Pediatrics Essays (3593 words) - Pediatrics, Pediatric Nursing

Pediatrics Pediatric Experience 1 Kimberly Testi 205-68-4533 Foundations of Nursing Judy Tate November 30,1999 Pediatric Experience 2 The Primary Care Clinic located in Children's Hospital is dedicated to the care of children. It is a place where children can be examined for routine physicals and sick visits. It is convenient because it is open until 9:00pm so children can be seen in the evening. This experience demonstrates that there are many differences in treatment of children and adults. T.T., a three year old male, was seen first. He was visiting the clinic due to a high temperature, 39.6oF(Jarvis,1996). Despite his fever, T.T. was very energetic. He was talking and playing. On observation enlarged tonsils, a strawberry tongue, and a rash on his torso were evident. He was diagnosed as having strep throat and scarlet fever. Expected findings include small tonsils, a pink tongue with no bumps or lesions, and a smooth torso with no rashes evident(Jarvis,1996). The nurse had useful techniques when assessing T.T. For example, when assessing his lungs, she was having a difficult time getting him to take deep breaths. She tried holding up her finger and telling him to pretend it was a birthday candle and to blow it out. When this did not work, she ripped up little pieces of paper and asked him to Pediatric Experience 3 blow them away. This technique not only worked for the assessment, but also in keeping T.T. happy. The next child, M.M., was a 10 year old male. He was visiting the clinic for a routine physical. The nurse began the assessment by asking questions. She started with history, asking if he'd been in the hospital before, if he was on any medications, and if he had any current complaints. The only concern he and his mother had was the fact that his right heel would get sore after physical activity. The nurse then moved to nutrition. M.M. claimed to have healthy eating habits, eating all food groups and not too much fat and sugar. After that, the nurse asked about physical activity. M.M. plays basketball but he doesn't get outside to play as much as he'd like. The nurse then began the physical assessment. She looked at all body systems. Musculoskeletal was fun for M.M. He had to do things such as touch his toes, hop on one foot and squat down to walk across the room. She assessed the genital area last. All she had to do was look to make sure he was developing correctly for his age. He said he was uncomfortable with this so she asked if he would like his mother to leave the room. He said no, so she proceeded to look very quickly. He was developing fine. There were no unusual findings on physical assessment. Pediatric Experience 4 An x-ray was taken of M.M.'s heel. It showed that a piece of bone had broken off at the end of his heel. He went to orthopedics and they took care of him from there. The third child observed was T.W., a 7 month old female. She was brought to the clinic due to eye drainage. The nurse began by taking a rectal temperature. Upon doing this, she noticed a flaming red rash on T.W.'s genital area. She asked the parents about this and they said it had been like that for about a week. She then went on to look at T.W.'s eyes. Her conjuctiva was very red and she did have a greenish drainage in and around her eye. The first nurse placed her on the exam table which was not very effective. T.W. was crying and would not stay still. The second nurse performed her examination with T.W. while her mother held her and this proved to be much more effective. T.W. was diagnosed with conjunctivitis and a candidal infection. All examinations were performed with the parent in the room. This was very effective. Infants, toddlers, and preschool children should be examined with a parent in the room. For children this age, the parent is the source of subjective data. For example, T.W. could not speak for herself. T.T. could speak to an extent, saying such things Pediatric Experience 5 as My throat hurts. His mother, however went into more detail about his symptoms. School-age children and adolescents should be

8 Proofreading Tips And Techniques

8 Proofreading Tips And Techniques 8 Proofreading Tips And Techniques 8 Proofreading Tips And Techniques By Sharon Whether you are writing a magazine article, a college essay or an email to a client, getting your text free of mistakes is essential. The spell checker helps, but it is far from foolproof. That is where proofreading comes in. Below you will find 8 tips and techniques to make your proofreading sessions more effective. 1. Concentration is Key If youre going to spot mistakes, then you need to concentrate. That means getting rid of distractions and potential interruptions. Switch off the cell phone, turn off the television or radio and stay away from the email. 2. Put It On Paper People read differently on screen and on paper, so print out a copy of your writing. If you read aloud, your ear might catch errors that your eye may have missed. 3. Watch Out for Homonyms Homonyms are words that share the same spelling or pronunciation, but have different meanings. Switching accept with except or complement with compliment could be disastrous, so pay attention to them. 4. Watch Out for Contractions and Apostrophes People often mix their and theyre, its and its, your and youre and so on. If there is something that can hurt the credibility of your text, it is a similar mistake. Also, remember that the apostrophe is never used to form plurals. 5. Check the Punctuation Focusing on the words is good, but do not neglect the punctuation. Pay attention to capitalized words, missing or extra commas, periods used incorrectly and so on. 6. Read it Backwards When writing we usually become blind to our own mistakes since the brain automatically â€Å"corrects† wrong words inside sentences. In order to break this pattern you can read the text backwards, word by word. 7. Check the Numbers Stating that the value of an acquisition was $10,000 instead of $100,000 is definitely not the same thing. What about the population of China, is it 1,2 million or 1,2 billion? Make sure your numbers are correct. 8. Get Someone Else to Proofread It After checking all the previous points, do not forget to get a friend to proofread it for you. You will be amazed at the mistakes youve missed. A second person will also be in a better position to evaluate whether the sentences make sense or not. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Writing Basics category, check our popular posts, or choose a related post below:Masters Degree or Master's Degree?One Fell SwoopSentence Adverbs

Organizational Behaviour Essay Example | Topics and Well Written Essays - 3500 words

Organizational Behaviour - Essay Example However, in face of rapidly changing business requirements and market trends organizations are now implementing fresh strategies that improve the work environment and organizational culture to promote higher level of motivation and employee productivity. Employee motivation and satisfaction is one of the core elements that have a direct impact on the overall productivity and performance of the organizations. Employee satisfaction levels are to a large extent driven by organizational policies, managerial attitude, organizational culture, existing work environment, and communication policies practiced and adopted by companies. Organizations contribute to the social and economic development of the country and hence it needs to be regulated by a framework of principles and ideals that support organizational goals and objectives. The organizational behaviour framework is significant in identifying the core values and practices of the company. It helps its customers, suppliers and stakeholders to perceive the company values. The paper provides an insight into organizational behaviour and practices in the present operating environment. In order to gain an improved understanding of the issues and challenges facing managers today the analysis provides a practical insight into organizational change management and human resource management practices. The practical applications of these strategies are explained through its implementation practices in organizations like IBM and HSBC. This helps in providing a better understanding of the ways organizations are adapting and strengthening their market position in respo nse to the evolving business climate. Change management is one of the challenges that managers’ today face on a regular basis and successful implementation of any proposed changes highlights the ability of the organization to increase market

ERP Failures Lessons Learned Assignment Example | Topics and Well Written Essays - 1250 words

ERP Failures Lessons Learned - Assignment Example One of the major lessons from ERP implementation is employee involvement that requires the company wishing to use ERP to put a lot of effort during implementation in assessing the ability of the employees to use the software (Ghosh, 2012). Evaluation of their current staff is important as they cannot do their daily work and implement the plan at the same time. A companys employees can lead to the success or failure of the implementation of the ERP project depending on their commitment and skills necessary to implement the project. For the ERP project to succeed, the company can employ temporary staff for daily maintenance. Another lesson learned from the ERP implementation is recognition and retention of the employees. Employers, who offer incentives to their employees engaged in the long-term implementation of the system, face few challenges as Ghosh (2012) reports. Employees get satisfaction and can remain with the employer for a long time for various reasons such as the feeling that their employer values them and allows them time to spend with their families and to appreciate the time spent in the implementation. Employees struggle to work on the project that takes too much time, and energy, yet the rewards are low. Giving employees some incentives facilitates the success of the project and a smooth implementation. Communication is very important in the management of a company as many issues that hinder the implementation of the project results from the lack of good communication between the management and the employees. Ghosh argues that Sharing the good aspects of the implementation process across all departments is very important for its success (12). Many ERP projects fail because important details on the working of the system are not revealed problems arise. Sometimes the problems are blamed on individuals but it is normally too late for action. Communication across all management levels is very important for ERP systems

Middle Eastern Studies Essay Example | Topics and Well Written Essays - 750 words - 1

Middle Eastern Studies - Essay Example The Arab Spring of 1919 emerged soon after the end of World War 1 gestured to the emergence of pan-Arabism that called for unity of all Arabs against the European led partition and domination of the Middle East (Gelvin). Common features of these nationalistic movements-present now as before- include: 1. A unique citizenry defined by language, ethnicity, religion and historical traditions 2. A belief that, despite the passage of time, nations retained their inherent characteristics Of these state-building and nationalism proceedings, the Syrian revolution is seemingly the bloodiest and longest that has seen massive infrastructural damage and civilian casualties. All nationalists believe in the existence of a â€Å"common interest†; which is the sole role of the sovereign state in its provision. However, in the modern world this nationalism-as an ideology and in practice-is not restricted to the interest of the sovereign nationals. The involvement of the United States in the gov ernance of Middle East states is treated with much criticism and skeptic. Its meddling in the Middle Eastern affairs is perceived in light of the massive oil and natural gas resources within the region. In particular, the US purported support for (and silence over) the continued annexation of Palestinian land by Israel and its relentless attack of Afghanistan and Iraq has been seen in stark contrast to its claim of democracy. This is based on the understanding that true nationalism and thus democracy should represent the authentic identity and sovereign aspirations of the local or native people. There are three primary ways through which a state can obtain food for its citizenry: through agricultural production, through imports and through food aid. The Middle East is incapable of growing enough food to sustain its population (Richards and Waterbury). The region is the world’s least self-sufficient in terms of food due to the mismatch in supply and demand. The region has seen an escalated rise in demand characterized by an increased life expectancy of 25 years since the 1970s; the highest in the world since 1970. The infant mortality rate is given as 44 per 1000 persons, which is well below the world’s average and that of less developed states, which are pegged at 54 and 59 respectively (Richards and Waterbury). Food-sufficiency is almost physically impossible and economically it is undesirable. Why is this so? Firstly, the region (being vastly of desert and semi-arid conditions) experiences high water constraint. The region’s renewable water supply per capita dropped from highs of 3500 cubic meters in 1960 to a paltry and diminishing level of 1250 cubic meters. This situation is attributed to a rising population, rapid urbanization and the increased use of water for irrigating purposes. Therefore, the consumption of water for industrial and domestic use has been found by policy makers within the region to be of higher economic value than for agricultural purposes (Richards and Waterbury). Secondly, the concept of food self-sufficiency is entirely different from food security. The former relates to the ability to produce enough agricultural products to meet the consuming public. The latter, however, is more focused on the pertinent needs of individuals over a reasonable guarantee of having a proper meal. The focus of policy

What is the role and impact of trade in developing countries

What is the role and impact of trade in developing countries Subject: How realistic is free trade in the real world? Critically examine the competing perspectives about the role and impact of trade in developing countries. Explain why you might be pessimistic about the prospect for global growth and development in the future?. The history of free trade is a history of international trade focusing on the developments of open markets and it is common to hear that todays world economic system as being free trade or globalization. Theoretical rationalization as to why a policy of free trade would be beneficial to nations developed over time. Free trade agreements are established to enhance free trade of goods and services, in the belief that they will bring beneficial for all parties involves and lead to further economic develop and growth. But in realistic in real world it is not benefits for developing countries. That make many recession and pessimistic for growth of global in the future. Free trade is a system in which goods, capital, and labor move freely between nations, without barriers hinder the trade process. Many countries have free trade agreements, and many international organizations promote free trade between their members. A number of barriers to trade are removed in a free trade agreement (taxes, tariffs, and import quotas, subsidies and other forms of support to domestic producers), restrictions on the flow of currency are also lifted. Put simply, free trade help foreign companies to trade efficiently, easily, and effectively as domestic producers. There are many free trade agreements around the world, some of which have come into being after much controversy, protest and debate such as: WTO- The World Trade Organization is an organization that intends to supervise and liberalize international trade. NAFTA -The North American Free Trade Agreement. The goal of NAFTA was to eliminate barriers of trade and investment between the US, Canada and Mexico. APEC- The Asia-Pacific Economic Cooperation is a forum for 21 Pacific Rim countries (styled Member Economies) that seeks to promote free trade and economic cooperation throughout the Asia-Pacific region. AFTA- ASEAN Free Trade Area is a trade bloc agreement by the Association of Southeast Asian Nations supporting local manufacturing in all ASEAN countries. CAFTA- The China- Asean Free trade area. Touted as the worlds biggest Free Trade Area. In realistic, free trade between equal partners may be mutual benefits. But between a strong country and weaker or between a developed country and a developing country, the developed country tend to get more benefit as they have the capacity to sell whereas the developing country in unable to make use of the increased market access. This is so even in agriculture, where developing countries have comparative advantage. After the North American free trade agreement (NAFTA) was signed, Mexico increased exports fruits and vegetables by 50% to the US. But Mexico also increased imports tripled for corn and over 500% for soybean, wheat, poultry and beef from the US. It can see that Mexicos agricultural imports increased more than its exports, so 1.7 million rural jobs have been lost. The reason is very simple, after NAFTAs signing, Mexico reduced its tariffs to zero but the US still did not reduced its subsidies and many agriculture product of the US could sell at lower prices than the production cost. Thus the USs agriculture product swamped the Mexico market. Similar, Australia could not get extra sugar quota in free trade agreement with the US (AUSFTA- The Australia- United States free trade agreement). On beef, it only obtained 18.5% increased in its quota, confined to manufacturing grade beef spread over 18 years or extra half a cow/farm/year. And, in free trade agreement with china (CAFTA- China- Asean free trade area), from 2005 to 2008, Indonesia increased imports by over 150% from china and exports to China increased by around 77%. Moreover, the growth of Indonesians exports to China was mainly driven by raw materials, such as mineral fuels and ores, while the growth of Indonesian imports from China was due to increasing Chinese manufactured goods, ranging from electronics/electrical products and iron/steel products to furniture and textile items. Besides, between the developing countries and developed countries, explicit barriers especially Tariffs have come down but countries find other ways to block goods from other countries, if they are trying to protect domestic jobs or something like that. Or if there is some industry group that has political power and can get special protections for their business. Developed nations tend to do this for labor intensive goods which is exactly what many developing nations are trying to export. Recently Vietnam has faced barriers for selling shoes to the EU, and catfish to the United States. Anti-dumping taxes have been imposed by the US Department of Commerce on Vietnamese frozen catfish exports to the US since August 2003. Vietnamese exporters will be charged at the rate of 63,88 per cent on catfish exports to the US. The decision was made on the basis that American catfish producers claim that Tra and Basa fish imported from Viet Nam were being sold below market rates. Vietnam has prove n that it was not dumping catfish, and the tariff will lift for Vietnam on March 21, 2011. But Vietnam has to face with the new tariff for selling shrimp to US until 2016. For developing countries, instability of domestic economy increases from international trade and economies depends on global trade. Economic of America and EU go down, it would be very hard for developing countries to recover. For instance, recession in the USA led to the increase in unemployment in USA and decrease demand for Australian exports, leading to falling export incomes, lower GDP, lower incomes which leads to lower domestic demand and increased unemployment in this country. From the financial crisis in USA in 2008 which was caused by real estate bubble and under-standard lending operation with the consequence of high inflation and unemployment, lower growth. Massive action in money in the US creates pressure on US dollar, this makes US dollar depreciate against other strong currencies (EUR and Yen), which reduces competitiveness of exports of these countries, forcing the government of these countries to depreciate the domestic currencies by expanding money supply. This lea ds the currency war, causing turbulence in the currency markets and international trade, increasing inflation and restricting the consumption, lower production, lower income and decreasing growth rate of the economy, pushing back the process of the global economy recovery. As a result of the financial crisis in 2008 (the credit crunch for poor households and a decline in housing price), unemployment in USA increases strongly (8.9%) and is predicted not to improve in 2011. According to FED, the growth rate of USA is forecast about 3.4%-3.9% while the prediction of unemployment rate is from 8.8%-8.9%. Economists calculate the growth rate gains 5%, which reduces the unemployment by 1%. This means that its difficult for America to reduce the unemployment rate in the near future. This is also the main reason causing personal consumption declined. Consumer spending, which accounts for 70% of the US economy, will be hampered by unemployment when the need to save more. Moreover, deficit sit uation is estimated to gain 1,480 billion USD in 2011, equivalent with 9.8% GDP of this country (Financial Times), the highest deficit level in the history. However, the USA government still has no action to improve this situation but keep easing monetary policy. In Europe, public debt crisis is the most serious problem in these countries. As a result of global financial crisis, nations fell into deficit state due to borrowing to cover for their spending so much. But the main cause is still the excessive spending and inappropriate financial policies that lead to this situation. Firstly is the rescued package of IMF and EU of 110 billion EUR to save Greece from default threat, next is 85 billion EUR for Ireland and accompanied with tight monetary policy as increasing tax which Ireland has advantage to gain strong growth over past years, reducing spending and saving 15 billion EUR in 4 years to lessen the budget deficit rate from 32% to 3% with GDP. This threat of public debt crisis c an spread Spanish, Portugal and even Italy. Unemployment increases highly in these countries. But one question is raised that when rescued packages expire, whether the effort of IMF, EU and the government can prevent default of many nations and banks. With the total public debt can increase about 100% in the early of year 2014 in Europe, economic growth only gained 2% in 2010 and 1.5% in 2011 and unemployment rate can rise up to 8.3% (Vietnam Plus). The ability of collapse of common currency in this area may occur if this state is not improved. With the approximate rate of 20% global GDP from now to 2014, EU plays an important role in the world, if there is any breakdown in EU, it will be a detrimental consequence for global economy. In Asia, excessive growth in China leads to strong increase of inflation with predicted CPI is 10% and inflation rate is 5% in 2011 (Chinese Statistic Department). Real estate market developed excessively, landing price went up strongly, the landing pri ce in some places increased more than 20 times, even 100 times from the original price. Furthermore, the ease of fiscal and monetary policy with excess in issuing money leads to depreciation and high inflation, which raises the primary commodity price. Not for China, inflation tends to increase in other Asian countries. In the next year, to prevent inflation, the governments need to have tight monetary policies. If the money supply is tightened so much, it can lead to slow growth. But if keeping ease monetary policy, it can cause more inflation and leads the economy to overheat growth. One problem in developing countries is that fluctuations in the currency market is also creating macroeconomic instability threat even more detrimental to recovery process global economy So it is easy to see that economics of some developing countries may fall into recession and growth of developing countries will slow in 2011 and in the next few years. And the growth of global economy will growth very slow, according to World Bank predicts growth of global economy is at 3.3% in 2011 and 3.6% in 2012. Moreover, the recent Japans disasters (Earthquake and Tsunami) cause a big loss for the world economy in the short term. Japan is the place attracting the majority of FDI to some regions in Asia. Japan is the most important trade partner in Asia. Therefore, trade between Japan and other countries in the region will decrease strongly in the short term, accompanying with high inflation, the growth rate of Asia will slow down. Moreover, the economy of America will also be affected by Japans disaster. Export occupies by 10% GDP of America in which exports to Japan occupy by 5%, so this detriment on the USA economy is not small (Info TV). This calamity also affects the count ries which have big export turnover to Japanese market. One threat of the global inflation is that the increased oil price due to instability of Middle East and Africa, anxious psychology of violent prospect spreading out everywhere, the oil supply cant meet the recovery of the world economy, big demand of imported fuel of China and India (CNN, Foxnews). Economists worry about the possibility of the oil price increasing in some years, which causes a big pressure of increased price for most commodities in the world, decreasing the global growth, increasing inflation. That is reason why might be pessimistic about the prospects for growth and development in the future.

Our Daily Bread Sliced Thin :: essays papers

Our Daily Bread Sliced Thin King Vidor’s 1934 film Our Daily Bread is aptly named, for the film is of a prayer than an actual solution to the Great Depression. Like other Socio-political films of the era, it tries to offer a solution to the problems faced by so many Americans. However, Vidor’s message gets lost somewhere between the poor production, the bad acting, and the inconsistent ideology of the film. For those reasons what comes out at the end is an almost silly climax with little realism that offers the same amount of help that an escapist vehicle of the same period would offer. Vidor’s vision first began with his 1928 classic film of a couple being subjugated by the big city, The Crowd, which is the first part of a series of films Vidor wanted to do that depicted the lives of average American men and women (Vidor 221). The film follows the protagonist, John, as he slaves away in his office doing paperwork like so many other insignificant men. When John leaves work he is still just going through the motions, for his courtship and marriage to the heroine of the film, Mary, seems like a part of the city routine. Their marriage is enclosed by the city that their marriage suffers until Mary becomes pregnant. Here Vidor makes his point with his images of births in quantity (Bergman 76). John’s downfall in the film begins with the death of his child. Hit in the street by a truck, the child lies dying as John tries seems to fight the sights and sounds of the city that killed his daughter. Her death continues to haunt John as he relives the scene over and over at work. Eventually he loses his job and his wife, and he wanders around with nothing to live for. He reunites with Mary in the end and they attend a show, where on the program is an advertising slogan that he is responsible for. He rejoices in this achievement, and is then able to laugh at the show, joining the rest of the people in the crowd. It is a touching and realistic ending that Vidor called â€Å"A perfectly natural finish for the story of Mr. Anyman† (Bergman 76). In the early 1930s Vidor wanted to take the trials and unrest of the common man and put it into a film, so he read as many articles as he could on the subject (Vidor 220). Our Daily Bread Sliced Thin :: essays papers Our Daily Bread Sliced Thin King Vidor’s 1934 film Our Daily Bread is aptly named, for the film is of a prayer than an actual solution to the Great Depression. Like other Socio-political films of the era, it tries to offer a solution to the problems faced by so many Americans. However, Vidor’s message gets lost somewhere between the poor production, the bad acting, and the inconsistent ideology of the film. For those reasons what comes out at the end is an almost silly climax with little realism that offers the same amount of help that an escapist vehicle of the same period would offer. Vidor’s vision first began with his 1928 classic film of a couple being subjugated by the big city, The Crowd, which is the first part of a series of films Vidor wanted to do that depicted the lives of average American men and women (Vidor 221). The film follows the protagonist, John, as he slaves away in his office doing paperwork like so many other insignificant men. When John leaves work he is still just going through the motions, for his courtship and marriage to the heroine of the film, Mary, seems like a part of the city routine. Their marriage is enclosed by the city that their marriage suffers until Mary becomes pregnant. Here Vidor makes his point with his images of births in quantity (Bergman 76). John’s downfall in the film begins with the death of his child. Hit in the street by a truck, the child lies dying as John tries seems to fight the sights and sounds of the city that killed his daughter. Her death continues to haunt John as he relives the scene over and over at work. Eventually he loses his job and his wife, and he wanders around with nothing to live for. He reunites with Mary in the end and they attend a show, where on the program is an advertising slogan that he is responsible for. He rejoices in this achievement, and is then able to laugh at the show, joining the rest of the people in the crowd. It is a touching and realistic ending that Vidor called â€Å"A perfectly natural finish for the story of Mr. Anyman† (Bergman 76). In the early 1930s Vidor wanted to take the trials and unrest of the common man and put it into a film, so he read as many articles as he could on the subject (Vidor 220).

Population Health Knowledge And Principles Health And Social Care Essay

Health and Illness from a Population Health PerspectiveNowadays pull offing wellness and unwellness of a state people had become a cardinal precedence of state governments as with this they may face terrible negative heath results. Every state and its officials are concentrating on the direction of their population wellness as it has become critical for achieving long-run being ( Sheffield, 2008 ) . A state ‘s population wellness position pertains to the wellness results of a group of persons, acknowledging the division of such results within the group. Population wellness position is a important attack to wellness that directs to progress the wellness of whole population. From a population wellness position, wellness can be defined a province that is free from disease every bit good as the ability and capacity of persons to accommodate to, respond to, or pull off life ‘s inquirings and changes ( A Population Health Approach, 1999 ) . On the other, from a population wellness perspective unwellness can be defined as a province of hapless wellness of group of persons. As good, it may besides specify as an inability of group of persons to accommodate to, react to and form life ‘s challenges and alterations due to their wellness jobs. In modern epoch jobs related to persons ‘ wellness are increasing twenty-four hours by twenty-four hours and due to this concern towards population wellness has attained significant growing.Social and Structural Determinants of HealthEvery state ‘s functionaries are seeking to keep their population wellness but it is non every bit easy as it seems. All of us have important population wellness cognition and rules but non able to use it in world ( Novick, 2007 ) . For its successful executing it is indispensable to understand the relationships between behavior and wellness results. By understanding this, one can easy develop preventative schemes and rules to forestall unwellness and advancing single and community wellness ( Swinburn & A ; Egger, 2002 ) . Using population wellness cognition and rules will go easy if person well understand the societal and structural determiners of wellness ( Turnock, 2008 ) . This could besides be understood with an illustration of population wellness job that is increasing fleshiness. This population wellness job is increasing in about every portion of the universe that needs to be resolved in an effectual mode. The job of fleshiness is increasing in about all high- and low-income states. To curtail and eventually invert the addition in obesity-preponderance rates, all inclusive population wellness based attacks and schemes are required ( Swinburn & A ; Egger, 2002 ) . As good, for this it is besides indispensable to understand the societal and structural determiners of wellness so that with that this job of fleshiness can be resolved ( A Population Health Approach, 1999 ) . Designation of wellness determiners is indispensable to develop bar schemes. The cardinal determiners of persons and populations ‘ wellness are the conditions, in which people are born, develop, unrecorded and work. These conditions are so influenced by the societal and economic environment ( Khoury, 2010 ) . All these facets together become a significant cause of disease and agony. Similar is the instance with fleshiness that is besides the consequence of several determiners ( Dean & A ; Fenton, 2010 ) . These wellness determiners can be classified in two important groups that are as follows: Social Determinants Structural Determinants Understanding the multilevel and overlapping nature of present epidemics every bit good as their societal and structural determiners, is significant in the design and executing of more effectual bar plans for commanding increasing fleshiness jobs. Equally good, it is besides the consequence of individual-level determiners that may include bad behaviors such as unhygienic eating wonts and eating more and more debris nutrients ( Novick, 2007 ) . All these patterns of persons are chief drivers of fleshiness. The forms and distribution of these movable diseases in the population are later affected by a vivacious interplay among the preponderance of the morbific agent, the effectiveness of prophylactic and control interjections ( Dean & A ; Fenton, 2010 ) . As good, it is besides affected with a scope of societal and structural environmental factors. Structural determiners of wellness include those physical, economic, societal, organisational, cultural, community, legal, or policy related facets of the environment that obstruct or aid efforts to debar disease spreading ( Semenza & A ; Giesecke, 2008 ) . On the other manus, societal determiners of wellness include the economic and societal conditions of a state that influence the wellness of people and communities ( Raphael, 2006 ) . As good, it besides include stipulations for early childhood development, acquisition, work, income and occupation security, wellness services, nutrient security, and entree to basic services like lodging, societal segregation, and stigma ( Dean & A ; Fenton, 2010 ) . By understanding the general societal and structural determiners of wellness one can easy develop effectual disease bar and control attempts for increasing job of fleshiness. The cognition and apprehension of diverse societal and structural determiners of increasing fleshiness will decidedly help in the development of its bar schemes ( Swinburn & A ; Egger, 2002 ) . By developing bar strategies the jobs and diseases related to fleshiness can be controlled efficaciously.Relationship between Behaviour and Health OutcomesThe treatment of societal and structural determiners of wellness groundss that the increasing diseases and wellness results are due to some patterned behavior of persons and populations. Individual ‘s wonts are affected by societal determiners that in bend are affected by structural determiners ( Khoury, 2010 ) . This in bend consequences in terrible wellness results. By understanding these relationships between behaviors and wellness results one can develop effec tual population wellness bar schemes ( Tulchinsky & A ; Varavikova, 2009 ) . Individual hazard behaviors determine the opportunity of contact with other contaminated or morbific persons. Although, these behaviors do non take topographic point in a vacuity and it could be understood in concern to fleshiness ( Population based Public Health Practice, 2003 ) . For increasing fleshiness the built or physical environment are responsible that are increasing debris nutrient wonts among population all age groups. This environment is delighting persons to hold nutrient that is ready to eat and at just monetary value. All of us besides want to hold nutrient outside from place without understanding its negative effects on our wellness ( Dean & A ; Fenton, 2010 ) . Our ain behaviors are driven by increasing figure of fast nutrients and eating houses in each and every metropolis. Both of these determiners are increasing incorrect eating wonts among kids and childs that in bend are ensuing in fleshiness due to their inappropriate diet and consumption of tonss of fats. By understanding relationships among behaviors and wellness results different fleshiness bar schemes like structural and policy or legal can be developed easy ( Raphael, 2006 ) . All these different bar attacks can be implemented by alining with behavioral or medical interjections directed at persons. As good, with an nonsubjective to manage factors that affect single behavior in malice of directing their behavior ( Dean & A ; Fenton, 2010 ) .Application of Population Health Knowledge and Principles to Obesity PreventionWith the aid of population wellness cognition and its important determiners, it can be applied efficaciously in the development of diverse illness bar schemes, welln ess publicity and community capacity edifice. Development of a bar scheme is based on the factors due to which a disease or unwellness is increasing in population injuries ( Egger, Swinburn & A ; Rossner, 2003 ) . Designation of these factors is indispensable for forestalling a disease or unwellness every bit good as for advancing population wellness. The treatment of fleshiness and its societal and structural determiners provide a model through which preventative schemes against weight addition and fleshiness can be developed. Although there are several others diverse factors that are involved in the etiology of fleshiness and weight addition but the most significant factors are social and environmental ( Egger & A ; Swinburn, 1997 ) . These factors affect energy consumption and outgo that in bend is affected by familial and other biological factors like age, sex and hormonal activity on which there is small or no control ( World Health Organization, 2000 ) . A state facing job of fleshiness can easy develop effectual bar schemes by concentrating on these rules: Social, political, cultural, structural and physical environment elements that together impact the weight position of population ( Bray & A ; Bouchard, 2004 ) . By developing processs and programmes to manage those persons and groups who are at high hazard of weight addition and fleshiness. Appropriate direction protocols ( World Health Organization, 2000 ) . In add-on to the concentration on these above discussed facets, it is besides indispensable that fleshiness bar schemes are determined in a manner that should avoid precipitating and the development of eating upsets. In add-on to this for successful bar schemes it is indispensable to set about thorough analysis of different states fleshiness direction attacks ( World Health Organization, 2000 ) . With this, it will go easy to place a coherent and comprehensive attack to pull off fleshiness and job of weight addition ( Eckel, 2003 ) . As good, it is besides believed that the attitude of wellness professionals towards fleshiness is non appropriate that can be made more effectual by supplying them developing and larning. For effectual declaration of increasing fleshiness job a high national committedness is required. This committedness should be a shared duty of consumers, authoritiess, nutrient industry & A ; trade and the media ( World Health Organization, 2000 ) . Support from all these groups play a significant function in commanding fleshiness by advancing effectual alterations in present diet forms and mundane physical activity degrees ( Bray & A ; Bouchard, 2004 ) . By following all these rules one can easy develop effectual fleshiness bar schemes. Till now, fleshiness bar and fleshiness direction were seen as two different facets. Obesity bar was aimed at forestalling weight addition whereas fleshiness direction was aimed at weight loss. In present, these two are non different from each other as obesity direction includes all short-run and long-run schemes ( World Health Organization, 2000 ) . These schemes vary from bar, weight continuation, and direction of fleshiness comorbidities to burden loss ( Eckel, 2003 ) . In present one can easy pull off job of weight addition and fleshiness by concentrating on following schemes: Prevention of weight addition Promotion of weight care Management of fleshiness comorbidities Promotion of weight loss ( World Health Organization, 2000 ) . These schemes entirely can non be used until or unless degrees of preventative action are non determined. In instance of fleshiness job that is distributing all over the universe the preventative schemes need to be applied on these degrees of bar:Community Health Prevention:Through these bar programmes, schemes can be directed at the population or community. With this plan, the degree of fleshiness in the population can be stabilized efficaciously. These community based bar schemes can be introduced through different community plans related to population diet forms betterment, weight care and regular wellness check-ups. A state may follow diverse community-based intercessions in the way of bettering its population dietary forms and direction of associated hazard factors like BMI or serum cholesterin degrees ( World Health Organization, 2000 ) . These plans may include big communities like more than 100 000 people and may be implemented for longer periods like for 10 old ages or more than 10 old ages. Several these sorts of intercessions are implemented in Europe and North America ( World Health Organization, 2000 ) . Other states are besides implementing community based bar schemes but merely some of them have attained success. This is due to the deficiency of planned and comprehensive attack that is most indispensable for the success of long community based bar schemes. In present every states should develop specific community based bar schemes as with this lone it is possible to command diet forms of its population. If, a state functionaries will non take any introductory stairss in forestalling fleshiness its other governments and scene will besides non work in this way ( Swinburn & A ; Egger, 2002 ) . Working in this way is most indispensable in present epoch as the job of weight addition and fleshiness is increasing well and ensuing in several other related diseases.Selective Prevention:These bar steps can be directed at specific groups of population who are really at high hazard of increasing fleshiness. Selective bar schemes may be inducted through different scenes like schools, montages, community Centres, place environments, vicinities, workplaces, shopping mercantile establishments and primary attention ( World Health Organization, 2000 ) . With the aid of this preventative scheme one can easy progress the cognition and abilities of groups of peoples so that they can cover more efficaciously with the factors that may put them at important hazard of turning fleshiness. Schools, colleges and community Centres are portion of a natural scene that can be used to impact the nutrient and physical activity environments for kids and childs. By doing alterations in these educational institutes policy related to athleticss engagement and physical instruction clip the job of fleshiness among pupils and kids can be decreased significantly. As good, alterations related to active manners of conveyance to and from school will besides necessitate effectual policy. By making this the job of fleshiness can be managed at significant degree ( Swinburn & A ; Egger, 2002 ) . In add-on to educational scenes, vicinities can besides be targeted for active diversion. Changes in the walking web that includes pathwaies and walking paths, the cycling web that includes roads and rhythm waies will ease diversion. Increase in the figure of informal and formal diversion infinites like Parkss, metropolis nines, athleticss evidences and diversion Centres ( Swinburn & A ; Egger, 2002 ) . Addition in the figure of these infinites and recreational Centres will better physical activity degree of persons that in bend will command their weight and overall job of fleshiness. Another specific country of population that can be targeted is home environment. It is the most of import scene in concern to changing kids ‘s feeding and physical activity behaviors. By developing good feeding wonts and physical activities among households the job of fleshiness can be resolved well ( Swinburn & A ; Egger, 2002 ) . Work environment is another topographic point through which feeding and physical wonts of persons can be improved. By developing effectual plans and advertisements, the eating wonts of a house ‘s employees can be improved. They may supply day-to-day column in their organisation magazine and newspapers that employees read daily every bit good as they can develop different postings and messages on their corporate site. All these attempts will decidedly convey alterations in employees ‘ eating wonts that in bend will command their weight addition and fleshiness related jobs ( Kopelman, 2001 ) .Environmental Prevention:The most recent fleshiness bar scheme emerged are environmental bar schemes. These schemes include obesity direction attacks related to environment. These schemes analyze the whole factors of environment in which single or group of persons live. It focuses on the direction of these different environmental factors so that the job of fleshiness and weight addition can be resolved efficaciously ( Swinburn & A ; Egger, 2002 ) . These environmental schemes do non merely make to populations with hapless wellness results but it besides targets them differentially. These schemes include betterment of school nutrient programmes and active diversion and physical activity comfortss. Equally good as regular wellness check-ups and weight check-ups at authorities infirmaries and associations. With these schemes poorer countries wellness results can be improved well ( Fletcher & A ; Grundy, 1999 ) . This scheme can besides be directed with the alteration in physical environment for diversion, nutrient Torahs, local authorities conveyance policies, etc. This whole procedure will convey a significant alteration into a state ‘s system that is indispensable to command fleshiness and its associated diseases ( O'Dea, 2005 ) .Targeted Prevention:One of the other significant bar schemes that can be used to forestall weight addition and fleshiness is targeted bar. These schemes are directed at persons who are already over weight and those who are non over weight but devouring tonss of fats daily without sing its hereafter consequences ( World Health Orga nization, 2000 ) . With the aid of these schemes persons can be controlled in their weight addition. As good, it besides assists in diminishing the figure of people who develop fleshiness associated comorbidities ( Fletcher & A ; Grundy, 1999 ) . All these bar schemes offer a long-run attack to cover with the jobs of weight addition and fleshiness but it is non sufficient as there is besides a demand of diverse intercessions and bar schemes. Every state is required to develop influential and sustainable schemes in concern to burden care and fleshiness direction ( Swinburn & A ; Egger, 2002 ) . As good, high investings in different media runs are critical along with systemic alterations. Nowadays media is the most influential tool for pull offing present terrible diseases through effectual messages and by exposing its injuries ( Egger, Swinburn & A ; Rossner, 2003 ) . For pull offing fleshiness related jobs it is besides indispensable to alter people societal attitudes along with important policy alterations. Food sector related policies requires significant alterations like: Changes in financial nutrient policies for diminishing demands of some debris nutrients. Constitution of nutrition information panels. Nutrition signposting programmes Development of diverse wellness and nutrition claims. Ad prohibitions on kids ‘s Television ( Swinburn & A ; Egger, 2002 ) . In add-on to this, it is besides indispensable that the more general authorities policies that influence income distribution, employment, lodging and societal services adopt important alterations from clip to clip. All these facets are extremely influencive on people eating wonts. Everyone needs to follow a changed attack if wants to cover with fleshiness and salvage its state with future problems and terrible diseases ( Andersen, 2003 ) . The publicity of healthy feeding and physical activity guidelines and messages is besides indispensable to command increasing fleshiness problems. With the aid of different advanced mass-media runs and other communicating schemes public of state can be educated sing healthy eating wonts and physical activity degree. The USA runs like the ‘Healthy Eating Pyramid ‘ , the ‘5-a-day for better wellness ‘ and ‘National Cholesterol Education Program ‘ are rather good known and every bit good as effectual ( Swinburn & A ; Egger, 2002 ) . Effective media runs and publicities will hold a important impact on population cognition, attitudes, apprehension, and purpose. By following all the above discussed bar schemes and other policies the problem of fleshiness and weight addition can be handled efficaciously and expeditiously ( Andersen, 2003 ) .DecisionWith the aid of this elaborate treatment of population wellness cognition and rules, it can be said the job of fleshiness is increasing due to incorrect eating wonts of populations. By following effectual bar schemes on community and single degree this job can be resolved efficaciously. Understanding of societal and structural determiners is besides rather helpful in the development of effectual weight addition and fleshiness bar schemes ( Kopelman, 2001 ) . Management of this job is indispensable as otherwise it may direct persons to severe wellness jobs like diabetes. By using old population wellness cognition and principles the job of increasing fleshiness can be handl ed efficaciously.

Alcoholic Beverage and Personal Communication Essay

Introduction The use of a range of drug types, including alcohol, are part of the traditions of many, if not all, communities in Fiji. The Fijian and Indo-Fijian communities have long traditions of psycho-active drug use in the context of ritual and ceremony. 1,2 It has been noted that seafarers, together with indentured labourers, brought cannabis or Indian hemp traditions to Fiji, with the sugar cane plantations providing fertile ground for cultivation. 2,3 Meanwhile, kava was widely cultivated and consumed by ethnic Fijians. The Indo-Fijian community slowly adopted kava drinking rituals and gradually others began to increase their consumption. In addition, marijuana use emerged and spread with increasing popularity amongst youth, especially males. 2-5 This literature review explores the current licit and illicit drug situation in Fiji. It considers peer-reviewed articles identi? ed using Pub Med, Health Internet Work Access to Research Initiative (HINARI) searches and ‘grey’ literature, including published and unpublished reports, and web based resources (e.g. UNDOC, WHO). The review found that there is limited data available to assist in understanding the current situation and associated harms in Fiji, but notes more studies and reports have examined alcohol consumption patterns and associated social problems when compared with studies on illicit drug use. 1, 5-15 Alcohol use in Fiji According to the WHO Global Status Report on Alcohol, data from the 1993 National Nutrition Survey indicate that consumption of alcoholic home brew use is widespread in Fiji, as in other Paci? c nations. These beverages usually contain up to three times the alcohol content of commercially produced beer and are mostly drunk by younger men. 16 After 1995, unrecorded alcohol consumption in Fiji was estimated to be 1. 0 litre of pure alcohol per capita for the population older than 15 years (estimated by a group of key alcohol experts). 17 Although there are no recently published statistics on the number of drinkers and abstainers, the same survey found daily drinkers to be 1. 4% among males and 0. 8% among females aged 12 years and over. 18 Estimates from alcohol experts show that the proportion of adult males and females who had been abstaining (in the year prior to the survey) was 74% (males) and 98% (females). 17 Research shows that single drinking sessions with a high rate of alcohol intake (common practice among Fijian youth) can cause abrupt mood swings resulting in violence, accidents and ? ghts, exaggerated emotions, uncharacteristic behaviour, memory loss, impaired judgement, communication problems, sleepiness, coma, stupor and death (at very high intake) and suicide attempts. Binge drinking has also been implicated in schizophrenic and other psychiatric episodes. 19 165 REVIEW PACIFIC HEALTH DIALOG MARCH 201 1, VOL. 17, NO. 1 While there is limited current information on the rate and consumption patterns of alcohol, cannabis and kava among young people,1,6,9 several studies2,3,8,11 were conducted to analyse the extent of tobacco and alcohol use among young people in Fiji in the 1990s and early 2000s. One of the studies4 found that alcohol is widely consumed in one form or another among young people, with about 2 in 5 of the young people surveyed having tasted it. The percentage of young people classi? ed as current drinkers ranged from a high of 26% among males to 9% among females. 4 Of concern was the high proportion of binge drinkers: about 3 in 5 young people reported having had 5 or more alcoholic drinks in one session. The study4 indicated that the high prevalence among 13-15 year olds poses a serious concern, and highlights the need for law enforcement and intervention programs to create an environment that promotes responsible drinking. Interestingly, the study found that when compared to smoking, alcohol and kava use, the proportion of young people using cannabis was relatively low. 4 A follow up survey of 2147 students in 2004 by the National Substance Abuse Advisory Council (NSAAC) found a general increase in substance use among secondary students (see table 1). Table 1: Youth Substance Use in Fiji (Comparison of the results for Fiji in the 1999 Global Youth Tobacco Survey by UNICEF and WHO and 2004 follow up survey by NSAAC). Substance Tobacco Alcohol Kava Marijuana GYT Survey (1999) 32. 3 40. 3 51. 9 12. 8 NSAAC (2004) 43 51 61 13 Signi? cant variations exist in the drinking habits of males and females in Fiji; there are many more male drinkers than there are female drinkers. 11 Ordinarily males consume the bulk of the alcohol in the company of other males, usually during drinking sessions with no special occasion, while most women drink alcohol during social functions or in night club settings in the company of men and other women. While women occasionally participate in drinking sessions, typically it is an exclusively male activity. 11,13 It is at these drinking parties where the most copious amounts of alcohol are reportedly consumed. Thus, when males drink, they tend to drink larger amounts of alcohol in one sitting than women do. Illicit drug use in Fiji Border Security and Drug Control Limited data exist to aid in understanding illicit drug use and the associated harms across the Paci? c. In addition, there are no surveillance systems. 20 However, Fiji by virtue of its geographical position is faced with the twin problems of illicit drug traf? cking and increasing use. 21,22 These are further aggravated by the rapid transitional and social changes arising from urbanization. These developments create an atmosphere which exposes entire communities to greater risk associated with drug use (Personal communication – Fiji Police Department, 2008). Minimal use of drugs such as heroin, morphine, cocaine and hallucinogens occur, but this review found that Fiji is considered a transit area for smuggling. [20-23]. Drugs such as heroin, methamphetamines and 166 PACIFIC HEALTH DIALOG MARCH 201 1, VOL. 17, NO. 1 REVIEW cocaine are not commonly used due to their high cost when compared to the average income. Raw cocaine has reportedly been found in Fiji and three Chinese men and a Fijian security guard were murdered in what was thought to be an organized crime execution linked to drugs. 22 National enforcement agencies have responded to curb traf? cking as is re? ected by the large seizures of illicit drugs. 24,25 In spite of this response, a drug laboratory found in Fiji in 200625 supports the view that organized crime groups could escalate their activities in the Paci? c islands. 21,25 A raid at an industrial estate in Suva, involving police from Australia and New Zealand and Fijian Customs Of? cer followed a major heroin seizure in 2000. 21,25] The lab identi? cation also suggests a transition of Fiji (and possibly other Paci? c Nations) from a transhipment point to a production base. According to the New Zealand Police, to succeed in future operations similar to the Suva bust, interested agencies need to work towards having â€Å"robust communication systems† across organisations to keep them connected and informed on crime in the region. 21 It is reported that there are about 5000 vessels transiting in the Paci? c on any given day. 21,24 Large shipments may be unloaded from a mother ship to smaller vessels, and can subsequently go in hiding at the many small, uninhibited islets and atolls, waiting for the next step. 21 Fiji has recently established a Transnational Crime Unit (TCU) with the Fiji Islands Revenue and Customs Authority (FIRCA) as one of the key law enforcement agencies involved. This unit has been vigilant in promoting the cooperation between border organizations in order to assist the TCU in controlling the borders. 24 The Unit also compiles data for intelligence risk assessments throughout the year. It supports a Case Management Intelligence System (CMIS), whereby relevant information from the Police Department, Immigration Department, Local Government Authorities, Financial Intelligence Unit, and other Law Enforcement Agencies24 are automatically linked in the system. A number of cases which the TCU have been investigating include a Tongan syndicate smuggling drugs from Fiji to Tonga. In a recent example of program cooperation a number of TCU surveillance targets were arrested during a Police roadblock in Sigatoka (personal communication, FIRCA, 2008). Domestic Issues Cannabis is by far the most common and widespread illicit drug used in Fiji. 11 Like many other countries in the region, anecdotal evidence suggests there has been a considerable increase in drug use among young people4 despite the relatively small increase suggested by the 2004 NSAAC study (see table 1). However, it is not clear if the two studies they reported were directly comparable. Data collected by the St Giles Hospital and the Fijian Police Department support the view there has been an increase in use. Admissions data for St Giles Hospital reports on cannabis induced psychosis and other disorders. In 1987, ? ve young men were admitted to St Giles Hospital with cannabis related mental disorders. In 1988, the number rose to ? fteen with many more unreported cases. 26 The 2005 hospital data revealed that a total of 612 patients were seen at outpatients department diagnosed with a substance abuse disorder. These included 386 (63%) patients for marijuana, 59 (10%) alcohol, 99 (16%) kava and 99 (16%) tobacco use issues. In 2006, 272 admissions to St Giles Hospital were reported as drug related, consisting of 66% Fijians, 20% Indo-Fijian and 14% belong to other ethnic groups. It is probable that the political troubles in 2006 impacted on the number of admissions, but no data were available to con? rm or reject this view. Police arrest data report possession (see Table 2). 8,13,26 Statistics provided by Fiji Police showed 259 drugrelated crimes were committed in 2008. There was a 21 per cent drop from 2007 which had 329 drug-related 167 REVIEW PACIFIC HEALTH DIALOG MARCH 201 1, VOL. 17, NO. 1 crimes. 27 There are also reports of increasing cannabis cultivation as a form of inter-seasonal cash crop substitution among farmers. It is estimated that Fiji has between 500 to 1000 cannabis producers, some of them citing the country’s worsening economy as the motivator for production (personal communication, Police Drug Unit, November 2008). For generations, the villagers of Navosa have travelled for hours across rugged terrain to reach a road to the market to sell their produce with no guarantee their produce will be sold. Facing the same hardships as their ancestors, many of these villagers report having no choice but to resort to marijuana growing because â€Å"The product is lighter, it has a steady market and is economically viable† (Personal communication with growers, December, 2008). Production is predominantly for local consumption. Table 2: Recent Crime Data ( Drug offences recorded by the Fiji Police Forces from 2000 to 2006). Year Drug offences 2001 433 2002 417 2003 417 2004 312 2005 312 2006 333 The Save the Children Fund in Fiji reports that the continuing political and economic instability in the country has also led to a lot more children working as drug traf? ckers or prostitutes. [28] Concern over the increasing number of children involved in drug traf? cking was sparked by the recent arrest of three school children caught selling drugs in an amusement centre in Labasa. The Fiji Women’s Crisis Centre reported an increase in young Indo-Fijian girls working as prostitutes in urban centres. Furthermore, the National Manager for Save the Children Fund in Fiji, says there is a growing trend among poor families to send their children out onto the streets. 28 Drug and alcohol legislation and policy According to the literature, there is no regional-based illicit drug policy for the Paci? c and few treatment programs. 20,29 Information from the Paci? c Island Forum Secretariat (PIFS) indicates that Fiji’s Illicit Drugs Control Act is an adaptation of the Regional Model Law on the Control of Illicit Drugs which was developed by the Secretariat. There was no formal committee, but it was endorsed by a Cabinet sub-Committee on legislation which was chaired by the then Attorney-General. Both the Fijian Government and PIFS are advocating for a regional legislative framework to respond to the increase in illicit drugs in the region (personal communication, PIFS, 2008). Amphetamines are a key drug of concern with the region’s geographical vulnerability highlighted as a key factor in the rationale for this approach. At the time of writing, Kiribati and Fiji are the only two PIFS member countries to have adapted and enacted the model law. Furthermore, a Code of Practice has been developed by PIFS to assist stakeholders such as law enforcement agencies and pharmacies to classify, register and dispose of illicit drugs (personal communication, PIFS, 2008). It may be adapted by Forum member countries with modi? cations to suit national legal and administrative arrangements. Legislative control on the consumption and sale of alcohol to minors has not been widely and effectively implemented. While minors are legally barred from consuming alcohol, the sale of alcohol beverages to under-age drinkers is common throughout the country. 11 For the minor who is unable to gain access to commercial alcohol beverages, homebrew is an easily obtained alternative. Anecdotal evidence suggests that minors make up a large and undetected percentage of consumers of alcohol beverages. 168 PACIFIC HEALTH DIALOG MARCH 201 1, VOL. 17, NO. 1 REVIEW Sexually Transmitted Infections Sexually Transmitted Infections, including HIV, are emerging public health problems in Fiji. 13 A recent WHO report indicated that the rise in the number of HIV cases, in addition to increasing number of patients accessing STI clinics, in an ongoing concern. In 2006, MOH statistics indicated30 that Fijians comprised 83% of con? rmed HIV diagnoses, Indo-Fijian 13% and ‘others’ 4%. Since 2004, Fijian males had replaced females as having the highest number of cases. Overall, males comprised 59% and heterosexual transmission accounted for 85% of all cases. By the end of 2004 a total of 182 HIV infections had been reported in Fiji13 and the number of new cases reported each year has increased for the last ? ve years. In Fiji, reported cases of syphilis and gonorrhea have ? uctuated between 1998 and 2004. In 2004 there were 852 reports of syphilis and 1182 gonorrhea. The number of cases reported for 2008 were 1004 for syphilis, 1064 gonorrhea and 283 HIV cases. 27 Recent statistics from Fiji’s Health Ministry on Sexually Transmitted Infections are a cause for concern with the high rate of STIs among people aged 20 to 29 increasing the risk for HIV infection. 31,32 Fiji’s Director of Public Health notes that statistics gathered over the past eight years by the Ministry show that gonorrhoea and syphilis are the most frequently reported STIs in the country, which â€Å"highlights the underlying concern of unsafe sexual behaviour among young people† and the â€Å"same high-risk behaviour for the transmission of HIV. † He also said that â€Å"sex is serious business† and that â€Å"anyone, especially young people, who participates does so at their risk, in view of the sad consequences of infection from so many STIs including HIV, pelvic in? ammatory disease and infertility. †32 Risk/Protective Factors Some religious groups in Fiji, such as Islam, strictly forbid the use of alcohol. Christian denominations such as the Assemblies of God, Jehovah’s Witnesses and the Seventh Day Adventist Mission also prohibit the consumption of alcohol. Individual members of these religious groups vary in the degree to which they adhere to these principles. Any negative effects of combining tobacco or alcohol with kava use are currently conjecture, with relatively little work done to explore the nature of the relationship between these substances in the Paci? c. 1,6,9,26,33 However, anecdotal evidence suggests an inter-relationship exists with social and health consequences. 1, 4-6, 9, 13, 26, 33, 34 Reports of kava drinking followed by a beer chaser, known as ‘washdown’, are not uncommon and suggests the need for further exploration of potentially harmful consumption patterns. Excessive drinking, drinking too frequently and too much, often re? ects the drinking pro? le of the majority of young people in countries like Fiji. 5, 11, 14 Excessive drinking is reported as a signi? cant contributor to motor vehicle accidents, violence and aggressive behaviour, unwanted pregnancy, sexually transmitted infections, and criminal activities. 3, 14, 15, 18, 26 It has been suggested that the alcohol consumption pattern of young Indigenous Fijian males follows the traditional kava ritual of drinking until there is nothing left in the kava bowl. In many instances, young people often end their kava drinking session by consuming alcohol (‘wash down’). [3, 5] It is reported that most youths drink excessively to manage their problems, but it may result in new problems like unsafe sex, crime and violence and even suicide. 5, 14, 15, 34, 35 A study in Fiji10, 11 revealed that alcohol was a factor in 58% of all homicide between 1982 and 1992 and approximately 80% of the crime in the country is alcohol-related. 10, 18 169 REVIEW PACIFIC HEALTH DIALOG MARCH 201 1, VOL. 17, NO. 1 Furthermore, the effects of alcohol on the physical, mental and social health of Fiji’s citizens have in recent years been the subject of considerable concern amongst health-care professionals and social scientists, as well as the ordinary citizens. 2, 3, 8, 10, 11, 23, 26, 33 At present there is suf? cient evidence from a variety of research ? ndings1, 6, 10, 11, 34 to suggest that the heavy consumption of alcohol contributes other health problems in Fiji, such as diabetes, heart problems, obesity and hypertension. Among the social consequences of excessive alcohol consumption in the country,10, 11 violent crime, domestic violence, and road fatalities have been identi? ed as the most serious. 8, 23, 34 While alcohol and home brew drinking are more common, marijuana cultivation, sales and distribution has become pervasive in some Paci? c Island countries. It has been seen as a good source of income. A further emerging substance abuse issue is glue snif? ng among school age children, mostly in their early teens. In addition, unemployment in youths is a major problem in the Paci? c. In Fiji it has been estimated that out of nearly 10,000 youths seeking employment, only 1500 can be employed. 2, 3, 13 Studies and observations in some urban areas of Paci? c countries point to an increasing numbers of people between the ages of 15-19 engaging in commercial sex worker with some aged even younger. 2, 3, 11, 15, 35, 36 Conclusions There is a range of evidence and data suggesting the potential for increased risk of HIV infection associated with substance use in Fiji, but there is a need to explore this issue further with social behavioural and qualitative research. While harmful substance use patterns and sexual health risk factors are increasingly reported, there is little current analysis regarding the interaction of the two. Of particular concern is the current environment of rapidly changing substance use patterns with little in the way of structural responses to protect the people of Fiji from the range of social and health-related harms. In addition, dif? cult economic conditions and the tangible bene? ts of cannabis growing and distribution (and potential for amphetamine production) lend urgency to the need to investigate these issues further and to develop viable interventions that are informed by robust data and research information. References 1. Goundar R, Kava consumption and its health effects. Journal of Community Health and Clinical Medicine for the Paci? c 2006. 13(3): p. 131-5. 2. Plange, N. K. , Social Aspects of Drug and Alcohol Abuse: An overview of the situation in Fiji. Fiji Medical Journal, 1991. 17(3): p. 5-12. 3. Plange, N. K. , Alcoholism and Crime among Urban Youth in Fiji. 1991, University of the South Paci? c. 4. UNICEF. , Substance use among adolescents in Fiji: A surveillance Report from the Fiji Global Tobacco Survey. 1999. 5. Rokosawa, M. Alcohol problems in Fiji. 1986 [cited. 6. Moulds RFW, M. J. , Kava: herbal panacea or liver poison? [For Debate]. Medical Journal of Australia, 2003(178): p. 451-3. 7. Morrison F, H. F. , Gaylord J, Leigh B, Rainey D. , Adolescent drinking and sex: ? ndings from a daily diary study. Perspective on Sexual Reproductive Health, 2003. 35(4): p. 162-8. 8. Adinkrah, M. , Homicide-Suicides in Fiji: Offence patterns, situational factors & socio-cultural contexts. Suicide and Life Threatening Behavior, 2003. 33: p. 65-73. 170 PACIFIC HEALTH DIALOG MARCH 201 1, VOL. 17, NO. 1 REVIEW 9. Kava, R. , The adverse effects of Kava. Paci? c Health Dialog, 2001. 8: p. 115-18. 10. Adinkrah, M., Violent encounters: A study of homicide patterns in Fiji society. 1996, Fiji Council of Social Services. : Suva, Fiji. 11. Adinkrah, M. , Crime, deviance & delinquency in Fiji. 1995, Suva, Fiji: Fiji Council of Social Services. 12. Plange, N. K. , Social aspects of drug and alcohol abuse: An overview of the situation in Fiji. Fiji Medical Journal, 1991. 17(3): p. 4-12. 13. WHO, National Workshop on Alcohol Related Problems in Fiji. 1986. 14. Naiveli, B. , Alcohol and Crime. 1986, Royal Fiji Police. p. 34,35 15. Kippax, D. D. , The Genesis of Alcohol -Related Problems. 1986, Fiji School of Medicine. p. 24-28. 16. Na tabili kavoro: The place of alcohol in the lives of Fijian people living in Aotearoa New Zealand. ALAC Research Monograph series: No. 4. Wellington, Sector Analysis, Ministry of Health for the Alcohol Advisory Council of New Zealand, 1997. 17. Alcohol per capita consumption, patterns of drinking and abstention worldwide after 1995. Appendix 2. European Addiction Research, 2001. 7(3): p. 155-157. 18. http://www. who. int/substance_abuse/publications/en/? ji. pdf, WHO Global Status Report on Alcohol 2004: Geneva. 19. Recommendations for policy to support health promotion. A report to the Minister of Health., N. C. f. H. Promotion, Editor. March 1998. 20. Devanney M, R. G. , Baldwin S, Crofts N, Power, R, Illicit drug use and responses in six Paci? c Island countries. Drug and Alcohol Review, 2006. 25: p. 387-900. 21. Drug Enforcement Administration – Intelligence Division, Drugs Intelligence Brief: the paci? c islands region, v. Alexandra, Editor. 2004, Drug Enforcement Administration. 22. United States Of? ce on Drugs & Crime, Paci? c Islands: UNODC – Regional Centre for East Asia and the Paci? c. 2003. 23. Ratinisiva M, Drug Traf? cking, Prevention and Control in Fiji. Fiji Medical Journal, 1991. 17(3): p. 5-12. 24. Fiji Islands Revenue and Customs Authority, Annual Report. 2006. p. 17. 25. Louisa, C. , Paci? c ripe for drug ring boom, in NZ Herald. 2004: Auckland. 26. Abusah, P. Y. , The Drug Scene in Fiji. Fiji Medical Journal, 1991. 17(3): p. 21-25. 27. http://www. stats? ji. gov. fj/Key%20Stats/Miscellaneous/15. 7%20crime%20cases%20recorded. pdf. 2008. 28. http://tvnz. co. nz/view/page/425822/37544, More Fijian youth in drugs, prostitution 2001. 29. Illicit Drugs Control Bill Draft. Fiji: Paci? c Islands Forum Secretariat. 2002. 30. Ministry of Health, Annual Report – Shaping Fiji’s Health.2007. 31. http://www. health. gov. fj/index. html. 2008. 32. http://www. stats? ji. gov. fj/Social/health_cdeath. htm. 2008 [cited. 33. Council out to Fight Drug Abuse, in The Fiji Times. 34. Caswell, S. , Alcohol in Oceania. 1986, Alcohol Research Unit, Dept of Community Health and General Practice, School of Medicine, University of Auckland, New Zealand. p. 25. 35. Kippax D, O. M. J. , Alcohol-Related Problems in Fiji. 1986, Suva: Suva. 36. Ali, S. , Family Life Education. 1986, Ministry of Education. p. 36-39. 171 REVIEW PACIFIC HEALTH DIALOG MARCH 201 1, VOL. 17, NO. 1 172.

buy custom Media and Violence in Racialized Families essay

buy custom Media and Violence in Racialized Families essay Introduction Modern racism in Canada is a designation of inferiority assigned to various racial groups and using the attribution to promulgate and justify imbalanced treatment of these racial groups. Racism in Canada takes three major forms: concept of biological inferiority, cultural deficiency and underdevelopment in technology (Fontaine, 2008). There are however three types of racism in Canada: individual racism (direct), subconscious racism (indirect) and lastly systemic racism (institutional). White Canadians direct individual racism towards people of color such as the Aboriginal people, immigrants and the Quebec community because of their race, culture and socio-economic status. Subconscious or indirect racism towards the minority in Canada occurs because of stereotypical assumptions that Canadian mainstream media fuels, fear of the unknown and ignorance. Institutions such as businesses, government agencies and healthcare facilities practice systemic racism by limiting opportunities and rig hts to minority groups because of race. These institutions are responsible for health care, housing, maintaining public policy, education, commercial and social activities among other frameworks of the Canadian society. Media contributes to violence among racialized groups in Canada because of the stereotypical assumptions it portrays. The mainstream media uses the names disadvantaged or underprivileged to mean people of color. Media pictures these racialized families as failures in academic institutions, lazy in work environment and prone to crime that goes hand in hand with substance abuse. Racialized families face constant discrimination in form of direct violence or rejection from opportunities in the society because the media constantly portrays them as less civilized, less bright and less human. These portrayals justify the types of oppressions the racists, media and other institutions directs to them. The exclusion from all frameworks of the society leads to socio-economic marginalization, loss of voice and powerlessness (Galabuzi, 2010). Literature Review Violence in racialized families in Canada results from poverty, lack of employment and inequality. At the family or domestic level, the use of violence is against children, women and the disabled. At the international or national level, asylum seekers, poor people, African Canadian and Minority ethnic, refugees, Indigenous and migrants face different forms of violence from institutions and states. These institutions use violence against racialized communities to maintain national security, order and peace. Jiwani refers to a murder case in British Columbia in Canada, of Reena Virk a 14-year-old girl from South Asian ethnic background (2006). She further explains how 14-16 year-olds seven girls and a boy beat Reena Virk because of her race. The media covered up the reasons for the murder citing that the crime was a love triangle and that the victim was spreading rumours (Jiwan, 2006). Research shows that violence and crime in racialized communities occur when there is loss of hope and despair in relation to poverty and racism. Violence, gun and gang-related crime occur in Ontario because of the high population of legal and illegal immigrants, Aboriginal people and African Canadian youths. These minority groups resort to violence because they lack proper resources and opportunities. In a company that has racialized workers, employers give them low paying and insecure jobs that take longer hours. Their education is not important because individuals and institutions already consider them illiterate and inexperienced. People working for low incomes and overtime tend to try easy jobs such as selling drugs on the streets. Poverty also pushes racialized people to violence. The war on drugs slogan usually targets racialized communities because they are the low-level drug peddlers. Police focus on such groups rather than the powerful drug lords who supply the drugs (Galabu zi, 2010). Re-enforcement and Reproduction of Violence by Mainstream Media The mainstream media in Canada plays a vital role in communication concepts of racism against people of colour. They help in defining the terms of racism and further localize them within the imagination of the public. In reproduction of Canadas social knowledge, the media acts as crucial vehicles in underpinning hegemonic interests and clarifications (Jiwani, 2006). This means that the mainstream mass media invoke thought and behavior in Canadians when they frame race and acts of racism as derived from the social life of minority groups. The media defines racism as violent or nonviolent acts that arise from immigration, ignorance and uneducated individuals who reside on the rural areas of Canada. Race implies the differences in culture and biological appearance as shown in films and pictures. Jiwani argues that Canadian mainstream media communicate race or racism by commission or omission (2006). In cases where violence is against racialized groups, the mainstream media reports that these are normal cases and this in turn spurs new cases of violence against people of colour in Canadian institutions (schools, homes or workstations) because of the footage on the crime. Canadian mainstream media tries to cover up violence against racialized groups by reporting on prostitution, Aboriginality and girl-an-boy crime instead of hate crimes. Jiwani and Young refer to a missing persons case in Vancouvers Downtown Eastside where the body of a murder victim previously reported as missing resurfaced (2006). This case fueled a heated debate among Aboriginal people and the cover-up by the media focusing on prostitution of the Aboriginal. Such a case will re-enforce violence against Aboriginal women because the offenders will use the media portrayal of prostitutes to carry out violence. Jiwani notes that the media portrays the Aboriginal people as childlike, women as prostitutes and men as criminals who need the white Canadians and the state to push them to development (2009). This means that women and men from racialized groups experience violence in the presence of police officers and other Canadians but because of their stereotypical status as portrayed by th e media, an intervention to stop the violence is rare. When such cases occur, the police and other Canadians believe that these racialized groups deserve the violence. Fontaine reports of a case in Winnipeg Sun, a Canadian newspaper that ran an advertisement for stopping crime using a suggestive photograph portraying police officers frisking two teenage boys from the Aboriginal community (2009). This advertisement ran for several months in the newspaper. The effect of the advertisement and photograph reinforced the stereotype status of the Aboriginal youth as delinquents in mind of Canadian readers. Another example of how mainstream media reproduces violence among racialized groups is the case of Reena Virk, the South Asian girl whose body surfaced after eight days in a river (Jiwani, 2006). She further explains that the media covered up the issue of racism until two years later during the trial of one of Reena Virks murderer when the court and media stressed that the victim faced the violence because of her weight and inability to penetrate the culture of her peers (Jiwani, 2006). This means that her physical appearance and lack of normative stand ards caused the violence. Canadian normative standards implies a thin body, white, athletic (able-bodied) and heterosexual. Racialized groups lack these normative standards and in essence, victims of racialized crime are responsible for their own fates. Violence against Racialized Women in Canada Violence against women and girls within racialized families is rampant in Canada because of the stereotype views portrayed by the media, loss of voice and fear of deportation if they are illegal immigrants. Women in Downtown Eastside of Vancouver are from the Aboriginal community faced with adverse poverty and insecurity resulting to prostitution (Jiwani Young, 2006). These women encounter persistent sexual violence from men of the same community or their spouses but they do not receive any security or protection because the police believe they deserve such crimes because they are sex workers. Cases of homicides among racialized families are common but such stories do not make it to the front-page of newspapers because violence against women of colour is a normal domestic violence within racialized groups. Among immigrants, violence against women and girls is high because they do not have a voice and financial ability to seek protection. Calling the police in Canada during a violent crime committed against a racialized immigrant woman could result to two cases: deportation or lack of response from the police. Women resign to domestic violence from their spouses and people from the same family because they cannot escape relationships that are abusive with their sponsors or benefactors because they will lose their homes, children and right to acquire basic needs. Indigenous men, immigrants and men of colour harass their women who refuse to seek help or protection because many women who do not have the resources to provide basic needs for themselves and their children would receive poor healthcare and social housing. Men abuse racialized women who cannot report cases of domestic violence hence they escape punishment. Family structure as portrayed by Canadian media. Mainstream media in Canada sets up the family structure to male domination by the types of movies that portray men as the backbone of Canada while women are homemakers (Galabuzi, 2010). Advertisements show Canadian families with the male as the head of every aspect of the society: work, entertainment and politics while women and girls take up inferior roles. This image creates a male dominated family structure across Canada in the minds or readers and viewers. Most reporters, news anchors and producers in any media network are men. This gives men the upper hand to act as the head of families in major decision-making. Women in advertisements market personal hygiene products such as bathroom or kitchen products. This portrays the role of women in the society is in the home. The media portray men as intellectual and independent in dramas, advertisements and in the media production industry. In movies, men have superior and heroic roles while women play homemakers, secretaries and prosti tutes (Tastsoglou, 2009). Mainstream media production on sexism and racism. The mainstream media in Canada advocates for movies, advertisements and news presentation by white Canadian men. Native Canadians or other ethnic communities in Canada do not get public representation in the media because of the assumed stereotypes. Movie productioons do not include people of colour or interracial relationships that white Canadians disregard. Aboriginal families only make headline news in cases of crimes or mismanagement of funds (Douglas, 2008). Advertisements focus on white Canadian families and not Native Canadians because the media wants to portray a functional male dominated family structure as compared to a native dysfunctional family. Media portrays racialized families as illiterate, violent, poor and ignorant. Most movies in Canada lack equal representation from all races in the country. People of colour will cut the ratings of a drama, movie, advertisement or viewers in case of reporters from racialized communities (Douglas, 2008). Sexism in the media occurs when women and men play specific roles to portray real personality attributes displayed in real families. Women in the media reflect childcare, homemaker and employees in low-level jobs such as secretaries and servers. Advertisements prescribe roles of women as home and family oriented. There are women who advertise superficial beauty in the sense that, they are tall, thin, without blemish, perfect teeth and long legs but underneath all the beauty, she has no brains. Some advertisements portray women as sex objects void of any feelings or personality. Such advertisements show women lying on a bed half-naked or likened to animals that dehumanize them as acting primarily on sexual instincts. Methodology. The method used to collect data is through questionnaire in the campus and thorough research using scholarly journals. Questionnaires are easy to create, they are cheap and fast mode of collecting data. It also protects the identity of people of colour who contributed to the research. Data analysis. In data collection, twenty students from different ethnic backgrounds contributed to the research. The 20 students are sample population to represent the wider community of racialized families in Canada. This data included all the questions that encompass all issues of racism from direct to indirect racism. The problems met while collecting the data was late submission of the questionnaires. Due to confidentiality, refraining from personally collecting the questionnaires from the sample population was the best option. Some students lost or misplaced the questionnaires and they received new copies that meant extra spending on the tight budget. Results. Twenty students admitted to witnessing racism directed to them or their friends in the campus. The students who encountered racism from individuals either in school or in the community were 15 in number. Two of the students confessed to systemic racism directed to them. All students believe that the mainstream media reproduces violence against racialized families. Law enforcement officers stopped 10 students of the sample population for random search. Eighteen students report cases of institutional racism in healthcare facilities and restaurants. Twenty students believe that the mainstream media is sexist and racist. The reasons that the students gave as personal opinions of the causes of violence against racialized families include race, culture, economic status and ethnic background. Discussion. All students in the research report cases of racism directed towards them at one point in their school life. This means that racism in the school compound and in the wider community is rampant. There are individuals who utter racial slurs and students have witnessed violence due to race. When students apply for residential accommodation outside the school, property owners discriminate the students who are immigrants and Indigenous people. The student report cases of discrimination when they are registering for courses, renting apartments and in restaurants. The mainstream media reproduces violence against racialized families due to the images portrayed about people of colour. The police have a tendency of stopping students from racialized families and doing random search while discriminating their rights to privacy. Media is racist and sexist because of the different stereotypical status depicted on people of colour and women in the society. Conclusion Media and violence against racialized families is a common in Canada due to Somali refugees, African asylum seekers, Indigenous people and minority groups. White Canadians direct racism and violence towards these groups based on race, poverty, crime, lack of education and stereotypical assumptions portrayed by the media. Violence is a common occurrence within racialized families because the victims who are women and children lack the financial power and voice to raise their concerns. These women do not receive protection from the police because the media has portrayed them as prostitutes who deserve the sexual violence and domestic abuse. The media use suggestive images of racialized teenagers to portray crime and illiteracy. These images strike negative thoughts on the minds of viewers and readers hence reinforcing violence against the people of colour. The media also portray sexism and racism in term of advertisement and movie roles given to women. These roles depict women as homem akers, cleaners and sexual objects while men take up powerful roles that portray role models in the society, decision makers and professionals. Buy custom Media and Violence in Racialized Families essay

Importance in accurate bac identification-microbio Essay

Importance in accurate bac identification-microbio - Essay Example It leads us to identify whether the microorganisms are pathogenic? Which type of infection do they cause? What is the route of transmission? What pathological conditions does it cause with in the living body? These all questions can only be answered by the correct identification of microorganisms. The diseases can never be cured until the microorganism is recognized. It also enable us to prepare suitable media for the growth of specific specie there can study their characteristics easily. After identification, we can determine the mode of action of certain pathogenic microorganisms. It may also help us to design certain drugs against them. These drugs have mode of action respectfully to the pathogen for example, the pathogen causing GIT infection, the drugs used will be considered more effective if it is administered orally. It not only enables us to create preventive measures against epidemic or pandemic infections but also help us in determining the way of their administration into the body. Today the major arising problem in the world of microbiology is the mutations that are taking place in the genetic makeup of microorganism. These mutations enable the microorganisms to become resistant against certain drugs. The resistant power of infectious organisms may also arise due to the improper route of administration, which does not provide significant immunity but results in the enhancement of pathogenicity of microorganisms by the exposure of certain drugs in the amount less than the required doze. Because of the identification of certain microorganisms at specie level, today we are able to compete with them and even can defeat this little creature. We can design antibiotics, drugs antiserums, toxoids, vaccines etc. due to the identification today we are able to reduce the infectious diseases at a remarkable rate (Collier & Haburchak,

George Orwell Essay Example | Topics and Well Written Essays - 1000 words

George Orwell - Essay Example George was born Brian Arthur Blair, on June 25 1903, in Bengal India, a protectorate of the British government, to a British official Richard Blair and to a governess, Ida. His mother moved back to Britain to raise her two children, as it would have been norm of any British woman. His formative years were spent with his mother and sister and his love for the English language saw her mother enroll him into St. Cyprian. This move in his life can be attributed to so many other things in his life and the reason he did things the way he did them. It molded his perspective on authority and decision-making. When he was fourteen, he was admitted into Eton a prestigious school where he excelled and acquired the bad habit of smoking, an indulgence that would later cost him his life. When time came for him to go to university, which he had qualified, he opted to serve in the British imperial police, a move perceived as his way to â€Å"feel† what authority entailed. He also served as police officer in Burma in a powerful position for such a young and inexperienced officer. He did his duty with grace at first but the inhumane condition and treatment of the locals by the police started to erode his pride and his sense of duty (Hitchens, 143). Four years into the service, Arthur resigned and returned to Britain to pursue his newly discovered passion of writing; a move that did not auger well with his dad. The late 20s found him in a midlife crisis of trying to worm himself into a position of comfort in his life. He did menial jobs here and there while trying to reconnect with his humanity, through interacting with trumps by pretending to be one. He then went to Paris in 1929, and his experiences there inspired his first book, Down And Out in Paris and London. When producing this book, he took the literal name of George Orwell; a name that would survive his true identity. The successes of his first book saw him delve into his