Hi how are u? What’s ur fav color? Fav hobby?
OBJECTIVES: To analyze the occurrence and types of neoplasias that have developed in patients submitted to orthotopic heart transplantation in the Cardiac Transplantation Program of the Paulista School of Medicine, Federal University of São Paulo.
METHODS: The present study presents an observational analysis of 106 patients submitted to orthotopic heart transplantation from November 1986 to September 2002, who survived for more than 30 days after the procedure. The immunosuppressive regimen consisted of triple therapy with cyclosporin A, azathioprine and corticosteroid. Only two patients received, in addition to triple therapy, the addition of orthoclone OKT-3. The mean follow-up period was 61.4 months. (variation from two months to 192 months).
RESULTS: Twenty-three patients (21.3%) developed neoplasias, of which 56.5% had skin neoplasms, 30.1% had solid tumors and 13.4% had post-transplantation lymphoproliferative disease (PTLD). The mean interval between transplantation and the diagnosis of neoplasia was: skin - 54.9 months, solid tumors - 24.8 months and DLPT - 70.3 months.
CONCLUSIONS: The occurrence of malignant neoplasms was relatively common in the analyzed population. Skin cancer prevailed in relation to other neoplasms and solid tumors were more diagnosed than lymphoproliferative diseases in this series of patients.
From my previous ans to ur Q last week:
Daisy is the ultimate status symbol; at least for Gatsby she is. In a way, she IS the American Dream. W<span>hen Daisy and Gatsby reunite and begin an affair, it seems like Gatsby could in fact achieve his goal.
But </span>Daisy refuses to leave Tom and Gatsby is killed by George. With the “strivers” all dead, the old money crowd is safe again. <span>Daisy was born with money and does not need to strive for great wealth or other far-off things from the American Dream.
</span>Nick describes Daisy as “High in a white palace the king’s daughter, the golden girl,” literally considering Daisy as a prize. He also pessimistically says, “you can’t repeat the past”, implying there is but a small window for certain dreams. The dreams cannot be achieved once the window is closed.
Nick is not happy with his family’s respectable fortune and his girlfriend out west. At the end, <span>Nick sadly meditates on the lost promise of the American Dream
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The part on Nick was a little thin - as Nick explains in the book, the American dream was originally about discovery, individualism, and the pursuit of happiness. It has been corrupted by <span>easy money and relaxed social values. Nick</span><span> realized after Gatsby's death: the dream was also about learning from the past.
"On Nick’s last night in the East, he walks over to Gatsby’s mansion. Nick looks out along the beach and wonders what this land was like long ago-when it was a new and unspoiled world. Nick sees the green light. The green light represents the dream. The pure dream that Gatsby had. The purity of the American Dream is something that is in our past. The past of our nation, and in the innocence of our youth.
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Nick realizes that what Gatsby had was the sense of unlimited promise. He possessed The American Dream. An older and wiser Nick returns to the Midwest."
