The public sector is the sole remaining sector in which trade unions Essay

The public sector is the sole remaining sector in which trade unions have influence in the employment relationship. Discuss th - Essay Example Industrial relations have varied throughout the ages and differ in terms of concepts and implementation. Based on statistics presented by the Federation of European Employers, membership in the trade unions in Western parts of Europe declined over the last 20 years. Out of 27 members in the European Union, very few nations have more than half of their labor force in the trade unions. In fact, even the most populated states have only a moderate number of their population having membership. Italy has 30%, Germany has 29% and France has 9% of their respective populations having union membership. The reasons will be discussed in the middle portion of this analytical paper (Federation of European Employers, 2010). Ferner and Hyman (1998) have argued that â€Å"Europe developed certain unique features in their industrial selections during the end of nineteenth and twentieth century, and majority of them have remained in force till the present time. One of the major responsibilities of the employer’s association and the trade unions by sector or trade is collective bargaining and are coordinated by the confederations. Bargaining at the company levels came much later and has been growing, but still remains under the guidance of the federations. A distinction has been presented between collective bargaining, which mostly deals with working hours and wages, and participation of the wage earners which includes the working conditions, welfare, and also adaptation of the broader collective agreement (Ferner & Hyman, 1998). â€Å"Rapid industrialization has been going on in the industrial relations in Europe. Even during the process of integration, industrial relations and national politics will remain important in areas of social regulations of employment and work in Europe. The reason is that the European integration has evolved as the process of liberalization of the economy over the decades and this has happened through the international methods of opening up of the national economies through negotiated expansions of markets which remain beyond the national borders. Industrial relations therefore have always been governed by regulations and rules although to varying extent. This is not just the outcome of contracts but also of the status rules imposing obligations and rights and on the contracting parties, such that they cannot modify them even by mutual agreements (Wolfgang, 1998). Marshall’s views on industrial relevance bear relevance in this context. According to Marshall’s theory the social rights remain awarded according to the citizenship status rather than on the principle of classes or needs. His claim was that the extension of the social rights is not entailed by destroying social classes or inequality. Mundlak says that even though Marshall’s views of the industrial citizenship are on the decline, there are other labour-market institutions which bridge the gap between citizenship and the labour rights. These are workplace democracies, assuming the workers’ consistency in the organisation; and corporate citizenships which are used to entrust

Eating in Ignorance Essay Example | Topics and Well Written Essays - 750 words

Eating in Ignorance - Essay Example Obtaining fast foods is cheaper as compared to buying of healthier food products which are essential for the development of the body. Wirzba (24) tries to make the readers of the article understand the importance with which they should have regarding the foods that they consume. Knowing how such foods are obtained and manufactured can be very essential in ensuring that every individual makes a wise choice in the types of food that they decide to consume. These cheap and fast foods are destroying our lives on earth in which God desired that we could live on it so that we can fulfill our dreams and serve him fully. Even though these fast foods taste pretty good it is the responsibility of each individual to grasp what the effects such kind of foods has in their lives. Knowing the composition of the different food stuffs is very vital so that proper choices on the kind of foods ingested into our bodies can be made. Without such knowledge the foods that build our bodies can be detrimenta l to our health. Christian Story Life that has been granted unto us by God should be held with high regard. With the evident frequent consumption of fast and cheap foods, all the life in the planet is slowly being destroyed and degraded. God expects each individual to respect and value all the life that he has bestowed unto mankind. That is why God expects us to avoid the earthly pleasures which are a cause of sin and suffering to mankind. With all the knowledge that man has been given, we are expected to always make use of it by getting to know some of the foods that we consume. As temple of God, every human being should treat their bodies with respect and integrity by ensuring that they consume foods which will ensure their well being. If only some of the people were fully aware of the food products which they consume they can never eat those foods again. This is an indication that such foods have a bad effect on our bodies which is a sign of the failure of man to keep their bodie s clean as they are the temple of God. God gifts which have been given to man should always be highly honored. Showing disregard to them is also a failure to honor God as illustrated by (Wirzba 25). This is an indication that in whatever man indulges in, everything should revolve centrally on God as he offers the best guidance on ways to satisfactorily live our lives according to his wishes. Through eating by gladly and generously sharing our food with other people it is a way in which the presence of God will continue to be in our midst. Christian forms of eating will always ensure that the eating habits of man become spiritually inspired ensuring the constant presence of God in our lives. This will be a manifestation of the love of the Lord. Respond Eating is an essential part of the lives of every individual. What man eats; makes them what they are. This is indication on the emphasis in which everyone should take into consideration the kinds of foods that eat. Life can only be gi ven and taken by God. However, for man to sustain their life on earth they should be able to eat food and drink water that has been provided by God in plenty. This is an evident link that exists between the kind of life that God has given to man and the kind of life that man has to sustain through the consumption of food. Food is the

Management of Childhood Psoriasis with Acitretin

Management of Childhood Psoriasis with Acitretin Abstract: Psoriasis is a chronic inflammatory disease of the skin which can occur at any age-group. Psoriasis in childhood is not uncommon and has genetic susceptibility but usually an environmental trigger such as infection is thought to initiate the disease process. Childhood psoriasis has profound effects on both physical and psychosocial health of the patient. Treatment of mild psoriasis can be done with topical therapies but those which do not respond to topical therapies can be treated with phototherapy and systemic therapies. The use of systemic therapies in childhood is mainly based on the published data, case series, expert opinion and the experience as there is lack of controlled trials in the age group. Based on the experience retinoid are probably the second line drugs for the treatment of childhood psoriasis which do not respond to topical therapies and phototherapy. Using acitretin in a low dose and with proper physical examinations and laboratory investigations will reduce the h azard of potential serious adverse events. This article gives the review of use of acitretin in the childhood psoriasis. INTRODUCTION: Psoriasis is the chronic inflammatory disease of the skin having the world wide prevalence of 1-3% and is clinically characterized by erythematous papules and plaques covered with silvery scales(1, 2). Psoriasis can occur at any age. Psoriasis in pediatric population is not uncommon and exerts a major impact on physical and psycho-social health of a child. In about one-third of the psoriatic population, the onset of disease is seen during the pediatric age(3). In a study of 419 patients from Northern India, the age of onset of psoriasis ranged from 4 days to 14 years(4). The presence of positive family history was found to be 23% and 34.3% in two different studies(5, 6). Pediatric psoriasis has the genetic susceptibility but the environmental factors often trigger the initiation of the disease process. The most common triggering factors include respiratory infection, sore throat, stress and trauma. There are different variants of psoriasis in children like plaque, guttate, napkin, er ythrodermic, pustular and nail psoriasis(2). Plaque psoriasis is the most common subtype and the pustular psoriasis is the least common subtype(7). Psoriasis in childhood and adolescence require proper management. Both the patient and the parents must be given the knowledge about the disease and its nature. Psoriasis in childhood affects the health-related quality of life. It is found that, the risk of mental illness like depression and anxiety is increased in children with psoriasis than those without psoriasis(8). Due to the presence of visible skin lesions the children with psoriasis suffer from the low self-esteem(9). Fortunately, childhood psoriasis is usually mild and can be treated with topical therapies. Systemic treatment is required only if the disease do-not respond to topical therapies, phototherapy and if the disease is significantly impairing the psychosocial aspect of the child health. Systemic therapies for psoriasis in children are not approved by FDA. Due to the lack of controlled trials use of systemic therapies are based on case reports, published data and expert opinion. On the basis of published data and experience retinoids appear to be the second-line drug of choice for children(10). ACITRETIN: Retinoids encompasses all the compounds either natural or synthetic, which possess the biological activity like vitamin A(11). Synthetic Retinoids are classified into three generations. Acitretin and etretinate are the second generation synthetic retinoids and are also known as aromatic retinoids(12, 13). Acitretin is the free and active metabolite of etretinate. Etretinate is strongly lipophilic and tends to accumulate more in the adipose tissue and thus has a longer elimination half-life, in contrast acitretin is less lipophilic and thus clears rapidly from the body and has the shorter elimination half-life(14).Intake with food increases the absorption of acitretin so, the bioavailability of acitretin is more when taken with food than on the empty stomach(15). Due to the longer elimination half-life of etretinate it has been largely replaced by acitretin. However, it is found that re-esterification of acitretin to etretinate can take place with the concomitant intake of alcohol. So , the female patient especially of childbearing age should be strictly instructed to not take alcohol during the period of treatment with and 2 months after the completion of treatment (16). USE IN PEDIATRIC PSORIASIS: Pediatric psoriasis is usually mild and topical therapies are the first choice of treatment. Systemic therapy is not the first choice in childhood psoriasis. It is used in the treatment of recalcitrant psoriasis which do not respond to topical therapy, phototherapy and if it is significantly impairing the psychosocial aspects of the child health. Due to the lack of controlled trials, the use of acitretin is based on the published data, case reports and the expert opinion. However, the significant risk benefit of the treatment should always be weighed with the risk of disease without treatment. Long term use of acitretin in children with inherited disorder of keratinization supports the safety of acitretin in children, but the monitoring is always required(17). Acitretin is used effectively in the treatment of generalized pustular psoriasis, erythrodermic psoriasis, palmoplantar psoriasis and severe recalcitrant plaque psoriasis but acitretin is not effective in psoriatic arthropathy( 12, 18). Acitretin is used as either monotherapy or in combination with topical agents and narrowband ultraviolet phototherapy. In a multicenter cohort study by Ergun et al. 61 patients among 289 patients were treated with acitretin at a dose of 0.3-0.5 mg/kg/day with the mean duration of treatment being 9.16+-9.06 months. 47.5% of the patient achieved at least PASI- 75 response. 70.7% of the patient well tolerated the treatment with no side effects. 25.9% experienced the mucocutaneous side-effects, 1.7% had hyperlipidemia and 1.7% had nausea(19). In a multicenter retrospective analysis by Lernia et al. including 18 children with plaque psoriasis ,8(44.4%) patient achieved a PASI-response 75 at 16 weeks. The starting dose of acitretin was 0.2-0.5mg/kg/day but the dose was increased to 0.6mg/kg/day in two patients after 8 weeks. Three out of eight patients achieving PASI-75 response stopped therapy for the interval of 2-6 months but had to restart the treatment after relapse and the treatment was effective even after re-introduction. 9 patient discontinued treatment due to lack of efficacy and 1 patient discontinued treatment due to arthralgia. All patients had the mucocutaneous side-effects like chelitis, dry lips, dry mouth and pruritus. The laboratory values of the patients were within the baseline during the treatment(20). Ergin et al. reported a case of infantile pustular psoriasis treated with acitretin with the initial dose of 0.5mg/kg/day which was later increased to 0.7mg/kg/day. The skin lesion was cleared in the end of 4 months and then the acitretin was tapered to 0.3mg/kg/day for three months and then discontinued. Oral prednisolone was used initially then it was tapered and discontinued. Slight increase in serum triglyceride was observed but it returned to normal after the dose was tapered. No other adverse events were observed(21). Salleras et al. reported a case of 4-year-old girl with congenital erythrodermic psoriasis treated with acitretin at a dose of 0.5mg/kg/day and the complete remission achieved in three months. The discontinuation of the drug led to relapse so the patient was maintained in 0.5-0.75mg/kg/day of acitretin during the aggravation of the disease. The patient was followed till 7 years of age and no other secondary effects were observed(22). A case of annular pustular psoriasis in a 14-month old girl reported by Haug et al. was treated with acitretin in the dose of 0.9mg/kg/day and the patient achieved complete remission after 4 months. The dose of acitretin was reduced and tapered at 0.1mg/kg/day and discontinued after 10 months with no relapse in the following three years. The patient experienced mild side effects like chelitis, reversible hypercholesterinemia and elevation of alkaline phosphatase(23). Acitretin is aa excellent option in a child with palmo-plantar psoriasis. A 14-year-old boy with palmo-plantar psoriasis treated with acitretin at a dose of 10mg/day had a good response with improvement within 6 weeks. At 3-month follow-up the patient had almost lesion free. The patient had experienced adverse events like mild chelitis and xerosis but the laboratory values remain unchanged. Later the patient was maintained on acitretin 10mg every other day together with the topical combination of 15% liquor carbonis detergens compounded in triamcinolone 0.1% ointment applied every night(24). Combination with other therapies: Acitretin has been used in combination with NB-UVB phototherapy, methotrexate and cyclosporine A(24, 25). The effect of acitretin together with NB-UVB is found to be synergistic. A case of 3.5-year-old boy with severe pustular psoriasis (von Zumbusch type) reported by kopp et al. was started on acitretin 1mg/kg/day with the short-term use of systemic methylprednisolone for controlling the acute stage. However, any attempt to reduce or discontinue the steroid led to exacerbation of the disease. Then the patient was given NB-UVB phototherapy three times per week. Later, after five exposures the corticosteroid was tapered and discontinued. The patient was then maintained on NB-UVB phototherapy two times weekly together with acitretin 0.3mg/kg/day. Disease was well controlled with this combination regimen. The laboratory values remained unchanged during the acitretin treatment(26). A 9-year-old boy with generalized pustular psoriasis was treated with acitretin 10mg/day and was maintained at 10mg three times week for a year. Later he developed skin pain and localized area of pustules which led to increase in the dose of acitretin 20mg/day during the flare but later tapered to 10mg/day for the next year. But the patient eventually required the addition of NB-UVB phototherapy to maintain the remission. The patient is well maintained by this combination(24). Adverse events of acitretin: Acitretin in known to exert a number of adverse events. Most of the adverse events are dose dependent and reverse back to normal after decreasing the dose or after discontinuation of therapy. However, it is usual to have the minor side-effects on the long term treatment with acitretin. The most common adverse events of acitretin is the muco-cutaneous adverse events. Dry lips being the most common one and be treated with the use of emollients. Others include dry dry mouth, cheilitis, stomatitis and gingivitis and taste disturbances. Acitretin causes dryness with inflammation of mucous membrane and transitional epithelia which occasionally leads to epistaxis, rhinitis, photophobia, conjunctivitis and xeropthalmia. Alopecia, nail-fragility and paronychia have also been observed(27). Rarely patients may have the photosensitivity reactions. Retinoid dermatitis which resembles unstable psoriasis can develop 25% of the patients receiving high dose of acitretin therapy(28). Muco cutaneous side effects can be treated symptomatically, and if severe effects occur the dose reduction can be tried before the discontinuation of the drug. Acitretin causes transient elevation of liver enzymes. The elevation is dose dependent and usually reverse back to normal after reducing the dose or after discontinuation of the therapy. Severe hepatotoxic reactions resulting from retinoids are rare. In a data of 1877 patients receiving oral acitretin only 0.26% of the patients showed overt chemical hepatitis(29). However, the hepato-toxic reactions in children are rare because the cofactors like diabetes, alcoholism, and obesity are less likely in children(12). Acitretin also exerts the effects on lipid profile which is reverse back to normal within 8 weeks after the discontinuation of the drug(30). Retinoids are seen to cause the elevation of triglyceride and cholesterol and decrease in the high density lipoprotein. In a study it is seen that 35% of the patients had the elevation in serum triglyceride above 300mg/dl and about 15% of the patients had the elevation of cholesterol level(31). The decrease in the high density lipoprotein is also observed(29). Retinoids have been known to cause the skeletal abnormalities especially in children. The long term treatment with etretinate is also associated with the extraspinal tendon and the calcification of ligament. However, the study including 19 children and young adults, treated with etretinate for continuous 5 years do not show any skeletal abnormality(32). No cases of diffuse idiopathic skeletal hyperostosis was seen in a retrospective study on long term use of acitretin in a low dose(33). No significant radiologic abnormalities associated with retinoids was detected in a patient of severe pustular psoriasis treated with low dose of acitretin for 9 years(34). It is usually not recommended to use oral retinoids for the treatment of psoriasis in children due to the report of occasional bone changes like premature epiphyseal closure, skeletal hyperostosis and extra-osseous calcification observed in the children on the long term treatment with etretinate(35, 36). If acitretin is to be used in a child, the child should be observed carefully for any abnormalities of growth and bone development. Routine radiography is not recommended because of the radiation hazards, but the atypical musculoskeletal pain must be investigated with x-rays. Growth chart of the child on acitretin should be maintained (27). Arthralgia, arthritis, myalgia may also occur during the treatment with acitretin. A few case of vasculitis, Wegener granulomatosis and erythema nodosum are also observed. Retinoids are teratogenic drugs. The defect due to retinoids is termed as retinoic acid embryopathy. The malformations seen in the fetus include microtia/anotia, micrognathia, cleft-palate, conotruncal heart disease and aortic arch abnormalities, thymic defects, retinal or optic nerve abnormalities and central nervous system malformations(37). Even though only one report of human teratogenicity due to acitretin has been published(27), acitretin should be cautiously used as acitretin is converted to etretinate which has a longer elimination half-life. The female patient of child-bearing should strictly be instructed for the use of two effective contraceptive method stating 1-month prior of treatment, during the period of treatment and 3 years after the discontinuation of treatment(38). However, the risk of teratogenicity by use of acitretin in children is less because of the least chance of a child to get pregnant. The concomitant use of retinoid with tetracycline and minocycline has led to pseudo-tumour cerebri(29). Pseudo-tumor cerebri was reported in a case of 14-year-old boy treated with isotretinoin and tetracycline(39). Retinoids also causes blurring of vision, headache and reduced night vision. Patient with severe headache, vomiting and visual disturbances should stop acitretin immediately and consult the doctor(27). The concomitant use of vitamin A with acitretin must be restricted. MONITORING GUDELINES: Before starting the treatment with acitretin, proper history taking and careful physical examination should be performed. Laboratory investigations including complete blood count, lipid profile, liver enzymes and blood sugar in diabetics should be done. Monitoring of the liver enzymes and fasting serum cholesterol and triglyceride must be done every 2-4 weeks of therapy for the first two months and then every three months(27). Children on acitretin therapy must have their growth charted. Female of child bearing age and their parents should be counselled about the teratogenic effect of the drug and use of contraception during and after the treatment. The pregnancy should be ruled out before the initiation of acitretin therapy with two negative pregnancy tests. CONCLUSION: Acitretin is a non-immunosuppressive drug that can be effective in the treatment of childhood psoriasis. It is seen that acitretin is more effective in pustular and erythrodermic psoriasis and moderately effective in the plaque type psoriasis in children. Acitretin is used both as monotherapy and as combination therapy. As the use of acitretin in children lack sufficient data and evidence, its use in children should always be weighed with risk benefit of treatment and risk if the disease is left untreated. The side effects are mostly dose dependent so it can be minimized by using the lowest possible dose. The dose of 0.5-1mg/kg/day was seen to be effective. It should be used cautiously in the female patient. Long term treatment with acitretin require proper clinical and laboratory evaluation. REFERENCES 1.Griffiths CE, Barker JN. Pathogenesis and clinical features of psoriasis. Lancet (London, England). 2007;370(9583):263-71. 2.Al-Mutairi N. Childhood Psoriasis: Springer International Publishing; 2016. 3.Raychaudhuri SP, Gross J. A comparative study of pediatric onset psoriasis with adult onset psoriasis. Pediatric Dermatology. 2000;17(3):174. 4.Kumar B, Jain R, Sandhu K, Kaur I, Handa S. Epidemiology of childhood psoriasis: a study of 419 patients from northern India. Digest of the World Core Medical Journals. 2004;43(9):654-8. 5.Seyhan M, CoÃ…Å ¸kun BK, SaÄÅ ¸lam H, Ozcan H, KarincaoÄÅ ¸lu Y. Psoriasis in childhood and adolescence: evaluation of demographic and clinical features. Pediatrics International Official Journal of the Japan Pediatric Society. 2006;48(6):525-30. 6.Fan X, Xiao FL, Yang S, Liu JB, Yan KL, Liang YH, et al. Childhood psoriasis: a study of 277 patients from China. Journal of the European Academy of Dermatology Venereology. 2007;21(6):762. 7.de Moll EH, Chang MW, Strober B. Psoriasis in adults and children: Kids are not just little people. Clinics in Dermatology. 2016;34(6):717. 8.Kimball AB, Wu EQ, Guerin A, Yu AP, Tsaneva M, Gupta SR, et al. Risks of developing psychiatric disorders in pediatric patients with psoriasis. Journal of the American Academy of Dermatology. 2012;67(4):651-7.e1-2. 9.Fox FE, Rumsey N, Morris M. Ur skin is the thing that everyone sees and you cant change it!: exploring the appearance-related concerns of young people with psoriasis. Developmental neurorehabilitation. 2007;10(2):133-41. 10.Burden AD. Management of psoriasis in childhood. Clinical and experimental dermatology. 1999;24(5):341-5. 11.Orfanos CE, Stadler R, Gollnick H, Tsambaos D. Current developments of oral retinoid therapy with three generations of drugs. Non-aromatic, monoaromatic and polyaromatic retinoids (arotinoids). Current problems in dermatology. 1985;13:33-49. 12.Gautam M, Tahiliani H, Nadkarni N, Patil S, Godse K. Acitretin in pediatric dermatoses. 2016;17(2):87. 13.Brecher AR, Orlow SJ. Oral retinoid therapy for dermatologic conditions in children and adolescents Journal of the American Academy of Dermatology. Journal of the American Academy of Dermatology. 2003;49(2):171-82. 14.Wiegand UW, Chou RC. Pharmacokinetics of acitretin and etretinate. Journal of the American Academy of Dermatology. 1998;39(2 Pt 3):S25-33. 15.McNamara PJ, Jewell RC, Jensen BK, Brindley CJ. Food increases the bioavailability of acitretin. Journal of clinical pharmacology. 1988;28(11):1051-5. 16.Grà ¸nhà ¸j Larsen F, Steinkjer B, Jakobsen P, Hjorter A, Brockhoff PB, Nielsenà ¢Ã¢â€š ¬Ã‚ Kudsk F. Acitretin is converted to etretinate only during concomitant alcohol intake. British Journal of Dermatology. 2000;143(6):1164-9. 17.Lacour M, Mehta-Nikhar B, Atherton DJ, Harper JI. An appraisal of acitretin therapy in children with inherited disorders of keratinization. The British journal of dermatology. 1996;134(6):1023-9. 18.Cordoro KM. Systemic and light therapies for the management of childhood psoriasis: part II. Skin Therapy Letter. 2008;13(4):1-3. 19.Ergun T, Seckin Gencosmanoglu D, Alpsoy E, Bulbul-Baskan E, Saricam MH, Salman A, et al. Efficacy, safety and drug survival of conventional agents in pediatric psoriasis: A multicenter, cohort study. J Dermatol. 2016. 20.Di LV, Bonamonte D, Lasagni C, Belloni FA, Cambiaghi S, Corazza M, et al. Effectiveness and Safety of Acitretin in Children with Plaque Psoriasis: A Multicenter Retrospective Analysis. Pediatric Dermatology. 2016;33(5):530-5. 21.Ergin S, Ersoy-Evans S, Sahin S, Ozkaya O. Acitretin is a safe treatment option for infantile pustular psoriasis. Journal of Dermatological Treatment. 2009;19(6):341-3. 22.Salleras M, Sanchez-Regaà ±a M, Umbert P. Congenital Erythrodermic Psoriasis: Case Report and Literature Review. Pediatric Dermatology. 1995;12(3):231-4. 23.Haug V, Benoit S, Wohlleben M, Hamm H. Annular pustular psoriasis in a 14-month-old girl: a therapeutic challenge. The Journal of dermatological treatment. 2017:1-6. 24.Marqueling AL, Cordoro KM. Systemic treatments for severe pediatric psoriasis: a practical approach. Dermatologic clinics. 2013;31(2):267-88. 25.de Oliveira ST, Maragno L, Arnone M, Fonseca Takahashi MD, Romiti R. Generalized pustular psoriasis in childhood. Pediatr Dermatol. 2010;27(4):349-54. 26.Kopp T, Karlhofer F, Szà ©pfalusi Z, Schneeberger A, Stingl G, Tanew A. Successful use of acitretin in conjunction with narrowband ultraviolet B phototherapy in a child with severe pustular psoriasis, von Zumbusch type. Digest of the World Core Medical Journals. 2005;151(4):912-6. 27.Ormerod AD, Campalani E, Goodfield MJ. British Association of Dermatologists guidelines on the efficacy and use of acitretin in dermatology. British Journal of Dermatology. 2010;162(5):952-63. 28.Kragballe K, Jansen CT, Geiger JM, Bjerke JR, Falk ES, Gip L, et al. A double-blind comparison of acitretin and etretinate in the treatment of severe psoriasis. Results of a Nordic multicentre study. Acta dermato-venereologica. 1989;69(1):35-40. 29.Katz HI, Waalen J, Leach EE. Acitretin in psoriasis: an overview of adverse effects. Journal of the American Academy of Dermatology. 1999;41(3 Pt 2):S7-s12. 30.Vahlquist C, Selinus I, Vessby B. Serum lipid changes during acitretin (etretin) treatment of psoriasis and palmo-plantar pustulosis. Acta dermato-venereologica. 1988;68(4):300-5. 31.Gupta AK, Goldfarb MT, Ellis CN, Voorhees JJ. Side-effect profile of acitretin therapy in psoriasis. Journal of the American Academy of Dermatology. 1989;20(6):1088-93. 32.Glover MT, Peters AM, Atherton DJ. Surveillance for skeletal toxicity of children treated with etretinate. The British journal of dermatology. 1987;116(5):609-14. 33.Lee E, Koo J. Single-center retrospective study of long-term use of low-dose acitretin (Soriatane) for psoriasis. The Journal of dermatological treatment. 2004;15(1):8-13. 34.Halverstam CP, Zeichner J, Lebwohl M. Lack of significant skeletal changes after long-term, low-dose retinoid therapy: case report and review of the literature. Journal of cutaneous medicine and surgery. 2006;10(6):291-9. 35.Prendiville J, Bingham EA, Burrows D. Premature epiphyseal closurea complication of etretinate therapy in children. Journal of the American Academy of Dermatology. 1986;15(6):1259-62. 36.Halkier-Sorensen L, Laurberg G, Andresen J. Bone changes in children on long-term treatment with etretinate. Journal of the American Academy of Dermatology. 1987;16(5 Pt 1):999-1006. 37.Lammer EJ, Chen DT, Hoar RM, Agnish ND, Benke PJ, Braun JT, et al. Retinoic acid embryopathy. The New England journal of medicine. 1985;313(14):837-41. 38.Sarkar R, Chugh S, Garg VK. Acitretin in dermatology. Indian journal of dermatology, venereology and leprology. 2013;79(6):759-71. 39.Lee AG. Pseudotumor cerebri after treatment with tetracycline and isotretinoin for acne. Cutis. 1995;55(3):165-8.

Genderless Society, an Illusion or Reality Essay -- essays research pa

According to dictionary.com, gender is defined as â€Å"the condition of being female or male.† Gender and Sexuality conjure up images of the male and female and the roles that each sex is supposed to fulfill. Of the two forces (Biology and Environment) influencing human development, especially gender, environment is more influential. Environment is basically the surrounding conditions or forces capable of influencing a person or any entity, for example, family, culture, peers, society, etc. In view of this, let us now think about these thought provoking questions. Do you believe there will ever come a day when boys will play with dolls and girls will play with trucks and no one will notice? Suppose parents could successfully forget about the gender of their child. What would be the advantages and the disadvantages of this? These are the questions that would be examined and answered in this article. Reasonably, I opine that a day might come when boys will play with dolls and girls play with trucks, but people will take note of this, depending on their sense of perception and cultural backgrounds, and since neither this situation had ever occurred nor has it ever been that way from time being. Also, since the environment people live in could either positively or negatively contribute to their physical, spiritual, and social well being, so, gender should be seen more of a social structure that forms the basis for individuals’ norms which are anchored into the major societal organizations of our world today (Lorber 5). This might make one to ask again - Is a Genderless Society Attainable? What are the advantages and disadvantages? Apparently, parents, as a factor, have the power and the responsibilities to shape the gender identity of their wards from childhood. The socialization theory, in terms of gender, suggests that â€Å"children are taught to behave in a certain way according to their sex. Boys are taught to be masculine and girls to be feminine. For example, parents will often buy trucks or army toys for boys while girls will have dolls and playhouse sort-of toys† (Cohen and Ian, 78). So why would a genderless society be unattainable since the primary factor of childhood gender-shaping is the parents? In fact, from the socialization theory, it could be deduced that genderless society might be achieved if parents would act in other way round- allow boys to play w... ...A day might come when boys might play with dolls and girls might play with trucks, but people would surely notice this. Since our mode of life- morals, physical, social, gender, etc are being modeled, nurtured, and influenced by many factors of our immediate environment such as our family, culture, peers, society, education, community. If on the other hand, the environment nurtures or influences us the way the â€Å"fabulous baby X† was nurtured, there might be a success of a genderless society, but this will sound too strongly unattainable and an illusion of reality! WORK CITED PAGE Cohen, Jack and Ian, Stewart. â€Å"Our Genes Aren’t Us.† Discover Apr. 94, Vol. 15 Issue 4, p78, 7p, 6c Gould, Lois. â€Å"X: A Fabulous Child’s Story.† Mirror on America: Short Essays and Images from   Ã‚  Ã‚  Ã‚  Ã‚  Popular Culture. 2nd Ed. Mims, J.T and Nollen, E.M. NY: Bedford/ST. Martin’s, 2003:   Ã‚  Ã‚  Ã‚  Ã‚  63-76. Lexico Publishing Group. â€Å"Gender.† Dictionary.com. (2003) 23 Jan. 2005.   Ã‚  Ã‚  Ã‚  Ã‚  . Lober, Judith. Paradoxes of Gender: sex role, gender identity, social theory, and feminist   Ã‚  Ã‚  Ã‚  Ã‚  institutions. Yale UP: New Haven, 1994.

Race and Identity in Richard Wright’s Black Boy

Stephen Donato Professor Schmitz HSF 20 September 2012 Race and Identity in Richard Wright’s Black Boy Each and every person on this Earth today has an identity. Over the years, each individual creates their identity through past experiences, family, race, and many other factors. Race, which continues to cause problems in today’s world, places individuals into certain categories. Based on their race, people are designated to be part of a larger, or group identity instead of being viewed as a person with a unique identity. Throughout Richard Wright’s Black Boy, Richard is on a search for his true identity.Throughout Black Boy, one can see that Richard’s racial background assigns him with a certain identity or a certain way in which some people believe he should live his life. Growing up in the Jim Crow South, many young blacks, have their identities essentially already created for them based solely on the backgrounds and race. During this time period, white s expect blacks to behave a certain way, have certain traits, and treat them with absolute respect. Whites during Richard’s time still feel they are much superior to the blacks they interact with, and have many expectations that would be considered racist today.However, in his work, Richard Wright shows how one can break from this predetermined mold. In many instances during the work, Richard breaks from this identity to which he is assigned in order to create his unique identity and grow into the person he wants to become. Richard refuses to sit back and to be absorbed into the Jim Crow lifestyle of southern blacks. In Richard Wright’s Black Boy, Richard’s past experiences with both white and black individuals, family, and race issues shape his true identity and develop him into the man of his dreams living the life which he chooses instead of the one assigned to him.Richard Wright, a young black boy growing up in his family home in Mississippi, searches for hi s identity through many different experiences. A constant in his life which continues to shape his identity time and time again is his family. Throughout the work, Richard searches for a loving and caring family. Although his family may not fit the description at all times, they help him to form his independence, a big part of his true identity. As a young black male growing up in a house with his extended family, Richard did not have many freedoms. Throughout Black Boy, Richard’s family constantly shelters him from the outside world.The story begins in his grandmother’s home in Mississippi where his family constantly reprimands him. For example, in the beginning of this work, Richard Wright’s grandmother has fallen sick in the house. Therefore, Richard is expected to be quiet and not play with his brother. Richard, a young boy, just wants to have some fun, and proceeds to play with matches. He becomes more and more curious, and sets the curtains on fire, almost burning down the house. Because he was so sheltered, he became this curious little boy, causing trouble in his family home.Consequently, Richard is beaten for his actions, which becomes a common theme through the work. Richard explains: I was lashed so hard and long that I lost consciousness. I was beaten out of my senses and later I found myself in bed, screaming, determined to run away, tussling with my mother and father who were trying to keep me still (Wright 7) Time and time again, family members or outsiders attempt to beat Richard. He learns his first real lesson shaping his identity while trying to buy groceries for the house. After his father leaves, Richard’s mother tells Richard he is now in charge of buying groceries.Richard feels like the man of the house, and acts very confidently, until he needs to go buy the food. The first two times he attempts to buy food, a crowd of boys beats him and steals his money. However, his mother sends him out a third time equippe d with a stick. Richard easily defeats the boys and claims that night he â€Å"won the right to the streets of Memphis† (Wright 21). In this situation, it seems that Richard’s mom is not being fair by sending him out to get beat up time and time again. However, she is only doing this in order to help Richard survive in the future.By winning the right to the streets of Memphis, Richard is growing more independent. He no longer relies on his father to bring home food because he is not coming back, and he is able to stand up for himself when the time comes. Richard becomes more independent throughout different experiences in Black Boy. Richard’s grandmother, a devoutly religious person, has an underlying grievance with Richard because he is not religious. Richard’s grandmother begins to shelter him by not buying him books which he needs for school. Richard explains, â€Å"I needed textbooks and had to wait for months to obtain them.Granny said that she woul d not buy worldly books for me† (Wright 143). In addition, Richard claims that his Granny always burned the books he had brought into the house, â€Å"branding them as worldly† (Wright 151). Richard needed money to buy his books, some new clothes, and lunch during the week at school. However, his grandmother continues to shelter him by not allowing him to work. When Richard asked to work on the weekends, Richard explains that â€Å"she laid down the injunction that I could not work on Saturdays while I slept under her roof† (Wright 147).These two instances with his grandmother show Richard’s ambition. Richard wants to make something of himself, and does not want to sit back and live the usual life of a black individual. He wants to begin working in order to make money to buy his books so that he can study and live out his dream of becoming a writer. He begins to read articles in magazines from newspapers he sells, and learns of the vast world. He loves it, and he â€Å"hungered for a different life, for something new† (Wright 151). Richard wants to get out and experience the world, and break the mold of the assumed black identity.To begin this task, Richard begins writing his own stories. After Richard completes his first story, he brings it to his neighbor to read. Her reaction to his story was the common reaction: â€Å"What’s that for? † (Wright 141). Later, Richard shows his grandmother his second piece, The Voodoo of Hell’s Half-Acre. She has the same reaction as the neighbor, and begins to question him on what the story is about and why he is writing a story for the newspaper. According to her, he will not be able to get a job because people are going to think that he is weak minded (Wright 198).Richard exceeds expectations and completes tasks that black people aren’t supposed to do. Richard changes his identity from a subservient black boy into a sort of rebellious young man by beginning his writing career. Throughout the work, Richard introduces a countless number of jobs from working in homes of whites, to attempting to learn the trade of optometry. For one of his many jobs, Richard is working for a white family. While interviewing for this job, the mother of the family asks if he will steal from them, a common trait associated with black people.While working for this family, Richard is having a conversation with the mother. She asks him, â€Å"What grade are you in school? † (Wright 173). Richard responds, â€Å"Seventh, ma’am† (Wright 173). She then asks him, â€Å"Then why are you going to school? † (Wright 173). This conversation shows that whites think it is unnecessary for blacks to go to school past the sixth grade because they should be working. Whites think that they will never amount to anything, and therefore should not be wasting their time in school. However, Richard wants to break this predetermined mold of who he is supposed to be.He replies to his employer, â€Å"Well, I want to be a writer† (Wright 173). While working for this white family, Richard’s predetermined identity and his plans to break from this mold are both shown. Eventually, Richard hopes to be able to write for a living, and continues to attend school to study to become the best he can be. Both his employer and his family tell him that he has no chance of becoming a writer, but he continues to prove everyone wrong by not worrying about his race. He dismisses the fact that there are no famous black writers, and continues to achieve his goals and continues to form his true identity.Richard continues to press on and works hard each and every day in order to break the mold of his assigned identity due to his race. Richard eventually becomes the valedictorian of his ninth grade class, and has a huge disagreement with his principal. The principal summons Richard to his office and says to him, â€Å"Well, Richard Wright, here is your speech† (Wright 206). After Richard claims that he has already written his own speech, the principal tells him â€Å"Listen, boy, you’re going to speak to both white and colored people that night. What can you alone think of saying to them?You have no experience. . . † (Wright 206). Richard continues to fight this assumption made by his principal that he cannot deliver a speech which will be acceptable for white people to listen to. Even when his Uncle Tom claims, â€Å"the principal's speech is the better speech† (Wright 209) Richard agrees. However, Richard wants to give the speech he wrote because it says what he wants to say (Wright 209-10). Richard did not care if the principal’s speech was better than his; he wanted to deliver his speech the way he wanted to deliver it. Here, Richard continues to develop his true dentity as a fighter who will not stand for this assigned identity. He wants to make a difference in the world, and he is fed u p with everyone just taking the abuse they receive. He begins to build up a dream in himself which the educational system in the Jim Crow South had been rigged and designed to stifle (Wright 199). He was only fifteen years old, and already began realizing how the Jim Crow South worked. However, he did not like the system, and constantly fought against it. Growing up in Marlboro, New Jersey, race was not much of an issue for me.Throughout my K-8 public education, over ninety-five percent of the students in my school were white, just like me. I had no problem fitting in, and was able to have many of the privileges spoken about in Peggy McIntosh's â€Å"White Privilege. † I got along with almost all of my classmates growing up, and was even friends with the few black kids in my school. Ben, a black classmate of mine became a close friend when we played on the basketball team together. As I moved on from Middle School to a private, catholic high school, there were even less minor ities. In my senior graduating class I had three black classmates.These few individuals were sometimes segregated from the group, and might have felt uncomfortable during some circumstances. However, I did not realize at the time how sheltered I was from the world. I did not have many friends of different cultures and was not truly aware of the world outside of my high school and my hometown. I never truly viewed the other perspective; I took for granted my opportunity to go to school and get a good, public school education through middle school. I then again took for granted my ability to go to private high school to receive an even more personalized education in a smaller school.I did not think about the poor ethnic groups living in the slums of places such as Haiti, or even in places such as Newark, NJ. I had this sort of mindset going through school that if it didn’t involve me, it wasn’t my problem to fix. Students in these poor, urban areas such as Newark and Cam den in NJ tend to have a different lifestyle than students from Marlboro. In these poor communities, school is almost looked at as it is in black boy. Most kids from these areas will begin working when they graduate high school, and do not go onto college. Again, I took for granted my opportunity to go to a small, unique, private college.Most kids in these areas I described don’t even dream of going college because they believe it is just not a possibility for them. In my short time at Babson, I have met people from countries that I have never heard of before. I have acquainted myself with many different people of many different races, and I am beginning to learn a few facts about many different cultures. In this short period of time, my cultural horizon has broadened greatly. I cannot wait to see how much I will learn about so many different cultures and ethnic groups in my four years at Babson.In conclusion, Richard Wright searches for his identity throughout his life in th e Jim Crow South. Richard does not want to just be another drop in the bucket in this Jim Crow lifestyle, and does not want to fit the mold of a typical black male. He has dreams, aspirations, and goals which no other black youth has been able to accomplish. He continues to fight against the assumed black identity until he forms his own self-identity. Richard’s race definitely lead to assumptions being made by different individuals, but he was able to break free of these assumptions and create a life in which he was in control.Richard Wright broke free of the Jim Crow South and lived the life which he wanted to live while developing his own identity. Just as Wright did, every one of us struggles to define who we are, when in reality we are only who we are supposed to be. I pledge my honor that I have neither received nor provided unauthorized assistance during the completion of this work. Works Cited Wright, Richard. Black Boy (american Hunger): A Record of Childhood and Yout h. New York, NY: HarperPerennial, 1993. Print.

What Impact Does Tourism Have in Coastal Areas in Spain

Impacts of mass tourism in coastal areas of Spain| | Sabine Alma 213772 Group TTM1M | | 2012 2012 Table of Contents Declaration 3 Introduction 5 What is mass tourism and how did tourism develop in Spain? 5 What are the cultural and social impacts of tourism in the coastal areas in Spain? 6 What impact does mass tourism have on the economy and environment in Spain? 7 Conclusion 9 Grading sheet10 Reference list12 Declaration I declare that: * I composed this work This work has not been accepted in any previous application for a degree or diploma by me or anyone else * All sources of my information have been acknowledged Date: Name: Signature: Word Count: â€Å"What impact does tourism have in coastal areas in Spain, since late 1950’s†? Introduction According to Bramwell (2004) a third of the income of the Mediterranean comes from the tourism sector, as tourism is mainly concentrated in the coastal areas of Spain. Nowadays, tourism is indispensable. This paper focuses on t he impact that mass tourism has on the coastal areas in Spain.Bramwell (2004) states that since 1960, there has been a major growth in the tourism sector. Tourists who go to Spain especially travel to the Spanish coasts. In addition, the author argues that tourism has an impact on these areas and this paper will analyse impacts on the coastal areas. First, mass tourism will be defined and discussed, as it is very important to know what it means in order to understand the topic. Secondly, the cultural and social impacts of mass tourism in the Spanish coast are stated. Lastly, the outcomes of the research will be explained in the conclusion.What is mass tourism and how did tourism develop in Spain? According to Wahab and Pigram (1997) mass tourism consists of three basic elements which concerns mainly cooperative group of travelling, cooperative accommodation and mindful integration of the holiday maker in a group of travellers (Wahab & Pigram, 1997). Page and Connell (2009) claims th at mass tourism is, â€Å"a high volume of tourism that appeals to a large market† (p ). Furthermore, they remark that it can change the area and its population which also concerns the coastal areas in Spain.According to Gonzales (1996) general Franco dedicated his regime to the promotion of tourism as the main financial program in order to conquer the issues of their payments poverty in the country. Bramwell (2004) states that foreign investment tourism has developed expeditious centred primarily on the recreational zones of the Mediterranean coastline areas. Therefore, Bramwell (2004) maintains that international mass tourism began to develop in the coastal areas and islands of the Mediterranean Europe in the decades of the late 1950s.The majority significant characteristics of Spanish tourism after the Second World War have been experiencing rapid growth in the visitor numbers and the combination of domestic and inbound middle and lower-class social groups, according to Br amwell (2004). The author discovered that large expansion in tourism came after the 1950s and the visitors totalled 47,7 million by the year 1986. Additionally, Spanish domestic tourism has subsidised considerably to the growth of mass tourism (Bramwell, 2004).Bramwell (2004) discovered that another element that contributed to the growth of mass tourism was the introduction of package holidays, which are low priced. He states that the Spanish coastline became covered with hotels and flats funded by foreign financiers who presented low package holidays, which in return consumed less cash as well as not giving sufficient income for the countries balance of payment (Bramwell, 2004). What are the cultural and social impacts of tourism in the coastal areas of Spain? The influences on the civilisation and culture of these coastal areas are particularly multidimensional, intricate and contested.Tourism has acquired and provided individuals more financial and social independence from their family. Besides fathers are less powerful in families than before, even supposing that the family has preserved importance, including as a small â€Å"economic unit† that combines diverse sources of income from tourism. Furthermore, it has been argued that tourism has led to depopulation from the villages and a concentration of population in the towns (Bramwell, 2004). Besides, the impacts and consequences of the commercialisation of culture for tourism purposes caused many academic discussions.With some depicting this process as fundamentally destructive of the meaning through which local inhabitants organise their lives (Greenwood, 1989: 179). Certainly, this tourist commercialisation can affect inhabitants’ culture, however it must not be expected that people automatically are incompetent to withstand these pressures whether local cultures should somehow kept fixed. Nevertheless, mass tourism changes the behaviour of the inhabitants from the coastal areas. The inhab itants adapt to the tourists behaviour due to the fact that they want to make money out of these tourists.Tourists wear different clothes, eat different food and interact differently with each other. An example is that in restaurants, Dutch, German food can be ordered. With the arrival of the first tourists in the late 1950s, bikinis were prohibited however an exception for tourists was made. The culture in an area changes slowly and finally can disappear due to tourism. Although, certain inhabitants of the coastal areas attach to the old-fashioned things, as tourists like to see cultural things such as traditional costumes and traditional dances.Regularly, tourists think that inhabitants of the tourism areas still live like these old traditions, while this is not the case (van Rooden, 2010). Also other significant influences on changes in their society, in particular the effects of mass media, increasing living standards, and the evolving awareness of environmental concerns (Bramwe ll, 2003: 598). According to Salva Tomas(1991) the rapid growth of tourism in the Spanish Balearic islands has encouraged population expansion. Furthermore the islands’ appeared as one of the wealthiest regions in southern Europe.Besides, Vidal Bendito (1994) is serious about focusing entirely on the impact of tourism on these islands, as a demographic and economical data shows that the Balearic society modernised already before the beginning of mass tourism. Regarding multinational food chains, McDonalds for example, are global and put an end to the unique quality of a location. Universal forms in music, fashion and films lead to a westernisation of civilisation and cultures. Furthermore, it brings down the tourist knowledge and harms the local cultural systems.Above all, in certain countries religious dances may be commercialised and promoted, glamorised for western visitors and performed out of context. As well there may be trivialising of local trades such as woodworks an d mass production of souvenirs (Bramwell, 2004). What impact does mass tourism have on the economy and environment of Spain? Mass tourism provides more jobs for the local inhabitants in the coastal areas of Spain. The inhabitants of the areas work in restaurants, hotels and cafes. Furthermore, they maintain beach chair rentals and sell souvenirs.Many other benefits have been created through tourism, such as hotels, apartments, roads, railways, waterworks, and restaurants have provided many jobs. Companies from the coastal areas earn lots of money to manufacture and building. Likewise, cleaning companies, travel agencies, bus companies and information agencies are needed. The local citizen discovered methods and businesses to get income via mass tourism, mainly they own bike rentals, miniature golf courses, or amuse tourists with their speedboats. source) Previously, small fishing villages had a high unemployment however this totally changed by the development of mass tourism. Theref ore, many people are happy with the development of tourism in the coastal areas of Spain (van Rooden, 2010) The socio-economic disadvantages of this industry contain the possibility for revenue leakage from the local economy to tour operators and carriers in origin countries, and its focus of low-level workers who are badly paid and employed aptly to the rise and fall in tourism (Bramwell, 2004).Frequently, tourism is associated with complications of seasonal job losses and stages of long hours of intense work, according to Urry (1990: 66 – 88). Therefore, the low payments often contribute to the forms of differences among the populations of tourist areas. Furthermore, there can be critical differences in the distribution of tourism between parts of capital, for instance between tour operators which operate external, and local tourism businesses which are on a smaller scale, as well between different districts. Since the 1960s millions of tourists visit the Spanish coasts.In order to meet the ever-growing demand, large-scale apartment complexes and hotels along the coasts resurrected. Furthermore, construction of new resorts is continuing nowadays. The result is that many of these beach destinations along the Spanish coast suffer from horizon pollution. This implies that hotels and apartment complexes will rise in the height and only front accommodations have sea views, which shows that the agricultural policy aimed at rapid growth rather than sustainability. A range of accommodations dates back to the 1950s or 1960s, which often are expired nowadays.Consequently, outdated accommodations attract young travelers who bargain to for example Salou and Lloret de Mar. However, these inexpensive trips do hardly contribute to the local economy (Stichting Fair Tourism, 2012). To turn to the rapid growth, the environmental and temporal attentiveness of the industry often have enhanced its environmental influences (Shaw&Williams, 1994). The ability of infrastructu re in an area exceeded the rapid increase of several resorts at that time. Particularly, the demanding summer months resulted to strong environmental concerns (Sharpley, 2000: 283).Occasionally, these concerns display in defects in road facilities and substrates, collection and discard of refuse, sewage collection systems and water purification. Particularly, where local government is not used to the new intensities of demand, where is a lack of applicable competences or is underfinanced (Priestley & Mundet, 1998: 92). The conjunction of laws in pro-developments and the absence of implementation and enforcement of the principles of land-use and environmental regulation has occasioned in difficulties such as landscape ilapidation, sea pollution, devastation of ecosystem, loss of useful agrarian land and the mixing of inconsistent land usage (Bramwell, 2004). Moreover, almost all disposable products are imported, which in itself is harmful to the environment. Al disposable items are a huge waste. A tourist produces 50% more waste than a local inhabitant. Additionally, a Spanish citizen uses around 250 liters of water per day, while a tourist uses an average of 900 liters. These numbers include use of swimming pools and golf courses.The huge water consumption of tourists in Spain is a major problem, since the coastal areas already suffer from water scarcity. The wastewater from hotels and other tourist facilities are not handled well. This, in fact is being dumped into the sea a view miles away from the coast (Stichting Fair Tourism, 2012). While developments along Spanish coasts in second-home and retirement home are frequently built at lower volume fractions, this reduced spatial concentration itself can have negative consequences. Including, the more major losses of agricultural land and pollution from traffic is an impact of increased travel distances.Furthermore, the developments of tourism contribute to diverse pressures on environmental resources in coasta l areas, including the stones and sand used for building materials (Bramwell, 2004). Conclusion Based on the findings presented in the previous part it can be concluded that tourism has played a tremendous role in the coastal areas of Spain. The development of tourism since the late 1950s has caused many changes in those areas and therefore it has numerous influences in various fields. Since tourism is indispensable, masses of tourists visit the Spanish coastal areas each year.The tourism industry has left its traces and therefore it is important to be aware of this. There are undoubtedly economic benefits from mass tourism as families become more independent. Furthermore, villages become less inhabited as there are many sources of income in the coastal areas. Additionally, mass tourism leads to a westernisation of civilisation and cultures, wherefore it brings down the tourist knowledge and harms the local cultural systems. All in all, it can be said that tourism has many advantage s and disadvantages.When coming to all the above-mentioned facts, there are generally more disadvantages. It has been argued that, it is very important that tourists become more aware of the downside of tourism. Tourists depart every week however the Spanish inhabitants have to deal with all the consequences of tourism, as they will live there all their lives. Grading Sheet First Year Writing Assignment Assessment form: You must include a copy of this form (2 pages) with your Report. (Max 84 points)Name:Sabine Alma English teacher: Dymphi van der Hoeven Formatting/ Structure: Correct Layout: * Font, spacing, page numbering, headers, numbered tables, graphs, charts| 1| 2| * Proper Table of contents (APA Style) * Title Page (title of report, student’s name, number, date, assessor’s name * Table of Contents * The paper (I. B. C. , not on separate pages) * List of Works cited * Grading Sheet and declaration| 1| | Introduction – Movement is from general to specific * General background to the topic * Statement of purpose * Preview of the contents of the report| 3| 12|Body * Clear sections with standard phrases that introduce or link in each section * Sufficient support (examples, statistics, expert opinions, etc. ) * Ideas from outside sources are relevant, sufficiently elaborated, and synthesized * All findings develop the topic and relate to the purpose/problem statement (no irrelevancies)| 6| | Conclusion * Review/ summary of the findings (pulling it all together) * Outcome of work = answer to purpose/problem statement (if applicable) * Recommendations, future prospects, personal opinions (if applicable)| 3| |Correct APA Referencing Evidence of PLAGIARISM = 0 marks for the whole assignment * In-text citation: paraphrasing (clearly in student’s own words) * Direct quotations (no more than 10% of final copy) * Reference list/ works cited or bibliography are correct according to APA| | 15| Style Formality (appropriate style of language for the assignment) * Written in an audience orientated way * Balance between formal and informal| | 12|Variety and accuracy of vocabulary * Correct choice of words * Vocabulary has variety and interest (avoids using simplistic expressions and or repetition)| | |Conciseness * Direct and to the point (avoids using wordy phrases)| | | Coherence * Flow of the sentences is smooth (avoids using awkward, ambiguous, confusing sentences)| | | Grammar * Complete sentences (lack of fragments, run-on sentences) * Use of transitional words and phrases (linking or connectors) * Correct word order * Correct use of tenses, verb/noun and singular/plural agreement * Correct prepositions, correct word form (i. e. endings)| | 12| Mechanics * Correct use of capitals, commas * Avoid overuse of bold font, ! , semi-colon * Spelling| | 3|Reference list Bramwell, B ( 2004). Coastal Mass tourism. Deversification and Sustainable Development in Southern Europe. Clevedon: Channel view productions. Bramwell, B. (2003) Maltese responses to tourism. Annals of Tourism Research 30 (3), 581 – 605. Greenwood, D. J. (1989) Culture by the pound. An anthropological persepctive on tourism as cultural commmoditization. In V. Page, M. , Page, S. , Connell, J. (2009) Tourism: A Modern Synthesis. n. d. Cengage Learning Emea Priesley, G. K. (1995). Evolution of tourism on the Spanish coast. In. G. J. Ashworth and A.G. J Dietvorst Urry, J. (1990). The tourist gaze. Leisure and travel in contemporary societies. London: Sage Vidal Bendito, T. (1994) The Balearic population in the twentieth century. In M. R. Carli (ed) Economic and population Trends in the Mediterranean Islands (pp. 129-54). Collana Alti Seminari 5. Naples: Edizioni Scientifiche Italiane. Salva Tomas, P. A. (1991) La population des iles Baleares pendent 40 ans de tourisme de masse (1950-1989). Mediterranee 1, 74 -14. Shaw, G and Williams, A. M. (1994). Critical issues in tourism: A geographical persepecitve.Oxford: Blackwell. Sharpley , R. (1998). Island Tourism Development. The case of Cyprus. Newcastle: centre for Travel tourism, university of Northumbria at Newcastle. Stichting Fair Tourism. (2012). Massa Tourism. Retrieved 30 March, 2012 from http://www. fairtourism. nl/index. php? pagimenu_id=25&pagimenu_Sid=7 Van Rooden, P. (2010) Gevolgen van massatoerisme. Retrieved April 04, 2012 from http://www. schooltv. nl/eigenwijzer/2157310/aardrijkskunde/item/2831006/gevolgen-van-massatoerisme/ Wahab, S, & Pigram J. J. (1997)Tourism, Development and Growth. The