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PTSD (ie, avoidant symptoms, intrusive symptoms), rather than on the diagnosis of PTSD per se Suicide Reports of suicide in cancer patients vary widely (Breitbart & Krivo, 1998), ranging from estimates suggesting that it is similar to the general population (Fox, Stanek, Boyd, & Flannery, 1982) to estimates indicating that it is 2 to 10 times greater (eg, Whitlock, 1978) Holland (1982) suggests that reports of suicide in cancer patients are probably greatly underestimated because of the family s reluctance to report death by suicide The risk for suicide may be greater in the advanced stages of the illness (Chochinov, Wilson, Enns, & Lander, 1998) and with patients experiencing signi cant fatigue (Breitbart, 1987) Some evidence indicates that suicide is also more prevalent among patients with oral, pharyngeal, and lung cancers (eg, Valente, Saunders, & Cohen, 1994).



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There are also periods during the course of the disease when patients may be at an increased risk for suicide These include periods of hospitalization, immediately after discharge, and at the time of recurrence and/or treatment failure (Passik & Breitbart, 1996) However, it is important to recognize that suicide risk in patients with cancer may be at its highest after successful treatment or as a person s depression lifts As depression and hopelessness have been found to be causally linked to suicide (Beck, Kovacs, & Weissman, 1975), the degree to which cancer patients experience such feelings may increase their vulnerability to suicide In fact, hopelessness has been found to be a better predictor of completed suicide than depression alone (Beck et al, 1975) In addition, the fear of death or of recurrence of cancer may develop into suicidal ideation (Valente et al, 1994).





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Free PDF editors to let you split and merge PDFs without paying for premium software
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Delirium Delirium is a common psychiatric problem among cancer patients because of the direct effects of cancer on the central nervous system (CNS) and the indirect CNS complications of the disease and medical treatment Delirium can often go unrecognized because it mimics depression (Massie & Holland, 1987) Symptoms consist of agitation, impaired cognitive function, altered attention span, and a uctuating level of consciousness Delirium can be attributed to medications, electrolyte imbalance, failure of a vital organ or system, nutritional state, infections, vascular complications, or hormone-producing tumors (Breitbart & Cohen, 1998) Estimates of the prevalence of delirium in cancer patients range from 8% to 40% (Derogatis et al, 1983) Those at an increased.

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Using this information, answer each of the following questions and explain your answer. A simple yes, no, more, less, or maybe won t do! A comment is required in each case. a. Are current assets in relation to current liabilities increasing or decreasing b. Is the restaurant becoming more or less efficient in the collection of its credit card receivables c. Is the restaurant becoming more or less efficient in the collection of its accounts receivable d. Over the three-year period, has more or less money been tied up in food inventory e. With the stockholders viewpoint in mind, is profitability improving or not improving f. If the restaurant needed to borrow capital through long-term debt, would it be easier to find a lender now than three years ago

Database Environment (DBE) A collection of one or more DBs along with any software providing at least the minimum set of required data operations and management facilities Distributed Database Environment (DDBE) A collection of one or more DBs along with any software providing at least the minimum set of required data operations and management facilities capable of supporting distributed data A DDBE can also be a collection of dispersed software services or components that control access to, and modi cation of, data in a database Distributed Database Management System (DDBMS) A term with two interpretations: it either refers to a speci c DDBE environment that is built top down, or to a generic environment we will refer to as a DDBE instead Export Schema A portion of a database schema that a DBA shares with the systems outside the DBA s control.

Federated Database (FDB) A speci c DDBE that is built bottom up Global Conceptual Schema (GCS) An integration of schemas from two or more databases local conceptual schemas Global Data Dictionary (GDD) The portion of global conceptual schema that contains dictionary information such as table name, column names, or view names Global Transaction Manager (GTM) A service or component that handles transactions that need to access data on multiple data sources Linked Table A table that resides outside the Microsoft Access DBMS and is accessible from within Access Local Conceptual Schema The conceptual schema of a system that pertains to the data inside the local system Local Transaction Manager (LTM) A transaction manager that only handles a local transaction Multidatabase (MDB) A DDBE that consists of a number of existing and possibly heterogeneous DBEs.

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