Saturday, November 9, 2019

Nuclear Fusion vs. Nuclear Fission

This paper entitled â€Å"Nuclear Fusion vs. Nuclear Fission† intends to compare and contrast nuclear fusion and nuclear fission. It aims to provide the definition of nuclear fusion and immediately describe nuclear fission as well. It also plans to briefly discuss how it occurs and what is necessitated for the nuclear fusion and nuclear fission to occur. Finally, it aspires to mention the advantages that nuclear fusion and nuclear fission may bring in later. Definition Nuclear fusion is technically defined as â€Å"the occurrence where two atomic nuclei amalgamate† (Wikipedia n.p.). Such joining occurs in all the stars, of course, including the Sun (Wikipedia n.p.). If it does not happen then we will not experience warmth and we will forever be in the dark (Wikipedia n.p.). On the other hand, nuclear fission is technically defined as â€Å"the course of action of breaking up atoms† (Wikipedia n.p.). If such an action is quite difficult to understand, try to imagine countless balls on the floor, cluttered, however, appearing to form a circle, if an individual throws in another ball, surely, the aforementioned circle will become more disorderly and will soar in all directions (Wikipedia n.p.). The circle is actually a representation of the nucleus and the ball thrown by the individual is considered as the â€Å"neutron bullet† (Wikipedia n.p.). Requirement for its Occurrence Furthermore, for a nuclear fusion to take place, exceptionally high energies are considered necessary to combine the nuclei collectively (Wikipedia n.p.). This is very much necessitated to prevail over the coulomb barrier involving two nuclei which are positively charged (Wikipedia n.p.). This will enable extreme closeness that will produce a physically powerful nuclear force that will connect or fasten or join the nuclei (Wikipedia n.p.). In stars, nuclear fusion happens without difficulty because there is the existence of elevated density and high temperature (Wikipedia n.p.). In fact, it has a range or approximately 10-15 meters (Wikipedia n.p.). On the other hand, for a nuclear fission to take place, we will need a neutron to trigger the aforementioned (Wikipedia n.p.). It is very important that a ball or a neutron bullet and not another kind be thrown at the circle or the atomic nucleus (Wikipedia n.p.). This is simply because if otherwise, the ball would not reach the target at all since the nucleus is positively charged just like the ball (Wikipedia n.p.). What will happen then is that they nucleus and the ball will repel each other (Wikipedia n.p.). That’s why, again, only a neutron will not get repelled and so it contributes largely to the possibility of a nuclear fission to take place (Wikipedia n.p.). Advantages Moreover, in terms of advantages, in nuclear fusion, the amount of fusion that can occur is actually unlimited (Wikipedia n.p.). In addition to that, source of fuel is immeasurable and inexhaustible because of the Deuterium that comes from the seas (Wikipedia n.p.). Furthermore, in nuclear fusion, we don’t have to worry too much about reactor accidents that may take place because of the fact that a very small amount of fuel is involved in it (Wikipedia n.p.). Also, it produces inexpensive fuel (Wikipedia n.p.). It also produces electricity safely (Wikipedia n.p.). The reactor materials involved, as well as, the unburned fuel may possibly be recycled as well (Wikipedia n.p.). Yet another very essential advantage is the absence of greenhouse effect (Wikipedia n.p.). Last but not least, in nuclear fusion, the waste products coming from it are much less radioactive, thus easier to manage (Wikipedia n.p.). On the other hand, in nuclear fission, the amount of fission that may occur is limited (Wikipedia n.p.). In addition to that, in nuclear fission, the waste products are much more radioactive, thus more difficult to take care of (Wikipedia n.p.). References Wikipedia. Nuclear Fusion. 21 April 2007. Wikimedia Foundation, Inc. 22 April 2007 http://en.wikipedia.org/wiki/Nuclear_fusion                        

Thursday, November 7, 2019

Go Ask Alice1 essays

Go Ask Alice1 essays I read the book, Go Ask Alice. The author was anonymous. The main character was a girl, and her name was not mentioned. It was written as a diary. I thought that this book was very interesting because it was true; it is based on an actual diary of a fifteen-year-old drug user. In the beginning, she has a break up with her boyfriend and is anorexic. She eats very little. She overcomes that obstacle though. The girl moves because her father gets a job at a university as a professor. She moves with her father, mother, brother Tim and her sister Alex. She has a hard time fitting in at her new school. She hates it. One day though, she meets a girl named Beth. Beth and she talk about boys and drugs, and how they hope never to do them. Beth goes away to a Jewish camp, and when Beth returns, she has a boyfriend, and is able to spend less time with the main character. While Beth was at summer camp, the main character went to her grandparents. There, unintentionally, she tried drugs. She tried Speed and she liked it a lot. Once she went back home, she became friends with a girl named Chris. They get a job together, and do a lot of drugs together. Her parents are extremely upset with her. From then on, things just became worse and worse. Everything goes down hill. She begins to do worse drugs, and other things the she said at the beginning of the book were wrong. She ends up running away twice and that is only the beginning of it. So many things happened in this girl's life. I thought the book was boring in the beginning, only because there was no real problem. As the book continued though, I just got more and more into it. The best part of the book was probably when she was in a mental institution. Everything was so descriptive, that I could almost see it. One weak part of the book is that no matter where the girl is, or how high she is, she still writes the same. That is not realistic to me. Another thi...

Tuesday, November 5, 2019

Top 25 Book Report Ideas Ways to Create a Breathtaking Book Report

Top 25 Book Report Ideas Ways to Create a Breathtaking Book Report If you have the freedom of selecting a topic for your book report, check out our list of top 25 book report ideas and topics for a winning paper. Book report writing is a rather simple task, which doesn’t require considerable effort. However, if you are new to book report writing and have received your first writing assignment, we have something that might help you. While working on your report, please feel free to read the article on how to work on the book report. Top 25 Book Report Ideas Searching for book report template? Here is a great one below. BOOK REPORT TEMPLATE Here is a list of books that are believed to be very useful for all high school students (based on materials  of  NY Times and Lexington Public Library). Want to know more about book report format? Read the article below! BOOK REPORT FORMAT If you have the freedom of selecting your own book report topic and a  way to write it in, and you feel that you will need help with your project, we will be happy to assist. Just contact out customer support staff and they will help you through the ordering process. Place your order  right now!

Sunday, November 3, 2019

How can managers and employees rethink their organizations even as Essay

How can managers and employees rethink their organizations even as they confront the need to downsize - Essay Example Maertz, Wiley, LeRouge, and Campion (2010) learned that survivors of layoffs experienced the lowest levels of perceived organizational performance, job security, affective and calculative attachments to the organisation, and elevated turnover intentions than a non-downsizing comparison group. Mishra, Mishra, and Spreitzer (2009) presented a gripping question: â€Å"How can managers and employees rethink their organisations even as they confront the need to downsize?† Managers and employees can rethink their organisations by developing organisational flexibility as part of the organisational culture, empowering line managers and HR in helping design and lead organisational change efforts, promoting innovation and creativity, and enhancing communication with stakeholders. Rethinking organisations requires changing how downsizing is perceived and defined and one of the ways to do this is through developing organisational flexibility as part of the organisational culture. Mishra e t al. (2009) explained that flexibility can take different forms, such as work flexibility and management flexibility (41). They stressed: â€Å"Greater organisational flexibility can enhance human capital† (Mishra et al. 2009: 41). Enhanced organisational flexibility can take place when employees cross-train each other, while also engaging customers and suppliers. When employees and the management see organisational flexibility as part of organisational life and culture, they will be more prepared of organisational changes, including downsizing. Openness to changes is demonstrated through several cases. Mishra et al. (2009) gave the example of Rhino Foods Inc., a dessert producer in Burlington, Vermont, who created a strategic response to downsizing, which enhanced organisational flexibility. Ted Castle, Rhino Foods president, requested his best employees to volunteer for tasks outside the company, instead of just laying them off. He promised to rehire them when economic con ditions are better (Mishra et al. 2009: 41). Survivors had the opportunity to learn new knowledge and skills, so that they can replace lost employees. Rhino Foods continued this program, which expanded to five partner companies who hired Rhino employees during low-peak season. Mishra et al. (2009) believed that this practice enhanced organisational flexibility because the organisation discovers new talents. Organisational flexibility must be embedded in the organisational culture through work redesign and other transformed work patterns. The organisation must prepare employees and managers for openness to thinking about work, without losing sight of the strategies, mission and vision of the organisation. Organisational flexibility should be tied to psychological flexibility too. Lynch (1989) asserted that organisational flexibility requires re-examining work per se and how it can and should be done, the existing technologies, and the ways organisations are structured to do work. Thi s paper extends an understanding of future technologies and changing social patterns because they impact future organisational demands and the actions of competitors. Although organisational flexibility requires organisational level changes, they cannot be attained without meaningful individual-level changes. Bond, Flaxman and Bunce (2008: 645) define psychological flexibility as the â€Å"ability to focus on the present moment and, depending upon what the situation affords, persist with or change one’s (even inflexible, stereotypical) behaviour in the pursuit of goals and values.†

Thursday, October 31, 2019

Why we should buy American made vehicles over foreign vehicles Essay

Why we should buy American made vehicles over foreign vehicles - Essay Example 274). Many people refer globalization as Americanization rather than anything else. In their opinion, the concept of globalization was introduced by America and other capitalist countries to loot the wealth of other countries. However, recent statistics show that America failed to exploit the opportunities presented by globalization whereas China and India like countries were successful in exploiting it. Recent recession affected America more than any other country in the world. In short, globalization brought more harm than good to the Americans. Automotive industry is one business area in which globalization brought revolutionary changes. Even though America is one of the major car manufacturing countries in the world, majority of the Americans purchase foreign cars such as Mercedes Benz, BMW, Toyota, Honda, Nissan etc. The demand for American cars in American market is less compared to that for foreign cars. Huge American automobile manufacturing companies, such as General Motors, are struggling to survive in the car market at present. It should be noted that plenty of American car manufacturers have already reduced their number of employees and car production because of weaker demand. In short, globalization and subsequent developments in the business circles are causing huge problems to Americans now. American economy is struggling at present. Under the above circumstances, it is the duty of every American to give a helping hand to the revitalization of American economy. Purchasing of American made products is one way of helping American economic growth. This paper analyses the reasons why we should buy American made vehicles over foreign vehicles. According to Mark Karlin (2012), â€Å"The auto industry has a long history of providing sound jobs and contributing to economic prosperity in the U.S. Now it’s time for consumers to give back by choosing domestic cars

Tuesday, October 29, 2019

Marketing a New Service Case Study Example | Topics and Well Written Essays - 13750 words

Marketing a New Service - Case Study Example The service thus conceived has the potential to generate revenue from two channels- the insurer and the medical centers. This is explained in greater detail in the section titled "The Proposed Service". Targeting the ideal customers delineated as those who would need minimum financial outlay for the sale to close. These could be customers who are already buying from the company and would therefore be receptive to new ideas This paper begins with a review of literature which explores the key marketing concepts and principles that can be applied to the marketing of a new product or service. The review focuses on marketing of services, how the marketing of service differs from that of product and how the environment impacts marketing strategy and marketing efforts. The section reviews the 4 Ps of marketing, SWOT analysis, McKinsey's 7S model, stakeholder analysis, PESTLE analysis and BSC model. The next section of this paper explains in detail the service being proposed, and analyses its profitability and feasibility. It discusses in detail about the marketing environment and gives background on the company that will launch this service. The section explores how marketing concepts discussed in the review of literature apply to this innovative service. 2. Review of Literature Traditionally, marketing is explained as anything that creates business or keeps a customer. Blanchard (2003) states that customers are the reason for a company to stay in business and thus customer input and customer preferences must shape almost all aspects of work. It is also said that Marketing consists of the strategies and tactics used to identify, create and maintain satisfying relationships with customers that result in value for both the customer and the marketer. This definition can be explained further. Strategies refer to the direction that marketing effort will assume over a period of time, while tactics are specified steps or decisions made in order to follow the strategies established. Strategic and tactical planning

Sunday, October 27, 2019

Rituximab Discovery Process

Rituximab Discovery Process Description of the Target Disease Rituximab (Rituxan) is a distinct monoclonal antibody for curing of non-Hodgkin’s lymphoma(NHL) or chronic lymphocytic leukemia. This drug is also used in conjunction with methotrexate to cure symptoms of rheumatoid arthritis. This form of cancer begins from the lymphatic system and extends all over the body. In this disease, tumor grows from lymphocytes-a variety of white blood cell. The lymphatic system is a fraction of the immune system and aids battle infections and other ailments in addition to sieving out bacteria. Clear liquid called lymph runs via the lymphatic vessels and have white blood cells called lymphocytes that fight infections (Kim 266). Although there are several diverse kinds of lymphoma that exist, this specific type is mostly widespread. The major indicator of the health is the presence of a bump in a lymph node. In the UK, over 11,000 infections of lymphoma are detected each year. Non-Hodgkin’s lymphoma is related with ageing as the chances of gett ing the illness increases with age and its typical age of detection is estimated at 65. While the root of the health condition is unidentified, the risk features of developing it consist of having a health condition that deteriorates the immune system, previous contact with high amounts of radiation and being formerly in contact with Epstein-Barr virus. The standard way to verify the presence of this form of lymphoma is by conducting a biopsy (investigation of infected lymph bump. Survival chances of a patient with illness differ significantly depending on the actual type, status and phase of the lymphoma. Rituximab (Rituxan) vaccine is used in the curing of lymphoma and was discerned at IDEC Pharmaceuticals’ laboratories in 1991 and marketed by Genentech, a subordinate of Roche Group. The antibody was hereditarily engineered and used to generate high-yield expression structures. The US Food and Drug Administration (FDA) endorsed Rituximab in 1997 for curing this type of lymphoma. The vaccine received EU endorsement in June 1998 and sold under the brand name MabThera. On January 2011, the FDA endorsed Rituxan for treatment of superior follicular lymphoma (Carson et al. 820). Pharmaceutical Discovery Process of Rituxan As a curative IgG1 kappa antibody, Rituxan has mouse variable areas separated from anti-CD20 antibody. The antibody targets the lymphoma by binding itself with high resemblance to the cells having the CD20 antigen present on the exterior of normal B cells, excluding other regular cells. It mediates complement-reliant tissue lysis in the existence of human balance and antibody-reliant cellular cytotoxicity. The vaccine helps the immune system of the body to eradicate the stained CD20 B cells, reproduce new strong tissues from the lymphoid and takes them back to normal phases within a period of twelve months. In addition, the drug has been proven to stimulate apoptosis and modifies chemo-resistant lymphoma cells into in vitro (Ghetie et al. 1395). Clinical Phases of Rituximab Clinical trials are potential biomedical studies on human beings that are created to gather information about precise question on biomedical interventions. They are vital to the development of new drugs and vaccines used to prevent and cure diseases. Clinical researches are carried out to ascertain whether an innovative medication is secure and effective. Such studies are conducted after satisfactory information has been collected and approved by health authorities in the country of research. Ideally, clinical trials on new medicines comprises of four stages. Each phase of the procedure is regarded as a distinct clinical trial and the medicine development goes through all the stages over several years. After successfully proceeding through all the four phases, the drug is eventually endorsed by the regulatory authority for utilization in the whole population. The first phase of clinical development of Rituximab began in 1993. This phase involves the examination of biochemical effects of medicines on the body (pharmacodynamics) and the assessment of the body affects a drug (pharmacokinetics). In single-arm (pharmacodynamics) research, 166 patients who had B cell lymphoma were given four doses of 375 m/m2 of Rituxan as an intravenous infusion on weekly basis. Patients who had tumor of more than10cm in the marginal blood were not included in the study. It was observed that the infusion of Rituxan caused reduction of circulating B cells. Among the 166 patients infected with lymphoma, circulating B cells were lessened in the initial three weeks with continued reduction for 6 months following the treatment, in 83% of the patients. B cell revival began at about six months and the mean B cell levels went back to usual levels by 12 months after conclusion of treatment. It was also observed that there were continued and statistically considerable d epletion in serum levels from five to eleven months, after Rituximab administration Idusogie (Esohe et al. 1480). In pharmacokinetics study, 203 lymphoma patients were given four doses of 375mg/m2 Rituxan intravenous infusion on weekly basis. Rituxan was identified in the patients’ serum within 3 to 6 months following conclusion of treatment. The pharmacokinetic outline of Rituximab when given in form of six infusions of 375mg/m2in conjunction with six doses of chemotherapy was comparable to that observed with Rituximab only. In accordance to 298 non-Hodgkin’s patients who were given Rituximab dose once weekly, scrutiny of information indicated that the median terminal eradication lifespan was twenty two days (series of 6 to 52 days). The patients who had more CD19 cell tally or bigger measurable tumor before treatment indicated higher clearance. Age and sex had no impact on the Rituximab’s pharmacokinetics (Byrd et al. 790). Patients were exposed to varying from a single mixture up to a period of two years. Rituxan was researched in single and regulated trials. Majority of the patients obtained 375mg/m2 of Rituxan infusion, provided as a solitary agent on weekly basis up to eight doses, in conjunction with eight doses of chemotherapy or 16 doses of chemotherapy. Many of the lymphoma patients reported various infusion reactions comprising of fever, nausea, angioedema, headache, rash, vomiting, pruritus, myaldia, bronchospasm and dizziness after the initial Rituxan infusion. The infusion responses generally happened in 30 to 120 minutes after the initial infusion and steadied with slowing of the Rituxan infusion coupled with helpful care. The occurrence of the infusion effects was highest at the in initial infusion (77%) and reduced gradually with each preceding infusion. Patients who previously had untreated health condition and did not show a rank 3 or 4 reaction associated with infusion in cycle 1 and obtained of 90 minutes Rituxan infusion at cycle 2, the occurrence of Grade3 to 4 infusion associated responses was 1.1% on or a day following the infusion. In cycles 2 to 8, the occurrence of Grade 3 to 4 infusion responses after the 90 minutes was 2.8% on or a day following the infusion (McLaughlin et al. 1765). Severe infections (Grade 3 or 4), consisting of sepsis, happened in not more than 5% of the lymphoma patients in the single-arm researches. The general occurrence of illnesses was 31% (viral 10%, unknown 6%, bacterial 19% and fungal 1%). In the haphazard regulated researches where Rituxan had been given after chemotherapy for the healing of the medical condition, non-Hodgkin’s lymphoma, the speed of infection was greater amongst the patients who had been given Rituxan. In scattered lymphoma patients with large B-cell, viral infections happened more repeatedly for those who had obtained Rituxan. For lymphoma patients who had been given Rituximab monotheraphy, 48% of them displayed cytopenias of score 3 and 4. These comprised lymphopenia (40%), thrombocytopenia (2%). leucopenia (4%) and neutropenia (6%) .The mean period was 14 days for lymphopenia (range, 1 to 588 days) and 13 days for neutropenia (range, 2 to 116 days). Further, a single incidence of red cell aplastic (transient anemia) and two incidences of hemolytic anemia after Rituxan treatment happened at some stages in the single-arm researches. In the researches of monotheraphy, induced B-cell reduction happened in 71% to 81% of the lymphoma patients. Reduced serum levels of IgM and IgG happened in 14% of the patients (Idusogie et al. 1487). In phase III of the clinical trials were based on primary Rituxan and maintenance. This clinical trial was carried out in an open and randomized way comprising of two treatment stages and 1217 non-Hodgkin’s patients were enrolled. The research assessed the safety of Rituxan when mixed with chemotherapy in curing patients possessed with the medical condition. The principal outcome gauge was to unearth the Progression Free Survival (PFS) duration from randomization to development, death or relapse. The secondary result measure consisted assessment of response paces, chemotherapy treatments mixed both with and devoid of Rituxan and event motivated endurance endpoints. For the initial treatment, eight doses of Rituxan mixed with diverse chemotherapy were utilized. Patients who reacted to the first treatment were dispersed to obtain Rituxan on one occasion in a period of two months, for duration of two years, as the only agent. The resulted obtained indicated that the prescription of Rituxan in conjunction with chemotherapy for the particular period multiplied twice the PFS in the lymphoma patients. The research also confirmed that the protection and effectiveness of 375mg/m2 Rituxan was constant in the subsequently utilized pivotal researches when utilized solely or in conjunction with chemotherapy unlike those who ceased receiving Rituxan. Patients who were given Rituxan showed Grade 2 infection. Grade 3 to 4 severe responses of small white blood cell tally and infections were reported to be advance in Rituxan group. Post Marketing Experience As these reactions are detailed willingly from a populace of tentative size, it is impossible to dependably approximate their frequency or develop an informal association to drug exposure. Choices to consider in these reactions when labeling are normally based on the following aspect: seriousness of response, incidence of reporting, or potency of causal attachment to Rituxan. There are no sufficient and well-regulated researches on the use of Rituximab in expectant. post marketing information pointed out that B lymphocytopenia cell typically enduring not more than six months can happen in infants subjected to Rituximab in the uterus. Rituximab was discovered in the serum of newborns after birth. NHL is a severe illness that necessitates treatment. Rituximab ought to be utilized only during pregnancy if the probable gain to the mother validates potential threat to the fetus. Reproduction researches in cynomolgus monkeys at motherly exposures comparable to human curative exposures indi cated no sign of teratogenic effects. Although B cell tissue was lessened in the progeny of treated monkeys, b cell tally returned to usual points after six months of delivery (Leget et al. 547). In the case of nursing mothers, it is unidentified whether Rituxan is produced into human milk. Published information proposes that antibodies present in breast milk stops from going into the infant circulations in significant amounts. FDA has not necessitated pediatric researches in Polyarticular Juvenile Idiopathic Arthritis (PJIA) people of ages below 16 years due to worry of potential extended immune suppression in the growing immature immune system. Therefore, the safety of Rituxan in people with pediatric condition has not been ascertained. Immunogenicity Just like with all curative proteins, there is a possibility of immunogenicity. The indentified occurrence of positivity of antibody in an assay is greatly reliant on various factors comprising assay sensitivity, sample handling, assay methodology, concomitant treatments, sample gathering timing and underlying ailment. Due to the above reasons, assessment of the occurrence of antibodies to Rituximab and to other results may be deceiving. While utilizing an ELISA assay, Human Anti-Chimerical Antibody (HACA) was observed in (1.1%) 4 of 436 people with the lymphoma acquiring sole-agent Rituxan. 75% of the patients had purposive clinical reaction (Leget et al. 549). After the successful completion of the clinical trials on November 26, 1997, the Food and Drug Administration endorsed Rituximab, for showing the presence of follicular lymphoma. It formed the foremost monoclonal antibody endorsed for curing of cancer and the foremost sole agent endorsed precisely for healing of the specific lymphoma. Rituximab in conjunction with chemotherapy (CHOP) is better to CHOP only in the curing of huge lymphoma cells and various forms of B-cell lymphomas. The appropriate intravenous dose of 375mg/m2 is four weekly infusions. Healing is endured and outpatient treatment is feasible. Severe incidences are mainly grade 1 and 2, happening mostly with the initial infusion. In phase II sole-agent, the overall reaction pace was 50% with 10 months mean time to progression in patients. The bigger multicenter clinical test of 166 patients, the general reaction tempo was 48% (6% complete and 42% incomplete reactions). The median duration of reaction was 11 months and 13 months for responders. Activity has also been observed in patients with huge disease. Rituximab, endorsed for curing cancer, is safe and valuable in treating people with the health condition (Jazirehi Benjamin 2120). Mechanism of Action Rituximab attaches itself particularly to the antigen CD20, (B-lymphocyte-restricted segregation antigen, Bp35), a transmembrane protein that has a molecular mass of about 35 kD centered on B-lymphocytes. In the particular lymphoma, the antigen is shown on 90% of the B cells. However, the antigen does not exist on hematopoietic cells, normal plasma tissues or pro-B cells. CD20 controls an initial stride in the activation procedure for tissue cycle initiation and segregation, and probably operates as a calcium ion path.CD20 is not eradicated from the cell exterior and is not internalized when the antibody starts binding. B cells function also in the pathogenesis of the disease, rheumatoid arthritis and are related to chronic synovitis. In this situation, B cells might be operating at multiple locations in the autoimmune process, going through generation of rheumatoid factor (RF), antigen presentation and other autoantibodies production. The Fab realm of Rituximab attaches to the antig en CD20 present on the disease and its domain enlists immune effectors roles to intervene B-cell into vitro. Probable means of cell lysis comprise of Antibody-Dependent Cell Mediated cytotoxicity (ADCC) and Complement-Dependent Cytotoxitiy (CDC) (Janas et al. 442). The antibody has been demonstrated to stimulate apoptosis in the B-cell lymphoma. During tissue cross-reactivity, it was noted that Rituximab attached on the lymphoid tissues in the thymus, and on greater part of B-lymphocytes in marginal lymph and blood lumps. Little binding was seen in the non-lymphoid cells examined. Rituxan Prescription Administration of Rituxan to patients can cause severe side effects, which can eventually lead to death. Infusion reactions are the major usual side effects that occur. Severe infusion responses normally happen within 24 hours of initial infusion. It is important for patients to receive medicines to aid in reducing the possibility of having adverse infusion reactions from doctors. Patients with adverse infusion reaction history and other severe infections must notify their physicians before obtaining Rituxan. In case of occurrence of symptoms such as rash, sudden cough, itchiness, weakness and palpitations, patients should contact their doctors to obtain medication immediately. Other adverse side effects encompass Hepatitis B Virus reactivation, severe skin reaction and Progressive Multifocal Leukoencephalopathy (PML). Rituxan is administered by intravenous infusion through a needle. Blood tests are normally performed to ensure that no conditions that can safe hinder use of Rituxan ( Grillo-Là ³pez Antonio 770). The success and effectiveness of Rituximab has resulted in the development of advance anti-CD20 monoclonal antibodies. The advance value of Rituximab has given it superior edge over other drugs available in the market for the healing of the lymphoma. Amid its enhanced binding effect to cancerous B cells, Rituximab continues to dominate the market. Works cited Byrd, John C., et al. Rituximab therapy in hematologic malignancy patients with circulating blood tumor cells: association with increased infusion-related side effects and rapid blood tumor clearance. Journal of Clinical Oncology 17.3 (1999): 791-791. Carson, Kenneth R., et al. Monoclonal antibody-associated progressive multifocal leucoencephalopathy in patients treated with rituximab, natalizumab, and efalizumab: a Review from the Research on Adverse Drug Events and Reports (RADAR) Project. The lancet oncology 10.8 (2009): 816-824. Ghetie, M. A., Bright, H., Vitetta, E. S. (2001). Homodimers but not monomers of Rituxan (chimeric anti-CD20) induce apoptosis in human B-lymphoma cells and synergize with a chemotherapeutic agent and an immunotoxin. Blood, 97(5), 1392-1398. Grillo-Là ³pez, Antonio J. Rituximab (Rituxan ®/MabThera ®): the first decade (1993-2003). Expert review of anticancer therapy 3.6 (2003): 767-779. Janas, E., et al. Rituxan (antià ¢Ã¢â€š ¬Ã‚ CD20 antibody)à ¢Ã¢â€š ¬Ã‚ induced translocation of CD20 into lipid rafts is crucial for calcium influx and apoptosis. Clinical Experimental Immunology 139.3 (2005): 439-446. Jazirehi, Ali R., and Benjamin Bonavida. Cellular and molecular signal transduction pathways modulated by rituximab (rituxan, anti-CD20 mAb) in non-Hodgkins lymphoma: implications in chemosensitization and therapeutic intervention. Oncogene 24.13 (2005): 2121-2143. Kim, Julian A. Targeted therapies for the treatment of cancer. The American journal of surgery 186.3 (2003): 264-268. Leget, Gail A., and Myron S. Czuczman. Use of rituximab, the new FDA-approved antibody. Current opinion in oncology 10.6 (1998): 548-551. McLaughlin, Peter, et al. Clinical status and optimal use of rituximab for B-cell lymphomas. Oncology (Williston Park, NY) 12.12 (1998): 1763-9. Idusogie, Esohe E., et al. Mapping of the C1q binding site on rituxan, a chimeric antibody with a human IgG1 Fc. The Journal of Immunology 164.8 (2000): 4178-4184. Rapoport, A. P., et al. Autotransplantation for advanced lymphoma and Hodgkins disease followed by post-transplant rituxan/GM-CSF or radiotherapy and consolidation chemotherapy. Bone marrow transplantation 29.4 (2002): 303-312.