The Medical Elective Medical Training Health And Social Care Essay

The medical elective is an of import portion of medical preparation and calling. It can besides be an exciting chance to see wellness attention systems of different states and research countries of medical specialty that I have peculiar involvements in. My initial programs are to hold the elected arrangement abroad, ideally in two separate locations. Language is an of import factor in taking the states as I would wish to be able to pass on with the patients and physicians. Out of all the English speech production states, I think it would be an interesting experience to see a less developed state or a less developed part within a developed state. The other half of the elected I would take a developed state and comparison and contrast the two wellness systems. I want the fond regards to be chiefly clinical based as I can use the accomplishments in general medical specialty and other forte I have learnt during the two old ages of clinical preparation. I would non wholly decline the chance to blend in some clinical based research, but I am cognizant that research undertakings may take some clip to organize and may besides necessitate excess resources input, such as permission from patients and aid from other staff, from the finish infirmary and establishments. In footings of safety during travel, although I have travelled to assorted states, but I have ne'er travelled or organised travel on my ain. Safety in footings of personal properties, nutrient and drink and personal safety should be put into consideration. If possible, holding the arrangement with a friend would be ideal. As all the 4th twelvemonth King ‘s medical pupils are traveling on electives this summer, happening a spouse traveling to the same topographic points should be rather possible. Having merely came back from vacation in America, the idea of traveling back for the elective to hold a on the job experience over in the States appeared rather attractive. The US has a really different wellness attention system comparison to the UK. To see their physicians, the patients over in America would necessitate to hold private wellness insurance which can be a really dearly-won payment. It would be interesting to see how the in private funded wellness system impacting patient experience compared to the NHS in the UK. America is a large state and this makes taking the location a spot more hard. To acquire an thought about where usually make medical pupils travel for electives in America, I searched on the Elective Abstract System on Virtual Campus. USA seems to be a really popular state for King ‘s pupils to travel for electives as there is a immense list of infirmary and establishment for all fortes. The popular finishs are the major metropoliss like New York, Los Angeles, San Francisco and etc. Majority of the infirmaries do non accept international pupils for elected straight, a few smaller clinics do, but the cost is really high and they seem to be really specialized. Feedbacks from pupils are besides assorted, most are happy with their experience, but non everyone had a hands-on experience. Access to patients can be a job sometimes in some forte clinics, and most times are spent on detecting. Using to medical schools can besides be hard as a batch of American medical pupil are besides l ooking for elected arrangements and the disposal fee entirely can be $ 100 for the application entirely. After those research and farther idea, I was somewhat put off by the thought of traveling to the States. Alternatively of traveling entirely, it would be a better manner to go with a friend. Culadeeban ( Deeban ) Ratneswaran, another King ‘s 4th medical pupil was looking for a spouse for electives and I have worked with him during my abdominal rotary motion in 3rd twelvemonth. Deeban was in the procedure of organizing a research undertaking about respiratory medical specialty in Singapore which involved some informations aggregation. He needed a spouse to work with on the undertaking and we decided to make the elected arrangements together. We came across a paper written by Dr Deborah Ng and her co-workers, titled: â€Å" consciousness of smoking hazards and attitudes towards in writing wellness warning labels on coffin nail battalions: a cross-cultural survey of two populations in Singapore and Scotland † . We were believing about emulating this survey ourselves, looking into the cross-cultural differences between Singapore and London, alternatively of Scotland. We will utilize a questionnaire attack to roll up the information as oppose to interviews because we want to roll up as much informations as possible while still working on the clinical side of the arrangement during the elected period. We besides emailed Dr Ng on farther advice about her survey and she kindly contacted the caput of respiratory section she was working under in Singapore, Professor Sin Fai Lam. Professor Sin agreed to give us 4 hebdomads arrangement in Khoo Teck Puat Hospital in the respiratory section and at the same clip let us entree to patients for the research undertaking. In order to transport out this undertaking we besides require moralss blessing and this demand to be applied by a qualified physician. We were told that Professor Sin ‘s squad is instead busy and unable to perpetrate their clip for the ethical blessing. We are still committed for the clinical arrangement in Khoo Teck Puat Hospital, and at this phase we are seeking alternate ways to acquire the ethical blessing, perchance from another section or another infirmary. For the 2nd half of the elected, we did non desire to go excessively far out of the parts. This is partially to salvage cost and besides clip spent on travel. So we applied for a few posters in Kuala Lumpur in Malaysia. Hospital Kuala Lumpur kindly accepted our applications for a 4 hebdomad long posting in the general medical specialty section. This would cover a big assortment of medical specialty, and it would be good to hold a broad scope of experience after a really specialized surgical arrangement. I can besides utilize this clip to acquire more experience in fortes that we merely had limited exposure so far, for illustration, ENT, dermatology and ophthalmology. Word Count: 1004Career SectionSelf-assessmentDuring my pre-clinical surveies in Cambridge, I had really limited exposure to existent clinical pattern so I kept an unfastened head about which forte I would wish to prosecute for future calling. I exhaustively enjoyed larning anatomy in first twelvemonth of medical specialty, and peculiarly the clip spent in dissection lab. What appealed to me is that I would read about certain parts of the organic structure and the following twenty-four hours I can hold the hands-on chance to recap the cognition to visualize it in existent life. The clinical survey offered better chances in calling geographic expedition. Throughout the assorted rotary motions, I found surgery fascinating and I ‘m ever enthusiastic to go to theatre Sessionss. Although, as a medical pupil, most of the clip spent in theater is to detect the operations but I was more than lament to scour in to help when asked. I besides enjoyed the type of squad work in surgery where each person has a clearly defined and alone function in the operating theater.Career research geographic expedition and treatmentsThe Medical Specialty Training web site ( 1 ) is a good starting point for callings research as it provides information on all fortes within medical specialty. After medical school, every physician has to travel through two foundation old ages and use for forte preparations, these can be medical, surgical, psychopathology and list of run through fortes. For the surgical fortes, there are two Core Surgical Training old ages to be completed foremost. Then there is another application procedure for the 3rd twelvemonth ( CT3 ) , which is for a sub-specialty, for illustration, cardiothoracic surgery. The competition information shows that surgery is a extremely popular pick, though the competition for other fortes can be every bit ferocious. I have besides attended the Specialty Fair hosted by Royal College of Medicine. It was aimed for both medical pupils and foundation twelvemonth physicians and it had a whole scope of fortes on show. Having talked to a figure of the physicians from assorted fortes, orthopedic surgery peculiarly stood out for me. It is a surgical forte concerned with castanetss, articulations and their motion. It covers both hurt and other diseases, for illustration, congenital and degenerative. I think it can be an highly rewarding calling where I can set patients back after terrible injury or reconstruct independency by alleviating creaky articulation hurting, both can genuinely transform the patient ‘s life. Figure 1. Orthopedic surgery. From www.sussexotc.nhs.uk Having non done the rotary motion for orthopedic surgery and injury, I wanted some early gustatory sensation for the forte and the 2011 National Undergraduate Trauma Conference provided the perfect juncture. The conference gave great penetration into the calling options available in injury and orthopedic surgery. The workshops lead by experient physicians in the field besides allowed the pupil to pattern some of the skilled involved, for illustration, laparoscopy.Using your elected to research your optionsI think the elected period will be an first-class clip to research my country of involvement and callings option. For the first half of my elected in Singapore, I will be passing four hebdomads in the orthopedic section in a really modern infirmary. There are five advisers in the section, all of which are trained in the UK so they will hold a reasonably good apprehension of the degree of preparation I ‘m presently at and what would profit me the most during this poster. By thi s phase I would hold done my orthopedic surgery fond regard, and extra exposure in this field will reinforcement and hopefully farther develop the cognition and accomplishment I already have. I should besides do the most out of this chance to acquire every bit much practical experience as possible in larning the basic surgical techniques and direction of the common instances encountered in orthopedicss. For the 2nd half the elected in Kuala Lumpur, although I ‘m officially posted under general medical specialty, in world the infirmary is really flexible for the elected pupils. The adviser who is oversing me during the poster has no job with elected pupils doing usage of the clip in Hospital Kuala Lumpur to acquire a broad scope of experience.Personal contemplation on calling thoughts/decisions to day of the monthThe big calling pick medical specialty offers makes the determination really hard, particularly most fortes requires drawn-out preparation. In order to do a steadfast determination on which way to take, careful research needs to be done to do certain that I am clear in my ends, altering calling way in medical specialty and re-start preparation can be really boring. I think at this phase of developing it is really hard to hold a clear image of what I want to make. While larning about the different subjects in medical specialty can be rather different when work on them. Although it does give some penetration about what it is like to work in that field. To this day of the month, I am really inclined towards surgery for my future calling. Bing able to straight see the job, keeping the breakage or experiencing the obstruction so repairing the job utilizing your custodies is really hearty. It requires drawn-out preparation and new accomplishments are invariably acquired even after making. I ever find it exciting to scrubbing-up, operating, or largely as a medical pupil, helping in theater. There is a huge array of subspecialties on offer, from urogenital medicine to plastic surgery. Some factors will be common to all fortes, but each will hold their ain set of challenges and demands. Orthopedic surgery is the most appealing subspecialties in surgery, it can be really physical but there are many specialist tools available to cut down the demand for inordinate force. The on-call agenda is comparatively demanding as accidents can go on any clip of the twenty-four hours. In contrast with ENT surgery where more of the surgeries are elected with really small exigency work so the working hours can be rather flexible. Through the class, I am going more informed about the different calling options and have got a better thought of what kind of calling I want, though non confident plenty to do a concluding determination. At the same clip I should non go narrow minded and ignore the other countries of medical specialty, because I may yet detect other new involvements. Word Count: 1018Global Health SectionGlobal wellness is a subject in medical specialty derived from public wellness and international wellness. It has been defined as â€Å" an country for survey, research and pattern that places a precedence on bettering wellness and accomplishing equity in wellness for all people worldwide ( 2 ) † . It is a field joins the medical and societal scientific discipline subjects, including human ecology, economic sciences, epidemiology and many others. It uses wellness informations such as life anticipation and infant mortality rate to mensurate the wellness jobs present in an country. It besides emphasises on wellness issues such as HIV/AIDS and malaria that can hold a planetary economical and political impact.What is equity in wellness?Health equity among states and within a state or community is a major issue in planetary wellness. The publicity of societal and economic equity and decrease of wellness disparities has been a cardinal subject in domestic public wellness, international wellness, and planetary wellness ( 2 ) . Equity of wellness can be confused with equality of wellness. Health equity focuses on the distribution of resources and other procedures that drive a peculiar sort of inequality between more and less advantaged groups, in other words, wellness inequality that is unjust or unfair ( 3 ) . Not all wellness disparities are unjust ( 4 ) , for illustration, we would anticipate immature grownups are healthier than the aged and work forces have prostate jobs whereas adult females do n't. However, if the difference arises from immunization degree or nutritionary position, so it would do concern from an equity position ( 3 ) . More late, Braveman and Gruskin defined wellness equity as â€Å" absence of systematic disparities in wellness between different societal groups. Unfairnesss in wellness consistently put groups of people who are already socially disadvantaged ( for illustration, by virtuousness of being hapless, female, and/or members of a disfranchised racial ethnic or spiritual group ) at farther disadvantage with regard to their wellness ; wellness is indispensable to wellbeing and to get the better ofing other effects of societal disadvantage. † ( 3 )Financing of wellness attentionFinancing of wellness attention is a major factor in equity of wellness attent ion, it is the activity of raising or roll uping gross to pay for the operation of a wellness attention system ( 5 ) . The conventional classs for fiscal beginnings are revenue enhancement, societal wellness insurance, private wellness insurance and out-of-pocket payments. Depending on the wellness attention system there are many fluctuations in the funding beginnings, for illustration, societal wellness attention insurance can be implemented on a national degree or a community degree and it can either be compulsory or voluntary ( 6 ) . Equity in wellness attention funding is assessed by the grade of inequality in paying for wellness attention between families of unequal Ability To Pay ( ATP ) ( 7 ) . Policy shapers in assorted states seem to be building wellness attention financing harmonizing to ATP. The Ministry of Health ( MOH ) in Malaysia subscribes to this scheme by suggesting that the state ‘s part to the new national wellness financing strategy to be related to ATP ( 8 ) .Malayan wellness attention systemThe cardinal rule of the Malaysian wellness attention system is that the handiness to wellness attention is non to be related to ATP, peculiarly in the event of illness ( 9 ) . The Malayan wellness attention system has seen great betterment over the past old ages. During the period of 1990 to 2005, life anticipation at birth increased significantly: males from 69.0 to 71.8 old ages and females from 73.5 to 76.2 old ages ; infant mortality rate fallen from 13.5 to 5.1 per 1000 ( 8 ) . Malaysia was ranked at 49 from 191 WHO member states ( 10 ) , which assessed the overall wellness public presentation against the three aims of good wellness, reactivity and just fiscal part. Malaysia ‘s public presentation at just fiscal part is comparatively low ( 122-123 out of 191 WHO member states ) compared to the other two aims ( 10 ) . In Malaysia, the populace and private wellness services co-exist. The authorities provides public wellness services through public infirmaries and wellness clinics. Private wellness attention complement the medical services provided by the authorities and its outgrowth is driven by demand. The wellness system overall is preponderantly revenue enhancement financed. The national outgo showed that authorities subsidises 58.2 % of the support in public sector whilst the balance of 41.8 % is financed by the private sector in 2003 ( 11 ) . The support are from five chief beginnings: direct revenue enhancements, indirect revenue enhancements, Employee Provident Fund ( EPF ) and Social Security Organisation ( SOCSO ) parts, private insurance premiums and out-of-pocket payments ( 6 ) . Those financess are transferred straight or indirectly to either public or private installations. Figure 2. Households ‘ Financial Contributions to Health Care System in Malaysia. From ( 6 ) . Many parametric quantities and techniques are available in the appraisal of equity of funding in a peculiar wellness attention system. Progressivity measures the divergence from proportionality in the relationship between wellness payment and ATP ( 12 ) . A progressive system means that the persons or families with greater ATP are paying more proportionately in funding wellness attention. The Kakwani ‘s progressiveness index ( 13 ) is a widely used tool in public finance to measure equity. The value ranges from -2 in the most regressive system to +1 in the most progressive system, 0 agencies that the system is relative and wellness payments account for the same proportion of income, irrespective of the person ‘s income ( 14 ) . A research carried out by Yu et Al ( 6 ) employed information from Household Expenditure Survey ( HES ) Malaysia 1998/99 indicated that the five finance beginnings in Malaysia have produced a imperfect system which is regarded as just. Malaysia â⠂¬Ëœs Kakwani ‘s progressiveness index mark compares really favorably to other revenue enhancement financed wellness attention systems in both development and developed states ( 6 ) . This determination contradicts the WHO World Health Report 2000, in which an older informations beginning from 1980s was used compared to the 1998/99 figures used in the new study. The two different findings besides indicate betterment in the equity of fiscal part in the wellness attention system during this clip. Although the finance of wellness attention can be regarded as just in Malaysia, there are other unfairnesss. Many among the hapless fail to seek wellness service due to go and chance costs. The private travel costs incurred to seek intervention have been high and besides increased at a higher rate compared to household income ( 15 ) . The hapless besides live farther from medical installations and have to pass more to go compared to the rich ( 15 ) . From the instance of Malaysia we can see that achieve equity in wellness attention can be really hard. The state has a really just manner to finance the wellness attention system but jobs remains in the distribution of service. Besides the turning proportion of private finance beginnings will do an escape of skill medical forces from the populace sector which will make farther entree unfairnesss. Word count: 1104Final Aims and AimsExperience wellness attention systems in different states. The two states that I ‘m sing will hold rather different systems to each other and the UK. It would be interesting to see what can be learnt from each and what can we make to better our ain wellness system. Practice the clinical accomplishments acquired in the past two old ages and hopefully get some new accomplishments that can be used in the hereafter. This can be a good clip to retouch on all the clinical accomplishments which will be needed during fond regards in the 5th twelvemonth and foundation occupations. Use this chance to research calling options. More exposure in orthopedic surgery will hopefully beef up my aspiration towards surgical callings. Use the clip in Kuala Lumpur to acquire more exposure to fortes that I have n't had much exposure, for illustration, ENT and dermatology. To carry on the research undertaking, this is still pending on ethical blessing. This is an chance to pattern how to transport out clinical researches, which is a utile accomplishment to hold regardless of the forte I will be come ining. If the research is approved and everything else goes good, it can be a good opportunity to hold some work published early in the calling. Word count: 207History of Elective PlansSingaporeSince my elective is split into two halves, I shall speak about each individually. My first finish is Singapore. Officially known as the Republic of Singapore, it is a metropolis province and besides an island state. Situated off the southern tip of the Malay peninsula, separated from Malaya by the Strait of Johor. It is the universe ‘s 4th taking finance Centre and the 3rd busiest port. Figure 3. Singapore skyline at dark from www.panorami.com With a population of merely over 5 million and being one of the smallest states in the universe, its population denseness is the 3rd highest in the universe. Merely 2.9 million of its population are born locally, 43 % ( 16 ) . Singapore is a multicultural state, the 2010 nose count ( 17 ) indicates that bulk of population being cultural Chinese ( 74.1 % ) , with 13.4 % Malays, 9.2 % Indians. There are four official linguistic communications in Singapore: English, Mandarin, Tamil and Malay. English is the on the job linguistic communication and all physicians are trained in English. The largest faith is Buddhism ( 44.2 % ) , Christianity and Islam are the other chief faiths with 18.3 % and 14.7 % severally ( 17 ) . Figure 4. The Merlion, a symbol of Singapore. This fabulous animal is a capturing loanblend of a king of beasts and a fish. From www.travelerfolio.com Singapore has a cosmopolitan health care system where the authorities ensures affordability. Most care outgo ( 68.1 % ) ( 18 ) is provided by the private sector, and the remainder is from the authorities. Harmonizing to the World Health Organisation ( 18 ) , Singapore has the lowest infant mortality rate ( 3 in 1000 ) and it besides has one of the highest life anticipations at birth ( 80 old ages ) . Singapore has â€Å" one of the most successful health care systems in the universe, in footings of both efficiency in funding and the consequences achieved in community wellness results † ( 19 ) . The system uses a combination of mandatory nest eggs from salary tax write-offs, founded by the workers and employers, a means-tested authorities subsidies for those in fiscal adversity and a national insurance strategy to cover major and drawn-out unwellnesss ( 19 ) . Although really successful, this peculiar health care system is â€Å" hard to retroflex in other states † , chi efly because the comparatively little population of 5 million on a concentrated piece of land, so the planning of the health care substructure is much easier comparing to larger states ( 19 ) . There are 13 private infirmaries, 10 authorities founded infirmaries and a figure of other specializer clinics. Khoo Teck Puat Hospital ( KTPH ) is the newest public infirmary in Singapore, built to function the health care needs of more than 650,000 peopleA who live and work in the North of the city.A The infirmary was officially opened in November 2010, the entire cost of development was $ 674m ( 20 ) , $ 125m of which was donated by the late Khoo Teck Puat ‘s household, who was wealthiest adult male in Singapore. KTPH is a territory general infirmary consists of 19 wards with 550 beds, with a six-storey Specialist Outpatient Clinic block, and an eight-storey edifice lodging the private wards and a 10-storey subsidized tower ( 20 ) . KTPH is besides actively involved in medical instruction and supply clinical instruction to medical pupils from Yong Loo Lin School of Medicine at the National University of Singapore ( 20 ) . Figure 5. Khoo Teck Puat Hospital. From www.flickr.comKuala Lumpur, MalaysiaMalaysia is situated in South East Asia, separated into two parts by the South China Sea into Peninsular Malaysia and Malaysian Borneo, besides known as West and East Malaysia severally. The Peninsular Malaysia was known as Malaya, gained independency from Britain in 1975, so united with Sabah, Sarawak and Singapore to organize Malaysia in 1963. However in 1965, Singapore withdrew from the federation and formed an independent state. The entire population of Malaysia is merely over 28 million ( 21 ) , Malays and other Bumiputera groups make up 65 % of the population, Chinese 26 % , Indians 7.1 % and other cultural groups 1 % ( 22 ) . The distribution of population across the state is instead uneven with approximately 80 % life in Peninsular Malaysia ( 21 ) . There are 137 living linguistic communications spoken in Malaysia ( 23 ) . Bahasa Malaysia, a standardised from of Malay is the official linguistic communication. English was the official administrative linguistic communication before Malaysia ‘s independency and remained to be widely used, particularly in service industries and other work topographic points. So communicating should non be an issue during the elected. Islam is the largest and the official faith with 60.4 % of the population, Buddhism and Christianity are the other chief faiths with 19.2 % and 9.1 % followerss severally. Figure 6. Map of Malaysia. From www.cia.gov Kuala Lumpur is the capital and the largest metropolis in the state with a population of 8 million in the metropolitan country ( 24 ) . The name literally means â€Å" boggy estuary † in Malay It has developed from a hovel town lodging mineworkers from the nearby Sn mine in mid nineteenth century to be dominated by the tallest skyscrapers in Southeast Asia and flower with the returns of international trade and commercialism. Kuala Lumpur is a really diverse metropolis in footings of human ecology, faith and civilization with historic temples and mosques sitting aboard futuristic towers. This diverseness attracts tourers from all over the universe, and I am certain I will hold plentifulness to make and see in my free clip. Figure 7. Kuala Lumpur at dawn with Petronas Towers ruling the skyline. From kualalumpurhotels.travel Hospital Kuala Lumpur is the largest infirmary in Malaysia and one of the largest in Asia. It is situated on 150 estates of land with 83 wards and 2302 beds. It employs a immense staff of 7000 workers, including 200 advisers and specializers with 500 registrars and house officers ( 25 ) . The infirmary is situated at the Centre of the metropolis, and was built in 1870 and consisted of merely 3 wards. Since so, it has been invariably upgraded and in 1997 it has completed upgrading its Institute of Radiotherapy, Oncology and Nuclear Medicine ( 25 ) . HKL besides plays an of import function in developing wellness professionals. As it is the chief instruction infirmary for medical pupils from the National University of Malaysia the staff will be more than capable to supply a worthwhile acquisition experience and hence it is a really popular pick among elected pupils. Many fifth pupils spent their electives in HKL exhaustively enjoyed their posters. As it is a immense infirmary there are so many different sections I can see and most physicians are more than happy for you to fall in their squad for a twenty-four hours regardless the section you are posted under. Figure 8. The Thean Hou Temple is one of the largest Chinese Buddhist temples in Kuala Lumpur. Officially opened in 1989, it is dedicated to Tian Hou ( The Heavenly Mother ) . From www.flickr.com Word count: 1092Personal Safety, Health and WellbeingFor personal safety issues about the states I am about to see for the electives, I foremost checked the Foreign and Commonwealth Office web site for some general advice. For Singapore, â€Å" there is an underlying menace from terrorist act. Attacks could be indiscriminate, including in topographic points frequented by exiles and foreign travelers † ( 26 ) .This means there is a low degree of known terrorist activity. So from terrorist act concern point of position, Singapore is possibly safer than the UK. FCO besides states that violent offense is rare, but travelers should be cognizant of street offense such as bag-snatching. This sort of activity occurs more often in tourist country such as airdromes, I think I should exert same sort of cautiousness as I would in all big metropoliss. The FCO peculiarly highlighted that â€Å" the offenses of indignation of modestness ( molestation ) can ensue in a all right, gaol or bodily penalty ( the Calamus rotang cane ) . Travelers are advised to avoid any action that could be interpreted as molestation. Scams affecting false claims of molest are thought to be † ( 26 ) . This should non be a major concern as most people would exert common sense non to do any offense, though this does alarm traveler to the state that certain misbehaviors that would be dealt laxly in the UK can take to really serious penalty in Singapore. The menace of terrorist act is somewhat more serious in Malaysia, FCO listed it as a state with â€Å" general menace of terrorist act † and â€Å" some degree of known terrorist activity † ( 26 ) .The FCO besides warned against travel to the east Sabah part of the state as there â€Å" are indicants that both condemnable and terrorist groups are be aftering violent Acts of the Apostless against foreign tourers † ( 26 ) in that country. The last incidence affecting foreign subjects was in 2003 and there are no other reported incidences since. East Sabah is in east Malaysia, far from the capital metropolis Kuala Lumpur, and I have no programs to go to that portion of the state. In footings of insurance during elected period and other travels that may follow, I have ever purchased travel insurance to cover my flights to and from place during the holiday period. I have been with Insure & A ; Go for a figure of old ages, it ‘s a really dependable company and their one-year multi-trip policy is really comprehensive. The insurance bundle costs ?70 per twelvemonth, which includes cancellation, personal properties, luggage, paperss and whole scope of other screens. One of import screen I should foreground is the medical screen. As if for any ground I fall ill during the elected or the period spent going after the elected, I would be cover for the local wellness service if it ‘s needed. The wellness attention systems in Singapore is mostly in private founded so the cost it would be rather expensive, and the National University of Singapore requires all incoming elected pupils to hold medical insurance during the elected period. I have besides checked wi th the insurance company that the â€Å" medical elective † is covered as portion of the travel insurance as it can be a gray country between vacation travel and working travel. They have confirmed that the elective is covered by this policy. Professional insurance or malpractice insurance is besides required by the arrangement in Singapore. I have joined the Medical Protection Society since first twelvemonth of medical school but I have ne'er required their service. If I keep on following the counsel as I have been in the UK during the clinical surveies, professional insurance should non be of concern. I understand the medical pattern in different wellness systems and different civilization can change, patients ‘ outlook and apprehension of the function of medical pupil can besides be rather different. While working with patients, whether on ward or clinic, I should explicate my function and do certain the patients understand who I am and what I ‘m making. At any point, if I am diffident about the ethical deductions of a certain pattern, for illustration, inquiring for consent from patient for scrutiny, I should confer with a senior member of the squad and inquire for advice for the recognized criterion of pa ttern in that peculiar infirmary. Dengue febrility is known to happen in both Singapore and Malaysia ( 27 ) . There is no available inoculation or medical specialty to forestall this disease. The best step is to avoid mosquito bites by utilizing anti-mosquito sprays and picks. There is besides a hazard of malaria in Malaysia ( 27 ) , once more anti-mosquito steps should be used. In add-on, chemoprophylaxis should be used in concurrence. Chloroquine opposition is present in peninsular Malaysia, I shall take proguanil along with chloroquine. These drugs are available from most pharmaceuticss. Another major wellness concern for pupils traveling abroad for elected arrangement is the hazard of HIV exposure. The prevalence of HIV in Singapore and Malaysia are both really low. The latest figure shows that the prevalence of HIV in Malaysia is approximately 0.5 % and 0.15 % in Singapore, comparing to 0.35 % in the UK ( 28 ) . For the orthopedic surgery fond regard in Singapore, I will likely be in contact with blood while detecting or helping in theaters. Since the prevalence of HIV in Singapore is lower than this state, the hazard of exposure is really little. The fond regard in Kuala Lumpur would be based in the general medical specialty section, so the opportunities of contact with blood is minimum along with the low prevalence of HIV, the hazard of HIV exposure is once more really low. Hence, I ‘m non sing taking a post-exposure prophylaxis kit with me during the elected fond regard. One unwellness which I ‘m likely to endure from is traveler ‘s diarrhea. From experience, during about every abroad trip, I would hold traveler ‘s diarrhea at some phase. This is likely because I frequently like to seek the local nutrient and drinks and non afraid of eating unfamiliar things. To understate the hazard of holding diarrhea, of any kind, I should avoid feeding and imbibing in less reputable constitutions. As a safeguard I would besides take some loperamide tablets and anti-emetics in instance of diarrhea or more serious nutrient toxic condition. Word count: 998

Economic Impact of Deer and Wildlife Hunting Essay

Hunting is catching of animals in the bush either for meat and other animal products or as a recreational activity Hunting is a very old profession dating back to millions of years back when man solely depended on hunting and gathering for provision of and other animal products. Animals hunted in a particular region depended on several factors such as availability, purpose, size of the animal, technology, environment among others. Vast lands of Texas provide good habitat for different species of animal to survive. The most common animals are: deer, hare, kangaroo among others. Hunting is still a popular activity in most parts of the world attracting million of hunters who either venture in to it as an economic activity or as sportsmen and women. With advancement of technology hunting techniques have improved as hunters, together with using the old age skills, modern equipment such as binoculars come in handy making this activity more fun and productive. Dog as hunting tool is still much in use though not into greater extent as it was used in olden days due to restriction by laws in some states. American hunters just like their early counterparts us this animal in their quest to take home a trophy. Current American hunters spend on annual basis whooping 700 million dollars to buy hunting dogs showing that man’s best friend just as it was important in early day it is still a valuable companion to man in his quest to conquer the bush. Bows and arrow have been modified to suit the modern times becoming one of the best hunting equipment for those who would like to flex their muscles. Deer hunting is an old time activity which dates back to 7000B. C. when people in North Eastern America largely relied on deer meat nuts and grain for subsistence. Hunting was then a major economic activity a position it still occupies hitherto though its importance has been curtailed by modernization. There are several kinds of deer that are hunted in different parts of the world. They include: white-tailed deer, mule deer, reindeer also known as caribou which is very common in Alaska, chinesewater deer among others. Hunting is a big time business pumping billions of dollars in to United States of America economy. Its effect is felt in the central business district of New York to the small hamlet in Alabama. Its benefits enjoyed by a toddler who is crawling in the backstreets of Oklahoma City and a war veteran enjoying his sunset years looking after his herd of bulls in Texas. Hunting generated billions ripple effect is felt by the grocer in Mississippi to a chain hotel owner in Los Angeles. These billions are derived from various activities directly or indirectly related to hunting . From Texas to pennsylavania, Illnois, Kansas, Missouri, Wisconsin, Newyork, Kentucky, Alabama, Minnesota among other states hunting is a household name which cut across races, ages and social classes. Million of hunters pound on animals in the bush in different parts of America taking home their catch and on the other hand spend a fortune helping in way to drive the United States economy. Hunting is a multi billion industry whose economic impact in state economies can not be under estimated. It has an immense impact that is almost comparable to soft drink manufacturers Pepsi and Coca cola companies’ contribution to the United State economy in terms of employment opportunities, tax generated among other benefits (Hammitt, W. E. ,et al,1990). This industry attracts people from all walks of lives; different cultures and races. People from all political social classes harmoniously pursue the same game in the bush . There are no limitations making hunting one of the most liked activity where business are pleasure share a sentence. Hunting is such a popular activity where people from the majority ages are involved allowing even the young to participate towards nation building. Children as young as 16 years are considered old enough to engage in this enjoyable activity. There are estimated 40 million hunters countrywide. These hunters are both sportsmen and hunters for the sake of hunting. These hunters spent a fortune, for example in 2006 hunter spent a whooping 75 billion dollars and supported close to 2 million jobs in the entire United States. These types of figures can only be ignored by any state at its own peril. They are types of figures that would make a state governor to urgently call for a stakeholders meeting to map up ways of improve hunting as industry. They are enough to finance annual budgets of many of third world countries, enough to pay thousands of soldiers currently serving in overseas mission and many other government expenses that go along in putting United States in the limelight. For hunter to successfully venture in the bush there are dozen of equipments required to help them accomplish their mission. These equipments include: boots, coumaflage jackets, hunting knives, binoculars, bows, arrows, rifles, spotting scopes e. t. c Going by the numbers in 2006 it means retailers stocking the above equipment made billions in terms of sales of hunters gear. Manufacturers and distributors of these hunting gears are ensured of interrupted growth of their business due to increasing demand of their merchandise. According to a report from the International Association of Fishing and wildlife agencies in 2001 total retail sales generated were in tune of over 10 billions dollars. From these figures it is evident that hunting as an industry not only guarantees income to manufacturers and distributors of these equipments but also puts bread and butter on the tables of their employees therefore putting million of Americans in the payroll ensuring household incomes are raised, increasing the purchasing power of millions of Americans whose spend on holidays, education, healthcare and many other needs distributing hunters loot to all sectors of the economy. Among the industries that benefit from hunting of deer and big game are tourism, manufacturing, agriculture, tansport, and the list is endless (http://woolleyshooting. com/Articles/economics. html). Hunting contributes enormously to the growth of tourism industry industry. Hotels in different parts of United States are at one time fully booked especially during hunting seasons. Since hunters travel to town which are far away from their areas of residence accommodation comes in hand. Hunting is an activity that can take days so the hunters leave prepared to spend some nights away, it’s like a get away experience. Those who take it as sporting activity take some days away from their busy schedules to replenish their energy and relax . They come back rejuvenated meaning they put more energy in their nation building after a get away enjoying their favorite sporting activity-hunting. During their hunting expeditions hunters spend several days in hotel, this signifies a boom for hoteliers, their revenue rise, as multiplier effect farmers supplying these hotels are ensured of a ready market of their produce, hotel employees are sure to receive their paychecks while other suppliers to these hotels are guaranteed of orders (Adams, J. 000). There are other hunters who chose to make their own arrangement, they rely on Travel Company utilizing the services of agents who organize their travel arrangement. Tour guide come in handy as hunters need all the nitty gritty on hunting Transport industry also takes a share from this bush activity. Its share comes from different activities. Million of hunters travel to different areas meaning fuel consumption rises. Gas stations benefit from hunters who pass by their business premises to refill their tanks on their way for a hunting expedition. Automobiles sales also shoot as hunters require specialized vehicles during their mission making vehicle dealers smile all the way to the bank (Brown, P. J et al,1982). Those who chose to use public means of transport and tour companies also oil the pockets of transporters as they purchase plane, bus and train tickets to enable them travel to various destination. Hunter’s dollars contributes towards growth of automobile industry. Those who can afford charter planes to various ranches in states like Nevada and New Hampshire Aeroplane owners charge some fees for hiring these aircrafts and use some of it to pay their employees who on the other hand spend their salaries and wages to buy food and other necessities creating a ripple effect in the economy. Federal and state tax agencies are other beneficiaries of hunting loot. For one to be allowed to hunt it’s a requirement to obtain a hunting license. Different states charge a fee to issue this document . Every year millions of hunters apply for this license paying a handsome amount to tax agencies. Manufactures of hunting gears pay excise duty and other forms of taxes to the agencies. Employees of these companies pay income taxes to state tax agencies as is mandatory to honor tax obligations. All other businesses and individuals who deal with merchandise or services which are directly indirectly related to hunting pay one or more form of tax to their governments. Governments use this revenue to finance their activities. It finances construction of highways, brigdes, railway lines airports and other type of infrastructure which not only benefit the hunters but all-Americans citizens at large (Adams, J. 2000). It is estimated that government collects on average 2. 5 billion dollars annually in form of taxes generated from hunting related activities.. Millions of jobs are created in this multi billion dollars industry either directly or indirectly. In the year 2006 alone hunting supported close to 2 million jobs in different economic sector. This industry capacity to put Americans in the payrolls of different companies can not be underestimated. It surpasses many other formal industries known for job creation in American economy. Almost all states in United States of America thousands of Americans receive their pay checks financed by hunting either directly or indirectly Personnel employed include: guides, accountants, hoteliers, sales people, agents, managers, coaches and many others This is an immense contribution coming from an industry that is not considered mainstream. It has a capacity to put many Americans in job just like manufacturing firms in Atlanta (Duffield, J. and C. Neher, 1990). Hunting as sporting activity provides a moment for people to exercise and flex their muscles. This ensures that this lot is physically fit . It provides a good moment to relax body and soul. This form of relaxation is vital for the nation. This may sound farfetched but on average people who engage in some body work up lead a healthy life which means they are highly productive in economics terms. On one side a healthy nation means government spends less to finance the healthcare, instead channeling the funds to other sectors such education and conservation of environment. On the other hand a healthy nation is highly productive meaning workers will spend maximum time generating income for their employers rather than spending time off duty either in hospital bed or at home recuperating from some ailment or conditions which can avoided if they engaged their body in exercises which hunting as a sport provide. Hunting also provides golden chance for the families to get away from their daily bustle and enjoy beautiful moments in ranches in far away places. This provides a good opportunity for family and friends to bond contributing to social cohesion . this creates harmony in a family and society at large minimizing conflict (http://www. sdgfp. info/wildlife/Economics/Huntingeconomics. htm ). This may not be quantified in monetary effect but it has a far reaching effect than any money can buy. Families which spend quality time together will have minimal conflict meaning children will be raised in an upright way contributing towards future progress of United States where on the other hand chances of divorce will be minimal meaning family will save for future investments instead of spending huge chunks of money filling for divorce and paying attorney fees. Hunting has stood the test of time it has survived for many years beating all the odds. As many sectors of economy are affected by various events hunting beats them it has survived recession wars and other calamities. This means that billions will still be made whether Americans are fighting in the Middle East or feeling the effects of September the 11th . Hunters will still venture in to the bush during these bad times to get away from hustle and bustle of life The ability of hunting to survive in all these years despite many problems that man has encountered shows that its future is still bright. It survived agrarian revolution and much later industrial revolution left it not bruised (Adams, J. 2000). Animal rights activists may argue that some species of animals are threatened with extinction but nature has a way of taking care of that in fact some types of deer are overpopulated making government look for ways to reduce their population. And what a better way than encouraging people who enjoying engaging in an activity that checks the population of the species. In mid western states deer and other game animals have been blame for most automobiles accidents along the highways so hunters do a good job when they take away an animal life ensuring the survival of that American who is over speeding on his way home. Since the population of deer and other animal is not in such big threat million of hunter will continue to venture in to the bush and doing what they know best ensuring that transport industry stays afloat ,children education will be financed and highways will be constructed. From the figures presented and statistics shown hunting benefits to the United States economy has just started, more is to on the way, advertising mogul would say ‘Americans watch this space! ’. Since hunting is a regulated activity, this means there are rules governing this activity to ensure there is discipline and order, more Americans who like engaging in legal activity will join in either to earn a livelihood from selling game meat and other animal products or to enjoy a sporting activity that has far reaching health benefits than one can ever imagine. The number of hunters will only rise to new high level leading to more manufacturers coming in to make hunting gear to meet the soaring demand ,more hotels come up to accommodate the higher number of hunters coming in to enjoy the loot Government has been the biggest beneficiary of the monies generated through the hunting activities. This is through the revenue collected, number of Americans supported by this industry and many other benefits. It truly realizes what can happen if hunting goes to the woods its revenue will be reduced, unemployment rates will rise some business will collapse and many other ugly effects that can lead to collapse of some of states economies. Through this backdrop it goes without saying that the government would do everything possible to ensure that the hunting industry boom is not curtailed. Though this industry does not need any government intervention, it is true to imagine that government can do everything possible to ensure that hunting industry is recognized as one of the sectors that drives the economy (Duffield, J. and C. Neher. 1990) All those people who benefit from the hunting dollars are advocates of this industry, their voices can drown the noises of the so called animal rights activist. Hunters are responsible people as they make sure they pay taxes which government uses to finance the conservation of environment and educating the masses on the importance of taking care of the environment to ensure man and animals live in a clean environment There are big ranches in different parts of American that entirely depends on hunting . Strict rules are observed to ensure the future of animals is guaranteed. For example different modes of protection of animals from illegal poaching are employed, this involves putting in place security measure that discourage poaching and other illegal activities. Closed hunting is employed restricting hunting of some animals at given period to allow breeding therefore ensuring survival of these species. Protection of deer and other animals from indiscriminate killing signifies that controlled or regulated hunting will survive many generation to come therefore future of hunting industry is not only bright but shining in the current generation and will illuminate the future economy of this great nation. Great leaders like George Washington embraced hunting as away of life therefore where our forefather have succeed nothing can pull us back (Duffield, J. and C. Neher. 1990)

Discuss the Difficulties in Seeking to Adopt a Common Social Policy and Social Welfare Agenda Among the E.U. Member States.

Assignment 2-Take Home Exam (Question 3, 5 and 6) Question 3 Discuss the difficulties in seeking to adopt a common social policy and social welfare agenda among the E. U. member states. Introduction A social policy is a public policy and practice in the areas of health care, human services, criminal justice, education, and labor. (Malcolm Wiener Centre) In European Union, it has passed a long way to seeking adopt a common social policy and social welfare agenda among the E. U. member states. Caune et al has summarized the process of social policy into three steps followed by the milestone of EU.First stage was to create a common market and keep the national welfare policies. During the first stage E. U. did seek to establish a certain policy, such as freedom of movement for workers and freedom of establishment and equal pay and rights for migrant workers. The second stages was Maastricht treaty that creating Maastricht criteria as new economic policy regime and established ‘sof t law management’. The thirds stage was focus onwards coordination and competition of national welfare policies. The treaty of Lisbon which is the recently moment in E.U. social policy, it defines E. U. seeks to assess the significance of the poverty/social inclusion open method of co-ordination in terms of what it indicates about the EU’s engagement with social policy. From the historically, EU was did a lot of works to creating social policy and social welfare agenda. But E. U. still faces many difficult to making a common social policy among E. U. states. Furthermore, this essay will mainly discuss on the difficult in seeking to adopt a common social policy and social welfare agenda among the E. U. ember states which are based understand and analyzed the history and concept of E. U. social policy. Discussion From the three stages of form a social welfare system, we could found European Union has really well social welfare systems as an example for the rest of the wo rld. It has maintained social equality among EU members which defend weaker market participants and guarantee them acceptable standards of living. However, EU is now face great challenges, such as rapid growth in EU expansion and integration, growing competition among member states for investments.Most of them are now becoming difficult to a adopt a further common social policy EU, such as increasing about personal expectancy, population migration process, growing income inequality and the existing social exclusion. These difficulties are mainly coming from two sources which are national and European level. If EU aims to form a common social policy, they will firstly facing a problem of different social policies pursued by member states. Rutkauskiene indicated that there is† no unanimous opinion about all existing social policy in EU. (Rutkauskiene, 2009) Every member states have their social policy depends on different typology, such as Mediterranean model and antipodean mode l. These different social policy models in the place which lead EU faces a huge challenge-too many different social policy model in the members will hinder the process of adopt a common social policy in EU. One of the objectives of common social policy is maintain social equality among EU member state but each member state has a different economic situation that leading to different budget on social welfare expenditure.Hence, there will be conflict between different countries investment on the social welfare. One of the example are from the EU integration process, employee are free to move to a low cost countries and also employee from poor countries can move to a member state that has a better work condition. The enlargement or integration of European has becoming one of the difficulties in order to adopt a common social policy in EU because it has direct on the social issues, such as unemployment rate and fair work rights.Traser describe enlargement had already, in 2004, caused pu blic anxiety about large numbers of low-skilled and semiskilled workers from the new Member States seeking both employment and benefits in the EU-15, and displacing national workers with cheap labour. (Traser, 2005) The issues about free movement of employee is only one example about the differences of economic situation between member states but it can be a main difficulties for EU to adopt a common social policy because the members state are only stand for their own country and competing with other member states.In the European level, EU are also did a lot of work trying to leading member states participate on the process of adopt a common social policy but it is difficult as well. Since the Maastricht Treaty a concept of ‘soft law’ management measures are used to implementation of the EU activates. This has given to the control measures that are based on voluntarism, education and the sharing of best practices. (Rutkauskiene, 2009) In other world, member’s sta te is voluntary participation in an exchange of information or action.The European council collected all these soft measurement 2000 in Lisbon and give them a name of ‘Open Method of Coordination. (OMC)† (European Council Web) In the European council website explained OMC- set goals are monitored and supervised, best practices are shared and there is a scope to share. (European Council Web) But there are one important feature of the OMC is that goals and achievement are established at the EU level, while the measure and practice to achieving them are left for national governments. Many scholar are debate the disadvantage of this method.OMC is the lack of obligation to implement any agreements, and the lack of sanctions for failing to meet any obligations (Szyszczak, 2006). In other words, EU did not give in to any suggestion about policy to national government, and national government did not need to adequately orient their active measures according to OMC goals. Moreove r, each member states can present their own conclusions on the certain policy areas in their national actions plans, such as pension and health care area. Rutkauskiene has found a greatest number of faults in pension’s area caused by OMC. Rutkauskiene, 2009) Everyone is too different in their personal needs and clamming to adequate for all is not feasible. So a government policy should be set a minimum pension sum to be guaranteed and set of this agreement among EU member states. In other worlds, it is necessary that guidelines for changes in indicator evaluation are set, thereby blocking the way for different understanding about social affairs. From the different argument on OMC policy we can it was mainly established a principle of turning into coordination among EU member state but it facing difficulties turning this policy into an operational manner.Vandenbroucke state the post challenge of Lisbon treaty is EU need an operational social policy. (Vandenbroucke, 2002) Unfor tunately, according to the discussion that the current OMC policy has some disadvantaged that made difficulties for EU to adopt a common social policy. Conclusions This essay has started with an introduction milestone of adopt the EU social policy. The difficulties in adopt a common social policy among EU member states have been compounded furthermore by the fact that large number of state in EU and each of them implementing a different social programs and social policy measures.Then we look on how European Union to dealing with this difficulties of great variety in the social policy systems. We have been chooses the current model to coordinate of social affairs in 2000 at the signing of Lisbon strategy which are Open Method of Coordination. Based on the analysed from different academic literature, â€Å"the main shortcomings of the OMC were identified as the lack of obligation and no sanctions for failing to carry out the activities set out in the agreements reached. (Rutkauskiene , 2009) Hence, the inefficiency of current policy is other main difficulties in adopt a common social policy. At the end, the process of adopt a common social will be forward in the future and the difficulties are also coming continuously at different stages. Reference Arnaudova, F. Z. L. A. A. (2011). Growth, well-being and social policy in Euroep: trade-off orsynergy. European Social Policy Centre Concuil, E. , from http://ec. europa. eu/invest-in research/coordination/coordination01_en. htm Daly, M. (2006). EU Social Policy after Lisbon.Queen's Univeristy, Belfast. Malcolm Wiener Center for Social Policy. Retrieved 10 Jan 2013, from http://www. hks. harvard. edu/centers/wiener Palier, P. R. G. a. S. J. a. B. (2011). The EU and the Domestic Politics of Welfare State Reforms. England. Rutkauskiene, L. (2009). Problems in the formation of the common EU social policy: Vilnius Univeristy. Szyszczak, E. (2006). Experimental Governance: The Opend Method of Coordination. European Law Jou rnal. Traser, J. (2005). Report on the free movement of workers in EU-25: who's afarid of EU enlargment? Brussels:European Citizen Action services. Vandenbroucke, F. (2002). The EU and Social Protection: What should the Euroepan Convention Propose. Retrieved from http://econstor. eu/bitstream/10419/44291/1/644397675. pdf Vobruba, G. Debate on the enlargement of the Euroepan Union. University of Leipzig. Question 5 the single market is the fundamental economic underpinning of the EU. Discuss why  this single market is problematic in the EU with regards to the digital technology sector Introduction The Europe commission in a 1985 white paper launched the single market programme.The main purpose of single market is ‘seeks to guarantee the free movement of goods, capital, services, and people – the EU's â€Å"four freedoms† – within the EU's 27 member states. †(European Commission Web) It was launched as the fundamental economic integration of the EU. It creates large benefit to the enterprise and EU-citizens. The European commission and the EU’s executive arm, has target ‘energy, digital and transport sectors as priorities for depending market integration. †(Egen) In relating to the digital technology sector, the world economic is now more deepening on the digital technology.A 2010 study commissioned by the European Policy Centre from Copenhagen Economics showed that an integrated European Digital Single Market (DSM) would lead to an increase in GDP of at least 4%, with concrete benefits for consumers and citizens. (Economics, 2010) European commissions have already been set in motion about importance of digital single market. For example, Monti report had already highlighted the importance of developing the digital single market, which was also reflected in the digital agenda and the single market act.However, there are still many problem existed in the EU with regards to the digital technology sector. This e ssay will outline of the reasons of why this single market is problematic in digital sector, which are mainly because of less enforce on inappropriate regulation in the member states and cost effectiveness and differences in provision of the infrastructure and ‘old national monopolists’. Discussion In Pablo’s report, which has summaries the European commission need to work more on to build trust and confidence in digital single market.Echeverria has indicated that â€Å"European Commission need to stresses that the consumer rights directive marked an important step forward in terms of increasing legal certainty for consumers and businesses in online transactions, and today constitutes the main consumer protection instrument for online services. † (Echeverria) A single market strategy will require a higher level of legal regulations in regarding to issues such as cybercrime, data privacy and spam while ensuring free movement and the possibility of transacti ons on the internet.Otherwise this single market will be a problematic in digital sector because of the existence of a patchwork of different legal provisions and barely interoperable standards and practices. Also the consumer can’t access the full benefits from this strategy if this regulation is poor. European commission’s report of building the digital single market has identified more and more pollution is using the digital technology now. (Commission, 2011) Peoples are now using more internet service to making a convenience life, such as the online cross border trade.Moreover the digital single market will allow citizens to have access throughout the EU to all forms of digital content and services. So in order to creating single market digital sector, if people are not use digital service in a safety environment then there will be a data protection problems. The other reasons of why  this single market is problematic in the EU with regards to the digital technol ogy sector, which is cost effectiveness. In Zuleeg’s report has determine that a single digital market will require large scale investments in fixed and mobile networks, with much of this investment needing to come from private operators. Zuleeg, 2012) Especially in the European finical crisis period, Europe government and private operator will need to have spent more to support this investment by developing new investment vehicles and guarantees. Michelle Egan also defines a digital single market is a long way of investment and still have many barriers now. (Egan) But the single market in digital sector will improve productivity and contribute to increasing Europe’s medium to long term competiveness. It also brings out benefit beyond the economic which it can help some societal problem, such as fragmented labor market and environment problems.According to all of this facts, we can finding the single market can bring large benefit to citizens and social but it will nee d to put extra investment by government and private operator. So this single market will bring out a conflict between internal users and external stakeholders because of cost effectiveness. A study by Copenhagen economic has list out â€Å"there is a range of national and international operators, totalling close to 100 mobile operators. â€Å"(Copenhagen economic) In the Australia digital sector there are mainly one operator provide the most mobile and internet infrastructure which are Telstra.The digital sector is fragmented in European compared with other countries. The most of the digital companies are competing on a national scale instated of across borders. None have continent-wide operations and provide difference in provisions of infrastructure. One of the example is there are still less operator can provide mobile service across borders and also with a high roaming fees. However the single market strategy in digital sector is trying to integrate these companies into one gr oup.This single market strategy may become problematic in the digital technology sector because a fragmented supplier industry may hamper certain developments. From the overall finding, we can operator is the main stakeholder with a large impact on the digital sector. The study by Copenhagen has further explained this fact as â€Å"a lack of market consolidation with ‘old national monopolies’ keeping their strong position in local markets due to government protection in the past. â€Å" The operators are stress on their profit and ignore the importance of single market.One of the major benefits of European single market is increasing competition, leading to lower prices and better welfare for consumers and society as a whole. But the operator has main power in the national market and can refuse price convergence. Conclusion At the end, the single market in digital will have large impact on European economy either in public sector or employee or consumers or producer s ides. But according to the nature of digital technology sector which is fragmented industry and investment barriers so the single market has being a problematic in this industry.Reference Completing the internal market White paper from European Commission to European Council (1985). Brussels. Commission, E. (2011). Building the digital single market-cross border demand for content services. Echeverria, P. A. On completing the digital single market Economics, C. (2010). The conomic impact of a european digital single market. Egen, M. Twenty years after the completion of the EU's single market programme, member states have still not eliminate all barriers to trade. London: The london school of economic and politcal science. Zuleeg, F. (2012).A digital single market by 2015. eSharp. European Mobile Indsutry Obeservatory. (2011) Monti, M. (2010). A new strategy for the single market. â€Å"The Single Market†. Europa web portal. http://ec. europa. eu/internal_market/index_en. htm. Retrieved 03 January 2012. Question 6 what are the problems to be encountered in forming a European sense of identity among the citizenry of the EU? Introduction A sense of a national identity is â€Å"the person's identity and sense of belonging to one state or to one nation, a feeling one shares with a group of people, regardless of one's citizenship status. (Smith, 1993) Usually, these are nation-states but it also can implied an entity group of European Union. McCormick writes sense of European identity as â€Å"a related term of Europeanism refers to the assertion that the people of Europe have a distinctive set of political, economic and social norms and values that are slowly diminishing and replacing existing national or state-based norms and values. †(McCormick, 2010) Johan Borneman indicates the practices of Europeanization in term of languages, money, tourism and sex and sport. Borneman 1997) European Union are getting practice on this through the creation of the European single market, the expanded the European Union from twelve members in 1985 to twenty-seven members in 2007 and link the legislative and policy frameworks of EU with European identity. As we explained before EU has a long history of this integration process but there are still many problems encountered in forming a European sense of identity among the citizenry of the EU. There are especially in some countries are having this problems such as British.Moreover, this essay will discuss on the main problems that are in forming a European sense of identity among the citizenry of the EU. It also will consider some examples in English. Discussion Medrano has summarized the main problems into three section which are â€Å". 1) conflated behaviour in referenda on reform treaties of the European Union, support for European integration, and identification with Europe, 2) conflated different dimensions of European identity, and 3) failed to unpack the various meanings that citizens a ttach to the idea of identification with Europe† (Medrano, 2010)In the detail, the first problems are mainly concerned on the public debate on European identity. Many people see no opportunity to influence supranational decisions effectively because there are lacks of intermediary actor primary covering European issues. In the public, the media or journalists are both have lack of supporting on EU news. Vreese said â€Å"It is difficult to ‘sell’ an EU story. † (Vreese, 2004) Medrano has asked many journalists do you agree you play an important role in ‘crating a European identify’. (Medrano, 2010) The most of them unanimously agreed that the answer should be ‘NO’.Some journalists believe their role is to create engagement and interest and not to influence identity. One of the examples is in British, the public opinion is divided and the country is becoming the most of skeptic members in EU with regards to EU policy of common curre ncy and the enlargement. There is other problem influencing public opinion about Europe, such as difference in social-demographic characteristics. Most of researcher has find men being more supportive of Euro-pan integration and higher levels of education are associated with being more positive towards the EU.The second problems listed by Medrano, can be described as there are having many dimensions of European identity either by national or citizen. If there are too many dimensions of European identity that will results a lack of precision use in the use of the sense of European identity. The official dimensions of European identity is a precondition for a democratically legitimise European Union with feeling of belonging together of the people living in the member states, including the awareness and the support of common values, achievements and aims.But in related to a real case the European identity is far lagging behind national identity. Fukuyama has given one example of Franc es created a strong national identity by built around the French languages. (Fukuyama, 2012) In order to compared within the EU’s dimension, EU are more stress on political and policy identity but the nation’s dimensions are more focus on culture and social level. EU has 27 members within different culture and religion. These countries have already built on different level of national identity.EU is now trying to integrate this national identity into one common identity which is European identity. So EU needs to conflate different dimension of European identity. The third problems is failed to consider the citizen’s ideal about European identity. The EU defines concept of European identity are most physically based, such as free movement of goods and service. But the officials should to promote a sense of belonging to Europe citizens emotionally. Medrano stated there are lacks of identification with Europe among citizens are mostly interested in the emotional di mension of identification. (Medrano,2010)Besides of Medrano’s measured three problems, there are still many other problems in order to create a sense of European identity. One of these problems are EU has less use any knowledge or instruments of identity policy to deliver the sense of European identity, such as education. Walkenhorst writes â€Å"without a sense of commitment and knowledge of citizenship rights the European peoples cannot establish a democratic identity in the sense of supporting the EU as a legitimate political system†. (Walkenhorst, 2004) EU also will not being able to demonstrate its benefits for the European citizen without using an instrument of identity policy.For instance, provide more education or program on spread the sense of European identity will also help to avoid the problems of different religions. EU has different religions identity, such as Christian and Muslim. The concept of European identity need to consider the ideal of multicultur alism and democracy. Conclusions This essay draws an analysis of the problems encountered in forming a sense of European identity which are based on an understanding what is a sense of European identity and how could generate a sense of identity.Since the firstly forming a European Union, EU are trying to creating a sense of European identity. A sense of national or regional identity is an emotionally feeling belongs to a group. EU did a lot of work that letting people are physically feeling of European citizen, such as free movement of people and goods. One of the examples, are Eurostar given people are more mobility in traveling around European. However, EU is now facing problems on ignored the citizen’s emotionally feeling of European identity and conflicts of different dimension about European concept of identity.Each member state and citizens has different dimension about European identity. The best way to solve this problem is using accurate instrument to spread the ide al of European identity, such as education and media. But the fact is there is lack of use media and education that results a problems in forming a sense of European identity. Reference Adrian Favell, E. R. , Theresa Kuhn, Janne Solgaard Jensen and Juliane Klein. (2011). The Europeanisation of Everyday Life: Cross-Border practices and Transantional Identitifcations Among the Eu and Third-Country Citizens. Foweler, J. B. a. N. (1997).Europeanization. Annual Review. Retrieved from http://www. jstor. org/stable/2952532 . Fukuyama, F. (2012). European Identities Retrieved from http://blogs. the-american-interest. com/fukuyama/2012/01/10/european-identities-part-i/ Margaret R, A. (2008). Perceptions of European Identity among EU Citizens: An Empirical Study. McCormick, J. (2010). Europeanism: Oxford University Press. Medrano, J. D. (2010). Unpackiing European Identity: CAIRN, INFO. Smith, A. D. (1993). National identity: Univeristy of Nevada Press. Versteegh, M. L. C. (2010). European Ci tizenship as a New Concept for Euroepan Identity.

Female delinquency in sociology and criminology Essay

Female delinquency in sociology and criminology - Essay Example The women's movement has caused assertiveness and was said to encourage young women to adopt certain "male behaviors" such as drinking, stealing, and fighting. The social and environmental risk factors also contributed to the increase in female delinquency. The study by Lind & Shelden in 1998, as cited by Weiler revealed that the interaction of social class, race, ethnicity, and culture cause young women to behave violently (65). The research showed that girls from low-income families seek recognition by adopting a "bad girl" image because of their disappointment of not being able to attain a college degree. Furthermore, in a study by Artz, he showed that a girl’s poor school performance increases their risk of violence and delinquency, more than boys (66). In the same study, Art also found out that women jailed for crimes as compared with their male counterparts, usually are victims of previous sexual or physical abuse. In conclusion, although there is an increase in female d elinquency over the past few years, one can still say that in general, girls are still less delinquent than boys because of their nurturing qualities. It can be observed however, that social and environmental factors contribute a lot to female delinquency.

Media use forecast Assignment Example | Topics and Well Written Essays - 250 words

Media use forecast - Assignment Example Before I sleep I browse internet in private and go through my Facebook page where I interact with friends and share personal experiences with various friends. In regard to the media content I focus on, I comment positively on various health-related issues on Facebook. I also comment on public debate by sending messages through twitter to the television network viewers and hosts. My media diet has helped me keep friends and official links that are of much socio-economic gain in my life (Johnson 43). The issues I focus on in media keeps me updated on latest healthcare research findings and emerging technology which is relevant for the contemporary competitive infection-ridden society. My experience with the violent and sexual explicit media content in some programmes in television, magazines and Facebook began to absorb me and nearly cost me my job. I had become addicted and realized that besides losing my job I was also deviating from acceptable moral standards. I therefore decided to reconsider my media diet which has significantly improved my knowledge and moral

Purposal Essay Example | Topics and Well Written Essays - 500 words

Purposal - Essay Example care profession grew I came to the realization that there was a significant lack of the application of leadership thinking and development of employee skill. This aspect combined with my thirst for learning new principles and theories which would be applicable to my organization and update my knowledge in leadership. Based on these goals to enhance my leadership skills I have chosen to do a master program in HR and Change Leadership as a strategic move which would allow me to improve the health service and explore ways that would aid health care employees perform superiorly. How this leadership doctoral program helps to meet my needs is in the way it’s not just a distinctive degree program but also it focuses on the application of theory to real life situations. This would facilitate my leadership and educational goals in the way I can tackle various challenges at work with solutions based on an understanding of leadership and organizational theory. Furthermore the course fulf ills my need in the way it enables me to maintain a reasonable work-life balance and thoroughly examine various aspects of the healthcare industry and how leadership can be used as a strategic tool to bring about accelerated social, cultural, administrative and technological change in the field. There are numerous learning aspects as far as this course goes, that contribute to my healthcare profession. Firstly due to the process of preparing for the numerous assigned HR readings and interacting with my peers and learning from their work experiences in diverse backgrounds has been a great help. From the basic elements which have molded my perception towards the critical role that Human Resource plays in the success and future of an organization. This field has facilitated not just my ability to be innovative and creative professionally but also helped me gain more experience and insight into the health care field. Through active participation in group discussions I have learnt how various

Toddler Development and Its Influences Research Paper

Toddler Development and Its Influences - Research Paper Example The article provides related information about infants to children aged below five years. A toddler is a child between the years of 1 to 3 years of age. This period of time is considered the most exciting and challenging times for both parents and pediatricians. The most evident and dramatic changes occur in language and interpersonal skills. Themes in affective development include the toddler’s striving for autonomy and independence from the parents, a continued importance of attachment with the family, and the initial work on achieving impulse control. Nutrition unlike any other factors has the ability to affect the child’s brain development both as an external and internal factor. It is considered external because if the foods needed to provide certain nutrients are not available the body lacks materials with which to create new brain cells, neurons and other brain structures (Rosales et.al, 2009). These nutrients include protein, zinc, iron and special fats among ot her nutrients. Nutrition is considered an internal facto because it directly affects the formation of the brain itself including the genetic makeup of the brain. At this age, the child is the inquisitive stage. This means that most of his activities require him to think more and ask questions. This means that his brain activities have increased and his brain is quite active in addition to growing. It is a tricky to feed children at this stage. This is because they are self-independent now and they have preferences for certain foods. Parents should provide several dishes in small portions. The dishes should be colorful and have nice flavors but at the same time have the nutritional value to promote brain development. It is important to understand that a balanced diet is essential in a child’s life as it is to any other individual. This applies to children yet to be born and those already born. It has been identified that pre-natal malnutrition has many negative effects on a ch ild. Some of these effects can be related to cognitive deficits, behavior problems, and low academic achievements. For this reason, it is essential to ensure that a child is provided with proper balance of nutrients so that there can be normal brain development (Rosales et.al, 2009). As stated above, nutrition is a major aspect during a child’s development. This is termed important because it causes reduction of cell production, has great effects on normal cell sizes, and changes their structural appearance. In addition to these effects, nutritional imbalance leads to low communication between cells in the brain. This is the reason such children seem to have lower academic performances or even perform lower in other areas. The potential impact of this research is that it can be of assistance to parents, nutritionists to provide appropriate diet for the toddler and how diet may prevent brain under development. The second scholarly article that was reviewed was written by Mitch ell S. J. and Cabrera N. J. and is called An Exploratory Study of Fathers’ Parenting Stress and Toddlers’ Social Development in Low-Income African American families. The date of the publication was the year 2009. The article attempts to find out the mediation effect on toddlers that fathers’ engagement has on them. The results indicate that there is moderate levels of parenting stress on the fathers, however the results do not indicate any direct effects of stress on

Life Since Class Essay Example | Topics and Well Written Essays - 250 words

Life Since Class - Essay Example German cockroaches go through three distinct phases in their life cycle, namely, egg, nymph and adult (Piper and Antonelli). Cockroaches molt about 12-15 times during the nymph stage of their development. German cockroaches are especially difficult to get rid of because they reproduce quickly, having about four full generations in one year. They also have a habit of protecting their egg sacks better than other cockroaches. This leads to lower mortality rates for newly hatched cockroaches. Cockroaches are rarely studied for their beauty or cuddly nature. Most research that features cockroaches soon has suggestions on how to get rid of them if they are in your house. There are many different solutions that are commercially available. The most effective appears to be poisoned bait that can be applied to areas of infestation. This coupled with boric acid powder applied to cracks and hiding places will often be effective. This is especially true if the cockroaches are deprived of hiding areas, food and water. Prevention of reproduction by depriving the insects of food and water is key to eliminating these insects from your home. Piper, G. L., and A. L. Antonelli. "Cockroaches: Identification, Biology and Control." Cooperative Extension Washington State University. Washington State University. Web. 7 Nov. 2011.

Organisational Development Plan Coursework Example | Topics and Well Written Essays - 1750 words

Organisational Development Plan - Coursework Example The paragraphs below will be looking at how the organizational structure and its development are fitted within the overall organizational development agenda of the force as it performs its security functions. As stated in the foregoing paragraph of this essay, one of the responsibilities of the Port Authority is to secure the nation’s leading airports, consequently the main ports under the security watch of the Port Authority are the John F. Kennedy International Airport, Newark Liberty International Airport and the LaGuardia Airport. Judging by the sensitivity of these entry points to national security the role of the Port Authority Police Department is very important. They carry out duties spanning from checking security details of all human and vehicular movements in and around the airport, in addition to offering special security detachment service to diplomats and other high profiled personalities traveling through the airport. Operating from Jersey City in New Jersey, the headquarters of the Port Authority Police Department’s headquarters has a complex network of personnel and equipment that are constantly working around the clock to collate crime related information, analyze the information and proceed to transmit the information to the relevant task force for onward action to be taking to this effect. The New York and New Jersey Intelligence and Crime Information Systems and the National Crime Information Centre headquartered in Washington DC are working in close partnership to make the campaign against crime a living reality. In many ways this essay is intended to present a lucid procedure for carrying out a comprehensive analysis scheme that will adequately fit the within the boarders of the changing dynamics of organizational development in contemporary justice and public safety institutions. It addresses the pivotal place to embrace the process of transformation,

Security Risk Assessment and Audit into the connection of the internal Essay

Security Risk Assessment and Audit into the connection of the internal network with the Internet - Essay Example Information confidentiality is maintained by preventing unauthorized persons from accessing vital system information. Integrity handles an aspect that prevents that information from being manipulated by other external sources. Data should also be available for use when required by the relevant parties and not hoarded by other system resources. It is thus fundamental to protect these aspects of data in order to ensure that information within an organization is secure. In order to ensure appropriate security management of information within an organization, it is vital that the mission statement and the charter be defined for reference. The mission statement outlines the overall goals that the information security program within the organization seeks to achieve and provides guidelines necessary for strategic direction. The charter, on the other hand, avails provisions for the specific rights and privileges granted to the security team members from the organization. 1.2 Justification f or use of a security metrics program A security management program cannot be complete without the use of security metrics (Dexter, 2002). These are used to show the changing maturity of an information security program over time. The combination of metrics and reporting tools can be used to display the results and outcomes of past investments in information security and guide decisions for future information systems. 2.0 IT Security Management It security risk management is considered a series of steps that are undertaken to ensure the safety of information within an organization. It is a continuous process that begins from the process of assessment right down to implementation. And even after implementation, the process loops back to assessment because risks to information networks are diverse and constantly change necessitating the iterative process (Sennewald, 2011). This process is detailed below: Figure 1: An iterative process to IT security Management Risk assessment is the ini tial step that involves the identification of potential threats to the information networks ((Boyce & Jennings, 2002). Based on the results of this assessment, an appropriate policy is developed to maintain a secure protection framework. This includes the development of security guidelines, assigning security responsibilities to members of staff and implementing total technical security protections. Once this has been achieved, a series of compliance reviews and re-assessment activities are conducted to provide assurance that the security controls have been properly implemented. This information is collected through a process of periodic audits on the system (Purser, 2004). 3.0 Differences between a Security Risk Assessment and Security Audit 3.1 Security Risk Assessment This is conducted at the beginning of the process of security management to identify areas of change. It is often referred to as the baseline study that will be used to depict the amount of change that the organizat ion has gone through since the last assessment (Snedaker & McCrie, 2011). It includes an analysis of all the assets and processes that relate to the system. It also identifies all the threats that could affect

Major issues in second language classroom research Essay Example for Free

Major issues in second language classroom research Essay Chapter one is all about the major issues in second language instruction that arose during classroom research. There are four general issues concerning the effectiveness of the classroom instruction that was mentioned. The first issue is entitled â€Å"Learning from instruction† which concerns Krashen’s extensive analysis of the role of instruction within his framework of interpreting L2 acquisition, wherein he views the effects of instruction as limited, however: the classroom should function to provide the learner with comprehensible target language (TL) input in an affectively supportive climate. The second issue is entitled â€Å"Teacher talk† the main goal of this research has been to determine what makes teacher talk an aid to learning, the initial approach of this research has been to describe the features of L2 teacher talk which distinguish it from speech to L2 learners in non instructional settings. The third issue is entitled â€Å"learner behavior†, both the teacher and the learners have been investigated not only their linguistic behavior but their learning strategies and social interactions with other learners have been the target of research. Some researchers have placed great emphasis on finding out whether the learners are viewed as being in control of their own learning. The last issue is entitled †Interaction in the classroom †, interaction is viewed as significant because it is argued that 1) only through interaction can the learner decompose the TL structures and derive meaning from classroom events, 2) interaction gives learners the opportunities to incorporate TL structures into their own speech. In chapter one the four major issues were introduced, because in the chapters that will follow, each chapter will treat the issues just outlined in greater detail. Chapter 2: Classroom research methods. Chapter two presents the principal studies and concepts that have elaborated the methodology for observing and analyzing classroom instruction and interaction. Several approaches were mentioned in this chapter, majority of it is the methodological approaches. Methodological approaches to the study of L2 classrooms are extremely varied, reflecting both a great diversity of research questions and purposes, and a range of theoretical perspectives on the conduct of research. There is a continuous give-and-take between the success and failures of quantitative and qualitative approaches to portray and explain precisely the processes and products of classroom interactions. These approaches have followed methods adopted by researchers in native language schooling or other sociological and sociolinguistic studies of communicative interaction. In this chapter these methods were described with regard to their capacity to extract and validate generalizations about social and linguistic processes occurring in L2 classrooms. Chapter 3: Teacher talk in second language classrooms Chapter three surveys research on the linguistic and discourse characteristics of teacher speech to L2 learners. This chapter reviews research that has investigated second language classrooms in terms of teacher’s language use in the classroom, especially the characteristic features that differentiate speech to nonnative speakers from that to native speakers. It was also mentioned here the four modifications in teacher speech which are: first is the modifications of speech rate, prosody, phonology, wherein the researchers that were involved , found teacher’s speech to second language learners to be slower, in comparison with other contexts and conditions. Second is the modifications of vocabulary, where they claim that both non teachers and teachers tend to use a more basic set of vocabulary items in their narratives told to L2 learners. Third is the modifications of syntax, it is by far one of the most investigated and quantified characteristics of teacher talk has been teacher’s syntactic modifications. These can be grouped into five types: measures of length of utterances, measures of subordination, measures of markedness, measures of grammaticality, and measures of distribution of sentence types. And the last one is the modification of discourse, which has two categories: the framing moves, where the only significant difference in framing moves was that visiting teachers used more, compared with the regular teachers. The second category is the self-repetition, where on the assumption that repetitions may provide the learner with more opportunities to process information or follow the teacher’s model. In this review, a variety of teacher behaviors have been described and compared across different contexts. Chapter 4: Learner behavior in second language classrooms Chapter four reviews research on the characteristics of learner behavior- participation and speech. They consider research on the contribution of the learner acquisition of a second language. Classroom researchers have focused on learner’s verbal and social interactions and have inferred learning strategies from learner’s behavior in such interactions. There were also hypotheses in the data and tentative conclusions about relationships to learning that are described in this chapter. These hypotheses will form the basis for organizing the results of studies on learner behavior. Research on learner’s classroom behaviors addressed several major hypotheses. In addition, a final section of this chapter examines studies of learner’s learning strategies, a relatively recent area of investigations in second language classroom research. As for learner strategies, there are clearly fruitful topics for further research. It is evident that the strategies identified to date constitute a very mixed set of phenomena, not all of which can be investigated under classroom conditions. Chapter 5: Teacher and student interaction in second language classrooms Chapter five describes research on teacher-leaner interaction. In this chapter several of the factors that have been considered to influence the quality and quantity of teacher-student interaction are examined. The interaction which occurs as a result of these factors is described, and some of the likely consequences of the interaction for learners are suggested. In the view of many researchers and practitioners, conversation and instructional exchanges between teacher and students provide the best opportunities for the learners to exercise target skills, to test out their hypotheses about the target language, and to get useful feedback. The classroom research has shown that teachers may be less likely to address L2 learners when they are mixed with native speakers. It has also been revealed that teacher’s different questioning strategies may be either helpful for inhibiting of communication in classrooms. The greatest error teachers make may be the assumption that what occurs as †correction† in the classroom interaction automatically leads to learning on the part of the student. The nature of interaction in L2 classrooms is perhaps the most critical issue concerning formal second language learning, and although the research cited in this chapter suggests important ways in which current instructional practice may be both effective for and detrimental to promotion of TL skills, the complete picture remains to be developed. Chapter 6: Learning outcomes Chapter six draws together all of the foregoing research, as well as other studies, to determine the state of knowledge about learning outcomes resulting from teacher’s and learner’s classroom interaction. This chapter will review research on L2 classroom processes that have a potentially positive effects on learner’s perception and incorporation of the forms and functions of the target language. It should be clear that there is substance to the view that classroom instruction will aid L2 acquisition. The direction of results in the few large-scale classroom studies favors slightly a focus on form or explicit talk about grammar. Research on outcomes of learner production and teacher-learner interaction, suggests furthermore that other factors in classroom learning may contribute greatly to acquisition. Some of these factors may underline or interact with the effects noted in this section. The research reviewed here concerning the TL learning effects of interaction in L2 classrooms is limited in its conclusions, yet highly suggestive for further research. But still there are many research that remained unsolved, but hope that in the future many of these will be once and for all solved. Chapter 7: Directions for research and teaching As the last chapter it is obvious that the major findings of the research will be summarized, and that implications for further research and teaching in second language classrooms will be suggested. Despite the increase of classroom-oriented research in recent years, few can be made with great confidence because of the difficulty of synthesizing. When all the research has been carefully analyze it has been shown that research is lacking in consistent measures of classroom processes and products. Sometimes inadequate in design to address critical research question. It is also incomplete in its quantitative or qualitative analysis, which leads to a need of greater theoretical specification of the constructs and relationships to be investigated. A discussion of these methodological issues is to be carried out before any future directions are suggested. In this chapter it was also pointed out the areas for future research on classroom reading, outline major implications for curriculum planning and L2 instruction, and lastly to suggest ways of achieving greater consistency across classroom research studies. The reason of pointing these out is because, it makes it more easier for future researchers to find answers. Summary Since the 1960s, there has been an increasing attempt in research on teaching and learning from instruction to relate the major features of teacher and student behavior in classrooms to learning outcomes. The research in this book deals with the nature of the teacher and student behavior in real classroom. Using this set up , researchers were able to observe and analyze what is really the nature of the teacher and the student’s behavior. They were able to determine what are the factors that can affect a L2 learner in acquiring language. They were focused on the learning and acquisition of the L2. In the first chapter, they discussed the major issues that arose during the research. The chapters that follows, the primary research studied is that conducted in L2 classrooms, in simulations of language classrooms, or in semi-instructional, tutoring interactions between teachers or L2 speakers and language learners. Many theories, hypotheses and approaches were formed and used in these research. But there was a memo in the start of the chapter, it says that the fact that this book is reviewing research on the preceding issues does not guarantee that the research will provide unambiguous answers to them. It’s because the research that was done in this book has not yet been proven to be accurate. The purpose of this book has been to attempt to elucidate the critical issues and findings of research in and about second language classrooms. While the studies reviewed here clearly are not always as rigorous or convincing as we would like, the past ten years of classroom-oriented research is impressive in the breadth and depth of study of a variety of issues, when virtually every study was groundbreaking in one respect or another- methodology, research questions, population studied, analytical techniques applied. At the same time, second language instruction has been gaining importance, as more people throughout the world find the need to acquire one or more second languages. There is diversification in the specific purposes of language instruction, an increase in language schools and programs, and an expansion in training programs for second language teachers, researchers, and program developers. For these reasons alone, second language classroom research has an important role to play. Reflection I think this book is quite the catch. Especially if you are an English major like me. This book helped me to understand a bit more the importance of second language acquisition. I already know from my ESL/EFL class that learning a second language is important, but this book made me realize that acquiring a second language will be very advantageous for me. Because if I learn my second language perfectly, I know that I will be more confident in myself. And that I can be globally competitive. This book does not only talk about second language acquisition, it also talks about classroom-oriented research. In the classroom-oriented research they tackled the nature of the teacher and the behavior of the students. They wanted to know what are the factors that affect the L2 leaner in acquiring language and how can they overcome these if they were to be problems, and how can they improve it if it were a solutions. In this book there were also hypotheses theories, and approaches that were formed and used. The setting that was used is the classroom, and that the main subjects are the teachers and the learners. This book is a big help in understanding second language acquisition. Although some words are a bit hard to understand , I will still recommend this book to anyone who is interested in learning and acquiring a second language. And also to my fellow majors, because I know this book will be a big help in our studies.