I happen to be busy-â€Å" â€Å"I’m talking about the rumors, Tanya. I’m talking about the stories about my mom. And I’m talking about David.† Tanya stood perfectly still. For a moment she seemed surprised that Gillian was taking such a direct approach. Then her gray eyes hardened with the clear light of battle. â€Å"All right, let’s talk about David,† she said in a pleasant voice, moving tigerishly toward Gillian, â€Å"I don’t know about any rumors, but I’d like to hear what you and David were doing this morning. Care to tell me?† (Angel, she’s actually enjoying this. Look at her! And she’s bigger than me.) (Trust me, kid.) â€Å"We weren’t doing anything,† Gillian said. She had to tip her chin up to look Tanya in the face. Then she looked aside and shook her head. â€Å"All right. I’ll be honest about that. I like David, Tanya. I have ever since he moved in. He’s good and he’s noble and he’s honest and he’s sweet. But that doesn’t mean I want to take him away from you. In fact, it’s just the opposite.† She turned and walked away, looking into the distance. â€Å"I think David deserves the best. And I know he really cares about you. And that’s what happened this morning-he told me you guys had made a promise to each other. So you see, you’ve got no reason to be suspicious.† Tanya’s eyes were glittering. â€Å"Don’t try to pull that. All this †¦Ã¢â‚¬  She waved a hand to indicate Gillian’s dress and hair. â€Å"In one day you turn from Little Miss Invisible to this. And you start prancing around the school like you own it. You can’t pretend you’re not trying to get him.† â€Å"Tanya, the way I dress has nothing at all to do with David.† Gillian told the lie calmly, facing the chalk-misted blackboard again. â€Å"It’s just-something I needed to do. I was-tired of being invisible.† She turned her head slightly, not enough to see Tanya. â€Å"But that’s beside the point. The real issue here is what’s best for David. And I think you’re best for him-as long as you treat him fairly.† â€Å"And what is that supposed to mean?† Tanya was losing her legendary cool. She sounded venomous, almost shrill. â€Å"It means no more fooling around with Bruce Faber.† (Oh, my God, Angel! Bruce Faber? Bruce the Athlete? She’s been fooling around with Bruce Faber?) Tanya’s voice cracked like a whip. â€Å"What are you talking about? What do you know?† â€Å"I’m talking about those nights at the pool parties last summer in Macon’s cabana. While David was up north at his grandma’s. I’m talking about what happened in Bruce’s car after the Halloween dance.† (In a cabana?) There was a silence. When Tanya spoke again, her voice was a sort of icy explosion. â€Å"How did you find out?† Gillian shrugged. â€Å"People who’re good at spreading rumors can be a two-edged sword.† â€Å"I thought so. That brat Kim! Her and her mouth†¦Ã¢â‚¬  Then Tanya’s voice changed. It became a voice with claws and Gillian could tell she was moving closer. â€Å"I suppose you’re planning to tell David about this?† â€Å"Huh?† For a moment Gillian was too confused to follow Angel’s directions. Then she got hold of herself. â€Å"Oh, of course I’m not going to tell David. That’s why I’m telling you. I just want you to promise that you’re not going to do anything like that anymore. And I’d appreciate it if you’d stop telling people things about my mom-â€Å" â€Å"I’ll do worse than that!† Suddenly Tanya was standing right behind Gillian. Her voice was a yelling hiss. â€Å"You have no idea what I’ll do if you try to mess with me, you snotty little midget. You are going to be so sorry-â€Å" â€Å"No, I think you’ve done plenty already.† The voice came from the door. Gillian heard it, and in that instant she understood everything. How to cite Night World : Dark Angel Chapter 8, Essay examples

Microsoft And Monopoly Essays (833 words) - AOL, Netscape

Microsoft And Monopoly This paper will show my opinion of Microsoft being branded a monopoly. I feel this example shows supply and demand in addition to monopolistic competition. This entire ordeal is over a free browser that Microsoft includes with windows for free and gives out on the internet for free just as Netscape and most other browser companies do. The government feels that Microsoft is creating a demand purely for their products by forcing its browser on suppliers and controlling prices. I have yet to see where Microsoft is charging extraordinary prices for any of these free programs nor do I see how Netscape, in using the governments definition, a "monopoly" itself, is "being forced out of business" by Microsoft's free browser. Remember: the charge is against including Internet Explorer with Windows, not the Windows monopoly itself. It is much better to have one operating system than 20 or even 2. Software compatibility, technical support, and setup are much more simplified with one operating system. Programs today are specifically designed to be "Windows compatible." Would you rather have 20 (local) phone companies, each with a different line and number running into your house or one, as is the case now? Internet Explorer brings browser competition to a market that is essentially monopolistic itself. Internet Explorer gives Netscape a competitive product where before virtually none existed. The purpose of antitrust laws is to prevent only harmful monopoly. Microsoft's operating system near monopoly is harmful in very few ways. Nor is Intel's chip near monopoly harmful, nor is Netscape's browser near monopoly. Other reasons easily explain how Microsoft came about to its size and how new companies constantly spring up in the computer industry. Computer software is a very volatile industry. To succeed in this industry all you basically need is a good program and a way to offer it for sale. All they have to do is make a program and copy it on a disk. Since making an extra disk containing the program costs all of 2 cents, it is more costly for the software company to print the box and manuals, than it is to make one extra disk. But it does cost Microsoft to develop a new program. No matter how cheap a disk is, capital investment such as salaries, factories, storage, and programmers always exist. Even though development costs are sunk and additional production costs are nonexistent, other costs are incurred. Besides, supply and demand determines where a price will fall. Another thing about the computer market is its ever-changing program market. For all we know, anyone literate in programming may develop a better program than Windows. If consumers like it, we may soon find another browser monopolist. For reasons similar to this, computer industry leaders have vastly changed in just a few years. At times Apple, IBM, Intel, Netscape, AT&T and even Commodore, have or had large, sometimes monopolist-like markets. Characteristics of monopolies that cause trouble are (1) restriction of output, (2) higher prices along with this restriction, (3) restriction of entry to a particular market and, in a few cases, (4) lack of innovation due to lack of competition. Not a single one of these problems is experience with Microsoft. These problems are only drastic when an item is in a secluded market with no close substitutes. Computers are definitely not necessities and there are few barriers to entry in the computer market (the only noticeable being computer literacy). Microsoft certainly does not restrict output and hold prices at extreme levels. If they did, nobody would buy Windows 95 or 98 when it came out. There is no reason to buy an upgrade except that people are looking for something new or something bigger and better. New versions of Windows do not sell because consumers aren't forced to buy them. They sell because consumers want them. Many of Microsoft's major products are included with Windows. Giving products away at no monetary cost is certainly not restricting output. Netscape had an almost full monopoly (90%) and still has a semi-monopoly at 65-70% of the browser market. So what they are worried about? They use the same methods of distribution of their software by offering it for free and having Internet providers include it with their registration software. Before Internet Explorer came along, we sat for long periods waiting for browser upgrades. There was essentially one browser - Netscape. Upgrades have been almost constant since the introduction of Explorer. The result: two companies with advanced browsers competing to build a better browser. Microsoft is not the only operating system