Tuesday, January 28, 2020

Competition in Public Health

Competition in Public Health Introduction Public health was established by the Romans as they thought that sanitation would lead to good health.The Romans made associations between causes of ailment and methods of deterrence. as a consequence they developed a large structure of Public Health works around their empire.The Romans thought that Prevention of illness was more imperative than cure of disease. Roman Philosophy was based along the lines of probing for a motive then establishing a preventative measure to reduce the risk involved. As a practical people they used remarks of the environment to determine what was causing ill health. This form of experimental observation led the Romans to understand that death rates were higher in and around marshes and swamps.The remedy would then be based upon judgment. The Romans, being technologically suitable, resolved to offer clean water through aqueducts, to eliminate the bulk of sewage through the building of sewers and to cultivate a system of public toilets throughout their tow ns and citys. Personal hygiene was reinvigorated through the building of large public baths.(priory.comhistoryofmedicine/publichealth) In some ways, public health is a recent concept, although it has roots in ancient times. From the beginnings of human evolution, it was recognized that unclean water and lack of suitable waste disposal spread vector-borne diseases. Early religions attempted to controlbehaviour that precisely related to health, from types of food eaten, to regulating certain indulgent behaviours, such as drinking alcohol or sexual relations. The creation of governments placed accountability on leaders to cultivate public health policies and agendas in order to gain some indulgent of the causes of disease and thus safeguard social stability opulence, and maintain order.(priory.comhistoryofmedicine/publichealth). In America, public health worker Dr. Sara Josephine Baker dropped the infant mortality rate using preventative means. She established many agendas to help the poor in New York City keep their infants hale and hearty. Dr. Baker led teams of nurses into the crowded communities of Hells Kitchen and taught mothers how to dress, feed, and wash their babies. After WWI many states and countries followed her example in order to lower infant mortality rates.During the 20th century, the intense increase in average life span is widely credited to public health achievements, such as vaccination programs and control of infectious diseases, effective safety policies such as motor-vehicle and occupational safety, improved family planning, fluoridation of drinking water, anti-smoking measures, and programs designed to decrease chronic disease.( American Journal OF Public Health, 2005). What does the meaning of public health? If community nurses are to be involved in public health work some understanding of its meaning is required. Perhaps the key term is the organised efforts of society, implying some collective responsibility for health and prevention (Beaglehole Bonita, 1997). This can mean the partnerships and combinedtactics the government is so keen on to stimulate health, like the health action zones or health living centres. Nurses involved in public wellbeing work need to focus on the health of local communities, groups and populations, not on individuals or families. When trying to identify the health needs of local communities, approaches using both art and science come in. Beaglehole and Bonitas (1997) suggest both a qualitative (art) and quantitative (science) approach can be taken in identifying health needs. The foundation stone of the quantitative approach to public Competetion: Most of the day-to-day business of the organization, and around three quarters of the funding, is administered by district health boards (DHBs). DHBs plan, accomplish, provide and purchase health services for the population of their district to ensure services are arranged excellently and proficiently for all of New Zealand. This includes funding for primary care, hospital services, public health services, aged care services, and services provided by other non-government health providers including MÄ ori and Pacific providers. Health targetsare reviewed annually to ensure they align with health priorities. The current targets are listed below. *Shorter stays in emergency departments 95 percentof patients will be admitted, discharged, or transferred from an emergency department within six hours. *Improved access to elective surgery The volume of elective surgery will be increased by at least 4000 discharges per year. *Shorter waits for cancer treatment All patients, ready-for-treatment, wait less than four weeks for radiotherapy or chemotherapy. *Increased immunisation 90 percentof eight months olds will have their primary course of immunisation (six weeks, three months and five months immunisation events) on time by July 2014 and 95 percent by December 2014. *Better help for smokers to quit 95 percentof hospitalised patients who smoke and are seen by a health practitioner in public hospitals and 90 percentof enrolled patients who smoke and are seen by a health practitioner in general practice are offered brief advice and support to quit smoking. Within the target a specialised identified group will include progress towards 90 percentof pregnant women (who identify as smokers at the time of confirmation of pregnancy in general practice or booking with Lead Maternity Carer) are offered advice and support to quit. *More heart and diabetes checks 90 percentof the eligible population will have had their cardiovascular risk assessed in the last five years. (health.govt.nz) New Zealand permanent residents New Zealand citizens (including those from the Cook Islands, Niue or Tokelau) Australian citizen or permanent resident who has lived, or intends to live, in New Zealand for two years or more Work visa holder eligible to be in New Zealand for two years or more People aged 17 years or younger, in the care and control of an eligible parent, legal guardian, adopting parent or person applying to be their legal guardian Interim visa holders New Zealand Aid Programme student receiving Official Development Assistance (ODA) funding Commonwealth scholarship students Foreign language teaching assistant Refugees and protected persons, applicants and appeallants for refugee and protection status, and victims of people trafficking offences If you are living in the Netherlands or you are paying income-tax in the Netherlands you are required to procure a health insurance at a Dutch insurance company. In the past there was a difference between public and private healthcare in the Netherlands. This however has been changed and everybody is now required to purchase basic health insurance. The basic packageThe government has put together a basic package that covers about the same as the previous system. Health insurance companies are legally obliged to offer at least this basic package and can not reject anybody who is applying for it. With the basic package you are covered for the following:Medical care, including services by GP’s, hospitals, medical specialists and obstetricians Hospital stay, Dental care (up until the age of 18 years, when 18 years or older you are only covered for specialist dental care and false teeth), Various medical appliancesVarious medicines, Prenatal care,Patient transport (e.g. ambulance), Paramedical careYou can decide to purchase additional insurance for circumstances not included in the basic package. However, in this case insurance companies can reject your application and they have the right to   determine the price. If you are working for a company in the Netherlands, consider purchasing a collective health insurance policy, this can be a good option as it is often cheaper. However, you are not obliged to buy such a policy when it is offered to you and your employer is not obliged to make you an offer. Ask your employer about the possibilities.Fees of the basic packageThe fees for the basic health insurance package are annually determined by the health insurance companies and are normally approximately â‚ ¬95 per month. Although the Ministry of Health (Ministerie van Volksgezondheid, Welzijn en Sport)determines a standard premium, the insurance companies determine the additions fee you will have to pay in the end by charging a certain rate and Foreigners are also entitled to this grant if they qualify.Children under the age of 18 years do not have to pay any health insurance and are insured for free for the basic package of health care.(justlanded.com) References: Retrieved from health.govt.nz Retrieved from justlanded.com

Monday, January 20, 2020

Fear in One Flew Over the Cuckoos Nest and The Scarlet Letter :: comparison compare contrast essays

One Flew Over the Cuckoo's Nest and The Scarlet Letter To Live With Fear   Ã‚  Ã‚   To live with fear and not be overcome by it is the final test of maturity. This test has been "taken" by various literary characters.   Chief Bromden in Ken Kesey's One Flew over the Cuckoo's Nest and Reverend Arthur Dimmesdale in Hawthorne's The Scarlet Letter both appear to have taken and passed this test.   Ã‚  Ã‚   It first seemed as though the Chief was going to fail this test of maturity in the mental ward that he was committed to.   He had locked himself up by acting deaf and dumb.   He had immense fear of the "Combine," or society, that ruined things and people and treated them like machines, giving orders and controlling them.   Soon enough to "save" the Chief, McMurphy arrived. He was lively, and not scared;   the complete opposite of the Chief.   This courage eventually passed on to the Chief.   At a meeting, when McMurphy was holding a vote to prove that the patients wanted to see the World Series, the Chief voted for it.   At first he said that McMurphy controlled his hand.   Later on he admitted that it was he who raised it. He even talked to McMurphy one night, and began laughing at the situation at hand.   One day when McMurphy and the Chief tried to help another patient who was being taken advantage of by orderlies, they were caught and sentenced to electro-shock therapy (EST).   The Chi usually blacked out in a fog when confronted with problems;   however, this time (he had endured over 200 EST sessions previously) he did not.   However, McMurphy was deteriorating, and the two seemed to be reversing positions.   McMurphy eventually was sentenced to a lobotomy, which left him as a helpless, pathetic person, as the Chief had once been.   The Chief now had the courage to put McMurphy out of his misery, despite what the head nurse, Nurse Ratched, the symbol of the combine to the Chief, would do to him.   He smothered McMurphy, and afterwards, escaped by lifting the control panel, which McMurphy told him that he could lift but the Chief saw himself as "small," a symbol of his strength against the combine, and breaking a

Sunday, January 12, 2020

Overweight or Obese Students in Physical Education Essay

In this thought paper, a social ecological constraint model study the inclusion of overweight or obese students in physical education by integrating key concepts and assumptions from ecological constraint theory in motor development and social ecological models in health promotion and behavior. There are some issues about the ecological constraint model. Often, overweight or obese are considered relative to their physical inabilities and how they differ from their peers. Even worse, physical educators maybe negatively biased toward overweight or obese students. Greenleaf, Martin & Rhea, 2008; Greenleaf and Weiler, 2005) and may have stereotypical views of lifestyle behaviors, lack of individual control, outward appearance (Chambis, Finley, & Blair, 2004; Rukavina, Li, & Rowel, 2008; Rukavina, Li, Shen & Sun, 2010). Another constraint is obesity bias/weight stigma, often defined as the assumption that overweight people have negative character trait such as laziness, self-indulgence, or lack of intelligence (Puhl & Brownell, 2001). In parallel of this article, given the social acceptability of negative attitudes toward obese individuals, it may not be surprising to learn that weight discrimination is common in the United States. Weight stigma or bias generally refers to negative weight-related attitudes toward an overweight or obese individual. These attitudes are often manifested by negative stereotypes (e. g. , that obese persons are â€Å"lazy† or â€Å"lacking in willpower†), social rejection and prejudice. Weight stigma includes verbal teasing (e. g. , name calling, derogatory remarks, being made fun of, etc. ), physical aggression (e. g. , hitting, kicking, pushing, shoving, etc. ) and relational victimization (e. g. , social exclusion, being ignored, avoided, or the target of rumors). Many obese individuals report being treated with less respect or courtesy than thinner persons and being called names or insults because of their weight. Thus, weight stigma can emerge in subtle forms, or it can be expressed directly. Discrimination is distinct from stigma and negative attitudes, and specifically refers to unequal, unfair treatment of people because of their weight. For example, an obese person who is qualified for a job but is not hired for the position because of his or her weight may have been the victim of weight discrimination. Other examples include being denied a job promotion or fired from a job because of one’s weight; being denied certain medical procedures or provided inferior medical care because of one’s weight; or being denied a scholarship, a bank loan or prevented from renting or buying a home because of one’s weight. Despite the increasing prevalence of obesity, it appears that incidences of weight discrimination are only becoming worse. (Puhl, R. M. , Andreyeva, T. , & Brownell, K. D; 2008).