Thursday, October 31, 2019

Personal Statement for UC Application Example | Topics and Well Written Essays - 1000 words

For UC Application - Personal Statement Example I took pride in being part of one of the top musicals staged by my school, â€Å"The Awakening†. I also became a committee member of a few concert events. Being part of a group that brings delight and entertainment to people gave me a sense of accomplishment. Eventually, my exposure in business opened new doors for me. As I grew up, I had to temporarily leave behind my extra-curricular activities to prepare for a career. After graduation, I endeavored to get jobs that are related to Marketing. It took me a while to get a job. All along, I thought it would be easy. But during the process, I realized that it was a challenge making sales, convincing people to purchase the services that the company offered. It got to a point when I had no sales at all. That’s when I vowed to improve myself. I did self studying, reading books and getting inputs from my superiors. The efforts paid off because I was able to close deals eventually. It was a good learning experience. Shortly aft er, I worked in a Marketing Department in Lico, an interior design company in Hong Kong. As a member of the marketing staff, I still got to practice my creativity by handling advertising and marketing for the company. My sales stint allowed me to be creative in dealing with customers who have discriminating tastes. It is in this light that I decided to take further studies in Economics. A degree in Economics will equip with the necessary know how in understanding, not only business management, but also in looking at the economy from a broader perspective. I want to have a macro view of the industry vis-a-vis the country and the world economy. Having this skill would allow me to plan effectively for business expansion and growth. An economics degree would help me become more analytical and critical about business facts and figures. It will likewise provide me a chance for multitude of career options that would lead to fulfilling and challenging jobs. By the time I graduate as economi cs major, I would like to be able to have a logical approach on solutions planning and problem solving. I also want to be data-savvy, knowing how to understand trends and figures and make them my references in planning for business expansion. Strategic planning and quantitative analysis are two facets of economics that I want to master. These would definitely help me assist my Father in making our business succeed. 2. Tell us about a personal quality, talent, accomplishment, contribution or experience that is important to you. What about this quality or accomplishment makes you proud, and how does it relate to the person you are? At this point, I now understand that I can approach my dreams being whole-brained, not being limited to the left or the right; not having to choose between my creative and analytical side. I am lucky to have all these skills, and one great opportunity to put these skills into practice to benefit my family. If given the chance to take up the BS Economics Deg ree in this university, I would endeavor myself to be focused and results driven, using all my experiences to maximize opportunities. My hunger for knowledge is my best tool to succeed in this course. On top of these skills, my personal traits also complement my dream to enter the university to take up a degree in Economics. I am a highly curious person, always wanting to get into the thick of

Tuesday, October 29, 2019

Critique on against gay marriage Essay Example for Free

Critique on against gay marriage Essay The modern world is experiencing transition in all aspects of life. This change is being experienced in marriage whereby some people are moving a way from the belief that marriage should only take place between people of same sex. They have gone to an extent of pushing for marriage between people of same-sex to be accorded the same treatment and recognition just like the case with the heterosexual marriage. Some people believe that marriage should be heterosexual while others believe that even homosexuals have a right to marry and live with their partners just like a husband and wife in opposite-sex marriage. This paper presents a critique in support of gay marriage. The society especially in the current state is crippling with many social problems emanating from heterosexual marriage. One of these problems is unwanted pregnancies which arise from irresponsible relationships. This is an incident which can only happen in a marriage between two people of opposite sex. Embracing same-sex marriage would offer a remedy to this problem because there is no chance of pregnancy in a marriage between gays and lesbians. This would also help in reducing the high cases of deaths and abortion which are being witnessed in the society today. Incase homosexuals decide to adopt a child, the possibility of neglect is very low as this would be a decision between two independent people. Same-sex marriage reduces the dominance by one partner which is associated with union between a man and a woman. For fear of victimization, most gays and lesbians are forced into heterosexual marriages against their will. However, they still continue to live their homosexual lives by secretly relating to other homosexuals while staying in the same-sex marriage. Therefore, accepting same-sex marriage will help reduce this unfaithfulness and promote marriage to one partner (Sullivan, A. , 2004). Since the society allows all kinds of people and groups to marry including murderers, thieves as well as marriage between people of different races. Condemning same-sex marriage is discrimination of the minority who are supposed to be protected by the constitution just like any other group. As opposed to what Bennet believes, it would not be the first time that the institution of marriage is experiencing change; Marriage between different races which are happening today never happened several years ago (Bennett, J. W. 1996). The strong position against homosexuality which is adopted by the church is an intrusion into private business. This is because marriage is a personal commitment between the two people involved in the relationship. This marriage therefore hurts no one who is not part of the relationship (Bennett, J. W. 1996). Every element of the society is transforming hence disregarding same-sex marriage is simply refusing to accept the natural changes in the institution of marriage. The acceptance of homosexuality as evident among school pupils is an indication that homosexuality is a thing of the current generation hence nature should be allowed to take its course. Bennet should not argue against adoption by gay and lesbian couples as this would be better that single parenting. The long-term repercussions of same-sex marriage talked about by those against gay marriage are baseless and coming out of fear of the unknown; accepting same-sex union would only serve to create more choices concerning marriage and people would be guided by individual choices. (Bennett, J. W. 1996). Conclusion From the accounts given above, same-sex marriage should be allowed and homosexuals do not deserve the harsh criticism and victimization that they are undergoing in the society. Legislation and rules governing marriage only needs to be adjusted to provide for same-sex union. Reference Bennett, J. W. (1996). Gay Marriage: Not a very good idea. The Washington Post. OP-ED; Pg. A19 Sullivan, A. (2004). Same-sex Marriage, Pro and Con: A Reader. New York: Vintage Books.

Sunday, October 27, 2019

Hollys Coffee Based In Korea Franchising In Singapore Marketing Essay

Hollys Coffee Based In Korea Franchising In Singapore Marketing Essay Thanks to the growing popularity for Korean pop and Korean dramas, they are the main influences in recent years. To benefit from the trend, Hollys Coffee, being the largest coffee chain in Korea will venture into Singapore through master franchising to gain market share in the Food and Beverage industry. Hollys Coffee will distinguish itself from the rest of the coffee chain in Singapore by bringing their uniqueness and culture to Singapore. Hollys Coffee will emphasize on its brand promotion and advertisement to allow Singaporeans to be aware of the brand. This report will further introduce how Hollys Coffee set its global strategy, the opportunities and the challenges faced. Company Background Hollys Coffee is a specialty coffee company head headquartered in Korea. The company was established in 1998 and opened Koreas first espresso shop that year. Its shops offer espresso, coffee, tea, coffee- and tea-based cold and hot specialty drinks, a variety of pastries and other snacks, and coffee supplies. By 2008, there were more than 100 Hollys Coffee shops in Korea, and the franchise had expanded with additional stores in Japan, China and Malaysia. It has a barista academy called the Hollys Coffee Academy Country Background South Korea has a market economy which ranks 15th in the world by nominal GDP and 12th by purchasing power parity (PPP), identifying it as one of the G-20 major economies. It is a high-income developed country, with a developed market, and is a member of OECD (Organization for the Economic Co-operation and Development). On top of that, it is a country filled with rich culture and heritage. Koreas population is one of the most ethnically and linguistically homogenous in the world. Virtually all Koreans share a common cultural and linguistic heritage. With 48.7 million people inhabiting an area roughly the size of Indiana, South Korea has one of the worlds highest population densities. Other financial organizations like the World Bank describe Korea as one of the fastest-growing major economies of the next generation along with BRIC and Indonesia. South Korea was one of the few developed countries that were able to avoid a recession during the global financial crisis and its economic growth rate will reach 6.1% in 2010, a sharp recovery from economic growth rates of 2.3% in 2008 and 0.2% in 2009 when the global financial crisis hit. Entry Strategy Hollys Coffee will enter Singapore through master franchising method that allows individuals or corporations to buy the rights to sub-franchise within some specific countries. This is to minimize risk when it enters the country where its brand is seldom familiar to the local community as well as it is difficult to attract investments. It is essential to motivate franchisee to serve more people. Franchising can provide high motivation to franchisees as they just need to pay fixed royalty. It means that more customers they serve customers, the more profit they can expect. The most popular franchises are those with widely recognized brand names. In fact, the brand name or trademark of a company is normally the single important item desired by the franchisee. Having K-pop influences all over the round, the Korean fans must have heard of Hollys coffee since it is the largest coffee chain in Korea and on top of that, there were dramas and variety shows that were screened in the cafes as well. Franchising is an entry mode that allows for rapid geographic expansion. Company often gains competitive advantage by being first in seizing a market opportunity. Franchisers can benefit from the cultural knowledge and know-how of local mangers. This helps lower the risk of the business failure in unfamiliar markets and can create a competitive advantage. Marketing and RD Strategies There are two entry strategies of Hollys Coffee one is to introduce products that have Korean own characteristic, another is to differentiate with other coffee brands by focusing on side menus like waffle or patisserie. However, there are a lot of its own domestic coffee retailers in Singapore and Hollys Coffee is still not well-known to local people. Thus, it is very important to make Singaporeans aware of its brand and Hollys Coffee might be exposed to the financial risk linked with heavy marketing expenditure such as brand promotion and advertisement in the course of spreading its brand. Another key point of marketing approach would be unique selling point. There are a lot of coffee shop with varies target groups with their own brand all over the world, however, only few big brands have gained majority of market shares. Gaining public awareness by promoting a unique selling point as advertisement would be a good strategy. A global marketing strategy can also be successful if the firm has managed to change local preferences. A new product entering a local market will usually change preferences to some degree, whether by new features, promotion, or price. One of the good selling points to  stand on the  market  share of  cafe business  in Singapore could be either theme, or products. At the end of the day, it depends on whether the products or the theme of the cafe house attracts the customers, and subsequently the business sustains. To coffee lovers, they are looking for good coffee for sure; to non-coffee lovers, perhaps they are looking out for a place to rest with a drink and at the same time to enjoy the ambient of the cafe house. Uniqueness of the products as mentioned above, whereby to bring in the sweet potato latte definitely catches attention of the locals. By bringing in local product to overseas  stands chance in penetrating overseas market, ultimately the overseas acceptance will also be the significant factor whether it helps to boost up sales. With Korean trends being so popular, Hollys coffee may consider to implement with things that may relate to the Korean dramas or song. Opportunities and Challenges In Singapore, It is quite challenging to stand for market share in Singapore for cafe Food Beverage sector, especially there are a lot of its own domestic coffee retailers or popular brands already well known in the market, i.e. Coffee Bean, Starbucks which makes Hollys Coffee rarely known to local people. Thus, it is very important to make Singaporeans aware of its brand and bring out the uniqueness of this Korean cafe especially the sweet potato latte that that is not available in Singapore.  By bringing in Korea characters as a theme of cafe  could be  a good selling point and marketing strategy. As for business strategy, international strategy could be the appropriate strategy since its going to maintain Korea theme cafe. Therefore, Hollys Coffee might be exposed to the financial risk linked with heavy marketing expenditure such as brand promotion and advertisement in the course of spreading its brand. It is important to come up with the marketing and promotions to introduce to the locals about Hollys coffee, as it is not easy to change the taste and preference when they are used to the existing brands. On top of that, it is expensive to start up a cafà © in Singapore, therefore it is important to have a detailed breakdown of the startup cost like registration and licensing, and other operating expenses as well. Evaluation and Conclusion All thanks to the influences of Korean pop to all over the world, there are more people getting more interested in Korean culture and heritage. There is an average of 20,000 Koreans residing in Singapore. Many Koreans will start to patronize Hollys coffee when it opens in Singapore. Singapore has been a popular choice for foreign talents internationally, as mentioned above there are about 20,000 Koreans in Singapore. It remains one of the popular places for relocation for its reputation as a safe and orderly country to educated children in. For a business, we will like it to be set up in a politically safe developed country in  comparison  to a developing country with bad political situation. Government policies and regulations may change from time to time based on political stability and poses a risk for its foreign entities.  

Friday, October 25, 2019

Honest Iago Essay -- essays papers

Honest Iago The poet Coleridge appropriately described the character of Iago as being one of "motiveless malignity." Throughout the play Iago’s motives are secondary to, and seem only to serve as justification for, his actions. Iago is driven by his nature of character. To discuss Coleridge’s assessment we must look at Iago’s character—from Iago’s point of view and that of the other characters—his motives, methods, and pawns. Through some carefully thought-out words and actions, Iago is able to manipulate others to do things in a way that benefits him; all the while he is pushing Othello, Desdemona, Roderigo, Emilia, and Cassio to their tragic end. According to Websters New International Dictionary, Second Edition, malignity is partially defined as "disposition to do evil." "Motiveless" is implied in the definition of malignity. That one has a "disposition to do evil" is to say evil is in the nature of the malignant person; motive is not an issue. "Motiveless malignity" is redundant in the pure meaning of the words. Does Coleridge mean to say that Iago cannot help himself from being evil or does he mean that what Iago did was without motive? For the sake of this discussion, Coleridge intends the later. Abbott states "in truth character is what a person is; reputation is what he is supposed to be." (Websters) Is Iago evil? No, he is not. Walter Lippmann says that "evil is not a quality of things as such. It is a quality of our relation to them." (Websters) Iago is not opposed to good (a partial definition of evil) however, he is amoral and malicious. How does Iago see himself? "Others there are who, trimmed in forms and visages of duty, keep yet their hearts attending on themselves, and t... ...d knowledge of the nature of things to play a game and win. He does not make each move with conscious reason, only to win the game; thus Iago is motiveless at each step. He is like a child who only enjoys tumbling down the blocks of other children; he is the play-yard bully. When asked why, the bully generally shrugs and says "I don’t know." Similarly when asked why, Iago's response is just as simple: "What you know, you know." [Act V, Scene 2, Line 302] And Iago knew why; and he knew how. Iago most honestly confesses to Emily "I told him what I thought, and told no more than what he found himself was apt and true" [Act V, Scene 2, Line 175] The unspoken line comes next: they believed what they wanted—they are the guilty not I. Iago is a crafty, intelligent, manipulative school-yard bully, who is motiveless at each move. Iago is an honest man--deadly honest.

Thursday, October 24, 2019

Opioid Substitution Treatment Barriers Health And Social Care Essay

ISSUES. Opioid permutation intervention is internationally recognised as the most effectual intercession available to handle opioid dependance. There is concern that capacity at public clinics and pharmaceuticss is deficient to run into high demand, ensuing in a cohort of opioid-dependent patients left untreated. Research has focussed on pharmaceutics barriers to OST bringing but small is known about the public clinic sector. APPROACH. A narrative reappraisal was conducted by thorough scrutiny of relevant literature in electronic databases ; Medline, CINAHL and Cochrane. Cardinal FINDINGS. Despite the enlargement of OST and vacancies in pharmaceuticss, some opioid-dependent patients continue to confront barriers that block entree to intervention. These barriers are varied and multi-faceted. For the patient, stigma and a compulsory dispensing fee are important deterrences to pharmacy dosing. For the druggist, negative behaviors associated with OST patients such as debt, larceny and aggressive behavior and full capacity are grounds that impede proviso of OST. In public clinics, the backlog of stable patients non being transferred to pharmacy dosing is a suspected barrier that has non been extensively investigated. IMPLICATIONS. Research has explored pharmaceutics and patient barriers to OST entree but less is known about the public clinic barriers. More research is warranted into public clinics to clarify possible barriers of all grades of the OST system. CONCLUSION. This reappraisal emphasises the dearth of research into OST bringing in public clinics. Further probe into the processs of OST in clinics is necessary and should concentrate on patient appraisal, referral and direction. Keywords: opioid permutation intervention, pharmaceutics, clinic Word count: 246 Researching barriers to opioid permutation intervention in pharmaceuticss and public clinicsIntroductionOpioid dependance carries a scope of important inauspicious wellness, economic and societal jobs to the person and wider community, including the hazard of overdose, the spread of infective diseases ( HIV/AIDS, hepatitis B and C ) , psychological jobs, drug-related offense, wellness impairment and household break [ 1, 2 ] . Opioid permutation intervention ( OST ) is internationally recognised as the most good and cost-efficient pharmacological intercession available for the intervention of opioid dependance [ 3, 4 ] . In response to an addition in the Australian population of heroin-dependent users in the 1990s [ 5, 6 ] the authorities introduced OST as a injury minimization scheme to understate these inauspicious effects [ 7 ] . Since so OST bringing has steadily increased under the National Pharmacotherapy Policy and National Drug Strategy [ 7, 8 ] . The figure of patients has ri sen in surplus of 2,000 clients per twelvemonth since 2007 and at the clip of authorship, there are presently over 46, 000 clients having intervention in Australia entirely [ 8 ] . In Australia, OST involves supervised day-to-day dosing of one of three long-acting opioid replacing medical specialties ( dolophine hydrochloride, buprenorphine or buprenorphine/naloxone ) . Most new patients are initiated into intervention by the doctor at a public clinic under the supervising of a nurse or instance director. In this scene they have entree to single instance direction, reding and specialist medical support at no charge. Once they become stabilised on intervention, patients are encouraged to reassign their dosing to a community pharmaceutics [ 2 ] , thereby emancipating their dosing topographic point at the public clinic for a new patient. There is a concern that this tract is non every bit smooth as it appears. As at June 2008, an estimated 41,000 opioid dependent people in the community were still unable to entree intervention and the job is declining [ 9 ] . Confusing the job is the fact that there is no bing agencies of measuring the precise demand for intervention and no systematic monitoring of waiting times in the pharmacotherapy system [ 9 ] . Proposed accounts for this issue are varied and multi-faceted. It is believed the system capacity at both the populace clinics and the community pharmaceutics degrees may non be sufficient to suit the high demand for OST, therefore the ground why an estimated 50 % heroin-users are non in intervention. Previous surveies have investigated the pharmaceutics barriers to OST but at that place appears to be a deficiency of research into the drug and intoxicant clinics [ 10, 11 ] . This reappraisal aims to research the literature refering to OST in Australia. In peculiar the reappraisal will look into the grounds for the â€Å" unmet demand † [ 9 ] of opioid dependant patients necessitating these services and the bing barriers to the proviso, entree and consumption of OST faced by both patients and healthcare suppliers.MethodA narrative literature reappraisal was conducted by thorough scrutiny of the literature in 3 electronic databases Medline, CINAHL and Cochrane. The undermentioned keywords and phrases were searched: â€Å" opiate ( opioid ) permutation ( replacing ) intervention ( therapy ) † , â€Å" referral † , â€Å" dolophine hydrochloride † , â€Å" buprenorphine † , â€Å" pharmaceutics † , â€Å" drug and intoxicant clinic † , â€Å" drug wellness clinic † and â€Å" harm minimization † . The mentions of relevant literature were besides searched. Documents were eligible for inclusion if they were written in English and published between the old ages 2000 and 2012. Documents were excluded if they chiefly focused on detoxification plans, naltrexone intervention, dolophine hydrochloride for hurting alleviation or if they pertained to patients other than big opioid-dependent patients. A comprehensive hunt of Australian cyberspace resources was besides conducted. The primary sites were Australian national and province authorities wellness policy and statistics sites ( hypertext transfer protocol: //www.druginfo.nsw.gov.au/ , hypertext transfer protocol: //www.aihw.gov.au/ , hypertext transfer protocol: //www.health.nsw.gov.au/ , hypertext transfer protocol: //www.nhmrc.gov.au ) and the UNSW National Drug & A ; Alcohol Research Centre ( NDARC ) .RESULTS AND DISCUSSION:Several surveies have shown OST to be associated with benefits including reduced illicit opioid usage, lower associated offense rates and improved wellness results [ 3, 12, 13 ] . It has besides been demonstrated to be more extremely cost-efficient than detoxification or rehabilitation [ 4 ] . In response to increasing demand, the figure of dosing sites in Australia has increased from 2,081 ( 2005-06 ) to 2,200 ( 2009-10 ) with the major addition being in the figure of new pharmaceuticss taking to offe r OST services [ 8 ] . Community pharmaceuticss are the chief suppliers of OST in Australia, accounting for 43 % of OST patients in NSW. This is in line with other states such as the UK, France, Germany and New Zealand where pharmaceutics is emerging as a head of OST proviso [ 14-16 ] . Although pharmacy proviso of OST has expanded, there are still people who can non entree these dosing sites, restricted by certain barriers. The lone solid grounds of these people is on waiting lists, but presently in Australia there is no official demand to supervise waiting lists or capacity [ 9, 17-19 ] . Factors explicating the inability of OST plans to run into current demand are multifaceted and interconnected and scope from deficient figure of intervention topographic points depending on location to barriers faced by patients in accessing OST such as rural location or restricted dosing hours. Much research has focussed on the challenges faced by suppliers of OST services, viz. community pharmaceuticss, GPs and public clinics.OST in community pharmaceuticsCommunity pharmaceutics histories for 43 % of OST patients in NSW. Most surveies on OST proviso are survey-based. In a study of NSW public clinic patients, 80 % of participants preferable pharmaceutics dosing over the clinic [ 20 ] . Benefits of pharmaceutics that have been cited in patient studies include greater community integrating, a more stable dosing environment, flexible dosing hours, less travel clip and cost ( the patient may be referred to a pharmaceutics closer to their reference ) and the chance for regular takeout doses [ 20-22 ] . Takeouts are extremely valued by opioid dependent patients as they facilitate the standardization of life [ 21 ] . Patients can devour their dosage unsupervised and the decreased frequence of dosing attending allows clients to prosecute employment and instruction chances and fulfil household duties. Sing they are merely routinely given to stable patients in community pharmaceuticss and non by and large in public clinics, takeouts are a major inducement to pharmaceutics dosing. Although demand and patient penchant for pharmaceutics dosing is high, patients may still confront barriers that deter them from come ining into pharmaceutics intervention. Stigma Whilst patients on OST reported high degrees of satisfaction, a common issue in dosing sites was the presence of negative staff opinion and stigma [ 10, 21, 22 ] . When Deering et Al. ( 2011 ) asked New Zealand OST patients how intervention could be improved, an overpowering bulk identified ‘better intervention by staff ‘ [ 10 ] . The position that staff behavior could be improved was supported in a study by Kehoe et Al. ( 2004 ) nevertheless contrastingly 80 % of respondents besides reported that staff intervention was satisfactory or first-class [ 21 ] . This disagreement suggests that whilst patients were overall satisfied with staff intervention, they still felt the demand for betterment. Financial load Another common hindrance to OST identified in the literature is the fiscal load of intervention faced by patients [ 11, 20, 22, 23 ] . Whilst intervention costs in NSW public clinics are to the full subsidised by the province authorities, pharmaceutics dosing incurs a hebdomadal dispensing fee runing from about $ 30- $ 35 [ 22 ] . In one survey, 32 % of public clinic patients surveyed claimed they could non afford the pharmaceutics distributing fees perchance explicating their involuntariness to reassign to pharmacy [ 20 ] . The balance were merely able to pay an mean $ 10 a hebdomad, an sum well lower than $ 33.56, the average hebdomadal dispensing fee reported by Lea et al [ 22 ] . The fact that 23 % pharmaceutics clients owed the pharmaceutics money for dosing [ 22 ] confirms that a significant figure of OST clients struggle to afford pharmaceutics distributing fees. The theoretical account used in Canberra in which 50 % of the distributing fee is subsidised, [ 24 ] is intended to ease the pecuniary load and act as an added inducement for intervention keeping or entryway. No surveies have yet evaluated the consequence of lower fees on patient keeping times. From the druggist perspective client debt likewise serves as a deterrence against the bringing of OST or uptake of new patients. Other jobs related to behavioral disinhibition, aggression, larceny and the negative impact on concern and other clients have all been identified as grounds impacting druggists ‘ proviso of OST [ 25, 26 ] . In contrast to pharmacist concerns, one survey in the UK interviewed pharmaceutics clients and found the bulk to be overall supportive of pharmaceuticss presenting drug user services [ 14 ] , with the specification that privateness was necessary. The demand for equal privateness is in line with OST patient positions [ 22 ] . However qualitative informations was sourced from interviews which may be skewed by interviewee disposition to give socially desirable replies. Role of the GP prescriber Another common job experienced by community druggists is the trouble reaching prescribers and the prescribing of takeout doses to unstable patients [ 26 ] . Pharmacists identified the hazard of recreation of takeout doses and hapless appraisal of stableness as issues that required improved interprofessional coaction with prescribers. Interestingly in one survey a bulk of druggists agreed that prescriber communicating was equal, nevertheless little sample size and the rural location which tends to further closer interprofessional relationships may be accountable [ 27 ] . Winstock et Al. ( 2010 ) recommends the public-service corporation of standardized resources such as the NSW Department of Health ‘Patient Journey Kits ‘ to steer multidisciplinary attention of OST patients [ 26, 28 ] . Another facet lending to system capacity is the reduced supply of prescribers for OST. GPs are frequently the first point of contact for opioid-dependent people. They are required to set about extra preparation to go commissioned opioid pharmacotherapy prescribers [ 29 ] . GPs play an intrinsic function in the initial showing, appraisal and on-going feedback and monitoring of OST clients. The issue lies in the ripening work force and the retirement of commissioned prescribers, thereby cut downing intervention entree [ 17 ] . Public clinics are the lone prescribing option but considerable barriers including full system capacity and the deficiency of motion of stable patients out of clinics into pharmaceuticss besides limit the public clinics ability to suit excess patients. Unexplained vacancies Despite grounds of an â€Å" unmet demand † [ 9 ] , a survey conducted by the National Drug and Alcohol Research Centre ( NDARC ) found that more than half of OST-providing pharmaceuticss reported an norm of 7 vacancies to dose extra patients. Data extrapolation of to all NSW pharmaceuticss registered to present OST suggests that there are about 3000 vacant dosing topographic points across NSW. Whilst a 3rd of pharmaceuticss in the survey were runing at full capacity, some pharmaceuticss reported functioning no clients [ 18 ] . This spectrum of clients across registered pharmaceuticss and the being of current vacancies exemplify the underutilisation of community pharmaceutics dosing topographic points. However the fact that these vacancies may non ever be located where the demand is highest has to be taken into consideration. For illustration patient entree to intervention in rural locations is frequently restricted due to limited pharmaceutics Numberss and longer going distan ces [ 25 ] . From the literature, it appears NSW pharmaceuticss have the capacity to increase consumption of clients, with a possible 70 % of pharmaceuticss capable but non willing to supply OST services. Factors identified that would promote druggists to increase client Numberss include the stableness of the patient, higher fiscal additions per client and the option to instantly return unstable patients to public clinics [ 18 ] . However some public clinics expressed concern about taking back unstable patients, proposing there was no warrant of available dosing capacity, one time a new patient had been inducted [ 18 ] .OST in public clinicsEntree to OST is determined by both the handiness of pharmaceuticss supplying OST every bit good as the capacity of public clinics to take on extra clients [ 19, 26 ] . However harmonizing to an expansive NSW state-wide study on OST by Winstock et Al. ( 2008 ) , there appears to be an underutilisation of available pharmaceutics dosing sites and limited capacit y in public clinics [ 19 ] . Whilst the bulk of literature has focussed on pharmaceutics proviso of OST, relatively less research has been conducted into the public clinic grade of the OST system despite representing 19 % of dosing patients in NSW [ 8 ] . Public clinics have become an increasing country of involvement driven by studies that the motion of stable patients through the clinics out to community pharmaceuticss appears to be dead [ 17, 19 ] . This is ensuing in a backlog of patients barricading new patients from accessing intervention at the clinics. The proportion of stable patients transferred from the clinics to pharmaceuticss is estimated to be really low at 3-15 % a month [ 18 ] . Surveyed patients have cited a reluctance or inability to afford a dispensing fee and feeling dying about reassigning [ 20 ] as grounds against transportation. Precedence groups Intensifying the limited capacity of public clinics is the duty of supplying priority entree of vacancies to groups that meet standards stipulated under NSW Health directives [ 2, 7 ] . Cohorts include released captives, pregnant adult females, people with HIV, hepatitis B bearers and those on a recreation plan as ordered by the tribunal. [ 19 ] Similarly clients that show hazardous forms of illicit substance maltreatment such as those with mental unwellness and intoxicant dependance, or those that exhibit aggressive or antisocial behaviors are better managed at the public clinic instead than at a pharmaceutics. As a consequence many patients who do non run into ‘priority ‘ position are forced to wait. Obviously there is a demand to increase the efficient transportation rate of patients out to pharmaceuticss to do infinite for these clients. As antecedently mentioned, there is no consistent systematic process or set guidelines to help clinicians in covering with these iss ues and as of yet, no research has been conducted on their response to pull offing these issues. A 2008 SWAT study of NSW public clinics reported that when unable to offer immediate intervention, clinics either provided injury decrease advice referred to another public clinic, a private clinic or a GP, or offered detoxification. The assortment of actions and the effectivity of each have non been assessed and look to be decided upon at the discretion of the presiding OST practician at the clinic. Recommendations by the SWAT squad include developing a standardised response when a clinic can non offer a intervention topographic point to a client, and systematic monitoring of capacity to explicate more timely intervention in the hereafter [ 19 ] . Stability appraisal and referral processs An obstruction inherent to the pharmacotherapy system is the clinical appraisal of patient stableness and referral process. The triage function of stableness appraisal is usually coordinated by Nursing Unit of measurement Managers ( NUMs ) or a cardinal stakeholder in the public clinic and involves reexamining patient dosing history and behavior and placing those suited for transportation [ 30 ] . Currently no surveies into the clinical function or preparation of NUMs in OST proviso have been conducted. Soon determinations are guided by clinical opinion. The lone available counsel is limited to authorities policy, instead than scientific grounds and no standardized guidelines exist [ 30 ] . Whilst there are over 300 hazard appraisal instruments available to mensurate results of patients in drug and intoxicant intervention, no individual standardised attack has been nationally adopted or endorsed for OST [ 30 ] . A survey by Winstock et Al. ( 2009 ) found that execution of a province broad preparation plan improved client stableness appraisal with 25 % of staff increasing the figure of clients transferred out to community pharmaceutics [ 31 ] . However the objectiveness of this survey was affected as the method involved clinicians self-reporting cognition and accomplishments prior to and after preparation. However the survey provides preliminary grounds that acceptance of standardized appraisal processes increases the transparence of clinical determinations and can better entree to O ST [ 19, 31 ] . As above-named there appears to be underutilisation of community pharmaceutics OST services with some dosing at full capacity, whilst at the other terminal of the spectrum, some pharmaceuticss serve no patients. The bulk of pharmaceuticss reported vacancies. Whilst 75 % of clinics reportedly monitored available capacity within local pharmaceuticss, it is possible that the remainder are directing clients to overfilled dosing sites [ 18 ] . No formal survey has as of yet explored how clients refer and allocate patients to pharmaceuticss and how pharmaceuticss are selected.DecisionFrom the reappraisal of the literature, there is grounds to propose that the current opioid permutation intervention capacity may non be sufficient to run into demand for intervention. Several barriers have been identified that restrict patient entree to intervention. Pharmacy barriers include the minority of community pharmaceuticss that opt in to present dosing, pharmacist reluctance to take on new patients due to perceived associated negative behaviors and old experiences and patient involuntariness or inability to pay the dispensing fee. The deficiency of prescribers is another aspect contributing to the decreased entree to available intervention. An country of involvement is the part of the public clinic grade of the OST system, nevertheless there is an evident dearth of research conducted into the direction of OST entree in public clinics. The dead flow of stable patients reassigning dosing from the public clinics to community pharmaceuticss is suspected to be impacting entree to intervention for new patients who do non run into precedence standards and are forced to wait. There is preliminary grounds to propose that a standardized attack to stability appraisal may ease stable patient transportation and liberate dosing sites in clinics for non-priority groups. Further research needs to be conducted into the stableness appraisal and referral processs of OST, the bing tools and processs and how effectual they will be in shuting the spread between demand and supply of OST.

Tuesday, October 22, 2019

Things Fall Apart Culture Research Paper

Maduena 1 Thomas Maduena Mrs. Aisola English 4 December 16, 2012 Unconventional Culture of the Ibo People in Nigeria The Ibo people, traditionally known as Igbo, are one of the largest and most significant ethnic groups of Southern Nigeria (Igboland). Their culture and traditions are so diverse because their group is fragmented into subgroups. Chinua Achebe explains the tough and cultural ways of the Ibo people in his novel Things Fall Apart.Their customs can be compared but, nevertheless they have kept their traditions stayed the same throughout their history. Origin; Ibo people originated in the Kingdom of Nri. â€Å"Nri Kingdom in the Awka area is the cradle of Igbo civilization and culture† (destee. com) It is also one of the most oldest Nigerian kingdoms. Although Nri people were a different group, they influenced the traditional Igbo people with their customs and practices. â€Å"There is a little bit of Nri in all of us†¦ Igbo is Nri and Nri is Igbo†¦ you ar e Nri and Nri is you†¦ † (destee. om) The orgin of the Igbo people can be argued about, but no doubt the originated from the Nri People. Traditional Society; Although some ill-informed people would only see that the Ibo people are very primitive and barbaric, they had their own form of government, leadership, and economy. â€Å"The basic unit of Igbo life was the village group†¦family head† (qub. ac. uk) The â€Å"family head† or modern colloquial, the man of the house, would be the older male, In most cases the father. He settled all issues within and outside his family, and was the one to Maduena 2 talk to higher members of the clan or in the village. Social status is based on wealth, regardless of occupation. The Igbo distinguish between obgenye or mbi (the poor), dinkpa (the moderately prosperous), and nnukwu madu or ogaranya (the rich). â€Å" (everyculture. com) Titles were a major role in every Nigerian tribe whether it be the Ibos, Yorubas, or Hausas. A title gave respect and honor to their family. â€Å"Okonkwo was well known throughout the nine villages†¦ fame rested on solid personal achievements. † (Things Fall Apart P. 1, Chinua Achebe) His title was earned throughout his life and solely on himself, which gave him a god reputation and being respected. There was a hierarchy of ascending titles that were to be taken in order, accompanied by an ascending scale of payments. † (qub. ac. uk) Titles were not easy to come by and had an extensive process. Rituals were acquired and having a title gave the person a sense of success. Their villages are very dependent on one another. Any interference with their village would be taken up to the leader of the clan and if necessary brought up to the elders. Decisions would affect their entire village or town and need to be thoroughly checked with. Oracles played a key role for Ibo villages because of their consistency of being dependable.In â€Å"Things Fall Apart † the Oracle was an important character in their decisions made. â€Å"And there were indeed occasions when the Oracle had forbidden Umuofia to wage a war. If the clan had disobeyed the Oracle they would surely have been beaten. † (Things Fall Apart P. 11, Chinua Achebe) The Umuofia people are so superstitious that they will not make any major decisions without first consulting the gods through the Oracle. Their thought is that only the Gods can justify when the time to war is right. Government; The Igbo leaders of the village and the common people all work together to form a democracy.They all participate to make their villages such a working Maduena 3 community. â€Å"Perhaps it was the small scale of their political institutions that made Igbo Land such a good example of what a democracy should be. Some of the first European visitors to this region were struck by the extent to which democracy was truly practiced. † (qub. ac. uk) Igbo people are not the barbari ans people think of them to be. They just have an unconventional way of having a stable society. Family and Marriage; Families would live in the village group, but all living in separate segments.Males and elders would receive the outmost respect. The oldest male was usually the leader of the compound and there were many different groups in that compound. The rule of seniority was usually the placement where the person would be in their status. Marriage was ideal for every woman especially. â€Å"When a boy betroths a girl, the matter does not end there. The families of the contracting parties will embark on a series of investigations about the character, home training, lineage, health, clan relationship They needed a man to provide for them and their future children. (kwenu. com) Marriage was not as simple as it is modern days. Marriage requires thoroughly planning to get the best for their child, presumably their daughter. Polygamy was common and looked upon. If they were a succe ssful man, they had as much wives as they could marry. Men would have multiple wives and several children. Wives were ranked according to the order in which they married the common husband. Seniority was also important in children. The first male and female children of the domestic group were more important than the next children to be born.First-born children were given specific and responsible positions in their family. Rite of Passage; Children are normally the ones to have significant events happen to them. Circumcision is common in present day around the world. Ibo people too believe in this. â€Å"The difference is they also circumcise girls. The rite of Circumcision, whereby a child Maduena 4 is initiated into his culture, occurs on the eighth day after birth, when he or she is circumcised. † (kenwu. com) Another rite in Igbo culture would be Iru-mgbede (fattening of a girl before marriage).Igbo people believed that if the mother were physically healthy, the child woul d be born healthy and able to survive. Igba Mgba (wrestling) was how one became a warrior or well known throughout the community. This was the way Okonkwo first started to build his reputation as a fine skilled warrior. â€Å"As a young man of eighteen he had brought honor to his village by throwing Amalizine the Cat. † (Things Fall Apart P. 3 Chinua Achebe) Amalizine the Cat was an amazing wrestler whose back would never touch the ground, Okonkwo defeated him and with that gained his honor and respect. Every man wanted to be respected.Culture and beliefs; Spirits, gods and the unknown were not something to be interfered with and the Igbo people greatly feared the supernatural. † The darkness held a vague terror for these people†¦children were warned not to whistle at night for fear of evil spirits. † (Things Fall Apart P. 9 Chinua Achebe) Night was deeply feared. Animals were thought to become more vicious at night. Moonlight however would bring tranquility. People would go out for walks and children would be playing. Most marriages and festivities would be held in the evening leading on to the night. One of the biggest celebrations was the Feast of New Yam.Most West African countries celebrate this. The Feast of New Yam symbolized the end of a harvest and the beginning of the next work cycle. â€Å"†¦To honor the earth goddess and the ancestral spirits of the clan. New yams could not be eaten until some head first been offered to these powers. † (Things Fall Apart P. 32 Chinua Achebe) They strongly believed in sacrifice and giving the their higher beings. Although beating their wives and children is looked upon as strength to keep things in order, many Maduena 5 African tribes including the Igbo culture practiced the Week of Peace.Any disrespect towards traditions was dealt with the elders of the elders of the tribe. No work or violence should happen during to week of peace in order to pray for his or her future crop to gr ow. â€Å"Okonkwo broke the peace, and was punished†¦ † (Things Fall Apart P. 25 Chinua Achebe) His punishment was to sacrifice a female goat, a hen, a length of cloth, and one hundred cowries in order to keep from harvest turning out bad. Respect to their culture is mandatory for everyone in the tribe. Modern Igbo culture; Today, there are as many churches as well as mosques and traditional religion worship centers in Enugu State.The state is predominantly made up of Christians, but also had many catholic and protestant churches in Enugu State. Much of the Igbo’s traditions are still celebrated, but things like abusing your children and wife is not kept. Monogamous relationships are much more common and they celebrate holidays because they are converted into Christians. † One of the most important events in Igboland is Christmas and it signifies home return in the village†¦Igbo families consider their one and only real home their house in the village. It is the two weeks around Christmas which bring families back together to the village. (igboguide. org) Modern Ibo people are more focused in unity within their family and their villages. Unlike in Things Fall Apart, masculinity is not a major attribute, peace and affection has replaced it. Although the Ibo culture and religion has changed, the tough and rigidness is something they will always have. Ibo people are very spiritual, as shown in Things Fall Apart. Ibo people in nature show respect, if respect is shown towards them. Their customs have changed, but that will never change who they are at heart. Maduena 6 Figure 1 http://www. globalsecurity. rg/military/world/nigeria/maps. htm Figure 2 http://amaigboyouth. wordpress. com/maps/ Maduena 7 Work Cited Achebe, Chinua. Things Fall Apart. London: William Heinemann Limited, part of Reed Consumer Books, 1959. Print. Advameg Inc. â€Å"Countries and Their Cultures. † Economy. n. d. Web. 12 Dec. 2012. Akbondu. â€Å"Black Pe ople : Nri Kingdom†¦ the Cradle of Igbo Civilization. † Black People Meet. . n. d. , 11 Jan. 2011. Web. 12 Dec. 012. . Froiland, Andrew. â€Å"African Tribes – Ibo – Igbo Culture. † African Tribes – Ibo – Igbo Culture. Minnesota State University Mankato, n. d. Web. 13 Dec. 2012. . Onyemaechi, Uzoma, and Ann Arboy. â€Å"Igbo Culture and Socialization. † Igbo Culture. University of Michigan, n. d. Web. 11 Dec. 2012. .