Communication Issues Paper (Individual) Research

Communication Issues (Individual) - Research Paper Example The community ought to support music, whereby since FBi is independent and has passionate volunteer, the people need to listen to the music the radio station plays. This is because, as Somerville (2011) states a community can be a way of organising the societal relationships, having a desirable quality of mutual regard and sociability. The role of the community involves summons to undertake in joint, mutual action. This implies that the community, which is the target group, should play a considerable role in ensuring that the music played by the station, which mainly is local, receives audience so as to promote the talents of local artists. The music also ensures that the social relationships are strong and binding as seen in the research work of Howley (2010). For these issues regarding to music, the stakeholders include, the volunteers who work for the radio station and the whole community who are the listeners. The radio station requires support from the community to pay for radio . For the radio station to stay on air, the station needs financial supporters. To make this real, the community should be able to make pledges to support the station by contributing a small amount at the end of every month. According to Somerville (2011), commonality is the requisite imperative that helps in the foundation of the community, which has a common project or goal. Since it is the aspiration of the community to get a radio station which is non-profit, then it is also their obligation to finance it to ensure its smooth operation. The non-profit organization requires support from the community to remain independence. According to Parada & Homan (2011), the radio station plays unique music, which is new and local. Other stations do not have this music genre. Since the radio station is a community sponsored unlike other radio stations which are commercial, the ratings or the profits do not dictate the music the radio station plays. The station plays music since they like it, and it is the urge of the station for people to like the music. Music, which is independent and local, helps understand the community well. According to Secomb (2007), there is a need to consider the community perspectives brought about by the music played so as to understand the community. The music also describes the community subsystems, the peripherals of the community, the functioning of the community and community characteristics which are basic. To be able to support the non-profit organization and the local music, the people around the community should make a regular contribution so as to keep new music on the air waves. To elaborate more on the community engagement issue that the radio station needs, the station requires more volunteers. The radio station will ensure that the volunteers have their rights to be treated as co-workers, have all the details regarding to the organization, receive orientation regarding to new developments. There station is also to provide advanc e notice of changes which affect the work of the volunteer and also provide guidance and direction. According to Albert, Flournoy and Lebrasseur (2009) to seek change and stability within a community, it is vital for the people in the community to live collectively, play, worship and work together. Since the station is an initiative by the

Reaction paper for international studies lectures Essay

Reaction paper for international studies lectures - Essay Example The relationship between the economy and globalization is only based on positive impacts and change. While defining globalization, Norberg (2003) points out that globalization is a way in which nations can share the same platform of trade with minimized legal and corporate requirements. He regards this definition as the main reason behind the development of many nations from underdeveloped countries to developed and developing countries. Apart from economic growth, globalization has led to many other positive changes in the modern society. Norberg (2003) cites gender equality, improved education and a more efficient way of fighting global crimes such as terrorism as other significant changes impacted by globalization. In his arguments and theories, Held & McGraw (2007) argue that globalization creates a united globe that greatly depends on each other for excellence. Norberg (2003) creates well formulated defensive arguments in support of globalization. In his arguments, he acknowledges the most important positive changes globalization has impacted in the global front (Norberg, 2003). He cites significant reduction of poverty and hunger across the globe as one major importance of globalization (Norberg, 2003). With globalization, poverty and hunger are effectively addressed as global bodies and nations have steeped up the efforts to eradicate the two problems. Additionally, Norberg (2003) argues that globalization has increased the level and spread of democracy. Across the globe people have the freedom of speech and decision making regardless of the cultural or social affiliations. Kalder (2000) also points out that the increased gender equality can be attributed to the rising levels of globalization. Kalder (2003) also depicts globalization with positive perception. The most important argument in her literary piece is that globalization is the answer to wars experienced across the globe. She points out that

Pharmacy is a health profession

Pharmacy is a health profession Chapter 1 The word is derived from the Greek word pharmakon meaning drug or medicine and has been used since the 15th and 17th centuries 1. Pharmacy is a health profession that combines the health sciences with the chemical sciences. It ensures the safe and effective use of pharmaceutical drugs. Pharmacy practice includes modern services that are related to health care: clinical services, providing drug information and reviewing medications for safety and efficacy purposes 1. 1.1.1 The various disciplines of Pharmacy Pharmacy can be divided into three major disciplines: a) Pharmaceutics b) Medicinal Chemistry and Pharmacognosy c) Pharmacy Practice Pharmacology is often considered to be a fourth discipline but is not specific to pharmacy, even though it is essential. The boundaries between the different disciplines and other sciences like biochemistry are not clear cut. Hence, research work from the various disciplines is often done concurrently 2. 1 The Hormone Shop LLC. The History of Pharmaceutical Compunding. [home page on the Internet]. 2010 [cited 2010 Oct 10]. Available from: http://www.thehormoneshop.com/historyofcompoundingpharmacy.htm 2 Dayanada Sagar College of Pharmacy, Bangalore, India. History of Pharmacy. [home page on the Internet]. 2008 [cited 2010 Oct 10]. Available from: http://www.dscpharmacy.org/pharmacy.php 1.1.2 The Pharmacist and Community Pharmacy Pharmacists are skilled and highly-trained health care professionals who ensure optimal health outcomes for their patients. In the community pharmacy, the pharmacist has various roles and these include amongst others (Azzopardi, 2010): a) the procurement of medications that are suitable for human consumption b) ensuring the appropriate conditions for the storage of medicines c) ensuring the appropriate and safe disposal of expired medicines d) dispensing of medications that are either on a prescription, or pharmacist-recommended or asked for directly by the patient e) point-of-care testing f) offering general medical advice without the need of a prior appointment. The practice of community pharmacy varies between countries. Nevertheless, the basic functions and responsibilities are the same. A community pharmacist builds a special relationship with the clients, especially the regular ones. Hence, communication skills are of major importance. The pharmacist finds him / herself comforting and hearing out the patient when necessary, and is expected to be understanding and also a good listener. 1.2 History of Pharmacy The first pharmacies, apothecaries as they were formerly known, were founded in the Middle Ages in Baghdad. The first one was founded in the year 754 AD by Muslim pharmacists during the Islamic Golden Age 2. During the 11th century, community pharmacies were established in southern France and southern Italy. In 1240, Emperor Frederick II issued a decree the medical profession was to be separated from the pharmacy profession. Pharmacy practice was to be supervised so that drugs of a suitable quality would be prepared and produced (Azzopardi, 2010). The history of pharmacy can be classified into three stages: a) compounding and dispensing b) clinical pharmacy c) pharmaceutical care. Originally, the pharmacists had to prepare and dispense medicines so they had to excel at compounding. The community pharmacist was therefore highly esteemed because the preparation of medicines was greatly valued in society. In fact, at that time, the pharmacists and other professionals such as lawyers, medical doctors and parish priests were the leaders in the community. As time passed, newly discovered drugs became more dangerous and potent so they started being prepared by manufacturing companies. The pharmacists role was only to dispense these drugs (Al-Shaqha, Zairi, 2001). 2 Dayanada Sagar College of Pharmacy, Bangalore, India. History of Pharmacy. [home page on the Internet]. 2008 [cited 2010 Oct 10]. Available from: http://www.dscpharmacy.org/pharmacy.php Pharmacists moved to clinical practice about 25 years ago. The original concept of clinical pharmacy services was based on the fact that pharmacists ought to use their professional knowledge to ensure the appropriate and safe use of drugs in patients. As a result, several pharmacists nowadays work in hospitals, nursing homes and some ambulatory clinics. Problems remained within the drug-use-system despite the advances made in clinical pharmacy and documenting and recognising these problems has led to the concept of pharmaceutical care becoming the new basis for pharmacy practice (Al-Shaqha, Zairi, 2001). 1.2.1 History of pharmacy in Malta 1.2.1.1 History of pharmacy in Malta from the late 15th century until the arrival of the Knights of the Order of St. John of Jerusalem in 1530 Before 1500, the pharmacists in Malta were almost all Sicilian. In the early 15th century, pharmacists were employed either by the Universita or by the Hospital of Santo Spirito. Mastru Salvatore Passa is the first documented pharmacist in Malta who practised in Mdina and the Hospital of Santo Spirito in Rabat from 1450 to 1475. The medicines prescribed in those days were mainly herbal. During this period, Passa often travelled to Sicily due to his work, presumably to import medicinal herbs as many herbs did not form part of the local flora (Borg, 1998). 1.2.1.2 Pharmacy under the Knights of the Order of St. John of Jerusalem The Knights of the Order of St. John of Jerusalem arrived in Malta on the 26th October, 1530 and they applied their knowledge of pharmacy to the practice in Malta. A Holy Infirmary in Birgu was built and the Greek pharmacist, Giacomo Gualterio, who had accompanied the Order to Malta was the apothecary (Borg, 1998). Grand Master Nicholas Cottoner established the School of Anatomy and Surgery at the Holy Infirmary in 1676. It is very probable that a Pharmacy course was established in the school (Borg, 1998). Under the Knights, the practice of pharmacy in Malta changed gradually, but continuously, occurring in a similar way to that in Europe. However, extemporaneous preparations remained the same from the times of Mastru Salvatore Passa because the enlargement of the pharmaceutical industry still had to occur (Borg, 1998). 1.2.1.3 Pharmacy under the French and British colonies The French arrived in Malta in 1798. There were no more than 32 pharmacies under their dominion, each one having an average clientele of 3,000 patients. No changes were made to the laws governing the practice of pharmacy under the French. Hence, the daily activities of the pharmacists were identical to those of under the Knights. The laws established by the Knights of the Order of St. John remained in force until 1900. In their stay in Malta, which lasted for about one hundred years, the British left their mark on the pharmacy profession. The use of the English language, the names of pharmacies pertaining to Britain or England and the consulting room in the pharmacy are all such examples (Borg, 1998). 1.2.1.4 Pharmacy in the 20th century The Medical and Kindred Professions Ordinance of the Laws of Malta, governs pharmacy laws. This was enacted in 1900 as the laws governing the profession at that time had become outdated and needed restructuring. A legislation that allowed pharmacists to dispense certain medicaments without a prescription was enacted in October 1955 and on the 12th October 1955, a list of these substances was published in the Malta Government Gazette (Borg, 1998). The Malta Chamber of Pharmacists was founded in 1900 in order to protect the common interests of the pharmacists and also to maintain the professions dignity. Hence, the professions standards were raised by enabling the profession to keep abreast of the changes that were occurring internationally (Borg, 1998). In April 1961, an Extraordinary General Meeting was held by the Chamber to discuss the issue of forming a Trade Union that would represent pharmacists; all 33 pharmacists present agreed that this was necessary. One of the Unions objectives, among others, was to improve the conditions under which the profession was exercised and to promote the interests of pharmacists. The Pharmacy Board was set up in 1968 and this was the greatest achievement of the Chamber and Union. The Union worked very closely with the Chamber and in 1979 they formed one association, i.e. the Chamber of Pharmacists Trade Union. This association worked very hard and it affected the current state of the profession and also the legislation governing the practice of pharmacy (Borg, 1998). In 1984, after several meetings with the Chamber, it was finally decided that new pharmacies ought to be owned by pharmacists and that before granting new permits, the population ratio has to be taken into consideration (Borg, 1998). Patients could get their free medications from the Central Hospital Dispensary and Government Dispensaries throughout the first fifty years of the 20th century. The latter could be found in most villages around Malta. In 1954, the Central Hospital at Floriana was turned into the Headquarters of The Malta Police Force as by the late 1940s, St. Lukes Hospital became Maltas General Hospital. Hence, the Out-Patient Dispensary of St. Lukes Hospital became the Central Government Dispensary (Borg, 1998). Pharmamed, the first local pharmaceutical enterprise, was founded in 1974. This gave rise to several job opportunities in the industrial field, besides enhancing Maltas image abroad. In 1995, as a result of strong and consistent negotiations and representations by the Maltese Chamber of Pharmacists, there was the appointment of the first director of the Government Pharmaceutical Services (GPS). This was part of the reform of the GPS and the career progression of pharmacists in Government service. It was concluded in 1998 in agreement with the Ministry of Health on the full implementation of the GPS reform. 1.2.1.5 Pharmacy in the 21st century In June 2007, Mater Dei Hospital replaced St. Lukes Hospital as the national hospital of Malta. The last of the personnel migrated to Mater Dei by November of that year. Hence, the main Government Dispensary was moved to Mater Dei as well 3. In 2008, the much awaited and debated Scheme of the Pharmacy of Your Choice (POYC) was introduced. This Scheme enables the people to have an easier and more comfortable access to the medicaments that are given for free by the Government. 3 Mater Dei Hospital Malta. [homepage on the Internet]. 2009 [cited 2010 Oct 23]. Available from: http://malta.cc/health-care/mater-dei-hospital-malta/ Thus the service that was previously provided for by the village Health Centre Dispensaries was transferred to the community pharmacies. The patients chose the pharmacy of their choice. The initial stages of the POYC Scheme do not envisage any changes in the reimbursement system. Therefore, patients who are entitled to take free medication will continue to do so; there is no co-payment (Grima IC). Until January 2011, the POYC Scheme had spread to 96 Maltese community pharmacies and to 17 community pharmacies in Gozo. Following the introduction of the Scheme, the village Health Centre Dispensaries where the Scheme was initiated, were closed down after sufficient time had elapsed. Over the past few years, the number of local pharmaceutical manufacturing companies has dramatically increased. So has the number of locally licensed pharmaceutical wholesalers who import medications from EU countries. There are more pharmaceutical products registered with the local Medicines Authority. This has had a positive impact on both the private and public pharmaceutical sectors due to the availability of more different therapeutic classes of medicines and more medicines that fall within the same therapeutic class (Grima IC). Recently, the number of generic medicinals in the private sector has also increased considerably. Nowadays, a pharmacist can substitute a branded prescribed medicinal with a generic product that is cheaper for the patient (Bugeja, 2007). Accession into the European Union in May 2004 had a great impact on the medicines in Malta, especially with regards to their availability. Some medicines that were previously available were not registered due to the high registration costs. Hence, EU accession improved the quality of medicines. On the other hand, it had a negative impact on their availability and affordability (Bugeja, 2008). The prices of medicines in Malta increased considerably after EU accession in 2004. In fact, according to studies carried out, the Maltese are paying about 40% more than the average price for medicinal products in the European Union 4. In July 2010, the Parliamentary Secretary, Chris Said, announced reductions in prices of 62 medicines. Some of these reductions were to be implemented immediately whereas with others, when stocks were sold out. Many medicines in Malta are overpriced when compared to other EU countries, so this was a step in the right direction 5,6. 1.3 Pharmaceutical Care In 1990, Hepler and Strand looked at the responsibilities of the pharmacist and at pharmacy services in a new way. They applied the term pharmaceutical care and over the years pharmacists have endeavoured to develop pharmaceutical care practices (Foppe, Schulz 2006). According to Hepler and Strand (1990): 4 Maltastar. The price of medicines in Malta under European Commission scrutiny. [homepage on the Internet]. 2010 [cited 2010 Oct 27]. Available from: http://www.maltastar.com/pages/rl/ms10dart.asp?a=11804 5 Xuereb M. Makers cut prices of 62 medicines. Times of Malta [serial on the Internet]. 2010 [cited 2010 Oct 27]. Available from: http://www.timesofmalta.com/articles/view/20100703/local/makers-cut-prices-of-62-medicines 6 Vella Matthew. Medicine importers agree to cuts in prices of up to 67%. MaltaToday [serial on the Internet]. 2010 [cited 2010 Oct 27]. Available from: http://www.maltatoday.com.mt/news/medicines/medicine-importers-agree-to-cuts-in-prices-of-up-to-6 Pharmaceutical care is the responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patients quality of life. These outcomes are (1) cure of a disease, (2) elimination or reduction of a patients symptomatology, (3) arresting or slowing of a disease process, or (4) preventing a disease or symptomatology. In their definition of pharmaceutical care, Hepler and Strand looked at the patients quality of life (Strand et al, 1991). Pharmaceutical care involves a pharmacist cooperating with the patient and members of other health care professions 7. This interprofessional relationship allows the implementation, design and monitoring of a therapeutic plan that will have specific therapeutic outcomes for the patient to benefit from (Ford, Jones, 1995). Pharmacists are the last health care professionals to come in contact with the patients. They thus have a major role in educating them regarding drug use. For this reason, pharmacists must be adequately trained and have excellent communication skills in order to provide this service in an effective manner (Alkhawajah, 1992). Pharmaceutical care can therefore be seen as the component of pharmacy practice that has to be performed by a competent pharmacist who must be committed, honest, accountable and loyal to the patient (Strand et al, 1991). 1.4 The Health Care System in Malta Maltas health care system is divided into the public / national health care system and the private health care system in which pharmaceutical services are provided for by 211 pharmacies that are distributed around Malta and Gozo. The public / national health system is based on a model that is founded on the principles of Equity, Solidarity and Justice. 7 American Pharmacists Association. Principles of practice for pharmaceutical care. [homepage on the Internet]. 2005 [cited 2010 Oct 12]. Available from: https://www.caremark.com/portal/assset/Principles_of_Practice_for_Pharmaceutical_Care.pdf 1.4.1 The Public Health Care System The Maltese Government consists of different Ministries, one of these being the Ministry of Health, Elderly and Community Care. This deals with the healthcare needs of the people and ensures that adequate services are provided for 8. The main goals of the Government for the public health services include 9: The concern of the patient, which is a constant issue The provision of health care and its management The value for money The sustainability of public health care. The Maltese Medicines Authority controls and ensures the quality, safety and efficacy of the pharmaceuticals that are available locally. It also authorizes the medicines that are to be placed on the local market. The Government Health Procurement Services (GHPS) is responsible for the purchasing, storage and distribution of all the pharmaceuticals that are required by the Government Health Services (GHS) in Malta. This entity operates with the funds that are allocated annually by the Government. Procurement of pharmaceuticals is done via tendering procedures that are regulated by the Public Service (Procurement) and Public Contracts regulations. 8 Government of Malta. The health care system in Malta. [homepage on the Internet]. No date [cited 2010 Oct 25]. Available from: The Government of Malta, Web site: http://www.sahha.gov.mt/pages.aspx?page=156 9 Integrated health information system phase 2. [homepage on the Internet]. 2010 [cited 2010 Oct 24]. Available from: The Government of Malta, The Malta Information Technology Agency Web site: https://www.mita.gov.mt/TenderFile.aspx?tfid=727 1.4.1.1 Primary Health Care The Government delivers primary health care via the Health Centres that are distributed around various villages in Malta and Gozo. These centres were set up in 1980 in order to provide free health care services 9. Besides providing the free services of general practitioners, these centres also provide a vast range of other services, including: Specialist clinics eg: gynaecological clinics and diabetes clinics Laboratory diagnostic facilities Radiology. Many people choose to have the services of private general practitioners and / or specialists who work in the primary health care sector. In the private scenario, their services are against payment. 1.4.1.2 Secondary and Tertiary Health Care These are provided for by public and private hospitals, found in different locations in Malta. The main public hospital is Mater Dei Hospital and it provides a wide range of services, including transplant surgery, open heart surgery, emergency care and diagnostic services. Sir Paul Boffa Hospital, another public hospital, has an oncology and dermatology unit. Mount Carmel Hospital is the islands public psychiatric hospital. There are a number of private hospitals in Malta, amongst which is Saint James Capua Hospital. 9 Integrated health information system phase 2. [homepage on the Internet]. 2010 [cited 2010 Oct 24]. Available from: The Government of Malta, The Malta Information Technology Agency Web site: https://www.mita.gov.mt/TenderFile.aspx?tfid=727 1.5 Free health services provided by the government The Government provides free health services; free at the point of delivery, as these are directly funded from general taxation. In Malta, the boundary between the private and public sectors can be seen from two different aspects: medical and pharmaceutical (Wismayer, 2010). 1.5.1 The Medical Aspect The healthcare is available to ALL Maltese citizens, irrespective of the social and financial background of the patient. Anybody can turn up at a Health Centre or public hospital and be given the necessary treatment. Hence, up to a certain extent there is a holistic attitude as no distinction is made between citizens and whoever requires a healthcare service is provided with what is needed (Wismayer, 2010). The seams start to show up when the services available in the public health system are not accessible. That sector of society who can afford to pay, will therefore have to seek the services from the private sector. A case in point is the long waiting lists for certain required procedures at Mater Dei Hospital. 1.5.2 The Pharmaceutical Aspect One of the major tools to achieve good healthcare is to provide good pharmaceutical care. From this aspect, there is a clearer distinction between the private and public sectors. The Government offers free medications to a number of people who fall under different categories: The Schedule II Patients (Pink Card Holders) These cards are issued from the Department of Social Security. They are accompanied by a pink form which bears the name of the pink card holder. The total household income is assessed and the entitlement is based on this. Each household has one pink form that lists all members. However, every member of the household has his / her pink card. The pink form and pink card entitle their holders to free medication that is listed on the Government Formulary. Diabetics also have a pink card issued in their name. There are several faults in the administration of this system, as there does not seem to be a distinction between the strata of society, as is the case with some affluent people who are also in possession of a pink card. Also, no distinction is made between hospital in-patients and out-patients; there is only one formulary for all. 10. The Schedule V Patients (Yellow Card Holders) If a person suffers from a medical condition that is listed under the fifth schedule of the Social Security Act, then he / she can benefit from this free service, irrespective of the financial position. Examples of these conditions include: Respiratory conditions Cardiovascular diseases Malignant diseases Schizophrenia Liver diseases CNS diseases 10. 10 Ministry for Health, the Elderly and Community Care. Free medicinals. [homepage on the Internet]. No date [cited 2010 Oct 12]. Available from: The Government of Malta, Web site: http://www.sahha.gov.mt/pages.aspx?page=8 When a patient is diagnosed with such a condition, he / she is referred to a Consultant by the General Practitioner. The Consultant applies for a Schedule V Card for the patient listing the required medications. Subsequently, the patient is issued with the Card from the Almoner Section at St. Lukes Hospital. People who possess a yellow card are only entitled to take the medications that are listed on the card for free. The list must be amended if the treatment is changed. The Government Hospital In-Patients Any patient resident in the Government Hospitals is entitled to free medication. To date, there is only one Government formulary for all public hospitals. It would make more sense if each hospital had its own formulary due to the specialisation of the hospitals that varies accordingly. These formularies ought to be put together by the doctors who work at the hospitals and by the pharmacists who know what medications are available and which are best suited for the patients. Other people entitled to free medicines include amongst others: Members of certain religious orders Inmates of charitable institutions Refuse collection employees Prisoners People who are injured on duty Members of the Police Forces below the grade of Sub Inspector AFM personnel 11. 11 Ministry for Health, the Elderly and Community Care. Free medicinals. [homepage on the Internet]. No date [cited 2010 Oct 12]. Available from: The Government of Malta, Web site: http://www.sahha.gov.mt/pages.aspx?page=172 1.6 The Pharmacy of Your Choice Scheme The Pharmacy of your choice Scheme (POYC) falls under the umbrella of the Health Division in Malta. The latter is under the portfolio of the Ministry of Health, the Elderly and Community Care. POYC is under the direct responsibility of the Permanent Secretary of Health. The Scheme started in 2008 after several years of discussions and debates. It enables the people to have an easier and more comfortable access to the medicaments that they are entitled to take for free from the Government. The Scheme started in 2008 with an estimate budget of à ¢Ã¢â‚¬Å¡Ã‚ ¬460,000 and the actual expenditure for that year amounted to à ¢Ã¢â‚¬Å¡Ã‚ ¬366,000. In 2009, the estimate budget was of à ¢Ã¢â‚¬Å¡Ã‚ ¬400,000 and that for 2010 was of à ¢Ã¢â‚¬Å¡Ã‚ ¬1.5 million. The 2011 budget allocated à ¢Ã¢â‚¬Å¡Ã‚ ¬1 million to the Scheme apart from the additional à ¢Ã¢â‚¬Å¡Ã‚ ¬400,000 which had to be injected to strengthen the electronic system. The POYC pilot study started in December 2007 in two pharmacies in the Ghargur area. About 550 patients were registered in these pharmacies. Mgarr was next (one community pharmacy having approximately 600 patients), followed by Mellieha (three pharmacies having approximately 1500 pateints) in January 2008 and Naxxar in February 2008 ( Sant Fournier, 2008). Most community pharmacies enrolled in the POYC when the Scheme was introduced in their villages. For example, in the Mosta area, which includes Naxxar, St. Pauls Bay, Xemxija, Gharghur, Mgarr, Mellieha and Mosta, only one out of the 24 community pharmacies did not join in the Scheme due to lack of space (Zahra, 2007). With the introduction of the POYC Scheme, the village Health Centre Dispensaries were closed down after sufficient time had elapsed to allow for a seamless transition. 1.6.1 Advantages associated with the POYC Scheme The main scope of the POYC Scheme was to reduce the long queues at the Health Centre Government Dispensaries. Also, patients are monitored better by the community pharmacists who ensure that the medicines are taken in the correct way as more patient advice is given on a one-to-one basis when compared to the previous system (Zahra, 2007). Pharmacy practice in the community has always focussed on the establishment of an excellent patient-pharmacist relationship (Sant Fournier, 2007). This advice is lacking in the public sector as the patients are given the medicines they require with haste, due to the large number of people waiting to collect their medications. Dosage regimen advice is usually the only advice given. Many people used to turn to their community pharmacists anyway to seek advice and to solve any queries they may have had. With this Scheme, there is also a decrease in wastage because patients are not given the medicines if these are not required, despite the fact that they are entitled to them. Sant Fournier, the President of the Malta Chamber of Pharmacists, claimed that most patients have become more educated and as a result acknowledge the fact that medicines are not to be taken as a for granted privilege but must be used rationally (Borg, Bonello, 2009). The patients find it easier to confide in their habitual pharmacist rather than talk to someone who they do not know. 1.6.2 Problems associated with The POYC Scheme According to Mario Debono, the then General Retailers Trade Union (GRTU) Pharmacy and Health Division President, this system has been a success even though it would improve if more money is allocated by the Government and if it receives more attention (Borg, Bonello, 2009). As with any other recently introduced systems, there are flaws. Nevertheless, several efforts are being made to sort them out. The main problem that is associated with the POYC Scheme is the large number of medicines that are out of stock. This is causing unnecessary stress on the pharmacists and patients. The latter have to go to a Government Health Centre Dispensary that is still open or to Mater Dei Out-Patients Pharmacy to get the medications that are not available from the Scheme. However, this out of stock problem is not the fault of the POYC Department but it has got to do with the purchasing system of the Government. In October 2009, Debono stated that a possible reason why such a large number of medicines is out of stock is that some suppliers have not been paid for their services. Shortages of certain medicines abroad could also lead to decreased stock levels (Borg, Bonello, 2009). The Government did not organise any educational campaigns for the general public regarding the implementation of the POYC Scheme, even though it was advised to do so (Sant Fournier, 2009). Hence, pharmacists were faced with several problems, including sometimes, heated arguments with their patients. It was recommended to have the campaign based on the one used for the introduction of the Euro in Malta, the Malta Euro Changeover Campaign. In October 2009. Reginald Fava, the then President of the Malta Chamber of Commerce, Enterprise and Industry, made new proposals to upgrade the POYC system which were estimated to cut at least a third of present consumption and abuse. He described the current POYC system as being obscene because according to him medicines were being collected even when they were not required by the patients. Fava suggested that patients ought to pay for the medicines they require and will be reimbursed by the Government at a later stage. With this proposed system, the patients would also have the option to go for more advanced or more expensive medications as compared to their entitlement, and will only have to pay the difference in price. Hence, with this proposal, the POYC Scheme would be allowing superior medicines to be taken for free. It would also make the Scheme more sustainable as it would reduce the out of stock problem, be more cost-effective for the Government, reduce wastage and abuse. Th e Government would thus be saving on costs and would be in a better position to widen the National Formulary with more recent and advanced medications (Borg, 2009). At the moment, this is not possible due to financial constraints. The POYC Scheme affected the daily running of the community pharmacies. Due to the increased work load, some pharmacy owners had to employ further staff. The owners had to purchase a computer and a printer for labels to be issued with every dispensed prescription. They also had to apply for internet service at the pharmacy. Also, some pharmacies had to make the necessary arrangements to increase shelving space to accommodate the weekly delivery of medicines from the POYC Department. Some pharmacies even needed to install another air-conditioning unit. Admittedly, the Government subsidized these expenses to a maximum capital expenditure of à ¢Ã¢â‚¬Å¡Ã‚ ¬6,990 (Lm 3,000). After the Memorandum of Understanding was signed, negotiations were held and the amount was capped at à ¢Ã¢â‚¬Å¡Ã‚ ¬9,000. According to an article on the The Malta Business Weekly that was published in November 2009, only the pharmacists who own the pharmacy are happy with this new system. The employed pharmacists have had their work load doubled, if not trebled. Hence, they do not give their patients the service that they used to give before the implementation of the Scheme (Attard, 2009). 1.6.3 The Memorandum of Understanding The very first document on the POYC Scheme was submitted to the Government by the Malta Chamber of Pharmacis

Representation of Breast Cancer :: Cancer Health Photography Essays

Representation of Breast Cancer "Palimpsest" is defined as "awrittendocument, typically on vellum or parchment, that has been writtenupon severaltimes, often with remnants of earlier, imperfectly erased writingstill visible,remnants of this kind being a major source for the recovery of lostliteraryworks of classical antiquity" (American Heritage Dictionary). Thisdefinitionprovides a way to theorize the intersection of photography withbreast cancer asa medical condition, a personal trial, and a discourse. As breast cancerstatistics approach one ineight women, critics are beginning to theorize the ways in whichthe disease isnot only a health condition but a psycho-social and a culturalcondition. Themedical world develops a particular set of descriptions of andreactions topatients' health conditions, while individuals,families and groupsgeneratetheir own responses and vocabulary. In addition, larger patterns ofaction anddiscussion also shape and are shaped by culture, that is,society(s),lifestyles, media and artistic and literary production. "Breastcancer"therefore merits a better understanding of the forces ofrepresentation whichdefine the disease itself and its sufferers. Here I aim to examinethe interplayspecifically of photography with representation of breast cancerand breastcancer bodies. Part of the challenge of this project, and indeedits point isthat breast cancer photography is still not found in majorhistories ofphotography, or even anthologies of womenà ¾s photography . Itstradition lies inx-rays, MRIs and collections of medical photographs designed forthe purposes ofdocumentation or instruction, or, alternately, in scattered exhibitions or collections. This history has only very recently been reclaimed and written differently by women photographers and writers, and feminist academics and activists. I have deliberately chosen two photographs whose subject involves some type of writing literally on the bodyas a way ofconcentrating my discussion of the issues involved when photography attempts to process or project experiences of breast cancer, or shape publicperceptions ofthe disease. In this essay, which is part of a more extensiveinvestigation, I will begin some readings focusing on how two women's work incombined image andtext points to desire and agency. The photographs have both strongsimilaritiesin their re-writing on and of the breast cancer body, and markeddifferences intheir attitudes and intentions. In each case, the photograph itselfis worthlooking at closely as a photograph on its own, yet the text whichaccompanieseach of them--the book it originally appears in with itsdescription of theimage or its production--crucially shapes the meaning of thephotograph. I usethe paradigm of the "palimpsest" in both fairly literal andmetaphorical ways inorder to look at severa l questions: 1.

Egyptian Religion Essay

The Egyptians took great care of their dead because of their religious beliefs. According to John Catoir, author of â€Å"World Religions: Beliefs Behind Today’s Headlines,† Egyptians believed that an afterlife involved a full human existence, not a mere spirit life, therefore the soul must join the body in heaven. It was hoped that by preserving their bodies from decay they would enhance the process of resurrection and provide themselves with a decent start in the new life. The priests who performed the mummification were thought of as acting in the role of Anubis, the god of the dead. The organs, excluding the heart would be removed, and the mouth would be broke open. This allowed for the testimony and the weighing of the heart when attempting to gain entrance into the underworld (afterlife). According to Geoffroy Parrinder, author ofâ€Å"World Religions: from Ancient History to the Present,† the whole embalming of the body seems to have implied an imitation of what was done (in the legend to Osiris by Anubis in Abydos) so the dead person was thereby identified with Osiris:charms were usually placed within the wrappings of the mummy, and special importance was attached to the heart scarab which was placed on the chest. Because of the Egyptians belief that the body and soul unite again in the underworld, their response to cremation would not be a positive one. Since the soul and the body meet up in heaven again, the body would be destroyed, making it impossible to meet up with the soul. In addition, the heart will not have an opportunity to be weighed and the mouth would not be able to testify. After a king died, Osiris would personally identify the king. The motive behind the identification of the dead king with Osiris was to ensure the perpetuation of the king’s rule after death:by becoming Osiris the dead pharaoh would rule over the realm of the dead (Parrinder). According to Roveri Donadoni, author of â€Å"Egyptian Civilization: Religious Beliefs,† a dead Pharaoh lived in the heavens as a star and a new pharaoh came to power as a new incarnation of the divine power of Ra, the Sun God. The stars appeared as minor suns illuminating the night sky, each one the lasting impression of a former earthly pharaoh. Rituals involved the everyday life of the typical Egyptian. According to Christopher Moreman, author of â€Å"Beyond the Threshold: Afterlife Beliefs and Experiences in World Religions,† ritual performance was necessary to ensure that the spirit of the dead would not be lost but would continue in association with the sun after an arduous journey through the underworld. †Every day and several times within the day, the god was the object of ritual activity similar to that which would be accorded to an earthly prince (Donadoni). Distinctive rites were naturally found in the special festivals of the pharaoh and of the gods (Parrinder). The king’s jubilee-festival, called the Sed, re-enacted ritually the unification of Egypt under Menes, and its climax was a dance performed by the king in a short kilt with an animal’s tail hanging behind it. A procession or ‘coming forth’ was usually a conspicuous feature of the festivals of the gods, whose statues were carried by priests to other sacred places in order to visit other deities or in order to enact a mythological episode connected with these places (Parrinder).

Legal System and the Social Construction of Childhood

In 1924 the League of Nations promulgated the first international agreement setting out the principles, which should inform the universal treatment of children. The underlying image of the child contained in the Declaration of Geneva was thoroughly imbued with a modernist concept of childhood. In particular children were seen as incomplete, non-social, weak and dependent. The Declaration, therefore, placed its emphasis on the duties of adults towards children. The UN Convention of the Rights of the Child (UNCRC), agreed in 1989, took this a stage further by making its provisions legally binding on national governments that ratified it. By 2003 this included all governments of the world except the US. The UNCRC, however, surpasses the modernist notion of children as a cultural other. It raises children's social participation as a goal alongside protection and provision. Children's participation has become an international rallying point for child advocacy. It is seen as capable of transcending differences in the social, cultural and economic conditions of children's lives around the world (Davie, Upton and Varma, 1996; Flekkoy and Kaufman, 1997; Franklin, 1995; Hart, 1992; Lansdown, 1995). From one point of view the UNCRC represents a benign attempt to bring enlightenment and humane standards to all children. It has been used in this way and it is on these grounds that it draws enthusiastic support and even evokes a certain amount of zealotry. It has also been characterized as high in rhetoric but low in intensity. In this sense it is a highly suitable instrument through which declarations of lofty principle can be made but about which little needs to be done in practice. However, it is also the case that the children's rights lobby is, for good or ill, on the forefront of the global spread of norms about childhood. As Boyden (1997:197) notes, these efforts have their precursors in the ‘civilizing mission' of colonialism: â€Å"As the twentieth century has progressed, then, highly selective, stereo-typical perceptions of childhood – of the innocent child victim on the one hand and the young deviant on the other – have been exported from the industrial world to the South †¦ It has been the explicit goal of children's rights specialists to crystallize in international law a universal system of rights for the child based on these norms.† The effects of this, she argues, are not always positive. Rights is a concept which is ultimately tied up with cultural values. Their successful implementation depends upon the existence of a compatible framework of meaning and an infrastructure of social and economic supports. The right to protection, for example, may translate well into practice when agencies, such as the police, are reliable upholders of law. When they are reliably corrupt it can be a recipe for oppression. Furthermore, some aspects of the concept of childhood contained in the UNCRC might also depend for their realization upon a level of economic wealth that many countries do not possess. As we have seen, for some countries international economic policy has led to deepening poverty, ill-health and inequality at the same time that social policy is urging the adoption of the rights of children. Perhaps, though, this is to underestimate the subtle processes that the UNCRC is enmeshed within. The different ways in which it (or part of it, Article 12) can be interpreted illustrate well how cultural globalization creates both diversity and homogeneity. It is, as Lee (1999) has pointed out, a document that has effectivity only because it is ambiguous. It is framed in such a way that its general principles are given a great deal of space for local interpretation. In fact, such was the level of disagreement among those who drafted it that this was the only way to make it acceptable to a wide range of countries with different cultural traditions about childhood. As Lee (2001a: 95-6) comments: â€Å"If the Convention had been intended to clarify children's position, it would indeed crumple under this burden, but the Convention operates in a rather different way. Having generated childhood ambiguity, it then lays the responsibility for managing that ambiguity on the legislatures and the policy-makers of the states that have ratified it.† The representation of childhood found in the UNCRC has become more complex and ambiguous than the earlier Declaration. The protection and provision articles of the Convention still emphasize children's need of adult support but, at the same time, especially through Article 12 of the Convention, children are pictured as social actors, not outside but inside society, not passive recipients but active participants. Role of the Legal System in Regulating children However, the contradictory effects of globalization do not all flow in the direction of self-expression and rights. From another point of view the twentieth century has witnessed increased levels of institutional control over children. The introduction of compulsory schooling and children's formal exclusion from paid work signaled a historical tendency towards children's increasing compartmentalization in specifically designated, separate settings, supervised by professionals and structured according to age and ability. Nà ¤sman (1994) has called this process the institutionalization of childhood. Throughout the twentieth century schooling has gradually been extended both ‘upwards' (for example in incremental steps towards an older leaving-age for compulsory schooling) and ‘downwards' in the growing emphasis on pre-school education and nursery provision (Moss et al., 2000.) Even leisure time is often framed in this way for many children because activities such as sport or music increasingly take place within some kind of institutional setting. It can be seen in the provision of after-school and holiday clubs that organize and regulate children's activities under an adult gaze, channeling them into forms considered developmentally healthy and productive. Such phenomena have been noted across European societies. German sociologists, for example, have used the terms ‘domestication' to describe the progressive removal of children from the streets and other public spaces and their relocation in special, protected spaces. They use the term ‘insularization' to describe the decreased levels of children's autonomous mobility around cities and the creation of special ‘islands' of childhood to and from which they are transported (Zeiher, 2001, 2002). Within these institutions, but with significant variations according to national policy, it is possible to discern a struggle to tighten the regulation of children and to shape more firmly the outcomes of their activities. Schooling is a good example of this. In the last decades of the twentieth century the rather instrumental schooling regimes of the ‘Tiger Economies' of Southeast Asia were held up as the model for producing economic efficiency and were widely influential in changing educational systems in Europe. I have argued elsewhere that this phenomenon represents a refocusing of modernity's drive to control the future through children (Prout, 2000a). This tightening of control over children derives from a declining faith in other mechanisms of economic control, combined with increasing competitive pressures from the world economy. The intensification of global competition and the intricate networking of national economies erode the state's capacity to control its own economic activity. In such circumstances, shaping children as the future labor force is seen as an increasingly important option. This, after all, is exactly what supply side economics is about but, as far as children are concerned, it often leads to attempts to regulate and standardize what they learn and how they learn it. References Boyden, J 1997, ‘Childhood and the Policy Makers', in James, A and Prout, A (eds), Constructing and Reconstructing Childhood: Contemporary Issues in the Sociological Study of Childhood (2nd edn), Falmer Press, London. Davie, R, Upton, G and Varma, V (eds) 1996, The Voice of the Child, Falmer Press, London. Flekkoy, GD and Kaufman, NH 1997, The Participation Rights of the Child: Rights and Responsibilities in Family and Society, Jessica Kingsley, London. Franklin, B 1995, Handbook of Children's Rights: Comparative Policy and Practice, Routledge, London. Hart, R 1992, Children's Participation: From Tokenism to Citizenship, Innocenti Essays, Florence. Lansdown, G 1995, Taking Part: Children's Participation in Decision Making, Institute for Public Policy Research, London. Lee, N 1999, ‘The Challenge of Childhood: The Distribution of Childhood's Ambiguity in Adult Institutions', Childhood, vol. 6, no. 4, pp. 455-74. Lee, N 2001a, Childhood and Society: Growing Up in an Age of Uncertainty, Open University Press, Buckingham. Moss, P, Dillon, J and Statham, J 2000, ‘The â€Å"Child in Need† and â€Å"The Rich Child†: Discourses, Constructions and Practices', Critical Social Policy, vol. 20, no. 2, pp. 233-54. Nà ¤sman, E 1994, ‘Individualisation and Institutionalisation of Children', in Qvortrup, J., Bardy, M., Sgritta, G. and Wintersberger, H. (eds), Childhood Matters: Social Theory, Practice and Politics, Avebury, Aldershot. Prout, A 2000a, ‘Control and Self-Realisation in Late Modern Childhoods', Special Millenium Edition of Children and Society, vol. 14, no. 4, pp. 304-15. Zeiher, H 2001, ‘Children's Islands in Space and Time: The Impact of Spatial Differentiation on Children's Ways of Shaping Social Life', in du Bois-Reymond, M., Sunker, H. and Kruger, H.-H. (eds), Childhood in Europe: Approaches – Trends – Findings, Peter Lang, New York. Zeiher, H. (2002) ‘Shaping Daily Life in Urban Environments', in Christensen, P. and O'Brien, M. (eds), Children in the City: Home, Neighbourhood and Community, London: Falmer Press.         

best polical candidate essays

best polical candidate essays According to the U.S Constitution, a president is elected every 4 years. We elected our new president in 2000, which was President George W. Bush, the son of former President George Bush. Is he doing a great job so far in his term? Lets see, 1 year after he was elected the United States was attacked by terrorist and went into was. Economy goes down, people loose their jobs, unnecessary war cost, etc. If you dont want all that to happened, for our next election, vote for John Kerry. He is the best Presidential Candidate for this upcoming election. He is a man trust, honor, and will never let you down John Kerry was born on December 11, 1943 in Denver Colorado. Most of his life, he was raised in the Catholic Church. He graduated from Yale University magma cum Laude. After he graduated, he entered the U.S Navy. He fought in the Vietnam War and earned purple star, Silver Star, Bronze with Combat V. Since he got wounded in the Vietnam War, he became the co- fonder of Vietnam Veterans of America. Kerry was a co-founder of the Vietnam Veterans of America and became a spokesperson for the Vietnam Veterans against the War. Fourteen years later, Kerry graduated from Boston College Law School and found different ways to fight for those things in which he believed. Time and again, Kerry fought to hold the political system accountable and to do what he believed was right. As a top prosecutor in Middlesex County, Kerry took on organized crime and put the Number Two mob boss in New England behind bars. He modernized the District Attorney's office, creating an innovative rape crisis crime unit , and as a lawyer in private practice he worked long and hard to prove the innocence of a man wrongly given a life sentence for a murder he did not commit. In 1984, after winning election as Lieutenant Governor in 1982, Kerry ran and was elected to serve in the United States Senate, running and winning a successful PAC-free Senate race and defeating...

Future Plans Essays - College Level Math, Lacamas Credit Union

Future Plans Essays - College Level Math, Lacamas Credit Union Future Plans Scholarship Essay "Did life exist on Mars?" "What would it take to build a spaceship that could travel at the speed of light?" "When will the moon be colonized?" These are just some of the questions that wander through my mind all day. Fascinated by the secrets of the universe, I yearn to uncover mysteries. In order to blast open all the closed gates between knowledge and myself, I need the powerful tools of education. After I graduate from high school, I plan to attend a college or university that has strong mathematics and science departments. Even now, I am actively preparing to enter the realm of science, taking college-level math and physics classes through the Running Start program. Upon receiving a college degree, my life-long dream is to engage in scientific research for NASA. Unfortunately, most colleges notable for their academic standards are also renowned for costly tuition. My family consists of one working parent and two children who wish to attend college. Receiving the Lacamas Credit Union Scholarship would lighten the financial burden on my family and would enable me to pursue my dream. Perhaps then, my questions could be answered.

Advance Paper 2

The CSSA accepts no liability for any reliance use or purpose related to these ‘Trial’ question papers. Advice on HSC examination issues is only to be obtained from the NSW Board of Studies. 5400-1 Section I – Module A: Comparative Study of Texts and Context 20 marks Attempt either Question 1 or Question 2 Allow about 40 minutes for this section Answer the question in a SEPARATE writing booklet. In your answer you will be assessed on how well you: †¢ demonstrate understanding of the meanings of a pair of texts when considered together †¢ evaluate the relationships between texts and contexts †¢ organise, develop and express ideas using language appropriate to audience, purpose and form Question 1 – Elective 1: Exploring Connections (20 marks) To what extent are texts enriched through their connection with other texts? Respond to this question in relation to the pair of prescribed texts that you have studied. The prescribed texts are: †¢ Shakespearean Drama and Film – William Shakespeare, King Richard III AND – Al Pacino, Lookingfor Richard †¢ Prose Fiction and Poetry – Patrick White, The Aunt’s Story AND – Rosemary Dobson, Selected Poems * Young Girl at a Window * Chance Met * Landscape in Italy * Azay-Le-Rideau * The Rape of Europa * Romantic * Primitive Painters Question 1 continues on page 3 Question 1 (continued) †¢ Prose Fiction and Nonfiction * Jane Austen, Pride and Prejudice AND * Fay Weldon, Letters to Alice on First Reading Jane Austen †¢ Poetry and Drama * * * * * * * * * * John Donne, Selected Poetry Death be not proud This is my playes last scene At the round earths imagin ‘d corners blow If poisonous minerals Hymne to God my God, in my sicknesse A Valediction: forbidding mourning The Apparition TheRelique The Sunne Rising AND * Margaret Edson, W;t End of Question 1 In your answer you will be assessed on how well you: †¢ demonstrate understanding of the meanings of a pair of texts when considered together †¢ evaluate the relationships between texts and contexts †¢ organise, develop and express ideas using language appropriate to audience, purpose and form Question 2 – Elective 2: Texts in Time (20 marks) Compare the ways in which texts offer insights into the human experience. Respond to this statement in relation to the pair of prescribed texts that you have studied. The prescribed texts are: †¢ Prose Fiction and Film – Mary Shelley, Frankenstein AND – Ridley Scott, Blade Runner (Director’s Cut) †¢ Prose Fiction and Poetry – F Scott Fitzgerald, The Great Gatsby AND – Elizabeth Barrett Browning, Aurora Leigh and Other Poems – Sonnets I, XIII, XIV, XXI, XXII, XXVIII, XXXII, XLIII †¢ Drama and Nonfiction – Edward Albee, Who’s Afraid of Virginia Woolf AND – Virginia Woolf, A Room of One’s Own Section II – Module B: Critical Study of Texts 0 marks Attempt ONE question from Questions 3-7 Allow about 40 minutes for this section Answer the question in a SEPARATE writing booklet. In your answer you will be assessed on how well you: †¢ demonstrate an informed understanding of the ideas expressed in the text †¢ evaluate the text’s language, content and construction †¢ organise, develop and express ideas using language appropriate to audience, pu rpose and form Question 3 – Shakespearean Drama (20 marks) How is your personal response to Hamlet shaped by the interaction of characters in the play? William Shakespeare, Hamlet Question 4 – Prose Fiction (20 marks) (a) How is your personal response to In the Skin of a Lion shaped by the interaction of characters in the novel? Michael Ondaatje, In the Skin of a Lion OR (b) How is your personal response to Cloudstreet shaped by the interaction of characters in the novel? — Tim Winton, Cloudstreet OR (c) How is your personal response to Sixty Lights shaped by the interaction of characters in the novel? Gail Jones, Sixty Lights OR (d) How is your personal response to Jane Eyre shaped by the interaction of characters in the novel? Charlotte Bronte, Jane Eyre Please turn over In your answer you will be assessed on how well you: †¢ demonstrate an informed understanding of the ideas expressed in the text †¢ evaluate the text’s language, content and construction †¢ organise, develop and express ideas using language appropriate to audience, purpose and form Question 5 – Drama or Film (20 marks) (a) How is your personal response to A Doll’s House shaped by the interaction of characters in the play? Henrik Ibsen, A Doll’s House OR b) How is your personal response to Citizen Kane shaped by the interaction of characters in the film? Orson Welles, Citizen Kane Question 6 – Poetry (20 marks) (a) How is your personal response to the poetry of Yeats shaped by a perception of voice in the poems? In your answer, refer to THREE of the poems set for study. The prescribed poems are: William Butler Yeats, WB Yeats: Poems selected by Seamus Heaney * An Irish Airman * When You Are Old * Among School Children * The Wild Swans at Coole * Leda and the Swan * The Second Coming * Easter 1916 OR Question 6 continues on page 7 6 Question 6 (continued) (b) How is your personal response to the poetry of Harwood shaped by a perception of voice in the poems? In your answer, refer to THREE of the poems set for study. The prescribed poems are: Gwen Harwood, Selected Poems * Father and Child (Parts I II) * The Violets * At Mornington * A Valediction * Triste Triste * The Sharpness of Death * Mother Who Gave me Life OR (c) How is your personal response to the poetry of Slessor shaped by a perception of voice in the poems? In your answer, refer to THREE of the poems set for study. The prescribed poems are: Kenneth Slessor, Selected Poems * Out of Time * Five Bells * Sleep * Five Visions of Captain Cook * Sensuality * Elegy in a Botanical Garden * Beach Burial End of Question 6 In your answer you will be assessed on how well you: †¢ demonstrate an informed understanding of the ideas expressed in the text †¢ evaluate the text’s language, content and construction †¢ organise, develop and express ideas using language appropriate to audience, purpose and form Question 7 – Nonfiction (20 marks) (a) How is your personal response to Orwell’s essays shaped by a perception of voice in these texts? In your answer, refer to THREE of the essays set for study. * George Orwell, George Orwell: Essays The prescribed essays are: * Why I Write * Notes on Nationalism * Good Bad Books * The Sporting Spirit * Politics and the English Language * Writers and Leviathan OR (b) How is your personal response to speeches shaped by a perception of the passion of the speaker? In your answer, refer to THREE of the speeches set for study * Speeches The prescribed speeches are: * Margaret Atwood – Spotty-Handed Villainesses, 1994 * Paul Keating – Funeral Service of the Unknown Australian Soldier, 1993 * Noel Pearson -An Australian History for Us All, 1996 * Aung San Suu Kyi – Keynote Address at the Beijing World Conference on Women, 1995 * Faith Bandler -Faith, Hope and Reconciliation, 1999 * Deane, William – It is Still Winter at Home, 1999 * Anwar Sadat – Speech to the Israeli Knesset, 1977 BLANK PAGE Please turn over Section III – Module C: Representation and Text 20 marks Attempt ONE question from Questions 8-9 Allow about 40 minutes for this section Answer the question in a SEPARATE writing booklet. In your answer you will be assessed on how well you: †¢ demonstrate understanding of and evaluate the relationship between representation and meaning †¢ organise, develop and express ideas using language appropriate to audience, purpose and form Question 8 – Elective 1: Conflicting Perspectives (20 marks) You are speaking to an audience of your peers. Compose a speech in which you demonstrate how your understanding of conflicting perspectives is shaped by the construction of the texts. In your response, refer to your prescribed text and TWO texts of your own choosing. The prescribed texts are: †¢ †¢ †¢ Shakespearean Drama Prose Fiction Drama or Film – William Shakespeare, Julius Caesar – David Guterson, Snow Falling on Cedars – Peter Whelan, The Herbal Bed OR — Barry Levinson, Wag the Dog †¢ Poetry – Ted Hughes, Birthday Letters * Fulbright Scholars * The Shot * The Minotaur * Sam * Your Paris * Red — Geoffrey Robertson, The Justice Game * The Trials ofOz * Michael X on Death Row * ‘The Romans in Britain’ * The Prisoner of Venda Nonfiction * Show Trials * Diana in the Dock: Does Privacy Matter? * Afterword: The Justice Game 10 Question 9 – Elective 2: History and Memory (20 marks) You are speaking to an audience of your peers. Compose a speech in which you demonstrate how your understanding of the interplay between history and memory is shaped by the construction of the texts. In your response, refer to your prescribed text and TWO texts of your own choosing. The prescribed texts are: †¢ Prose Fiction – Maxine Hong Kingston, The Woman Warrior: Memoirs, of a Girlhood Among Ghosts OR – Peter Carey, The True History of the Kelly Gang †¢ †¢ Film Poetry – Stephen Frears, The Queen – Denise Levertov, Selected Poems * Ways of Conquest * Don’t You Hear That Whistle Blowin’†¦ * In Thai Binh (Peace) Province * A Time Past * Libation * A Letter to Marek About a Photograph * The Pilots †¢ Nonfiction or Multimedia – Mark Raphael Baker, The Fiftieth Gate OR Smithsonian National Museum of American History September 11 website End of paper 11 EXAMINERS Pamela Nutt (Convenor) Catherine Anderson Tanya Appleby Nicole Archard Darren Barker Lorna Ciesiolka Marian Henry Katherina Lathouras Alistair Symons PLC Sydney, Croydon St Patrick’s College, Strathfield Tara Anglican School for Girls, Nth Parramatta Kincoppal-Rose Bay, School of the Sacred Heart OLMC, Parramatta Educational C onsultant Marist College, Pagewood Knox Grammar School, Wahroonga Mount St Joseph, Milperra 12

Workplace Learning and Human Resource Management Essay

Workplace Learning and Human Resource Management - Essay Example Because of the continuous political, social and economic changes that are taking place within the external business environment, organizational learning is necessary to ensure that each employee is prepared and ready in terms of addressing business and non-business related problems that may eventually hinder organizational success and its overall performance. The nature of formal learning is based on curriculum (Module 1 - Workplace Learning and Human Resource Management n.d.). Usually, formal learning approach takes place within the four-corners of the classroom. On the other hand, informal learning is referring to incidental and unstructured learning which could take place anytime within the work environment (Levenberg and Caspi 2010; Rogers 2003). Therefore, one of the main differences between formal and informal learning is that formal learning is strongly supported by either educational or training institutions except for informal learning (Levenberg and Caspi 2010). Not everyth ing that the workers need to learn can be taught and learned from a formal workplace learning intervention. Given that each employee has the option to learn through informal learning, this report will identify and discuss the reasons why organisations can never or should never rely entirely on formal workplace learning. In conclusion, the learning and economic benefits associated with informal learning will be provided. Eventually, a list of recommendations based on the factors that could hinder the practice of informal learning within the work environment will be identified and thoroughly discussed. Reasons Why Organisations Should Not Rely Entirely on Formal Workplace Learning Limitations of Formal Teaching Techniques Learning that takes place within a formal learning environment normally applies a teacher-led type of learning process (Dillon and Maguire 2007, p. 168). Since a formal learning environment does not always give the learners the opportunity to learn through continuous interaction with other learners within the group, information gathered by the learners is usually limited in terms of fully understanding concepts and theories behind what is being taught in class. Likewise, learners within a formal learning environment may not have the opportunity to ask or be too shy to ask specific question pertaining to what is being discussed inside a formal learning environment. Another limitation associated with the use of formal teaching techniques

Corporate Branding and Public Relations Term Paper

Corporate Branding and Public Relations - Term Paper Example Corporate branding is characterized by a deliberate thrust on the part of the management of corporations to present to its public its most important and distinguishing attributes and to differentiate it among other corporations (Balmer, 2001 qt. In Kirby, 2003). It is a precursor to a more comprehensive corporate identity, which communicates these attributes beyond the mere public and also to the companies' stakeholders. The internal relations of the corporation bears heavily on the unity and consistency of the messages and images presented to the public, and this also has to bear on the way public relations is accomplished. The intention of those who manage corporate identities is to develop them along through strong internal relations that embody the unified intentions, meanings, and vocations of the entire corporation, and to present them in that form to the public and to its stakeholders. This approach to its formation includes the following areas of marketing defined by Balmer (2001). These are its identity, its personality, its service, and its image or reputation. The company's identity is said to embody all these, and public relations is seen as a vehicle that presents the whole to the public as its identity. Furthermore, there are several dimensions to the identity of a corporation: the actual, communicated, conceived, ideal and desired identities. The important players in establishing corporate identities have been identified as the management and the stakeholder groups, and the identity becomes the point of contact between these two players (Kirby, 2003, p. 11). The corporation's identity influences the direction of the public relations campaign. The strategy of the organization is often developed in order to garner the trust of the public. This strategy is a part of the organization's image, and once it is developed, the public relations campaign exploits as much of its attributes as possible in order to promote a particular aspect of the corporation's identity.     

Comparative and interactional Aspect of Hinduism and Buddhism Religion Essay

Comparative and interactional Aspect of Hinduism and Buddhism Religion - Essay Example One thing common about the two, they emanated from India thus sharing common ideologies and roots (Elliot 16). Buddhism, in its origin at least is an offshoot of Hinduism. Though ranked amongst the profound religions in the world, Hinduism comes third and is much more popular than Buddhism. The founder of Buddhism known as Guatam Buddha had in early life brought up in posh life of Hindu society. This gives reference for Hinduism that it interconnects with Buddhism. Hinduism, better known as ‘Sanatan Dharma’, according to the Hindu people, it forms the indigenous life of the society, though its origin is still not certain. Factual studies have concluded that Buddhism grew because of the intricate nature involving Hinduism. Despite these differences, the two share a lot in common. This paper will draw the comparative analysis of the two religions, as well as how they differ from each other. On ritual dimensions, Buddhism and Hinduism belief and in practice of meditation. B uddhism does follow some rituals like meditation, bowing to the ground in worship while offering their prayers in their Buddhist holy places. Buddhist practices and rituals do not require any priest. On the side of Hindus, their rituals are complex as they vary from birth to death of that particular person. Unlike in Buddhism, priest on the part of the Hindus plays a major role in practice of these rituals (Elliot 140). This aspect form part of their ethical teachings. Despite this difference in them, meditation as a ritual has influenced their life. The two religions believe that meditation brings them close to nirvana. In Hinduism, someone has to intone in repetition the words ‘OM’ for focus and extol himself to higher realm. Through meditation, the worshipper drives to deep link to the holy deity. This comes due to the continual practice of this focusing technique; it brings them closer to eventual certainty and close to the proximity of more knowing. Equally, Buddha went through this thorough deep meditation. In their belief, through Buddha’s meditation He realized the power within, the deity of Dharma. This makes the ritual important to the followers of Buddhism. In order to reach nirvana, Buddha learned that inward reflection was the only way thus encouraged others to do so by practicing meditation (Elliot 270). Therefore, the two faiths delve on meditation. s Buddhism and Hinduism have universal understanding on the concepts of soul recreation. They differ on the value of sacred texts. As for the Hindus, Vedas is their pinnacle Smriti writings. It is part of the old age drafts, the times of Aryans. There are four divisions on Vedas . They contain over a thousand hymns, prescriptions on customs and fairy-tale stories on their gods. The writings travel around cyclical ideas as in other religions such as sustaining tranquility and normalcy in the world we live in. On contrary, Buddhism does not believe in such doctrines, or any other Hi ndu scriptures. They have they own scriptures known as the Tripitaka. This highlighted Buddha’s tradition. Rules of basic living and moral modalities as well as Buddha’s teachings and sermons abound there. They teach philosophical collections as well (Elliot 214). These comparisons highlight the nature of these two world religions and their etymological ratings. On the issue of Samsara, Hinduism and Buddhism converge to it. To both, living never ends for there exist circle of birth, death, and re-birth. For the Hindu’s, life is recurring, having neither the beginning nor demise. On point of death, away from the world we are reborn in another life but in very unimaginable form. These forms can vary. This successive rebirth allows one to continue learning, and live in respect of the personal dharma. Hinduists believe living in

Choosing health Supporting Legislation For Health Essay

Choosing health Supporting Legislation For Health - Essay Example A report by the department of health dated on August indicates that a third of adults and a fifth of children aged below15 years will be clinically obese .By the year the 2010 it is estimated that 12 million adults in the UK and a million children will be obese while more will be overweight (Department of Health, 2004a). In this case we mainly focus on children’s health and various health issues affecting them where we approach obesity as one of the major challenge. Health support legislation in Liverpool seeks to realize the shared responsibility that everyone has to make changes that will lead to improvement of health (Department of Health, 2004b). One is considered obese when his or her body Body mass index (BMI) is 30-39.9, when its 40 one is considered morbidly obese, when its 50 one is considered super obese. Prevalence of obesity cases has tripled since 1980 and obesity is mostly associated with various aspects for example age, gender (where it mostly affects the female), ethnic belonging to a certain group and people of the lower economic status. In the year 2000 it was estimated that one out every five adults was obese. Obesity may lead to complications and diseases which include diabetes, hypertension, myocardial infarction, colon cancer, stroke among others. The main causes of obesity are sedentary lifestyle, increased energy food intake through eating and lack of regular exercises. In childhood obesity which is our main area of focus it is estimated that more than 75% of obese children become obese during their adulthood, for the last 20 years the number of obese children has been seen to triple mainly for children a ged between six to seventeen years of age (Department of Health, 2000). These is due to increased central fat deposition, it is believed that nowadays children may have a lower life expectancy compared to their parents

Relations between teachers and principalsfrom teachers perceptions Essay

Relations between teachers and principalsfrom teachers perceptions - Essay Example Training and qualifying them and raising their social rank are one of the most important issues and priorities of the authorities responsible for education in the world. The school manager has a leading role in dealing with teachers, as s/he must work seriously to facilitate the obstacles and difficulties in order to make the teachers achieve their goals for the interest of the educational operation in the school. S/he should be an effective and interactive manager keen on assisting occupational growth and providing the proper atmosphere for the educational operation. S/he should also accommodate the teachers in the major decisions related to student’s education (Hargreaves & Bascia, 2000). The school manager holds a unique position in the administration of the school. In a way, the manager is needed by all and is gifted with the knowledge and skills so that they not only manage the other people that come under their umbrella effectively, but also perform their assigned tasks (Nakpodia, 2010). In order to perform the task smoothly the manager has to show good leadership behaviour. This managing power helps them to handle the relationship with the teachers perfectly. Likewise, they are also able to run and excel the organization. In case when the manager fails to run the school smoothly, this means they are not able to show leadership qualities with their teachers (Maleke, 2003). The main aim of the research is to explore the nature of the relationship between the teachers and the principals and the impact of their relationship on the learning of the students. Research questions: 1. What is the nature of the relationship between teachers and the principal? 2. How, if at all, does this impact on student learning? 3. In what ways, if at all, are teachers rewarded for their work? b- The Country and the School: The teaching profession is considered one of the most important, dangerous, and responsible professions in all countries because the teacher actually is the one who prepares the country and its generations to be able to bear burdens of work, building, and development in all fields required for the nation. Therefore, the school manager has many duties in developing the teachers and their capabilities through educational efficiencies that include two important aspects: the knowledge aspect and the behavioural aspect (Al-Khatib, 2003). The recent educational reforms by the Saudi Arabian government have focused on the leadership role of the managers. This is because the responsibility of initiating school improvement efforts and the maintenance of the school effectiveness lies with the managers of the school. Additionally, the research designates that the manager is a key leader in development of the excellent schools, and in due course good educational institutes will ultimately give a constructive hand in the development of excellent country. Hence, the managers of the schools should adopt their complex roles so that they can be ab le to work with the teachers in harmony and dig out the best out of them. Moreover, the teachers should also understand the importance of the skills that will help them to excel in the school. Thus, the development of such skills can help them to become a significant factor in building a productive and fruitful environment of the school. 2- Previous Studies: There was a variation in the studies, both

The experience of inactive nurses returned to nursing after completing Essay

The experience of inactive nurses returned to nursing after completing a refresher course by Hammer and Craig - Essay Example The focus of the study was to highlight the experiences of nurses In Midwestern University who were returning to active service after completing independent refresher courses between the years 2000 and 2005 (Hammer and Craig, 2008). Generally, the primary purpose of the phenomenological research was to identify some of the experiences usually encountered by previously inactive nurses taking refresher courses before returning to active nursing practice. Refresher courses is one of the evidenced best practice practices that are increasingly being used in the health care system to improve the performance of professionals particularly after being inactive in the service. The researchers have effectively employed the use of a systematic inquiry and well structured methods to address some of their research questions. This is particularly important because use of evidence based practice in nursing is widely based on the previous researches. This paper critically analyzes the appropriateness of the qualitative research design used as well as the feasibility and effectiveness of the research article. Feasibility and significance of the study With regard to the feasibility and effectiveness of the research, a number of previous publications have revealed a growing shortage of nurses in our health in various healthcare institutions. ... after undergoing refresher courses is significantly important because it will provide more insight into some of the ways of mitigating the current shortage of nurses. For instance the described experiences of inactive nurses who are returning to practice can effectively be used in evidence based practice to help in the improve patient care in healthcare institutions. Appropriateness of the study design The research methodology used by the researchers has met most of the conditions necessary for research methodology congruence. For example some of the criteria adopted during the conduct of the research study included selecting participants who have successfully completed refresher courses and had been employed in active nursing for 6 month after completing the course, had time to participate in face to face interviews and were living round the research centers. In this regard, the criterion used in selecting the potential respondents not only ensured the effectiveness of the research but it also ensured that the researchers the prospective participants were best placed to effectively provide answers to some of the research questions. On the other hand, the use of face to face interviews provided the researchers with an opportunity to clarify any doubt to the participants and adapt the questions such as by rephrasing or repeating some questions. This is particularly necessary because it enables the researchers to ensure that the interview questions are well understood thereby improving the reliability of the responses. Additionally the use of face –to-face interviews also allowed the researchers to pick up nonverbal clues that may be unconsciously exhibited by the respondents. It is however worth noting that despite the effectiveness of this research method, face

Relations between teachers and principalsfrom teachers perceptions Essay

Relations between teachers and principalsfrom teachers perceptions - Essay Example Training and qualifying them and raising their social rank are one of the most important issues and priorities of the authorities responsible for education in the world. The school manager has a leading role in dealing with teachers, as s/he must work seriously to facilitate the obstacles and difficulties in order to make the teachers achieve their goals for the interest of the educational operation in the school. S/he should be an effective and interactive manager keen on assisting occupational growth and providing the proper atmosphere for the educational operation. S/he should also accommodate the teachers in the major decisions related to student’s education (Hargreaves & Bascia, 2000). The school manager holds a unique position in the administration of the school. In a way, the manager is needed by all and is gifted with the knowledge and skills so that they not only manage the other people that come under their umbrella effectively, but also perform their assigned tasks (Nakpodia, 2010). In order to perform the task smoothly the manager has to show good leadership behaviour. This managing power helps them to handle the relationship with the teachers perfectly. Likewise, they are also able to run and excel the organization. In case when the manager fails to run the school smoothly, this means they are not able to show leadership qualities with their teachers (Maleke, 2003). The main aim of the research is to explore the nature of the relationship between the teachers and the principals and the impact of their relationship on the learning of the students. Research questions: 1. What is the nature of the relationship between teachers and the principal? 2. How, if at all, does this impact on student learning? 3. In what ways, if at all, are teachers rewarded for their work? b- The Country and the School: The teaching profession is considered one of the most important, dangerous, and responsible professions in all countries because the teacher actually is the one who prepares the country and its generations to be able to bear burdens of work, building, and development in all fields required for the nation. Therefore, the school manager has many duties in developing the teachers and their capabilities through educational efficiencies that include two important aspects: the knowledge aspect and the behavioural aspect (Al-Khatib, 2003). The recent educational reforms by the Saudi Arabian government have focused on the leadership role of the managers. This is because the responsibility of initiating school improvement efforts and the maintenance of the school effectiveness lies with the managers of the school. Additionally, the research designates that the manager is a key leader in development of the excellent schools, and in due course good educational institutes will ultimately give a constructive hand in the development of excellent country. Hence, the managers of the schools should adopt their complex roles so that they can be ab le to work with the teachers in harmony and dig out the best out of them. Moreover, the teachers should also understand the importance of the skills that will help them to excel in the school. Thus, the development of such skills can help them to become a significant factor in building a productive and fruitful environment of the school. 2- Previous Studies: There was a variation in the studies, both

Hambalang Case Essay Example for Free

Hambalang Case Essay 1. Create a short summary of the case and explain (a) who the suspects / Convicts are and (b) what criminal charges are brought against them Hambalang is the case regarding the construction of Centre for Education, Training and the National Sport School (P3SON: Pusat Pendidikan, Pelatihan dan Sekolah Olahraga Nasional) which is a multi-year project the Ministry of Youth and Sports. P3SON planned to be built on a land area of ​​312 thousand hectares in the village of Hambalang, Bogor regency and projected budget consuming Rp2, 58 trillion. Which is violated Regulation of the Minister of Finance. 56/2010 and the Regulation of the Minister of Public Works No.. 45/2007. Two ministers have not signed, but the funds are liquid. If the view of the BPK audit dated October 30, 2012 (Rizal open the audit documents), he was associated with the melting process advances Hambalang Project. CPC stated, Due to multi-year contract approval process violated provisions, then the parent contract should not happen, [then the remaining unspent advance money] in the amount of Rp116, 9 billion, an indication of state losses. In its Hambalang audit, the BPK also found that Rp 7.3 billion in funds from Adhi Karya went to several legislators in 2010 and 2011, when discussion of the sports centers construction Began. On Thursday (Sep 5 2012), the Supreme Audit Board (BPK) audit report of Hambalang Submitted case to the Commission. The audit mentions that the total state losses in the case reached Rp463.66 billion. In the Partner Selection Process least 19 people suspected to be involved. Namely: Andi Mallarangeng (ex Affairs), Wafid Muharam (Sesmenpora), Wisler Manalu (Kemenpora Procurement Committee). Jilani (Kemenpora Procurement Committee member), Bambang Siswanto (Secretary of the Procurement Committee Kemenpora) Rio Wilarso (Planning Bureau staff Kemenpora), M Arifin (Commissioner of metaphor Global Solutions / MSG). Asep Wibowo (Marketing Manager of PT MSG), Husni Al-Huda (PT staff Yodya work). Safe Santoso (Director of PT Cipta Mandiri Ciriajasa / CCM), Mulyatno (Marketing Manager PT CCM) Aditya Gautama (staff PT CCM), Rudi Hamarul (staff PT CCM), RM Suhartono (staff PT CCM). Joseph Sholikin (staff PT CCM), Malemteta Ginting (Staff PT CCM Construction Management Team Leader at the same time). Suhanta firm (staff PT Adhi Karya), Arif Taufiqurrahman and Kushadi (staff PT Adhi Karya) Advances in  Liquid Processing, there are three who was allegedly involved. Ie R Isnanta (Head of Finance Kemenpora). Good Teuku Muh Nur (Head of DK-1 PT Adhi Karya well Authorization Adhi-Wika KSO), Machfud Suroso (President Director of PT Dutasari Citralaras). However, the Commission has set Andi Malarangeng (AM) and the husband of his men as suspects. PM accused of abusing authority. Diversion AM by KPK in planning and disbursement of funds. 2. Does the case involve; gratification? If yes, towards who and provide explanation to justify your answers Yes, According to CPC finding there are gratifications Rp 7.3 billion in funds from Adhi Karya went to several legislators in 2010 and 2011 3. Does the case involve; abuse of power / authority? If yes, explain Whose power is abused, how and in what capacity? Yes, several legislators bribed, minister of youth and sports negligent in planning and disbursement of funds and the Board of Directors of the company Adhi Karya which channeled funds projects to legislators. 4. In what way has the case cause losses to the state budget? Abuse of power and bribery to various parties. In its Hambalang audit, the BPK also found that Rp 7.3 billion in funds from Adhi Karya went to several legislators in 2010 and 2011, when discussion of the sports centers construction Began. On Thursday (Sep 5 2012), the Supreme Audit Board (BPK) audit report of Hambalang Submitted case to the Commission. The audit mentions that the total state losses in the case reached Rp463.66 billion. This loss will cause losses to the state budget. 5. Beyond the legal charges, do you see any conflict of interest between the parties INVOLVED? Yes, in this case there is a conflict of interest. At the level of project implementers Hambalang, the brain was Muhammad Arifin. He consultant since the early implementers. He who makes the unit price of finished goods is so high. At one end is Dutasari Citra PT Laras (DCL), the companys largest subcontractor Hambalang Project led Mahfud Suroso wife and Anas Urbaningrum. Mahfud is also a good friend of Anas. PT Dutasaris got mechanical electrical projects, worth a total of Rp295 billion. According to  the audit, here occurs allegations of massive corruption. The second largest sub-contractor company is owned by PT Global Daya Manunggal Prananto Mr. Herman, who got a job with the foundation of the contract value Rp127 billion. So, PT and PT Global Dutasari a subcontractor for 87 percent of the total value of projects subcontracted by Rp482, 5 billion. Adhi Karya still amounted to Rp50 billion in arrears to him. In fact, for all Mahfud been paid in full. Suspected of involvement in Anas Urbaningrum as chairman of the Democratic Party when he received funds for his interest to be elected as chairman of the Democratic Party in Congress at that time.

Gadolinium-based Ferrite Nanoparticles Synthesis

Gadolinium-based Ferrite Nanoparticles Synthesis SAMRAT MAZUMDAR Abstract Cancer is by far one of the most challenging diseases for centuries. In the US, it accounts for over a million deaths annually and is expected to rise in the coming future. Therefore, there is vital need to develop novel strategies, which can help in combating the disease at any level. Metallic nanoparticles present an interesting view, which can function as both therapeutic and diagnostic agents due to their unique properties. The main motive of the proposed work is development of gadolinium based magnetic nanoparticles, followed by their surface functionalization which may improve imaging and targeting outcomes. Doped Gadolinium nanoparticles will be prepared by co-precipitation method for optimum magnetic properties. The synthesized particles will be subjected to functionalization with suitable group for specific target in nature for cancer cells. Eventually,  in-vitro  studies will be carried out to validate the hyperthermia effect on cancer cells. 1. Introduction Overview Although, it is difficult to define cancer, but in simple terms, it is a group of related diseases which is characterized by uncontrolled cell proliferation and spread, mostly due to loss of control in the cell cycle (Pà ©rez-Herrero and Fernà ¡ndez-Medarde, 2015). The most commonly detected cancers are lung cancer, breast cancer and skin cancer, etc. A variety of factors contributes to the disease progression, such as genetic changes, infections and exposure to carcinogens. In general, cancer is detected/diagnosed by various techniques like, blood tests, X-ray imaging, Computed Tomography (CT) scanning and Endoscopy etc. Conventional treatment strategies include surgery, chemotherapy and radiation therapy. However, they possess numerous limitations especially dose-related side effects and toxicity (Brigger et al., 2002). Currently, researchers are looking towards newer approaches which are selective, non-invasive, non-toxic and effective. These efforts are led to the development o f experimental cancer therapies. These not only improves the curing rate but also, act as a supplement to the conventional therapies. However, it is still early to state that these alternatives can completely replace the existing treatment strategies and its effectiveness in clinical settings, are yet to be determined. Alternative approaches include Gene therapy (Vile et al., 2000), Photodynamic Therapy (PDT) (Dougherty et al., 1998), Hyperthermia (Urano, 1999) ,Targeted Nano-medicines (Xu et al., 2015). Recently, a tremendous amount of research is being carried out in the field of hyperthermia due to encouraging results and its potential for significantly lowered toxicity. Hyperthermia â€Å"Hyperthermia† is a very ancient technique which is now regaining popularity in the field of oncology (Seegenschmiedt and Vernon, 1995). It involves the use of heat energy to elevate the temperature inside a tumour tissue and subsequently kill the cancer cells. The desired temperature range for hyperthermia is 42 °-44 °C which is, greater than the physiological temperature (Wust et al., 2002).There is a variety of factors governing the effectiveness of hyperthermia which includes thermal variables, device characteristics, frequency, current and tumour morphology (Valdagni et al., 1988). At temperatures below 41 °C, blood flow increases while tissue oxygenation increases above 41 °C providing a dual effect against tumour. Once temperatures are increased above 42.5 °C-43 °C, the exposure time can be halved for every 1 °C rise to provide a similar heating efficiency however, excessive heating should be avoided. The heating device used for hyperthermia should be versatile, comfortable as well capable of exhibiting uniform heating patterns. The applied frequencies may range from 5-500 KHz (Lacroix et al., 2008) while a current of about 100-800A might be sufficient for heating. Studies suggest that enlarged tumour with poor vasculature might be more susceptible to heat treatment (Kim et al., 1982). Hyperthermia has a radiosensitizing effect which can be advantageous in combination with radiotherapy since most radioresistant cells are heat sensitive. Classification of Hyperthermia Direct heating/Extracellular method Heat is applied by means of external sources such as thermostatic water bath, infrared sauna and ultrasound. This approach is limited by the presence of biological barriers which is responsible for insulation. Therefore, excess heat is required to achieve the same which can trigger side effects (burns, bleeding). Indirect heating/Intracellular method – Provides a safer and effective means through the injection of nanoparticles followed by their internalization (Ningthoujam et al., 2012).Ex. Magnetic hyperthermia. Mechanism of Hyperthermia Primarily, hyperthermia induce apoptosis, necrosis or autophagy through multiple pathways to cells (Hurwitz and Stauffer, 2014). Reports suggest that it can deliver a higher amount of oxygen into the hypoxic tumour region through changes in blood perfusion. Generally, tumour cells express lower concentration of Heat Shock Proteins (HSP) in comparison to normal cells. Therefore, HSP-peptide complex levels can be increased significantly by the application of hyperthermia, further leading to anti-tumour immunity response (Kobayashi et al., 2014). Magnetic Hyperthermia In order to prevent damage to surrounding healthy tissues from the hyperthermia effect, nanoparticles should be confined to a defined area (tumour region). These are achieved through targeting of nanoparticles by functionalization and application of magnetic fields to specified regions (Baà ±obre-Là ³pez et al., 2013). Metallic magnetic nanoparticles under the influence of oscillating magnetic field undergo a change in magnetic moment attributed to Neel and Brownian fluctuations. These fluctuations are responsible for heat generation through friction, which might be effective in damaging the cancer cells. Limitations of Magnetic Hyperthermia There are technical problems which may act as a barrier towards effective treatment. The two main aspects include uniform heat distribution and desired target temperature (Brusentsova et al., 2005). Treatment might be a failure in case of insufficient thermal dose .There are no well-defined methods used to evaluate the temperature distribution in the target area but, Magnetic Resonance Imaging (MRI) can be used to generate a temperature profile corresponding to hyperthermia. MRI can also be helpful in tracking the release of drug from a formulation (Tashjian et al., 2008). MRI Contrast Agents In the Magnetic Resonance Imaging (MRI) system, most of the magnetic materials (iron based materials) act as T2 contrast agents which give rise to darkened image/negative contrast. Subsequently, this is mode is useful for tracking purpose. However, there are a few disadvantages which limit their usability in clinical settings. Firstly, the dark images accompanied by low signal intensity may often lead to misdiagnosis and secondly, the large magnetic susceptibility can produce MRI artifacts making it increasingly difficult to determine the exact state of the injury or damage. T1 contrast agents (Gadolinium, Manganese) provide a brighter signal, which can be easily observed in the MRI due to their paramagnetic nature which do not disrupt the magnetic homogeneity (Gallo and Long, 2015). Through nanotechnology, it is also possible to simultaneously carry out imaging and drug delivery further, overcoming the limitations posed by the conventional system. 2. Hypothesis/Rationale The paramagnetic Gadolinium exhibits excellent MRI imaging capabilities which can be exploited for several purposes and possesses high magnetic moment. Due to its limited inter-atomic interactions, it is unable produce hyperthermia. We hypothesize that by modifying the properties of gadolinium, it may serve a dual purpose i.e. hyperthermia and imaging. Furthermore, these particles can be tagged with various targeting moieties or loaded with anti-cancer drugs to increase the effectiveness of the therapy. 3. Objectives On the basis of above background, the objectives are as follows. Synthesis and Optimization of Gadolinium-based ferrite nanoparticles. Surface modification of prepared nanoparticles. Folate conjugation to the modified surface coating. Optimization of hyperthermia Characterization and in-vitro studies 4. Plan of work 4.1 Synthesis and Optimization of Gadolinium-based ferrite nanoparticles Gadolinium based ferrite nanoparticles will be synthesised using suitable mechanisms such as chemical co-precipitation method and optimized. 4.2 Surface modification of prepared nanoparticles Surface modification will be carried out by layer by layer (LBL) synthesis. 4.3 Folate conjugation to the modified surface coating Since most cancer cells overexpress folate receptor, folic acid will be conjugated to nanoparticles through amine functionalization. 4.4 Optimization of hyperthermia The process will be optimized by monitoring the parameters affecting it. 4.5 Characterization and in-vitro studies 4.5.1 Characterization The developed nanoparticle will be characterized by the following techniques. Particle size analysis -Zetasizer. Chemical Composition determination-Fourier Transform Infrared Spectroscopy (FTIR), Structural and Crystalline analysis- X-ray Diffraction pattern. Surface Morphology-Scanning Electron Microscopy, Transmission Electron Microscopy. Magnetic Property Testing- Vibrating Sample Magnetometry. 4.5.2 In vitro studies Cytotoxicity studies – MTT Assay will be performed to assess the cytotoxicity and biocompatibility of nanoparticles. In-vitro hyperthermia studies with cancer cell lines Cellular uptake studies- Performed using Transmission electron microscopy and Electron Dispersive X-ray spectroscopy. Magnetic Resonance Imaging studies. 5. Expected Outcomes The developed nanoparticles might exhibit Improved magnetic hyperthermia in comparison to unmodified gadolinium particle. Target localization may be observed through Magnetic Resonance Imaging. 6. Future Prospects Based on in-vitro results in-vivo studies can be performed in animals. This treatment modality can be combined with Photodynamic Therapy and Chemotherapy for better results. 7. References Baà ±obre-Là ³pez, M., Teijeiro, A. Rivas, J. 2013. Magnetic Nanoparticle-Based Hyperthermia For Cancer Treatment. Reports Of Practical Oncology Radiotherapy, 18, 397-400. Brigger, I., Dubernet, C. Couvreur, P. 2002. Nanoparticles In Cancer Therapy And Diagnosis. Advanced Drug Delivery Reviews, 54, 631-651. Brusentsova, T. N., Brusentsov, N. A., Kuznetsov, V. D. Nikiforov, V. N. 2005. Synthesis And Investigation Of Magnetic Properties Of Gd-Substituted Mn–Zn Ferrite Nanoparticles As A Potential Low-T C Agent For Magnetic Fluid Hyperthermia. Journal Of Magnetism And Magnetic Materials, 293, 298-302. Dougherty, T. J., Gomer, C. J., Henderson, B. W., Jori, G., Kessel, D., Korbelik, M., Moan, J. Peng, Q. 1998. Photodynamic Therapy. Journal Of The National Cancer Institute, 90, 889-905. Gallo, J. Long, N. J. 2015. Nanoparticulate Mri Contrast Agents. The Chemistry Of Molecular Imaging, 199-224. Hurwitz, M. Stauffer, P. Hyperthermia, Radiation And Chemotherapy: The Role Of Heat In Multidisciplinary Cancer Care. Seminars In Oncology, 2014. Elsevier, 714-729. Kim, J. H., Hahn, E. W. Ahmed, S. A. 1982. Combination Hyperthermia And Radiation Therapy For Malignant Melanoma. Cancer, 50, 478-482. Kobayashi, T., Kakimi, K., Nakayama, E. Jimbow, K. 2014. Antitumor Immunity By Magnetic Nanoparticle-Mediated Hyperthermia. Nanomedicine, 9, 1715-1726. Lacroix, L. M., Carrey, J. Respaud, M. 2008. A Frequency-Adjustable Electromagnet For Hyperthermia Measurements On Magnetic Nanoparticles. Rev Sci Instrum, 79, 093909. Ningthoujam, R., Vatsa, R., Kumar, A., Pandey, B., Banerjee, S. Tyagi, A. 2012. Functionalized Magnetic Nanoparticles: Concepts, Synthesis And Application In Cancer Hyperthermia. Functionalized Materials, 229-260. Pà ©rez-Herrero, E. Fernà ¡ndez-Medarde, A. 2015. Advanced Targeted Therapies In Cancer: Drug Nanocarriers, The Future Of Chemotherapy. European Journal Of Pharmaceutics And Biopharmaceutics, 93, 52-79. Seegenschmiedt, M. Vernon, C. 1995. A Historical Perspective On Hyperthermia In Oncology. Thermoradiotherapy And Thermochemotherapy. Springer. Tashjian, J. A., Dewhirst, M. W., Needham, D. Viglianti, B. L. 2008. Rationale For And Measurement Of Liposomal Drug Delivery With Hyperthermia Using Non-Invasive Imaging Techniques. International Journal Of Hyperthermia, 24, 79-90. Urano, M. 1999. Invited Review: For The Clinical Application Of Thermochemotherapy Given At Mild Temperatures. International Journal Of Hyperthermia, 15, 79-107. Valdagni, R., Liu, F.-F. Kapp, D. S. 1988. Important Prognostic Factors Influencing Outcome Of Combined Radiation And Hyperthermia. International Journal Of Radiation Oncology* Biology* Physics, 15, 959-972. Vile, R., Russell, S. Lemoine, N. 2000. Cancer Gene Therapy: Hard Lessons And New Courses. Gene Therapy, 7, 2-8. Wust, P., Hildebrandt, B., Sreenivasa, G., Rau, B., Gellermann, J., Riess, H., Felix, R. Schlag, P. 2002. Hyperthermia In Combined Treatment Of Cancer. The Lancet Oncology, 3, 487-497. Xu, X., Ho, W., Zhang, X., Bertrand, N. Farokhzad, O. 2015. Cancer Nanomedicine: From Targeted Delivery To Combination Therapy. Trends In Molecular Medicine, 21, 223-232. 8. Requirements Chemicals Instruments