Jean Watsons theory of caring Essay Example | Topics and Well Written Essays - 2000 words

Jean Watsons theory of caring - Essay Example This paper talks on Jane Watson's theory of nursing. Her theory is based on the belief that a caring attitude among the nurses for their patients is an essential part of getting well. Moreover, a real and heart-felt caring attitude develops from a humanistic personal value system that comes from a liberal arts background in college. She calls this caring attitude as composed of â€Å"carative† factors (from the word care) and is encapsulated in her seven major assumptions as contained in her theory of nursing. Furthermore, she elaborated on this theory in her ten â€Å"carative† factors that should serve as a guide in today's complex world of nursing. The major point of her theory is to re-emphasize the caring factors which are somehow lost in the current focus on technological and technical factors in medicine and nursing care. People seem to have forgotten how crucial caring is because of the rapid commercialization of the health care industry. Patients are now viewed or termed as clients and no different from a regular sales transaction in which the health care nurse or any medical professional is the seller and the patient is the customer. Jane Watson's theory has great significance today in view of emphasis that patients should be treated first and foremost as human beings who have feelings which can either send them back to either good or ill health depending on the attitude exhibited by their nurses. Profound changes in the medical and scientific technologies should not diminish the patient as a person. Keywords: altruism, carative, caring, humanistic, nursing, personal, theory, values Introduction Nursing today is a recognized profession and forms a crucial part of the health care team. Nurses have their own code of ethics to guide them through the challenges and ethical issues that they often encounter in their practice. It has gone a very long way since the days of Ms. Florence Nightingale whose original philosophy was limited to caring of the wounded and the sick as she had witnessed during a war. Nursing has since expanded to many specialties such that nurses are to be trained academically as well as acquire practical skills through learning by experience. The big part of nursing practice is anchored on certain theories about proper care in all aspects of the human life. Nursing has since expanded to include important components in human life: ranging from the conception of life itself, the entire birth-death cycle, personal relationships, good health, healing, pain, suffering, loss, grieving and caring (Watson, 2008, p. 2). Nursing practice is based on a number of competing theories about caring for the sick and how to promote good health in general. It has evolved since and is still evolving even today. This paper discusses Jean Watson's own theory of nursing as opposed to the other nursing theories in current practice. Nursing as a distinct profession has its unique focus for knowledge acquisition and developm ent through the totality of its philosophy, research, theories and practical wisdom. The knowledge so acquired is used to guide actual nursing practice but obviously, this can also change from time to time depending on which nursing theory seems plausible and workable. The theories of Jean Watson are remarkable in one respect which is to bring back humanity to a side of nursing which had been criticized in some quarters of society as being too cold and clinical for forgetting that patients are people who have feelings that can get hurt if not handled well. Discussion Background of Theory – Jean Watson had a doctorate degree in nursing and so was able to develop her theory based on extensive knowledge together with equally impressive working experiences. She has both undergraduate and graduate degrees in nursing and psychiatric health nursing as well as another doctorate degree

Ethical issues related to blogging and the internet Research Paper

Ethical issues related to blogging and the internet - Research Paper Example Internet is an ever-increasing community of approximately 10 million blogs that range from teenage rants to aggressive corporate promotion and from political discussions to election campaigns. This paper brief outlines ethical issues of blogosphere and analyse the accuracy issues of blogging world. Perlmutter and Schoen (2007 as cited in Debatin) list potential ethical issues of blogging as: 1) Editorial oversight and lack of accuracy/fact checking 2) Absence of systematic coverage of topics 3) Creation of tunnel vision 4) Circular and self-referential spin-doctoring 5) Dissemination of lies, rumours, and hoaxes 6) Practice of trolling, character assassination, and libel 7) Invasion of privacy 8) Stalking and harassment 9) Plagiarism and copyright violation 10) Lack of integrity and accountability facilitated by anonymity, false identity, and pseudonymity 11) Lack of independence and unrevealed conflicts of interests; and 12) Manipulative and deceptive blogging funded by corporations , governments, and individuals.(46) Increasing authority and influence of blogs has empowered bloggers like never before, whether it’s power to make public opinion, drive a revolution, sell a product, or establish an image. However, power always comes with responsibility. Open accessibility, anonymity, zero accountability, and greater influence of blogs and bloggers have raised ethical concerns among blogosphere which need our attention.Here, a question arises that whether bloggers are journalists, and if so, do they abide by the journalistic ethics? However, Jay Rosen of New York University believes that categorization of bloggers as journalists is not as important as defining their ethics. It is quite shocking for most journalists that people may trust the commentary of an average blogger more than a professional investigative journalist (Burkholder). According to the annual Public Trust barometer, organized by the Edelman global public relation firm, people trust other peo ple who are â€Å"just like them† above all others irrespective of their credentials. One slot ahead of CEOs, Journalists are ranked sixth on the list (cited in Burkholder). The reason behind such faith is the belief that bloggers have no hidden agenda or promotional concerns. Moreover, if we disagree with some blogger, we have every right to comment, says Clare Hart of Factiva in an interview with Sean Hargrave(cited in Burkholder).Therefore, bloggers are becoming increasingly powerful in this modern age. In most cases, bloggers don’t have original news and fact gathering sources as they rely on professional news channels. They pick the news and present their analysis and commentary on a certain issue. Publishing unsubstantiated information may not be an issue if blogging remains a form of personal diary; however, concerns arise when it takes the form of journalism (Burkholder).Former CNN-TV reporter Rebecca MacKinnon believes that this struggle between bloggers and j ournalists is not a â€Å"zero-sum-game† because they can co-exist. Blogger analyse and comment on the facts and events that journalists report (Burkholder). Bloggers define their services as citizen journalism which is better suited to today’s information needs. By moving away from main stream media, they claim to weaken the control of major capitalism driven media. Citizen journalists took pride in becoming ‘watch-dog’ of the mainstream watch-dog media. Major objective of their efforts are to provide readers with reliable and

Discuss How the Concepts of ‘Race’ and ‘Ethnicity’ Essay Example for Free

Discuss How the Concepts of ‘Race’ and ‘Ethnicity’ Essay Australia is known for its multicultural society, but race and ethnicity are a huge factor of persistent racism and inequality in this country. The driving force behind this is the strong belief that some of the population still hold against people who appear different to themselves. To gain a clear understanding of this sensitive topic one must look at the origins, forms and effects of racism. This essay will look at how the concepts of ‘race’ and ‘ethnicity’ perpetuate inequality in our society, a brief history of Australia in relation to racism and how people experience these inequalities today in a society that we call multicultural. Modern Australia was established as a ‘region of recent settlement’ in 1788 which was a small part of a larger process of European colonisation (Bessant Watts, 2002, p. 219). They had a set of ideas, values and beliefs and assumed that aborigines had no system of land ownership, agriculture, animal husbandry. Indigenous people have been in Australia for more than 100,000 years (Bessant Watts, 2002, p. 222). The White Australia Policy in the 20th century encouraged immigration only from Britain, but didn’t allow ‘Asians’ and ‘Non-whites (Economou N, 1998, p.363). By 1950’s people from all countries were allowed to migrate into Australia to help post war reconstruction. The colonial immigration saw a mass migration of European people mostly from Britain to Australia. It is said that between 1788 and 1852 approximately 170,000 people moved to Australia, and the gold rush era after 1851 made it a highly desirable country for migrating (Bessant Watts, 2002, p. 231). By end of World War two, as war forced Australia to get closer to other countries, which resulted in the first significant weakening of the policy in 1951. Later in the 1950s and 1960s other parts of the White Australia Policy were gradually dismantled. By the 1970s the federal government had removed all racial restrictions from its immigration law (Bessant Watts, 2002). Various writers have contradictory approaches and ways of looking at racism, making it a complex topic. It takes many different forms, ranging from physical violence to derogatory language. A person or group’s belief that their race is superior or inferior, or their moral and social traits are predetermined, based on biological differences can be termed ’racism’. A group of people sharing the same skin colour, same values, coming from the similar backgrounds may constitute as ’race’. One of the most common forms of racism found today is Institutional Racism, which stems from established corporations, and other powerful forces in society, thus making it hard to question and faces less public condemnation. Examples include housing, employment, businesses, education, religion and media (Healey, 2002). Typically, the basis of this type of discrimination is from irrational fear of people at the receiving end who belong to a different culture or ‘race’. Although, there have been ongoing debates about racism all around us for centuries, it is an assault on human rights as it methodically refuses people of different caste, colour, race, sex or their country of origin basic values underlined by Universal Declaration of Human Rights (UDHR) which states that human rights are everyone’s birthright and apply to all without difference (Healey, 2002). Common perception of shared origins, culture, lifestyle and traditions amongst a group of people or society is the universal definition of ethnicity (Bessant Watts, 2002). People can share the same nationality but have different ethnicities. A few writers have put forward fascinating explanations of ethnicity. Edward Shils in his ‘primordial approach’ argues that he believes everyone has a primordial attachment to their motherland, people and religion which brings out strong emotional ties by socialising, which further gives rise to the need to have a separate identity and belonging. Then the ‘Mobilisationist Approach’ suggests that nothing is predictable or normal about ethnicity. Rather, ethnic identities come into sight and are toughened in political contexts where groups struggle to get access to inadequate and valued resources (Van Krieken et al, 2000, p. 519). The basis of ethnocentrism is a conscious or unconscious belief that one’s ethnic group, culture, religion, custom or behaviour is superior to another ethnic group. Politicians boast that Australia is a multicultural, open and classless society. Despite the well known image of Australia’s everyone have â€Å"a fair go†, the country is still full of both institutional and popular racism. Education has always been very important when it comes to moving up in class and has been very liberating in Australian society. However, indigenous and ethnic groups have been somewhat disadvantaged in opportunities to acquire education. According to the Australian Bureau of Statistics only five Indigenous Australians per 1,000 obtain tertiary qualification, compared to 70-80 per 1,000 for Anglo Australians. In the 1990s welfare, health care and education support for Aborigines accounted only to 2% of total budget outlay (ABS 2000:21). In order to receive an education a person requires an income, but to get an income one needs a job, and a job is challenging to find without an appropriate level of education. Therefore an individuals chance of education is influenced by the socio-economic status of one’s parents which is a cyclic social inequality hard to break. Migrants and their children often find it challenging to adjust to the Australian school system as they often come from countries that have a poor education system, and even if they have tertiary qualifications they mostly are not recognised, resulting in them taking lower paid and lower status jobs. Working class children often attend schools in working class suburbs where pupils are directed into working-class jobs. A high number of students leave school early and the expectation that they will attend university is low. In comparison, upper-class children attend private schools, and the expectation that they will attend university is high. Migrants and ethnic groups are often at a lower end of the socioeconomic scale (Aspin, 1996, p. 87) Migrants arrive with little money and few skills. Already at a disadvantage with language barriers, migrants and ethnic groups are also faced with racism and discrimination in their search for employment. In 1996, One Nation political party leader Pauline Hanson made a speech that claimed that Australia was being overwhelmed by ‘Asians and feared that Asians were taking over jobs. The fact is that Asians at the time only accounted for 5% of total population and ‘there is little evidence to support the claim that high rates of immigration ‘cause unemployment or ‘cause Australians to lose their jobs (Bessant, 2002, p. 219). Indigenous people had a 24. 3% unemployment rate according to 1996 census (ABS 2000:23). Indigenous people are usually poorer than most non-indigenous Australians and receive a lower income on average than the total population. The household income for Aborigines in 1994 was $158 compared to $310 for white Australians (ABS 2000C:23) This also reflects the fact the there is a higher reliance by the Aboriginal population on social security payments (ABS 1996b: 122-4) Socioeconomic status is a major determinant of inequality as it influences access an individual has to the economic resources of a society. L. J. Aspin (1996) explains that white Australian-born males have a better chance of obtaining access to the resources of society. Inequality is also reflected in the differential access to housing and health services. For people who are paying rent and on a low income, it is almost impossible to save for a deposit on a house at the same time. Aborigines and migrants suffer discrimination in rental accommodation, where landlords preferring a two-parent, white, Anglo-Saxon families. Only 10% of Aborigines own housing compared to 70% of white Australia population (Aspin, 1996, p. 87). Most Aborigines live in rural and provincial Australia (Bessant, 2002, p. 226) far from big cities where there are more jobs, higher paid jobs, better education, better housing, good water and sanitation services, hospital medical services and other community amenities. Some ethnic backgrounds are still not accepted in our society and are treated differently and unequally. We see and hear about them on a day to day basis. In recent months the Indian community in Australia, especially students have become a vulnerable target for attacks, whether racist or not. On 31 May 2009 in Melbourne, about 5000 students marched through the streets of Melbourne protesting against these attacks on Indian, Pakistani and Bangladeshi students. 25-year-old Sravan Kumar Theerthala was in a serious condition in intensive care after being stabbed in the head with a screwdriver one week earlier (Bolton Peterson, 2009). In an article in The Age newspaper on February 19 Victorian police claimed that these attacks are not racially motivated, but opportunistic where Indian students are â€Å"over representing themselves as victims† and can be looked upon as soft targets. The police also advised them â€Å"not to speak in their native language loudly† or display signs of wealth. Attacks on Indians aren’t the only allegation Australia has faced over the years. It seems that anyone in power, including police, politicians or the media has had the tendency to somehow flare these attacks. In the Herald Sun on 11 June 2009, 3AW’s Neil Mitchell said: â€Å"Australians are also bashed and die in India, which does not provoke parades of chanting ocker backpackers in the streets of Mumbai†. In 2007, the then immigration minister Kevin Andrews referred to the Sudanese community when he said â€Å"Some groups don’t seem to be settling and adjusting into the Australian way of life as quickly as we would hope. † A spate of violent attacks were then unleashed against Sudanese migrants, and one was bashed to death by a group of white men (Bolton Peterson, 2009). As Australia continues to argue that it is a just, tolerant, open and classless society, there is still evidence of race and inequality among us and affecting the many lives of migrants and Indigenous people. It is interesting to note that the very determinants of class power, money, education, family background, occupation, health and general way of life are also the same factors where others experience inequalities. Race and ethnicity perpetuate inequality, and in any country including Australia, one would find that there are always some people with very strong values of racism, and media outlets which help in manipulating the views of general public. There still needs to be a massive drive by communities and governments on racism and inequality and it will be long before we will be a â€Å"happy multicultural Australia†. Bibliography Aspin, L J 1996, ‘Social stratification and inequality’, Focus on Australian society, 2nd edn, Longman, Melbourne. Australian Bureau of Statistics 2009, Australian Bureau of Statistics, viewed 28 November 2009, http://www. abs. gov. au/ . Bessant, J Watts, R 2002, ‘Neighbours and nations: ethnic identity and multiculturalism’, Sociology Australia, 2nd edn, Allen Unwin, St Leonards, NSW. Bolton, S Peterson, C 2009, Indian students speak: Stop the racist attacks! , viewed 28 November 2009, http://www.greenleft. org. au/2009/798/41083. Economou, N 1998, ‘The Politics of Citizenship: identity, ethnicity and race’, in Alan Fenna, Introduction to Australian Public Policy, Vol 1, Addison Wesley Longman, Melbourne. Healey, J 2002, ‘Racism: Beyond Tolerance, A Fair Go’, Racism in Australia, Vol 180, The Spinney Press, Rozelle, NSW. Van Krieken, R, Smith, P, Hobbis, D McDonald, K 2000, ‘Migration, ethnicity and Australian Aboriginality’, Sociology: themes and perspectives, 2nd edn, Pearson Education, Frenchs Forest, NSW.

Obesity in Developing Countries

Obesity in Developing Countries Overweight and Obesity: The emerging Trend of Childhood Malnutrition in Urban Centre in Nigeria Abstract Background: Overweight and obesity initially thought to be the problem of the developed countries is rapidly rising in the developing countries constituting a high proportion of nutritional problem in these countries. Several factors, including changing life style and improved economic power are believed to contribute to this trend. This pattern if unchecked is known to lead to several medical complications and hence the need to assess the burden of this condition, factors contributing to the rise and possible ways of reversing the trend. Method: Four hundred and twenty primary school children from public and private schools were selected using multistage stratified random sampling. Relevant information were obtained using a questionnaire, and anthropometric indices were recorded. Data obtained were analysed using SPSS version 16, and frequencies were compared using Chi square. Result: Seventy three (17.4%) of the pupils were found to be overweight/obese. Pupils from private school accounted for majority of these cases with 28 (13.3%) and 29 (13.8%) of them being overweight and obese respectively. High socioeconomic class and consumption of energy dense diet were significantly associated with high prevalence of overweight/obesity (P Conclusion and Recommendation: Prevalence of overweight/obesity among primary school pupils is quite high in Lagos, Nigeria. High socioeconomic class, consumption of energy dense food and lack of adequate physical activities appear to be major factors contributing to this high prevalence. Introduction of daily school meal and mandatory physical activity in all the schools would go a long way in imbibing healthy eating and life style pattern into these children. Public enlightenment and campaign on the importance of healthy life style and complications associated with overweight and obesity would probably reverse the trend. Key Words: Overweight, Obesity, Primary School Pupils Introduction Malnutrition is a serious public health problem that is caused by either deficient or excess intake of nutrients in relation to requirements. Under nutrition (Nutrient deficiency) has been the prevalent type of malnutrition in developing countries like Nigeria.1-3 This has been attributed to the synergistic interaction between several factors, most importantly, inadequate nutrient intake and infection.4-6 This is not the case with developed countries like the United States of America (USA), where over-nutrition is a major challenge amongst the school aged children. Studies done in the USA on the overweight status and eating patterns among adolescents showed that the prevalence of over-nutrition was higher amongst those from a low socio-economic class.7-9 Recently, overweight thought to be the problem of the developed world is spreading to the developing world.10 Several studies in Africa and other developing countries have documented an emerging trend of malnutrition with overweight and obesity increasing at an alarming rate in comparison to under nutrition.10-12 However, in these developing countries, contrary to the finding in USA, overweight and obesity appear to be commoner among the high socioeconomic class.13-15 The effect of urbanization and the associated change in life style have been shown to contribute immensely to the current trend of malnutrition in the developing countries.16,17 However, children of low socioeconomic status from such urban centres remain significantly associated with under nutrition rather than over nutrition.18 This further underscores the central role of socioeconomic status in malnutrition. The increasing rate of overweight/obesity means that obesity-related chronic diseases are likely to become common among the children. Being overweight is known to significantly increase the risk of asthma, Type 2 diabetes, gallstone, heart disease, high blood pressure and several other diseases.19 This will further impose a great challenge to the already over stretched health care system in the developing countries. We thus aim to assess and compare the prevalence of overweight/obesity among primary school pupils attending public and private schools, in Ikeja Local Government area of Lagos and to identify common factors associated with overweight. The information generated would be useful in guiding the concerned authorities in designing appropriate interventions in the various schools. Materials and Methods Study area: The study was carried out in public and private primary schools in Ikeja Local Government Area (LGA) of Lagos State Nigeria. Ikeja is the capital city of Lagos state, the most populated and urbanized state in Nigeria with over 10million residents.20There are 114 registered private primary schools and 32 public primary schools in Ikeja Local Government Area. Study design: It is a field-based cross-sectional descriptive study Study Population: This consists of pupils in public and private primary schools in Ikeja LGA. Sample Size determination: Calculated minimum sample size for each group of school is 200 pupils. Sampling method: Multistage stratified random sampling was used. Based on the numbers of schools, three Private and two public primary schools were selected. Participants were selected randomly using the class register as a template in each of the classes of the schools selected. Exclusion criteria: children whose parents denied consent, children with obvious skeletal deformity and those with known chronic medical conditions like Chronic renal failure, heart disease etc. Ethical consideration: Ethical clearance was sought and obtained from the Ikeja LGA Education Authority. The head teachers of the selected schools also gave well informed expressive approval after receiving appropriate information. All the selected pupils were given consent form and introductory note to the study to their parents for their signature or thumb print. There was no consequence for the pupil if he or she refused to participate or parents denied assess. Data obtained were treated with confidentiality and only for the purpose of this research. Study procedure: A structured questionnaire was used in collection of relevant information required to meet the objective of the study. All the participating pupils were interviewed at school, while the section to be completed by the parents were sent through their wards and were returned the following day. Information obtained included socio-demographic data like: age, gender, parents’ occupation, average monthly income and educational attainment. Information on dietary intake include type of diet, frequency and 24 hours dietary recall. Involvement in exercise and physical activity were also sought. Socioeconomic status was assessed using the model by Ogunlesi et al 21, while the dietary pattern of the child was assessed using food frequency questionnaire (FFQ). Weight was measure using a bathroom weighing scale with sensitivity of 0.5KG while height was measure using a stadiometer. Nutritional status was determined using the Z- score system in accordance with National Centre for Health Statistics/ World Health Organization (WHO) reference value.22 Data analysis: The data obtained were entered into and analysed using EPI INFO version 3.5.1. Tables were used in data presentation. Chi square and Fisher’s Exact test were used in comparing frequencies. RESULTS A total of 420 children were studied, 210 pupils from each group. The children from the private schools were younger with a mean age of 7.7Â ±1.9 years as against 10.3Â ±2.6 years for those in public school (t=11.58, p=2=305.34, p= The dietary pattern among the two study groups were significantly different; 90 (42.9%) pupils from the private school consumed beef daily as against 49(23.3) from the public schools. Similarly, approximately half 103(49.1) of the pupils from the private school eat white bread daily as against 45 (21.4%) from the public schools. Seventy five (35.7%) and 29 (13.8%) eats eggs while 44(21.0) and 11(5.2%) eat fried plantain and yam for public and private schools respectively. Again 25 (11.9%) and 13(6.2%) from private and public schools consume at least a can of coke/Fanta daily. These differences were all statistically significant P= Regarding extracurricular activity, the pupils in public schools engaged more in physical activity compared to those in private schools. One hundred and thirteen (53.9%) pupils from the public schools trek daily for a distance of at least one kilometre as against 8 (3.8%) pupils from the private schools. Similarly, 77(36.7%) pupils from the public schools engage in competitive sports daily as against 33(15.7%) from the private. The difference between the two groups regarding physical activity was statistically significant P= Table II shows the distribution of the study population by BMI percentile. The nutritional status varied significantly between the pupils from the public and private school. While under-nutrition was the predominant form of malnutrition in the public schools 33(15.7%), overweight and obesity predominated in the private schools 57(27.1%). Table III below show the effect of various studied variable on BMI percentile. The highest frequency of overweight was observed among those aged 5-6years while the least frequency was among those aged 11 and above. This pattern was statistically significant (X2=21.90, p= 0.01). Although more female pupils when compared to male pupils, were found to be overweight, but this was not statistically significant. More than half (50.9%) of the pupils of low socioeconomic class were undernourished while majority of overweight children (76.7%) were of high socioeconomic class. This pattern was statistically significant (X2=150.0, p= Discussion The overall prevalence of 17.4% for overweight and obesity in this study is quite alarming though similar to the findings from previous studies.6, 12, 23 Owa et al12 reporting from Nigeria in 1997 found a prevalence of 18% for obesity among children aged 5-15 years using fat mass percentage and body mass index based on the US standard. Similarly, Mogre et al23 reported a prevalence of 17.4% for overweight and obesity from Ghana in 2013 among school aged children (5-14 years). This finding from this study and the others above further support the rising trend of overweight and obesity among children in developing countries and that the burden of the problem might not be different from that in the developed countries.24 However, other studies have found much lower prevalence for overweight/obesity. Adegoke et al 14 in 2009 reported a prevalence of 3.1% for overweight/obesity from Ile-Ife South West Nigeria using anthropometry, while Alkali et al 15 in 2015 reported a prevalence of 6.5% from Gombe in North East Nigeria. These lower prevalence reported by Adegoke et al(14) and Alkali et al15 may be due to the difference in socioeconomic status between the study-populations, while greater than 86% of our study population were either of middle or upper socioeconomic class, 48.2% of those studied by Adegoke et al14 were of low socioeconomic class with only 19.6% belonging to the upper class. Although Alkali et al15 didn’t give socioeconomic distribution of their study population but Gombe located in the North East of Nigeria is a small town with small scale businesses and subsistence farming as major occupation compared to Lagos which is the most industrialized City in Nigeria. Furthermore, we studied children in primary schools alone but Adegoke et al14 as well as Alkali et al15 studied both primary and secondary school children. It has been severally documented that prevalence of overweight/obesity decreases in children with advancing age.25,26 In contrast to the developed countries where overweight/obesity is commoner among the low socioeconomic class7-9, majority 56 (76.7%) of these overweight children in this study were of high socioeconomic class. This pattern is similar to findings from other studies from other developing countries13-15,27. This fact was further confirmed by the significantly higher incidence of overweight/obesity among pupils from Private schools compared to those from public schools. In Nigeria, Privates schools particularly in the urban centres charge exorbitant fees affordable only to the rich while public schools are usually free and attended by the low socioeconomic class. In this study, 83.8% of the pupil in public schools were of high socioeconomic class as against 1.9% of those in public schools. Several factors could be responsible for this increasing pattern of overweight/obesity among the affluent class in the developing countries. In the first place, the parents of these children are likely of the working class with little or no time to plan and prepare healthy food for them.28 It is also known that such parents in an effort to compensate for the deficient care constantly provide junk food and snacks for these children.29 Nutritional habit and pattern have been shown to influence the nutritional status of the society.30 These are further driven by aggressive advertising practises, relatively low cost of energy dense food and improved purchasing power which are now most prevalent in developing countries and conducive for the development of overweight and obesity and subsequently the associated morbidities.31 This is in agreement with the finding in this study from Lagos, the most urbanized State in Nigeria, in which Children from the private schools and of high socioeconom ic status significantly consumed food of high energy density such as soft drink, egg, white bread, etc when compared to those from the public and low socioeconomic status. Sedentary life style has been well documented as a cause of overweight and obesity29,32,33 in children. Pupils from the private schools were significantly less involved in physical activities when compared to those from the public schools but engaged more in indoor activities like television viewing and computer games. Similar to previous studies, this practise was significantly associated with overweight and obesity. The low level of physical activity among those in private schools could be due to several reasons. Most of these children are usually driven in car to school by their parents or use the school bus. This is in contrast to the public school which lack school bus and majority, 53.9%, of the pupils trek to school daily. Secondly, while most public schools are usually sited in a planned location with enough space for sporting activity the same cannot be said of the private schools which do not have enough space for outdoor activities with only 15.7% of the pupils engaged in competitive sports. Pressure on the pupils from affluent society for good academic performance including regular extra lessons at home after school hours could also contribute to lack of outdoor activities at home. In this study, overweight and obesity were higher among the younger age groups compared to the older pupils with the highest frequency of 18.2% among those aged 5-6years. Similar pattern of decreasing incidence with advancing age among children less than 13 years was also observed in a study from India25 and Saudi Arabia26. However, other studies have found a contrary pattern: increasing incidence with advancing age34. The reason for this variability in finding is not clear. Females had slightly higher prevalence of overweight and obesity when compared to the male, though this difference was not significant. This is similar to the finding of Mohana et al 35 from India. The effect of gender on overweight and obesity in children remains inconclusive, while several studies have found significantly higher prevalence among the female gender 34,36-38 others have reported significantly higher prevalence among the males.39-41 The reason for this variability is not clear but studies with higher female prevalence have suggested cultural factors as a possible explanation as female children in certain society mostly engage in indoor activities. Conclusion and Recommendations The prevalence of overweight and obesity among children living in urban centres in developing countries like Nigeria is quite high and is comparable to that in the developed country. This problem is mainly a problem of children from high socioeconomic status. Dietary pattern and sedentary life style are important factors contributing to the high prevalence among these group of children. In contrast, under-nutrition has remain a major problem among the low socioeconomic status. We recommend introduction of school meal program in both the public and private school to augment calorie intake among the public school children and modulate same for those in private schools. Provision of sporting facilities must be made mandatory requirement for registering of private school and if already a requirement must be enforced on new and existing private schools. Finally, public enlightenment on the medical implications of overweight/obesity in children should be aggressively pursued by the relevan t agencies before the complications begin to set in. Conflict of Interest The authors had no conflict of interest whatsoever to declare

Grapes Of Wrath :: essays research papers

Grapes of Wrath Explain how the behavior of the Joads shows Steinbeck’s view of the responsibility of the individual to society as a whole. Chapter 14 made an interesting point. At one point in the chapter it was stated that a farmer lost his farm. As this man’s family picks up their belongings and heads west they meet up with another family dealing with a similar situation. Now these two families share a common bond. A brotherhood is forming. This is the catalyst. No longer is it one farmer saying he lost his land but two farmers united saying they lost their land. Much the same transformation happens to the Joad family – especially to the characters of Ma, Young Tom, and Rose of Sharon. At the onset of the novel we see the Joad family struggling just to keep their immediate family together. They are focused on just themselves. By the end of this wonderful book we see the Joad family branching out in many different ways to embrace all of mankind as one big family. Ma Joad’s main concern at the beginning of the story is her family. She wants to keep the unit together and works diligently to achieve this goal. However, one by one, family members leave the group for various reasons leading to the slow but sure disintegration of the Joad clan. The first to go is Noah; then Grandpa and Grandma die;Connie walks off and leaves Rose of Sharon; Young Tom leaves because he has gotten into trouble again; and Al becomes engaged and decides to go with his fiancee’s family. Ma deals with each loss as best she can. As the story progresses, we find Ma Joad becoming more and more concerned with people outside the family unit. She feels the need to share whatever meager food and belongings her family has with other families enduring hardships. She saw the needs of her own family at the beginning of the story and by the end of the novel, she sees the needs of her fellow man. Young Tom appears to be self-centered when he if first introduced. He has just left prison after serving four years for murder. Tom want to enjoy life to the fullest and to be with his family. He is very disturbed to find the family home deserted and almost destroyed. He by this time has reacquainted himself with Jim Casey, an ex-preacher. The more Tom listens to Jim and his views on life, the soul of man, and the fellowship of mankind, the less he focuses on himself and his needs. He then begins to focus on the plight and abuse of the homeless farmers.

Conscription in WW1 Essay

Were Australians against the introduction of conscription during WW1?As the war was happening people back home in Australia were starting to realise that the war was not as much about bravery and pride as they originally thought because very few men were returning, but the government needed young healthy men because of the amount of men on the front line dying and they needed to be replaced. Australian men werent volunteering so in November 1917 prime minister, Billy Hughes wanted to introduce conscription to Australia and ask the people are you in favour of the proposal of the commonwealth government for reinstating the Australian imperial forces overseas? Conscription was like the lottery, you would be randomly chosen to go to war because of the day that you were born. Australians were given the opportunity to vote for or against conscription and campaigns were made to support each point of view. Two referendums were held, the first on the 28th of October 1916 and the second on the 10th of December 1917, both referendums were lost, the second showed 1181747 votes against and 1015159 votes for conscription. Two referendums were held because men kept dying on the front line and the government were getting desperate. Both referendums ended with majority no votes, the first with 72446 votes against and the second with 1181747 votes against. Women were the main target for pro and anti conscription campaigns because they were seen as weak fragile and sensitive. Propaganda was largely aimed at women to intimidate women and target their emotions, either to make them feel like they were sending their husbands and sons to die or that it was their duty to send them to fight for their country. It was a hard decision deciding whether or not to vote for conscription. Some people thought they should vote yes because of pride and defending and protecting their country and coming back as a war hero and also because of loyalty to Britain because they were still part of their empire, voting yes or no also targeted Christian women because killing is a serious sin. Songs and posters were made to persuade Australia to vote yes or no. People were told that if you vote yes it is your fault they die but also that if you vote yes the country wont be taken over and that you could save Australia  from the enemy. A white feather was sent to the people who voted no to represent and parade that they are cowards and to embarrass them publicly. Conscription broke people apart and divided the country, it destroyed friendships and families because there is either yes or no and no in between. The way you voted reflected your character and the way you were thought of. Anti conscription appealed to woman and made them feel like killers but pro conscription also appealed to women making them feel like they were sacrificing men for the good of the country. Conscription divided Australia and turned their worlds upside down. People didnt want to be forced to go to war or force someone to go to war because they realised how bad it was. Australians voted no because they wanted freedom of choice and not to be conscripted as if it was just a game. bibliography:-shannon mckinnon ww1- class sheets

Richards Story

Apart from disfigurement, other psychosocial issues Richard might face include but are not limited to sleep disorder, fear and anxiety around open flames, depression, loose of self-esteem and PTSD. Additional precaution needs to be taken to make sure Richard maintains some functions in his burnt fingers. Some of these precautions should be occupational therapy and physical therapy. Due Richard was burnt in the face, other systems may be compromised. The systems that could be affected are the respiratory system (because his nose could be burnt), the digestive system (because if his mouth is affected, then his ability to eat, chew or drink might be impeded. ) and ofcourse his nervous system as the nerves in his face will be dead. Based on the fact that Richard is losing a lot of body fluid his nutritional needs are high protein food, water, high calorie drinks, fruits and vegetable, and fatty food because fat is a readily available source of energy. Partial thickness burn is extremely painful because most of the nerve endings which detect and interpret pain and sensation are located in the dermis where partial thickness burn occurs. Partial thickness burn would heal faster because it is not as deep into the skin and therefore skin rejuvenation is more possible. Functions compromised by the burn on Richard’s skin are the ability to secret sweat, the ability to convert sun to vitamin D, ability to protect against infection, ability to regulate temperature and the ability to protect against infection. Other skin functions that should be a concern to the medical staff is that Richard’s skin will lose the ability to store blood and there will be no tissue growth. His skin will also lose the ability to maintain water and salt balance. It is unlikely for Richard to grow hair to cover the scars on his chest because his hair follicles in the burnt area are damaged and there can be no more hair growth because of this. Also the scar tissue is covering the pores from which hair sprouts. During the first phase of wound healing, inflammation takes place first. Blisters orm on the outer edges of the burns as the wounds begin to form scabs. Formation of granulation tissue will not lead to normal appearing/ formation of skin as Richard heals. This is because granulation tissue is scar tissue and scar tissue does not appear normal or allow hair growth or normal skin function. Some long term consequences include the inability to regulate temperature and feel pain because of the dead nerve endings at the site of the burn. Numbness may occur, his body will not be able to secret sweat and he might gain weight because of this.