Tuesday, January 28, 2020

Smoking, Alcohol and Obesity in New Zealand

Smoking, Alcohol and Obesity in New Zealand Introduction This research project is going to deal with three kinds of Maori trends, which have been issued from 1919 to the present and this research is going to identify and demonstrate about Smoking, Alcohol and Obesity. Those trends based on Northland, New Zealand. Additionally, each trend is identified by each difference question. Below question of bullet points demonstrate what this research project is going to do. Smoking: Why do Maori women smoke during pregnant? Alcohol: Why do young Maori people drink alcohol? Obesity: Why do Maori people have obesity? Those above questions are going to be shown by ethical and cultural considerations as following methodologies, which are literature review and statistical data and graph. Moreover, those trends are approached to Maori Hauora form, which is Te Whare Tapa Wha and the form consider Taha Tinana (Physical health), Taha wairua (spiritual health), Taha wanau (family health), Taha hinengaro (mental health). For three Maori health trends, this research is going to involve health services which are accessibility and Affordability. Accessibility is that many Maori have issues on transport such as own car and transportation. Affordability is significant barrier for Maori to access general practitioner due to too high cost. Methodology -Literature Review Literature review has plenty of sources for this research project. The example of resources is book, Internet, journals, government publications, dissertations, theses, electronic databases and reference materials. Those resources are helpful to understand and identify 3 Maori trends that I choose in existing knowledge. By using those resources even literature review makes the research project to avoid reinventing the wheel by undertaking research for which the conclusions are already known. -Statistical data and Graph Statistical data and graph provide factual data which is based on true events that is occurred in the past, thereby we can identify Maori trends. Additionally, those methodologies make this research easy to gather information and analysing trends. à ¢- Literature Review Smoking: Question1. Why do Maori women smoke during pregnant? As national hospital data from 1999-2003, 39 percent of Maori women over 15 years old smoked during pregnant. On the other hands, 12.5 percent of non-Maori women over 15 years old smoked during pregnant. Even though Maori women had higher percent of smoking rate during pregnant, they tried to cut smoking for being safe of their baby. Below table is shown how many Maori women were quit smoking for pregnant. Table 1. Smoking rate broken into age of Maori women Below bullets are shown why they keep smoking during pregnancy. Nicotine is addictive; Study participants smoked on average 9 cigarette per day even 52 percent participants smoked within 30 minutes of waking. The women are healthy; The Maori women have not had experience health problems regarding with smoking. So, their motivation to quit is for baby. Poor knowledge of increased risk; Maori pregnant women have poor knowledge of increased risk. So, they do not know what kind of effect baby is affected by smoking. For helping explanation, below table is shown. Table2. Belief statement about smoking during pregnancy There are not may support agencies to help Maori pregnant women. 82% of women recall being advised to stop smoking but few health professionals provided cessation assistance or referral. The delivered information was mixed; some women also felt supported to just cut down and were told not to quit as withdrawals could stress the baby. The most significant reason why women keep smoking during pregnant is because most women tried to quit with 2 weeks of finding out they were pregnant but only 2 pregnancies were planned for pregnant and on average women did not know they were pregnant until 7-8weeks even they do not make a book with Midwife until 11-13 weeks. They are surrounded by smokers; 62% of Maori population smoked. 67% of partners smoked. So, pregnant women can access easily in smoking area. Below table is shown environment. Table3. Environment – a) Social and b) Work Alcohol: Question2. Why do young Maori drink alcohol? Alcohol is widely used by youth of Maori. There were 1702 Maori students in the Youth’07 sample accounting for 18.7% of the total secondary school sample. 43.5% of all Maori students perceived that it was okay for people their age to drink alcohol regularly. Maori students think drinking alcohol was okay because 78% of their friends regularly drank alcohol. Additionally, 66% of students’ parents drank alcohol regularly at home. So, Maori students thought it was okay for them and below figure 1 is shown where Maori students get their alcohol from. Figure1. Percentage of source The most common problems associated with drinking alcohol were doing things that could have got them into serious trouble that is reported by 28% of current drinkers and getting injured after drinking alcohol (27%). 34% of all Maori students reported that within the previous month they had been a passenger in a car with a driver who had been drinking alcohol. Of those Maori students who had driven on a public road, 15% reported that they had driven a car after consuming alcohol. Additionally, drinking alcohol has affected in diverse way following bullet point will show. Increased risks of motor vehicle collisions, injuries and deaths Increased risks of crime Increased risks of sexual risk taking Mental health problems and suicidal behaviours Below figure 2 is shown that problems associated with alcohol use among current drinkers. Figure2. Problems associated with alcohol use among current drinkers Three of problem associated with alcohol use are noticeable which are had unsafe sex, done things that could have got you into serious trouble and been injured after you had been drinking alcohol. Diabetes Question3. Why is Maori higher rate of diabetes? There is variety reasons that make diabetes occurred and obesity is the most affected occurring obesity among diverse reasons. Below figure and table are going to show how many Maori population is obesity as dividing ethnic group. Figure3. Proportion of the population aged 15+ who are obese, by sex ethnic group Table4. Obesity prevalence rate, Maori, Non-Maori, 1998/1990, 1997 There are many Maori suffering diabetes and the population having diabetes in Maori are much higher than non-Maori. The population is nearly three times more common in Maori. Additionally, Maori being diagnosed have type 2 diabetes which are expected to significantly increase over the next 20 years with the biggest impact being on Maori, Pacific people and those living in deprived neighbourhoods. The main reason that many Maori are having type 2 diabetes is unequal access to and quality of diabetes care. Although there may be many other reasons to explain disparities of death and complications from type 2 diabetes, there is evidence that ethnic in access to and quality of care may play a role. Table5. Type 2 diabetes mellitus, deaths (2000-2004) and hospitalizations (2003-2005) by ethnicity and sex Maori age being diagnosed of type 2 diabetes are 47.8years, six years younger than non-Maori(54.2years) and the self-reported prevalence of diabetes was 3.5 times higher among Maori than among non-Maori and besides the risk for hospitalization because of type 2 diabetes is 4 times higher for Maori than non-Maori as above table4. Diabetes has a tendency to bring other diseases. By doing this, diabetic complications are suffered that is renal failure, lower limb amputation, eyes problems and heart disease. Even those diabetic complications are diagnosed more for Maori than non-Maori. Prevention of diabetes at a community level is predicated upon promotion of healthy diet, exercise and thus, weight control. However, policy and practice strongly believe behaviour change at the individual level is significant. It is unfortunately that this is going to solve diabetic epidemic and structural change at the level of taxation incentive, food regulation and advertising for healthy changes in manufacturing will be needed. Ngati Porou Hauora (NPH) on the East Coast is implementing a programme called Ngati and Healthy. Their purpose is reducing the risk of type 2 diabetes mellitus by promoting a lifestyle characterised by healthy eating and regular exercise and also increase awareness of diabetes and pre-diabetic conditions both amongst those at high risk of developing diabetes. Analysis By using those above literature review, this research was demonstrated three Hauora trends which are smoking, alcohol and diabetes based on question. In addition, the information of data in literature review is going to be analysed with bullet points. Smoking: why do Maori women smoke during pregnant? High percentage of Maori women smoke during pregnant Having poor knowledge of increased risks for baby. Pregnant women have know well 3 problems that is out of ten problems, which are low birth baby, breathing problems and sickness in infant and sudden infant death syndrome. Not enough support agencies to help Maori pregnant women Difficult environment to cease smoking at home and working place. There are many people smoke surroundings pregnant women. Being ware of pregnant late cause unplanned pregnant. Pregnant women recognise after 2 weeks. The delivered information was mixed Alcohol: why do young Maori drink alcohol? Having easy environment to drink alcohol by family and friends Not being ware of drink alcohol Nearly half percentage of Maori students perceived that alcohol use is okay 78% of Maori students friends regularly drink alcohol 66% of parents of Maori student regularly drink alcohol Most Maori students take alcohol by friends and parents. 28% of current drinker get into them serious trouble 27% of current drinker are getting injured after drinking 34% of all Maori students reported that within the previous month they had been a passenger in a car with a driver who had been drinking alcohol Drinking alcohol has affected in mental health problems and suicidal behaviours Diabetes: why is Maori higher rate of diabetes? Common disease in Maori population Three times higher than non- Maori population for Maori Type 2 diabetes expected to significantly increase over next 20 years Having unequal access to Maori for quality of diabetes care Diabetic complications are diagnosed more for Maori which are renal failure, lower limb amputation, eyes problems and heart disease. Significant treatment is weigh control NPH (Ngati Porou Hauora) is implement for promoting promoting a lifestyle characterised Conclusion This research dealt three Hauora trends from 1919 to this present day regarding each questions. In the smoking part, many pregnant Maori women smoke during pregnancy. So, they need to support to cease smoking by education. As the research dealt, many pregnant Maori women have poor knowledge what side effect coming when they smoke during pregnant. This is most significant issues and other important issue is unplanned pregnancy. Therefore, they smoke until they recognise they are pregnant. To prevent this kind of happening, health provider have to deliver information to Maori female even male also to make them aware of side effect of smoking surrounding pregnant women. In the Alcohol part, Most Maori students are exposure to easily get alcohol and most significant problems is Maori students is not aware of seriousness of drinking alcohol because of their surroundings. Alcohol use make problems in variety situation and it make Maori students injured even seriously. So, to prevent this k ind of situation, they need to be provided education. In diabetes part, type 2 diabetes is common disease among Maori even that disease is occurred three times higher than non-Maori. The reason that diabetes is occurred is closely relative with lifestyle and the rate of obesity is higher than non-Maori. So, Maori need to improve their life style by exercise, control weight and manage diet. References Health Quality Safety Commission New Zealand, University of Auckland Lessons from research with Maori Women(2006), Retrieved from http://www.hqsc.govt.nz/assets/CYMRC/Resources/RSP-Maori-Women-Smoking.pdf New Zealand medical Association, The New Zealand Medical Journal, Why Maori women continue to smoke while pregnant, Marewa Glover, Anette Kira(n/d), Retrieved from http://www.whakawhetu.co.nz/sites/default/files/why%20maori%20women%20continue%20to%20smoke.pdf Heath Promotion Agency, Alcohol Use and Maori Young People (2007), Retrieved from http://www.alcohol.org.nz/sites/default/files/researchpublications/pdfs/AlcoholENGLISHFact_Sheett_08LoRes.pdf The New Zealand Medical Journal, Binge drinking among Maori secondary school students in New Zealand: association with source, exposure and perception of alcohol use (2013), Retrieved from https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2013/vol-126-no-1370/article-clark University OTAGO. (n,d) Hauora: Maori Standards of Health IV. Retrieved from: http://www.otago.ac.nz/wellington/otago067748.pdf

Monday, January 20, 2020

Australias Unfair Legal System :: miscellaneous

Australia's Unfair Legal System In theory all jury systems (which have existed for almost 800 years) are fair and just. The jury system originated in England and has so far failed in cases (all too common) when defendants are wrongfully prosecuted or convicted of crimes which they did not commit. In societies without a jury system, panels of judges act as decision makers. They weigh the evidence and apply the law. In the court system, criminal law is interpreted by a jury who are seen as expressing the sense of justice of ordinary men and women. Juries date back to the Middle Ages in England, and while membership, role, and importance have changed throughout the ages, they were part of the system of England’s Common Law. The purpose of the jury system was to ensure the civil rights of the ordinary citizen. It is important to remember that at the time, ordinary people had few rights. I believe that the jury system is an unfair system due to the limitations which are included during jury selection. Many professionals and groups of people are exempt from jury service: police or anyone dealing with the law (law student, lawyer, judges, assessors), anyone dealing in medicine (doctors, nurses), small or large business owners Pregnant women or women in general can claim special considerations, along with; teachers, accountants, ministers of religion, or generally anyone with a professional/education. So due to this, people who serve on a jury can be unemployed or part of a less educated and informed strata of society. Due to such limitations within the jury selection process, it is hardly said to be a fair and just system. In Europe, defendants are always tried by judges and assessors which I believe to be a much fairer way in deciding the innocence or guilt of a person. Assessors are legally qualified magistrates, with long experience in presiding over their own courts. When sitting in the superior court as assessors they are not mere advisors, but an integral part of the court. They have the same right as the judge to question the witnesses. Legal issues which are decided exclusively by the judge or panel of judges are evaluated prior to this decision by the assessors together with the judges, deliberating and voting with equal status. Decisions under this system seem much fairer and more reliable than under the jury system as it exists today.

Saturday, January 11, 2020

Cost of War on Terror for Pakistan Economy Essay

The conclusion was that the War not only caused serious damage to the economy, but also to the social fabrics of Pakistan. Obviously, continuity of War will continue to bleed the economy and society of Pakistan. At the start of the War, the cost of it to Pakistan was estimated at $ 2.669 billion in fiscal year 2001-02. This calculation was based on the assumptions that: (i) The War in Afghanistan that begun on October 7, 2001 will end swiftly by December 2001: (ii) normalcy will resume from January 2002; (iii) the Taliban government will be ousted and some low intensity fight will continue but life in Pakistan will remain normal; and (iv) the additional increase in freight cargo and war risk premium will be removed. The abovementioned assumptions were not materialized and instead the war on terror continued to gain momentum and became more precarious for the entire region in general and Pakistan in particular as it shifted to its settled areas to disrupt all kind of investment and economic activity. Pakistan became more insecure in its efforts to make the world a safer place to live. Pakistan continued to pay a heavy price in terms of both the economic and security terms. A large portion of its resources, both men and material are being consumed by this war for the last several years. The economy was subjected to enormous direct and indirect costs which continued to rise from $ 2.669 billion in 2001-02 to $ 13.6 billion by 2009-10, projected to rise to $ 17.8 billion in the current financial year (2010-11) and moving forward, the direct and indirect costs to the economy is most likely to rise further. The comparison of cost for 2001-02 and 2010-11 is given in Table-1 and the year-wise cost of war on terror is documented in Table-2: Pakistan’s economy is under pressure of the War on Terror intensifying for last four years in Afghanistan. Since 2006, the War has spread like a contagion into settled areas of Pakistan that has so far, cost the country more than 35,000 citizens, 3500 security personnel, destruction of infrastructure, internal migration of millions of people from parts of northwestern Pakistan, erosions of investment climate, nose diving of production and growing unemployment and above all brought economic activity to a virtual standstill in many part of the country. Pakistan had never witnessed such devastating social and economic upheaval in its industry, even after dismemberment of the country by direct war. After 9/11 Pakistan had to assume the role of a frontline state in the War against Terror. The onset of the War disrupted Pakistan’s normal trading activities, as the cost of trading increased substantially because of higher insurance cover. Consequently, economic growth slowed demands for imports reduced with consequential decline in tax collection and inflows of foreign investment were naturally adversely affected, accentuated by the travel bans issued by western governments to its entrepreneurs. While the economic situation was worsening, a new elected government took power in 2008 and the Ministry of Foreign Affairs constituted an inter-ministerial committee to assess the direct and indirect cost of the War on Terror on Pakistan. The Ministries of Finance, Interior, Commerce and some other relevant government departments plus the representatives of two provinces bordering turbulent Afghanistan participated in these deliberations. After few sessions and valuable inputs from all sides, the committee estimated the cost of War on Terror and its impact on Pakistan’s economy and society. The events that transpired after 9/11 in Afghanistan worsened the security environment in the country. As a result, the western countries including the United States continued to impose travel ban for their citizen (investor, importers etc.) to visit Pakistan. This has affected Pakistan’s exports, prevented the inflows of foreign investment, affected the pace of privatization program, slowed the overall economic activity, reduced import demand, reduced tax collection, expenditure over-run on additional security spending, domestic tourism industry suffered badly, hundreds; and thousands of jobs could have been created had economic activity not slowed as well as thousands of jobs were lost because of the destruction of domestic/foreign tourism industry; destruction of physical infrastructure (military and civil) massive surge in security related spending; migration of thousands of people from war affected areas and the associated rise in expenditure to support internally displac ed persons. Pakistan’s investment-to-GDP ratio has nosedived from 22.5 percent in 2006-07 to 13.4 percent in 2010-11 with serious consequences for job creating ability of the economy. Going forward, Pakistan needs enormous resources to enhance productive capacity of the economy. The security situation will be the key determinant of the future flow of the investment. Pakistan economy needs an early end to this war.

Friday, January 3, 2020

The Fashion Designer Who Showed Avant Garde Fashion

All of these Japanese fashion designers, Issey Miyake, Rei Kawakubo, and Yohji Yamamoto passed the same time period in Japan. Though they have their own styles and differences among them, these fashion designers pursued the same philosophy of 1980’s deconstructionism to create avant-garde fashion. And that is certainly evident in each of their Paris collections, especially their debut shows. Through this fashion style, â€Å"Issey Miyake, Rei Kawakubo of Comme des Garcons and Yohji Yamamoto are considered the most successful and internationally known Japanese designers in the West, and they solidified their position in the French fashion establishment† (Kawamura 92). Issey Miyake is actual the first Japanese fashion designer who showed avant-garde fashion in the West. He is called as the father of anti-fashion. In 1973, Miyake was invited to the group Pret-a-porter which was created for French ready-to-wear institution. 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