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Auto Mechanic Job Description Example. Auto Mechanics find out faults in cars and other vehicles and repair them. Auto Mechanic Job Description Example. If you want to employ the best auto mechanic available, you need to put together a good job description highlighting all the skills and in essay citing, competencies that you require from the applicants. This makes it easier for you to sieve out the steps a university, qualified from the unqualified applicants. On the other hand, if you are a trained automobile mechanic with the intention of applying for the job position, having a general knowledge of the skills required of auto mechanics and the duties, tasks, and responsibilities they perform on the job will assist you in preparing an in essay, irresistible resume. So, this auto mechanic job description is write appeal written to assist hirers and applicants for the position. What Does an Automobile Mechanic Do? Auto mechanics are specialists whose primary responsibilities are the diagnosis, maintenance and repair of cars. Depending on his/her area of expertise, an auto mechanic may be good at repairing particular parts of the vehicle or the entire vehicle. Also, there are auto mechanics that specialize in the repair of some particular kinds of vehicles while others repair all kinds of vehicles.
An automobile mechanic may also utilize computer diagnostic applications to carryout troubleshooting while common hand tools like screwdrivers, pliers, and wrenches are used to carry out repair and maintenance activities. Citing? The role of an auto mechanic also includes assisting drivers and vehicle owners in carrying out regular maintenance on their automobiles, including changing oil after certain mileage, lubricating vehicle parts, and performing other light repairs on the vehicles. These technicians also test vehicles and inform their owners of the overall condition of the vehicles. Their work description also entails assisting car owners in the purchase and replacement of r12 resume damaged parts. Being a great mechanic involves a combination of certain qualities and skills. A good mechanic must be able to carry out his/her duties diligently and ethically. To do this, he/she must be good at diagnosing auto problems, and must be a problem solver as well.
An auto mechanic ought to in essay citing be a good communicator and how to, customer-oriented. Basic literacy is in essay citing necessary, but the uwaterloo ca display cfm ethesis_id, most important is having sound auto repair training. Being ASE certified may also be an advantage, but nothing is more important than being skilled at diagnosis and repair of automobiles. Auto Mechanic Job Description Example. The day to in essay citing day duties, tasks, and responsibilities of auto mechanics are stated in the following job description example: Diagnose and detect mechanical faults in cars manually or by the use of computer diagnostic programs Examine vehicle parts to ensure that they are working perfectly Maintain and repair vehicles for customers Assist customers in carrying out routine maintenance on vehicles, such as changing oil, lubricating frictional car parts and tightening bots and nuts Help customers in parismail ru buying quality car parts for replacement Replaced damaged or worn-out car parts Keep customers informed on the condition of the car, problems detected, and cost of repair Answer customers’ inquiries and render advice on vehicle maintenance Ensure safety of vehicles brought in for repair Test drive each vehicle after repair. If you need to prepare a resume for the job of an automobile mechanic, the sample job description provided above, which consists of the typical duties and responsibilities of the role, can help you in making the work experience part of it. In Essay Citing? Requirements – Skills, Knowledge, and Abilities – for Auto Mechanic Job.
The following are important skills and qualities to have to improve your chances of r12 resume being hired by most employers as an auto mechanic. Strong communication and customer service orientation: A good mechanic must be able to communicate and relate very well with customers. This quality is very important in conveying information on car condition to customers and in essay, convincing them that you are capable of handling the problem. Resume? Customers will always feel at ease when complex technical issues are explained to them in plain language that they can easily understand Good diagnostic and citing, problem solving skills: A good auto mechanic should be able to quickly identify the r12 resume, source of minor problems manually. For complex problem, using diagnostic tools is important. Also, it is very important that the mechanic is in essay citing able to fix or proffer solution to the problems in r12 resume real time Dexterous and energetic: He/she should be skilled at using complex and hand tools.
In addition, he/she must be energetic and have the stamina to sit, stand, bend, kneel, and squat while carrying out his/her job Educated and certified: These two requirements may not be mandatory, but they are necessary. In Essay Citing? For one to be employed as a mechanic, he/she must be trained. Going ahead to create book report online obtain a recognized certificate like the in essay, ASE certificate for auto technicians presents him/her as a true professional. Also, most employers prefer to hire auto mechanics with minimum qualification of high school diploma Innovative and r12 resume, ability to learn fast: A good automobile mechanic must always be on in essay, the lookout for better techniques and tools for carrying out his/her duties. He/she must be able to learn and create book report, adapt fast to changes in diagnostic and repair technology.
Your auto mechanic resume will be stronger if it has a well-written skills section, which proves to employers that you are capable of excelling on the job by highlighting the relevant qualities you have and are bringing to the job. You can easily make this section by using information from the above job skills requirements. To an in essay, employer, knowing the various duties and responsibilities of an automobile mechanic will help in designing a suitable job description for employees, while to someone aspiring to work as an auto mechanic, knowing what the resume parismail ru, job entails, including the in essay, skills and qualities required to succeed in it is also important. Did you find the auto mechanic job description useful? Let us know what you think about uwaterloo, this post by making a comment in the box below . You may need to pass a job test to be hired for a position, improve your chances of making high scores today!
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THE IMPLEMENTATION OF MRC AND ERC TO THE STUDENT’S ACADEMIC PERFORMANCE OF FEU-EAST ASIA COLLEGE A research paper Presented . to the faculty of FEU-East Asia College In Partial Fulfillment of the requirements for the Degree of Bachelor of in essay Science in Electronics and Communication Engineering By Reynaline Avila Michael Marinas Vann Martin March 2011 CHAPTER 1 The problem and its background Introduction “The essence of mathematics is create not to make simple things complicated, but to. British Isles , England , English language 833 Words | 3 Pages. ? Module 4 Assignment 1 DROP BOX Abstract Model Research Paper B7783 - Solution-Oriented Decisions Models . Argosy University From: Alfred Matthews To: Dr. G. December 14th, 2013 Introduction Deterministic Model is a mathematical model, it’s outcomes is solely determined by known relationships among states and events, without any room for random variation. The problem that lies here is that these model types always produce the same input and output. Domain model , Mathematics , Model 670 Words | 3 Pages. ?Priyanka Shah Writ 1301 Katherine Lee December 3rd 2013 Research Paper Rough Draft: We live in a day and age where we are told . that to in essay citing, be successful you must go to school, get a job, and work your whole life away in resume parismail, a cubicle. Society discards the citing, possibility of you being a Steve Jobs, Bill Gates, and other extremely intellectual individuals. We are told that college is a necessity to a university, go anywhere in life.
That to make a living, we must follow the formula that is life. However, there is no formula. Educational psychology , Harry Harlow , Motivation 2244 Words | 8 Pages. ? Emanuella Garcia Sociology 201-D01 Teenage Pregnancy Research Paper December 13, 2013 . Abstract Teenage pregnancy is a great deal in society of the social world. Teenage pregnancy can either be a good or bad influence among other teenagers of the world. Teenage pregnancy is often foreseen as a horrible aspect of life because the mothers are too young to raise a child.
Teen mothers have a hard time in life and go through major problems with. Abortion , Adolescence , High school 1846 Words | 5 Pages. Research Paper Introduction “Every kid coming out of Harvard, every kid coming out of . Citing. school now thinks he can be the next Mark Zuckerberg, and steps to writing with these new technologies like cloud computing, he actually has a shot” (Andreessen, 2012). Cloud computing is what allows businesses today to pay for what is only consumed. This access to real time computing environment that extends information technology infrastructure of a company’s capabilities is unprecedented.
Amazon Web Services , Amazon.com , Capital cost 1786 Words | 5 Pages. An ethical dilemma that continues to be discussed is vaccinations in in essay, babies and children. Write. Many parents continue to refuse to vaccinate their children . despite research showing it is in their child’s best interest to vaccinate them. There are multiple reasons that parents choose not to vaccine their children. Most of the reasons are due to lack of education and knowledge. Nurses can help provide parents with knowledge to in essay citing, make informed decisions regarding immunizations. Immunizations. Antibody , Humoral immunity , Immune system 1930 Words | 6 Pages. types of how to metals and four different liquids.
I will be using a penny, nail, paper clip and a needle as my four metals. My four . liquids will be vinegar, beach, lemon water and salt water. To get started, the metal contents should be established. Today’s pennies are mostly made of zinc with a thin layer of copper overcoating. A nail is a form of in essay citing carbon steel or black iron. Create Book Online. Paper clips are made from in essay citing a low grade steel. A needle is made from create online stainless steel. Acid , Corrosion , Iron 429 Words | 4 Pages.
the method used to obtain the information that I needed for this research due to citing, the fact that they are easier to read and analyze. Create Book. This survey . consisted of asking a total of citing twenty students about what they thought of how to appeal Greek Life at The University of Texas – Pan American. Ten of these students were involved in a Greek Organization while the other ten were not. Gender wasn’t taken into consideration due to the fact that this research study was mainly focusing on Greeks and in essay Non-Greeks. Finding the. Alpha Kappa Alpha , Fraternities and write appeal sororities , National Association of Latino Fraternal Organizations 2443 Words | 6 Pages. Research Process and Terminology Introduction Terminology and in essay comprehending field specific terminology is crucial no matter what field a . person is in. Terminology field is specific in differentiate terms that might find associations to other fields of study or the spoken English language. Experts use terminologies categorize the steps to writing essay, academic information making sure that it is relevant to study. Criminology and criminal justice also have their own set of in essay citing terminology in topics regarded to the theories. Deductive reasoning , Qualitative research , Quantitative research 1041 Words | 3 Pages.
Will Greene Mr. King Eng 101-16 Research Paper December 4, 2012 Meeting Dr. Etheses Ca Display Cfm Ethesis_id 1124. Death Walking down dull white . hallways, seeing disease, and experiencing death are just a few things that have been experienced by myself and many others in the hospice wing of a hospital. There are some things that an individual cannot bear to see while in in essay, this wing as terminally ill patients are forced to live through the pain of their illness. Without being able to do anything but lay in bed day after.
Death , Euthanasia , Illness 1648 Words | 5 Pages.
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An Analysis of Andy Warhol#x27;s Gold Marilyn Monroe (1962) Essay. The woman portrayed in the painting is the famous movie star Marilyn Monroe. The photograph that Warhol used for this piece is a publicity still from the 1953 movie Niagra.(Museum of Modern Art) Marilyn Monroe has always been known, and always will be known as our nations most famous sex symbol. Her personal life was even more interesting and exciting to the public than her films. She was married several times, and the mysterious events surrounding her death were rumored to in essay citing, be the result of an affair with President John F. Kennedy. Warhol chose the year of Monroe's death, declared a suicide, to to writing essay, create this piece. Her troubled personal life and untimely death only made Warhol's painting more powerful. He displays Monroe at her best. In Essay! She is young and beautiful with styled hair and a made up face-yet inside she was empty. Steps To Writing Essay! By glorifying her, Warhol shows her vulnerability. She was an in essay citing, icon to millions, yet the constant demands from fans and the media drove her into the downward spiral which ultimately ended her life.
This piece was created during a time of political and social change. Increased political awareness and a focus on celebrity demanded art that was more Personality Analysis of Marilyn Monroe by Using Trait Theories. R12 Resume! Personality Analysis of Marilyn Monroe By Using Trait Theories Marilyn Monroe, whose real name is in essay, Norma Jeane Mortenson, was born on June 1, 1926 in Los Angeles, California. She was American actress, singer and model. She also was one of the etheses uwaterloo ca display cfm ethesis_id most famous movie star, the sex symbols and pop icons of the citing 20th century. Despite her an essay, unhappy, difficult childhood she got succeed during her short life period.
She worked minor roles for years. Then, she showed her comedy ability, appearance on in essay, television this, in July 1946, she got a short contract with Twentieth Century-Fox. Then she changed her name to parismail ru, Marilyn Monroe. Marilyn for citing the musical star Marilyn Miller and Monroe from a university essay her mother’s maiden name. After six months of acting classes and citing dance lessons, she was finally told to report for work on a film. This film being The Shocking Miss Pilgrim which was released in 1947. After that, Marilyn played many small and unimportant roles. Resume Parismail Ru! When Marilyn’s contract came up for renewal in August 1947 1946, Norma Jeane Dougherty became Marilyn Monroe. As Monroe’s career drug on citing, she lit up every screen that she was on, becoming one of the most famous actresses of write appeal, her time.
She had over in essay thirty well known movies and was continuing to work on more serious roles. In the 40’s 50’s and 60’s women were just stepping out into steps a university the business world, going from house wife to working girl. It was the time in which beauty couldn’t have brains in the media’s eyes. In Essay Citing! Marilyn was put into the stereotypical box of Marilyn Monroe Informative Speech Essay. Throughout that time in her life she abused alcohol, pills, and suffered from 2 miscarriages. Marilyn was slowly disintegrating. She would show up late on etheses ca display cfm ethesis_id, set while filming movies and in essay was even fired from what was supposed to resume parismail, be her last film “Something’s Got to Give”. The movie never was released because of this. Only 17 days after her famous “Happy Birthday” performance for John F. Kennedy, Marilyn Monroe was found dead at citing, her home from an overdose of etheses uwaterloo 1124, sleeping pills. She was only 36 years old. In Essay Citing! There Media industries were controlled by males; therefore Marilyn Monroe's image served the interests of men by legitimizing their power.
This creates a marketable image aimed at a well defined audience that is male. Classing Marilyn Monroe as merely 'Entertainment for Men' contributes to behavioral ideologies in ged essay society for women to act as objects for male desires. The myths drawn from such slogans creates for females a sense of inferiority, where in Monroe's case, her body and sexual allure were her A Star is Born: Marilyn Monroe Essay. A Star is Born: Marilyn Monroe I was inspired to write about in essay citing Marilyn Monroe because she seemed like she knew a lot about r12 resume life and in essay citing everything she went through. She was a big movie star and she fought for r12 resume what she believed in she wanted a good part in movies but the directors always put her as a blonde and she had to in essay, be dumb and she didn't like that. She didn't understand because she was intelligent and that is what they thought of beautiful blonds back then. She was good at everything she did. People Andy Warhol#x27;s Influence on the Art World Essay. Steps To Writing A University! I was looking at a bunch of Warhol’s paintings and I was confused.
I was just staring at them and I’m thinking “why don’t you look like a Warhol?’ Then I realize that these paintings are from when he was younger. This was before he defined his aesthetic. I believe this was his discovering phase then he goes into in essay his silk screening phase. Andy Warhol used current icons from the world for his work. One of the famous icons was the Campbell’s soup can. Create Report! In 1962 Warhol displayed his Campbell's soup Essay on Journey Into the Mind of Marilyn Monroe. continued to set the bar ever higher, testing to see if the admiration was for her as the fragile person she was or for the salacious roles she played in movies such as Some like it Hot. How could she ever be convinced? This was the tragedy of Marilyn Monroe. In her comedic films, one has a sense of impending disaster.
It seems to skulk in the background even as she portrayed the innocent and naive pubescent juvenile. Then, in her dramatic efforts, there was the comedy of her feeble attempts to long; Andy was rather fast at in essay, finding steady employment. In 1951, two years out of school, Andy Warhol bought a nice apartment for himself. Shortly thereafter his mother and her three cats showed up one evening. Sheet! Julia Warhola was to live with the son she adored so greatly for her remaining twenty years. During these two decades Andy kept his home life strikingly separate from his public persona. His time with his mother was cherished. Julia was in fact his first collaborator in art. In Essay! Andy helped Marilyn Monroe and Mental Illness Essay. where the father is listed as “unknown” (Doll, 1998-2012).
Family History of Mental Illness Norma Jeane’s mother had a documented history of mental illness. Both of her parents, Otis and Delia Monroe were found to ged essay score, have lived out their later years in mental institutions, Norma Jeane’s uncle, Marion Monroe, was also
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You Can Prevent Colorectal Cancer. Get the in essay citing facts about screening. Learn More. What to Expect During a Colonscopy. Follow a patient's first-hand experience in this. educational video Watch Video. Promote Colorectal Cancer Awareness. Download, print, and post graphics on social media to raise colorectal cancer awareness.
Download Now. Removal of a pre-cancerous polyp Watch Video. Know the etheses uwaterloo ca display latest facts about the number 2 cancer killer in the United States. In Essay. Assess your risks. Know your screening options. To Writing A University Essay. Learn why training and experience of the in essay citing endoscopist are vital to a thorough colonoscopy.
Watch a video. Listen to a Podcast. Get the create online answers to your most pressing colonoscopy questions. ACG Colorectal Cancer Awareness Graphics. This infographic illustrates in citing a powerful, easy to understand way, the risks of colorectal cancer and the impact of getting screened. Steps A University. Don't take a gamble on your health. This infographic is based on an important statistic from the in essay citing American Cancer Society: Of the 50,830 people expected to die of colon cancer in write 2013, screening (or use of early detection tests) could have saved more than half of them. View infographic.
Shared Goal: Reaching 80% Screened for Colorectal Cancer by 2018. ACG supports the citing National Colorectal Cancer Roundtable’s (NCCRT) new initiative “80% by 2018.” With the American Cancer Society and NCCRT, we are working toward the shared goal of reaching 80% of eligible adults screened for ru, colorectal cancer by 2018. Find a doctor. Compared with other ethnic groups, African-Americans are diagnosed with colorectal cancer at a younger age and those with colorectal cancer have decreased survival. In Essay Citing. ACG recommends African Americans begin screening at age 45. Learn more. Audio Podcasts: ACG Experts Answer Your Most Common Questions. Colorectal Cancer Screening: Navigating the resume Options.
Not sure what screening test is right for you? Dr. Mark B. Pochapin offers insights on in essay colorectal cancer prevention and detection tests and describes ACG guidelines and recommendations to help patients make sense of score their options. Family History, Lynch Syndrome and Other Colorectal Cancer Risk Factors. Dr. Carol A. In Essay. Burke and create, her patient Anita, who has Lynch Syndrome, share their insight on CRC risk factors, like family history, and the life-saving importance of screening-whether or not you have symptoms. Listen Now.
Colorectal Cancer and African Americans: Don't be Afraid to Live. Dr. Fritz Francois explains the in essay special concerns for African Americans and etheses ca display, why screening should begain at age 45. His patient, Vincent, shares his experience with colonoscopy and offers advice to in essay those who are apprehensive about this potentially life-saving test. Steps To Writing A University. Listen Now. Colorectal (large bowel) cancer is a disease in which malignant (cancer) cells form in the inner lining of the in essay citing colon or rectum. Together, the book report online colon and rectum make up the large bowel or large intestine. The large intestine is the last segment of the digestive system (the esophagus, stomach, and small intestine are the citing first three sections). The large bowel's main job is to reabsorb water from the contents of the intestine so that solid waste can be expelled into the toilet. The first several feet of the large intestine is the how to appeal colon and the last 6 inches is the rectum. Most colon and rectal cancers originate from benign wart-like growths on the inner lining of the colon or rectum called polyps.
Not all polyps have the potential to transform into in essay citing cancer. Create Book. Those that do have the potential are called adenomas. It takes more than 10 years in most cases for an adenoma to develop into citing cancer. This is why some colon cancer prevention tests are effective even if done at 10-year intervals. This 10-year interval is too long, in some cases, such as in persons with ulcerative colitis or Crohn's colitis, and in persons with a strong family history of colorectal cancer or adenomas.
Colorectal cancer is the third leading cause of cancer-related deaths in the United States when men and ged essay score, women are considered separately, and in essay citing, the second leading cause when both sexes are combined. It is etheses ca display 1124 expected to in essay cause about steps to writing 50,310 deaths during 2014. Excluding skin cancers, colorectal cancer is the third most common cancer diagnosed in both men and women in citing the United States. The American Cancer Society's estimates for parismail, the number of colorectal cancer cases in the United States for 2014 are: 96,830 new cases of colon cancer 40,000 new cases of rectal cancer. Source: American Cancer Society, Cancer Facts Figures 2014. What are the Colorectal Cancer screening options?
Talk to your doctor about what colorectal screening tests are right for in essay citing, you. Guidelines from the American College of Gastroenterology distinguish between colorectal cancer prevention tests and colorectal cancer detection tests. According to ACG, prevention tests are preferred over detection tests. Preferred Colorectal Cancer Prevention Test: Colonoscopy. Colonoscopy every 10 years is the preferred colorectal cancer prevention test. For normal risk individuals, the American College of Gastroenterology recommends colonoscopy beginning at age 50, and age 45 for African Americans. Preferred Cancer Detection Test: Fecal Immunochemical Test (FIT) Annual fecal immunochemical testing is the preferred colorectal cancer detection test. FIT is create book a relatively new test that detects hidden blood in in essay citing the stool.
If results are positive, a colonoscopy is performed. CT Colonography every 5 years. CT Colonography is an X-ray designed to look for colon polyps and cancers. CTC every 5 years is an alternative to steps to writing essay colonoscopy for patients who decline colonoscopy. Citing. If polyps are detected, a regular colonoscopy is required to remove these pre-cancerous growths. While CTC is good at detecting polyps larger than 1 centimeter in size, CTC is not equivalent to colonoscopy because it is unreliable at detecting smaller polyps, which constitute 80 percent of growths in the colon. Flexible Sigmoidoscopy every 5 to 10 years.
Annual Hemoccult ® Sensa ® Fecal DNA Testing every 3 Years. Most early colorectal cancers produce no symptoms. This is write why screening for colorectal cancer is so important. Citing. Symptoms of colorectal cancer vary depending on the location of the cancer within the colon or rectum, though there may be no symptoms at all. The prognosis tends to be worse in symptomatic as compared to asymptomatic individuals. The most common presenting symptom of colorectal cancer is steps to writing a university rectal bleeding. In Essay Citing. Cancers arising from the left side of the colon generally cause bleeding, or in their late stages may cause constipation, abdominal pain, and obstructive symptoms. On the other hand, right-sided colon lesions may produce vague abdominal aching, but are unlikely to parismail present with obstruction or altered bowel habit.
Other symptoms such as weakness, weight loss, or anemia resulting from chronic blood loss may accompany cancer of the right side of the colon. You should promptly see your doctor when you experience any of in essay these symptoms. Remember to promptly see your doctor if you experience any of these symptoms: New onset of abdominal pain Blood in or on the stool A change in stool caliber or shape A change in typical bowel habits, constipation, diarrhea. Adenomas can grow for years and transform into cancer without producing any symptoms. By the time symptoms develop, it is often too late to uwaterloo cfm ethesis_id 1124 cure the cancer, because it may have spread. Screening identifies cancers earlier and actually results in cancer prevention when it leads to removal of adenomas (pre-cancerous polyps). The cause of colorectal cancer in in essay most cases is unclear. However, most colorectal cancers develop from polyps, which are abnormal growths in the colon. If polyps grow unnoticed and are not removed, they may become cancerous.
Screening tests can find precancerous polyps so they can be removed before they turn into cancer. R12 Resume. The development of more than 75-90 percent of colorectal cancer can be avoided through early detection and removal of pre-cancerous polyps. Everyone age 50 and older . The average age to develop colorectal cancer is 70 years, and 93% of cases occur in persons 50 years of age or older. Current recommendations are to begin screening at age 50 if there are no risk factors other than age for colorectal cancers. A person whose only risk factor is their age is in essay citing said to be at average risk.
Men and women Men tend to resume get colorectal cancer at an earlier age than women, but women live longer so they 'catch up' with men and thus the in essay total number of cases in men and women is 1124 equal. Anyone with a family history of colorectal cancer . If a person has a history of two or more first-degree relatives (parent, sibling, or child) with colorectal cancer, or any first-degree relatives diagnosed under age 60, the in essay citing overall colorectal cancer risk is ru three to six times higher than that of the general population. For those with one first-degree relative diagnosed with colorectal cancer at age 60 or older, there is an approximate two times greater risk of colon cancer than that observed in the general population. Special screening programs are used for those with a family history of colorectal cancer. In Essay. A well-documented family history of adenomas is also an important risk factor. Anyone with a personal history of colorectal cancer or adenomas at to writing essay, any age, or cancer of endometrium (uterus) or ovary diagnosed before age 50. Persons who have had colorectal cancer or adenomas removed are at increased risk of developing additional adenomas or cancers. Women diagnosed with uterine or ovarian cancer before age 50 are at in essay, increased risk of report colorectal cancer.
These groups should be checked by in essay citing, colonoscopy at regular intervals, usually every 3 to etheses ca display cfm ethesis_id 1124 5 years. Woman with a personal history of breast cancer have only a very slight increase in in essay citing risk of colorectal cancer. African Americans are diagnosed with colorectal cancer at a younger age than other ethnic groups, and African Americans with colorectal cancer have decreased survival compared with other ethnic groups. Guidelines from the American College of Gastroenterology recommend that African Americans begin colorectal cancer screening at age 45 rather than 50 years. Data support the recommendation that African Americans should begin screening at a younger age because of the higher incidence of colorectal cancer and a greater prevalence of proximal or right-sided polyps and cancer in this population. The strategy for reducing colorectal cancer deaths is simple—CRC screening. For normal risk individuals, screening tests begin at age 50 and the preferred approach is a screening colonoscopy every 10 years; an alternate strategy consists of annual stool test for blood and a flexible sigmoidoscopic exam every 3 to 5 years. Parismail. African Americans should begin colorectal cancer screening at age 45 rather than 50 years. Colonoscopic surveillance (also called screening colonoscopy) needs to be available at in essay citing, more frequent intervals for individuals at high risk for colon cancer (for instance, those with a personal history of book colorectal cancer or adenomatous polyps; family history of colorectal cancer; non-hereditary polyposis; colorectal cancer; or a pre-disposing condition such as inflammatory bowel disease. (Medicare provides for surveillance colonoscopy no more frequently than once every two years for those at in essay, high risk.) For both average and high risk individuals, all potential pre-cancerous polyps must be removed. Recent observations suggest regular use of non-steroidal anti-inflammatory drugs or aspirin, reduce the chances of how to write colorectal cancer death by in essay, 30-50%.
These drugs also have risks, particularly intestinal bleeding, and write appeal, patients should consult their physician as to whether regular use of these agents is appropriate. In Essay Citing. Folate, calcium, and post-menopausal estrogens each have a modest protective benefit against colon cancer. A high fiber (vegetables) and low fat diet, regular exercise, maintenance of normal body weight and cessation of smoking are also beneficial. None of the measures is as effective as or should replace colorectal cancer screening. Colorectal Cancer Screening Options. Talk to to writing essay your doctor about citing what colorectal screening tests are right for you.
Guidelines from the American College of Gastroenterology distinguish between colorectal cancer prevention tests and colorectal cancer detection tests. According to etheses cfm ethesis_id ACG, prevention tests are preferred over detection tests. Preferred Colorectal Cancer Prevention Test: Colonoscopy. Colonoscopy every 10 years is the in essay preferred colorectal cancer prevention test. For normal risk individuals, the American College of online Gastroenterology recommends colonoscopy beginning at age 50, and age 45 for African Americans. Preferred Cancer Detection Test: Fecal Immunochemical Test (FIT) Annual fecal immunochemical testing is the in essay citing preferred colorectal cancer detection test. Create Report. FIT is in essay a relatively new test that detects hidden blood in the stool. R12 Resume. If results are positive, a colonoscopy is performed.
CT Colonography every 5 years. CT Colonography is an X-ray designed to look for in essay, colon polyps and cancers. CTC every 5 years is an alternative to colonoscopy for patients who decline colonoscopy. If polyps are detected, a regular colonoscopy is report online required to remove these pre-cancerous growths. In Essay Citing. While CTC is good at detecting polyps larger than 1 centimeter in size, CTC is ged essay not equivalent to colonoscopy because it is unreliable at detecting smaller polyps, which constitute 80 percent of in essay citing growths in the colon. Flexible Sigmoidoscopy every 5 to 10 years. Annual Hemoccult ® Sensa ® Fecal DNA Testing every 3 Years. Please see National Cancer Institute resource pages:
Colonoscopy is a procedure which enables a physician (usually a gastroenterologist) to directly image and examine the entire colon. It is resume parismail ru effective in the diagnosis and/or evaluation of various GI disorders (e.g. colon polyps, colon cancer, diverticulosis, inflammatory bowel disease, bleeding, change in bowel habits, abdominal pain, obstruction and in essay citing, abnormal x-rays or CT scans) as well as in providing therapy (for example, removal of polyps or control of bleeding). It is also used for etheses uwaterloo cfm ethesis_id, screening for colon cancer. A key advantage of this technique is that it allows both imaging of abnormal findings and also therapy or removal of these lesions during the same examination. This procedure is particularly helpful for identification and removal of precancerous polyps. A colonoscope is a flexible and in essay, steerable instrument to evaluate the entire colon (large intestine). The large intestine is approximately 3 – 4 feet long. R12 Resume. A colonoscope is engineered such that biopsies of suspicious areas can be obtained, and polyps (which may turn into cancer) can be removed. Your lifetime risk (defined as life to 85 years old) is approximately 6% (male or female).
Your risk is roughly doubled if one (1) first degree relative (parent, sibling or child) had colon cancer or polyps after age 50, and is higher if the cancer or polyps were diagnosed at a younger age or if more members of your family are affected. Certain inherited disorders, for example, polyposis syndromes and hereditary non-polyposis colorectal cancer, can increase your risk of in essay citing developing colon cancer, but those are rare. Other important risk factors include obesity, cigarette smoking, inflammatory conditions in the colon such as Crohn’s, colitis and ulcerative colitis, and excessive alcohol consumption. Your doctor is in the best position to discuss whether your personal or family history suggests one of those conditions. Yes. R12 Resume. Colonoscopy accomplishes this by in essay citing, detecting and removing polyps, and detecting early cancers. Recent data show that both the number of new cases of colon cancer (incidence) and deaths from the etheses uwaterloo ca display disease are decreased when colonoscopy is performed according to in essay established guidelines (see Question 11). The most common reason patients cite for not getting a colonoscopy is that their doctor did not discuss it with them. R12 Resume. The next most common reason is fear or avoidance of the preparation (“prep”), which involves taking a laxative which causes temporary diarrhea for several hours. In addition, many people are simply unaware that they need colon cancer screening.
This is an important obstacle in the eyes of citing many patients to getting a colonoscopy, but it need not be! There are a variety of preparation methods for colonoscopy ranging from liquids (of varying quantity) with or without enemas, to pills, which rid your colon of feces. A clean colon is essential to allow for etheses uwaterloo ca display, a careful examination for polyps or other abnormalities. Citing. Your doctor can discuss and steps essay, prescribe the most appropriate preparation method for in essay, you, taking into account various factors such as your age, personal preferences, kidney function and physical stamina. The most popular preparation used for colonoscopy involves drinking a volume of solution of score polyethylene glycol (PEG). Citing. This solution causes a diarrhea that effectively rids the colon of its contents. Various fruit flavors are available and etheses uwaterloo ca display cfm ethesis_id, patients have several hours to in essay drink it.
Usually a patient will have clear liquids the day of the preparation (day before the colonoscopy) and then take half of the etheses uwaterloo cfm ethesis_id 1124 prep in the late afternoon or that evening. The other half is done approximately 5 hours before coming in for in essay citing, the test the following day. Patients are encouraged to drink a lot of fluids and to continue clear liquids up until 2 hours before their scheduled procedure. Before going to bed, many doctors also prescribe a laxative pill (e.g. Dulcolax®) that helps with the evacuation process.
Smaller volumes of solution (e.g. MoviPrep®, HalfLytely®) or pill preparations (e.g. OsmoPrep®) have also recently become available with similarly good outcomes to PEG for people who dread the etheses cfm ethesis_id 1124 thought of in essay citing large volumes of liquid. Another preparation involves a phosphate solution (called Fleet® Phospho-soda) which consists of two (2) rounds of phosphate rich liquid of 45ml each the night before and day of the exam. Uwaterloo Ca Display Cfm Ethesis_id. It is essential to drink at in essay citing, least 2 quarts of water with these preps to replace losses. Steps Essay. Alternatively, a phosphate tablet preparation of about 30 pills is available and in essay, is also very effective for steps to writing a university, colon cleansing and is preferred by citing, some patients. This preparation also requires that you drink at least 2 quarts of water to replace losses. Phospho-soda® prep should be avoided in patients with significant heart or kidney problems, in elderly patients who have difficulty maintaining hydration and with caution in r12 resume patients with significant liver problems.
The best method of colonic preparation should be discussed with the gastroenterologist so that a method that suits the patient’s preference may be selected. No, colonoscopy is usually not painful! Almost all colonoscopies can be performed using “intravenous sedation” or “twilight sedation” in which you are very drowsy, but comfortable and still breathing on your own. In Essay Citing. The most common type of sedation also has a mild amnesiac effect, so most patients do not even remember the procedure! Your doctor can discuss with you the best form of sedation to suit your needs. Medicare (and most third party payers) will pay for colonoscopy for appeal, colon cancer screening, thanks to in essay the hard work of advocacy groups and how to appeal, the efforts of national organizations such as the American College of Gastroenterology (ACG). Regrettably, a recent study showed a low compliance rate for screening (less than 30%) among Medicare patients.
Yes, but potential complications are associated with virtually every form of testing done in medicine. Clearly, colonoscopy has been found to be extremely safe when performed by a well trained physician such as a gastroenterologist. Although quite rare, most complications are related to sedation administration (cardiac and respiratory problems); the colon may also become partially torn (perforated) and this may require surgery. Rarely, bleeding from polyp removal or from the procedure itself may require additional treatment such as hospitalization and/or blood transfusions. As one reads about these procedures, the in essay citing reader should weigh these low risks against the far more frequent complication of developing colon cancer if appropriate testing is NOT done. If you have no colorectal symptoms, family history of colon cancer, polyps or inflammatory bowel disease you should have your first exam at age 50 whether you are a man or a woman since colon cancer affects both EQUALLY! Recent evidence suggests that African Americans should begin screening earlier at the age of 45. If one or more first degree relative (parent, sibling or child) has had a precancerous polyp or colon cancer, the general guideline is to begin colon cancer screening 10 years younger than the youngest age of the family member with colon cancer, or age 40, whichever is younger.
There are additional guidelines for suspected or confirmed rare syndromes, and you should discuss these options with your doctor. For patients with ulcerative colitis involving the entire colon and patients with Crohn’s disease, screening for colon cancer should begin 8 – 10 years after the initial diagnosis is resume parismail ru made. Questions and Answers about Quality in Colonoscopy. Although colonoscopy has been available in clinical practice for more than 40 years, only in the past 15 years has awareness developed that the success of colonoscopy in in essay preventing colorectal cancer and minimizing complications is very dependent on the skill and competence of the how to appeal colonoscopist. In Essay Citing. Colonoscopists differ substantially in the number of precancerous polyps they detect during colonoscopy and in how often they perform colonoscopy in response to both normal and abnormal findings. Awareness of these differences led the U.S. Multisociety Task Force on Colorectal Cancer in 2002, as well as a joint task force of r12 resume experts from the in essay American College of Gastroenterology and American Society of r12 resume Gastrointestinal Endoscopy in 2006, to propose quality indicators that colonoscopists can use to measure how effectively and safely they perform colonoscopy. Obviously, patients have an interest in undergoing the most effective and safe colonoscopy possible, and achieving these goals requires a colonoscopist who is committed to high quality. Studies have shown average performance of citing colonoscopy by gastroenterologists to ged essay be superior to that of primary care physicians in three different areas of colonoscopy performance.
First, three population-based studies have found that gastroenterologists performing colonoscopy are less likely to miss colorectal cancer than are primary care physicians who perform colonoscopy. This may reflect the more extensive training that gastroenterologists receive in this procedure and their higher volumes of in essay colonoscopy in practice. Score. Second, gastroenterologists’ patients are less likely to incur serious complications during colonoscopy, such as perforation or making a hole in citing the colon, compared to primary care physicians. Third, gastroenterologists are less likely than both primary care physicians and etheses, general surgeons to perform colonoscopy at intervals that are considered too short according to current guidelines. Whether this difference reflects a lack of confidence among primary care physicians and general surgeons in the quality of their colonoscopy or lack of in essay awareness of create book current guidelines is unknown. Even though gastroenterologists have on average the highest level of training and their examinations have been shown on average to be superior to primary care physicians, there is considerable variation among gastroenterologists in their detection rates of precancerous polyps. Therefore, it is essential that every colonoscopist, regardless of specialty, makes measurements to establish that their examinations are effective. It is in essay very reasonable and appropriate for patients to ask questions of their colonoscopist about whether quality measurements are being made and resume parismail, their results.
The measurement that best reflects how carefully colonoscopy is performed is a doctor’s adenoma detection rate. Citing. This rate is ged essay score defined as the percentage of patients age 50 and older undergoing screening colonoscopy, who have one or more precancerous polyps detected. This rate should be at in essay, least 25% in men and 15% in women. A secondary measure of careful examination is that doctors should have an average withdrawal time of at report, least six minutes. The withdrawal time is the time it takes to remove the scope from the colon.
This interval is citing important because this is the phase of colonoscopy when most doctors actually examine the colon systematically for etheses uwaterloo cfm ethesis_id, polyps. It is perfectly reasonable to expect doctors to have measured their adenoma detection rate and to in essay citing record their withdrawal time. It is also reasonable to ask for a copy of the colonoscopy report that documents that the colonoscope was advanced to the very beginning of the colon and that the landmarks of that portion of the colon (called the cecum) have been documented by notation in the report and by photography. Colonoscopy is a video examination of the colon. The video camera and r12 resume, the colonoscope, like any other video camera, cannot see through solids. Therefore, the colon must be thoroughly cleansed to provide the doctor the citing best opportunity possible for etheses uwaterloo, a thorough and detailed examination.Be sure to pick up and read your written bowel preparation instructions at least several days before your colonoscopy. Go over in essay, the instructions and make sure you have all of the materials needed to ca display 1124 complete the citing preparation.The most effective bowel preparations involve split dosing of the laxatives, in which half of the r12 resume preparation is taken on the morning of the examination, usually 4 to 5 hours before the time of the in essay scheduled colonoscopy, and completed at least 2 to 3 hours before that time. If you are scheduled at 7 or 8 in the morning, this will mean getting up very early to essay take the citing second half of the preparation. If the instructions call for split dosing, do not alter the resume ru timing of the doses. It is worth the citing inconvenience of resume ru getting up in the middle of the night to make sure that you have a very effective preparation. The timing of the citing second dose in parismail ru relationship to the colonoscopy is critical.
If too long an interval is in essay allowed between the end of the second half of the how to write preparation and the timing of the in essay colonoscopy, mucus and secretions will come out of the small intestine and stick to steps to writing essay the cecum and in essay citing, right colon. To ensure an effective and safe colonoscopic examination, find a well-trained colonoscopist who is committed to making quality measurements. It is fair to ask the appeal colonoscopist to be sure to do a slow and careful examination and to provide a copy of the report that documents and photographs the complete extent of examination. Take the bowel preparation instructions seriously. Citing. Pick up the written instructions early, read them early, and follow them carefully. When colonoscopy is done carefully and to writing a university, with an effective preparation, it is a very powerful cancer prevention technique. Your Doctor has Ordered a Colonoscopy: What Questions Should You Ask? A Gastroenterologist is in essay a specialist in gastrointestinal diseases and has received special training in colonoscopy.
Gastroenterologists perform more colonoscopies by far than any other specialty. Non-gastroenterologists are five times more likely to resume parismail miss colorectal cancer during colonoscopy than Gastroenterologists. 1. 1 Rex DK, Rahmani E, Haseman JH, et al. Relative sensitivity of colonoscopy and barium enema.
Proper training in colonoscopy is necessary not only to increase the chance that the procedure can be completed and any necessary treatments applied, but also to in essay be sure that abnormal results can be properly interpreted. The American Society for steps a university essay, Gastrointestinal Endoscopy recommends that persons performing colonoscopy complete a fellowship program in gastroenterology or receive training in colonoscopy during a surgical residency. How many perforations has the in essay citing doctor had? Many Gastroenterologists have performed many thousands of colonoscopies. A colonoscopist should know the ged essay sheet rate at which their procedures have been associated with a perforation or making a hole in the colon. This rate should certainly be below 1 in 500 examinations and many experts have rates of perforation well below 1 in 1000. Experienced colonoscopists reach the very beginning of the in essay citing large intestine (the cecum) in more than 90% of r12 resume cases and in more than 95% of patients who are undergoing screening. In Essay. Screening is the process of checking people who have no symptoms for colon polyps and cancer. Persons performing colonoscopy must be trained in the removal of polyps. Although even Gastroenterologists may refer a patient with a large polyp to a special expert in the removal of polyps, a trained colonoscopist can remove the overwhelming majority of routine polyps. A Gastroenterologist is a physician with dedicated training management of diseases of the gastrointestinal tract and liver.
Gastroenterology is the study of the normal function and diseases of the esophagus, stomach, small intestine, colon and how to write appeal, rectum, pancreas, gallbladder, bile ducts and liver. It involves a detailed understanding of the normal action (physiology) of the in essay citing gastrointestinal organs including the movement of material through the stomach and intestine (motility), the digestion and absorption of nutrients into the body, removal of waste from the system, and the function of the liver as a digestive organ. It includes common and important conditions such as colon polyps and etheses uwaterloo ca display cfm ethesis_id 1124, cancer, hepatitis, gastroesophageal reflux (heartburn), peptic ulcer disease, colitis, gallbladder and biliary tract disease, nutritional problems, Irritable Bowel Syndrome (IBS), and pancreatitis. In essence, all normal activity and disease of the digestive organs is part of the study of Gastroenterology. A Gastroenterologist must first complete a three-year Internal Medicine residency and is then eligible for additional specialized training (fellowship) in Gastroenterology.
This fellowship is generally 2-3 years long so by the time Gastroenterologists have completed their training, they have had 5-6 years of additional specialized education following medical school. Gastroenterology fellowship training is an citing intense, rigorous program where future Gastroenterologists learn directly from nationally recognized experts in the field and develop a detailed understanding of gastrointestinal diseases. They learn how to evaluate patients with gastrointestinal complaints, treat a broad range of conditions, and provide recommendations to maintain health and prevent disease. They learn to care for patients in the office as well as in the hospital. Gastroenterologists also receive dedicated training in endoscopy (upper endoscopy, sigmoidoscopy, and score sheet, colonoscopy) by in essay citing, expert instructors. Endoscopy is the use of narrow, flexible lighted tubes with built-in video cameras, to visualize the inside of the intestinal tract.
This specialized training includes detailed and intensive study of how and when to perform endoscopy, optimal methods to complete these tests safely and effectively, and the use of sedating medications to ensure the comfort and safety of patients. Gastroenterology trainees also learn how to perform advanced endoscopic procedures such as polypectomy (removalof colon polyps), esophageal and intestinal dilation (stretching of narrowed areas), and hemostasis (injection or cautery to stop bleeding). Importantly, Gastroenterologists learn how to properly interpret the findings and biopsy results of these studies in order to make appropriate recommendations to treat conditions and/or prevent cancer. Some Gastroenterologists also receive directed training in advanced procedures using endoscopes such as endoscopic biliary examination (endoscopic retrograde cholangiopancreatography or ERCP), removal of tumors without surgery (endoscopic mucosal resection or EMR), placement of internal drainage tubes (stents) and endoscopic ultrasound (EUS). This provides them with the training necessary to non-surgically remove stones in the bile ducts, evaluate and treat tumors of the gastrointestinal tract and liver, and provide minimally invasive alternatives to surgery for some patients. The most critical emphasis during the training period is attention to detail and incorporation of parismail their comprehensive knowledge of the citing entire gastrointestinal tract to provide the highest quality endoscopy and consultative services. The final product is a highly trained specialist with a unique combination of broad scientific knowledge, general Internal Medicine training, superior endoscopic skills and experience, and the ability to integrate these elements to online provide optimal health care for in essay citing, patients. This advanced fellowship training is overseen by national societies committed to ensuring high quality and uniform education. These groups include the American Board of Internal Medicine, the American College of Gastroenterology, the American Gastroenterological Association, and the American Society for Gastrointestinal Endoscopy. These groups carefully scrutinize the educational experience of each program to ensure that every Gastroenterology trainee receives the highest quality training. Once fellows successfully complete their training they are considered “Board Eligible.” They are then qualified to take the Gastroenterology board certification test administered by the American Board of Internal Medicine.
Once they have successfully completed this examination they are “Board Certified.” Some Gastroenterologists receive special recognition from national societies when they demonstrate extraordinary achievement in write research, teaching, or other unique service to the field of Gastroenterology. The American College of Gastroenterology and in essay, the American College of Physicians designate such physicians as “Fellows” and score, the suffixes FACG and FACP are added to denote these honors. This means that these physicians have fulfilled the respective organizations’ rigorous requirements to gain this added distinction. The unique training that Gastroenterologists complete provides them with the ability to provide high quality, comprehensive care for in essay citing, patients with a wide variety of gastrointestinal ailments. Gastroenterologists perform the bulk of research involving gastrointestinal endoscopic procedures as well as the interpretation of results, and are considered experts in the field. Studies have shown that Gastroenterologists perform higher quality colonoscopy examinations and report online, comprehensive consultative services when compared to other physicians. This translates into more accurate detection of polyps and cancer by citing, colonoscopy when performed by write, Gastroenterologists, fewer complications from citing, procedures and fewer days in the hospital for many gastrointestinal conditions managed by trained gastroenterology specialists.
It is this ability to provide more complete, accurate, and thorough care for patients with gastrointestinal conditions, which distinguishes Gastroenterologists from other physicians that provide some similar services. Colorectal Cancer Awareness Audio QA Podcast Series. ACG continues its Colorectal Cancer Awareness QA Podcast Series this year featuring a more informal discussion format with physician experts answering some of the most common questions about colorectal cancer. New this year—two of the podcasts also feature patients and provide a more in-depth look at the risk factors related to colorectal cancer, including family history, Lynch Syndrome, and resume, the special concerns of African Americans. A third podcast helps make sense of conflicting media reports about the various screening options with the latest expert insight so you can gain a better understanding of the benefits and limitations of each test—and decide with your doctor which test is in essay right for you or loved one. Previous podcasts include common questions about colorectal cancer screening, what to expect during colonoscopy and etheses, how to get the highest quality exam. Learn why colonoscopy is ACG’s preferred screening strategy, how to decipher fact from fiction when it comes to bowel preps, and more, from ACG physicians in in essay citing these insightful audio QAs. Colonoscopy Bowel Prep—Myths Realities - Jack A. Di Palma, MD, FACG. Colorectal Cancer Risk Factors Screening - Carol A. Burke, MD, FACG.
Colorectal Cancer Screening Options - Douglas K. Rex, MD, FACG. Colorectal Cancer Screening: Navigating the Options - Mark B. Pochapin, MD, FACG. Colorectal Cancer and sheet, African Americans - Fritz Francois, MD, MSc, FACG. Early Accurate Detection of Colon Polyps: Impact on Survival - Roy K.H. Wong, MD, FACG. Family History, Lynch Syndrome and in essay citing, Other Colorectal Cancer Risk Factors - Carol A. Burke, MD, FACG. How to Ensure You Get a Quality Colorectal Exam - David A. Johnson, MD, FACG. Importance of Colorectal Cancer Screening - Philip O. Katz, MD, FACG. Risk Factors Recommendations for African Americans - A. Steven McIntosh, MD, FACG.
What to Expect from Colonoscopy - Immanuel K.H. Ho, MD, FACG. Find an ACG member gastroenterologist with a specialized interest in liver disease.