Tuesday, May 26, 2020

Diabetes-Related Mortality - Free Essay Example

Sample details Pages: 5 Words: 1547 Downloads: 5 Date added: 2019/05/17 Category Health Essay Level High school Tags: Diabetes Essay Did you like this example? A product of Chinas rapid economic development is the transition in public health issues from infectious diseases to non-communicable diseases. Not only has urbanization changed Chinas economy, but it has also led to changes on the individual level. Personal lifestyle, diet, and social norms are a few of the main aspects that have led to diabetes taking priority over other non-communicable diseases that currently need serious attention (Yang, et al., 2012). Don’t waste time! Our writers will create an original "Diabetes-Related Mortality" essay for you Create order In fact, China is experiencing the worst epidemic in the world, with 10% of its population (over 110 million individuals) in 2016 being diagnosed with full-blown diabetes. The CDC reported that the rate in rural areas is increasing faster than in urban areas. This epidemic has placed enormous stress onto rural health care facilities through a high utilization of hospitals, as well as rising insurance costs (Wang F. , 2016). Living with diabetes is a huge financial burden, especially those covered by the rural health insurance plan, where 24% of household income will go to treatment (Liu, Vortherms, Hong, 2017). There is also a huge economic burden that is placed on the country itself, with medical expenses for diabetes being one of the main leaders of poverty. Therefore, this issue is important because not only does it directly affect public health in rural areas, but its consequences also reach other key systems of society. There seems to be a harmful reinforcement between poor health and low socioeconomic status in rural provinces that is crippling Chinas health care system (Le, Jun, Zhankun, Yichun, Jie, 2011). A nationwide study conducted by the Epidemiological studies unit of the University of Oxford in 2017 found that despite prevalence rates being higher in urban areas, mortality rates were actually higher in rural areas. Looking into cause-specific deaths related to diabetes, the authors found a drastic difference in the risk ratio for chronic kidney disease, which was 18.69 and 6.83 for rural and urban areas respectively (Monaco, 2017). Currently, the demographics show that adults over 35 years of age with low income make up the majority of individuals that are diagnosed (Wang, et al., 2017). However, the age bracket for acquiring diabetes has been continually decreasing. The American Diabetes Association reported that there has been an increasing rate in young individuals in rural areas. This is significant because they have a higher risk for chronic complications which lead to mortality (Hu Jia, 2017). This also speaks to a lack of proper health education and schooling in rural provinces. Currently, there is a large focus on treating the symptoms and outcomes of diabetes. The government spends the equivalent of $50 billion annually on diabetes alone. That is 13% of the total national health care expenditures. However, this has had minimal effect so far in rural areas. 84% of it goes to treating the disease through hospitalization, thus inpatient treatment (Wang F. , 2016). This is the main way rural individuals receive health care. Despite the large monetary investment into treatments, only 13% of the diagnosed population have their blood glucose under control. This is because the biggest issue is that 60% to 65% of the rural population are unaware of their disease (Wang, et al., 2017). Those with lower income, whose insurance translates into high medical bills, wait until they have their first heart attack to go to the hospital and get diagnosed. This delay has a huge impact on mortality rates (Wang F. , 2016). Moreover, it is clear that prevention and awareness are lacking from the current strategy that is in place by the key players who are working on this issue. The key players involved in the diabetes epidemic in rural areas are all in the direct circle of public health influence. They include provincial hospitals, pharmaceutical companies, big universities, key ministries and the Chinese Insurance Regulatory Commission. In terms of key ministries, there are two that play a crucial role in drug accessibility for the low SES population. These are the National Health Family Planning Commission (NHFPC) and the National Development and Reform Commission (NDRC). The former is responsible for determining which drugs get included into an Essential Drug List that is covered by the rural insurance plan (Liu, Vortherms, Hong, 2017). The latter has direct control over prices of both drugs and medical services. Both coordinate with the Chinese Insurance Regulatory Commission, who are responsible for the lack of coverage and high treatment cost of diabetes in the rural insurance plan (Mossialos, Ge, Hu, Wang, 2016). The pharmaceutical industry along with top universities (Peking university and Shanghai Jiao Tong University) are important for the research and development of treatment (Mossialos, Ge, Hu, Wang, 2016). Overall, there is a clear mirroring of who the key players are to what is currently being done about the issue. Reiterating what has been previously established, the main focus is on treating the outcomes and not on prevention. Actors who should be involved are those in the public health sphere as well as outside of it who can effectively work on prevention and awareness. This includes village doctors, smaller town clinics, local teachers, and the Ministry of Agriculture. Village doctors are fundamental players because of their relationship with the rural community. As a result of practicing Traditional Chinese Medicine, they are the most trusted actors in health care and can directly provide healthcare services in a way that far-away hospitals are unable to do (Li, et al., 2015). Moreover, smaller town clinics need to be strengthened to replace hospitals as the primary gatekeeper (Mossialos, Ge, Hu, Wang, 2016). Increasing health education in a school environment is unfortunately not as feasible in rural areas compared to urban settings because 60% of students drop out before high school (Partner, 2018). However, because of the increasing mortality-rate among young rural individuals, elementary school teachers are nonetheless important in educating children on prevention, as well as providing useful teaching skills in other settings. Due to farming being the most common type of work in rural provinces, the Ministry of Agriculture will also be important for raising awareness as well as implementing new policies (Westmore, 2015). The intervention that I propose is an education initiative. This is arguably the most effective type of intervention because the fundamental problem lies in a lack of awareness and education in the rural community, which leads to later diagnosis and an earlier generational onset of diabetes that results in mortality. The education initiative is comprised of two steps: firstly, establish accessible health education classes as primary prevention, and secondly, promote open discussions through the utilization of Chinese Traditional Medicine culture for screenings on a secondary prevention level. This initiative will be funded by expenses already being invested by the government on this epidemic. Most rural families use agriculture as their primary source of income, acquiring a large plot of land and often using the help of their young children for labor (Westmore, 2015). Therefore, The Ministry of Agriculture should implement a new policy that as part of acquiring or renewing an agricultural land license, all households must take a free information class on diabetes. Moreover, it should be stated that all members who participate in agricultural activities must take it. This ensures that children who drop out of school to work will still receive the proper health education they need. The class will be a collaborative effort between key players, led by the local physicians and teachers. The information would focus on prevention, including proper nutrition and dieting, healthy lifestyle and behavioral activities. The goal is to stimulate awareness about the main causes of diabetes and how these can be addressed through proper self-management. The information can be put into action with simple, take-home tools for the participants, including weekly food charts to track eating habits, simple local recipes, and setting exercise goals. This first step can be seen as addressing the socioeconomic factors which contribute to high mortality, which according to Friedens health impact pyramid has the biggest impact (Frieden, 2010). Part of educating the rural population on diabetes surrounds changing the social stigma which hinders individuals to get diagnosed early on. This can be addressed through offering free screenings at local traditional medicine facilities operated by village doctors. This is important because the second step in this education initiative would be to promote open discussions through its integration into traditional Chinese medicine culture, which is highly prevalent in rural provinces (Li, et al., 2015). These traditional facilities are already highly utilized by the community for other purposes. Diabetes screening does not require high levels of training, thus it would be more effective to train traditional practitioners who are readily available instead of providing inpatient treatment in distant hospitals. Village doctors can talk about the condition during screenings through a lens of culture that is already widely accepted. The second step is arguably changing the context of rural life to make individuals default decisions healthy since they would have to expend significant energy not to benefit from the free screening (Frieden, 2010). Its purpose would thus be to balance the issue of distrust in modern medicine and techniques that the first step might experience. In conclusion, the two steps reflect the yin and yang of health education, balancing opposing cultures of public health to reach an effective solution. Building a holistic understanding of diabetes can improve the information that is currently available to rural populations. Increased knowledge will have a large impact on reducing diabetes-related mortality by preventing it from occurring at all.

Friday, May 15, 2020

A Friendly Enemy Essay - 517 Words

A Friendly Enemy quot;Death is my wish for myself, my enemies, my childrenquot; (Euripedes translated by Robinson Jeffers, Medea 11). Medea is hungry for death. She wants to taste it on her lips and wishes others to do the same. The value which Medea gives death is to use it as a weapon against her enemies. On the other hand, the women and the nurse fear death. Death,to the women and to the nurse is something that should not be wished for. quot;O shining sky, divine earth, Harken not to the song that this woman singsquot; (13). One of the Greek women says this, for Medea is screaming out that she would like to die. The women and the nurse hear Medea wishing for death as if it were a treasure or something valuable. The nurse and women†¦show more content†¦To a Greek woman death is personified as a hunter or killer. She uses an animal, the hawk,to compare to death. A hawk is a swift predator that attacks unnoticed, but to Medea death is a trophy. For Medea death has a value of importance. A friendship has been established. Death is Medea’s friend. She uses it as a weapon to get what she views as justice. quot;Then if you have a dog eyed enemy and needed absolute vengeance . . . Unchild him, ha? And then unlife himquot;(23). Medea believed with great depth to get vengeance upon Jason. She wanted to go through with her vengeance and hurt Jason as Jason hurt her. Jason left Medea for another woman thus leaving her miserable and craving for r evenge. Thus, she went on taking the life of his bride-to-be and the life of their children. She also wanted to wash herself from the impurities of Jason’s touch. quot;Ah, rotten, rotten, rotten: death is the only water to wash this dirtquot; (12). This is a metaphor for she compares death to a water, which is a symbol of pureness, to cleanse herself. The nurse and women have almost pleaded to Medea not to even think about death, but because of her resentment and hate towards Jason she is deaf to the women’s advice.The importance given to death by Medea is rejected by the women. Death would only make things worse in the women’s eyes. To Medea everything will be put inShow MoreRelatedMajor Mariano Valencia ( Mexico )764 Words   |  4 Pagesover the enemy. Therefore, electronic warfare, as part of modern warfare, has become not only a concept but an effective tool to reinforce combatant soldiers on the ground. The control of the electromagnetic spectrum has now a significant role in military forces having an advantage over the enemy. Electronic attack, electronic protection and electronic warfare support are elements of electronic warfare. 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Wednesday, May 6, 2020

We Need A Permanent For Federal Government Subsidized Job...

Proposal: We need a permanent, federal government subsidized job program where those who want to work should be able to work. It should be available for all citizens and legal residents of America, including felons, disabled people, and those above the poverty line. It should truly be nationwide and uniform in its implementation. Finally, it should be permanent, as there are many people who cannot find employment even though the Great Recession is over. Program funds not used in times of prosperity can be allocated for future employment use during economic decline. Policy Basis: Government subsidized jobs matter because our society is based on work. The American Dream specifies hard work as a ladder to economic mobility and eventual†¦show more content†¦In a capitalist society, one must earn money by working in order to sustain oneself and one’s family. While this model was conducive to a frontier society where labor was in high demand and work was afforded to every (able-bodied) (white) man, it is now the case that there are many people that would like to work but cannot. Therefore, government subsidized jobs help to promote American capitalism while minimizing the amount of people left out by the system. In addition, reduced unemployment leads to stability and a better wellbeing for everyone but especially those who need it most, namely, the long-term unemployed, the disabled, and the convicted. Even in times of plenty, Rebecca Blank identified that â€Å"low wage workers- the working poor and the near poor- face substantiall y more problems with job availability than do higher-wage workers†, as workers without a high school diploma are five times more likely to be unemployed than those who went to college. Therefore, regardless of economic conditions, there is a substantial part of the workforce that is â€Å"actively seeking work but not finding it† (Blank, 58). Blank’s characterizations do not even begin to address the unemployment rate for convicted felons, where â€Å"myriad laws, rules, and regulations discriminate against ex-offenders and effectively prevent their meaningful reintegration into the mainstream economy and society† (Alexander, 17). However, as government subsidized job

Tuesday, May 5, 2020

The Stress of a Professional free essay sample

Paper dealing with stress encountered by educators and teachers. This paper looks at stress and how it effect educators. The author quotes numerous experts in the field and states their respective findings with regard to stress in the work place. The stress faced by professional workers is substantial. For many professionals, it is intrinsic to the job itself, where competing demands and pressures cannot be escaped. The sheer volume of work for an educator can also be overwhelming at times. Anyone in this kind of job knows, either from their own direct experience or from observing colleagues, that stress can have very serious consequences. It can develop into a living nightmare of running faster and faster to stay in the same place, feeling undervalued, feeling unable to say no to any demand but not working productively on anything. The signs of stress can include sleeplessness, aches and pains and sometimes physical symptoms of anxiety about going to work. We will write a custom essay sample on The Stress of a Professional or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page What is more, people who are chronically stressed are no fun to work with. They may be irritable, miserable, lacking in energy and commitment, self-absorbed. They may find it hard to concentrate on any one task and cannot be relied on to do their share.