Systematic Review Paper Free Essays

The purpose of this meta-synthesis research was to synthesize a qualitative study performed to better understand the underlying reasons why only a fraction of cancer patients participate in cancer research trials. The attempt is to explore factors that influence participation in this type of study. Literature in the subject indicates poorly understood process of how patients are enrolled into clinical trials. We will write a custom essay sample on Systematic Review Paper or any similar topic only for you Order Now This systematic review tries to improve the patient decision-making process in participating in cancer clinical trial and to provide Oncology nurses to treat patients with solid background utilizing evidence based practice (Biedrzycki, 2010). The study was conducted in hope to eliminate misconceptions on the negative feelings of cancer clinical trials. A common misconception is participation can cause harm instead of cure. The report clearly describes how the variation in research design and methods revealed low percentages of cancer patient participation in previous studies. An information specialist assisted with the selection of relevant studies. Data selection was reviewed through PubMed. Patient participation and decision making were topics reviewed. A PRISMA-type flow chart elaborates on the multiple studies reviewed (Biedrzycki, 2010). The criteria for reviewing articles included articles published since 2004. Research from other countries was reviewed and was not confined to the United States. Literature reviewed through the National Institutes of Health (NIH) roadmap for Medical Research, fortified the research by emphasizing important aspects of human research participants and transforming this into clinical research. 62 articles met criteria and 24 articles did not meet the initial criteria. Articles beyond five years provided evidence of inaccurate representation of the current views on patients’ will to participate in clinical trials (Biedrzycki, 2010). The research article indicates the sample sizes ranged from 16 to more than 115000 which yield a median=162. The combined sample of participants includes gender, race, and age. Most participants were Caucasian. One study included only Asian women. Ages ranged from 50 to 64 years, median 57. 6 years. Cancer diagnoses were reported in 10 studies, six studies omitted reporting cancer as a diagnosis. Four studies reported advanced cancer. Six studies reported participation in phase I clinical trials. One study reported participation in a phase III clinical study. The rest of the studies did not report the phase of trials. There is no indication whether follow up was done with the original reporter to clarify missing information (Biedrzycki, 2010). The criteria used to appraise the research consisted of decision-making process, communication, educational interventions, perceptions, benefits and burdens, quality of life, reasons for declining participation, knowledge, relative health stock, timing of consent, satisfaction, and decisional regret. Most studies focused on decision making, however; thirteen studies described multiple aspects of cancer clinical trial participation. Some studies focused on the psychosocial consequences of clinical trial decision making. This data was appraised by several research team members (Biedrzycki, 2010). Decision-making instruments included the Llewellyn-Thomas, an unnamed instrument and the Homes-Rovner et al. Satisfaction with Decision Scale. Other instruments included the Understanding of Clinical Trials by Joffe et al. and The Decisional Regret Scale and the Karmonos Accrual Analysis System. Most studies did not report psychometric measures and almost all studies used one question to assess willingness, interest or knowledge about cancer clinical trials (Biedrzycki, 2010). Data analysis is presented in table format. Table 1 consists of factors reflecting the rigor of the studies reviewed. Table 2 consists of measures of decision making used in the studies reviewed and Table 3 lists strengths, limitations, and key points of the studies reviewed. The studies were mainly descriptive, consisting of mixed-methods design. Three studies tested an educational intervention and two studies used an experimental design. 50% of the studies did not report timing of the research in relation to the decision regarding clinical trial participation (Biedrzycki, 2010). During meta-analysis, response rates varied by type of measure and study design, only 50% reported response rates (range = 21% – 95%, median=71%. 29% declined participating because they had no interest and 24% declined with no reason given. One major reason people declined to participate was because they had no access or could not use a computer. Multiple time measures were conducted in decision regret, it was noted that responses were reduced (Biedrzycki, 2010). The process used to pool the data together was clinical trial decision making. The main factors influencing this process consist of patient, provider, and treatment. Two studies specifically explored decision making by the patient. Education requirements impacted decision making since understanding the risks and benefits of clinical trials was the most important factor taken into consideration by the patient. Educational interventions were noted to have increased patient enrollment. (Biedrzycki, 2010). If the patient found the education from the provider to be coercive, treatment was considered a burden. Time and travel also posed an inconvenience on the patient since it adversely affected quality of life and therefore deterred patients from cancer clinical trials. On a positive note, studies reported factors associated with positive decision making outcomes. Positive decision making included being more spiritual, younger, and having more advanced cancer, and having a good understanding of the education received. Several other aspects were indicated as positive decision making outcomes when providers introduced user-friendly systems (Biedrzycki, 2010). The primary focus of the study was accepting or declining clinical trial participation. The secondary focus was decision-making and the silent variable was the influence on clinical trial participation. All criteria were elegantly spelled out in form of charts and tables. Figure 1 included factors associated with the decision to participate in a cancer clinical trial. Figure 2 revealed factors associated with a positive decision making outcome (Biedrzycki, 2010). A factor that was clearly noted as missing was a review on the process by which patients decide on whether or not to participate in clinical research trial. Components of the decision making preferences have not been determined. Consenting for a research process is autonomous and the current healthcare system does did not provide sufficient learning opportunities for the patient to acquire enough information to make an adequate informed consent. When the patient lacks this knowledge and the healthcare provider lacks the understanding of the patient’s values, it is difficult for the patient to want to participate in clinical trials (Biedrzycki, 2010). The reviewers concluded that future research is needed for continuation of exploring the reasons for lack of cancer patients’ participation in clinical research trials. The need for sound construct for decision making can prepare nurses and healthcare workers to understand the cancer patient’s values and to provide education that may enhance knowledge and strengthen interventions, and improve cancer clinical trial participation (Biedrzycki, 2010). How to cite Systematic Review Paper, Papers

Exploring the World with Receptivity and Expectation free essay sample

Like everyone else, we eventually get bored of noticing the same things day after day. What we like to do is explore and move away from expectations. There must be some activity or pastime that triggers such excitement towards new destinations. Maybe it is the dull continuity and repetition of similar surroundings that is making us desperate to discover new things. In â€Å"On Habit† by Alain de Botton, de Botton makes distinctions between the â€Å"traveling mindset† and a â€Å"habituated† view of the world in the line between receptivity and expectation. The mindset described as habituated, is dull to the human mind and life because it takes on a pattern in which there is no spontaneity for an individual to explore new ideas and experiences. The mindset is not necessarily an indication that the real world provides no intellectual or emotional satisfaction for the human being, rather it is inside the mind of the individual that confines him or her to believe that there is nothing to look forward to. By believing that there is nothing new to see or learn, we no longer find interest in places we encounter or pass through. On the other hand, a traveling mindset† is concentrated on receptivity, meaning, the willingness to process and find value in human experiences and knowledge. The whole purpose between the distinctions of the â€Å"traveling mindset† and a â€Å"habituated† view of the world is not necessarily trying to prove which one is better but rather a way to show how the human approach to daily life needs to be set on learning new lessons and experiences. An individual that has an open mind to the new opportunities and learning experiences that surround every day life look at people, places, and events with an eager desire to engage them with a â€Å"traveling mindset† approach. This is evoked from a receptive attitude. Receptivity is said to be the â€Å"chief characteristic† of a traveling mindset (de Botton 62). When a person has such receptivity then their surroundings are no longer habituated. For example, â€Å"I forced myself to obey a peculiar kind of mental command: to look around me as though I had never been in this place before. And slowly, my travels began to bear fruit. † (de Botton 63). After reading de Maistre’s work, de Botton tries to reverse the process of habituation by disassociating his surroundings; he then approaches his neighborhood as if everything around him was something ew. By doing so, he discovers new things and learns to appreciate the buildings and site that were already there. If one were to approach his or her locales with a â€Å"traveling mindset†, they’ll begin to notice objects that release latent layers of value. They will then start to notice more traits that make up your environment , things that were not noticed before. This would allow people to remind themselves how certain means contributed differently to their lives. Rather than just simply acknowledging an object’s basic functions, we have to appreciate its inner worth nd value. As people, we are capable of completely evolving in life through our change of outlooks. The idea that we are in control of our lives is often questioned, as new ideas are introduced. We are more inclined on our destination rather than the journey and approach it took to reach there. On the contrary, â€Å"the pleasure we derive from journeys is perhaps dependent more on the mindset with which we travel than on the destination we travel to† (de Botton 61). When we’re traveling, it doesn’t matter where we’re going but what does matter is our psychological state. By approaching a journey with no rigid ideas of what’s interesting, we allow ourselves to avoid expectations towards new places. â€Å"On entering a new space, our sensitivity, is directed towards a number of elements, which we gradually reduce in line with the function we find for space† (de Botton 63). Tourists, for example, approach places as if everything appeared to be fascinating; they are more focused on the beautiful nature rather than functions. With that said, tourists, risk getting run over because they are too busy intrigued by all the small details. With a â€Å"traveling mindset†, there is no expectation of the function we find for space ecause everything is considered as a potentially useful. People who perceive with the habituated view of the world â€Å"had fallen into the habit of considering their universe to be boring – and it had duly fallen into the line with their expectation† (de Botton 62). The profound insight of habituation de Botton provides us deeply suggest that people feel despair towards new discoveries. Expectations can often lead to disappointments; it reflects objectivity as well as sensitivity. By developing a grid of interests, one would mainly be focused on getting from one place to another and not appreciate the esthetic quality of the places themselves. With thousands of things that might be seen, we end up aware of only a few. We’ll worry about the battery on our phone, what we’re eating next, and when we’re able to cross the street. We’re constantly focused on factors that only affect us directly; anything that would not assist us to reach our destination would then be considered irrelevant and unnecessa ry. A goal-orientated approach is always at odds with the â€Å"traveling mindset† because it over complicates our objectivity; it is the freedom to enjoy uncertainty that is more self-rewarding. Often times, people who adapt the habituated view of the world will find their homes to be really dull. The sense of familiarly will continue to overwhelm their minds as they feel the need to explore. â€Å"It seems inconceivable that there could be anything new to find in a place which we lived in for a decade or more. We have become habituated and therefore blind† (de Botton 62). When we are presented with repeated circumstances, we become accustomed to habituation; what we need is a way to revitalize ourselves. Some people revitalize themselves by going on vacation; others simply accept and appreciate what each moment offers. The issue is that we spend too much time on functionality, worrying about how things should be done rather than just doing it. The greater appreciation for daily life is the feeling of uncertainty, if we were to wake up everyday knowing exactly what to look forward to then there would not be much meaning or significance of our lives. Expectations are not a negative mindset; rather they need to take on a traveling mindset, one that is open to spontaneous activities. It is true that, you will be obligated to act certain ways depending on your physical environment but the important thing lies on the approach of your surroundings. The â€Å"traveling mindset† is more open to unlikely scenarios; it is an attempt to approach news places with humility and curiosity. There is no indifference because everything is considered as a potential interest. While, a â€Å"habituated† approach is rather filled with expectations and grids of interest that dictate no spontaneity. Certainly, the richness and complexity of one’s day would then be diminished. With a set of interests, we are limiting possibilities beyond our control. This type of mindset will mainly make you aware of factors that directly correlates to us; we would not be ware of our surroundings and thus, missing the whole picture behind our paths. A â€Å"habituated† view of the world might not be the favorable mindset but it still pertains to what holds true to one’s identity. Conversely, we’re suppose to be inspired by the idea of the â€Å"traveling mindset† that make our daily lives less of a schedule and mor e like a journey. It brings forth the idea of being able to approach your surroundings freely with no expectations. There is no doubt that each mindset has its own set of characteristics but understand that the freedom we get and deserve is solely based on one’s receptivity and expectation.

The Principles of Fun Home Essay Topics That You Can Benefit From Starting Right Away

The Principles of Fun Home Essay Topics That You Can Benefit From Starting Right Away You don't need to find super technical with legal argumentative essays, but make sure you do your homework on what the recent laws about your favorite topic actually say. The very first thing you ought to do is identify the form of compare and contrast essay which you are handling. Before beginning to write, don't rush and think of process essay thoughts and topics you like. Lucky for you, there are several topics you could concentrate on when writing and it's all your responsibility to figure out the precise topic that you would like to build on. Having selected a very good topic to argue about, at this point you will need to make an argumentative essay outline. You have to research the selected topic and discover facts to contradict your first thesis. As it's such a huge subject, you are going to want to narrow your paper down to a particular angle. Argumentative essay topics are so important since they are debatableand it's important to at all times be critically contemplating the world around us. Inspiration to make your own advertising or media argumentative essay topics isn't really hard to discover. You also know how to discover sources and the ideal kind to utilize in your paper to allow it to be relevant and interesting. Advertising and the media are now nearly inseparable from society for a whole. When it has to do with writing an argumentative essay, the most significant matter to do is to select a topic and an argument you may really get behind. While it's a very simple concept, it isn't always so simple to understand how to start. Another good idea is to receive some completely free essay examples of different kinds and on various subjects to find a general idea of the way in which a prosperous debatable paper looks. At exactly the same time, it's a wonderful persuasive essay idea. To defend your subject, you can recall the effect of overloaded schedule on college grades. There are several persuasive essay topics to select from to finish your high school or college assignment. Why you must land an outstanding job due to your video gaming abilities. In other kinds of essays, the content might vary. When you get your completed essay, be sure you tell all your friends what a wonderful service it is and what's the perfect place to get cheap essays. Quite frequently, the ideal topic is one which you truly care about, but you also will need to get well prepared to research it. You're definitely in the proper spot! You've come to the correct place! Needless to say, you won't always have an actual situation to discuss for each topic sometimes you must borrow ideas from different people or simply apply your imagination. The issue is that everybody's interpretation of what makes a great society differs. When you're picking your topic, remember that it's much simpler to write about something which you currently have interest ineven in case you don't know a good deal about it. For example an individual may opt for a topic like, life in the shoes of a werewolf. The course provides students the chance to learn more about the human experience from a number of perspectives. Writing about the reason and effect essay topics linked to the school's popularity or surviving the initial year in college could be fine to grab the interest of your peers. Television is developing a new variant of culture The senior classes ought to be profiled Education for boys and girls ought to be separate Many folks think the perfect way to travel is by car Activity is the sole method to knowledge The significance of education is underestimated now. If students wish to navigate the world after graduation, they have to expose themselves to the wide range of human experience whilst in the protection of their college campus.

Term Paper Topics For Medically Legal Controversial Subjects

Term Paper Topics For Medically Legal Controversial SubjectsThere are a wide variety of medical and academically related term papers for medically legal controversial subjects to be used in legal studies. These topics are completely academic in nature, which means that the papers you submit to school authorities are completely original and unique. These papers must be well written and must not contain any grammatical or spelling errors, which is extremely important when writing papers on academic subjects.One of the most widely accepted topics when it comes to the academic field of medicine is the health care debates in the United States, as doctors and scientists clash about the role of science in the United States' health care system. While writing papers on medical and academically related topics for medical and academically related subjects, you must be aware of how the health care debates are progressing through the American public.For instance, there is a debate between the med ical community and medical researchers on whether or not marijuana should be legalized for use as medicine for patients suffering from debilitating illnesses like AIDS, cancer, and multiple sclerosis. You should look for topics on the health care debates in America, whether regarding legalization of marijuana use, homeopathic treatment, gun control, etc.Some other term paper topics to consider include marijuana laws, legalization of euthanasia, and definitions of freedom of speech, like the statement that 'Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof.' On health care debates in America, one should also look at the Congressional Budget Office's 'Report on Health Insurance Coverage in the United States'Workings of the Obama Affordable Care Act.'In addition to health care and medical topics, there are other controversial topics that are of academic interest. Some of these controversial topics are genetically modified foods , food allergies, and the problems associated with pesticides on farms.One of the most controversial topic in the academic field of sociology is whether or not biological sex is a social construct. Some sociologists argue that gender is not determined by biology but is a socially constructed category that we live by.A second controversial topic is transgender issues. People can switch between genders, but some parents still insist that their children should conform to their biological sex.The topic of legal science and medical topics is a broad topic but it is not a topic that all medical and academically related term paper topics are bound to be a part of. You have to find your own unique style when writing about these topics, so that you can be proud of your work.

New Questions About Writing a Reflective Essay on a Book Answered and Why You Must Read Every Word of This Report

New Questions About Writing a Reflective Essay on a Book Answered and Why You Must Read Every Word of This Report Moreover, you should comprehend what is needed to finish a reflection paper and reflection essay outline so as to create a productive piece for your readers. Ultimately, a conclusion should close the paper in a last statement. In reality, writing out an outline before the paper draft is significant as it will help to organize thoughts. You just have to share an experience. You might even be given a specific experience to write about. You must return to your prior life experiences and provide a very clear account of a particular event, happening or feeling. To reflect is to clearly consider something, whether it's an experience or a function. Details of Writing a Reflective Essay on a Book Make certain you compose a clear central idea that you want to develop in your writing. Writing creative reflective essay can add to the growth of your critical thinking abi lities. Ensure that the primary subject of the book which you're reflecting on comes out clearly in your paper. On occasion, you might be missing some excellent suggestions for your reflective essay topics. Read the text just in case you're certain about the information employed in the essay example. For the experiential, however, you likely have to locate a topic all on your own. If you buy a glance at APA style reflective essay example you are going to realize that its structure is just the very same with the one described above. Analyze the way the author attempts to draw the reader. Next, the author should remind readers of the chief points within the body. It's essential to be in a position to express your thoughts correctly as a way to convey them to the reader. Writing a great hook means simply catching the interest of the reader. Normally a reflective essay is limited to 400-600 words, and that means you have to put all your thoughts into a limited quantity of s ymbols. A book you have lately read. Before you commence writing your masterpiece, it is wise to have a peek at creative reflective essay examples. Although you'll still must tell your story in a reflective essay, it's only going to be a little portion of your paper. Want to Know More About Writing a Reflective Essay on a Book? The very first thing every student should comprehend how to compose a reflective essay is a powerful, detailed outline. There are many things it's possible to write a reflective essay about. While it isn't required to construct a reflective essay outline, we can guarantee that it is going to benefit the end consequence of your reflective essay. In the majority of reflective essays, along with describing what went right, you will also need to describe what went wrong or what could be made better and how. When you end up tasked with the challenge of making a self-reflection essay, it is critical that you learn to form a thorough reflective essay outline. You know that you have to compose a paper, but don't find out how to begin a reflective essay. As you learn to compose a reflection paper, it's critical that you learn to compose a reflective essay outline. How to Choose Writing a Reflective Essay on a Book Essays, in the same way as any other school assignment, carry some quantity of stress regardless of what it is. Second, the student will state what's going to be inside the body. When you are a newcomer to reflective writing, reflection models can offer a much-needed step-by-step guide. Give a quick summary of the experience you're reflecting on in a manner that will leave a reader hungry for what's inside the re maining portion of the essay. Bear in mind that the essay should give readers a glimpse into your nature and ability to cope with and adapt to unique circumstances. There are a few circumstances in which you're likely to be provided a particular outline for your reflection essay. Like lots of books, it's inspired by the author's individual experiences, but not so much so that it turns into a semi-biographical narrative in place of something that manages to stand up by itself. Bear in mind, that conclusion is precisely that portion of the essay that stick's to people's memory first and foremost. If, by way of example, you're likely to compose a reflective essay on a movie, it would be a very good point to view that movie twice once for an overall reaction and once as you take your notes. The Foolproof Writing a Reflective Essay on a Book Strategy Keeping up a paper diary will take longer, but nevertheless, it won't enable you the chance of removing the uncomprehending text. Use a first-person narrative as it is more suitable to accomplish a personal, reflective tone. Therefore, the procedure for writing will turn out to be much simpler. Reflective writing according to a specific assignment isn't as simple as it may appear to be. Life After Writing a Reflective Essay on a Book To be a skillful academic writer you want to learn to believe critically. Try to remember that you want an essential approach whenever you're seeking information for a reflective essay. Self reflective essay do not need much research as with other sort of research. It's possible to discover a business reflective essay on the website. The Hidden Gem of Writing a Reflective Essay on a Book After supporting your thesis statement within the body using examples from the book that you're reflecting on, produce a conclusion that ties the significant points together. In summary, it has to get an introduction, a body, and a conclusion. Sometimes there's no need in an attention gr abber at the very start, and you may begin the text as you want. When you make an outline, you are going to have clearer view of the more maturation of your literature work.

Why Tufts Essay Samples Is Great For Students?

Why Tufts Essay Samples Is Great For Students?In this article we will talk about why Tufts Essay samples are a great tool for students who want to improve their writing skills. Students often find it very difficult to develop a good grasp of grammar and sentence structure when writing essays. Even the most excellent writers have problems with this skill, which is why many people are turning to writing programs and editing services to help them with their essay writing needs. However, as a good writer, you should never forget that there is no substitute for your own personal work.Now that you know this, it is now time to look at why Tufts Essay samples are so useful. To begin with, these programs have the best essay editors available to help you write the perfect essay. The editors that you are likely to use are able to spot spelling mistakes, mistakes in grammar, and just plain bad writing habits that are common to college students and even professors alike. In addition, you can also get additional support with writing tips and in-depth help from professional editors who are familiar with how to draft your essay in order to make it as effective as possible.Another reason that you should not miss out on using essay samples is that they can help you get your essays reviewed by professional editors. They may not be quite as polished as the editors that you will have in the Tufts Essay Programs, but they are experts in the field and will do the best job possible with your essay. Plus, if you are new to essay writing, they will help you learn how to make your essays sound as good as possible so that you can see your work take off.Finally, it is always important to keep in mind that Tufts Essay samples are designed to help you get your essays as far as you need to go. In other words, you can receive more than enough help to get the essays as far as you want to go. So if you would like to see a particular aspect of your writing style brought to light, such as poor gra mmar or poor sentence structure, you can certainly go ahead and discuss your thoughts with a Tufts essay editor.One of the reasons why you should not be afraid to use essay samples is because they are well-designed to make your essays come across as polished and flawless. Not only do they show you how to improve your essay writing skills, but they also show you how to approach the project in a more professional manner. This is a great confidence booster for students, and you will be surprised at the results of using these Essay samples.However, there is another very good reason why you should consider using essay samples when writing your essays. The Tufts Essay Program is one of the most prestigious writing programs in the United States, and you can never underestimate the value of having some sort of assurance that your work is top notch. A good essay can greatly influence how well you do in your other classes, so using one of these Essay samples is definitely a good idea, especia lly since these Essay samples are of such high quality.As you can see, there are a lot of reasons to use Tufts Essay samples when writing your papers. In addition, the essay samples can greatly improve your ability to impress your instructors and professors. Whether you want to get better grades in your college courses or you want to be taken more seriously, the simple act of writing an essay can help you gain a sense of confidence and self-confidence.Although you can get great help using essay samples, you should also make sure that you are writing the essay with quality in mind. That means that you need to make sure that you are writing the essay in a way that is both grammatically correct and with good, clear sentence structure. If you have any doubts at all, then it is strongly suggested that you consult a professional writer or check out the online resources for assistance.

Censoring Internet Essays - Internet Memes, Content-control Software

Censoring Internet The freedom of speech that was possible on the Internet could now be subjected to governmental approvals. For example, China is attempting to restrict political expression, in the name of security and social stability. It requires users of the Internet and e-mail to register, so that they can monitor their activities (Gates). In the United Kingdom, state secrets and personal attacks are off limits on the Internet. Laws are strict and the government is extremely interested in regulating the Internet with respect to these issues (Gates). Laws intended for other types of communication will not necessarily apply in this group. Through all the components of the Internet it becomes easy to transfer material that particular governments might find objectionably. However, all of these ways of communicating on the Internet make up a large and vast system. For inspectors to monitor every e-mail, every article in every Newsgroup, every webpage, every IRC channel, every Gopher site, and every FTP site would be near impossible. Besides taking as extraordinary amount of time and money, attempts to censor the Internet violate freedom of speech, a right that is included in democratic constitutions and international laws (Silencing the Net...). It would be a breach of the First Amendment. The Constitution of the united States of America Declares that "Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to asse3mble, and to petition the government for a redress of grievances" (Constitution). Therefore it would be unconstitutional for any sort of censorship to occur on the Internet. Even though it is illegal, restrictions on Internet access and content are increasing worldwide under all forms of government. In France, a country where the press generally has a large amount of freedom, the Internet has been in the spotlight. A banned book on the health History of former French president Francois Mitterrand was republished electronically on the World Wide Web (www). To enforce censorship of the Internet, free societies find that they are becoming more closed, and closed societies find new ways to crush political expression and opposition (Silencing the Net...). Vice President Al Gore, while at an international conference in Brussels about the Internet, said that "Cyberspace is about protecting and enlarging freedom of expression for all our citizens... Ideas should not be checked at the border."(McCullagh) Another person attending that conference was Ann Breeson of the American Civil Liberties Union. She is quoted as saying, "Our big victory at Brussels was that we pressured them enough so that Al Gore in his keynote address made a big point of stressing the importance of free speech on the Internet."(McCullagh) Many other organizations have fought against laws and have succeeded. A prime example of this is the fight that various groups put on against the recent Communication Decency Act (CDA) of the U.S. Senate. The Citizens Internet Empowerment Coalition, on February 26, 1996, filed a historic lawsuit in Philadelphia against the U.S. Department of Justice and Attorney General Janet Reno to make certain that the First Amendment of the U.S.A would no be compromised by the CDA. Just the range of plantiffs alone shows the dedication that is felt by many different people and groups to the cause of tree speech on the Internet (Silberman). "Words like *censored*, *censored*, piss, and tits. Words of which our mothers (at least some of them) would no doubt disapprove, but which by no means would be regulated by the government. Bet it's not just about dirty words. It's also it's also about words like AIDS, gay, and breasts. It's about sexual content, and politically controversial topics like drug addiction, euthanasia, and racism" (Irwin). In France, a high court has struck down a bill that promoted the censorship of the Internet. Other countries have attempted similar moves. The Internet cannot be regulated like other things can simply because it is not the same as anything else that we have. It is a totally new and unique form of communication and deserves to be given a chance to prove itself. Laws of one country cannot be enforced in another country and this is true with the Internet because the Internet has no borders. Although North America has the largest share of servers, the Internet is still a worldwide network. This means that domestic regulations cannot oversee the rules of foreign countries. It would be just as easy for an American teenager to download pornographic material from England as it would