### outbreak | epidemic | skin cancer | melanoma:

Metastatic melanoma
* indicates that cancer has spread throughout the body.
* means that the tumor has spread far from the eye, usually to the liver.

Nodular melanoma
* are aggressive tumours and occur in a slightly younger age group
  - more penetrating than superficial melanomas
  - rare but deadly invasive melanocytic tumors
  - the second most common form of melanoma
* arises directly in the vertical growth phase with dermal invasion.
* is the most aggressive form of malignant melanoma.
* tend to grow rapidly, over the course of several months.

Ocular melanoma
* accumulate lymphocytes with the potential to kill tumor cells.
* are more malignant than dermal melanomas.
* is rare, and even more aggressive than cutaneous.

Giardia outbreak
* are more common but much less likely to cause death.
* can occur in communities where water supplies become contaminated with raw sewage.

Insect outbreak
* Most insect outbreaks cause extensive tree mortality.
* Some insect outbreaks can injure or kill trees across widespread areas of the boreal forest
  - result in mortality
* are a natural, major, recurring disturbance in the northern forest.

Meningitis outbreak
* can develop very quickly, and cases tend to happen close together in time.
* tend to peak in late winter and early spring but can occur anytime.

Recrudescence
* are outbreaks
  - recurrences
* commonly occurs in patients who redevelop neutropenia.
* is an outbreak
  - common with artesunate monotherapy for under seven days
  - the return of original severe insomnia
  - when symptoms return after a symptom-free period
* short-term relapse due to surviving erythrocytic parasites.

Outcome
* are consequences of behaviour
  - measures of changes in patient health status between two points in time
  - one component of health care quality
* are the benefits or changes for individuals or communities
  - measurable changes in people, organizations, or community conditions
  - subdivisions of specific objectives that are the products of an institution
* depend on cell cycle status
  - choices
  - immune status
  - upon degrees
* describe the results of care or treatment.
* determine truth.
* have chances
  - effects
  - negative effects
* measure efficiency and quality of performance.
* refer to how the behavior impacts others or the environment.
* result from the behavior and actions of people, groups, and organizations.
* type of performance measure.
* will have different effects

### outcome:

Clinical outcome
* is variable in prostate cancer patients with regional lymph node metastasis.
* represent psychological changes, signs, or symptoms or disorders.

Reward
* acts to strengthen stimulus-response associations.
* also help children learn good behaviors.
* are attention through sound, eye contact, posture, and physical contact
  - blessings
  - offers
  - payments
  - transfers
* can be a powerful way of helping children learn to behave.

### outcome | reward:

Extrinsic reward
* Some extrinsic rewards are the work schedule, benefits, and time-off.
* are material benefits such as salary, benefits, and perceived social status.
* consist of pay raises, promotions, and other symbols of recognition.
* focus on external factors, such as money, toys or candy.
* reduce intrinsic interest.

Honorarium
* are rewards.
* are, by definition, gifts to an individual.

Intrinsic reward
* play a crucial role in keeping good workers.
* say that managers are energized by their work itself and feel passionate about it.

### outdoor activities | logging:

Salvage logging
* decreases morbidity and mortality of the forest trees.
* is an attempt to compromise excessive logging and controlled logging
  - needed after forest fires to aid ecosystem recovery

Outdoor event
* are prone to unexpected turns in weather.
* come to life when distant trees are lit to create atmosphere.