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Black People Are Cowards (Essay by Rapper Homeboy Sandman) Homeboy Sandman 11:17am 4-28-2014. Ocr As Level! In light of the recent decision by a professional basketball team, comprised of mostly black players, to respond to their boss basically saying “I hate niggers” by turning their shirts inside out the brady why i want a wife essay, next day at work, I have come to the decision that I agree wholeheartedly with the owner of the Los Angeles Clippers, and I too do not want black people invited to my events. It’s not for the same reasons that the Clippers’ owner doesn’t want black people invited to ocr as coursework, his events. To be honest I don’t really know what his reasons are. Perhaps he recently tuned in to judy brady why i want a wife essay, an FM “hip hop” station and after hearing song after drug, sex, and violence-laden song decided that it might be a good idea to keep some distance. Ocr As Coursework! Perhaps his media conditioning spans beyond music, encompassing the gamut of stereotype-enforcing media, (media championed and praised by blacks, where the most rich and famous coons are praised and idolized as examples of j dilla essay black “success”). Maybe he’s been hanging out ocr as, with George Zimmerman, and they’ve been watching Love Hip Hop, and arnaud koetsier thesis, Basketball Wives, and the Tyler Perry collection, and Katt Williams and Kevin Hart performances (anybody catch that Kevin Hart movie with the level coursework, ex-rapper who used to have a song standing up against police brutality playing a police officer? Where Hart delivers the line that Zimmerman had no doubt heard a thousand different times in a thousand different ways, shifting his psyche to the point where he could be authentically terrified of someone just because they were black . Medical School! . . “you’re white.

You don’t fight.”) No, I’m lucky enough to level coursework, spend enough time with black people to recognize that we’re not the j dilla essay, base form of human life that we continue to support ourselves being portrayed as (though admittedly, it definitely rubs off on us. A lot. So much so that it’s very puzzling to level coursework, comprehend how we could blame anyone who doesn’t get to spend much time with us for fostering a wildly skewed perception. What can people know but what they see?). No, I don’t want black people to judy, stay away from my events because I believe them to be uncivilized, or ignorant, or anything like that. I don’t want black people at coursework, my events anymore, because black people are cowards. In all the history I’ve ever studied, in j dilla essay all the fiction I’ve ever read, I am hard pressed to find an example of cowardice to rival the ocr as level, modern day black American, and nobody wants to aicd assignment, be surrounded by cowards right? What if lions break out of the zoo and start trying to eat everyone? What if aliens attack?

What if the police department decides that they want to grab their batons and level coursework, blow off some steam? Are cowards really the aicd assignment, type of people that you want to be surrounded by? That’s why I don’t want black people at my events anymore. Athletes that could refuse to level coursework, perform until a killer is arrested, even until a killer is convicted, who instead opt for taking a picture where they all have their hoods on and then carrying on with business as usual: I don’t want to be surrounded be these clowns. If you’re black, or white, and you go back to work after finding out judy brady why i a wife essay, that your boss is grossed out at the idea of being in the same vicinity with any black person except for the cutie he’s sugar daddy to, I’m pretty sure you’re not who I want in my corner during crunch time. Real crunch time. Life crunch time. The most common excuse I’ve heard for today’s cowardice is “they need to feed their families,” which of course is a euphemism for “for the money.” You know, the blacks that sold other blacks into level slavery, there’s a good chance they used some of that money to english 3, feed their families too.

So, that makes them cool with all of ocr as y’all? Here’s a question, is judy brady why i a wife there anything that we won’t do for coursework money? Is getting paid an excuse for j dilla essay everything? It’s an excuse for ocr as level coursework looking the other way when innocent people are killed. It’s an excuse for koetsier thesis supporting racism by trying to win a championship for an openly racist owner. With regard to hip hop and media it’s an excuse for purposefully, and ocr as level, most often deceitfully, representing yourself and j dilla essay, your culture as pretty much scum who can only be validated by money. Thanks in large part to the exceptional (it’s sad just how exceptional) bravery of Michelle Alexander, (author of The New Jim Crow: Mass Incarceration in the Age of Colorblindness) we live in a society where each day more and more people realize the ocr as level coursework, obvious truth that the arnaud koetsier, goals of the criminal justice system have way more to do with black enslavement than rehabilitation or keeping people safe.

Facing the reality of modern slavery, we continue to allow ourselves to be enslaved day after day. Level Coursework! (Granted, fear of death is a far cry from judy essay fear of level lack of school wealth, but they’re both fear, the currency of cowardice.) As KRS-One (whose “Sound of Da Police” was actually the theme song for the trailer of that ridiculous movie I referenced earlier, which all but brought a tear to my eye), pointed out on coursework his classic “Black Cop,” many policemen and urinary, policewomen are now earning paychecks for gathering up their own brothers and sisters, on charges that perpetually lead to a slap on ocr as the wrist for whites but somehow manage to be the first domino in urinary system a lifetime of enslavement for blacks. These cops get to use the “feeding my family” line too. We accept it, and go about our day, meek, bullied, and afraid to assert authority against anyone but each other, and amongst each other asserting authority with a ferocity that could only be explained by the rage of hundreds of years of being bullied by everybody else. In New York City, where infiltration and displacement are referenced using the the thinly veiled insult “gentrification” (look up the root word. “Gent.” If we accept and use a term the very definition of which suggests that communities are becoming more noble and graceful, what does that say about the ocr as, people being pushed out?) natives know better than to display any aggression towards white newcomers, but are as quick as ever to aicd assignment, stare down an unfamiliar black face who isn’t from the ocr as level coursework, neighborhood. Arnaud! What do you call people who walk quietly to slavery? Who allow themselves to be insulted without standing up for themselves beyond wardrobe adjustments that in reality are nothing but a public show of shame? What do you call people that pretend that these ridiculous gestures actually hold some weight rather than face the fact that we are the laughing stock of the entire planet, and as long there’s the level coursework, chance that someday maybe we’ll be rich there’s nothing that we’re going to do about j dilla essay it? I call us cowards.

It’s almost as if people have forgotten that struggle includes struggling. You might have to lose your job. Level! You might have to lose your life. That’s what it takes for change to happen. Arnaud Thesis! There’s no easy way to do this. If you’re scared to stand up for yourself, for whatever reason, all I ask is that you stop pretending. Stop with the ocr as level, Facebook posts. Stop with the meaningless conversations. Just stop. Be honest. Essay! About how you behave.

About your part in all this madness. About what you are. A coward. Just a coward. No need to put on an act for the rest of us. We can all see right through each other. For those of you who have made it this far without stopping for coursework how furious at me your shame has made you, I want you to know something.

I don’t really think black people are cowards. I think humans are cowards. Most of american us. I think that regardless of where one’s phenotype places them within the level coursework, imaginary concept of race, that the majority of us are content to live on urinary system our knees rather than die on our feet. The problem is, we, us, black people, can’t afford to ocr as, be like everyone else anymore. Judy Why I Want A Wife! Not if we want to survive. I don’t know how we got here, but everywhere you look we’re at level, the bottom of the global totem pole.

We need to make history. We can’t be cowards like every one else, not any more. In fact, we need to aicd assignment, set a new standard for heroism. Ocr As Level Coursework! For bravery. For courage. Maybe a standard never before seen in the history of humankind. Extreme situations call for aicd assignment extreme measures, and in modern times our inferiority is ingrained in every single aspect of our lives, from level coursework our media, to our religion, to our science, to judy why i want a wife, our public education, to our higher education, to Africa appearing to be the same size as Greenland on all of the maps despite the fact that in reality Africa is 14 times larger. It’s harder to see our enemies than it’s ever been.

Our enemy isn#8217;t white people. It#8217;s people who value greed more than human life. Racial division is one of their oldest weapons, and coursework, media is their latest. We mustn’t forget how young this weapon is. I didn’t grow up using the Internet. The television itself isn’t even 100 years old. The idea of global celebrity, and global transference of ideas and perceptions of culture, has never existed the way it does today. Just as Howard Beale prophesized in j dilla essay Network in 1976, we’re up against ocr as level coursework, “the most awesome God damned propaganda force in the whole Godless world.” We’re going to have to system, step it up. If you’re down to step it up, let’s step it up.

Let’s boycott. Boycott was the ocr as, foundation of the aicd assignment, Civil Rights movement. Do you believe that a cable network exists solely to manipulate the perception of black people? Stop watching it. Don’t put up a post one day praising the episode of Boondocks that never aired and then spend the next day tweeting the entire BET awards. That doesn’t make any sense. Let’s step it up.

If every NBA player who wanted to stand up against racism vowed not to play until the Clippers’ owner resigned, it would be announced that he resigned before you were finished reading this. If he didn’t want to, someone would make him. If we boycotted every night spot that spins music about how much we love killing each other and taking and selling drugs, every single one of them would have new DJs by next week (don’t even get me started on these new DJs. The new drug dealers. Admitting that they know what they’re giving people is bad for them but caring more about getting paid). I went to DJ Spinna’s Michael Jackson/Prince party at SRBs last night and there was more dancing and mirth and ocr as level, free love in koetsier that place than every hip hop party in ocr as level NYC in the last 10 years put together.

So when people tell you that we need ratchet nonsense to dance, they’re gaming you. Don’t be so gullible. Don’t act like black people only yale medical school, found out how to have fun when we lost our connection to ocr as coursework, our own human decency. Let’s step it up and not buy magazines pushing music designed to glamorize a lifestyle certain to land our youth in prison. Let’s step it up and take off from work and stay home with our kids until these preposterous tenure rules are revoked from public schools and it’s the kids that can’t be fired, not the teachers. Let’s step it and use social media to rally each other. Everybody knew about that woman who fired a warning shot and got 20 years (I hear she’s been released now. No thanks to us). Aicd Assignment! Everybody knows about that woman who got however many years for leaving her child in ocr as the car while she went to a job interview.

Every single week all over Facebook there’s a new video of judy why i want essay someone catching a beating as bad as the one Rodney King caught, but I never see a post that says, “Share this if you’ll go on strike from work until these police officers are fired.” “Share this if you’ll strike until this woman is released.” “Share this if you won’t spend a single dollar until Troy Davis is released from ocr as death row and granted a new trial.” Can you imagine the aicd assignment, impact that that would have? Everybody is always trying to act there’s no solutions. There are plenty of ocr as coursework solutions. We#8217;re just too cowardly to implement them. Worried about this discomfort or that discomfort, great or small, that might take place as a result. Having to find a new place to party. Or a new show to thesis, watch. Isn’t the level, discomfort of oppression enough? There’s plenty of essay 3 solutions, just no easy ones, but if we can shift to courage instead of cowardice, there’s more than enough solutions to guarantee our success.

Guarantee. Next time you’re complaining about how this country was built on us, take a second to think about the fact that it still is. If we want to, we can shut this whole place down. So make a decision between cowardice and courage, and if you choose courage, step it up. Step it up in level any of the aicd assignment, myriad of level ways that are available to us.

I’ve named a few. Name a few more. Leave a few suggestions in the comments section. Call up your friends. Tweet. American Essay! Facebook. Then start doing them. If you can’t convince anyone to do them with you, do them on your own. Start right away because we’re running out of time. I hear some states are fining people for sagging their pants. Ocr As Level! I’d never sag my pants, but if we begin to allow people to be penalized simply for attributes that we’ve allowed to be associated with being black, we’re going to find the water getting even hotter very soon.

We’ve been cowards for a very long time. We have a lot of catching up to do. American! Let’s start right now. For those of ocr as you who don’t want to step it up, do me a favor and at least unfriend me. 5 thoughts on “ Black People Are Cowards (Essay by Rapper Homeboy Sandman) ” I am over joyed to see the plain truth and nothing but the truth written so I can relate to. I migrated to America at a young age however I no longer reside there not by urinary essay, choice though.

This article however says what is also going on where I currently live. I am in tuned to what is going on in America because all my family lives there and the last generation was born there and level coursework, i try to educate them on the facade that is created by the established to keep the society in check and while they do acknowledge this I always here your words echoed #8220;well we got to live and arnaud koetsier, it is hard to just carry out these things#8221;. defo. everyone is apathetic towards any political progress or movements. so much so that our progress is stifled ridiculously. You#8217;ve hit a few nails squarely on the head sir with the clarity of this Call to Action !! I sooo appreciate this coming from ocr as level a black male perspective! This is the line of j dilla essay thinking all people should be engaged in, but more so for black people. Our struggle is a spiritual one and if our spiritual connection with the level coursework, God of Abraham, Isaac, and urinary system essay, Jacob is compromised, we will exhibit fear and mental fatigue regarding the reality of our situation.

I have come to view our situation from the Good Book#8217;s perspective. Ocr As Level! As one author has noted in urinary essay his book #8220;People of Color in the Bible#8221;, the Bible was written BY African Hebrews, FOR African Hebrews, TO African Hebrews, so that we could be the righteous world leaders that God could use to stem the tide of evil that has gushed out of Egypt, Greece, Rome, and now Western Civilization. The wonderful thing about the level coursework, love of aicd assignment God for His lost children is that He intends to set His hand to deliver us from all nations we have been scattered to. He has prophesied that He will do it for the purpose of showing that He is the one true God and also to confound all those who have despised us. He invites each one of us to return to ocr as coursework, Him, heart, mind, and soul, and be obedient to His form of government and experience the restoration that only system, He can give. Ocr As! Moses, under the influence of God#8217;s Spirit wrote concerning us: #8221; But if from [the bottom of the global totem pole] thou shalt seek the Lord thy God, thou shalt find him, if thou seek him with all thy heart and with all thy soul.

When thou art in [oppression], and all these things are come upon thee, even in the latter days, if thou turn to the Lord thy God, and shalt be obedient unto His voice, (For the Lord thy God is a merciful God;) He will not forsake thee, neither destroy thee, nor forget the covenant of thy fathers which He aware to them#8221; Deuteronomy 4:29-31 KJV. All cowardice will flee when we reconnect with God and brady a wife essay, conform ourselves to the terms of level His government, which goverment we will inherit, if we so desire it. See Daniel 7:18. (I want to be clear about system essay my statements. I am not referring to European so-called Jews in any way, shape or form. Neither am I referring to the boisterous Hebrew Israelites seen on the streets of large cities. I am also not advocating a particular religious, state-run, money hungry denomination. No need for middle men here.

This is ocr as level coursework about our individual and j dilla essay, collective relationship to God, defined by God#8217;s Spirit leading each one of us into all truth.) May God bless the hearers and doers of His Word and inspire us to fight a good fight. Ocr As Level! Amen!

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Fatigue bei Krebspatienten: Was tun bei Mudigkeit und Erschopfung? Immer mude, immer erschopft? Wahrend einer anstrengenden Krebstherapie erscheint das den meisten Menschen als normal. Ocr As! Doch bei Tumorpatienten kann es zu einer besonders ausgepragten Form der Erschopfung kommen: Sie bessert sich selbst durch Ausschlafen oder Schonung nicht. School! Diese Form der Mudigkeit bei Krebs tragt den Namen tumorbedingte Fatigue. Was unterscheidet Fatigue von normalem Schlafmangel? Was kann man selbst tun? Was Arzte und andere Fachleute? So uberraschend es klingt: Vielen Betroffenen hilft Bewegung mehr als Schonung. Level Coursework! Auch Hilfe bei der seelischen und psychischen Krankheitsbewaltigung hat sich als erfolgreich gezeigt. Aktuelle Analysen zeigen: Was hilft, hangt aber auch davon ab, was die Fatigue jeweils ausgelost hat.

Weitere Hintergrunde fur Patientinnen und Patienten bietet der folgende Text. Fur Interessierte und Fachkreise hat der Krebsinformationsdienst zudem Linktipps und Quellen zusammengestellt. Eine Auswahl der genutzten Quellen ist am Ende des Textes aufgefuhrt. Das Wichtigste in j dilla essay Kurze: Akute und chronische Fatigue bei Krebs. Langst nicht alle Krebspatienten mussen mit schwerer Mudigkeit und Erschopfung rechnen. Level Coursework! Kommt es aber zu einer sogenannten Fatigue, beeintrachtigt dies die Lebensqualitat. School Thesis! Eine Fatigue kann viele Ursachen haben. Ocr As Coursework! Daher gibt es auch keine pauschalen Tipps, die fur alle Betroffenen gelten wurden. Eine Krebserkrankung kostet Kraft: Man muss korperlich und seelisch mit der Diagnose zurechtkommen, und man muss mehr oder weniger anstrengende Therapien verkraften. Koetsier Thesis! Mudigkeit und Abgeschlagenheit wahrend dieser Zeit halten die meisten Menschen daher fur etwas ganz Normales.

Doch was tun, wenn die Kraftlosigkeit immer starker wird und sich auch durch Schlaf, durch viel Ruhe und Schonung nicht bessert? Wenn man kaum noch in ocr as level coursework der Lage ist, selbst einfache, alltagliche Verrichtungen hinter sich zu bringen? Diese besonders schwere Form der Erschopfung bezeichnen Fachleute als Fatigue, vom franzosischen Wort fur Mudigkeit, ausgesprochen Fatieg. Ist eine solche Fatigue ein Anzeichen dafur, dass man die Therapie nicht vertragt? Oder ist sie gar ein erster Hinweis darauf, dass die Erkrankung fortschreitet? Ganz ausschlie?en lasst sich beides nicht.

Doch die Statistiken zeigen: Eine Fatigue kann auch Patienten betreffen, deren Erkrankung unter Kontrolle ist und die gar keine Krebsbehandlung mehr haben. Yale Medical School Thesis! Sie kann sogar Menschen treffen, die eigentlich als geheilt gelten. Fur Fachleute ist dies ein Hinweis darauf, dass hinter der ungewohnlichen Erschopfung mehrere verschiedene Ursachen stehen konnen. Ein weiteres Indiz dafur, dass Fatigue nicht gleich Fatigue ist: die Symptome: Manche Betroffenen fuhlen sich vor allem korperlich schwach und mochten moglichst viel ruhen. Andere Betroffene beschreiben ihre Erschopfung eher als psychisches Problem. Sie sind antriebslos, konnen sich zu nichts aufraffen, und selbst einfache Anforderungen erscheinen ihnen wie unuberwindliche Hindernisse. Ocr As Level! Weitere Symptome konnen ungewohnliche Konzentrationsprobleme und Vergesslichkeit sein. Unterschiede gibt es au?erdem bei der Dauer: Bei und kurz nach der Krebstherapie: Bei vielen Betroffenen treten die Probleme wahrend und kurz nach einer Krebsbehandlung auf, als akute Fatigue.

Ist die Therapie abgeschlossen, bessern sich die Symptome innerhalb einiger Wochen oder weniger Monate. J Dilla Essay! Noch lange nach der Therapie: Es gibt jedoch auch Patienten, die noch Monate oder sogar Jahre spater mit Erschopfung zu kampfen haben, einer chronischen Fatigue. Diese Unterschiede machen auch klar: Ein Pauschalrezept fur alle Krebspatienten mit Fatigue gibt es nicht. Level! Um herauszufinden, was hilft und was nicht, brauchen Betroffene und ihre Arzte Geduld. Aicd Assignment! Zur Suche gehoren nicht nur medizinische Untersuchungen, sondern auch die Erfassung, was genau die momentane Situation von bisher gewohnter normaler Erschopfung oder Mudigkeit unterscheidet. Viele verschiedene Ausloser, viele verschiedene Behandlungsansatze.

Was sich gegen Fatigue tun lasst, hangt deshalb ganz von der personlichen Situation ab: Korperliche Beschwerden lindern: Ganz wichtig ist die Behandlung moglicher korperlicher Ausloser, etwa Schmerzen und andere Beschwerden. Begleiterkrankungen behandeln: Auch auf Begleiterkrankungen achten die Arzte: etwa eine bisher nicht erkannte Schilddrusenerkrankung, Herz- oder Lungenprobleme und weitere Krankheiten, die die korperliche Belastbarkeit einschranken konnten. Schlaf uberprufen: Die Schlafqualitat ist ebenfalls ein wichtiges Thema bei der Abklarung: Wer nicht gut schlaft, bleibt tagsuber mude. Psychosoziale Unterstutzung: Wenn die seelische und psychische Belastung die Lebensqualitat und den Antrieb mindern, kann eine psychosoziale Beratung und eventuell eine psychotherapeutische Begleitung helfen. Level! Vielen Betroffenen helfen Entspannungstechniken dabei, besser zur Ruhe zu kommen und sich so auch schneller zu erholen. Training: Was auf den ersten Blick widersinnig klingt: Bewegung hilft gegen Erschopfung. American English 3! Studien haben gezeigt, dass ein angepasstes, auf die personliche Situation abgestimmtes Training die Symptome einer Fatigue lindert. Symptome - woran man eine Fatigue erkennt: Korperliche, geistige und emotionale Erschopfung. Was ist anders als vor der Krebserkrankung?

Bin ich immer mude? Oder bin ich zunachst fit und dann schnell erschopft? Habe ich vor allem Probleme mit der Konzentration? Die Erscheinungsformen einer tumorbedingten Erschopfung sind sehr vielfaltig. Level! Es gibt nur vergleichsweise wenige Symptome, von denen fast alle Betroffenen wahrend und nach einer Krebserkrankung berichten. School! Dazu gehoren Mudigkeit und korperliche Schwache. Ocr As Coursework! Bei anderen ist es eine allgemeine Antriebslosigkeit, unter Umstanden kommen Konzentrationsprobleme und Vergesslichkeit hinzu. Die Erschopfung kann sich ohne Vorwarnung zeigen – von jetzt auf nachher muss man unterbrechen, was man gerade tut -, oder sie kann schleichend einsetzen. Thesis! Sie zeigt sich auch dann, wenn man sich korperlich und geistig uberhaupt nicht angestrengt hat. Ocr As Level Coursework! Man wunscht sich Ruhe, doch auch ausreichend Schlaf und Ruhepausen helfen nicht gegen die Mudigkeit. Selbst alltagliche Verrichtungen wie Aufstehen, Waschen und Anziehen konnen dann schon zu viel sein.

Umso schwerer fallt es Betroffenen, ihre Therapie oder Rehabilitationsma?nahmen durchzustehen oder gar nach der Erkrankung wieder zuruck in aicd assignment Alltag und Beruf zu gehen. Trotz dieser Kennzeichen gilt: Mudigkeit und Erschopfung sind etwas sehr Subjektives. Ocr As Level Coursework! Daher fallt es vielen Betroffenen gar nicht so leicht zu erklaren, was eigentlich so anders ist als vor ihrer Erkrankung. Man sollte sich aber nicht scheuen, Veranderungen bei der korperlichen oder geistigen Belastbarkeit bei den behandelnden Arzten anzusprechen. Medical Thesis! Sie konnen dann gezielt klaren, welche Ursachen infrage kommen konnen. Diagnostik, das Assessment: Wie Fachleute Fatigue erfassen. Zunachst versuchen Arzte und je nach Situation auch weitere Fachleute in einem Gesprach herauszufinden, wie sehr man durch die Mudigkeit und Abgeschlagenheit belastet ist. Dann setzt die Suche nach moglichen Ursachen ein. Folgende Fragen sind zur Vorbereitung eines solchen Gesprachs wichtig:

Seit wann fuhle ich mich ungewohnlich erschopft? Wie stark ist meine Mudigkeit? Was ist anders als vor meiner Krebserkrankung? Bin ich dauernd mude? Oder gibt es Tageszeiten oder Situationen, in ocr as level coursework denen ich besonders erschopft bin? Wie macht sich die Mudigkeit korperlich bemerkbar? Hat die Erschopfung Einfluss auf meine Stimmung? Bin ich traurig oder leicht reizbar?

Habe ich das Gefuhl, dass ich mich schlecht konzentrieren kann und mir Dinge nicht merke? Wie wirkt sich meine Erschopfung auf meinen Alltag aus? Gibt es Dinge, die ich aktuell nicht schaffe? Wann und wie lange schlafe ich? Lege ich tagsuber Ruhepausen ein, und was mache ich in urinary system essay dieser Zeit, falls ich nicht schlafe? Fachleute konnen au?erdem standardisierte Erfassungsinstrumente nutzen. Ocr As Level! Dazu gehoren Fragebogen oder Skalen, mit denen man genauer beschreibt, wie mude man sich fuhlt. Arnaud Koetsier! Auch eine Art Tagebuch kann helfen, besondere Ausloser zu identifizieren. Wichtig ist auch der korperliche Zustand.

Ob eine Blutabnahme, Rontgen, Ultraschall oder andere diagnostische Verfahren notwendig sind, hangt aber von der individuellen Situation ab: Bei den meisten Krebspatienten, die gerade eine Therapie durchlaufen oder in coursework der Nachsorge in system engmaschiger Betreuung sind, reichen die letzten Befunde zur Beurteilung aus. Coursework! Das hei?t, es mussen keine neuen Untersuchungen gemacht werden. Liegt die Krebserkrankung schon langere Zeit zuruck, wird der behandelnde Arzt prufen, ob es auffallige gesundheitliche Veranderungen gibt, und dann entsprechende Untersuchungen veranlassen. Andere Ursachen? Abgrenzung von anderen Erkrankungen. Ein Problem bei der Abklarung: Viele der aufgefuhrten Symptome einer Fatigue konnen auch bei Depressionen auftreten. Aicd Assignment! Gerade bei Krebspatienten, bei denen es kaum nachvollziehbare korperliche Grunde gibt, fallt es selbst Fachleuten nicht immer leicht, Fatigue von einer Depression zu unterscheiden. Man sollte deshalb Verstandnis dafur haben, wenn Arzte dieses Thema bei der Suche nach Ursachen ansprechen - auch wenn man sich selbst nicht als deprimiert oder traurig wahrnimmt. Ocr As Level! Gegebenenfalls kann es auch sinnvoll sein, einen Psychotherapeuten oder Psychologen zur Abklarung der moglichen Ursachen hinzuzuziehen. Ursachen einer Fatigue: Individuelle Suche nach Auslosern und Risikofaktoren.

Bei vielen Betroffenen lasst sich eine Fatigue auf die Nebenwirkungen der Krebstherapie zuruckfuhren: Eine Operation, eine Bestrahlung, eine Chemotherapie oder Immuntherapie und andere medikamentose Therapien kosten den Korper Kraft. Thesis! Von diesen Belastungen muss man sich zunachst erholen. Nebenwirkungen der Behandlung, aber auch Schmerzen, Appetitlosigkeit oder Ubelkeit, Fieber oder Infektionen und weitere Belastungen storen diese korperliche Erholung und konnen ihrerseits zu Fatigue beitragen. Ein wichtiges Beispiel: Haben eine Chemotherapie oder eine Bestrahlung die Neubildung von Blutzellen im Knochenmark beeintrachtigt? Dann kann die Zahl der roten Blutkorperchen absinken, der Erythrozyten: Folge sind eine schlechtere Sauerstoffversorgung und damit eine eingeschrankte Leistungsfahigkeit. Die Krebstherapie kann Patienten noch auf einem weiteren Weg belasten: Untersuchungs- und Behandlungstermine mussen eingehalten werden, und fur fast alle Betroffenen verandert sich insgesamt der Tagesrhythmus. Man isst, schlaft und bewegt sich nicht mehr wie gewohnt. Level Coursework! Schlafmangel, aber auch Muskelabbau durch langere Bettruhe und geringe Aktivitat fuhren zu geringerer Belastbarkeit. Insgesamt fordern die psychischen Belastungen der Erkrankung bei vielen Betroffenen ihren Preis: Sorgen und Angste konnen zu Schlafproblemen fuhren. Aicd Assignment! Sich mit der Frage auseinanderzusetzen, wie es weitergeht, kostet Kraft, auch im geistigen und emotionalen Sinn. Die gute Nachricht fur Betroffene: Bei den meisten Patienten mit Symptomen einer akuten Fatigue bessert sich die Situation innerhalb von etwa drei Monaten nach dem Ende der Krebsbehandlung.

Ausloser einer akuten Fatigue kann allerdings auch der Tumor selbst sein. Ocr As Level Coursework! Plotzliche und ungewohnte starke Erschopfung gilt deshalb ebenso wie auffallige Schmerzen oder andere Symptome als Warnzeichen, dass etwas im Korper nicht stimmt. Eine Fatigue kann beispielsweise entstehen, wenn Stoffwechselprodukte des Tumors normale Ablaufe im Korper storen. Aicd Assignment! Ganz allgemein kostet das Wachstum der Krebszellen Energie, die Muskeln und Organen dann fehlt. Coursework! Ein Hinweis darauf ist beispielsweise eine Gewichtsabnahme, obwohl man normal gegessen hat.

Hier schafft am schnellsten die Behandlung der Krebserkrankung Abhilfe. Viel schwieriger ist die Suche nach den Ursachen einer chronischen Fatigue. American Dream Essay English 3! Konkrete medizinische Ausloser fur eine extreme Erschopfung noch Monate und Jahre nach abgeschlossener Krebsbehandlung lassen sich nur bei vergleichsweise wenigen Betroffenen finden. Ocr As Coursework! Anhand des bisherigen Forschungsstandes gehen Fachleute aber auch hier davon aus: Mehrere verschiedene Ausloser kommen infrage und wirken bei vielen Patienten auch zusammen. Als mogliche Ursachen gelten bisher unterschatzte Langzeitfolgen der Krebstherapie. Judy Brady! Infrage kommen auch Begleiterkrankungen, die nicht zwangslaufig etwas mit der Tumorerkrankung zu tun haben mussen. Was Betroffene oft nicht wissen: Bewegungsmangel und zu viel Schonung konnen eine chronische Fatigue verstarken, anstatt sie zu bessern – man lauft Gefahr, in coursework einen regelrechten Teufelskreis zu geraten. Eine wichtige Rolle scheinen seelische und soziale Belastungen zu spielen. American English 3! Zur Frage, welche Rolle Depressionen als Ausloser einer Fatigue und umgekehrt Fatigue als Ausloser einer Depression spielen, ist noch Forschung notwendig. Level! Klar ist allerdings: Einen Zusammenhang gibt es. Behandlung und Linderung: Therapie auf die individuelle Situation anpassen.

Eine akute Fatigue bessert sich bei vielen Betroffenen innerhalb einiger Monate nach Ende der Krebstherapie. Bei Menschen mit einer chronischen Fatigue kann es langer dauern: Meist muss man verschiedene Moglichkeiten ausprobieren und miteinander kombinieren, um zu sehen, was hilft. Die Symptome der tumorbedingten Fatigue sind sehr vielfaltig, und die Ursachen sind teilweise noch nicht erforscht. Aicd Assignment! Was einem Patienten mit akuter Fatigue hilft, muss nicht unbedingt sinnvoll fur einen Patienten mit chronischer Fatigue sein. Ocr As Coursework! Patienten mit fortgeschrittener Krebserkrankung und Fatigue benotigen andere Unterstutzung als Patienten, die rein korperlich im Gro?en und Ganzen wieder gesund sind. Die Behandlung wird sich immer an arnaud koetsier thesis der individuellen Situation orientieren.

Bei der Suche nach den Auslosern werden die Arzte zunachst die Auswirkungen der Krebstherapie prufen: Wichtig ist dies vor allem fur Patienten mit einer akuten Fatigue. Level! Denn bei ihnen bessern sich die Symptome oft mit dem Ende der Krebstherapie – auch wenn keine weiteren Ma?nahmen erfolgen und man nicht gezielt gegen die Fatigue behandelt. Wichtig ist aber die Frage, ob es andere Ausloser gibt, gegen die man etwas tun kann: Halten starke Schmerzen oder Ubelkeit und Erbrechen vom Schlafen ab? Liegt ein Infekt vor, der dem Korper die Kraft nimmt? Gegen diese Probleme gibt es wirksame Abhilfe, mehr dazu unter Belastende Symptome und was man dagegen tun kann. Blutarmut: Therapie nicht unbedingt erforderlich. Eine weitere mogliche Nebenwirkung einiger Krebstherapien stand lange im Vordergrund, wenn es um das Thema Fatigue ging: Blutarmut, fachsprachlich Anamie. Sie kann entstehen, wenn eine Chemotherapie oder eine umfangliche Bestrahlung das Knochenmark schadigen, und die Produktion von Blutzellen ins Stocken kommt.

Auch die Tumorerkrankung selbst kann eine solche Anamie auslosen. Sind zu wenige Erythrozyten vorhanden, also zu wenige rote Blutkorperchen? Eine Auswirkung dieser Anamie kann Sauerstoffmangel im Koper sein. System! Damit ist auch die korperliche Belastbarkeit zeitweilig eingeschrankt. Heute wei? man, dass sich die meisten Patienten auch ohne Therapie erholen, sowie die Krebsbehandlung abgeschlossen ist. Die normale Blutbildung erholt sich.

Eine Ausnahme sind Betroffene mit fortschreitender Erkrankung: Lasst sich bei ihnen eine Anamie nicht anders lindern, konnen sie Bluttransfusionen oder sogenannte Wachstumsfaktoren erhalten. Ocr As Level Coursework! Diese Arzneimittel stimulieren die Neubildung von Erythrozyten, sie werden als Erythropoese-stimulierende Wirkstoffe bezeichnet. Die Therapie kann jedoch erhebliche Nebenwirkungen haben, vor allem die Bildung gefahrlicher Blutgerinnsel. Deshalb werden die Wachstumsfaktoren heute nur noch dann eingesetzt, wenn es keine andere Abhilfe gegen die Anamie gibt, und nur unter besonderen Vorsichtsma?nahmen. Eine schwere Erschopfung kann auch durch Herz- oder Lungenerkrankungen ausgelost werden, oder eine Schilddrusenunterfunktion. Brady Want A Wife Essay! Auch auf solche mogliche Ursachen werden die Arzte bei der Abklarung achten.

Anstrengen statt Schonen? Angepasstes Bewegungstraining. Wer sich regelma?ig bewegt, fuhlt sich weniger erschopft. Level! Zu diesem Ergebnis kamen Forscher in aicd assignment Studien. Ocr As Level Coursework! Wie viel und welche Art von Aktivitat geeignet ist, sollte man mit seinem Arzt besprechen. J Dilla Essay! Zum Laden und Ausdrucken (PDF): Informationsblatt Bewegung und Sport bei Krebs Anstrengen statt schonen: Dieses Konzept scheint bei schwerer Erschopfung zunachst eher merkwurdig. Bewegung hat sich jedoch als wirksames Mittel gegen Fatigue erwiesen. Ocr As Level! Studien belegen: Wer aktiv ist, fuhlt sich leistungsfahiger und ist weniger erschopft. American Dream English 3! Krebspatienten sollten deshalb mit ihren behandelnden Arzten klaren, ob korperliche Aktivitat moglich ist.

Wichtig ist die Frage, wie viel korperliche Aktivitat angemessen und welche Form von Bewegung sinnvoll ist. Level! Grundsatzlich gilt: Jedes Bewegungsprogramm sollte man auf die eigenen Bedurfnisse und Moglichkeiten anpassen. Urinary System Essay! Damit man nicht gleich zu Anfang die Lust verliert oder sich versehentlich uberfordert, raten Fachleute: Lieber sanft beginnen und sich langsam steigern. Ocr As! Am besten startet man mit Ubungen unter fachkundiger Anleitung, etwa in judy brady a wife einer Krebssportgruppe. Weiterfuhrende Informationen sowie wichtige Adressen hat der Krebsinformationsdienst im Text Sport und Bewegung: Unterstutzung fur Krebspatienten und im Informationsblatt Bewegung und Sport bei Krebs (PDF) zusammengefasst. Vielen Betroffenen helfen bereits kleine Verhaltensanderungen im Alltag. Level Coursework! Sind die eigenen Energiereserven begrenzt, sollte man sie gut einteilen. So banal dies klingt – im Alltag fallt es vielen Menschen schwer, aus dem bisher gewohnten Tagesablauf auszubrechen. Urinary! Trotzdem sollte man Aktivitaten moglichst so uber den Tag verteilen, dass sie sich ohne gro?ere Anstrengung erledigen lassen.

Auch wenn man es bisher nicht gewohnt war, Mittagspause zu machen oder sich gar tagsuber hinzulegen: Eine anstrengende Krebstherapie kann der Anlass dafur sein. Wie man wieder zu Kraften kommt und in ocr as level coursework den Alltag zuruckfindet, ist ein wichtiges Thema der Rehabilitation. Yale Thesis! Auch einige psychosoziale Krebsberatungsstellen bieten mittlerweile sogenannte Fatigue-Trainings an, in level coursework denen Betroffene zum Umgang mit den Belastungen einer Fatigue geschult werden. Besser ruhen: Schlafhygiene, Entspannungsubungen und Ablenkung. Viele Menschen kannten dieses Problem schon vor ihrer Krebserkrankung: Man hat zwar lange genug gelegen, aber trotzdem das Gefuhl, das der Schlaf nicht erholsam war. Ein gestorter Schlaf kann Fatigue auslosen oder sie verstarken. Thesis! Noch langer im Bett zu bleiben, ist dann nicht unbedingt hilfreich: auch zu viel Schlaf kann zu Fatigue beitragen. Fachleute raten Betroffenen, auf einen moglichst regelma?igen Schlaf- und Wachrhythmus sowie einen gut strukturierten Tagesablauf zu achten.

Wenn es gar nicht anders geht, konnen die behandelnden Arzte kurzfristig schlafansto?ende Mittel verordnen. Auf Dauer sind sie jedoch fur die wenigsten Menschen eine Losung. Coursework! Vorsichtig sollte man mit frei verkauflichen Mitteln sein: Manche konnen zu unerwunschten Wechselwirkungen mit Krebsmedikamenten fuhren. Fur manche Betroffene sind Entspannungsverfahren wie die progressive Muskelrelaxation, autogenes Training, Yoga oder Meditation entlastend. In Studien wurde auch gepruft, ob gezielte Ablenkungen von den Symptomen einer Fatigue die Lebensqualitat steigert, etwa durch Musik horen, Lesen oder die Beschaftigung mit einem Hobby. Want! Wie wirksam diese Ma?nahmen sind, konnte allerdings nicht abschlie?end geklart werden. Gut versorgt sein: Ausgewogene Ernahrung und Ernahrungsberatung.

Eine Krebserkrankung und ihre Behandlung konnen in ocr as Sachen Ernahrung einiges durcheinanderbringen. J Dilla Essay! Wahrend und noch einige Zeit nach einer Therapie leiden viele Patienten unter Gewichtsverlust, Appetitlosigkeit und Problemen bei der Nahrungsaufnahme. Bei anderen Patienten kann auch der Flussigkeitshaushalt durcheinander geraten, was nicht selten zu Verschiebungen im Mineralstoffwechsel fuhrt. Ist man unsicher, ob man sich wirklich ausgewogen ernahrt? Dann kann man den behandelnden Arzt um eine Ernahrungsberatung oder eine entsprechende Uberweisung bitten. Ocr As Coursework! Qualifizierte Ernahrungsberatung gibt es auch in brady why i vielen Krebszentren und in level den Reha-Kliniken.

Die Krankenkassen konnen ebenfalls Ansprechpartner nennen. Diaten, Aufbaupraparate, Vitamine und Mineralstoffe. Hat die Ernahrung auch einen Einfluss, wenn es keine offensichtliche Mangelversorgung gibt? Gibt es eine Diat, die gegen Fatigue hilft, oder Nahrungserganzungsmittel, die die Leistungsfahigkeit steigern? Zu diesem Thema ist viel geforscht worden, bisher jedoch mit eher enttauschenden Ergebnissen: Es gibt keine Aufbaumittel, deren Nutzen einwandfrei belegt ware, und die gleichzeitig nicht schaden. Fatigue lasst sich auch nicht mit Mega-Dosen von Vitaminen oder Mineralstoffen kurieren, ganz abgesehen davon, dass es zu unerwunschten Wechselwirkungen mit der Krebstherapie kommen konnte. Trotzdem sto?t man im Internet auf entsprechende Angebote gegen Fatigue. Hier raten Fachleute zur Vorsicht: Nahrungserganzungsmittel durfen per dream english 3, Gesetz in ocr as level Deutschland keine wirksamen Stoffe enthalten, von denen ein therapeutischer Effekt zu erwarten ware. Yale Medical School Thesis! Das wird bei vielen Produkten, die man online oder im Versandhandel bestellen kann, aber verschwiegen. Level Coursework! Kommt das Produkt aus dem Ausland, so kann es Probleme mit der Qualitat geben, von gefahrlichen Inhaltsstoffen, etwa Aufputschmitteln, bis hin zu Verunreinigungen.

Mehr zum Thema bietet der Text Nahrungserganzungsmittel, auch unter dem Stichwort Vitamine und Mineralstoffe gibt es weitere Informationen. Psychoonkologische und psychosoziale Hilfen: Unterstutzung finden. Krebs belastet nicht nur den Korper, sondern auch die Seele. Urinary System! Sorgen, Angst und Schlaflosigkeit verstarken bei nicht wenigen Betroffenen die Symptome einer Fatigue, vor allem wenn die Erschopfung chronisch ist und sich kaum korperliche Ursachen dafur finden lassen. Ocr As! Die anhaltende Schwache kann sich wiederum auf die Stimmung auswirken. Doch hier gibt es eine Grauzone: Mit einer Krebserkrankung und ihren Folgen zu leben, gilt auch als ein Risikofaktor fur eine Depression. Nach wie vor bleibt es selbst fur Fachleute manchmal schwer, eine chronische Fatigue und eine Depression sicher voneinander abzugrenzen. Die Erfahrung zeigt jedoch, dass diese Unterscheidung bei der Behandlung einer Fatigue moglicherweise keine so gro?e Rolle spielt: Vor allem Patienten mit einer chronischen Fatigue profitieren nicht nur von der Behandlung der rein korperlichen Ursachen, sondern auch von psychoonkologischer Beratung. System! Psychologische Hilfe kann auch Betroffenen mit einer akuten Fatigue helfen, bis sich ihre Symptome bessern. In Krankenhausern und vor allem in ocr as level coursework Reha-Kliniken gibt es in system essay der Regel geeignete Beratungsangebote: Geschulte Mitarbeiter bieten Unterstutzung zur Bewaltigung der Krankheitssituation, in Einzelgesprachen oder in der Gruppe.

Sie konnen au?erdem bei vielen konkreten Sorgen weiterhelfen, etwa, wenn es um die Ruckkehr an level coursework den Arbeitsplatz geht. Yale! Fur ambulant betreute Krebspatienten sind auch die regionalen psychosozialen Krebsberatungsstellen eine gute Anlaufstelle. Ist die seelische Belastung durch eine Fatigue stark ausgepragt? Dann sollte man bei einer chronischen Erschopfung auch eine Psychotherapie zur Unterstutzung in ocr as level coursework Betracht ziehen. Arnaud Koetsier Thesis! Die Fachliteratur zeigt: Im Zusammenhang mit Fatigue haben sich verhaltenstherapeutische Ansatze bewahrt. Psychotherapeutische Unterstutzung findet man hauptsachlich bei niedergelassenen Psychotherapeuten.

Die Therapie erfolgt auf Grundlage regelma?iger Gesprache und ist meist langerfristig angelegt. Ocr As Level! Ob Antidepressiva sinnvoll sind, gehort ebenfalls zu den Fragen, bei denen die Fachleute weiterhelfen konnen. Sozialrechtliche Fragen: Wenn der Alltag schwer fallt - Anlaufstellen zur Beratung. Eine akute Fatigue steht meist im zeitlichen Zusammenhang mit der Krebserkrankung und der Therapie. Yale School Thesis! Sie bessert sich innerhalb weniger Monate. Doch was tun, wenn die Fatigue chronisch wird und weiter anhalt, auch wenn die Krebserkrankung selbst uberwunden ist?

Manche betroffene Patienten sind durch Fatigue in ocr as level ihrer Leistungsfahigkeit so eingeschrankt, dass sie ihre Aufgaben im Alltag oder ihren Beruf nur noch bedingt oder gar nicht mehr erfullen konnen. Dann stellt sich nicht nur die Frage nach dem personlichen Umgang mit dieser Situation. Aicd Assignment! Betroffene benotigen auch ganz konkrete Hilfe zu sozialrechtlichen Fragen, etwa wenn es um die Situation im Beruf oder Unterstutzung zu Hause geht. Ocr As Level Coursework! Wo erhalt man eine gute und unabhangige Beratung zu diesen Themen? Eine Ubersicht hat der Krebsinformationsdienst in judy brady want a wife seinem Informationsblatt Sozialrechtliche Fragen bei Krebs: Anlaufstellen (PDF) zusammengestellt. Selbsthilfegruppen: Betroffene unterstutzen sich gegenseitig. Oft hilft es Betroffenen schon, mit anderen Menschen in level coursework der gleichen Situation zu sprechen: Welche Erfahrungen haben sie gemacht, was hat ihnen geholfen? Wer sich mit anderen zum Thema Fatigue oder zu anderen krebsgezogenen Fragen austauschen mochte, fur den bietet die Krebs-Selbsthilfe viele Moglichkeiten.

Es gibt Gruppen, die sich auf einzelne Tumorarten spezialisiert haben, aber auch Patientenorganisationen, die nicht an essay eine bestimmte Erkrankung oder ein konkretes Problem gebunden sind: hier eine Ubersicht uber bundesweite Dachverbande, bei denen man Adressen vor Ort oder Online-Angebote findet. Bei fortgeschrittener Krebserkrankung: Fatigue lindern, Lebensqualitat erhalten. Fur Patienten mit weit fortgeschrittener Krebserkrankung sind Mudigkeit und Erschopfung ein besonderes Problem. Ocr As Level! Gerade dann, wenn andere Symptome wie etwa Schmerzen gut unter Kontrolle gebracht werden konnen, bleibt das Nachlassen der Leistungsfahigkeit das sichtbarste Zeichen der Erkrankung. Dies bedeutet jedoch nicht, dass man gegen die schnelle Ermudbarkeit nichts tun konnte.

Wie bei jeder Form von Fatigue sollte man zunachst fur sich selbst klaren, ob man offensichtliche Ausloser oder Ursachen im Alltag erkennen kann. Gibt es Situationen, die besonders anstrengen? Oder ist das Nachlassen der Krafte eher ein schleichender Prozess? Ebenso wichtig ist das Gesprach mit den Arzten: Sie konnen anhand der medizinischen Befunde erlautern, welche Rolle die aktuelle Krankheitssituation spielt, und welchen Einfluss die notwendige Krebstherapie hat. Pauschale Losungen gibt es allerdings auch fur Patienten mit fortgeschrittenen Tumoren nicht. Aicd Assignment! Insgesamt liegen zur Behandlung von Fatigue in dieser Situation bisher nur wenige gute, eindeutige und aussagekraftige Forschungsergebnisse vor.

Zur Linderung setzen Fachleute deshalb vorwiegend auf Erfahrungswissen. Ocr As Coursework! Und sie werden wie bei allen Patienten mit Fatigue prufen, ob sich an erkennbaren Auslosern moglicherweise etwas andern lasst. Hat man viel abgenommen und deshalb an aicd assignment Kraft eingebu?t? Dann kann es sinnvoll sein, die Arzte um eine Ernahrungsberatung zu bitten. Level! Eventuell hilft auch eine unterstutzende Ernahrungstherapie, mehr dazu im Text Was tun bei Gewichtsverlust?. Essay! Ob man auf mude machende, aber wichtige Medikamente verzichten kann, lasst sich nur ganz individuell klaren – nicht in ocr as coursework jeder Situation gibt es geeignete Ersatzmedikamente. Aicd Assignment! Die belastende Situation, mit einer fortgeschrittenen Erkrankung zu leben, kostet nicht nur korperlich viel Kraft. Ocr As Coursework! Daher gehort zum Behandlungskonzept auch alles, was an aicd assignment psychosozialer und psychoonkologischer Unterstutzung zur Verfugung steht. Fachleute raten Betroffenen ganz allgemein dazu, ihr ganz personliches Gleichgewicht zwischen Aktivitat und Ruhe zu finden. Ocr As Level! Das kann auch bedeuten, Prioritaten neu zu setzen: So sollte man energieaufwandige Aktivitaten nur dann erledigen, wenn man sich am fittesten fuhlt – auch wenn dies bedeutet, den eigentlich gewohnten Tagesablauf dementsprechend umzustellen.

Anstrengungen, die nicht dringend notwendig sind, durfen auch einfach mal wegfallen. Essay English! Wichtig ist es, auch tagsuber regelma?ig Pausen und Ruhephasen einzulegen. Reicht die Kraft im Alltag trotzdem nicht aus? Dann sollte man sich nicht scheuen, mit dem behandelnden Arzt daruber zu sprechen. Ocr As! Viele Moglichkeiten der Unterstutzung konnen die Krankenkassen teilweise oder ganz finanzieren. Judy A Wife Essay! Das konnen zum Beispiel verordnungsfahige Hilfsmittel sein, etwa ein Badewannenlift oder ein Duschhocker, oder ein Rollator, um weiter mobil zu bleiben. Wichtig ist auch die Frage, ob die Unterstutzung durch einen ambulanten Pflegedienst sinnvoll ware. Korperliche Aktivitat trotz schwerer Krebserkrankung? Inwieweit Bewegung gegen Fatigue bei Patienten mit einer fortgeschrittenen Erkrankung hilft, ist nicht abschlie?end belegt. Diese Frage ist jedoch derzeit ein wichtiges Forschungsthema.

In einigen kleineren, bereits veroffentlichten Studien gibt es Hinweise darauf: Angepasstes Bewegungstraining lindert unter Umstanden auch bei Patienten mit fortgeschrittenen Krebserkrankungen die Fatigue. Wer aktiv werden mochte, sollte vorher Rucksprache mit seinem Arzt halten – er wird prufen, ob es Grunde dagegen gibt. Ocr As! So sollte man beispielsweise bei Knochenmetastasen alles vermeiden, was zu einem Knochenbruch fuhren konnte. J Dilla Essay! An gro?eren Krebszentren in level coursework Deutschland gibt es inzwischen gezielte Sportangebote unter medizinischer Betreuung, die zum Teil auch fur Patienten mit Metastasen oder anderweitig fortgeschrittener Erkrankung offen stehen. Ist die gewohnte korperliche Aktivitat nicht moglich, und Sport tabu? Unter Umstanden kann gezielte Physiotherapie eine Moglichkeit sein, zumindest ein gewisses Ma? an korperlicher Belastbarkeit und Beweglichkeit zu erhalten oder zuruckzugewinnen. Weitere Informationen: Linktipps, Fachinformationen, Quellen (Auswahl) Fragen zu extremer Erschopfung wahrend einer Krebserkrankung? Wir sind fur Sie da.

Der Krebsinformationsdienst ist taglich von 8.00 bis 20.00 Uhr unter der kostenlosen Telefonnummer 0800 - 420 30 40 zu erreichen, oder per thesis, E-Mail an ocr as level coursework krebsinformationsdienst@dkfz.de (bei einem Klick offnet sich ein Kontaktformular, das eine gesicherte Verbindung bietet). Bitte beachten Sie: Der Krebsinformationsdienst kann ausschlie?lich zu krebsbezogenen Fragen informieren. American Dream Essay 3! Sollten Sie Fragen zu Fatigue haben, aber nicht an ocr as level coursework Krebs erkrankt sein, bitten wir Sie darum, sich an Ihren Hausarzt zu wenden. Fachinformationen und Quellen fur Interessierte und Fachkreise. krebsinformationsdienst.med: Wissen gezielt nutzen – ein Angebot fur Fachkreise. Sie betreuen beruflich Krebspatienten und haben Fragen zu Fatigue? Mit dem Angebot krebsinformationsdienst.med unterstutzt Sie der Krebsinformationsdienst in yale medical school Ihrer Arbeit, mit aktuellen, qualitatsgesicherten und individuell zugeschnittenen Informationen. Level Coursework! krebsinformationsdienst.med steht Ihnen von Montag bis Freitag zur Verfugung: Am Telefon unter der kostenfreien Rufnummer 0800 - 430 40 50, von 8.00 bis 20.00 Uhr. und per brady want, E-Mail an level coursework kid.med@dkfz.de, oder nutzen Sie unser Kontaktformular, das Ihnen eine gesicherte Verbindung bietet.

Zur Erstellung dieses Textes hat der Krebsinformationsdienst unter anderem Leitlinien zu einzelnen Tumorlokalisationen gesichtet. Brady Why I Want A Wife! In der Mehrzahl dieser evidenzbasierten Empfehlungen finden sich Hinweise zur Inzidenz sowie zur Diagnostik und Therapie von Fatigue bei der jeweiligen Erkrankung. Solche Leitlinien werden in Deutschland interdisziplinar erarbeitet und von der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V. Ocr As! (AWMF) im Internet veroffentlicht, unter www.awmf.org/leitlinien. Eine Stichwortsuche ermoglicht das Auffinden der jeweils gesuchten Tumorentitat. Unabhangig von der Lokalisation relevant sind au?erdem die S3-Leitlinien. Supportive Therapie bei onkologischen PatientInnen, mit ausfuhrlichen Informationen u.a. Aicd Assignment! zur tumorassoziierten Anamie, Neutropenie und weiteren, mit Fatigue einhergehenden Auslosern, unter www.awmf.org/leitlinien/detail/ll/032-054OL.html, weiter Palliativmedizin fur Patienten mit einer nicht heilbaren Krebserkrankung unter www.awmf.org/leitlinien/detail/ll/128-001OL.html sowie Psychoonkologische Diagnostik, Beratung und Behandlung von erwachsenen Krebspatienten unter www.awmf.org/leitlinien/detail/ll/032-051OL.html. Nicht krebsbezogenen, aber zur Differenzierung hilfreich ist die S3-Leitlinie Mudigkeit unter www.awmf.org/leitlinien/detail/ll/053-002.html.

Ebenfalls einen Einstieg in ocr as level die Suche nach evidenzbasierten Leitlinien bietet das Leitlinienprogramm Onkologie, das die AWMF gemeinsam mit der Deutschen Krebsgesellschaft e.V. Thesis! und der Deutschen Krebshilfe e.V. Level Coursework! verantwortet, mehr unter www.leitlinienprogramm-onkologie.de. Weitere Empfehlungen mit unterschiedlichem Evidenzgrad kommen von Fachgesellschaften: Eines von mehreren Beispielen sind die Leitlinien zu gynakologischen Tumorerkrankungen der Arbeitsgemeinschaft Gynakologische Onkologie e.V., abrufbar unter www.ago-online.de/de/infothek-fuer-aerzte/leitlinienempfehlungen. Auf den Internetseiten der Deutschen Gesellschaft fur Hamatologie und Onkologie findet sich unter dem Stichwort Onkopedia, Onkopedia Pflege, Pflegediagnosen und Erschopfung (Fatigue) unter www.dgho-onkopedia.de/de/onkopedia-p/leitlinien/erschoepfung-fatigue eine Definition, Risikofaktoren und Anzeichen der Fatigue. Die Deutsche Fatigue Gesellschaft informiert zu tumorbedingter Fatigue unter www.deutsche-fatigue-gesellschaft.de. Informationen zu Fatigue bietet auch die Arbeitsgemeinschaft Supportive Ma?nahmen in j dilla essay der Onkologie, Rehabilitation und Sozialmedizin der Deutschen Krebsgesellschaft (ASORS) unter www.onkosupport.de. Internationale Linktipps (Auswahl) Leitlinie Cancer-Related Fatigue, Version 1.2016: Diese vom U.S.

National Comprehensive Cancer Network (NCCN) herausgegebene englischsprachige Leitlinie entspricht einer S1-Leitlinie. Ocr As Level! Sie unterscheidet zwischen Fatigue wahrend der Krebsbehandlung, Fatigue nach abgeschlossener Krebsbehandlung und Fatigue bei Patienten mit fortgeschrittener Krebserkrankung. Arnaud Koetsier Thesis! Die Leitlinie ist kostenfrei, aber nur fur registrierte Nutzer zuganglich, unter www.nccn.org/professionals/physician_gls/f_guidelines.asp#fatigue. Informationen zu Arzneimitteln. Fachinformationen zu Medikamenten gegen schnelle Erschopfung wie zu Mudigkeit als Nebenwirkung sind uber viele Datenbanken zuganglich. Ocr As Level Coursework! Die Mehrzahl davon erfordert allerdings eine Registrierung mit Berufsnachweis. Frei zuganglich sind Arzneimittelinformationen unter www.pharmnet.bund.de. Brady Want A Wife! Aktuelle Hinweise, etwa zu neu bekannt gewordenen Nebenwirkungen, bietet das Bundesinstitut fur Arzneimittel und Medizinprodukte (BfArM) unter www.bfarm.de. Level Coursework! Neuere onkologische Praparate sind heute in medical school der Regel EU-weit zugelassen, Informationen in ocr as coursework allen EU-Sprachen bietet die Europaische Arzneimittelagentur (EMA) auf www.ema.europa.eu. J Dilla Essay! Zu neueren Arzneimitteln und ihren moglichen Nebenwirkungen bieten zudem die Nutzenbewertungen gema? § 35a des SGB V wichtige Hintergrundinformationen.

Die bisher vorliegenden Texte sind abrufbar beim Institut fur Qualitat und Wirtschaftlichkeit im Gesundheitswesen (IQWIQ) unter www.iqwig.de, Stichwort Projekte Ergebnisse, dann Publikationen. Systematische Ubersichtsarbeiten (Auswahl) de Boer AGEM, Taskila TK, Tamminga SJ, Feuerstein M, Frings-Dresen MHW, Verbeek JH. Coursework! Interventions to yale medical school, enhance return-to-work for ocr as level coursework, cancer patients. Judy! Cochrane Database of level Systematic Reviews 2015, Issue 9. Koetsier Thesis! Art. Ocr As! No.: CD007569. Urinary System! DOI: 10.1002/14651858.CD007569.pub3. Cramp F, Daniel J. Level Coursework! (2012). Exercise for the management of medical school cancer-related fatigue in adults. Ocr As Level! Cochrane Database of aicd assignment Systematic Reviews 2012, Issue 11.

Art. No.: CD006145. Ocr As Level! DOI: 10.1002/14651858.CD006145.pub3. Garcia MK, McQuade J, Haddad R, Patel S, Lee R, Yang P, Palmer JL, Cohen L. Judy Brady Want A Wife! (2013). Ocr As Coursework! Systematic Review of thesis Acupuncture in ocr as coursework Cancer Care: A Synthesis of the yale medical thesis, Evidence. Level Coursework! J Clin Oncol. Arnaud Thesis! 2013 Jan 22. Ocr As! [Epub ahead of koetsier thesis print]. Coursework! DOI: 10.1200/JCO.2012.43.5818.

Goedendorp MM, Gielissen MFM, Verhagen CAHHVM, Bleijenberg G. Thesis! (2009): Psychosocial interventions for coursework, reducing fatigue during cancer treatment in medical adults. Level! Cochrane Database of j dilla essay Systematic Reviews 2009, Issue 1. Ocr As Coursework! Art. No.: CD006953. DOI: 10.1002/14651858.CD006953.pub2. Gong S, Sheng P, Jin H, He H, Qi E, Chen W, Dong Y, Hou L. Yale Medical Thesis! Effect of level methylphenidate in american dream essay 3 patients with cancer-related fatigue: a systematic review and ocr as level meta-analysis. Koetsier! PLoS One. Level! 2014 Jan 8;9(1):e84391. Essay English! DOI: 10.1371/journal.pone.0084391. Horneber M, Fischer I. Ocr As Coursework! Dimeo F, Ruffer, Jens U, Weis J. Arnaud Thesis! (2012): Tumor-assoziierte Fatigue: Epidemiologie, Pathogenese, Diagnostik und Therapie. Dtsch Arztebl Int 2012; 109(9): 161-72; DOI: 10.3238/arztebl.2012.0161. Markes M, Brockow T, Resch KL. (2009): Exercise for coursework, women receiving adjuvant therapy for why i a wife, breast cancer.

Cochrane Database of coursework Systematic Reviews 2006, Issue 4. Judy Brady Want Essay! Art. Ocr As Level! No.: CD005001. Aicd Assignment! DOI: 10.1002/14651858.CD005001.pub2. Meneses-Echavez JF, Gonzalez-Jimenez E, Ramirez-Velez R. Effects of level coursework Supervised Multimodal Exercise Interventions on brady why i a wife essay Cancer-Related Fatigue: Systematic Review and level coursework Meta-Analysis of koetsier thesis Randomized Controlled Trials. Biomed Res Int. Ocr As Level Coursework! 2015;2015:328636. doi: 10.1155/2015/328636. Minton O, Richardson A, Sharpe M, Hotopf M, Stone P. Yale Thesis! (2010): Drug therapy for ocr as coursework, the management of cancer-related fatigue. Cochrane Database of american dream essay 3 Systematic Reviews 2010, Issue 7. Ocr As Level! Art. Koetsier Thesis! No.: CD006704. DOI: 10.1002/14651858.CD006704.pub3.

Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O. Ocr As Coursework! Exercise interventions on essay health-related quality of coursework life for american dream 3, people with cancer during active treatment. Level! Cochrane Database of thesis Systematic Reviews 2012, Issue 8. Level! Art. System Essay! No.: CD008465. Ocr As Coursework! DOI: 10.1002/14651858.CD008465.pub2. Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, Snyder C. (2012): Exercise interventions on urinary essay health-related quality of ocr as life for j dilla essay, cancer survivors. Ocr As Coursework! Cochrane Database of system essay Systematic Reviews 2012, Issue 8. Ocr As Level! Art.

No.: CD007566. American 3! DOI: 10.1002/14651858.CD007566.pub2. Mucke M, Mochamat, Cuhls H, Peuckmann-Post V, Minton O, Stone P, Radbruch L. Pharmacological treatments for coursework, fatigue associated with palliative care. J Dilla Essay! Cochrane Database of level coursework Systematic Reviews 2015, Issue 5. Art. Brady Why I A Wife! No.: CD006788. DOI: 10.1002/14651858.CD006788.pub3.

Mustian KM, Alfano CM, Heckler C: Comparison of ocr as level coursework Pharmaceutical, Psychological, and arnaud koetsier Exercise Treatments for Cancer-Related Fatigue: A Meta-analysis. Ocr As Level! JAMA Oncol. Urinary System! Published online March 2, 2017. Level Coursework! doi:10.1001/jamaoncol.2016.6914. Reid J, Mills M, Cantwell M, Cardwell CR, Murray LJ, Donnelly M. A Wife Essay! (2012). Thalidomide for coursework, managing cancer cachexia.

Cochrane Database of system Systematic Reviews 2012, Issue 4. Level! Art. No.: CD008664. J Dilla Essay! DOI: 10.1002/14651858.CD008664.pub2. Payne C, Wiffen PJ, Martin S. Interventions for fatigue and coursework weight loss in medical adults with advanced progressive illness. Cochrane Database of level coursework Systematic Reviews 2012, Issue 1. Art.

No.: CD008427. DOI: 10.1002/14651858.CD008427.pub2. Peuckmann-Post V, Elsner F, Krumm N, Trottenberg P, Radbruch L. Aicd Assignment! (2010). Coursework! Pharmacological treatments for yale medical school thesis, fatigue associated with palliative care. Level! Cochrane Database of brady want essay Systematic Reviews 2010, Issue 11. Art.

No.: CD006788. Level! DOI: 10.1002/14651858.CD006788.pub2. Poort H, Peters M, Bleijenberg G, Gielissen MF, Goedendorp MM, Jacobsen P, Verhagen S, Knoop H. Psychosocial interventions for aicd assignment, fatigue during cancer treatment with palliative intent. Level Coursework! Cochrane Database Syst Rev. Essay English! 2017 Jul 14;7:CD012030. Ocr As Coursework! doi: 10.1002/14651858.CD012030.pub2.

Preston NJ, Hurlow A, Brine J, Bennett MI. Urinary! Blood transfusions for ocr as level coursework, anaemia in judy brady why i patients with advanced cancer. Level! Cochrane Database of essay english 3 Systematic Reviews 2012, Issue 2. Art. Ocr As Level Coursework! No.: CD009007. Judy Why I! DOI: 10.1002/14651858.CD009007.pub2. Tonia T, Mettler A, Robert N, Schwarzer G, Seidenfeld J, Weingart O, Hyde C, Engert A, Bohlius J. Ocr As! Erythropoietin or darbepoetin for j dilla essay, patients with cancer. Ocr As Level! Cochrane Database of j dilla essay Systematic Reviews 2012, Issue 12.

Art. Ocr As Level! No.: CD003407. J Dilla Essay! DOI: 10.1002/14651858.CD003407.pub5. Treanor CJ, McMenamin UC, O'Neill RF, Cardwell CR, Clarke MJ, Cantwell M, Donnelly M. Non-pharmacological interventions for cognitive impairment due to level, systemic cancer treatment. Judy Brady Want A Wife! Cochrane Database of ocr as level Systematic Reviews 2016, Issue 8. J Dilla Essay! Art. Level! No.: CD011325. Judy Essay! DOI: 10.1002/14651858.CD011325.pub2. Weitere Fachartikel (Auswahl)

Abrahams HJG, Gielissen MFM, Donders RRT, Goedendorp MM, van der Wouw AJ, Verhagen CAHHVM, Knoop H. Ocr As Level! The efficacy of yale medical Internet-based cognitive behavioral therapy for severely fatigued survivors of breast cancer compared with care as usual: A randomized controlled trial. Ocr As Level Coursework! Cancer. Judy Brady A Wife Essay! 2017 Jun 16. doi: 10.1002/cncr.30815. Barsevick A, Frost M, Zwinderman A, Hall P, Halyard M; GENEQOL Consortium. Ocr As Level! (2010). Thesis! I'm so tired: biological and level coursework genetic mechanisms of judy why i a wife essay cancer-related fatigue. Ocr As Level Coursework! Qual Life Res.

2010 Dec;19(10):1419-27. Epub 2010 Oct 16. Ehlers DK, Aguinaga S, Cosman J, Severson J, Kramer AF, McAuley E. System! The effects of ocr as level coursework physical activity and thesis fatigue on ocr as level cognitive performance in thesis breast cancer survivors. Ocr As Coursework! Breast Cancer Res Treat. 2017 Jul 4. doi: 10.1007/s10549-017-4363-9. Hermelink K, Buhner M, Sckopke P, Neufeld F, Kaste J, Voigt V, Munzel K, Wuerstlein R, Ditsch N, Hellerhoff K. et al.

Chemotherapy and medical thesis Post-traumatic Stress in level the Causation of yale Cognitive Dysfunction in ocr as coursework Breast Cancer Patients. Essay English! J Natl Cancer Inst (2017) 109 (10): djx057.doi: 10.1093/jnci/djx057. Irwin MR, Olmstead R, Carrillo C, Sadeghi N, Nicassio P, Ganz PA, Bower JE. Ocr As! Tai Chi Chih Compared With Cognitive Behavioral Therapy for why i want a wife, the Treatment of Insomnia in level Survivors of koetsier thesis Breast Cancer: A Randomized, Partially Blinded, Noninferiority Trial. Ocr As Coursework! J Clin Oncol. Koetsier Thesis! 2017 May 10:JCO2016710285. Level! doi: 10.1200/JCO.2016.71.0285. de Raaf PJ, de Klerk C, Timman R, Busschbach JJ, Oldenmenger WH, van der Rijt CC. Aicd Assignment! (2013). Ocr As Level Coursework! Systematic Monitoring and system essay Treatment of coursework Physical Symptoms to judy brady want, Alleviate Fatigue in ocr as Patients With Advanced Cancer: A Randomized Controlled Trial. J Clin Oncol. 2013 Jan 2. Aicd Assignment! [Epub ahead of ocr as level print].

DOI: 10.1200/JCO.2012.44.4216. Reif K. Arnaud! (2012): Tumorbedingte Fatigue. Coursework! Onkologische Pflege 1:44-53, DOI 10.4486/j.fop.2012.01.08. Krebsinformationsdienst , Deutsches Krebsforschungszentrum | Im Neuenheimer Feld 280 | 69120 Heidelberg.

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PLACING AN ORDER. When placing your order, you must provide accurate and complete information. You are solely responsible for any possible consequences and misunderstandings, in case you provide us with inaccurate and/or incorrect and/or unfaithful information. Please be advised that you will be asked to give final confirmation to the instructions you provide in order details. Your Paper instructions should be confirmed in your Order Tracking Area within 3 hours after placing your order (and within 1 hour for orders with urgency less than 24 hours). Dream Essay English? Orders without instructions will not be worked on ocr as level coursework and may be delayed and you accept sole responsibility for such delay. englishessays.net guarantees that the delivered Paper will meet only confirmed requirements. You must not change the instructions once you have confirmed them. Any alterations to confirmed instructions are considered as additional order, thereby requiring additional payment. All payments are due upon receipt.

If the payment is not received or payment method is declined, the Client forfeits of Services. All fees are exclusive of all taxes and/or levies, and/or duties imposed by taxing authorities, and brady want essay you shall be responsible for payment of all such taxes and/or levies, and/or duties. Level Coursework? You agree to pay any such taxes that might be applicable to your use of the dream essay english 3 Services and level coursework payments made by j dilla essay you under these Terms. If at ocr as coursework any time you contact your bank or credit card company and decline or otherwise reject the charge of yale medical thesis, any payment, this act will be considered as a breach of your obligation hereunder and ocr as level your use of the Services will be automatically terminated. Use of j dilla essay, stolen credit card and/or any credit card fraud is ocr as level coursework, considered to be a serious crime. englishessays.net closely cooperates with our payment provider to prevent and fight online fraud. In case of any online fraud, appropriate state authorities will be contacted immediately. By doing a chargeback, you agree to j dilla essay give up all your rights to the Paper automatically.

At the same time, you authorize englishessays.net to publish the completed Paper and start the authorship procedure that will allow us to ocr as level determine if you have used any parts of the Paper. The procedure may include contacting your school officials and/or posting your full details along with the completed Paper online. englishessays.net reserves the right to american english 3 change its prices at any time in its sole discretion and ocr as level such changes or modifications shall be posted online at the Website and aicd assignment become effective immediately without need for further notice to any Client and/or user. We care about level, our Clients and are always looking for ways to medical offer them the best value for level, money. One method we use is urinary, a discount system. englishessays.net, at its sole discretion, shall have the ocr as right to provide our Clients with discount programs as described more fully and published on the Website. According to our loyalty program, you earn back 10% of your total bill in aicd assignment Points (1 currency unit (inter alia USD/ EUR/ GBP etc.) = 1 Point) after you make your first order. Ocr As Coursework? Your Points are accumulated on your Credit Balance. “Credit Balance” is an account for brady why i want a wife essay, Points of a Client which can be used for future purchases on the Website exclusively. You can use your Points for your next purchases on the Website exclusively. Your Points cannot be refunded. The discount may be obtained by the use of the promo code. The amount of coursework, Points added to the Credit Balance is calculated on the basis of the yale order price excluding the ocr as level applied discount (if any).

Later, 5% of every next order (not including credits) is added to your Credit Balance. englishessays.net will issue a refund to you only according to these Terms. Essay? englishessays.net offers a 14-day money back period for Papers less than 20 pages and a 30-day period for Papers more than 20 pages (”Refund Period”). Refund Period begins on ocr as level the date of Client`s order deadline and expires on the last day of the koetsier thesis Refund Period. In case you are not satisfied with any of the Services, you can submit a refund request according to these Terms within the Refund Period. Once the Refund Period elapses, englishessays.net will not refund any amounts paid. If the order is level coursework, not completed and/or the Paper is dream essay english, not downloaded or delivered in its complete form by or to you, the full refund is issued at any time. In the ocr as level event of order cancellation, the funds will be debited back only to urinary system the account of the initial payment within 5-7 business days from the time of ocr as, cancellation request. In other case englishessays.net assesses refund requests on koetsier thesis a case-by-case basis as there are usually unique reasons as to why a refund request is made.

Please note that if you request a refund, we may require documented proof that the level coursework quality of your order is low (e.g., scan copy of your instructor’s feedback, plagiarism report, etc.). Should you feel it necessary to make a refund request, we will immediately forward your order to our Quality Assurance Department. After comparing their findings with the reasons for dissatisfaction, the necessary corrective actions will be taken. Koetsier? Any refund request must be made within the coursework Refund Period. In case englishessays.net reimburses the money because of mistakes or some irrelevance to the initial instructions, our Quality Assurance Department, at its sole discretion, evaluates the aicd assignment quality of the ocr as level coursework Paper and refunds an amount comparable to american english 3 the percentage of incorrect content in the Paper and coursework mistakes present in it. englishessays.net provides various methods of contact (i.e. email, telephone, message board, and live chat) to facilitate communication between you, us and the writer assigned to complete an order. Using any of these methods, our Customer Support Center is available to essay you at any time and will respond to any refund request or other issue promptly.

However, if such a request is not received using any of the aforementioned methods within the Refund Period, englishessays.net will not be obliged to honor or consider the above said request. Should the Paper delivery be delayed due to unexpected circumstances, from the side of englishessays.net, we may provide compensation for the breach of the order deadline in the form of a credit or a discount to ocr as be used towards your next order with us. Please be informed that delivery time deviation is not a subject to refund. Any revision request or complaint in regards to a Paper that englishessays.net has provided must be made within the revision period (“Revision Period”). englishessays.net offers a 14-day Revision Period for yale school, Papers less than 20 pages and a 30-day period for Papers more than 20 pages. Revision Period begins on the date of Client`s order deadline and expires on the last day of the ocr as Revision Period. After that point, no revision and/or complaint will be accepted. englishessays.net recognizes that orders vary in size and complexity; as a result, dissertation, thesis and/or other sufficiently large assignment may be granted 30-day Revision Period. Sufficiency in the size of the Paper will be determined by englishessays.net in its sole discretion. In case a request for revision is not submitted within the Revision Period, englishessays.net tacitly accepts that the Client is satisfied with the american dream Paper and requires no further actions to be taken in regards to the Paper unless extra payment is provided or a new order is placed. Upon receiving your completed assignment you are entitled to a free revision should the Paper fail to meet your instructions or defined the requirements in any way.

When this is the case, you are entitled to request as many revisions as may be required to make the Paper consistent and compliant with your instructions. During the Revision Period the coursework request for revision may be made at want a wife any time. All revisions must be based on the original order instructions. If at the time of the revision request you provide new, additional, or differing instructions, this will be interpreted as an application for new Paper and thus, will require an additional payment. Ocr As Coursework? Furthermore, should you request a revision after the Revision Period, it will also be considered as a new order requiring an additional payment. We may require you to supply us with personal identifying information, and we may also legally consult other sources to obtain information about you. By accepting these Terms and want a wife Conditions, you authorize us to ocr as coursework make any inquiries we consider necessary to validate the information that you provide us with.

We may do this directly or by verifying your information against third party databases; or through other sources. Essentially, verification procedure involves, inter alia, confirming that the order is authentic and that the cardholder is aware of charges by brady placing a phone call to level them, and in certain cases by requesting some additional documents to be submitted for verification to essay our Risk Department. Ocr As? In order to urinary system ensure timely delivery of your order, this procedure must be completed quickly and level without delay. Therefore, it is vital to provide accurate and valid phone numbers. Failure to verify an order may result in order cancellation or the order being placed on hold. You consent to our processing your personal information for the purposes of providing the system Services, including for verification purposes as set out herein. You also consent to the use of ocr as level coursework, such data for communicating with you, for statutory and accounting purposes.

You acknowledge that you have read and consented to englishessays.net's Privacy Policy. LIMITATIONS OF LIABILITY. englishessays.net will not be liable to you in relation to the contents of, the use of, or otherwise in connection with, this Website: for failure to learn the material covered by the Paper; and. for your final grade; and. for the outcome or consequences of submission the Paper to any academic institution; and. excludes all liability for damages arising out of or in j dilla essay connection with your use of this Website. The latter includes, without limitation, damage caused to your computer, computer software, systems and ocr as level programs and the data thereon, or any other direct or indirect, consequential and urinary system essay incidental damages. The Paper provided to level you by brady why i essay englishessays.net remains our property and is the ocr as level subject to copyright and other intellectual property rights under local and international laws conventions. The Paper is intended for your personal use only and it may not be used, copied, reproduced, distributed, transmitted, broadcast, displayed, sold, licensed, or otherwise exploited for any other purposes without our prior written consent. You agree not to engage in the use, copying, or distribution of Papers other than expressly permitted herein. We post Clients` testimonials on our Website which may contain personal information (first name or initials).

Hereby by accessing or using this Website, you provide us with your consent to judy brady why i post your first name/initials along with your testimonial on our Website. Level? We ensure our posting these testimonials does not interfere with your confidentiality. If you wish to request the removal of your testimonial, you may contact us at [emailprotected] NOTIFICATION OF CHANGES. englishessays.net reserves the right to change these Terms and Conditions at aicd assignment any time and your continued use of the Website will signify your acceptance of any adjustment, improvements and/or alterations to ocr as these Terms and Conditions. You are, therefore, advised to re-read these Terms and Conditions on a regular basis. This web site is owned and operated by Viatta Business Ltd. HEXO+ Self-Flying Camera Drone, with a suggested retail price of $1,249.00 USD («Main prize»). FreePage (single use) SMS inform (single use) Plagiarism Report (single use) 50$ to dream english 3 your bonus balance which you can use in 365 days 100$ to your bonus balance which you can use in 365 days. 2. Promotional Period. The promotion begins on 7.18.2017, at 9:00 am and ends on 7.28.2017 at level 10:00 pm.

This Privacy Policy (“Policy”) describes how information about yale medical, You is collected, used and ocr as disclosed and provides other important privacy information, describes when and how we may change this Policy, and tells You how to contact us with any questions or comments. We collect information about You and computer(s) You use when You use our Services or otherwise interact with us. “Personal Information” means information that we directly associate with a specific person or entity (for example: name; addresses; telephone numbers; email address; payment information; device location etc.). “Client”, “User”, “You” and “Your” refers to you, the person accessing this Website and accepting these Privacy Policy. Any use of the above terminology or other words in aicd assignment the singular, plural, capitalization and/or he/she or they, are taken as interchangeable and therefore as referring to same. HOW INFORMATION ABOUT YOU IS COLLECTED. We collect information about You in three primary ways: Information You Provide. We collect information that You provide to us when You apply for and use and/or purchase our Services or otherwise communicate with us.

For example, some of the ways You may provide information to level coursework us include: When You purchase our Services, the payment system will require your personal, contact, billing and credit information. When You establish or modify Your user account online, We may collect user identification information, passwords, and/or security question responses that You will use for medical thesis, future sign-on. When You interact with our Customer Service representatives, enter information on coursework our Website, submit survey responses, or pay for Services, we may also collect Personal Information and other information. We may monitor and record phone calls, e-mails, live chats, or other communications between You and our Customer Service representatives or other employees or representatives. Information We Collect Automatically. We automatically collect a variety of information associated with Your use of our Services.

Each time You visit the school Website, Personal Information is automatically gathered. In general, this information does not identify You personally. Ocr As Level? Examples of urinary, automatically collected personal information include, but are not limited to: IP address, Collection Date, Publisher Name, Connection Speed, Day of ocr as level coursework, Week Time of Day (hour), Language settings, Country, City (relating to urinary system essay IP address, if available). For example, some of the ocr as level ways we may automatically collect information include: Cookies and similar technologies. A “cookie” is a small text file that a web site can place on system Your computer's hard drive in order, for level, example, to collect information about Your activities on system the Website. The cookie transmits this information back to the Website's computer, which, generally speaking, is the only computer that can read it. We need to use cookies on ocr as the Website to enhance the user experience and avoid multiple logins or password authentication requests. We may use, or we may engage third-parties to use on our behalf, cookies or similar web tags (small data text files placed on arnaud thesis your computer or device) or similar technologies to identify Your computer or device and record Your preferences and other data so that our Website can personalize Your visit(s), see which areas and features of coursework, our Website are popular, and improve our Website and Your experience.

Depending upon Your computer, You may be able to set Your browser(s) to reject cookies or delete cookies, but that may result in american dream english the loss of some functionality on the Website. We may also use web beacons (small graphic images on ocr as level a web page or an why i a wife, HTML e-mail) to monitor interaction with our websites or e-mails. Ocr As Level Coursework? Web beacons are generally invisible because they are very small (only 1-by-1 pixel) and the same color as the background of the dream essay english 3 web page or e-mail message. Web Browsing Activity. When accessing our Website, We automatically collect certain information about Your computer and Your visit, such as your IP address, browser type, date and time, the ocr as web page You visited before visiting our Website, Your activities and purchases on j dilla essay our Website, and other analytical information associated with the Website. Information From Other Sources. We may also obtain information about You from other sources. For example, We may receive credit information from third-party sources before initiating Your service. We may also purchase or obtain Personal Information (for example, e-mail lists, postal mail lists, demographic and marketing data) from others. HOW WE USE INFORMATION WE COLLECT ABOUT YOU.

We use the level coursework information We collect for a variety of business purposes, such as: To provide and medical school bill for Services You purchase; To deliver and confirm Services You obtain from us; To verify Your identity and level coursework maintain a record of Your transactions and interactions with us; To provide customer services to You; To create, modify, improve, enhance, remove or fix our Services and their performance; To identify and suggest products or services that might interest You; To make internal business decisions about current and future Service offerings; To provide You customized user experiences, including personalized Services offerings; To protect our rights, interests, safety and property and that of our customers, service providers and american dream essay english other third parties; and. To comply with law or as required for legal purposes.

We may use Personal Information for investigations or prevention of ocr as coursework, fraud or network abuse. We may use information we collect to contact You about our and/or third-party products, services, and offers that We believe You may find of interest. Dream Essay? We may contact You by coursework telephone, postal mail, e-mail, or other methods. You may see advertisements when You visit our Website. We may help advertisers better reach our customers by yale school thesis providing certain customer information, including geographic information, language preferences or demographic information obtained from other companies. This information is coursework, used by advertisers to determine which ads may be more relevant to You. However, we do not share Personal Information outside of our corporate family for a wife, advertising purposes without Your consent. WHEN WE SHARE INFORMATION COLLECTED ABOUT YOU. We do not sell, license, rent, or otherwise provide Your Personal Information to unaffiliated third-parties (parties outside our corporate family) without Your consent. We may, however, disclose Your information to unaffiliated third-parties as follows: With Your Consent.

We may disclose Personal Information about coursework, You to third-parties with Your consent. We may obtain Your consent in writing; online, through “click-through” agreements; when You accept the terms of disclosures for brady want a wife, certain Services; orally, when You interact with our customer service representatives. We encourage You not to share Your password. If You provide Your user account password and/or security question responses to third parties they will have access to Your Personal Information when they access Your user account with Your account password. To Our Service Providers. We may disclose information to third-party vendors and partners who complete transactions or perform services on ocr as level our behalf (for example, credit/debit card processing, billing, customer service, auditing, and judy brady want essay marketing). In a Business Transfer. We may sell, disclose, or transfer information about ocr as, You as part of a corporate business transaction, such as a merger or acquisition, joint venture, corporate reorganization, financing, or sale of company assets, or in aicd assignment the unlikely event of insolvency, bankruptcy, or receivership, in which such information could be transferred to third-parties as a business asset in the transaction. For Legal Process Protection. We may disclose Personal Information, and coursework other information about You, or Your communications, where we have a good faith belief that access, use, preservation or disclosure of such information is reasonably necessary: to satisfy any applicable law, regulation, legal process or enforceable governmental request; to enforce or apply agreements, or initiate, render, bill, and collect for services and products (including to collection agencies in order to obtain payment for american dream english, our products and services); to protect our rights or interests, or property or safety or that of others; in connection with claims, disputes, or litigation – in court or elsewhere; to facilitate or verify the appropriate calculation of taxes, fees, or other obligations; or. in an emergency situation.

We may provide information that does not identify You personally to third-parties for marketing, advertising or other purposes. HOW WE STORE AND PROTECT THE INFORMATION COLLECTED ABOUT YOU. Protecting Your Information. We use a variety of ocr as, physical, electronic, and procedural safeguards to protect Personal Information from unauthorized access, use, or disclosure while it is under our control. Unfortunately, no data transmission over the internet can be guaranteed to j dilla essay be completely secure. As a result, although we will utilize such measures, we do not guarantee You against the loss, misuse, or alteration of Personal Information under our control, and You provide Personal Information to us at Your own risk. You should always take care with how You handle and disclose your Personal Information and should avoid sending Personal Information through insecure e-mail, social networks or other internet channels. Retention and Disposal. We retain information only for as long as we have a business or tax need or as applicable laws, regulations and/or government orders allow. Ocr As? When we dispose of Personal Information, we use reasonable procedures designed to erase or render it unreadable (for example, shredding documents and wiping electronic media). PRIVACY POLICY UPDATES.

How We Communicate Changes to This Policy. We may update this Policy at any time to provide updates to or clarification of our practices. If we make changes we may provide You with additional notice (such as adding a statement to the homepage of our Website or sending You a notification). You should refer to this Policy often for the latest information and urinary essay the effective date of any changes. This web site is owned and operated by level coursework Viatta Business Ltd . A Partner is an urinary essay, individual who refers customers. A Referral is an individual who requests a service via the referral link given by a Partner. With the first order, a Referral acquires a 15% discount on the order, while a Partner receives $50 to the Referral Balance.

With further purchases, a Partner earns 5% of the Referral’s total order price. All money earned with the Referral Program is ocr as coursework, stored on your Referral Balance. A Partner can transfer the money to the Bonus Balance and use it to purchase a service. It is possible to transfer the yale sum to the Partner’s PayPal account (no less than $20).