Sunday, August 18, 2019
Stratospheric Ozone Depletion and Its Effect on Skin Cancer Incidence E
Introduction This term paper is situated in an area of specific health related and environmental concern: the human dimensions of global change. For about a decade now there has been growing scientific interest in the global environmental changes resulting from anthropogenic activity. However most of this research has focused on the scientific bases of environmental transformations with little attention to how human social responses are linked to global change. As a result, scientists and researchers alike are beginning to ask questions about the symbiotic relationship between human well being and physical change. Abstract This research compilation plans to use one environmental health component of the global change phenomena - ozone depletion and skin cancer - to advance and deepen your understanding of the relationships between human wellness and environmental change. This project should deepen understanding by developing a framework for conceptualizing environmental health policy issues. In this way the relationships between scientists, policy makers and the public will be explored theoretically as the interactions of science, the state, and society as a whole. The Relationship of Skin Cancer Prevalence and the Increase in Ultraviolet-B Exposure due to Ozone Depletion Ultraviolet-B radiation damages the human skin: Acute exposure causes sunburn and chronic exposure results in loss of elasticity and increased aging. Increased absorption of UV-B triggers a thickening of the superficial skin layers and an increase in skin pigmentation (both of which act to protect the skin against future sunburns). This protective mechanism however, also makes the skin more vulnerable to skin cancer. Strong evidence exists of a dose... ...tion/2.html Mahaney, Francis X., "Nocturnal Animals Help Shed Light on Human Melanoma," __Journal of the National Cancer Institute__, 87 (21): (1 November 1995). Available on the World Wide Web at http://wwwicic.nci.ni h.gov/jnci/iss8721/87-1584.html. Roses, Daniel F., Stephen L. Gumport, Matthew N. Harris, and Alfred W. Kopf, __The Diagnosis and Management of Common Skin Cancers__ (Atlanta, Georgia: American Cancer Society, 1989), 89- 50M-No. 3373-PE. Schein, O.D. et al., "Ocular and Dermatologic Health Effects of Ultraviolet Radiation Exposure from the Ozone Hole in Southern Chile," __American Journal of Public Health__, 85 (4): 546-550 (April 1995). "Stat Bite: Trends in Melanoma Incidence," __Journal of the National Cancer Institute__, 87 (20): (1 November 1995). Available on the World Wide Web at http://wwwicic.nci.ni h.gov/jnci/iss8720/statbi20.jpg.
Saturday, August 17, 2019
Critical Appraisal Essay
This exclusive practical session revolves around studentsââ¬â¢ attachment to family doctor or general practitioner. Beforehand, a sound understanding and distinguishable comparison between these two specialty is necessary to perform this task efficiently. Family medicine is a medical specialty that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and all parts of the body. It is based on knowledge of the patient in the context of the family and community, emphasizing disease prevention and health promotion. According to the World Organization of Family Doctors, the aim of family medicine is to provide personal, comprehensive and continuing care for the individual in the context of the family and community. On the other hand, general practitioner is a medical practitioner who treats acute and chronic illnesses and provides preventive care and health education to patients. The good general practitioners will treat patients both as people and as a population. In some healthcare systems general practitioners work in primary care healthcare centers where they play a central role in the healthcare team. Nevertheless, in some models of care general practitioners work as single-handed practitioners. In conjunction with this block, I visited a local puskesmas to understand more about role of a general practitioner and family physician. Physical Access , Convenience and Facilities The clinic I was designated to is Puskesmas Danurejan I. The puskesmas is located in Bausasran, Danurejan in Yogyakarta. After being renovated and improvised since December 2011, Puskesmas Danurejan possesses new physical structure and more sophisticated facilities. Now, the puskesmas has a new building, whereas the ground floor serves as an infectious and non-infectious area. The puskesmas is almost 656 meter squared in size with general consultation rooms, dental consultation rooms, emergency room, pharmacy and laboratory fitted in the ground floor. On the other hand, the first floor serves as the supporting facility . This floor contains the office, hygiene and sanitation department and prayer room. This health center is located in the midst of housing estates, and therefore very accessible to those living within close proximity. The housing area is also densely populated, with numerous shops, public amenities which makes it a rather ideal and conducive stay. The puskesmas is open daily on weekdays and Saturdays from 7. 30am to 3. 00pm. The puskesmas also has a landline which makes it reachable for any prior information before the peoplesââ¬â¢ visit. One distinct setback of the setting is that of, the signboard was unclear and hidden in tree branches. The direction guiding the visitors are vague and not specified. This may be inconvenient for anyone who is about to make their very first visit without prominently knowing the location. Furthermore, there were not enough parking lots near the puskesmas. The Waiting Room The waiting room is spacious, sufficient to fit about 20 patients at an instance with appropriate number of chairs provided. The cleanliness and tidiness of the waiting room is also well maintained . There were garbage bins provided. The ventilation of the room is also well considered as there are presence windows for good air movement. Huge healthcare pamphlets and banners are also seen in the waiting room, aimed educate and enlighten patients. A staff was bserved in the waiting area as she is assigned to take vital signs of the patients and direct them to the physician as their turn comes. As we were walking pass the waiting room, I noticed surreptitious gazes from the patients who were rather clueless of our enthusiastic presence with white coats. I managed to start a conversation with a few patients even before tending to the consultation room for observation. Patient Load and Examination Room The patients who visit this puskesmas are mostly from the community living within close proximity to the center. Apparently, the densely populated housing estate are attracted to the recently renovated health center. The health center receives a generous average of 40 patients daily, most probably due to the satisfactory health care received and affordable charges. The examination room is rather small but sufficient to carry out basic physical examination, equipped with racks, table for physician and an examination bed. During my observation period, the physician received 5 patients. in which 3 of them were regular patients under controlled medications (hypertension and diabetes mellitus patients), with the other 2 having ordinary fever and viral flu. According to the doctor, most of his patients are children with acute illnesses and elderly patients facing chronic diseases. However, any serious medical complication which cannot be diagnosed or treated by the doctor is referred to the possible hospital. Physician-Patient Communication Based on my observation, the physician seemed to have mastered all crucial skills in order to provide the best for the patient. Firstly, I would like to discuss about the primary care management of the physician towards the patient. The doctor successfully connects with the patient via good communication and interpersonal skills, and subsequently put the patient at ease to express his complaints and condition. Therefore, the physician is able do deal competently with the problems presented to her. Even though the physician I observed has just completed internship, she has an amazing person centered care towards each of her patient. She understands and relates her patients as individuals and developed the ability to work in partnership. The physician encountered various different cases involving different ranging from a myriad of genders, age group and illness. However, she applies specific problem-solving skills about the context-specific aspects of general practice and successfully dealt with undifferentiated illness and skills. The duration of consultancy was about 10 minutes per patient for chronic diseases like hypertension and diabetes mellitus and the interaction process took about 5 minutes. Shortly after my observation, I managed to have a word with the physician. She explained to me that the key to a good family physician is the comprehensive approach. It is about how one as a physician must be able to co-ordinate care of acute illness, chronic illness, health promotion and disease prevention in the general practice setting. Not to forget, to respect and honor the patients for an impeccable physician-patient communication. Besides she emphasized the importance to keep patients informed about their condition, listen and respect their views about their health and respond to their question. Documentation and Medical Records The medical records are stored very systematically in the center. There is an allocated room with limited accessibility to keep all of the documents safely in order to avoid breach of confidentiality of the documents. Only the administration personnel are permitted to enter. As we were informed, the documents of the medical record has been computerized using a programme called MedCis System. However, the manual means are still practiced in the physicians desk. The information is then transferred by the administration personnel. The medical record on the hysicians desk is a piece of white-colored paper with patient identity particulars such as name, age, gender, registration number, and consultation date at the top. The remainder of the page is filled up by writing by the doctor himself, which are anamnesis, medical history, drug allergies, vital sign results, physical examination results, diagnosis, treatment and prescription. By the implementation of the computerized system, loss of data due to natural disaster is prevented. Besides, the patients privacy and confidentially is recognised as the system is well secured, in the sense no changes of previous medical history is made possible. The system can only be viewed by physicians for follow-ups and patient himself upon request. Clinical Care Processes The overall process of treatment is very structured indeed. It begins with registration and recording of vital signs. Later, the patients are directed accordingly to the appropriate departments namely psychology, nutrition, general consultation and dental consultation. After receiving their treatment, they were to settle payments before collecting their prescription from the pharmacy. As per clinical care specifically, the physician has performed necessary procedures to diagnose and treat the patient. The physician accomplishes her role as a family physician very successfully. Her anamnesis was very detailed and intricate. She thoroughly skims the past medical history, medication history, and latest prescription before she proceeds further. Concerning chronic diseases of the elderly like hypertension, she initiated by asking the patient how did they feel lately and if there were any relieve or aggravation from their condition. As the temperature, height, weight, blood pressure, respiratory rate and pulse rate has been obtained earlier from the registration personnel, she proceeds with treatment and prescription. The physician prescribes simple generic medicine for the patient which was available in the pharmacy. As for the child, she performed basic physical examination as he complained of body ache. I also observed that treating an elderly person and a child requires different approach altogether. Obviously, they had to be nurtured with care and respect. The physician was seen to have given importance to personal safety by the usage of gloves, masks, and hand sanitizer. This is an undisputedly important step to prevent nosocomial infections in the health center. One setback that I observed was in terms of educating the patients. The physician only provided the patients with very minimal input and education. Payment There are several paying methods made feasible by the puskesmas to facilitate the patients, namely insurance coverage and direct payment. For instance, Jaminan Kesihatan Masyarakat, Jaminan Kesihatan Daerah, Jaminan Kesihatan Social, Jaminan Kesihatan Persendirian and Jaminana Kesihatan AKS. Patients who owns insurance coverage as mentioned need not make any payment, whereas those without pays an amount as low as RP5000. 00. However, the medications has to be purchased by the patients at their own expense. For the most part of my observation, the patients receives prescription of their medication to be purchased themselves in the pharmacies, unless generic medicines which are provided in the puskesmas. I could deduce that the charges are very affordable compared to that of private practices. Therefore, quality medical care is made accessible to everyone regardless of their economic background. This is indeed extremely favorable in reaching out to the needs of the people in an actively developing region. Discussion In the context of satisfactory health care, patients gratification is substantial. This explains why health care providers should make extraordinary efforts in providing the best achievable standards of health care. In the context of Indonesia, family medicine is developing slowly, however a clear structure and guideline for patients has not been constructed. On the other hand, due to limited number of specialist available, most specialists carry out private general practice outside their work hours. This may reduce the efficiency of the physicians due to stress and overwork. Moreover, the general practitioners training programme is not welcomed and well supported by the specialist because they are held in direct competitions with the general practitioners. Pertaining the clinical attachment, the physician tried their level best to provide appropriate health care to her patients despite the limited resources. However, there is also abundant room for improvement in terms of educating the patient about prevention of diseases and the effects of medication prescribed. Besides, the physician should have given more enlightenment when concerning lifestyle related iseases, because at all times, prevention is better than care. On the whole, the entire health care team should work on the regulations concerning controlled medication to avoid abuse and overuse. Another most crucial point in family medicine is the community orientation. Community orientation is about the physical environment of your practice population, the need to understand the interrelationship between health and social care, and the tensions that may exist between individual wants and needs and the needs of the wider community. As a conclusion, holistic approach is about your ability to understand and respect your patientsââ¬â¢ values, culture, family beliefs and structure, and understand the ways in which these will affect the experience and management of illness and health. I am very contented to be granted an opportunity for this clinical attachment. This would, in time, help me in my future endeavors as a doctor.
Friday, August 16, 2019
Power and Ambition
William Shakespeareââ¬â¢s ââ¬ËMacbethââ¬â¢, is the story of a usurping General, Lord Macbeth, and his wife Lady Macbeth who are driven to murder their king in pursuit of the throne and power. The tragedy has multiple reoccurring themes and motifs, of which Shakespeare uses many aesthetic features to effectively develop and enhance. One such theme is Masculinity vs. Femininity which resounds throughout the entirety of the play and is a central focus point during many events.Shakespeare uses imagery, symbolism and metaphor very effectively during the course of the play to augment and pinpoint important developments and changes to the characters and their states of masculinity and femininity. At the time that Shakespeare wrote his plays the values and attitudes were vastly different to those of modern society. Women were considered the fairer sex while men were considered the dominant sex. Similar essay: If I Become A Collector EssayIn Macbeth, this view is approached with the idea that masculinity carried with it the ability to kill and commit sin while femininity in its ideal was softer, gentler and comprised of virtue. Shakespeare demonstrates this ideal very early in the play when, in Act 1, Scene 5, Lady Macbeth calls out, ââ¬Å"Come you spirits that tend on human thoughts! Unsex me here, and fill me from the crown to the toe top full of direst cruelty. â⬠This happens directly after receiving notice from her husband that the witchesââ¬â¢ prophecy had come true and that the king was to be joining them in their castle.At this point in the play she is asking the spirits to take away her femininity, a literal unsexing, and fill her with a ââ¬Ëdirest crueltyââ¬â¢ that she, as a woman, did not already possess so that she could have the ability to kill her king. This idea of femininity causing an inability to kill, indeed needing to become masculine to be able to commit the crime demonstrates Shakespeareââ¬â¢s ideal of women being pure while men have evil in their very being. The use of this imagery and figurative language, ââ¬Ëdirest crueltyââ¬â¢ and ââ¬Ëunsex me nowââ¬â¢, in this scene underlines this ideal and highlights Shakespeareââ¬â¢s view on femininity and masculinity.Another aspect of Shakespeareââ¬â¢s portrayal of women as incapable of sin relates directly to the view of women at the time the play was written. The medieval view of women, in that they were weaker, less intelligent and meant for menial work and child rearing; and the subsequent opposite view of males, being that they were the money earners, the soldiers, and thus full of courage and honour is very easily seen through Shakespeareââ¬â¢s language throughout Macbeth. In Act 4 Scene 3, Macduff says, ââ¬ËO!I could play the woman with mine eyesââ¬â¢ after being informed that his children and his wife had just been murdered in the home that he had run from. By implying that weeping is a womanly attribute and saying that he as a man should not do it, it again highlights the idea that women were weaker and softer in their femininity then men were in their masculinity. This weakness and its symbolized lack of physical strength, shows again, Shakespeareââ¬â¢s view of women as the weaker sex and their subsequent inability to commit murder or other atrocious acts.Yet another instance of Shakespeareââ¬â¢s obvious separation of femininity from sin is in the scene where Lady Macbeth is convincing Lord Macbeth to kill King Duncan. Lady Macbeth cows Lord Macbeth by asking him ââ¬Å"With thou esteemââ¬â¢st the ornament of life, and live a coward in thine own self-esteem, letting ââ¬ËI dare notââ¬â¢ wait upon ââ¬ËI wouldââ¬â¢, like the poor cat Iââ¬â¢ the adage? â⬠This line and its subsequent imagery of a cat wanting the fish but afraid of the water shows that Shakespeare believes that to be a ma n is to go after his true desires regardless of the consequences.At this point in time, Lady Macbeth has been unsexed and is using her new found masculinity to manipulate and force Lord Macbeth into fulfilling her own desires, something that she was not capable of when she was a woman. This is a doubled example of masculinityââ¬â¢s ingrained sin; Lady Macbeth is manipulating Lord Macbeth by questioning his manhood and as a result to prove his virility and strength he will commit murder. By proving his masculinity in this way, through murder and evil, it shows that Shakespeare believed men to be the only ones capable of sin.Throughout Macbeth, the theme of Masculinity vs. Femininity is developed and expanded upon using imagery and symbolism. Shakespeare manipulates language conventions to demonstrate the idea of the feminine sex being incapable of murder and sin while men and their subsequent masculinity is the root of such evil acts. At the time that Shakespeare wrote his plays t he values and attitudes were vastly different to those of modern society and as such his ideals and views reflect these medieval interpretations of women being the weaker sex while men were dominant.From Lady Macbethââ¬â¢s plea to be unsexed, to Macduffââ¬â¢s implication of crying being a weak response of women and then to Lady Macbethââ¬â¢s manipulation of her husband after being filled with the ââ¬Ëdirest crueltyââ¬â¢ of masculinity, Shakespeareââ¬â¢s language shows his view on Masculinity vs. Femininity. Through his imagery and symbolism, his opinion that women are incapable of evil in their feminine state becomes very clear and Macbeth becomes almost a warning to the fairer sex; do not lose your femininity and thus your purity.
Do You Believe in Love at First Sight Do You Believe in Love at First Sight ?
ââ¬Å"Do you believe in love at first sight ? Or .. um .. should I walk by again ? ââ¬Å" Blush .. Blush .. Well , Ladies and gentlemen ! Honestly , even If I keep walking past you in ââ¬Ëcirclesââ¬â¢ , you wonââ¬â¢t fall in ââ¬Å"loveâ⬠with me . Yes , you might have a crush on me , my presence may cause a powerful infatuation , but it would not , my friends , be love â⬠¦ To all those who immediately got those contradicting thoughts in their minds , Ladies and Gentlemen ! I speak â⬠¦ of experience . . . 22nd October 2010 ââ¬Å"Omg ! Omg ! Omg ! Did you See him â⬠ââ¬Å"Umm .. Who? â⬠ââ¬Å"That guy!!The one with the deep black eyes !! â⬠ââ¬Å"Uh well à Fatima , most boys here have ââ¬Ëblackââ¬â¢ eyes .. And secondly , weââ¬â¢re here for academic purposes .. not for mating ! â⬠ââ¬Å"I know , But .. but â⬠¦ Omg ! Heââ¬â¢s so .. so hawwtt ! I mean , so attractive .. so beautiful .. Heââ¬â¢s , heââ¬â¢s like a d ream come alive , incredible â⬠¦Ã¢â¬ ââ¬Å"Woaaahh ! Wait , wait a minute ! Who is this guy ? â⬠ââ¬Å"The one , the one that just passed by us !! â⬠ââ¬Å"Umm â⬠¦ ? â⬠ââ¬Å"The one with the light spikesâ⬠¦ ? ââ¬Å" ââ¬Å" Ughh , I dunno .. well common Fatima , I think we should get back to work â⬠¦Ã¢â¬â¢ à ââ¬Å"But .. â⬠¦ â⬠¦ â⬠¦ â⬠Three days Later ââ¬Å"Fatima !! FATIMA ! WHAT . IS . THE . CHEMICAL FORMUALE OF HYDROGEN PEROXIDE !! ââ¬Å" à à ââ¬Å"â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Oh , Yes sir ? â⬠¦ Sorry sir â⬠¦ I dunno â⬠¦. ââ¬Å" ââ¬Å"Out Of the Class !! â⬠Later that day ââ¬Å"Fatima , you were Actually day dreaming in the ââ¬Å"Chemistry class ââ¬Å" ! What were you thinking !? â⬠ââ¬Å"Umm .. you know , about Arham ââ¬Å" ââ¬Å"Arhum ? Who Arhum ? â⬠ââ¬Å"The .. the guy , the one I told you about the other day â⬠¦ ââ¬â¢ à ââ¬Å"What ?! You were actually serious about him ? You donââ¬â¢t even know him ! And .. How do you know his name ? â⬠ââ¬Å"Yes ofcourse I was serious ! You donââ¬â¢t know .. eââ¬â¢s the one Iââ¬â¢ve been waiting for .. My soullmate â⬠¦ I know , God created us a pair .. I .. I just know . And Pluss , I spent 5 hours on facebook searching à and finally I found him !! Iââ¬â¢ll send you the link !! â⬠ââ¬Å"Whaaaaaaaaaaaat?! Well , I think thatââ¬â¢s stupidiy .. I mean .. I dunno â⬠¦ Anyways , did you send him a friend request ? â⬠ââ¬Å"No, I didnââ¬â¢t â⬠¦. Boys ask out girls first . â⬠ââ¬Å"But he doesnââ¬â¢t even know you !!! â⬠ââ¬Å"He does ! Iââ¬â¢m sure weââ¬â¢re bonded . heââ¬â¢ll come to me one day . â⬠ââ¬Å"So what are you gonna do till then â⬠¦ Day dream ? Listen to slow romantic songs?Smile in solitude like a freak? Or .. â⬠ââ¬Å"Enoughh! !! Thatââ¬â¢s it ! Lets go now .. ââ¬Å" It continued like that â⬠¦ Arh am played in my mind like a symphony . I felt my heart beat like ââ¬Å" Arham â⬠¦ Arhum â⬠¦ Arhum â⬠¦ Until , two weeks later , my friend told me : ââ¬Å"Fatima ! Did you see Arhumââ¬â¢s display picture on facebook ? : ââ¬Å"Omg ! No I didnââ¬â¢t , we were out yesterday ! ââ¬Å" ââ¬Å"You know what ? He was holding hands with this girl and there was an edited heart over itâ⬠ââ¬Å"What â⬠¦ ? â⬠¦ â⬠¦ .. She must be his cousin â⬠¦ I know .. heââ¬â¢s not like that ââ¬Å" ââ¬Å"Cummon Fatima ! Use your senses ! â⬠ââ¬Å"No!You know when I looked at him â⬠¦ O could see the purity , the decency in him .. Heââ¬â¢s a good boy ââ¬Å" ââ¬Å"Well .!! Youââ¬â¢re Impossible â⬠¦ ! â⬠With the passage of time and my , I guiltily say ââ¬Å" desperateâ⬠condition , I came to know many facts about Arhum â⬠¦ among which some of the slightly bad ones were that .. he smokes , he was once suspended for two days , umm à ¢â¬ ¦ he got just four Dââ¬â¢s in his mocks and .. well , I had thought of censoring that one , but heââ¬â¢s the only , proud record holder of changing Seven genuine , pretty girlfriends in just grade ten .! At first , I defended his acts at my best .However it was only a matter of time before I came familiar to the devilish character underneath that sweet , angelic face . On the upcoming school gathering , miraculously , I locked eyes with Arhum the second time in my life à â⬠¦ who was enjoying the company of yet , another girl . I felt hatred run through my body â⬠¦ Those eyes .. the ones which once struck me blind now appeared to be the eyes of the à Satan itself . His spikes , well now he looked as if he had suffered an electric shock . In my mind , I cursed him in ââ¬Å"Fourâ⬠different languages .So what became of the love I felt , eh? The la la la melody which made me dance in front of my mirror .. Well , you know what guys ? The feeling went as quick ly as it had come .. The ââ¬Å"loveâ⬠we call is more like a seasonal virus , or should I say more like dengue . This is where I say , I do not believe in love at first sight ! So , for Godââ¬â¢s sake , please do not fall for à those falling pants , and yeah , those mascara and kajal clad eyes . It was my responsibility to warn you and now that I have , thankyou and goodbye . Well , now excuseme ladies and ââ¬Ënot so gentleââ¬â¢men .! (:
Thursday, August 15, 2019
Indigenous Health Essay
?ââ¬Å"This is the welfare generation, and that is incredibly sad. That will be judged in history as being far worse; I believe, than the stolen generation, because we are literally losing thousands and thousands of our indigenous brothers and sisters to the effect of welfare- drugs, gunja, low morale, alcoholism. I see it every day and it can stop. The solution is education, training and a guaranteed opportunity. â⬠ââ¬â Andrew Forrest Andrew Forrest suggests that aboriginal Australians are worse off now than in the past. To what extent do you agree that the Aboriginal Civil Rights movement essentially failed? Legal rights- ref Wik Mabo Land rights Equal wages Publicity- to be noticed Reactions from politicians Freedom rides Sorry speeches Measures of equality Health + literacy stats Life expectancy Social attitude Racism- Adam goods in football Disease The 20th century has born witness to the ever changing landscape of the treatment of the Australian indigenous community. Throughout this period it has been stated that the Civil Rights Movements initial goals of total equality for indigenous and non-indigenous Australians has failed to some extent and has not fulfilled what it has initially intended to do. These statements can be seen as partially incorrect as the Civil Rights movement had some success in highlighting the plight of the indigenous Australian and generating some sort of action in Aboriginal issues and affairs. However, it is true that in some respects various factors of the Aboriginal Civil Rights movement have primarily succeeded, through publicity and legal rights. One fundamental success of the Civil rights movement in Australia was its ability to publicise the issues, and draw attention to the plight of the Australian indigenous population. The civil rights activists were able to use the media to voice their opinion; this was of great significance because this inevitably meant that there was a wide range of support for the movement from the non-indigenous society. For example the 1965 Freedom ride demonstrated to what lengths people were willing to take to expose the level of discrimination against indigenous people was a success. Led by Charlie Perkins, students travelled through western, northern and coastal New South Wales. The students who participated were for the most part non-aboriginal and had been involved in organised protests in Sydney. The tour started as a fact-finding mission but eventually ended as a protest against segregation across Australia. The Ride was to highlight examples of segregation including public pools, picture theatres and pubs, where Aboriginal people were declined entry. Perkins and the students helps to bring the ingrained discrimination and racism in NSW towns to the attention of the wider Australian public, and was part of a broader push for Aboriginal Civil Rights taking place across the county. Another success through publicity was the formal apology from former Prime Minister Kevin Rudd. He apologised to Indigenous Australians for poor or unwise treatment from the time of the European settlement through to recent years. Another example of a successful movement, through a public awareness campaign enabled a referendum to change the constitution which enables indigenous Australians to be recognised in the census. In 1967 the Holt government had rejected the land rights to the Gurindji people at Wave Hill. Recognising that there were inequalities to address, however Holt called a referendum to count Aborigines in the Australian census that same year. The referendum was most successful ever passed, with over 90 per cent of Australians agreeing to the application. The Mabo case in 1992 was one of the most significant moments in relations between indigenous and non-indiginious Australians and enabled the High Court of Australia to deliver its landmark Mabo decision, which rewrote the Australian common law and gave a massive boost to the struggle for the recognition of aboriginal rights. Eddie Mabo led the Meriam people and took action to the high court to overturn the doctrine of terra nullius. However if the original protagonists of civil rights here in Australia were alive I believe that they would believe that their dream has been deferred . This is because the original goals of the Civil Rights Movement failed because they did not achieve their initial objectives. Andrew Forrest states that ââ¬Å"Aboriginal are worse off than in the past. â⬠Australian Bureau of Statistics figures show that Indigenous Australians accounted for around 25% of Australiaââ¬â¢s prison population in 2009. The age-standardised imprisonment rate for Indigenous people was 1,891 people over 100,000 of adult population, while only 136 for non-Indigenous Australians; which meant the imprisonment rate for Aborigines was 14 times higher than that of a non-indigenous person. Data showed that from 1989-200, 15. 7 per cent of homicide offenders and 15. 1 per cent of homicide victims were Indigenous. There is also a great variance in comparing Aboriginal life expectancy to a non-Indigenous person. Aboriginal people are expected to die more than 10 years earlier than non-Aboriginal Australians. The life expectancy is so low because Aboriginal health standards in Australia are so depraved that 45% of Aboriginal men and 34% of women die before the age of 45. 71% die before they reach the age of 65. Literacy rates among Aboriginal students are lowest in remote communities; reasons include low literacy of parents and poor school attendance. 30 per cent of Aboriginal adults lack basic literacy skills. Conversely racism in Australia is perceived as immoral and degraded, it is classified as intolerable. The Adam Goodes incident which included a 13 year old girl calling the Indigenous footballer an ape sparked opprobrium from all quarters. The effect of these remarks is simply to highlight how deeply racism runs through our community. There is no way of avoiding the conclusion that within us all there is a racist streak. Australia has come a long way in addressing racism in society, but the job is still a long way from being complete. The cumulative low literacy standards, increasing criminal statistics, the year gap in life expectancy as well as racism still exists are far more important measures of failures to the Civil rights movement. In this context, Forrest states about the state of contemporary aboriginal Australia is somewhat significant has some merit. Andrew Forrest suggests that Aboriginals are more beneficial to be living in the past rather than the present. His statement to some extent has merit; however there have been many successful events in the Aboriginal Civil Rights Movement that speak otherwise. Actions that have received accomplishment are firstly, publicising the discrimination and inequality toward non-Indigenous people. The significance of awareness led to a referendum to change the constitution, which allowed Aborigines to be recognised in the census. Political and legal change was substantial as demonstrated by the recognition of indigenous land rights. However these successes do not essentially achieve the aims of the Civil Rights Movement, and that the life expectancy, literacy gap as well as criminal records are more important measures of the failures of activism than the rather less perceptible gains by politicians. Forrestââ¬Ës solution is an accurate approach to the problem, with education, training and guaranteed opportunity Australia can change the living habits of the Aboriginal people.
Wednesday, August 14, 2019
Research Proposal: Youth Unemployment And Attitude Towards Employment: Comparative Study Between Migrants And Non-Migrants
Abstract Nigeriaââ¬â¢s adolescent & young adult population (aged 15-24) is currently facing a crippling problem that will endanger the future of the nation. The median age data from the world.bymap.org website is used to define the term ââ¬Å"youth migrant and non-migrant population, or youth populationâ⬠. The median age of the migrant and non-migrant population throughout the developing world does remain in a late adolescent phase with ages ranging from the 15th birthday until the 24th birthday (world.bymap.org, 2013, median age). This study expects to find that youth population attitudes toward unemployment will be similar in the migrant and non-migrant populations. I seek to examine this assertion by carrying out a qualitative investigation on the relatedness of unemployment among the youth and their attitudes based on a population analysis of the youth among the indigenous non-migrant locals and migrant immigrants in Nigeria. The migrant and non-migrant youth population is primarily located in Latin America and on the African continent to which Nigeria has a median population age of 19.1 (2010 Est.) (world.bymap.org, 2013, median age). Global unemployment rates among the youth population are on the rise (indexmundi, 2013, 1). The same case is observable in Nigeria where the number of unemployed youths accounts for more than half of the total number of unemployed people in the country (Youth Speak Community, 2013, 1. It has been suggested that attitudes of the youth may be the main reason behind the high levels of unemployment among the youth. Introduction The global rate of unemployment indicates high levels of unemployment among the youth. The median age data from the world.bymap.org website is used to define the term ââ¬Å"youth migrant and non-migrant population, or youth populationâ⬠. The median age of the migrant and non-migrant population throughout the developing world does remain in a late adolescent phase with ages ranging from the 15th birthday until the 24th birthday (world.bymap.org, 2013, median age). In fact, the rate of growth of unemployment among the youth population is higher that the case of adults (Alanana, 2003). The reported incidence of youth unemployment is even higher in developed economies as compared to emerging and developing economies. However, in the recent years the cases have been so sporadic in developing countries especially in Africa (Alanana, 2013). This is because according to Alanana (2013), the numbers of the youth population is increasing at an alarming rate as compared to the rates at which job opportunities are being created. The case of unemployment among the youth in Africa is alarming and is currently a threat to social-economic stability and peace. Nigeria is also a major immigrant destination in West Africa with over one million immigrant population. The youths accounts for a majority of the immigrant population. This represents about 0.7 percent of the population. The case of unemployment among the youth cuts across both the locals as well as the immigrants (Alanana, 2003). This paper purposes to analyse the case of unemployment among the migrant and non-migrant youth population in the country and how the attitudes affects the rates by analysing unemployment among the local youths and the immigrant youths in Nigeria.Problem statementGenerally, the rate of migrant and non-migrant youth unemployment in Nigeria is very high. However, the rates of unemployment among the youth are incomparable to the older male working population in the country. Several reasons may be behind the abnormal differences in the unemployment rates between the youth and the adult population. Several studies have associated the differences in the unempl oyment rates between the migrant and non-migrant youth populations and other adults to the attitudes posed by the youths regarding job specifications. Other studies referenced in Alanana (2013), Youth unemployment in Nigeria: some implications for the third millennium have indicated that the local youth are very selective towards jobs as compared to immigrant youth. This dissertation will examine the extent of truth in this statement by generally observing the link between unemployment among the youths and their attitudes and also examine the attitudes of immigrant and local youths towards employment opportunities in the country.Research objectivesThis research study will be guided by the following objectives: To analyse the link between unemployment among the youth and their attitudes To analyse the difference in unemployment rates between local youths and immigrant youths To examine how attitudes affects the differences in unemployment rates of the local youths and immigrant youths.Organization of the studyThis study will be divided into five chapters. The introduction will provide the background and need to study how attitudes influence unemployment in the country. This will also include a description of the research hypothesis, objectives, questions, limitations, assumptions, significance, and the approach adopted in the investigation. The second chapter will provide a detailed analysis of literature review of previous investigations relevant to the research problem. The third chapter will provide the research methodology that will be used in addressing the hypothesis and the research questions. Chapter four will represent all the data that will be collected and analysed in this planne d study. Finally, the fifth chapter will delineate on the conclusions that will be drawn in the study as well as the recommendations. Literature review For the development of an effective gap analysis, this study will analyse several previous imperial investigations and authentic statistics on unemployment among the youth in the world and specifically in Nigeria. The literature review will focus on the unemployment among locals and immigrants on a general perspective globally as well as local perspective in Nigeria. The literature reviewed in this study will be sourced from credible sources such as national and international newspaper sources that cover Nigeria, government publications and other academic journals to ensure that the process of gap analysis is founded on a comprehensive, valid, sound and reliable set of data. The study will focus on most recent studies and publications dating back to a maximum of 7 years ago to ensure the data used in the study represents the most recent situation as far as unemployment among the youth is concerned. According to Youth Speak Community (2013), Nigeria, which is Africaââ¬â¢s most populated country, has one of the highest unemployment rates in the world. By 2011, the unemployment rate was at about 24 % of which the rate of unemployment among the youths was estimated to be about 50% (Youth Speak Community, 2013). However, the case is similar in many other African countries such as South Africa, Kenya, and Ghana, which have unemployment rates of 25%, 40 %, and 11 % respectively (Youth Speak Community, 2013). The most critical issue affecting Nigeria and Nigerians today is the issue of unemployment and subsequently the problem in the future of unemployment is with current levels of youth unemployment in Nigeria (Bakare, 2013)Bakare states that World Bank statistical data list Nigeriaââ¬â¢s youth unemployment rate at 38% (Bakare, 2013) but Bakare believes the real rate of Nigerian youth unemployment is closer to 80% (Bakare, 2013). The rate of youth population education continues to increase with Nigerian universities producing 150,000 graduates per year (Bakare, 2013), however; the rate of job production has not kept to pace with the production of university graduates per year (Bakare, 2013). The focus of Nigeriaââ¬â¢s future as a result of the youth unemployment problem is also part of the research agenda of the Nigerian Universities. The Department of Business Administration and Marketing, at the Delta State University are in the process of determining how the current youth unemployment crisis will impact Nigeriaââ¬â¢s economic and social future. According to Salami (2013), The problems Nigeria faces tomorrow will depend on how the youth population of Nigeria matures as adolescents into adulthood. ââ¬Å"Records from the National Population Commission (2001) indicate that youths under the age of 30 constitute over half of the approximately 150 million Nigerians. According to Doreo Partners (2013) unemployment rate in Nigeria is growing at the rate of 16% per year with the youth impacted the most and accounting for three times the general unemployment.â⬠(Salami, 2013) Damilola (2013) describes the rise in unemployment in Nigeria as ââ¬Å"one of the major social problems affecting the growth and development of this country.â⬠(Damilola, 2013) The situation is described as so dire the population of Nigerians cannot meet basic needs due to the lack of jobs. Damilola also describes a problem of cronyism in Nigeria that awards jobs to college graduates with political connections rather than based on individual merit. The suggestion by Damilola is for the youth to be ââ¬Å"creative and learn different vocational skills.â⬠(Damilola, 2013) A startling report by the Department of Sociology at the University of Ibadan in Nigeria has indicated that youth unemployment has led to a rise in violent crimes (Ajaegbu, 2012) The overall level of despair of the youth population is blamed for the level of youth unemployment. ââ¬Å"By using the deprivation theory proposed by Ted Gurr, this study has explored the proximate and ultimate causes involving the youths in violent crimes. If factors that create the feeling of deprivation and frustration created by unemployment are addressed, Nigeriaââ¬â¢s youths will not engage in violent crimes.â⬠(Ajaegbu, 2012) According to the Christian Science monitor, the youth unemployment problem leaves the Nigerian youth population so despondent that militant groups are better able to prey on these populations and recruit them into criminal organizations. ââ¬Å"The vulnerability of unemployed youth in Nigeriaââ¬â¢s northeast leaves them open to Boko Haremââ¬â¢s narratives, which have only been augmented by weak governance and the poor delivery of basic services. Boko Haram members, who live in the cityââ¬â¢s poor communities, command the loyalty of those who have languished into poverty.â⬠(Parker, 2013) This issue of militant groups in Nigeria leaves the migrant and non-migrant youth population prone to exposure of issues relating to criminality and recruitment into militant groups. Methodology The survey response questionnaire will be of a qualitative research design to measure the subjective response from the migrant and non-migrant youth population in Nigeria. The focus of the survey questionnaire will be to assess the sentiment, or feelings, of the youth population with regard to their current and future employment prospect. Qualitative research involves the use of a subjective inquiry into the survey questionnaire, which is necessary to establish a base for analysis to include meaningful words, observations, stories, individualities, and chromatic renders with minimal consideration of the number of participants (Higgs & Cherry, 2009). This approach will enable the investigation and examination of the youth unemployment issue with a small sample population, and hence allowing the investigation to proceed with a limited budget. Furthermore, since the investigation requires a deeper analysis and explanation on the links between attitudes and unemployment among the y ouths, the use of qualitative methodology will allow the study to analyse the objectives effectively. The data will be collected from each participant of the sample population using interview questions derived based on the objectives identified in the introduction. The data will be coded by linking a number (1, 2, etc.) to each survey response question. The investigation will collect data via semi-structured interviews. After data collection is the analysis process. The analysis will be based on the observerââ¬â¢s impression as the main analysis technique. The use of observerââ¬â¢s impression has been proven to be simple and effective in producing in-depth analysis (Higgs & Cherry, 2009).Ethical statementGenerally, this study will observe all the ethical requirements in all the processes of data collection and analysis as is expected under an Internal Review Board (IRB). Some of the factors that will be considered include protection of participantsââ¬â¢ privacy and confidentiality. Conclusion From the above introduction, it is evident that unemployment among the youth in Nigeria is a major social and economic issue in the country. Developing a deeper understanding on the reasons behind the high levels of migrant & non-migrant youth unemployment is necessary to ensure effective steps are taken to deal with the issue. This study will provide an examination and render a conclusion to the notion of the assertion that attitudes of the youth contribute to the high levels of unemployment. This will expand the current knowledge on the issue of youth unemployment and hence allow policy makers to have a better understanding of the issue for effective policy development References Alanana, O. O., Youth unemployment in Nigeria: some implications for the third Millennium, Global Journal of Social Sciences, 2 (1), 21-26. 2013 Bakare, Bilikis. ââ¬Å"Addressing youth unemployment in Nigeria.â⬠BusinessDay |. 2013 http://businessdayonline.com/2013/11/addressing-youth-unemployment-in-nigeria/ (accessed November 21, 2013). Higgs, J. & Cherry, N., Doing qualitative research on practiceââ¬â¢, in Higgs, J., Horsfall, D. & Grace, S. 2009 (eds.), writing Qualitative Research on Practice, Rotterdam, Netherlands: Sense Publishers F., J. ââ¬Å"Why is youth unemployment so high?.â⬠The Economist. 2013. http://www.economist.com/blogs/economist-explains/2013/05/economist-explains-why-youth-unemployment-so-high (accessed November 21, 2013). Salami, Youth unemployment in Nigeria: A time for creative intervention. International Journal of Business and Marketing Management, Vol. 1(2); pp. 18-26, July 2013. Retrieved from: http://www.resjournals.org/IJBMM/PDF/2013/July/Salami.pdf Damilola, Saanu. ââ¬Å"Nigerian Tribune.â⬠How to tackle youth unemployment in Nigeria. 2013 http://www.tribune.com.ng/news2013/index.php/en/component/k2/item/18043-how-to-tackle-youth-unemployment-in-nigeria.html (accessed November 21, 2013). Parker, Gillian. ââ¬Å"In Boko Haram country, Nigeriaââ¬â¢s new crackdown brings mixed feelings.â⬠2013. The Christian Science Monitor. http://www.csmonitor.com/World/Africa/2013/0528/In-Boko-Haram-country-Nigeria-s-new-crackdown-brings-mixed-feelings (accessed November 21, 2013). Youth Speak Community, Youth Unemployment In Nigeria: Shocking Statistics, Facts And Why The Future May Not Be So Bright Afterall. 2013 Retrieved from http://risenetworks.org/2013/05/16/youth-unemployment-in-nigeria-is-there-hope-for-nigerian-youth/ ââ¬Å"Median Age ââ¬â world statistics and charts as map, diagram and table.â⬠Median Age of the World. 2013 http://world.bymap.org/MedianAge.html (accessed November 21, 2013).
Tuesday, August 13, 2019
Special Populations Health Care Essay Example | Topics and Well Written Essays - 2000 words
Special Populations Health Care - Essay Example utilizing the resources of Department of Health and Department of Education, involving primary and secondary school administrations, engaging the misinformed parents, and signing up well known and relatable role models. According to the latest statistics from US Census Bureau, the amount of population between 10 to 24 years old is approximately 1,726,672, which shows that there are more than a million individuals above the age of 10, and below the legal drinking age of 21 years old (US Census Bureau, 2010). Furthermore, according to the research conducted by the Department of Human Services of New Jersey, an alarming fact discovered is that the local youth have professed ââ¬Å"experimenting with alcohol at a rate above that reported nationally.â⬠Also, it is found that the average age, among the youth, of consuming alcohol for the very first time is 11 years, whereas, around 407,000 individuals are committing underage drinking every year (Division of Addiction Services, 2008). Additionally, other surveys of New Jersey high school students have indicated that around 72.1 percent have consumed a kind of alcoholic beverage at some instance in their lives, and also, female students reported to an increased underage drinking as compared to male students. At the same time, the white and Latino students professed to a greater alcohol use as compared to African American and other ethnic students (Division of Addiction Services 2009, p. 15). In an another study conducted within the high schools, by the New Jersey Department of Education, it was found that the alcohol related incidents, such as violence and vandalism, have increased 14 percent between the years 2007 and 2009 (Hendricks 2010, p. 8). In addition to the large number of the youth involved in alcohol abuse, the massive cost associated with this societal dilemma is definitely an eye opener. According to the latest research conducted by the Pacific Institute for Research and Evaluation, in collaboration with
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