Pancreatic Cancer Symptoms: An Overview

Pancreatic Cancer Symptoms: An Overview Pancreatic cancer often goes undetected until its advanced and difficult to treat. In the vast majority of cases, symptoms only develop after pancreatic cancer has grown and begun to spread. Because more than 95% of pancreatic cancer is the adenocarcinoma type, well describe those symptoms first, followed by symptoms of rare forms of pancreatic cancer. Recommended Related to Pancreatic Cancer Understanding Pancreatic Cancer the Basics The pancreas is an organ located behind your stomach next to the top of the small intestine. It is about six inches long but is less than 2 inches wide and functions as two separate organs. It has two big manufacturing jobs in the body: It makes digestive juices that help the intestines break down food. It produces hormones including insulin that regulate the bodys use of sugars and starches. The pancreas is divided into three sections: the head, the body, and the tail. The Pancreatic Cancer Symptoms: Location Matters Initially, pancreatic cancer tends to be silent and painless as it grows. By the time its large enough to cause symptoms, pancreatic cancer has generally grown outside the pancreas. At this point, symptoms depend on the cancers location within the pancreas: Pancreatic cancer in the head of the pancreas tends to cause symptoms such as weight loss, jaundice (yellow skin), dark urine, light stool color, itching, nausea, vomiting, abdominal pain, back pain, enlarged lymph nodes in the neck. Pancreatic cancer in the body or tail of the pancreas usually causes belly and/or back pain and weight loss. In general, symptoms appear earlier from cancers in the head of the pancreas, compared to those in the body and tail. Pancreatic Cancer: Gastrointestinal Symptoms Because pancreatic cancer grows around important areas of the digestive system, gastrointestinal symptoms often predominate: Abdominal pain. More than 80% of people with pancreatic cancer eventually experience some abdominal pain as the tumor grows. Pancreatic cancer can cause a dull ache in the upper abdomen radiating to the back. The pain may come and go. Bloating. Some people with pancreatic cancer have a sense of early fullness with meals (satiety) or an uncomfortable swelling in the abdomen. Nausea Diarrhea Pale-colored stools. If the duct draining bile into the intestine is blocked by pancreatic cancer, the stools may lose their brown color and become pale or clay-colored. Urine may become darker. Pancreatic Cancer: Constitutional (Whole-Body) Symptoms As it grows and spreads, pancreatic cancer affects the whole body. Constitutional symptoms can include: Weight loss Malaise Loss of appetite Elevated blood sugars. Some people with pancreatic cancer develop diabetes as the cancer impairs the pancreas ability to produce insulin. (However, the vast majority of people with a new diagnosis of diabetes do not have pancreatic cancer.) Pancreatic Cancer: Skin Symptoms Jaundice: As pancreatic cancer blocks the duct that releases bile into the intestine (common bile duct), the ingredients of bile build up in the blood. This turns the skin and the eyes yellow, a condition called jaundice. The same blockage causes dark urine and light-colored stools. Itching: People with pancreatic cancer sometimes report itching all over. Blockage of the bile ducts is often responsible. Symptoms of Rare Pancreatic Cancers Islet cell tumors, also called neuroendocrine tumors, arise from the cells in the pancreas that make hormones. Islet cell tumors account for only 1.5% of all pancreas tumors. Like pancreatic adenocarcinoma, islet cell tumors may cause abdominal pain, weight loss, nausea, and vomiting. Hormones released by an islet cell tumor can also cause symptoms: Insulinomas (excess insulin): sweating, anxiety, lightheadedness, and fainting from low blood sugar. Glucagonomas (excess glucagon): diarrhea, excessive thirst or urination, weight loss. Gastrinomas (excess gastrin): abdominal pain, nonhealing stomach ulcers, reflux, weight loss. Somatostatinomas (excess somatostatin): diarrhea, weight loss, abdominal pain, foul-smelling fatty stools. VIPomas (excess vasoactive intestinal peptide): abdominal cramping, watery diarrhea, facial flushing. Pancreatic Cancers Sneaky Symptoms In a very small number of people with pancreatic cancer, early symptoms might be present that could lead to an earlier diagnosis. Unfortunately, researchers have been unable to identify any predictable pattern. One study that surveyed 305 people with pancreatic cancer illustrated the challenge: About 4% reported having a sudden disgust for preferred tastes (like coffee, smoking, or wine) that preceded other symptoms by more than six months. 5% of people had loss of appetite, a feeling of early fullness with meals, or profound weakness, more than six months before more obvious symptoms developed. 1% of people had attacks of acute pancreatitis more than six months before their diagnosis with pancreatic cancer. The rarity and vagueness of these situations points out the difficulty of using early symptoms to catch pancreatic cancer at an earlier stage. That said, symptoms like weight loss, persistent loss of appetite, yellowing of the eyes or skin, dark urine, or light-colored stools should always prompt concern. Consistent or worsening discomfort, nausea, vomiting, or diarrhea are also disconcerting. If you feel somethings not right, see your doctor. MedicineNet, 2013 What are the symptoms and signs of pancreatic cancer? Because the pancreas lies deep in the belly in front of the spine, pancreatic cancer often grows silently for months before it is discovered. Early symptoms can be absent or quite subtle. More easily identifiable symptoms develop once the tumor grows large enough to press on other nearby structures such as nerves (which causes pain), the intestines (which affects appetite and causes nausea along with weight loss), or the bile ducts (which causes jaundice or a yellowing of the skin and can cause loss of appetite and itching). Symptoms in women rarely differ from those in men. Once the tumor sheds cancer cells into the blood and lymph systems and metastasizes, more symptoms usually arise depending on the location of the metastasis. Frequent sites of metastasis for pancreatic cancer include the liver, the lymph nodes, and the lining of the abdomen (called the peritoneum). Unfortunately, most pancreatic cancers are found after the cancer has grown beyond the pancreas or has metastasized to other places. 2013 Pancreatic Cancer UK Signs and symptoms Signs and symptoms are diagnostic tools that help doctors to work out what is wrong with someone and make a diagnosis. Symptoms are the things that you are experiencing, e.g. pain or loss of appetite that you will tell your doctor about. Signs are what the doctor can see when they examine someone, e.g. someone wincing when they touch a painful area. Signs and symptoms of pancreatic cancer Pancreatic cancer doesnt usually give rise to any symptoms or signs in the early stages. This is the main reason it can be so difficult to detect and diagnose. As the cancer grows the symptoms it causes will depend on the type of pancreatic cancerand where it is in the pancreas. Any symptoms people do have can be quite vague and may come and go at first. An example is abdominal pain, which may start off as occasional discomfort before becoming more painful and more frequent. The symptoms can also be a sign of other more common, less serious illnesses. This means that people may end up seeing their GP several times or being sent for a number of different testsbefore pancreatic cancer is even considered. It is important to remember that any of the symptoms described here are common for lots of illnesses and may not be a sign of pancreatic cancer. But if you have persistent unexplained symptoms its important for your GP to refer you for tests to explore what is causing them. It can help to note down the frequency of your symptoms and mention anything unusual you are experiencing, even if it seems unrelated. If your symptoms get worse or you develop any new symptoms suddenly you should always get in touch with your GP. Most common symptoms of pancreatic cancer Most pancreatic cancers are exocrine tumours (90%). Their symptoms can be very vague and depend on whether the tumour is in the head, body or tail of the pancreas. à ¯Ã‚ »Ã‚ ¿Abdominal pain Pain is a symptom in about 70% of pancreatic cancer cases. It often starts as general discomfort or pain in the abdomen (tummy) which can spread to the back. It can be worse after eating or when you are lying down. Sitting forward can sometimes relieve the pain. At first the pain may come and go, but over time it may become more constant. If any of the organs (pancreas, liver or gall bladder) in your abdomen are inflamed or enlarged the area may also be tender to touch. Pain is caused by the cancer affecting nerves or organs near the pancreas. It can also be a result of a tumour causing a blockage in the stomach or duodenum (top part of the small intestines). Jaundice Jaundice occurs in about 50% of pancreatic cancer cases. Its an illness where the skin and the whites of the eyes turn yellow. Other signs of jaundice include dark urine, pale stools and itchy skin. Jaundice develops when there is a build-up in the blood of a chemical called bilirubin. This chemical is always present in the blood. It usually gets removed from the body in the bile fluid produced by the liver which empties into the small intestines through the bile duct. Cancer growing in the pancreas can block the bile duct so that bile and bilirubin keep building up in the body. This is known as obstructive jaundice. Jaundice can be caused by other non-cancerous conditions, such as a gallstone blocking the bile duct, so its important for all the obvious causes to be explored. Weight loss Losing a lot of weight for no particular reason can be a sign that something is wrong. People may also notice a loss of appetite or changes in what they feel like eating. Pancreatic cancer can affect the ability of the pancreas to produce digestive enzymes that help to digest food. This means that the body cant digest food properly or get the nutrients it needs, leading to weight loss. Weight loss is more common with cancers in the head of the pancreas. Other common symptoms of pancreatic cancer These symptoms are also common, though not everyone will have every symptom. People may have these symptoms before a diagnosis, develop them later on, or perhaps not get them at all. Bowel problems A condition called steatorrhoea (stools that are large, pale, oily, floating and smelly) is a common symptom of diseases of the pancreas. It happens because the cancer affects the production of the enzymes needed to digest food, particularly high fat food. Undigested food passing quickly through the body can also cause diarrhoea and subsequent weight loss. Nausea and vomiting Nausea (feeling sick) and sickness can occur for several different reasons. A tumour can block the bile duct or press on the duodenum, which obstructs digestion. It may also cause inflammation around it in the pancreas, or jaundice. Both of these can lead to a chemical imbalance in the body which can make people feel sick. Fever and shivering If the pancreas is inflamed or the ducts are blocked because of the tumour, this can cause a high temperature and shivering. Diabetes Diabetes can develop if a tumour stops the pancreas from functioning properly. This is because the pancreas produces the hormone insulin which the body needs to regulate the amount of sugar in the blood. People with diabetes often feel extremely thirsty, pass more urine than normal, lose weight and feel weak and lacking in energy. Diabetes is particularly associated with pancreatic cancer in older people. If someone develops late onset diabetes with no other explanation their GP should consider the possibility of pancreatic cancer. Symptoms of endocrine pancreatic tumours Less than 5% of all pancreatic cancers are endocrine tumours, which develop in the hormone producing cells of the pancreas. They are divided into functioning and non-functioning tumours, depending on whether or not they overproduce hormones and cause a chemical syndrome. Most endocrine tumours do not produce a clinical syndrome (non-functioning) so they do not cause specific symptoms. As they grow or spread they may cause pain, jaundice or a lump that can be felt in the abdomen. Some endocrine tumours overproduce hormones and cause a clinical syndrome (functioning). These give rise to different symptoms depending on the type of tumour and the hormone it produces. Gastrinomas overproduce gastrin, which causes peptic ulcers in the stomach or duodenum. Symptoms include severe pain, black tarry stools and diarrhoea. Glucagonomas overproduce glucagon. Symptoms include a specific type of skin rash (redness, ulceration and scabbing), anaemia (lack of red blood cells), weight loss and inflammation inside the cheeks and lips. Insulinomas overproduce insulin, leading to hypoglycaemia (low blood sugar levels). Symptoms may include weakness, drowsiness, dizziness or lack of energy. Somatostatinomasoverproduce somatostatin, which causes gall stones, diabetes, diarrhoea and steatorrhoea. VIPomas overproduce a hormone called vasoactive intestinal peptide (VIP). Symptoms include watery diarrhoea, high blood pressure and flushing of the face. 2009, Nick James and the late Sally Tweddle Pancreatic cancer symptoms This page has information on the symptoms of pancreatic cancer. You can find the following information A quick guide to whats on this page Early symptoms Other symptoms of pancreatic cancer Symptoms from endocrine pancreatic tumours More information Open box A quick guide to whats on this page Pancreatic cancer symptoms The most common type of cancer of the pancreas are exocrine tumours. The symptoms can be quite vague. And they vary depending on where the cancer is in your pancreas in the head, body or tail. Early symptoms can include weight loss, pain in the stomach area, back pain and jaundice. More than half of patients have jaundice when they first go to their doctor. Jaundice without pain is the most common reason for first going to the doctor in patients who have pancreatic cancer that can be removed with surgery. Symptoms of jaundice can include yellowing of the skin and whites of the eyes, severe itching, darkened urine, and pale coloured stools (bowel motions). Other symptoms There are other symptoms that you can have with cancer of the pancreas. These include diabetes, itching, sickness, change in bowel motions, fever and shivering. There is an uncommon group of pancreatic tumours called neuroendocrine tumours. About a third of these produce hormones. The symptoms are different for each type, depending on the hormone the tumour makes. You can view and print the quick guides for all the pages in the about pancreatic cancer section. Back to top Early symptoms The commonest types of cancer of the pancreas are exocrine tumours. The symptoms can be quite vague. And they vary depending on where the cancer is in your pancreas in the head, body or tail. Early symptoms can include Weight loss Pain in the stomach area Jaundice More early symptoms Weight loss People diagnosed with pancreatic cancer may have recently lost a lot of weight (at least 10% of their total body weight) for no apparent reason. This symptom is more common in cancers of the head of the pancreas. Pain in the stomach area About 7 out of 10 people with pancreatic cancer first go to their doctors because they have pain. Pain is more common in cancers of the body and tail of the pancreas. People describe it as a dull pain that feels as if it is boring into you. It can begin in the stomach area and spread around to the back. The pain is worse when you lie down and is better if you sit forward. It can be worse after meals. Your abdomen may also be generally tender or painful if your liver, pancreas or gallbladder are inflamed or enlarged. Jaundice More than half of patients have jaundice when they first go to their doctors. Jaundice is yellowing of the skin and whites of the eyes. The urine is darker than normal and bowel motions may be lighter in colour. Jaundice is more common with cancer of the head of the pancreas because the tumour blocks the bile duct. This tube carries bile into the duodenum. If it is blocked the bile ends up in your bloodstream instead. Bile contains a lot of yellow pigments so it turns the skin yellow. Jaundice is a common symptom of many liver and gallbladder diseases. It is often easier to spot in the whites of the eyes rather than the skin. More early symptoms Other early symptoms might include loss of appetite and back pain. Back to top Other symptoms of pancreatic cancer There are other symptoms that you can have with cancer of the pancreas. You may have any of these symptoms from before you are diagnosed. Or you may develop them later. Of course, you may not have all of them. Not everyone has every symptom. But these non specific symptoms are common in pancreatic cancer. You may have Diabetes Itching Sickness Bowel changes Fever and shivering Diabetes Some people diagnosed with cancer of the pancreas are found to be newly diabetic. Some have been diagnosed with diabetes within the previous year. If you have diabetes you are not producing enough insulin. So there is too much sugar in your blood. The sugar is passed out of the body in the urine and takes a great deal of water with it. This causes Thirst Passing a lot of urine Weakness Weight loss and hunger Itching You may have itching if you have bad jaundice. The bile salts in the bloodstream cause itching in the skin. Sickness You may feel or be sick because you have jaundice or an inflamed pancreas. Both these conditions upset the delicate chemical balance of the body, which can make you sick. You may also be sick if the cancer, or inflammation around it, is beginning to block the duodenum. This will stop digested food from passing through to the small bowel. Bowel changes Again, if you have jaundice you may develop a symptom called steatorrhoea. This means fatty stools. You may pass frequent, large bowel motions that are pale coloured and smelly. These bowel disturbances can mean that you are not absorbing your food properly. So this may be a cause of weight loss. Fever and shivering You may have a temperature from time to time because you have jaundice or an inflamed pancreas. When your temperature is high you may feel cold and shivery. Back to top Symptoms from endocrine pancreatic tumours Endocrine pancreatic tumours are uncommon. They are also called neuroendocrine tumours. About a third of these pancreatic tumours produce hormones (functional tumours). The symptoms are different for each type, depending on the hormone the tumour produces. They are Insulinoma Gastrinoma Somatostatinoma VIPoma Glucagonoma Insulinomas Insulinomas produce too much insulin, causing weakness, loss of energy, dizziness and drowsiness. Gastrinomas Gastrinomas produce too much gastrin, causing peptic ulcers in the stomach or duodenum. This leads to severe pain, bleeding causing black tarry stools (faeces), and diarrhoea. Somatostatinomas Somatostatinomas produce too much of a hormone called somatostatin. This causes gallstones, diabetes and diarrhoea with bulky fatty and smelly stools (steatorrhoea). VIPomas VIPomas produce too much of a hormone called VIP. This causes a great deal of watery diarrhoea, flushing of the face, and high blood pressure. Glucagonomas Glucagonomas produce too much of a hormone called glucagon. This causes a very specific type of skin rash (redness, ulceration and scabbing), anaemia, mouth ulcers and diarrhoea. About two thirds of pancreatic neuroendocrine tumours do not produce hormones and so do not cause specific symptoms. As these tumours get larger or spread they may cause symptoms such as pain, a lump in the abdomen or jaundice. The average general health article on pancreatic cancer states flatly that there are no early symptoms of pancreatic cancer. People diagnosed with pancreatic cancer are typically already in the advanced stage of the disease by the time its caught, and the typical prognosis is death within five years. With pancreatic cancer much on everyones mind due to the untimely death of Steve Jobs, it seems like a good time to ask the question thats on all of our minds:Are there any early warning signs of pancreatic cancer? The answer is yes, there are. But to understand these signs and symptoms of pancreatic cancer, its important to understand where the pancreas is, and what it does. Located deep inside the abdomen, the pancreas is only 4 to 6 inches long and shaped like a tadpole. In the tail of the pancreas are cells that produce insulin, and tumors at this end are usually endocrine tumors. Theyre easier to diagnose, but are much rarer. At the other end, the head of the pancreas, are cells that produce digestive enzymes, and tumors at this end are called exocrine tumors. These are by far the most common, and are much more difficult to detect. However, the idea that a pancreatic tumor is asymptomatic is a bit of a myth. Dig deep into journal articles and ask patients what they remember and the result is a long list of odd signs and symptoms of pancreatic cancer to watch out for. Taken one by one, these symptoms could mean many things. But if you find yourself experiencing two or three of these early warning signs of pancreatic cancer, call your doctor and ask for a scan. Imaging techniques such as MRIs can detect pancreatic cancer some of the time, depending on the location of the tumor. Early Warning Signs of Pancreatic Cancer Diabetes, especially if it comes on suddenly. Recently, the Mayo Clinic published startling research showing that 40 percent of pancreatic cancer patients had been diagnosed with diabetes one to two years before discovering they had a pancreatic tumor. Researchers believe the diabetes is caused by tumors that simply havent been detected yet. The problem is, diabetes is very common, and the majority of diabetes isnt pancreatic cancer, so doctors are trying to develop screening tools to tell the difference. Right now, they say family history is an important clue. If youre diagnosed with diabetes that seems to come on suddenly and you have no family history of diabetes, bring this to your doctors attention and ask for further screening for pancreatic cancer. Yellowing of the eyes or skin. Even a small pancreatic tumor can block the bile duct in the head of the pancreas, causing bile to build up. This causes jaundice. Itchy skin, palms, and soles of feet. A little-known side-effect of jaundice is itchy hands and feet. Its due to a skin reaction to the bilirubin, the yellowish brown liver chemical that causes jaundice. Lack of appetite. An Italian study found that six to eight months before being diagnosed with pancreatic tumors, patients reported a sudden drop in their appetite and a tendency to feel full after eating very little. Changes in taste. In the same Italian study, some of the patients surveyed said theyd suddenly lost their taste for coffee, wine, and smoking. In fact, they said, they felt disgust for the smell and taste of coffee and alcohol. Abdominal pain. Pancreatic cancer sufferers remember this pain as a gnawing pain, rather than a sharp cramp or ache, and it radiates toward the back. A characteristic clue: the pain goes away when you lean forward. An enlarged gall bladder. The same blockage of the bile duct that causes jaundice can also cause an enlarged gallbladder, as the bile builds up behind the duct. The good news is that an enlarged gallbladder can be seen on imaging tests, and it may even be possible for a doctor to feel it during a physical exam. Pale, floating, smelly stools. If a pancreatic tumor prevents digestive enzymes from reaching the intestine, the result is an inability to digest fatty foods. So you end up with loose, smelly floaters as a result of the excess fat. Doctors say this symptom, in particular, can be an early clue and is too often overlooked. Dark, tarry stools. Bleeding in the upper intestines causes this symptom. Sudden, unexplained weight loss. Weight loss is not always, as many people mistakenly believe, a sign of advanced cancer thats spread to the liver. It can also happen because a lack of pancreatic enzymes is causing fat to pass through the body undigested. What do you do if youre worried about any of these symptoms? Document all symptoms, and report them to your doctor in as much detail as possible. If your doctor is convinced you have legitimate concerns (and remember, you may have to do some convincing) tests such as an ultrasound, a CT scan, and an endoscopy followed by a biopsy can be used to search for a pancreatic tumor. Theres also a blood test for a biomarker called CA-19-9 that can be used in conjunction with other tests to diagnose pancreatic cancer early. While tragic early deaths like Steve Jobs are the hard reality of pancreatic cancer, there are also people living productive lives thanks to an early diagnosis of pancreatic cancer. Such was the case with Supreme Court Justice Ruth Bader Ginsburg, whos still practicing after having a tiny pancreatic tumor surgically removed. Yes, she got lucky, as she put it but she also got a CT scan, which is how the tumor was found. Further Reading: Islet Cell Tumors (Endocrine Pancreas) Treatment (PDQ ®) Pancreatic Islet Cell Transplantation for Diabetes-Topic Overview Pancreatic Islet Cell Transplantation for Diabetes-Related Information Pancreatic Islet Cell Tumor Islet Cell Carcinoma (Endocrine Pancreas) Islet Cell Carcinoma (Endocrine Pancreas) Islet Cell Carcinoma (Endocrine Pancreas) See All Islet Cell Tumors Topics

Business Research Method

Your Answer: a) The report of a pilot study. Correct Answer: d) The listing of all units in the population from which the sample will be selected. Feedback: It is important to identify a sampling frame so that a representative sample can then be taken from within a specified unit. Question 2 How will a researcher usually prevent a significant sampling error? Your Answer: b) Issue questionnaires to the entire sampling frame. Correct Answer: d) Use probability sampling. Feedback: Probability sampling allows the researcher to apply tests of statistical significance which then allow inferences to be made about the overall sampling frame.Question 3 If an organisation has 12,000 employees and the researcher is able to interview 250 the probability of inclusion in the sample is? Your Answer: a) 1 in 96. Correct Answer: c) 1 in 48. Feedback: Simple random sampling assumes that each member of the population has an equal probability of inclusion in the sample. The probability is calculated via a sampling fraction with the total population being divided by the sample size. Question 4 If a researcher wishes to obtain a nationally representative sample of trade union members but does not have the resources to travel long distances what method of sampling could they use?Your Answer: a) Stratified random sampling. Correct Answer: b) Multi-stage cluster sampling. Feedback: Multi-stage cluster sampling allows interviewers to concentrate their research more than simple random or stratified sampling. Question 5 Which of the following is not something a researcher will have to consider when thinking about their sample size? Your Answer: a) Time and cost. Correct Answer: c) Length of questionnaire. Feedback: In general bigger is better when considering sample size however all researchers need to be aware of the limitations of their resources. Question 6Which of the following is an example of convenience sampling? Your Answer: b) A random sample of employees who are absent from work through stress. Correct Answer: c) Managers attending a seminar on corporate social responsibility organised by the researcher. Feedback: It is possible that the researcher could take the opportunity of issuing a questionnaire to these managers whilst they are at the seminar. It is unlikely that the researcher will come across the other options in as convenient a manner. Question 7 Which of the following is not a benefit of snowball sampling? Your Answer: b) It is always representative of the population.Feedback: Snowball sampling is unlikely to be representative of the population because of the difficulty in establishing a sampling frame. The sampling frames that apply when snowball sampling is relevant are usually fluid and constantly shifting. Question 8 Quota sampling is used intensively in which type of research? Your Answer: d) Ethnographic research. Correct Answer: a) Market research. Feedback: Commercial research and political opinion polling are other types of research tha t use quota sampling. Question 9 The findings from a study of decision making processes within a UK financial services company can be generalized to:Your Answer: d) none of the above. Correct Answer: c) decision making processes in the researched companies. Feedback: Business and management researchers should be cautious of overgeneralizing findings beyond the researched organisation to alternative cultures. Question 10 As part of survey research design the sample was selected by the HR manager. What sort of error could this lead to? Your Answer: d) Data processing error. Correct Answer: a) Sampling error. Feedback: The choices made by the HR manager may have been non-random and could also have reflected a bias on the part of the individual making the choices

What Everybody Dislikes About Possible Sat Essay Topics and Why

What Everybody Dislikes About Possible Sat Essay Topics and Why Ok, it isn't the worst idea in the planet, but it's also not the very best. If you don't have plenty of time left before test day, but don't quit! Clearly, you don't need to babble, but I mean write about just a single subject at one time. Essay 5 Make time to select the practice Essay. The Downside Risk of Possible Sat Essay Topics If you realize that you are consistently stumped by function questions, by way of example, you will know to concentrate your energy and studying there. Needless to say, the test won't request that you fix basic equations like that. You may see that several of the aforementioned problem types state they require a number of measures to address. Don't neglect to explain why the issue is valuable to you! Choosing the appropriate topics might take a while in case you don't have a list of sample topics facing you. So you don't actually need to get a topic! You may find that several of the topics can be adapted to suit almost any sort of writing assignment. Before you begin, it is vital to choose topics which you really know well. You're supplied with room for around two pages of writing and it's vital that you use up this space. Sure, with this kind of an enormous number of topics to select from, picking just one may be challenging. Which view you select is not the problem, what matters is you don't change your view. We are prepared to create unique papers based on your requirements, however strict they are. The Awful Secret of Possible Sat Essay Topics It would not be possible to score thousands of tests in the exact same manner your teacher would utilize. You're attempting to show colleges your very best self, therefore it might appear counterintuitive to willingly acknowledge a time you struggled. Colleges are interested in finding a feeling of maturity and introspectionpinpoint the transformation and demonstrate your private growth. Unfortunately, like I mentioned, Asian individuals are beginning to eat like Americans do, and are beginning to get sick in the identical way as Americans. Once more, it's critical to remember that uniqueness is key and sure means of ensuring this essay doesn't become just an ordinary one. It helps to demonstrate your intellectual vitality. You should have your reasons, and our principal concern is that you wind up getting an excellent grade. If we're reluctant to reveal our lack of knowledge we will be unable to learn. The Rise of Possible Sat Essay Topics Students lead busy lives and frequently forget about a coming deadline. Colleges are not searching for perfect men and women. They are more likely to admit students who can articulate specific reasons why the school is a good fit for them beyond its reputation or ranking on any list. Through advertising, advertising, and food engineering, these businesses can allow it to be appealing and convenient to eat much healthier foods. Explain your commitments, and you're going to be the sort of student colleges find immensely attractive. College and higher school teachers who've been teaching writing for at least five years score SAT essays. You don't have to weigh the advantages and disadvantages hereall of the resources we recommend are sure to help you to get a great SAT Math score! That which we write within this kind of essay, is about that which we feel, why such feelings are unique for all of us. There are several possible compare and contrast essay topics, and a number of them are tricky to perform. Just make sure you save your essay into a distinct document on your computer so you may return and read and score it afterwards. This informative article has a beneficial method to. All the information that you will need to compose your essay will be contained in the passage or in notes about it. Remember that a superb descriptive essay should have flawless content. The cost of an essay depends upon the quantity of effort the writer has to exert. This book offers you exactly that. Still, the point of a very good problem-solution essay is to suggest solutions which are actionablesomething your readers can do. Still, figuring out the ideal topic for your essay isn't your only concern for a student.

A Dolls House by Henrik Ibsen Essay - 842 Words

A Dolls House by Henrik Ibsen â€Å"A dolls house† was written by Henrik Ibsen and produced by famous actors during the time of the 1800’s; in fact it was the year of 1879 to be precise. It was around this time that many different Social, cultural and historical moments were changing through time, leaving the end result to change not only one country but had an effect on most of the world. For this section of the work I will be carefully discussing with you the issues of; * Social events * Cultural events * Historical events Social Each of these events all had major issues around during the time; like the peoples views on marriage and the roles of men and women – with or without being married. Views and opinions†¦show more content†¦In the play â€Å"A Dolls house† all of the improper issues where dealt with accordingly and the play was keep realistic to the time, this is what makes the play a naturalistic play. Nora (the main character) was your usual housewife although slightly luckier as she was more on the wealthier side of things getting a Nanny to look after the children and getting on with more luxurious things as well as the usual day to day chores around the house. Historical ---------- Historical events around the time were based mainly around women and their rights i.e. the suffragettes movement. It was around this time that the Danish ruled Norway and introduced the Kroner. But later on in life the Norwegians showed good bouncebackability to fend off the Danish out of their country and back into their own. The inequality of women around the time was unbelievable; they had no say in when they wanted to get divorced, they were not allowed to vote on the prime minister of the country. Although a group of women formed and named themselves the suffragettes doing radical things to make themselves stand out for example they chained themselves to posts etcetera. This eventually led onto women getting there way and being allowed to vote for political parties as well as many other new things. Even though now days there are some debate against women not being as good as men at things like sport. In addition to this the stock marketShow MoreRelatedDoll’s House by Henrik Ibsen1126 Words   |  4 PagesHenrik Ibsen wrote the book, Doll’s House, in the late 1870s about the life of the common woman in Norway during the 1870s. The book gave society an inside of look of the life women in general. Woman during this time were oppressed an d men were contemptuous towards women. Women that opposed their husband were considered mentally insane and sent to a mental institution. The book is about a domesticated woman named Nora. Nora lives in a house with her husband and their three kids. Nora main job toRead MoreA Dolls House by Henrik Ibsen1725 Words   |  7 Pagessuffrage, took place from 1848-1920. In the drama A Doll’s House by Henrik Ibsen, readers are presented with what seems to be the perfect little American dream home. Anti-feminist values are presented immediately in the first scenes of the play and carry out until the end. The play was written in 1879, a time when the feminist movement was just starting to take shape and become well known. The drama A Doll’s House has feminist themes that indicate Henrik Ibsen to be a supporter of the feminist movement throughRead MoreA Dolls House by Henrik Ibsen1492 Words   |  6 PagesA Doll’s House by Henrik Ibsen was written in 1879 during the Vi ctorian Era. The story is written as a play to be performed on stage. The two main characters Nora and Torvald Helmer are upper middle class husband and wife, but it boils down to social expectations. Conflicts arise when women are under their husbands rule for everything and society pressure to keep up appearances. Torvald Helmer is the antagonist to Nora, his wife, because he is mostly concerned about his reputation, he is the supremeRead MoreA Dolls House, by Henrik Ibsen1539 Words   |  7 PagesThe themes of â€Å"objecthood† and â€Å"feminine liberation† in Henrik Ibsen’s A Doll’s House as conveyed through the characterization of Torvald and Nora, diction, stage directions and structure in two integral scenes. Henrik Ibsen’s A Doll’s House conveys the story of a wife’s struggle to break away from the social norms of late nineteenth century middle class Europe. Throughout the play, Ibsen focuses on Nora’s characterization and experiences and thus this leads the reader to perceive her as the protagonistRead MoreA Dolls House by Henrik Ibsen1556 Words   |  7 Pagesprevalent in a variety of literary selections. This paper will focus on animal imagery in Henrik Ibsens A Dolls House by using the reader response strategy. In the play A Dolls House by Henrik Ibsen, animal imagery is used in the development of the main character Nora. It is also later found that the animal imagery is a critical part in understanding who Nora is and how other characters perceive her. Ibsen uses creative animal imagery to develop Noras character throughout the play. The animalRead MoreA Dolls House by Henrik Ibsen1829 Words   |  7 Pages Henrik Ibsen, writer of his most famed play A Doll’s House. Ibsen emphasizes on small-town life in this play. A Doll’s House takes place in the 1880s in Europe/Norway and based on a married couple, Torvald Nora, who are considered to be middle class. The main character Nora in Ibsen’s play, A Doll’s House, seems to give this false installment of her identity. She is both unpredictable and childlike. The entire first and second act she spends giving this hidden subtext that she is unreliableRead MoreA Dolls House by Henrik Ibsen868 Words   |  3 Pagesmoney is considered to hold the most power. In the case of the household, the person who holds the most power is the person who handles the money, and in our man-centric world, it is usually the man who holds both money and power. In Henrik Ibsens play A Doll’s House, the theme of money is used to establish power roles between the characters of the play, and how the theme contributes to typical gender roles in the 19th century. A womans duty in the 19th century was to exhibit â€Å"piety, purity, submissivenessRead MoreA Doll’s House by Henrik Ibsen Essay961 Words   |  4 PagesIn Henrik Ibsen’s play A Doll’s House, pointedly captures the reality of the Victorian Era within the play. Nora Helmer, the protagonist of the story, represents the typical women in society during that era. The audience’s first impression of Nora is a money obsessed, childish, obedient house wife to her husband, Torvald Helmer. However, as the play progresses one can see that Nora is far from being that typical ideal trophy wife, she is an impulsive liar who goes against society’s norm to be whomRead More A Doll’s House by Henrik Ibsen Essay1111 Words   |  5 PagesA Doll’s House by Henrik Ibsen The play â€Å"A Doll’s House† by Henrik Ibsen is about a wife that is hiding a big secret from her overprotective husband. The play takes place on Christmas Eve till the day after Christmas. Nora Helmer and Torvald Helmer have been married for 8 years, yet Nora is hiding something from Torvald that she thinks would ruin everything if he found out. It opens up with Nora coming home and decorating the house for Christmas and making preparations. They have 3 children:Read MoreA Dolls House by Henrik Ibsen834 Words   |  3 PagesMr. Krogstad, a former employee of Torvald is the leading antagonist in A Doll House. He clearly has an agenda and a lust for power. Krogstad’s lust for power gives the reader a sense of subtle rage because Krogstad only wants what’s best for him and his family but he exploits Nora for his own gain. Krogstad advances the plot by controlling Nora through a loan, while illuminating both main characters, and reinforcing the themes of confusion and lost love. Krogstad influences the plot in a very

Feminism And The United States - 1540 Words

Feminism in the United States â€Å"I think it is right that I am paid the same as my male counterparts. I think it is right that I should be able to make decisions about my own body. I think it is right that women be involved on my behalf in the policies and decisions that will affect my life. I think it is right that socially, I am afforded the same respect as men,† stated by the U.N Women Goodwill Ambassador Emma Watson, a strong feminist activist. In society today, women need feminism in order to have economic, social, and political equality. Women have worked extremely hard to gain success throughout the feminist movement, a movement to secure legal, social, and economic equality, but have been discouraged by†¦show more content†¦According to Centuries of Citizenship: A Constitutional Timeline, the first-wave ended in the United States, when the Nineteenth Amendment to the United States Constitution was passed in 1919. This granted women to have the right to vote in all states. The second-wav e feminism movement in the U.S. started in the 1960s and lasted until the 1980s. This wave focused on fighting for social and cultural equality, reproductive rights, equality in the workplace, sexuality, and other issues concerning domestic violence and rape. The greatest accomplishment from this era of feminism was the passing of the Equal Pay Act of 1963, which made it illegal to discriminate wages based on gender (Rampton). Finally, the third-wave feminism started in the 1990s and continues through today. At the start of this movement, feminists focused on sexuality and gender roles, whereas today the focus has transitioned back to fighting for social, political, economic, and cultural equality (Rampton). Although the feminist movement’s objectives have been recognized since the first-wave and women have gained numerous rights such as the right to vote and reproductive rights, oppression still continues today. In society today, people opposed to the views of feminism do no t want the feminist movement to be successful, because they fear the outcome of men not being superior to women anymore. Many people who are resistant to feminism believe the main goal of

The Organizational Structure Free Essays

For one to comprehend the role of a project manager they must first understand the Organizational structure (pecking order) of the general contracting firm. A flow chart, has beenprovided as a representative example of a company whose size and annual dollar volumecontrols the employment structure and position of the project manager in their role. To controlthe operation of support staff required for general administration of the business, and with the growing demand to service the field operation, the head of the company needs to exercise overall management with the freedom from the direct demands of project operations. We will write a custom essay sample on The Organizational Structure or any similar topic only for you Order Now To accomplish this the head employs the project manager, the overseer of the project, to organize and implement project continuity. Under the direct control of the project manager is the project superintendent, project engineer, administrative assistant and accounting clerk, with increased or decreased staffing for larger or smaller projects (or when significant time constraints exist). Also working for the project manager, reporting directly to the superintendent are trades foreman and subcontractor field ersonnel. This grouping of workers perform the specific and specialty trade work for the project. The project manager has the dubious task of overseeing the subcontracts and the scope of work for each trade of a particular project. This rounds off the field reporting element of the The office related responsibilities add another tier of responsibility for the project manager to manage. Each of these employees share the responsibility of reporting information ccurately and as the project manager formats. The administrative assistant provides the clerical support and assistantship needed to maintain the many meeting minutes and logs with the project manager who is solely dependent upon for success. Where the project manager is the primary cost manager for their respective projects, the financial support needed by the project manager in payment to subcontractors and suppliers keeps the project moving smoothly. Accurate record keeping helps the project manager to project reasonably accurate profit margin The project manager also has responsibilities to control the processes that support the construction such as purchasing, receiving and warehousing of the project materials to be incorporated into the project. This function, may become the responsibility of the project superintendent for the successful purchase of the materials. Under each scenario, the project manager retains the responsibility for inventory and product controls How to cite The Organizational Structure, Essay examples

A. Marcello Oboe Concerto in D Minor free essay sample

I was captured by the simple yet eloquent melodies that were presented UT I also was curious as I had not known of Benefited to write for oboe. I also know that Marcello stated, Oboes, flutes, trumpets, bassoons, etc. , will always be out of tune, too sharp, etc. I acquired the published edition of the oboe concerto from a company in Amsterdam and it listed the composer as Teeter Statistical. Since this only added to the mystery of who the true composer of the piece Is, I decided to return to my home In Venice so that I might Investigate for myself and find out the truth.I have arrived back at Venice and I feel it should be noted the rise In compositions and reference of the woodwind instruments, especially the oboe. For many years string players have dominated the performing scene here in the Italian republics. Before the turn of the century, there was a sudden increase of instruments being produced. We will write a custom essay sample on A. Marcello Oboe Concerto in D Minor or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The recorder, transverse flute, oboe, bassoon were becoming a regular part of the musical life here and masterpieces were being written for these Instruments. Italian woodwind players are considered the finest In Europe and many are becoming quite famous.The oboe in particular has become a primary Instrument here in Venice. The Escapade Della Petite; where I teach, has had many of the finest oboe teachers. These teachers are the virtuosi of our day and include Ignition Orion, Inform, Pennant, Ludwig Redrawn and Ignition Giber. Myself have taken oboe lessons from these gentlemen at the insistence of Francesco Aspiring. I have digressed enough from my original mission. It is now time to seek out the true composer of this wonderful oboe concerto. There are three Marcello brothers, Alexandra, Benefited and Giordano, who were born of nobility here in Venice.Benefited is well-known for his music. Alexandra composes also but his interests actually lie more with philosophy, mathematics, history, chemistry, painting and poetry. Alexandra has a small body of work in music. This is probably due to him being much more of a fugue head in the Venetian government since his father passed away in 1707. Benefited has a much larger body of work composing of many Instrumental and sacred vocal pieces. I recalled that considering the academic pursuits of the Marcello, that It was possible that they were members of the Arcadian colony.The Arcadian were a new movement of intellectuals that emphasized the respect of artistic achievement and a return to the Greek ideals that music and poetry worked together. They also wished to avoid lavish displays and encouraged simplicity. The Arcadian would also use pseudonyms and I discovered that the pseudonym of Teeter Statistical belonged to Alexandra. It is typical of nobles such as the Marcello to conduct concerts in their home. I went to the Palazzo Marcello and discovered a concert was being performed that had the concerto on its program. The oboist was unknown to me.The audience contained mostly nobles and government officials. I arrived Just as the concert was about to being. You can hear the Acadia ideals in Leaseholders piece. When the oboe finally enters, the melody line is simple but it carries you and makes you want to listen. It is almost like there isnt an oboist on stage but a vocalist singing to you. The first movement, Andante e copycats, is not very technical but has a motion and energy that drives each phrase. I have noticed that I dont hear the same ornaments as the Bach transcription which leads me to believe that Bach added his own ornaments to his work.The second movement, Adagio, I believe is one of the most graceful melodies to have come upon my ears. The strings begin on a repeated unison note of D using slow eighths. The next measure only contains a repeated E and D in the same pattern but it leads you to a wonderful cadence in measure three. This motion brings in the oboe part playing a lifting, airy melody that almost makes you float out of your seat. You can clearly hear the combination of poetry and music. The slow, melancholy melody makes the performer sound as if he is crying out for something that has been lost to him.The final movement, Presto, is the most technical of the piece but it doesnt lose the emotion the rest of the work contains. The Presto has a sense of urgency that is released on the final cadence which ends on a major chord. Afterwards, I was unable to find the composer to give him my impression of his work. Alexandra may be the lesser known composer but his work shows him to be a master of music and the many other undertakings in the intellectual world that he has. I can only pray that time doesnt lose sight of not only Alexandra but also Benefited and the contributions they have given to the musical world.