Reflective Statement Essay Example for Free

Reflective Statement Essay For this module, we are required to do an assignment with regards of SME company. The purpose of writing the report is to analyze the key internal issues the management is likely to face when strategizing their marketing formula. Besides, we are also required to provide a practical recommendation for the company. For this project, the class was divided into 3 groups and each group consists of 3 members. My group members are Miss Tai Geok Yeong and Miss Sharanya. Discussions among group members were held 4 times, on the 29th October, 2nd November, 4th November and 6th November, respectively. Besides of our normal eeting in college, the discussions also were held through the MSN chat and email. Each of our group members was allocated with task and although conflicts arise during the discussion, we still managed to solve the problem. In my opinion, conflict in a group is not necessarily bad and we use several of techniques in order to resolve conflicts like compromising and exercises work delegation. Throughout completing the task CareKoolTint Sdn Bhd, I have gained lots of new information about SME and the company. In order to get more facts about the company, we held an interview with one of their sales representatives on 2nd November 2009. From the 1 hour interview, we managed to gather the information needed for this project, which for example are, their current marketing strategies and the companys internal issues. One important lesson I learnt from the interview is that, even though small firms is not properly structured, it does not mean that SMEs do not engage in marketing. It is only that, they are doing marketing according to their own terms and not according to a theoretical framework. Other than interviewing the sales representatives, my group and I also did a research based from their websites and also by reading books. It is important so that e will have a broader view on the business environment and help us to write the task more accurately. In order to complete the task, I read Marketing and Entrepreneurship in SMEs, Principles of Marketing by Philip Kotler and Fundamentals of Management to have a better understanding about SME and its management as well as several websites related to the topic which for example SME Info Portal. This whole process, I believe has improved both my knowledge and skills. I learnt how to work with others as a team, it taught me how to compromise as I need to be open in accepting other people ideas or opinion and also in handling conflicts. In addition to that, basically, I am more knowledgeable on this topic. From the research, I discovered various type of SME in Malaysia which can classified under 3 category that are Primary Agriculture, Manufacturing (including Agro-Based) ; MRS, Services Sector (including CT) . Furthermore, I am also more aware on characteristics needed to be an entrepreneur, and one essential trait they must have is to be a risk taker. This is important as SME business environment is very uncertain and whenever they make a wrong decision, it may affect their business as a whole.

A Critical Analysis on William Blake Essay Example for Free

A Critical Analysis on William Blake Essay As romanticism flourished in Europe in the late eighteenth and early nineteenth century in European culture one of the figures that stood foremost was William Blake. A poet, an engraver-putting it simply, an artist, many have raised an eyebrow with his lifestyle and works. Being a lyric poet, a visionary and even a mystic at times people have come to doubt his state of mind, whether or not he truly was an artist or simply insane. Wordsworth, for example, commented that there is no doubt that this poor man was mad, but there is something in his madness which interests me more than the sanity of Lord Byron and Walter Scott and John Ruskin similarly felt that Blakes work was diseased and wild, even if his mind was great and wise(Dover,1998). Looking into Blake’s background, we find that he lived an impoverished life in what we could say, was almost absolute seclusion. His interest in outside ideas rested on being able to refute them. Blake’s seclusion was not simply limited to isolation from other beings, it was also an isolation of the mind; which has lead to many great works which differ in style. Blake’s writings have ranged from lyrical such as his Auguries of Innocence (Erdman and Bloom, 1965) as seen: To see a world in a grain of sand And heaven in a wild flower Hold infinity in the palm of your hand And eternity in an hour. through highly elaborate apocalyptic and visionary . He purposely wrote in the manner of the Hebrew prophets and apocalyptic writers. See more: how to write a critical analysis essay step by step He envisioned his works as expressions of prophecy, following in the footsteps (or, more precisely stepping into the shoes) of Elijah and Milton. In fact, he clearly believed himself to be the living embodiment of the spirit of Milton (Gastfield, 2007). On other occasions, Blake’s way of writing shifted to a highly speculative and paradoxical view which is very much evident in his The marriage of Heaven and Hell (Erdman and Bloom, 1965) where he writes: If the doors of perception were cleansed everything would appear to man as it is, infinite. This also particularly expressed his rebellion against the established values during this era. Blake accepted nothing and had a yearning so deep, for all that is intangible and unbounded to man under the dominion of God, matter, and reason (Kazin,1997). He was a man who had all the divergence of human existence in his hands, and he never forgot that it is the role of man to be able to find a solution for them. Although his contemporaries may have thought him as insane and having a diseased mind, William Blake was far ahead of his time being a visionary. A non conformist who embraced radical thinking, his works have influenced the lives of a great number of people, even being acclaimed by the underground movement. Having such great talent, and having so many ideas go through his mind, his works were merely an expression of the world that he lived in. A mind which privileged imagination over reason; and believed that ideal forms should be created not by which our eyes allow us to see but by that which our mind allows us to see. It is indeed only through the mind of a genius that such great works could be produced. REFERENCES Dover, Richard. â€Å"William Blake and English Poetry† Willaim Blake: A Helpfile 21October 1998 North East Wales Institute, K. 12 September 2007 http://www. newi. ac. uk/rdover/blake/index. htm Erdman, David and Bloom, Harold. The Complete Poetry and Prose of William Blake. Berkley: UC Press, 1965 Gastfield, Gail. â€Å"William Blake† The William Blake Page, 2007, The William Blake Page 12 September 2007 http://www. gailgastfield. com/Blake. html Kazin, Alfred. â€Å"AN INTRODUCTION TO WILLIAM BLAKE† 4 July 2007. Multi Media Library. 12 September 2007 http://www. multimedialibrary. com/Articles/kazin/alfredblake. asp

Pharmacy is a health profession

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

How much more is Jane Eyre than just a piece of romantic fiction? :: Free Essay Writer

How much more is Jane Eyre than just a piece of romantic fiction? All the qualities of a typical romantic fiction are certainly found in ‘Jane Eyre’. The usual qualities found in romances are a Hero and Heroine. They can have some tension between them before finally falling in love but something gets in their way, eventually they over come all odds and get to be together in the end. Obviously Jane is the Heroine and Mr. Rochester is the Hero, and as in most romances, the story is told through the eyes of the Heroine. ‘Jane Eyre’ starts off with Jane’s childhood to allow the reader to get to know Jane and sympathize with all her views and feelings. When Jane first moves to Thornfield Hall the romance starts. To build up the tension for the reader Jane is at first denying her feeling. â€Å"it was rather a trial to appear thus formally summoned in Mr. Rochester’s presence† It is obvious to the reader what is going to happen and frustrating that Jane will not admit that she likes him this is very typical of a romance. It follows on conforming to the romance stereotype when Jane admits her feelings but something gets in the way. At first this is Blanche Ingram, Jane is convinced by things people have said that she is going to Marry Mr. Rochester. â€Å"And did I now think Miss Ingram such a choice as Mr. Rochester would be likely to make?† This is providing a barrier against them getting together in the straight forward way of just Blanche Ingram but she also stands to represent looks and class. She is a lot prettier than Jane and this tests Mr. Rochester to see if he is the deep thinking man Jane thinks he is. Also Jane is of a lot lower class than Blanche Ingram and it would have seemed strange at the time ‘Jane Eyre’ was written for Mr. Rochester to chose Jane. This is pushed aside and it seems like everything has started to go right for Jane. Then follows the clichà ©d romantic twist. Jane discovers Mr. Rochester’s wife. â€Å"this gentleman’s wife is still living† Everything falls apart for Jane. She runs away and begins to start a new life till the end of the novel when Jane finds out Mr. Rochester’s wife has died and they get married. â€Å"My Edward and I then are happy† As in all romances it comes to the happy ending to make the reader feel happy and satisfied. These were the ways in which ‘Jane Eyre’ followed the typical romance patterns for general romances. But there is much more to this novel.

Theme of Death in William Shakespeares Romeo and Juliet :: Romeo and Juliet Essays

Theme of Death in Romeo and Juliet Slash, cling, clank these are the sounds that are heard in a sword fight as a man is killed. In the play Romeo and Juliet by William Shakespeare the theme death is portrayed many times by the characters Marcutio, Romeo, and Juliet. The first instance of the theme death was in act 3 when Marcutio challenged Tybalt to a sword fight. "Ask for me tomorrow, and you shall find a grave man."(Act three, scene 1, line 104.) Also as Marcutio is dying he says "Help me into some house, Benvolio, Or I shall Faint." (Act 3, scene 1, line 113.) Both these quotes show how Marcutio portrayed the theme death. Second, Romeo is the next to portray the theme death. Now in Act 5, this is the time that Romeo shows the theme death. He has heard of Juliet's death and is so heartbroken that he goes to an apothecary to get poison so he can join Juliet in heaven. "To Juliet's grave; for there must I use thee." (Act 5, scene 1, line 93). Second when Romeo is about to drink the poison he says, "Here's to my love! [Drinks.] O true apothecary! Thy drugs are quick. Thus with a kiss I die. [Falls.]" (Act 5, scene 3, line 122). These quote show how Romeo loves Juliet. So much he will die to be with her." The next quotes show how Juliet's feelings are mutual to Romeo's. After Juliet wakes up from her death like coma she sees Romeo's dead corpse and notices that he had never got the message from the friar. "O churl! Drunk all, and left no friendly drop to help me after? I will kiss his lips. Haply some poison yet doth hang on them. To make me die with a restorative." The next quote shows how the poison has no effect on Juliet, and how she is so desperate to be with Romeo she will stab herself. "O happy dagger! [Snatches Romeo's dagger.] This is thy sheath; there rust, and let me die. [She stabs herself and falls.

Exploring Schizophrenia Essay example -- Research Paper Mental Disorde

Exploring Schizophrenia "Schizophrenia is a cruel disease. The lives of those affected are often chronicles of constricted experiences, muted emotions, missed opportunities, unfulfilled expectations. It leads to a twilight existence, a twentieth-century underground man...It is in fact the single biggest blemish on the face of contemporary American medicine and social services; when the social history of our era is written, the plight of persons with schizophrenia will be recorded as having been a national scandal." E. Fuller Torrey, M.D., Surviving Schizophrenia I personally don't know anyone with schizophrenia, or at least I don't think I do. Perhaps I don't realize that my neighbor is walking through life with a secret, like the homosexual who, afraid of society's unfounded prejudice, confusion, and doubts over issues not talked about, remains silent. For this reason, my interest in schizophrenia developed: not because I have been affected by the disorder in a direct (or even indirect) way, but precisely because I haven't. I haven't because mental disorders are not something discussed over coffee. In our society schizophrenia isn't everybody's problem, and so most are content not to think – and consequently not to do – anything about it. My concern with schizophrenia stemmed from the unknown; thus it was fitting that my search to discover facts about it steadily uncovered more gray areas. What are the causes of schizophrenia? No one knows for certain. The symptoms? They vary. What about treatments? They too have varied throughout history and current treatment differs from case to case. Faced with the frustration of unanswered queries, I began to wonder why I chose this topic. However, that is the nature of scienc... ...: Longman Publishers USA, 1997. Keefe, Richard & Philip Harvey. Understanding Schizophrenia. New York: The Free Press, 1994. Mortensen PB, Pedersen CB, Westergaard T, et al. "Effects of family history and place and season of birth on the risk of schizophrenia." New England Journal of Medicine 340 (1999): 603-8. O'Brien, Patrick. The Disordered Mind. New Jersey: Prentice-Hall, Inc., 1978. Rund, Bjorn Rishovd. How do neuroleptics affect cognitive dysfunctions in schizophrenia? Nordic Journal of Psychiatry 53.2 (1999): 121-125. Stephenson, Joan. "Schizophrenia researchers striving for early detection and intervention." Journal of the American Medical Association 281.20 (05/26/99): 1877. Swartzendruber, Phil. "Mainstreaming the marginalized." Printed in The Record (April 2, 1998). http://www.goshen.edu/record/1997-98/April2-1998/mainstream.html. Exploring Schizophrenia Essay example -- Research Paper Mental Disorde Exploring Schizophrenia "Schizophrenia is a cruel disease. The lives of those affected are often chronicles of constricted experiences, muted emotions, missed opportunities, unfulfilled expectations. It leads to a twilight existence, a twentieth-century underground man...It is in fact the single biggest blemish on the face of contemporary American medicine and social services; when the social history of our era is written, the plight of persons with schizophrenia will be recorded as having been a national scandal." E. Fuller Torrey, M.D., Surviving Schizophrenia I personally don't know anyone with schizophrenia, or at least I don't think I do. Perhaps I don't realize that my neighbor is walking through life with a secret, like the homosexual who, afraid of society's unfounded prejudice, confusion, and doubts over issues not talked about, remains silent. For this reason, my interest in schizophrenia developed: not because I have been affected by the disorder in a direct (or even indirect) way, but precisely because I haven't. I haven't because mental disorders are not something discussed over coffee. In our society schizophrenia isn't everybody's problem, and so most are content not to think – and consequently not to do – anything about it. My concern with schizophrenia stemmed from the unknown; thus it was fitting that my search to discover facts about it steadily uncovered more gray areas. What are the causes of schizophrenia? No one knows for certain. The symptoms? They vary. What about treatments? They too have varied throughout history and current treatment differs from case to case. Faced with the frustration of unanswered queries, I began to wonder why I chose this topic. However, that is the nature of scienc... ...: Longman Publishers USA, 1997. Keefe, Richard & Philip Harvey. Understanding Schizophrenia. New York: The Free Press, 1994. Mortensen PB, Pedersen CB, Westergaard T, et al. "Effects of family history and place and season of birth on the risk of schizophrenia." New England Journal of Medicine 340 (1999): 603-8. O'Brien, Patrick. The Disordered Mind. New Jersey: Prentice-Hall, Inc., 1978. Rund, Bjorn Rishovd. How do neuroleptics affect cognitive dysfunctions in schizophrenia? Nordic Journal of Psychiatry 53.2 (1999): 121-125. Stephenson, Joan. "Schizophrenia researchers striving for early detection and intervention." Journal of the American Medical Association 281.20 (05/26/99): 1877. Swartzendruber, Phil. "Mainstreaming the marginalized." Printed in The Record (April 2, 1998). http://www.goshen.edu/record/1997-98/April2-1998/mainstream.html.

Bite Me: A Love Story Chapter 6~7

6. The Vampire Parrots of Telegraph Hill A flock of wild parrots lives in the city of San Francisco. They are South American cherry-headed conures-bright green with a red head, a little smaller than a typical pigeon. No one is quite sure how they came to the City. It's likely that they are the descendants of animals caught in the jungle, then released to the city skies when they proved too wild to be kept as pets. They fly over the northern waterfront of San Francisco, foraging for fruit, berries, and blossoms, from the Presidio at the entrance of the Golden Gate Bridge, over Pacific Heights, the Marina, Russian Hill, North Beach, and all the way to the Ferry Building near the Oakland Bay Bridge. They are social, squawky, silly birds that mate for life and advertise their presence with a cacophony of beeps and cheeps that inspire smiles from residents, bewilderment from tourists, and hunger in predators, mostly red-tailed hawks and peregrine falcons. The parrots spend their nights high in the trees of Telegraph Hill, beneath the great concrete phallus of Coit Tower, sheltered from attack from hawks by the evergreen canopy overhead, and from all but the most ambitious cats, by the sheer altitude. But still, they are sometimes attacked, and although gentle creatures, they will fight back, biting with their thick, built-for-seed-crushing beaks. Which is what happened. The next morning after he witnessed the cat attack in the SOMA, the Emperor of San Francisco was awakened from a nest he'd made in one of the little stair gardens on Telegraph Hill, to hear parrots squawking in the trees. The sun was just breaking the horizon behind the Bay Bridge, turning the water red-gold under a blue morning mist. The Emperor crawled out from under a pile of carpet padding, stood, and stretched, his great joints creaking in the cold like ancient church doors. The men, Bummer and Lazarus, poked their noses out of the gray cloak, snuffled the dawn, then, with the call of the parrots, resolved themselves to morning and emerged like urgent butterflies to search for the perfect spot for the first wee of the day. The three watched as fifty or so squawking parrots circled Coit Tower and headed out toward the Embarcadero, where, suddenly, they all stopped flying, burst into flames, and fell like a smoldering storm of dying comets into Levi's Plaza. â€Å"Well, you don't see that every day,† said the Emperor, scratching Lazarus's ears through the bandages. The retriever was a doggy version of The Mummy, wrapped ears to tail in bandages after his last encounter with the vampire cats. The vet in the Mission wanted to keep him overnight, but the retriever had never spent a night away from the Emperor since they had found each other, and the vet had no accommodations for a large and burly monarch, let alone a feisty Boston terrier, so the three had bunked together under the carpet pad. Bummer chuffed, which translated from dog to: â€Å"I don't like it.† As the famous frog sang, it's not easy being green. 7. The Fog Comes on Little Cat Feet and Whatnot FOO Stephen â€Å"Foo Dog† Wong's fully bombed Honda drift machine was full of rats. Not completely full, the passenger seat was filled by Jared Whitewolf, Abby's backup BFF. (BBFF, really.) â€Å"Did you have to get all white ones?† Jared asked. He was six foot two, very thin, and paler than Death shagging a snowman. The sides of his head were shaved and in the middle he sported an unlaquered Mohawk, which hung in his eyes unless he was lying on his back or looking up. In addition to a floor-length black PVC cenobite coat, he was currently wearing Abby's thigh-high red platform Skankenstein ® boots, which was completely within his rights, as her current BFF. What bothered Foo was not that Jared had on girl's boots, but that he had on the boots of a girl with distinctly small feet. â€Å"Don't those hurt?† Jared tossed his hair out of his eyes. â€Å"Well, it's like Morrissey said, ‘Life is suffering.'† â€Å"I think the Buddha said that.† â€Å"I'm pretty sure Morrissey said it first-like, back in the eighties.† â€Å"No, it was the Buddha.† â€Å"Have you ever even seen a picture of the Buddha with shoes on?† Jared asked. Foo couldn't believe he was having this argument. What's more, he couldn't believe he was losing this argument. â€Å"Well, I have some Nikes upstairs that might fit you if you need to change shoes. Let's get the rats unloaded. I have to get to work.† Jared already had four plastic cages with two white rats in each stacked on his lap, so he unfolded himself out of the Honda and wobbled on the red platforms to the fire door of the loft. â€Å"Don't try to paint them black,† Jared said, peering into the Plexiglas boxes as Foo opened the door for him. â€Å"I tried that with my first rat, Lucifer. It was tragic.† â€Å"Tragic?† said Foo. â€Å"I'd have never guessed. Put them on the floor in the living room. I'll borrow the truck from work tomorrow and pick up some folding tables to put them on.† In addition to pursuing his degree in molecular biology, and variously rescuing Abby, formulating vampire serum, and tricking out his Honda, Foo still worked part-time at Stereo City, where he specialized in telling people that they needed a bigger TV. â€Å"You still have that job?† Jared said as he stumbled up the stairs. â€Å"Abby said you guys have total fuck-you money.† Why did she tell him? She wasn't supposed to tell him. Did she tell him everything? Why did she have to have friends at all? She'd given Jared five thousand dollars of Jody and Tommy's money for Hanukkah-despite the fact that neither one of them was Jewish. â€Å"Because I will not let mainstream society make me into the Christmas bitch of the zombie baby-Jebus, that's why,† she'd said. â€Å"And because he helped me take care of the Countess and Lord Flood when they were in trouble.† â€Å"I need to keep my cover,† Foo said. â€Å"For tax purposes.† That was partially true. He did need to keep up his cover, because, like Abby, he hadn't actually told his parents that he'd moved out. They were so used to him being at school, in the lab, or at work, that they hadn't really noticed that he hadn't been sleeping at home. It helped that he had four younger brothers and sisters, who were all carrying insane work and course loads. His parents were all about toil. As long as you were toiling, you were okay. They could smell toil from miles away, or the lack of it. He might be able to get away with living in his own loft with his spooky-sexy girlfriend, and doing bizarre genetic experiments on the undead, but if he quit his job they'd sense it in a second. It took Foo and Jared twenty minutes to get all the rats up the steps and lined up around the living room. â€Å"We're not going to hurt them, are we?† said Jared, holding up one of the plastic cages so he was eye to eye with its occupants. â€Å"We're going to turn them into vampires.† â€Å"Oh, cool. Now?† â€Å"No, not now. For now, you're going to need to feed them and make sure there's a water bottle in each of their cages,† Foo said. â€Å"Then what?† Jared asked, tossing his hair out of his eyes. â€Å"Then you can go home,† said Foo. â€Å"You don't need to observe them full-time until the experiment starts.† â€Å"I can't go home. I told my parents I was staying over at Abby's.† Foo was suddenly horrified at the thought of having to spend the night in the loft with a hundred rats, two bronzed vampires, and Jared. Especially Jared. Maybe he'd go home and leave Jared to watch the rats-make an appearance at home for the parents, so as to throw them off the trail of his non-toiling, loft-living, Anglo-girlfriend lifestyle. â€Å"You can stay here, then,† Foo said. â€Å"I'll be back in the morning.† â€Å"What about them?† Jared nodded toward the bronzed figures of Jody and Tommy. â€Å"What about them?† â€Å"Can I talk to them? I didn't get to finish telling Jody my novel.† Jared had spent a very long night telling Jody the first part of the novel he was going to write, an erotic horror story that starred himself and his pet rat, Lucifer 2. â€Å"Okay,† said Foo. He didn't really like thinking about the two people, well, vampires, but they seemed a lot like people, that he'd helped imprison in a bronze shell. It sort of gave him the willies, and that was highly unscientific. â€Å"But no touching,† he added. Jared pouted and sat down on the futon, about the only spot in the entire living-room-kitchen area not covered with plastic rat cages. â€Å"Okay, but will you help me get these boots off before you go?† Foo shuddered. It had been less than an hour since the cops led Abby away and already he missed her like a severed limb. It was embarrassing. How could hormones and hydrostatic pressure make you feel like this? Love was very unscientific. â€Å"Sorry,† Foo said. â€Å"Gotta jet.† A true hero, the kind Abby accused him of being, he knew, would have helped Jared. JARED Abby Normal had once offered to pay for a tattoo for Jared that read: Danger. Do not administer caffeine without adult supervision. Jared asked, â€Å"Can it be in red? Does it have to be on the forehead? Maybe on the side so I can grow my hair over it if I don't like it. Am I being emo? Do you want to play Blood-feast on Xbox? They have green fur iPod cases at Urban Outfitters. I love white chocolate mochas. Marilyn Manson needs to be dragged to death behind a clown car. Oh fuck, I'm so allergic to this eyeliner I could cry.† Abby said, â€Å"Oh my God, you're like Obnoxious and Annoying had an ass baby!† â€Å"What are you trying to say?† asked Jared. What she had been trying to say, although she didn't know it at the time, was that under no circumstances should Jared be left alone in an apartment with an abundance of time and espresso, which is what Foo had just done. So after feeding, watering, and naming all the rats (most given French names from Abby's copy of Baudelaire's Les Fleurs du Mal), Jared began brewing espressos and was nine demitasse cups into the afternoon when he decided to act out the remainder of his unwritten vampire adventure novel, The Dark of Darkness, for a hundred rats caged in plastic and two vampires encased in bronze. â€Å"So the evil Blood Queen dons her chrome strap-on of death and goes after Lucifer 2. But Jared Whitewolf is on her like a fat kid on a cupcake, parrying her blows with his dagger of death, or Dee Dee, as it is known.† Jared pirouetted, a move he'd learned in ballet class at age six, and slashed the air, low and fast, with the double-edged dagger held backhand so as to sever his imaginary enemy's femoral artery, a move he'd learned in Soul Assassin Five on the Xbox (although it was harder to do while wearing platform boots than it was in the video game). The dagger was real enough, twelve inches of double-edged high-carbon stainless steel with a dragon hilt. Jared carried it because he thought it made him look badass when doormen took it away from him at clubs. â€Å"And he strikes her weapon in half!† he said, leaping and bringing the blade around a little too fast. He turned his ankle, lost his balance, and as he fell, the dagger put a deep nick in the bronze statue. â€Å"Ow!† He sat on the floor holding his ankle and rocking back and forth in the yoga position known as the â€Å"freaked-out half-lotus.† Then he noticed the gash he'd put in the bronze, directly over Jody's right clavicle. â€Å"I'm sorry, Countess,† Jared said, still a little breathless from his battle. â€Å"I didn't mean to hurt you. It's just that I had to save Lucifer 2. You'd do the same thing for Lord Flood if he was in the story.† Jared buffed at the bronze with his sleeve, but the gash was deep and wasn't going to go away with polishing. â€Å"Abby's going to kill me. I'll patch you, Countess. Just hang on. Toothpaste. We used it on the wall that time we drank Abby's mom's vodka and played cross-country darts in her living room. Hang on a minute.† Jared let the heavy dagger drop to the floor, climbed to his feet, winced, then limped off to the bathroom to look for toothpaste. He located a tube of all natural tartar control with baking soda just as the sun dropped under the horizon in the west. Out in the living room, a needle-thin stream of mist began leaking out of the gash he'd made in the bronze statue. Toothpaste probably wouldn't have fixed it. THE ANIMALS In the last two months, the Animals, the night stock crew at the Marina Safeway, had hunted an ancient vampire, blown up his yacht, stolen millions of dollars' worth of art, sold it for pennies on the dollar, spent the remaining hundreds of thousands on gambling and a blue hooker, got turned into vampires, were torn apart by zoo animals, then burned up by sunlamps when they attacked Abby Normal, then turned, by Foo, back into seven guys who stocked shelves at the Safeway and smoked a little too much weed. And as it often is with adventurers, after the adventure, they were feeling a little bored, and a little worried that nothing exciting would ever happen to them again. After you've battled the darkness, then become the darkness, then shagged the darkness, frozen turkey bowling and skiing behind the floor-scrubbing machine just doesn't hold the same thrill. After you've shared a blue prostitute with your buddies to the tune of a half a million dollars, only to have her kill and resurrect you before disappearing into the night, swapping stories of banging babes was a bit of an anticlimax. After all, they worked nights and the oldest of them, Clint, was only twenty-three, so most of their stories were gross exaggerations, wishful thinking, or outright lies anyway. Even crucifying Clint with zip ties on the potato chip rack every other Friday didn't seem fun anymore, and last week they had just left him hanging, thrashing in the Doritos, and went off to stock their aisles before he could even forgive them for knowing not what they did. Tragic, really, to be young, free, and mind-numbingly bored. So when the Emperor of San Francisco came screaming out of the parking lot and slammed, face-first, into the big Plexiglas front window, rattling the Tic Tacs on every register, each of them dropped what he was working on and headed to the front of the store, hoping in their hearts that something outstanding was coming down. The seven, the Animals, stood on one side of the big window, while the Emperor pounded on the other, the royal hounds leaping and barking at his side. â€Å"Maybe we should let him in,† said Clint, curly-haired, born-again, ex-heroin addict who worked cereal, coffee, and juices. â€Å"He seems troubled.† â€Å"S,† said Gustavo, the porter, leaning on his mop. â€Å"Troubled.† â€Å"Seems fucking freaked,† said Drew, the Ichabod-Crane-gaunt master of the frozen food aisle and chief medical officer. â€Å"Totally fucking freaked.† â€Å"What's wrong?† asked Lash, the lean black guy who had become their leader when Tommy was turned into a vampire, largely because he almost had an MBA, but also because he was a black guy and inherently cooler than everyone else. â€Å"Murder, destruction, ravenous creatures of the night, a storm of them,† shouted the Emperor. â€Å"Hurry, please.† â€Å"He always says that,† said Barry, the balding fireplug of a scuba diver who also stocked soap and dog food. â€Å"Well, every time he says it, it's kind of true,† said Jeff, the tall blond ex-power forward with the blown-out knee (baking supplies and international foods). â€Å"I say let him in.† â€Å"Look, the retriever is all bandaged up. Poor guy,† said Troy Lee, their resident martial arts expert who worked the glass aisle. â€Å"Let them in.† â€Å"You just want to roll the little one up in a burrito,† said Lash. â€Å"Yeah, that's right, Lash. Because I'm Chinese, I have a deep-seated need to nosh house pets. Now why don't you let him in before my inner Chinaman forces me to kung-fu your bitch ass.† Because he understood that he was the leader only so long as he told everyone to do what they wanted to do anyway, and because he had had his bitch ass kung-fued in the past and hadn't cared for it, Lash unlocked the door and let the Emperor in. The old man fell into the store when Lash opened the door. Bummer and Lazarus stopped barking and bolted by them, and on toward the back of the store. Jeff and Drew got the Emperor seated on one of the registers and Troy Lee handed him a bottle of water. â€Å"Chill, Your Majesty, we've done this before.† â€Å"Not like this. Not like this,† said the Emperor. â€Å"It's a storm of evil. Lock the door.† Lash rolled his eyes. They really had done this before, and the door being locked or unlocked wasn't going to make much difference if a vampire was following the old man. â€Å"We got your back, Highness,† Lash said. â€Å"Lock the door,† the Emperor moaned, pointing through the window. A fog bank was moving across the parking lot, with rather more intent than one usually expects from a fog bank. A high, yowling screech seemed to come out of the fog in a stream, as if it had been sampled, amplified, and duplicated a thousand times. The Animals moved to the glass. â€Å"Lock the door, Lash,† Clint said. Clint never gave orders. The edge of the fog bank was boiling with shapes, claws, ears, eyes, teeth, tails-cats formed of fog, rolling in a wave over one another, some materializing partially, only to evaporate and roll back into the cloud, their red eyes moving through the cloud like embers out of a firestorm. â€Å"Whoa,† said Drew. â€Å"Whoa,† repeated the others. â€Å"Okay, that is different,† said Troy Lee. â€Å"My friends all over the City are missing,† the Emperor said. â€Å"Street people. They're gone. Just their clothes and gray dust,† the Emperor said. â€Å"The cats are killing everything in their way.† â€Å"That is fucked up,† said Jeff. â€Å"Deeply, deeply fucked up,† said Barry, dragging one of the heavy wooden order dividers off the register and brandishing it like a club. â€Å"Lock the fucking door, Lash!† Clint screamed. â€Å"Jesus hates it when you use the f-word,† said Gustavo, the Mexican porter, who was Catholic and liked to remind Clint when his Jesus was slipping. The fog washed against the window and claw marks etched the Plexiglas instantly to frost, as if it had all been sanded. The noise was like, well, it was like a thousand vampire cats clawing on Plexiglas-it made their teeth hurt. â€Å"Did anyone bring weapons?† Troy Lee asked. â€Å"I brought some weed,† Drew said. A cat's claw of fog crept under the door and raked the toe of Lash's sneaker. He snapped the lock shut, pulled out the key, and backed away. â€Å"Okay, break time,† he said. â€Å"Crew meeting in the walk-in.† JARED Across town, in the bedroom of a fashionable loft, in the fashionable SOMA neighborhood, aspiring rat-shagger, Jared Whitewolf, looked up from rubbing his sore ankle to see a completely naked redhead walk into the room. Her hair hung to her waist in a great curling cape, framing her figure, which was perfect and as white as a marble statue. She held Jared's double-edged dagger in her right hand. Jared backed up onto the bed in a reverse crab walk. â€Å"I, I, I, it, it, it-Abby made me-â€Å" â€Å"Chill, Scissorhands,† Jody said. â€Å"You'd better find some of those blood bags of Steve's fast, unless you'd like to finish high school as a pile of greasy dust. Countess is thirsty.†