Power And Propoganda In Communist China Essays - Chinese Communists

Power and Propoganda in Communist China Propagand in China during the Cultural Revolution took on many forms; there were mass Red Guard demonstrations in Tianamen Square in support of Mao Zedong, pictures of Mao were put up in every conceivable location from restaurants to the wallpaper in nurseries, and pamphlets and books of Mao's teachings were distributed to every Chinese citizen. One of these propaganda publications Quotations from Chairman Mao which later became known as the Little Red Book contained quotes from Mao Zedong and was distributed to every Chinese citizen. The history of the Red Book provides one of the best ways in which to analyze Chinese propaganda during the Cultural Revolution and see the ways in which the Chinese government was able to produce and effectively indoctrinate the Chinese people with Mao Zedong Thought. Official Chinese magazines from the period of 1967 to 1970 are filled with many pictures of citizens holding, reading, and memorizing the Red Book. This proposal will trace the rise and fall of images of the Red Book in the official Chinese publication China Reconstructs. This proposal will use a graphical analysis of pictures in this publication from 1966 to 1973 to show that propaganda was not just a tool of the Communist party but also a reflection of internal power struggles within the party during the Cultural Revolution. The Red Book was written several years before it became the object of national adoration and a tool for the Cultivation of Mao's personality Cult. The history of the Red Book and its meteoric rise from a hand book for military recruits to compulsory reading for all Chinese citizens, is closely tied to its developer Lin Biao's rise to power. Lin Biao was born in 1907 and was fourteen years younger then Mao; he joined the communist party in 1925 and until the communists captured control of China was at various times in charge of resistance forces, and armies of communist soldiers. When the communists took control in 1949 Lin Biao was behind Mao Zedong, Liu Shaoqi, Zhou Enlai, Chen Yun, and Deng Xiaoping in rank (Yan and Gao, 1996: 179). But eighteen years later during the height of the Cultural Revolution Lin Biao by winning favor with Mao by publishing and championing the Red Book and the Cult of Mao became second only to the Chairman in power and position (Ming-Le, 1983: 80). In 1959 Peng Dehua was dismissed as minister of defense and Lin Biao was appointed in his place. At an armed forces meeting for high cadres during September of that year Lin Biao, energetically started promoting the Cult of Mao saying, "Learning the writings of comrade Mao Zedong is the shortcut to learning Marxism-Leninism. Chairman Mao's writings are easy to learn and can be put to use immediately. Diligent work will pay dividends many fold." (Yan and Gao, 1996: 182) His references to "shortcut" and "quick dividends" in his speech went unnoticed at the time as few foresaw the effects of creating a Cult around Mao. But looking back on the Cultural Revolution and Lin Biao, we can see his using the Cult of Mao was indeed a shortcut that produced huge dividends both for himself and for Mao. Mao to the Chinese people was a symbol sovereignty and the construction of socialism; to them praise for Mao was fitting with his symbolic role in society. Starting in 1959 Lin Biao in front of military audiences in order to help buildup support for the Cult of Mao used such phrases as, "the dire necessity of acquiring Mao Zedong's thought," "to study the writings of Mao Zedong with questions in mind is to shoot arrows with target in sight," "we must arm our minds with Mao Zedong's thought" (Yan an Gao, 1996: 181). Lin Biao's goal of building up both himself and the Cult of Mao lead him in September of 1960 to pass a resolution at the meeting of the Military Commission, which called for more political education among the armed forces (Yan and Gao, 1996: 181) "Mao Zedong Thought is the compass for the Chinese people's revolution and socialist construction, the powerful ideological weapon against imperialism, and the powerful ideological weapon against revisionism

Weldon v. Dunn essays

Weldon v. Dunn essays When reviewing the case file in question, I have found that one of the most important things to be taken into consideration when trying to decide injury cases is the fact of foreseeablilty. When Weldon seated the customer into the chair, she was well aware of the fact that the chair was not operating properly. In reference to the second allegation of the chair being to close to the manicure table, this as well is a foreseeable danger. When the inspector came to inspect the premises, the manicure table was in the same place and was not deemed unsafe. The third issue has a touch more credibility. The fact that Ms. Weldon injured her back during the course of her workday needed to be researched more in depth. Upon being accepted into the school of cosmetology, Weldon received an Admissions Information pamphlet. In this reading, it clearly states the following: Disadvantage of Cosmetology Careers Cosmetology is a physically and mentally demanding profession that requires dexterity and patience. There is always the possibility of chemical allergies, foot, leg and back problems After reading this statement, the possibility of any injury, including injury to the back, is imminently clear. This in turn disavows the third and final claim made by Weldon. Thus in conclusion I feel that all responsibilities of the accused should be waved. The injury to the employee was brought forth not due to the negligence of the company, but in turn by herself. She read the Admissions Information before signing on for the job, releasing Dunn of being held responsible on all accounts of work related injuries. ...

Compair the thnen and christaller theory Essay Example | Topics and Well Written Essays - 1000 words

Compair the thnen and christaller theory - Essay Example The desire to make geography more scientific, or at least more intellectually acceptable as a discipline, led to the adoption of statistical methods as a primary research technique. Location (or spatial) analysis, as this new aspect of geography is called, seeks to analyze and explain the factors that control humankind's spatial organization, specifically by statistical methods and models. Mathematically constructed models became tools useful to the geographer in coping with rapidly accumulating knowledge, and they could also be used to predict future trends or spatial patterns. This was not the first time statistics had been used for geographic research. As early as the 1920s and '30s, Torsten Hgerstrand in Sweden and Walter Christaller in Germany had used statistical techniques. Only in the 1960s, however, did significant growth in statistical methodology occur. Johann Heinrich von Thnen was born on June 24, 1783, was a German agriculturist. In 1826 he wrote Der isolierte Staat (The Isolated State), in which he proposed his theoretical model showing concentric belts of agricultural production surrounding a market center and demonstrating the relationship of commodity transportation costs to production location. Thnen laid the foundations of contemporary spatial theory. (Larry, 2004) This non-linear reformulation of the von Thnen model... model explicitly allows for input substitution and provides for the rate of production intensities to be determines endogenously by the profit maximizing behavior of the individual farmers. If the transport rate is constant and production occurs with constant returns to scale, then the rent function, under bid rent tenancy, or owner occupied farming, is indeed nonlinear and strictly convex to the origin. It is also possible to determine the spatial distribution of labor density as well as levels of crop yield in accordance with this basic model. It is not surprising that these results confirm the Dunn-Isard conjecture as the bid rent functions so determined assume a strictly convex form, and the intensity of cultivation does, in fact, increase toward the market center. Now the nonlinear von Thnen model can be formulated to conform to the logistics of industrial production in order to derive a non-agricultural rent function, also based on constant-returns-to-scale technologies. Firms in the urban sector go to the market center to obtain their raw materials, which were previously delivered there from the agricultural sector. Some firms specialize in the production of various intermediate goods which are also delivered to the market, where other firms purchase them for incorporation in their own products. Final goods are then delivered to the market for sale to the general public. Capital is introduced as a production input, the amount of which is explicitly governed by the price ratio of labor and capital. This "augmented" model ultimately generates comparable results with regard to the shape of the resulting rent function as well as the spatial distribution of levels of production and employment and therefore the densities of capital and labor. Although based on

Create a research portrait of a well-known artist, explain how his or Essay

Create a research portrait of a well-known artist, explain how his or her work responds to particular social issues - Essay Example ject, requiring the artist to spend years painting in wet plaster rather than working on his sculpture or other projects, some might wonder what prompted Michelangelo to undertake this project rather than allowing some other artist the dubious honor. Just how much freedom Michelangelo had in this decision is an often discussed topic. It might also be wondered whether the subject of the painting was determined by Michelangelo himself or the Pope who commissioned him for the project. To more fully appreciate the process that contributed to the creation of the Sistine Ceiling, it is necessary to understand the details regarding the commission of the project, why it was commissioned, why Michelangelo accepted the commission given the difficulties involved, how he met these challenges given the media and subject involved as well as his final assessment of the results. It is widely accepted that Pope Julius II commissioned Michelangelo to paint the Sistine Chapel ceiling as none other had the power and authority to force the artist back to Rome. Michelangelo had fled the city only two years earlier after the Pope first commissioned him to create approximately 40 sculptures in the most lavish Papal tomb designed to date and then refused to honor his portion of the contract. In addition, the work being requested of Michelangelo was painting rather than sculpture which he preferred. Other accounts indicate the idea of having the ceiling completed by Michelangelo was the idea of Donato Bramante, who intended to discredit Michelangelo’s daunting reputation. â€Å"In Michelangelo’s eyes, Bramante had persuaded the pope to abandon the project [of the tomb] by warning him that it was bad luck to have one’s tomb carved during one’s lifetime, and had then proposed an altogether different commission for the sculptor, a task at wh ich he knew Michelangelo could not possibly succeed† (King, 2003, p. 11). Work commenced on the project in 1536 under Pope Paul III and was

Negotiation Assignment Example | Topics and Well Written Essays - 750 words - 1

Negotiation - Assignment Example The two-day long correspondence with the client leads to us negotiating with a price that did not amount to my work but was not in their favor as well. I ended up withholding the rest of the series I had been working on for them and they paid me half price on a project that I had worked a lot on but the positive point is that I knew my walk away terms. It was established that poor communication was what lead to the break of the deal and a case was not filed from either of the party which I think is an achievement. I could have conducted the negotiating terms better if there had been a better communication system involved with information sharing from the start that would have helped in benefiting both parties. Another tactic that I could have applied in the negotiating terms is priorities because I left a pile of unfinished projects in lieu of this certain project and had to put double the time in other projects, so one important thing I learned from this failed project was to always get my priorities right and to give maximum time to things but do not forget that there are other tasks that need to be done as well.The two-day long correspondence with the client leads to us negotiating with a price that did not amount to my work but was not in their favor as well. I ended up withholding the rest of the series I had been working on for them and they paid me half price on a project that I had worked a lot on. It was established that poor communication was what lead to the break of the deal.

Anti-cataract Activity of Abies Pindrow Luffa Cylindrica

Anti-cataract Activity of Abies Pindrow Luffa Cylindrica â€Å"Evaluation of in-vitro anti-cataract activity of Abies pindrow Luffa cylindrica†: A Comparative study Suchita Dubey, Sudipta Saha, Shubhini A Saraf* Abstract- Context- Cataract is the opacification of lenses resulting in blurring of vision.Oxidative stress is the major cause of many diseases including cataract. Objective- The study was designed to evaluate and compare the in-vitro anti-cataract activity of aqueous extracts of Abiespindrowleaves (APE) and Luffacylindrica fruits (LCE) against hydrogen peroxide induced cataractogenesis, using isolated goat lenses. Materials and Methods-Standardized extracts of APE and LCE were compared for their anti-cataract activity against marketed eye drops. Hydrogen peroxide (0.05M) was used to induce cataract in goat eye lenses. Photographic evaluation confirmed the clarity of lenses incubated in APE and LCE respectively. Result-.MeanGSH Value in normal lenses was found to be 2.9765 ±0.17 µg/mg of fresh weight of the lens.In the presence of APE and LCE respectively, a significant restoration of the levels of GSH as compared to the toxic control was observed. An increase in MDA level was found in the control opposed to the normal lenses (1.57 ±0.04ÃŽ ¼mol/g of fresh weight of lens; P Discussion -SOD, GSH, TPC and copper-induced lipoprotein diene formation was found to increase, whereas MDA levels significantly decreased, as the concentration of APE and LCE increased. Conclusion: The study demonstrated that monotherapy of APE and LCE respectively, has the potential to prevent cataract because of the strong antioxidant potential of each. Keywords- Antioxidant, Cataract, Hydrogen Peroxide, Abies pindrow, Luffa cylindrica Introduction- Oxidative stress has been the major cause of many diseases including cataract. The free radicals that are produced as the result of daily stress borne by the human body are scavenged by a range of antioxidant enzymes and small molecule antioxidants. Cataract is the opacification of lenses resulting in the blurring of vision. Since ancient times, India’s conventional medicinal knowledge has been extraordinarily useful in treating rarest of the rare diseases. The term cataract describes lenticular opacities that may be congenital or acquired. Systemic diseases (such as galactosemia, diabetes mellitus, Wilson disease atopic dermatitis), drugs (especially corticosteroids), radiation, trauma, and many intraocular disorders are associated with cataract. Traditional medicines have proved to be effective to an extent in curing cataract. Plants such as Embellica Officinalis (Amla) and those which are rich in gallic acid, digallic acid, ellagic acid, and tannins respectively serve as g ood anticataract options.[1] The development of the disease depends on many factors.The lens Na+- K+-ATPase activity plays an important role in maintaining lens transparency, and its impairment causes accumulation of Na+ and loss of K+ with hydration and swelling of the lens fibres leading to cataractogenesis[2] . In conjunction, aldose reductase is a lens enzyme probably involved in the development of cataract [3]. It acts on the sugars like glucose, galactose, and xylose and converts them into their respective alcohols. These alcohols, also known as polyols: accumulate within the lens thereby producing osmotic effects. Since polyols are not capable of either diffusing out easily nor are metabolizes rapidly, they may cause hyper tonicity responsible for the formation of cataract [4]. Oxidative mechanism plays an important role in biological phenomena including cataract formation. The formation of superoxide radicals in the aqueous humor and in lens and its derivatization to other potent oxidants may be responsible for initiating various toxic biochemical reactions leading to the formation of cataract. Catlin is the marketed drug with considerable anticataract activity hence was taken as standard and various parameters measured, including total proteins and malondialdehyde (MDA) in vitro on goat lenses. Materials and Methods- Plants- Standardized extracts of â€Å"Abies pindrow leaf† and â€Å"Luffa cylindrica fruit† were obtained from Navchetna Kendra, New Delhi (A registered manufacturer, exporter and supplier of herbal products in India) along with the certificate of analysis of both the extracts confirming that extract complies with all the morphological specification of colour, odour, taste along with LOD, Ash value and microbial load (Total Plate Count, yeast and mould and E.coli). Drug- Catlin eye drop available in the market were purchased from medical store in Lucknow, UP. Eye Balls-Goat eye balls were used in the present study. They were obtained from the slaughterhouse and immediately transferred to laboratory at 0-4 degree Celsius in physiological salt solution containing 1% solution of antibiotic to prevent microbial contamination. Preparation of Lens Culture- The lenses were removed by extracapsular extraction and incubated in artificial aqueous humor (NaCl 140 mM, KCl 5 mM, MgCl2 2 mM, NaHCO3 0.5 mM, NaH (PO4)2 0.5 mM, CaCl2 0.4 mM) at room temperature and pH 7.8 for 72 h. Penicillin 32 mg% and streptomycin 250 mg% were added to the culture media to prevent bacterial contamination [6]. H2O2 (0.05M) was used to induce cataract. Preparation of Lens Homogenate-After incubation, lenses were homogenized in 10 volumes of 0.1M potassium phosphate buffer, pH 7.0. The homogenate was centrifuged at 10,000 rpm for 1 hour and the supernatant was used for estimation of biochemical parameters. Drug Concentration and Groups- The standard drug Catlin was taken in the concentration of 1% v/v and the Goat’s eye lenses were incubated with Abies pindrow extract (APE) (5mg/ml, 10mg/ml, 15mg/ml 20mg/ml) andLuffa cylindrica extract (LCE) (5mg/ml, 10mg/ml, 15mg/ml, 20mg/ml, 25mg/ml 30mg/ml) concentrations as mono therapy. A total of 65 lenses were divided into 13 groups of n=5. Group 1- PSS + Ab 250 mg (1%) + lens Group 2- PSS + Ab 250 mg (1%) + H2O2(0.05 M) 0.5ml+ lens Group 3- PSS + Ab 250 mg (1%) + Catlin (KI-3.3%, NaCl-0.83%, CaCl2-1%w/v) 1ml Group 4- PSS + Ab 250 mg (1%) + APE (5%) Group 5-PSS + Ab 250 mg (1%) + APE (10%) Group 6-PSS + Ab 250 mg (1%) + APE (15%) Group 7-PSS + Ab 250 mg (1%) + APE (20%) Group 8-PSS + Ab 250 mg (1%) + LCE (5%) Group 9-PSS + Ab 250 mg (1%) + LCE (10%) Group 10-PSS + Ab 250 mg (1%) + LCE (15%) Group 11-PSS + Ab 250 mg (1%) + LCE (20%) Group 12-PSS + Ab 250 mg (1%) + LCE (25%) Group 13-PSS + Ab 250 mg (1%) + LCE (30%) Homogenate preparation- After incubation, lenses were homogenized in 10 volumes of 0.1M potassium phosphate buffer, pH 7.0. The homogenate was centrifuged at 10,000 rpm for 1 hour and the supernatant was used for estimation of biochemical parameters. Biochemical estimation- SOD and GSH levels were measured using Ellman’s method[6]. Protein estimation was done by Lowry’s method [7]. The degree of oxidative stress was assessed by measuring the MDA levels by using TCA-TBA-HCl reagent. [8] (Table-2,3). The mean GSH Value in normal lenses was found to be 2.9765 ±0.17  µg/mg of fresh weight of the lens (Fig-5) . A significant decrease was observed in presence of in GSH value in presence of hydrogen peroxide in control. In the presence of APE and LCE, there was a significant restoration of the levels of GSH as compared to the toxic control. A significant increase in MDA level was found in the control opposed to the normal lenses (1.57 ±0.04ÃŽ ¼mol/g of fresh weight of lens; P APE and LCE significantly protected the test group lenses from lipid peroxidation; Hydrogen peroxide treated lenses showed significantly low concentrations of proteins (total and water soluble proteins) in the lens homogenate (P SOD levels as compared to the toxic control were found to be significantly more in normal lens group (1.76 ±0.10unit/mg of protein) which was far less than that of the toxic group (0.23 ±0.01unit/mg of protein). APE and LCE were found to increase the level of SOD in presence of hydrogen peroxide as well (Fig-4). Result- Photographic evaluation confirmed the clearance of vision when the lenses were incubated in APE and LCE (Figure 6). Photographic Evaluation: Scale of opacity- Absence of opacitySlightly opaquePresence of diffuse opacityPresence of extensive thick opacityResults of biochemical parameters are reported as Mean ±SD. (Table-2,3). Comparisons were made on the basis of one-way ANOVA and Bonferroni test was performed between test samples and data was considered to be statistically significant when p Discussion-Cataract is mostly brought about by age. It is common to older people. Inflammatory reactions to the lens material may develop as a result of the exposure of intact lens cortex by rupture of the lens capsule. In cataractogenesis, the parameters commonly considered are malondialdehyde (MDA) and proteins (total proteins and water soluble proteins). Oxidative stress is the main marker of cataract and is responsible for its pathogenesis.The study demonstrated that AP and LC are effective against H2O2 induced cataractogenesis in goat eye lens, used as in-vitro model. Significant prevention of cataract was observed during the study. SOD, GSH, TPC and copper induced lipoprotein diene formation was found to increase proportionally with the concentration whereas MDA levels significantly decreased as the concentration increased and reached its saturation level at the concentration 20% and 30% respectively for AP and LC (Table 2, 3). The photographic evaluation based on the opacity scale (Table-1) showed that highest concentrations of both the plants i.e. AP (20%) LC (30%) maintained the vision for 39.5 42 hours respectively. It was also observed that the lens incubated in Hydrogen peroxide swelled imbibed more solution which can be a possible outcome of inflammation while the lenses incubated in plant groups were less swollen which further potentiates the anti-inflammatory activities of both the plants. In conclusion, the study demonstrated that monotherapy of AP and LC had potential to prevent cataract due to their strong antioxidant potential. However, AP in lower concentration was more effective in treating cataract than LC according to results of the photographic evaluation. There is no literature available for anticataract activity of AP and LC. This is the first study which reports that the monotherapy of both the plants can afford significant prevention of cataract. Further studies can be performed with different routes and doses to evaluate the anti-cataract effect of these two drugs as future scope of the work. Conclusion- The herbal extract of both the plants were found to significantly reduce the free radical generation in isolated goat lenses. The extracts can be further developed into a polyherbal formulation or characterisation and isolation of phenolics in the extract can prove to be a good herbal remedy for treatment and prevention of cataract because of potent antioxidant action of plant. Acknowledgement- Suchita Dubey is thankful to University Grant Commission for providing research grant during M.Pharm Project. References- Gupta SK, Kalaiselvan V, Srivastava S, Agrawal SS, Saxena R (2010): Evaluation of anticataract potential of Triphala in selenite-induced cataract: In vitro and in vivo studies. J Ayurveda Integr Med 1: 6 Unakar NJ, Tsui JY. (1983) Inhibition of galactose induced alteration in ocular lens with sorbinil. Exp Eye Res 36: 685-694. Guzmà ¡n à , Guerrero O R (2005) â€Å"Inhibition of aldose reductase by herbs extracts and natural substances and their role in prevention of cataracts† Rev cubana plant med 10 :3-4 Kinoshita JH, Merola LU, Dikmak E. (1962) The accumulation of dulcitol and water in rabbit lens incubated with galactose. Biochem BiophysActa; 62:176-178. Harding JJ, Rixon KC. Carbamylation of lens proteins: (1980) A possible factor in cataractogenesis in some tropical countries. Exp eye res; 31:567-571. Ellman GL. (1959) Tissue sulfhydryl groups. Arch Biochem Biophys. 82: 70-77. Lowry OH., Rosenberg NJ., Farr AL., Randall RJ (1951) Protein measurement with the Folin phenol reagent. J. Biochem. 193: 65. Bar-Or D., Rael LT., Lau EP., Rao NK., Thomas GW.,Winkler JV., Yukl RL., Kingston RG. and Curtis CG. (2001) An analog of the human albumin N-terminus (Asp-Ala-His-Lys) prevents formation of copper-induced reactive oxygen species. Biochem. Biophys. Res. Commun. 284 , 856-862

Comparing Society in The Dharma Bums and The New American Poetry Essay

Mass Society in The Dharma Bums and The New American Poetry      Ã‚  Ã‚   One of the best ways to fully understand an era is to study its literature. The printed word has the incredible capacity to both reflect and shape the hopes, fears, and ideologies of the time. This is very evident when reading literature from 1960's America, a turbulent period in the history of our country. While the authors' styles are very different, there are definite thematic patterns and characteristics evident in many of their works. For one, there is a prevalent concept of the unenlightened masses. This concept serves as a foil for the enlightened few often represented as the main characters and more specifically as the authors themselves. There also seems to be a general questioning of the "American Dream" as well as a clear conflict between nature and technology. By looking at these common thematic elements, not only can we better understand the literature of the time, but we can also get a fuller picture of the era itself.    One of the most interesting concepts in 60's literature is that of mass society. And while this notion is evident in many of the writings, the treatment of it is different from author to author. Richard Brautigan chooses to show the poor masses in his piece "Trout Fishing in America". He writes, "...people gather in the park across the street from the church and they are hungry.//It's sandwich time for the poor."(280,Streets) Donald Berthelme in his work "The Glass Mountain" calls the masses, "acquaintances"(284, Streets). He shows them to be a drunk and unruly lot who shout profanities at him as he tries to climb the building. Lawrence Ferlinghetti mentions an "unlonely crowd"(130,Poetry) in his po... ...erature from 1960's America is full of recurring themes and images, which help to shed some light on the society of the time. There is a portrayal of a mass society that is questing for the American dream. There is also a call for enlightenment which many of the authors seem to say comes from a rejection of technological glitter and a return to simple, awe inspiring nature. These themes are shown in many different ways and with various slants. By placing these works in the larger context of a social era, we can see that the 60's was a very tumultuous time of great conflict and great change.    Works Cited: Allen, Donald ed. The New American Poetry. U of California Press:Berkeley, 1999. Bloom, Alexander and Wini Breines Takin It To The Streets. Oxford University Press: Oxford, 1995. Kerouac, Jack The Dharma Bums. Penguin Books: N.Y., 1986.

Knowledge, Attitude and Breast Cancer Screening Practices in Ghana Essay

INTRODUCTION   Ã‚   Breast cancer in its simplest definition is the cancer of breast tissue. It is the most common nonskin cancer that affects women in the United States and the highest fatality rates of cancer deaths among women in low-resource countries (Anderson et al 2006). Severity of breast cancer differs based on its level of tissue invasion. Ductal carcinoma in situ is the most common noninvasive breast cancer while infiltrating or invasive ductal carcinoma is the most common breast cancer that accounts for about 80% of invasive breast cancer. Breast lumps presentation is the commonest form of presentation regardless of the breast cancer type (ACS 2005). Epidemiologic factors are attributed to dietary and environmental risk factors, although association of diet and breast cancer had varied results. Environmental risk factors involve the exposure to several toxic elements which accounts for the increased incidence of breast cancer in Western countries. Alcohol intake is also considered to effect in the increase of the number of cases in the US population. Age is also considered as cancer risk factor and can be attributed to hormonal change. Genetic variation and ethnicity are not out of scope for the investigation of breast cancer risk factors (Barton 2005). Diagnosis and Pathology of Breast Cancer: In 2002, Breast Health Global Initiative (BHGI) together with panel of breast cancer experts and patient advocates develop a consensus of recommendations for the diagnosis of breast cancer in limited-resource countries (Shyyan 2006). Histopathologic diagnosis included fine-needle aspiration biopsy which was recognized as the least expensive, core needle biopsy and surgical biopsy and had a consensus of choosing the method based on the availability of tools and expertise. They gave emphasis on the correlation of histopathology, clinical and imaging findings. They agreed on the need of histopathologic diagnosis before breast cancer treatment. In 2005, BHGI panel recommended an additional strategy of breast cancer management. They stratify diagnostic procedure and histopathology methods into – â€Å"basic, limited, enhanced, and maximal—from lowest to highest resources†. Basic level includes medical history of the patient, clinical breast examination, tissue diagnosis and medical record keeping. Limited level includes the increasing resources that enable diagnostic imaging utilization such as ultrasound with or without mammography, tests that can evaluate metastasis, use of image-guided sampling and hormone receptor sampling. Enhanced level includes diagnostic mammography, bone scanning and an onsite cytologist. Maximal level includes mass screening mammography (Shyyan 2006). Treatment of Breast Cancer: Treatment includes surgery, radiotherapy or chemotherapy or combinations of these three treatment modalities. According to American Cancer Society (2005), treatment can be local or systemic. Local treatment of the tumor is done without affecting the rest of the body. Surgery and radiation are examples of this treatment. On the other hand, systemic treatment which includes chemotherapy, hormone therapy and immunotherapy, is given into the bloodstream or by mouth to reach the cancer cells that may have spread the beyond the breast.    Radiotherapy is a treatment of breast cancer with high-energy rays to help shrink the cancer cells. It can be given outside of the body (external radiation) or can be placed directly into the tumor as radioactive materials (ACS 2005). It may be given external to the body.   Radiotherapy requires safe and effective application requiring appropriate facilities, staff and equipment. Radiotherapy should be applied without delay, should be accessible to all but without prolongation of the overall treatment time exposure. It is part of an integral part of breast-conserving treatment. It is required in almost all women with the breast cancer, and therefore should be available (Bese 2006).   Ã‚  Chemotherapy is the use of anticancer drugs that are administered through injection in the vein or taken orally as a pill. It may be given before breast cancer surgery to reduce the size of the tumor or may be given after the surgery to reduce the chance of   recurrence (ACS 2005). This treatment is done in cycle the most common of which is 3-6 months. Most common side effects of these drugs usually stop   once the treatment is over such as in hair falling. Some of   drugs used as chemotherapy     are tamoxifen, cyclophosphamide, methotrexate, 5-fluorouracil doxorubicin, epirubicin, taxane and aromatase . These are usually prescribed in combination, and treatment is done with adjuvant therapy such as radiotherapy and pre- and post operation ( Eniu 2006).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Surgical management in breast cancer is very common. This is done to remove as much as the cancer as possible and to find out whether the cancer has spread to the lymph nodes under the arm. Surgery can also restore the appearance of the breast and relieve the symptoms of advanced cancer. ACS (2005) released some of the common surgical procedures in breast cancer. These are lumpectomy, partial or segmental mastectomy, simple or total mastectomy, modified radical mastectomy and radical mastectomy. RESULTS    Breast cancer patients in Ghana. The present study which included women with mean age population of 48 years   revealed an almost consistent perception with regards to breast cancer.  Ã‚   They were aware that breast cancer is highly increasing in their place but not informed of the cause of disease. All of the responders were not aware of family breast cancer history except one. Information about breast cancer was acquired through television and radio programs. Only after   consultation with doctors due to lumps or   pains in their breast and some due to liquid coming out of their breast, that they were informed that they have breast cancer. Most of them underwent breast tissue exam for confirmation of the disease. Afterwards, they were advised to undergo surgery with medical treatment. The responders were ignorant of the breast cancer screening and prevention. In fact, out of 10 responders, only 2 (20%) of them were aware of breast self examination and clinical breast examination and admitted that they occasionally practice BSE. None of the responders knew about mammogram except for one (10%) of them who has heard of it but never had tried one. The feeling towards the knowledge of acquiring the disease was also the same; the feeling of being a burden in the family was common. They were afraid to face the reality but have realized that they have to fight the disease through the encouragement and support of family members and   help of medical professionals. The sample population was aware of the herbalist and faith healers but they did not submit themselves into that kind of treatment because herbalist have not   proven cure for breast cancer.   The most common complaint of the responders was the high cost of therapies, hospitalization and doctor fees. The treatment cost ranged to    ¢250,000- ¢24 million except to one of them who received a free treatment for being enrolled to a clinical trial. Sentiments of the participants were the same. Delay of treatment was attributed to their distant place from the health clinics; some facilities like x-ray were not available in the clinics and   high cost of treatment. These people asked for the betterment of breast cancer management through education dissemination to the community by health care providers and a help from the government to provide financial support to those who cannot afford to submit themselves for treatment. Patients in breast cancer clinic. In this part of the study, women with mean age of 42 years who were in breast cancer clinic were included. Most common medical complaint was lump and pain in the breast while others submit themselves for screening because they have just heard it from the radio/TV.   The study revealed that women who were attending the clinic were not actually informed of the cause breast cancer but aware of its increasing rate of mortality. Misconception about the cause of breast cancer such as exposure to coins was not common but did not exclude the form of trauma due to manipulation of the breast. Others correlate breast cancer with smoking and taking alcoholic beverages. They were not aware of their family history of breast cancer.   Information regarding breast cancer was acquired through television and radio programs and others were through their friends and family members. Most of the respondents believed that early detection and prompt treatment of the disease can prevent the unfavorable outcome of breast cancer such as removal of their breast or the worst would be cancer death. Only one out of   10 participants (10%) actually practice breast self examination (BSE). Most of them were informed of BSE but not actually practicing it. They were also aware of healers and herbalist but they did not believe that they can cure breast cancer but did not disagree of the possibility that herbalist and healers could treat other diseases or illnesses like hypertension. The participants suggested that it would be better if the government would provide or establish more health care clinics for breast cancer screening and provide free screening programs especially to those who cannot afford to   pay for high cost of treatment of the disease and for an open-easy access to all especially to those in rural areas. One of the participants suggested   that doctors should study further about the treatment of breast cancer instead of resorting to breast surgery. Healers involved in breast cancer management. Many of the population of Ghana are still patronizing healers and herbalist as a resort   of treatment. Two healers from Ghana were interviewed regarding their management of breast cancer. The healers have been into this practice for about 20-50 years. According to them, breast cancer is very common in Ghana and they are aware of the increasing incidence of   the disease. They described breast cancer as an â€Å"obosam† disease and the other was a supernatural disease. Healers believed that their ability to cure   the disease inherited from their forefathers who taught them how to prepare herbs and provide them with dwarfs. They believed that doctors have no right treatment towards breast cancer because according to them they just remove the breasts of women   and subsequently die. According to the healers they do not promote breast   examinations to their patients because these are useless and cannot stop women from getting the disease. Despite the big machines available in the hospitals, women with breast cancer still die, according to them. Healers charge their patients with as much as  ¢200,000- ¢1( £15-60) million depending on the patients’ condition. The healers admitted that there were cases of recurrence of the disease due to lost to follow up and missed spiritual sessions. Healers do not refer patients to hospitals rather, they encourage hospital doctors to refer their patients to healers because they are more capable of treating breast cancer. Breast cancer consultants.   Medical health professionals play a significant role in the awareness of breast cancer. They have the power to influence their patients toward right management of the disease. In the present study, surgeon/breast cancer consultants were interviewed. Consultants as expected were aware of the increasing incidence of breast cancer but they cannot give an exact figure due to absence of cancer registry in the place however they were able to attend to 200-300 new cases of breast cancer annually with age range starting from 20 years and above. They revealed that women in Ghana associate breast cancer to death because after undergoing breast caner surgery they usually die. People in Ghana link medical intervention and death which made the women in this place afraid of   the disease and lead them to negative attitude towards the disease. Consultants believed that there were several misconceptions about the disease. They were also aware that healers and herbalist delay the   presentation of patients to   hospital which accounted for the late stage of diagnosis. National Screening Program would benefit the people in Ghana for early detection of breast cancer and prompt treatment, however, they did not deny the fact it would be difficult to establish such program due to lack of funds by the government at present time. Consultants were aware of the limited resources of the needed for the implementation of the program. They believe that it is much easier and feasible to educate the women on simple screening methods such as regular breast self examination and encourage practitioners to take advantage of examining the breasts of their patients. There are also NGOs who are engaged in some activities like providing health care assistance. Consultants revealed that they receive referrals from district regions and from private practitioners. All patients with breast cancer are candidates for surgery. There are just some procedures that lead to untoward incident which cause the people to blame the doctors. According to consultants, one big problem that they encounter is the delay of the result of tissue exam from the pathologists which sometimes lead them to acquire the high cost of private laboratory. According to consultants the 5-year survival rate in Ghan is 25% which is disappointing. According to radiology consultant, patients present themselves to treatment once they are already in advanced stage, most at stage 3 and 4. They revealed the common factors that influence the delay of treatment among Ghana women. Most of the patients were scared of the procedure of   breast cancer treatment like in breast surgery which have many social and marriage implications. The high cost of the procedure hinders the patient to go to the doctors. Consultants revealed that surgical procedure may cost    ¢2-3million   ( £ 150-200), radiotherapy is about    ¢3-4 million (  £ 200-300) and chemotherapy is around  ¢6 million ( £400). Although surgical treatment cost is covered in National Health Insurance, the cost of radiotherapy and chemotherapy are excluded. Mammography which is an effective tool in breast cancer screening costs  ¢400,000 ( £30) in private health institution and around  ¢250,000 ( £20). DISCUSSION WITH REVIEW OF RELATED LITERATURES   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The present study aimed to increase the awareness of the women in Ghana to breast cancer and the benefits that can be gained from breast cancer screening. The knowledge, attitude, behavior and practices of the women regarding early detection of breast cancer were analyzed. The ultimate aim of the study was to reduce the mortality rate of   breast cancer.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The study revealed that there were still misconceptions about breast cancer despite the information gathered from televisions and radio programs. Attendance of Ghanaian women in breast clinic did not mean that they were informed of the nature of their disease. Only few of them were also aware of preventive procedure in detecting breast cancer. Local healers and spiritualists also delayed the presentation of the patients to the hospital which contributed to the late diagnosis of the disease. Difference in the disease management of health professionals can be attributed to the location of practice and availability of resources. Several factors   thought to affect the breast cancer screening program were the poor education of the Ghanaian towards prevention awareness against breast cancer; lack of initiative of the people to spread the knowledge of   breast cancer screening such as simple breast self examination and clinical breast examination; the inaccessibility of the of primary health care and the organizers; the unavailability of the appropriate screening tools like x-ray and mammography in the community and its high cost   and the lack of support from the government.   The following   review of related literatures will help in the understanding of breast cancer and breast cancer screening. Because of the continuous increasing prevalence of breast cancer and high cost of treatment, breast cancer screening remains the most cost effective way of cancer management (Parkin and Fernandez 2006).   Most of the world faces resource constraints that hinder the capacity to improve early detection, prompt diagnosis and sufficient treatment of the breast cancer. Every country finds its way to develop evidenced based, economically feasible and culturally appropriate guidelines that can be utilized by countries of limited health care resources to improve breast cancer outcomes (Anderson 2006). Adaptive strategies should be applied to ease the growing burden of breast cancer. In 2005, according to Smith and his colleagues (2006), the Breast Health Global Initiative (BHGI) held its second summit in Bethesda, MD with the intention of reaffirming the principle of requiring all women of all resource levels to support in seeking health care and assuring the access to affordable and appropriate diagnostic tests and treatment intervention against breast cancer. They recommended breast health awareness to all women including the basic resources. They enhanced the basic facilities for effective training of relevant staff in clinical breast examination (CBE) or breast self examination and even the feasibility of mammography. MRI: Magnetic resonance imaging is one of the breast cancer screening procedures. It has been increasingly used as tool for early diagnosis of breast cancer. This screening tool has shown to detect cancers even they are small and potentially proven to be more curable than mammography alone. However, MRI is more costly than mammography and can lead to unnecessary breast biopsies, thus causing anxiety and discomfort to patient. On the other hand, a research study about the cost-effectiveness of breast MRI screening by cancer risk where they included the cancer detection ability of MRI, characteristics of women with dense breast tissue and women with high inherited breast cancer risk, revealed mortality reduction and cost effectiveness of breast MRI screening added to mammography in BRCA1 and BRCA2 mutation carriers (Kurian 2006).    The hallmark of morality and morbidity of breast cancer can be attributed to the late presentation of the patients at an advanced stage of breast cancer. It is when there is no or little benefit that can be derived from any treatment modality. In a study conducted by Okobia and colleagues (2006), the knowledge, attitude and practice of community dwellers of Nigeria towards breast cancer were analyzed. They recruited urban-dwelling women with conducted an interviewer-administered questionnaires to elicit sociodemographic information regarding knowledge, attitude and practice towards breast cancer. It was found out that the participants had poor knowledge of breast cancer. Only 214 out of 1000 participants knew that breast cancer is presented initially with breast lumps. Breast cancer examination practices were low. Only 432 participants were able carry out breast self examination while only 91 participants had clinical breast examination. This study revealed that participants with higher level of education were significantly more knowledgeable about breast cancer. Ethnicity or race-related culture and beliefs are factors that affect the increase in prevalence of breast cancer mortality. Paterniti (2006) investigated how ethnically diverse women who are eligible for tamoxifen prophylaxis because of their breast cancer risk decide about tamoxifen use for risk reduction. Prior to the study, there was discussion of the benefits and risks of tamoxifen as prophylaxis. The study which included African-American, White, and Latina women, of 61–78 years, revealed that fear of breast cancer was not prominent and they were not inclined to take tamoxifen as preventive therapy after receiving the information. Participants showed limited unwillingness to take the medication with potential adverse effects. This study revealed that women felt that they had other options other than taking the risk of tamoxifen to reduce their risk of breast cancer, including early detection, diet, faith and other alternative therapies.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Graham (2002) conducted a research about   the relationship between beliefs and practice of breast self examination (BSE in a black women population of 20-49 years of age. It was found out that health beliefs were much stronger in determining BSE performance for a given individual than were demographic characteristics. Breast self examination was related to increased perceived seriousness of breast cancer, benefit of the procedure and health motivation and was noted to have inverse relationship with perceived barriers. A related study was reported by Mitchell and colleagues (2002), about the effects of religious beliefs with other variables on breast cancer screening and the intended presentation of self-discovered breast lump. This study included women aging 40 years and above and were interviewed in their homes. Most of the interviewees believed that doctors cure breast cancer with God’s intervention which was labeled as â€Å"religious intervention with treatment†. This dimension was found out to be correlated with self-reported mammography but no clinical breast examination or intention to delay presentation of self-discovered breast lump. Minority of them believed treatment of breast cancer was unnecessary because only God could cure the disease which was labeled as â€Å"religious intervention in place of treatment†, and was significantly more common among African-American women who   are less educated and older. This was correlated with the strong intention of delaying the presentation of self-discovered breast lump. It was concluded that   religious intervention in place of treatment contributes significantly the delay presentation of breast cancer among African-American that contribute largely to the advanced-stage cancer diagnosis. The cause of breast cancer is still unclear. Adjei (2006) who grew up in Ghan and had some work about breast cancer. In his letter, he revealed his sentiments about the genetic differences in breast cancer. He had been aware of the incidence of breast cancer in Ghana since 1974 to 1999. He noted that the peak incidence of breast cancer in Ghana is in younger women with age range of 40-45 years while in United States and Caucasians, the peak incidence is in older age groups. Adjei (2006) pointed out that women of different places and environments, with different diets have similar epidemiology of breast cancer. In an argument which revealed number of breast cancer in African-Americans but rare in native African has been used to suggest that ethnicity is one factor of acquiring the disease, however, according to Adjei (2006), this information is leading because cancer has not been well-studied in Africa. Researchers are still finding their ways to fully disclose the correlation of genetic signature in breast tumors that are presently noted   to be a powerful predictor of cancer spread and cancer death. In a limited study conducted by Kolata (2002), she included few patients who are relatively. As she stated in her report, scientists said that the activity of a collection of 70 genes appear to predict cancer mortality   better than traditional measures like tumor size, cancer stage or lymph node spread to the axilla of women. She revealed in her study that 5.5% of women with good genetic signature died within the next decade while 45% of women are those of with bad genetic signatures. Adherence to the treatment regimen of breast cancer plays a big role in the improvement of disease outcome. There are no much literature about the factors associated to the behavior that influence the patient to delay or cause an incomplete adherence to the recommended follow up in patients with breast cancer. In a study conducted by Kaplan (2006), race/ethnicity, country of birth, financial issues fear of pain and difficulty of communicating with the healthcare providers are the barriers to seek follow up consultation Breast Cancer Screening: There was decline in breast cancer mortality rate of 0.9% in African American women while 2.1% was the decline in breast cancer mortality rate in non-Hispanic White women (Stewart et al 2004 as stated by Settersten , Dopp, and Tjoe, (2005).    On the contrary, De Koning (2000), questioned in his study the cost effectiveness of breast cancer screening. His idea came out when he analyzed his expectations of the reduction of breast cancer mortality after breast cancer screening. He stated in his study that the Dutch program of 2-yearly screening for women aged 50-70 would produce a 16% reduction in the total population. As stated in his research paper, the actual benefit that can be achieved from breast cancer screening programs is overstated. According to him breast cancer screening need to be carefully balanced against the burden to women and health care system. De Koning (2000) stated that â€Å"effects of breast cancer screening program depend on many factors such as epidemiology of the disease, the health care system, costs of health care, quality of the screening program and the attendance rate†. Groot, M. T. et al (2006) estimated the costs and health effects of breast cancer interventions in epidemiologically different regions of Africa, North America and Asia. They developed a mathematical simulation model of breast cancer using the different stages of cancer, its distribution and case fatality rates in the absence and presence of treatment as predictors of survival. The study resulted to a conclusion that untreated patients were the most sensitive to case fatality rates. This study suggest that treating breast cancer at stage 1 and introduction of an extensive breast cancer program are the most cost effective breast cancer interventions.   Ã‚   This study is supported by the research done by Aylin and colleagues (2005). They recruited women at the mammography clinic to evaluate the knowledge about breast cancer and mammography as breast cancer screening procedure. The striking result of this study is that most of the participants (95.3% of the total participants) were aware that women should have mammography screening periodically. They were informed of the fact that breast cancer screening such as mammography could help in the early detection of breast cancer. However, less than 50% of them admitted that they had never had mammography screening. Majority of the respondents (71.1%) were practicing breast self-examination. Another related study was conducted by Dundar and colleagues (2006), since breast cancer is the second leading cause of cancer deaths in Turkey , they determined the t the knowledge and attitudes of women in a rural area in western Turkey about breast self examination and mammography. They recruited women with age ranging from 20-64 years. Although majority of the participants have heard or read about breast cancer only 56.1% of them had sufficient knowledge about breast cancer and some admitted that they acquired the information from their health care professionals. Those with information of beast cancer were also those who practice breast self examination. This study revealed that health care professionals play a big role in information dissemination about breast cancer. Table 1. Recommendations for routine mammographic screening in North American women aged 40 years or older who are at average risk for breast cancer* Group (date of recommendations) Frequency of screening (yr) Included ages (yr)       40-49 50-69 >70 Government-sponsored and private groups US Preventive Services Task Force (2002)** 1-2 Yes Yes Yes*** Canadian Task Force on Preventive Health Care (1998, 1999, 2001) 1-2 No Yes No National Institutes of Health consensus conference (1997)    No+ — — American Cancer Society (1997) 1 Yes Yes Yes National Cancer Institute (2002) 1-2 Yes Yes Yes Medical societies American College of Obstetricians and Gynecologists (2000) 1-2 if aged 40-49 yr 1 if aged >50 yr Yes Yes Yes American Medical Association (1999) 1 Yes Yes Yes American College of Radiology (1998) 1 Yes Yes Yes American College of Preventive Medicine (1996) 1-2 No|| Yes Yes American Academy of Family Physicians (2001) 1-2 No+|| Yes No American Geriatrics Society (1999) 1-2 — — Yes*** Advocacy groups National Breast Cancer Coalition (2000)    No –+ No National Alliance of Breast Cancer Organizations (2002) 1 Yes Yes Yes Susan B. Komen Foundation (2002) 1 Yes Yes Yes The above table   was taken from the study conducted by Barton (2005) There are several ways presented and studied for breast cancer screening. Its concern is to reduce the prevalence of cancer mortality and to improve the quality of life as a result of early detection, however, there are still people that are not aware of breast cancer screening In response to increase the worldwide awareness of breast cancer, breast cancer advocacy movement has been analyzing the common experiences of women with breast cancer around the world especially those with limited resources. They found out that although there are language barriers, sentiments were consistent across cultures; cancer survivors have the same experiences and fears. The beliefs and taboos about breast cancer hinder the awareness programs and treatment. There are also limited resources for public education and awareness. Difficulty in understanding and translating the concept of the disease into English also hinders them in the public awareness of breast cancer (Errico and Rowden 2006). In accordance with this, sociological review of the barriers experienced by the women from different traditional cultures is essential not just to understand patterns of late breast cancer diagnosis but also the importance of interventions and programs. This is necessary for them to understand the preventive health care, specifically in breast cancer. This is because many are still ignorant of the breast cancer. According to Remennick (2006), health care providers and policymakers should try to understand and influence women especially those who are cancer risk to be aware of the disease to detect and treat breast cancer early. There are many structural barriers that hinder women especially those living in rural areas. Socioeconomic factors include poor health insurance, distance to medical facilities and inability to take time off work. Organizational barriers include difficulty in navigating complex health care systems and interacting with medical staff. Psychological and sociocultural barriers are poor health motivation, denial of personal risk, fatalism mistrust of cancer treatments and fear of becoming a burden on the family members. Still in other cultural behavior, especially in Muslims, women are strongly controlled by men and therefore may prohibit women in breast cancer screening. Remennick (2006) includes in his study the different approaches that lower the mentioned barriers, including implementation of uplifting the educational programs that would enlighten people regarding cancer myths and fallacies. He suggests that health care professional must outreach to their co ethnics. Primary health care providers play a critical role in   determining the compliance with treatment and preventive practices through direct recommendations to their patients. Family physicians and general internists showed that 70% of women who received a provider referral completed a screening mammography within one year versus only 18% of self-referred women (Grady   et al 1997 as stated by Santora 2003). However, Over 90% of rural women report that a doctor’s recommendation to have breast cancer screening is â€Å"important† (Sparks et al 1996 as stated by Santora 2003). It should be noted that clinician compliance is contributed by several factors such as relation with provider, guideline of the treatment, patient’s behavior and environmental factors. Several studies have been conducted to report the   differences of health services in rural, urban and suburban areas with regards to their   health care services in the family practice clinics. It has been pointed out that lower utilization has been a significant factor. Those rural health practitioners have less access to health care services.   In a study done by   Pol and his colleagues (2001), suggested that rural health services do not lag for patients with access after revealing that 9 out of 16 services examined were as high or higher in rural areas. Another   study to examine the variations in breast cancer screening among primary care clinicians by geographic location of   clinical practice was done by Santora (2003). Physicians, nurse practitioners and physician assistants were included in the study and were classified into urban, rural and suburban categories based upon practice location. The study revealed that although there was no significant difference in the practice location, there was evident variation in the practice of   breast screening. It was reported that urban and suburban health practitioners were less compliant with the use of breast cancer guidelines as compared to clinicians in rural areas.   Primary care clinicians, including physicians, nurse practitioners and physician’s assistants lack a consistent. This study revealed   that geographical location is not the main factor of inconsistent medical approach to breast cancer screening. Although the difference in the approaches to the procedure is uncertain in this study. A related study about General Practitioners’ (GP’s) knowledge, beliefs and attitudes toward breast screening, and their association with practice based-organizations of breast cancer screening, was conducted by Bekker, Morrisona and Marteau (1999). This study revealed that women’s attendance for breast cancer screening may be increased due to raising GP’s perceptions of the   threat of breast cancer. General practitioners addressed their concerns about the procedure and enhanced their views on the importance of primary health care in breast cancer screening programs. REFERENCE Adjei, A. A., 2006, â€Å"A final word about genetic differences†, American Association for Cancer Research, Available at http://www.aacr.org/page4444.aspx. American Cancer Society 2005, Available at: http://www.cancer.org/docroot/CRI/content/CRI_2_2_1X_What_is_breast_cancer_5.asp Anderson, B. O. et al, 2006, â€Å"BREAST HEALTH GLOBAL INITIATIVE Breast Cancer in Limited-Resource Countries: An Overview of the Breast Health Global Initiative 2005 Guidelines†, The Breast Journal, vol 12 no. 1, pp. S3–S15. Aylin et al, 2004, â€Å"Knowledge about breast cancer and mammography in breast cancer screening among women awaiting mammography†, Turkey Medical Journal Science, vol 35, pp 35-42, Available at http://journals.tubitak.gov.tr/medical/issues/sag-05-35-1/sag-35-1-6-0409-8.pdf Bakken, S. 2002, Acculturation, knowledge, beliefs, and preventive health care practices regarding breast care in female Chinese immigrants in New York metropolitan area. Barton, M. B. 2005, â€Å"Breast cancer screening: benefits, risks and current controversies, Symposium on Women’s Health, vol 118 no 2, pp. 27-36, Available at http://www.postgradmed.com/issues/2005/08_05/barton.htm Bekker, H., Morrisona, L. and Marteau, T. 1999, â€Å"Breast screening: GPs’ beliefs, attitudes and practices†, Family Practice, vol 16 no. 1, pp.60-65, Available at   http://fampra.oxfordjournals.org/cgi/content/full/16/1/60 Bese, N.S. 2006, â€Å"ORIGINAL ARTICLE: LIMITED-RESOURCE INTERVENTIONS Radiotherapy for Breast Cancer in Countries with Limited Resources: Program Implementation and Evidence-Based Recommendations†, The Breast Journal, vol 12 no. 1, pp. S96–S102. De Koning, H. J., 2000, â€Å"Breast cancer screening; cost-effective in practice?†, European Journal of Radiology, vol 33 no. 1, pp. 32-37, Available at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10674787&dopt=Abstract Dà ¼ndar et al, 2006, â€Å"The knowledge and attitudes of breast self-examination and mammography in a group of women in a rural area in western Turkey†, BMC Cancer vol 6 no 43, Available at http://www.biomedcentral.com/1471-2407/6/43 Eniu, A. 2006, â€Å"BREAST HEALTH GLOBAL INITIATIVE Breast Cancer in Limited-Resource Countries: Treatment and Allocation of Resources†, The Breast Journal, vol 12 no. 1, pp. S38–S53 Errico, K. M. and Rowden, D. 2006. â€Å"Sociocultural barriers to care, Experiences of breast cancer survivor- Advocates and advocates in the countries with limited resources: a shared journey in breast cancer advocacy†, The Breast Journal, vol 12 no. 1, pp. S111–S116 Graham, M. E. 2002, â€Å"Health beliefs and self breast examination in black women†, Journal of Cultural Diversity, Available at http://www.findarticles.com/p/articles/mi_m0MJU/is_2_9/ai_93610993 Groot, M. T. et al, 2006, â€Å"ORIGINAL ARTICLE: GLOBAL EPIDEMIOLOGIC METHODS Costs and Health Effects of Breast Cancer Interventions in Epidemiologically Different Regions of Africa, North America, and Asia†, The Breast Journal, vol 12 no. l. pp. S81–S90. Kaplan, C. P. 2006, â€Å"Barriers to Breast Abnormality Follow-up: Minority, Low-Income Patients’ and Their Providers’ View†, Ethnicity & Disease , vol. 15 no. 4, pp. 720–726, Available at http://apt.allenpress.com/aptonline/?request=get-abstract&issn=1049-510X&volume=015&issue=04&page=0720. Kolata, G. 2002, â€Å"Breast Cancer: Genes Are Tied to Death Rates†, SusanLoveMD.org, Available at http://www.susanlovemd.com/community/flashes/in-the-news/news021219.htm Kurian, A., 2006, â€Å"Cost-effectiveness of Breast MRI Screening by Cancer Risk†, Available at http://www.cbcrp.org/research/PageGrant.asp?grant_id=4018 Mitchell, J. et al. 2002, â€Å"Religious Beliefs and Breast Cancer Screening†, Journal of Women’s Health, vol 11 no 10, pp.   907-915 Okobia et al, 2006, â€Å"Knowledge, attitude and practice of Nigerian women towards breast cancer: A cross- Sectional study†, World Journal of Surgical Oncology, vol 4 no 11, Available at http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1397833 Parkin, M. D. and Fernandez, L. M., 2006, â€Å"ORIGINAL ARTICLE: GLOBAL EPIDEMIOLOGIC METHODS Use of Statistics to Assess the Global Burden of Breast Cancer†, The Breast Journal, vol 12 no. 1, pp. S70–S80. Paterniti, A. D. 2006, â€Å"â€Å"I’m Going To Die of Something Anyway†: Women’s Perceptions of Tamoxifen for Breast Cancer Risk Reduction†, Ethnicity & Disease, vol. 15 no. 3, pp. 365–372, Available at http://apt.allenpress.com/aptonline/?request=get-abstract&issn=1049-510X&volume=015&issue=03&page=0365. Pol, L. G. et al, 2001, â€Å"Rural, urban and suburban comparisons of preventive services in family practice clinics†, Journal of Rural Health, vol 17 no 2, pp 114-121. Reichenbach, L., 2002, â€Å"The Politics of Priority Setting for Reproductive Health: Breast and Cervical Cancer in Ghana†, Reproductive Health Matters, vol 10 no 20, pp. 47-58. Remennick, L. 2006, â€Å"ORIGINAL ARTICLE: SOCIOCULTURAL BARRIERS TO CARE The Challenge of Early Breast Cancer Detection among Immigrant and Minority Women in Multicultural Societies†, The Breast Journal, vol 12 no 1, pp. S103–S110. Rimer, B. R. 1995, Adherence to Cancer Screening, Available at https://www.moffitt.usf.edu/pubs/ccj/v2n6/article4.html Santora, L M. 2003, â€Å"Breast cancer screening beliefs by practice location†, BMC Public Health, vol 3 no 9, Available at http://www.biomedcentral.com/1471-2458/3/9. Settersten, L., Dopp, A. and Tjoe, J., 2005, â€Å"Breast cancer epidemiology: Myths and science†, Available at http://www.son.wisc.edu/ce/programs/asynch/bccd/1-introduction.htm. Shyyan, R. et al, 2006, â€Å"BREAST HEALTH GLOBAL INITIATIVE: Breast Cancer in Limited-Resource Countries: Diagnosis and Pathology†. The Breast Journal, vol 12 no.1, pp. S27–S37. Smith, R. A. et al, 2006, â€Å"BREAST HEALTH GLOBAL INITIATIVE: Breast Cancer in Limited-Resource Countries: Early Detection and Access to Care†, The Breast Journal, vol 12 no.1, pp. S16–S26. Wallace, L. S. and Gupta, R. 2003, â€Å"Predictors of Screening for Breast and Colorectal Cancer among Middle-aged Women†, Family Medicine Journal, vol 35 no 5, pp. 349-354 †Weight Gain a Big Factor in Postmenopausal Breast Cancer†, 2006, Journal of the American Medical Association, Available at http://www.aphroditewomenshealth.com/news/20060612001144_health_news.shtml Yip, C. H. et al, 2006, â€Å"BREAST HEALTH GLOBAL INITIATIVE: Breast Cancer in Limited-Resource Countries: Health Care Systems and Public Policy†, The Breast Journal, vol 12 no. 1, pp. S54–S69.

American History The Problem of Education in American Culture

American History The Problem of Education in American Culture Education plays an important role in the life of every person. Usually, students’ life may be considerably changed after students enter a college. Students have to choose their professions, think about future life goals, define moral principles, and get experience. Unfortunately, nowadays, students face numerous problems in education: race and sex inequality, school vouchers, private or public education, requirements for distant education, and lack of teachers.Advertising We will write a custom essay sample on American History: The Problem of Education in American Culture specifically for you for only $16.05 $11/page Learn More Each of these issues influences considerably the choice of future education and profession. Students, whose families have low income, usually lag behind, and students, who come from other countries, face language and communication barriers. To solve the problem of education in America, it is necessary to analyze and improve edu cation policies, extirpate the problem of racism, create programs to help students who cannot choose institutions according to their own interests, and find more motivation for teachers. One of the current problems of education in American culture is students’ unwillingness to study. Kids do not want to go to schools/colleges just because of lack motivation and unawareness of education importance. Nowadays, young people have lots of alternatives to education: free-lance jobs, family business, or marriages for money. They just do not want to realize the importance of education and chances they can get. It is necessary to clear up who and how can influence children’s choice, first of all, and then, think over possible ways to inspire children. It is possible to create certain programs, which will introduce the basics of education and underline how the life of every student may be changed after entering an institution. Parents may be provided with the necessary tools in o rder to prepare their children for entering a school/college. â€Å"Students unmotivated to learn are not apt to be as systematic in their learning efforts. The may be inattentive during the lesson and not organized or rehearse material.† (Schunk, Pintrich, and Meece 6) Another issue that deserves attention is the problem of racism in education. It is still unknown why so many discussions concerning race inequality take place in institutions, and no concrete solutions can be presented. The fact whether you are black or white plays a crucial role in the process of choosing school or college. It is high time to solve this problem and analyze what causes the conflicts between students of different races. For example, â€Å"In Midshire University widening participation strategy in colour and culture blind. Initiatives have been mounted to build compact with schools and further education colleges in order to facilitate access.† (Law, Phillips, and Turney 23)Advertising Looking for essay on history? Let's see if we can help you! Get your first paper with 15% OFF Learn More Is it so important to consider the color of your skin when getting education? Why is it so difficult for lots of people to close eyes as for race and nationality? Such questions are needed to be answered with the help of numerous questionnaires and surveys. These investigations should involve either students or teachers, or parents. Maybe, analyzing this question from different perspectives will help to improve educational policies. For lots of students, the choice of school/college creates numerous difficulties. Nowadays, education is not cheap, and not every family may allow their child/children enter any institution they want. Some families have low income that makes entering a college a bit problematic. As a result, talented students are deprived of the opportunity to get the necessary education and become real professionals in a certain field. This is why the idea of school vouchers takes an important place. With the help of school vouchers, families can pick out any school/college for their children according to their own preferences. In the United States, school vouchers’ support is a bit mixed. Not every state supports educational vouchers and presents quite persuasive ideas (financial difficulties, unlimited number of students, etc). Certain subsidy limitations have been adopted, so, most likely, students can get school vouchers if they win some contests or present interesting projects to demonstrate and prove their abilities and skills. Also, it is necessary to admit that the implementation of school vouchers is one more way to motivate students for studying. School voucher programs should be color blind, so that every student has an opportunity to get education in any institution he/she wants. However, not only students are needed to be motivated. Today, lack of teachers creates one more problem in education in the Unit ed States. Nowadays, lots of unskilled teachers are hired in order to provide students with good education. Is it possible that a teacher with lack of experience can study a child in a good way? Hardly! This is why government also needs to think about the conditions, which will be appropriate for both students and teachers, and which will stimulate them. Only a few people agree to work for low salary. Salaries of teachers is changed from $25  000 to $84  000. (Nelson and Drown) Living wages are too high, and people usually change their jobs in order to find something profitable. To my mind, it is high time to remember people that children are our future. Without necessary education, children will not get opportunities to live normal life and earn money, and our future will be under a threat. This is why all people who can teach should remember their predestination and start teaching. In its turn, government should find necessary financial support to provide teachers with good sa laries in order these teachers could study children.Advertising We will write a custom essay sample on American History: The Problem of Education in American Culture specifically for you for only $16.05 $11/page Learn More In spite of the fact that education plays a significant role in the life of every person, students face numerous problems as for choosing an institution and career. Not every family may allow their children get the desirable education, and some students face racial and sex problems during their education. In order to improve education conditions in the United States, it is crucially important to solve the problems as for the lack of teachers and remind them of the importance of educating; to diminish the ideas of race inequality; to provide appropriate conditions for education; and to develop school voucher programs in order to motivate students in spite of his/her social status. Outline Introduction Nowadays, students face numerous probl ems in education: race and sex inequality, school vouchers, private or public education, requirements for distant education, and lack of teachers Thesis Statement To solve the problem of education in America, it is necessary to analyze and improve education policies, extirpate the problem of racism, create programs to help students who cannot choose institutions according to their own interests, and find more motivation for teachers. Supporting paragraph One of the current problems of education in American culture is students’ unwillingness to study. Thesis: It is possible to create certain programs, which will introduce the basics of education and underline how the life of every student may be changed after entering an institution. Supporting paragraph It is still unknown why so many discussions concerning race inequality take place in institutions, and no concrete solutions can be presented.Advertising Looking for essay on history? Let's see if we can help you! Get your first paper with 15% OFF Learn More Thesis: It is high time to solve this problem and analyze what causes the conflicts between students of different races. Supporting paragraph Today, lack of teachers creates one more problem in education in the United States. Thesis: It is high time to remember people that children are our future. Without necessary education, children will not get opportunities to live normal life and earn money, and our future will be under a threat. Conclusion In order to improve education conditions in the United States, it is crucially important to solve the problems as for the lack of teachers and remind them of the importance of educating; to diminish the ideas of race inequality; to provide appropriate conditions for education; and to develop school voucher programs in order to motivate students in spite of his/her social status. Law, Ian, Phillips, Deborah, Turney, Laura. Institutional Racism in Higher Education. Trentham Books, 2004. Print. Nelson, Howard, F., Drown, Rachel. Survey and Ana lysis of Teacher Salary Trends 2002. Washington: American Federal Teachers, 2003. Schunk, Dale, H., Pintrich, Paul, R., Meece, Judith, L. Motivation in Education: Theory, Research, and Applications. Pearson/Merrill Prentice Hall, 2007. Print.

The Designer of the Statue of Liberty

The Designer of the Statue of Liberty Frederic Auguste Bartholdi, best known for designing the Statue of Liberty, had a diverse background that inspired his career as a sculptor and monument creator.   Early Life Frederic Auguste Bartholdi’s father died soon after he was born, leaving Bartholdi’s mother to pack up the family home in Alsace and move to Paris, where he received his education. As a young man, Bartholdi became something of an artistic polymath. He studied architecture. He studied painting. And then he became enthralled by the artistic field that would occupy and define the rest of his life: Sculpture. A Budding Interest in History and Liberty Germany’s seizure of Alsace in the Franco-Prussian War seemed to ignite in Bartholdi a fierce interest in one of the  founding French principles: Liberty. He joined the Union Franco-Americaine, a group dedicated to fostering and commemorating the commitments to independence and liberty that united the two republics. The Idea for the Statue of Liberty As the centennial of America’s independence approached, French historian Edouard Laboulaye, a fellow member of the group, suggested presenting the United States with a statue commemorating the alliance of France and the United States during the American Revolution. Bartholdi signed on and made his proposal. The group approved it and set about raising more than a million francs for its construction. About the  Statue of Liberty The statue is constructed of copper sheets assembled on a framework of steel supports designed by Eugene-Emmanuel Viollet-le-Duc and Alexandre-Gustave Eiffel. For transit to America, the figure was disassembled into 350 pieces and packed in 214 crates. Four months later, Bartholdi’s statue, â€Å"Liberty Enlightening the World,† arrived in New York Harbor on June 19, 1885, almost ten years after the centennial of America’s independence. It was reassembled and erected on Bedloes Island (renamed Liberty Island in 1956) in New York Harbor. When finally erected, the Statue of Liberty stood more than 300 feet high. On October 28, 1886, President Grover Cleveland dedicated the Statue of Liberty before thousands of spectators. Since the 1892 opening of nearby Ellis Island Immigration Station, Bartholdis Liberty has welcomed more than 12,000,000 immigrants to America. Emma Lazaruss famous lines, engraved on the statues pedestal in 1903, are linked to our conception of the statue Americans call Lady Liberty: Give me your tired, your poor,Your huddled masses yearning to breathe free,The wretched refuse of your teeming shore.Send these, the homeless, tempest-tost to me - Emma Lazarus, The New Colossus, 1883 Bartholdis Second-Best Work Liberty Enlightening the World was not Bartholdi’s only well-known creation. Perhaps his second-best-known work, the Bartholdi Fountain, is in Washington, DC.

CRIME MAPPING Assignment Example | Topics and Well Written Essays - 2250 words

CRIME MAPPING - Assignment Example This paper makes out the most logical step in crime mapping based on the prior introduction of 3D computer aided crime mapping that enables individuals to scrutinize a crime or felony in all dimensions. Factors such as the benefits and liabilities associated with crime mapping, ways in which 3D technology is used to deal with social problems of crime, as well as the privacy issues and constitutional rights issues of crime mapping will also be investigated. Introduction According to Wrobleski & Hess (2005), crime mapping is a process that allows law enforcers to create in your mind or envision the distribution of delinquency within a particular region. Mapping makes available a lifelike and detailed illustration or demonstration of transgressions as well as other linked factors. Law makers can either create straightforward or complex illustrations. It is important to posit that straightforward illustrations aid the police in identifying areas that need intensified patrols. Complicated illustrations aid strategy creators and detectives to monitor movements hence making it easier to react or take action when a crime is taking place. Boba (2005), on the other hand, asserts that law enforcers can incorporate the use of scientific or computer aided illustrations to comprehend the attacking modes of murderers or assassins, identify the residences or dwelling places for criminals, and also make out subsequent areas for attacks. In the modern world, law enforcers in many countries have adopted the use of mapping technology to establish the position of a caller hence making it possible for officers reacting on the call have first hand proof. This is important as it ensures the security and wellbeing of law enforcers is upheld when reacting to urgent situations. Practical and procedural severity in the avoidance and control of transgressions has been witnessed to advance and progress over the recent past. This has been as a result of a joint venture among scientific inves tigators and other concerned parties (Boba, 2005). This has been coupled with the introduction of accessible and easy to use Geographic Information Systems which has been endorsed to present and offer important methodical and investigative devices or instruments for the detection and investigation of issues of delinquency and also growth and expansion of delinquency deterrence strategies. The most significant future prospect of crime mapping is the fact that it has the capability of discovering and classifying early indications of a crime through a point in time. Another assurance of crime mapping is the capability to enlighten a practical advancement towards crisis resolution and deterrence of transgression within the law enforcement component of the criminal justice system (Chamard, 2006). There have been efforts in the recent past to design novel designs of mapping software though most of these are in their infant phases of development. 1. Logical step to take with introduction o f 3D crime mapping technology Since there has been the introduction of a 3D computer generated mapping technology, the next reasonable step would be to foretell future crimes. This is because the capacity to forecast the position or locality of potential felonies that might happen provides an important and helpful foundation of information that can be beneficial in combating future crime. Chamard (2006) argues that forecasting the happening of future felonies in form of prophetic analysis may update and enlighten the law enforcers on where to position and set up security operations. This can also assist in identifying areas that require frequent patrols by law enforcers. Putting up cameras in every corner of streets in major towns and neighborhoods enables inspection of regions

The principle ,method and applications of fluid pressure measuring Coursework

The principle ,method and applications of fluid pressure measuring - Coursework Example For example, the pressure at the bottom of a dam is equivalent to the ratio of the weight and the area of the column covered by the water. Fluid pressure can be caused by acceleration, gravity or hydraulic systems those results into force thus affecting static fluid pressure. Fluid pressure applies in all directions hence internal pressure of a fluid is equivalent to the external. In this regard, if either pressure is different (internal or external) the object holding the fluid would break. This principle explains the reasons why dams are always constructed thicker at the bottom. The fluid pressure increases as you go deep through the fluid column. The fluid pressure at any point in this case depends on how deep that point is from the surface of the water. If the surface of the water is flat or if the water surface is not tilted to any side, then pressure at point having the same level of depth will always be the same. However, other factors such as can affect fluid pressure. Having described what fluid pressure entails, it is imperative to discuss how this fluid pressure is measured. The theory and principles of fluid pressure measuring Fluid pressure is measured by application of the first principle mentioned in the introduction above that fluid pressure is the force exerted by fluid per unit area. It is also important to note that the intensity of transmission of fluid pressure is equal to all directions. This is expressed in Pascal’s law of pressure Pascal’s law of pressure This law was established by a French Blaise Pascal and states that pressure is exerted and transmitted equally in a confined and non compressible fluid thus the initial variations is always the same (Balachandran 2006, p. 237). In this regard, pressure change at any point of the fluid is transmitted wholly to every point of the fluid. Pascal’s principle is used to derive the equation for measuring fluid pressure and changes in fluid pressure. The following diagram d escribes how Pascal’s principle is demonstrated by the fact that the fluid pressure at any point is equal in all the directions. Fluid static law The fluid static law states that increasing depth of fluid results into the increase in pressure (Balachandran 2006, p. 238). This law is also referred to as hydrostatic law which implies that fluid pressure is directly proportional to the depth of the fluid The pressure depth equation For static fluids, the pressure p at depth h and weight w of the fluid can be expressed as Pressure (p) = height of the fluid (h) x density of the fluid (w) The above equation describes the formulae for fluids that are standing still thus this formula describe the force exerted per unit area. The above equation can be used to derive the equation for the total force that is exerted by the fluid on a horizontal base. Since the above equation simply tells us the force exerted per unit area, to get the total force, we multiply force exerted per unit area by the total area of the horizontal base. F = force per unit area (wh) x area (A) = whA The above equation is used to calculate pressure especially when a horizontal plate is submerged in water. The above equation gives the total force exerted on the upper face as a result of fluid pressure. However, when such plate is submerged vertically, then, pressure will vary depending on the height of the fluid column. Pressure = Force p = F/A Area over which the force is applied In this