Thursday, October 10, 2019
To What Extent Was Grass Roots Activism a Significant Reason to Why the Civil Rights Movement Grew in the 1950s and 1960s
To what extent was grass roots activism a significant reason to why the Civil Rights Movement Grew in the 1950s and 1960s The civil rights movement grew for a number of reasons during the 1950ââ¬â¢s and 1960s. Prior to this select time period America were fighting in the Cold War and many black soldiers battled in the name of ââ¬Ëfreedomââ¬â¢. This was ironic as these black soldiers were fighting for something that they didnââ¬â¢t even have back home. Often Black soldiers talked about the ââ¬ËDouble V Campaignââ¬â¢; this was referring to victory in the war and victory for civil rights back home in the USA.Many historians believe that world war two planted seeds in the growth of the civil rights movement as it raised the question to black people, in the words of Mohamed Ali; ââ¬Å"Why should they ask me to put on a uniform and go ten thousand miles from home and drop bombs and bullets on brown people in Vietnam while so-called Negro people in Louisville are treated like dogs and denied simple human rights? â⬠A Philip Randolph played a key role in the early civil rights movement as he called for an executive order to stop job discrimination in the defence industry.President FDR eventually issued executive order 8802 stating an end to discrimaination the employment of workers in the defence industries and in government. This proved effective in the growth of civil rights movement as it was one of the first pieces of success blacks achieved and this increase momentum, hope and motivation for blacks in their bid for civil rights. Other factors that influenced effected the growth of the civil rights movement included the increase in media awareness which helped mobilise support from all quarters of the USA.The support they gained due to different methods of black leaders, the shift in presidentââ¬â¢s attitudes and the Supreme Court, and the momentum gained through small victories which inspired the likes of Rosa Parks. Grass roots activism managed to gain momentum and maintain belief amongst black Americans which proved vital in the growth of the civil rights movement in the 1950ââ¬â¢s and 1960ââ¬â¢s. The fact that prejudice and discrimination still existed meant that the fight had to continue and relative success resulted in continued motivation.A good example of this is the Montgomery bus boycott, when the Montgomery bus company finally decided to desegregate a year boycott began, Martin Luther King and black protesters didnââ¬â¢t settle at that, they tried to desegregate the rest of the still segregated bus companies in Alabama. In one sense a legal victory was gained here in the desegregation of the bus company however in another sense a moral victory was gained as it showed the economic power black Americans had if they united together.In addition, because Blacks wanted to continue to desegregate bus companies in other cities this shows Black Americans were trying to grow the CRM rather than just being contempt after one city was desegregated. Thus proving the CRM was growing due to grass roots activism and small successes maintaining belief amongst blacks. The growth of the CRM was also due to the variety of opinions, tactics and views of different black leaders and organisations. A wide range of beliefs were covered so most black Americans had a leader that suited their own beliefs.For example MLK and the SCLC supported non- violent protests, such as the Montgomery Bus Boycott, The Freedom Rides and The Sit-Ins. These methods appealed to many blacks and whites too who supported non-violent methods and the whole concept of MLK ideology. However blacks who did not support peaceful protests could support the Black Panther party instead lead by Heuy Newton and Bobby Searle. This organisation supported much more aggressive actions and believed in self-defence and retaliations against white mobs and policemen. Huey Newtonââ¬â¢s main aim was: An immediate end to police brutality and the murder of black people.The Black panthers appealed to the new generation of blacks and those who had generally a more aggressive view on the situation. The fact that different parties existed meant that the CRM had more supporters as it has supporters from both violent and non-violent sides; this in the big picture benefited the cause for CRM and helped it grow. The change in presidentââ¬â¢s actions and beliefs also helped the growth of the CRM. Presidents such as Truman and Eisenhower began to take action overruling states inactions to ignore the federal government, thus effectively aiding blacks bid for civil rights.A good example showing how presidentââ¬â¢s attitudes were changing is the little rock nine cases in Arkansas, 1957. When nine black students were disallowed entry into the city high school by governor of Arkansas orders to send state soldiers to stand outside the premises to avoid entry, President Eisenhower felt he had to intervene. He ordered 1000 US soldi ers to protect the black children on their way to school from the mob of angry white parents opposing desegregation in schools.Eisenhowerââ¬â¢s actions showed that he was prepared to make drastic action in order for integration amongst blacks and white children in schools. He used his authority to over- rule state laws and this showed that he was for the idea of blacks receiving equal education as whites, therefore adding to the growth of the CRM. Another contributing factor helping the CRM to grow was due to the changes in the Supreme Court that led to opportunities to challenge and change the key features of segregation.In 1896 the Supreme Court issued the ruling ââ¬Ëseparate but equalââ¬â¢ thus legally legitimising racism. However this rule was over turned in 1954 at the Brown vs. Topeka Board Of Education case, meaning that their attitudes had changed and that schools should become desegregated. The reversal of the 1896 ruling, ââ¬Ëseparate but equalââ¬â¢ in this case demonstrated the shift in opinion in the highest court and giving blacks a sense of hope and built momentum as it was their first victory for Civil Rights.One of the most important reasons, if not the most important reason for the growth of the civil rights movement in the 1950ââ¬â¢s and 1960ââ¬â¢s was the use of the media to raise awareness across the country for the ways blacks were being severely treated. Televisions, newspapers, newspaper photographers all became vital weapons in the Civil Rights Movement. After the brutal murder of Emmett Till in 1955 his mother decided to lay Emmett in an open coffin to allow the public and newspaper photographers to see the severity and brutality of the attacks carried out on Emmett.Over four days thousands of people saw Emmettââ¬â¢s body and thousands more were shocked by the images appearing in magazines and newspapers worldwide. Emmettââ¬â¢s case had a great effect on the civil rights movement; the north became aware of th e horror of discrimination and persecution existing in the south through the use of the media. This case drew massive attention to the cause, encouraging support from both black and white Americanââ¬â¢s. Therefore the media played a key role in the growth of the Civil Rights Movement as it raised awareness of the problems blacks faced in the 1950ââ¬â¢s and 1960ââ¬â¢s.In conclusion the growth of the CRM was due to many different contributing factors, however I believe the media played the, most significant role. This was due to the great awareness it caused for blacks as it helped northern Americans and international countries realise the brutality of treatment of blacks in the south. The media also managed to pressurise the government and presidents into making decisions as it brought worldwide attention to causes such as the little rock nine and the freedom rides that embarrassed them into action for the sake of ruining the prestige and reputation of themselves and of the country.The changing attitudes of the president and the supreme court also played a part in the growth of the movement as they gave blacks significant progress to work on and build on. Grass Roots activism also contributed as it built small success as a platform which gained belief and momentum in the movement. The variety of leaders also magnified support from all different types of black Americans which also contributed to the growth of the civil rights movement in 1950ââ¬â¢s and 1960ââ¬â¢s. By Gavin Rittoo
Wednesday, October 9, 2019
Trend of Self Medication Among Youngsters
ABSTRACT Objective: To determine the trend of self medication among youngsters. Methods: A survey was conducted in 4 areas of Karachi, Pakistan during May 2012. Data collected was entered using SPSS version 17 to generate descriptive statistics. Data analyzed done using chi-square test to check the associations among variables. Results: The result shows that the number of youngsters participated in this study were 100, having age range of 14-27 years, the overall response is positive. There females were 37 (37%) and males were 63 (63%). This was reflected by the majority of the samples was undergraduate youngsters.By the research we get the result that people think that they could understand their own illness themselves and that leads them to self medication. Qualification and understanding own illness is not independent. Lack of time is found to be a fact that males do self medication more often then females the trend towards self medication is increasing day by day. Conclusion: Sel f medication practice increasing in the youngsters of Karachi, Pakistan mostly in males and undergraduate youngsters under age of 18-22. The reason is lack of time or not consulting to the doctor.Need to educate the youngsters to avoid such practice majority know that self medication is incorrect and some time cause side effect. Key words: Self medication, youngsters, trend, prescription. 1 INTRODUCTION 1. 1 Background of the study Self-medication is defined as obtaining and using medicine without the suggestion of a doctor either for diagnosis. Drugs for self-medication are normally name as ââ¬Ënonprescription' or ââ¬Ëover the counter' (OTC) and are obtainable without advice of doctor's through chemists. Self medication is nowadays gradually being considered as a self-care component.Support of self-care is seen as give patients' every view to take accountability and create self-confidence in their ability to deal with their own health. Unlike other characteristics of self-car e, self-medication involves the use of medicines and medicines have the potential to do better as well as cause harm. This is mainly concern to these countries where there is lack of enforcement of system leading to accessibility of non prescription medicines over the counter like Pakistan. This results in extensive use of such drugs which is related with serious undesirable effects.Numerous cases studies have stated that unsuitable self-medication outcomes in wastage of resources and causes serious health hazard such as unwanted drug reactions, prolonged suffering and drug dependence. When the medication correctly done, self-medication might be save the time which spent in waiting to see a physician, may be cost-effective and also propose savings for medical schemes and the general healthcare system. The WHO has also pointed out that dependable self-medication can help patient and treat illness that do not need medical consultation and gives a cheaper option for treating common dis eases.With self-medication, the person tolerates primary accountability for the use of self-medication products. All parties concerned in self-medication should be attentive of the advantages and disadvantages of any self-medication product. Through many studies have been conducted in different populations to appraise the practice of self-medication there is a scarceness of studies on self-medication among university and medical students. To enhance our knowledge we carry on this agenda and targeted the youngsters to find out the practices of self-medication in youngsters of Karachi.This study is conduct on trend of Self-medication in youngsters of Karachi. Self medication trend is continuously increasing in youngsters. This study might be helpful to determine the rate of self medication in youngster of schools, colleges and universities of Karachi. This study also explores the injurious effects of self medication, causes for not discussing with the doctor and general issues for whi ch students rely on self medication. Self-medication is the healing of general health issues with drugs particularly proposed and labeled for utilize without any medical prescription and permitted as safe and useful for such medical issues.To enhance our information, we conduct this study in Karachi and especially target the youngsters to evaluate self medication in the youth. In Karachi, approximately every chemist sells medicines without a prescription of doctor; a phenomenon seen in many is developing countries. Self medication is a part of health care and it is measured as initial public health source in system of health care. Use of non-prescription medicines by people on their own initiative is a part of self medication and it is in common practice in youngsters for common issues related to their health.Self medication also encompasses the use of the medicines by the users for self perceived health problems or the continuing use of medications formally prescribed earlier. Furt her broading of the definition includes treatment of family members especially to minor and elderly. Adverse effects of self medication Its very common in our society that whenever we catch a cough, flu or any common disease we have fixed a prescription in our mind and we do self-medication in such situations. We ask any of our friends or neighbors who prescribes the medicine which was effective for him.We do these types of things but the main thing we forget in all this is going to a doctor. Some adverse effects of self-medication are as follows. Insomnia Due to self-medication you can face the problem of insomnia. Insomnia is a sleeping disorder this is very common now a days and one of the major reason to insomnia is self-medication. When this problem occurs again open you medicine box and do self-medication again for this problem too. This worsens your problem. When you take one type of medicine again and again you may addicted to it and you also get dependent on such medicines. Skin problems When you involve in self medication you will get some skin problem or any other allergy due to reaction of medicine. Skin problem that occur due to self-medication are itching and redness on your skin. Depression People who have a habit of taking medicines which relax them that people facing the problem of depression. Many people self-medicate themselves to get relax without the advice of doctor. This type of habit may cause serious problem and no one can deny the effects of this self-medication addiction. Skin problems through creams and lotionsSelf-medication is does not only mean to in take such medicines. Self-medication can also be using lotion or cream on your skin without the advice of doctor. This type of self medication can also cause many skin problems. 1. 2 Objective of the study The Aim/objective of this study is to determine the trend of Self medication among youngsters. 1. 3 Problem statement Although self-medication being an issue of global concern, espe cially in Pakistan self medication is very common and rising day by day. Literate people involve in the practices of self medication more than illiterate people.This study includes some general aspects of self medication to identify the frequency of self medication among the youngsters. 1. 4 Hypothesis Ho1. 4. 1:self medication among youngsters and age are independent. Ha 1. 4. 1:self medication among youngsters and age are not independent. Ho1. 4. 2: self medication among youngsters and gender are independent. Ha 1. 4. 2: self medication among youngsters and gender are not independent. Ho1. 4. 3: self medication among youngsters and qualification are independent. Ha 1. 4. : self medication among youngsters and qualification are not independent. 2 LITERATURE REVIEW 2. 1 Trends of Self-Medication According to Khalid (2010) in our country Self medication is an average. The counter sales of nearly all medicine are available without any prescription or regulation this is one of the majo r factor probably contributing to this phenomenon. In the practice of our dermatology, we commonly meet patients with acne infections due to use of topical self medication. The prevalence of self medication is extensively high in the acne infections patients in our residents.The most frequently used medication was potent topical steroids. 2. 2 Self-Medication practices According to Shankar et al (2002) Mild illness is the most common reason of self-medication which is mentioned in the literature, prior knowledge of treating related disease, lack of availability of healthcare personnel and financial considerations. Analgesics and antimicrobial are commonly used for self medications. In addition to allopathic medicines,à herbal medicines were also usually used for self-medication. 2. 3 Reasons for self-medication practiceAccording to Almasdy et al, (2011) Among university students the major reason for self-medication were their prior experiences and the majority of the authors agree d with this major reason of self medication, their health problems was measured as too insignificant and time savings. Family or friends guidance, non availability of transport, doctor was not available, capability to self-manage the symptom, urgency of the problem and have adequate information were other main reasons for self-medication practice.Have reported that the main reasons to self-medication practice among university student were lack of time and low cost consultation. 2. 4 Demographic characteristics and prevalence of self medication practice According to Hussain et al. (2011) many of these researches mentioned the mean age of undergraduates was under 25 years old. This was reflected by the majority of the samples was undergraduate students. In manner of sexual characteristics, prevalence of the undergraduates who have involved in self-medication is female.Three of these researches have been engaged to undergraduates majoring in equally health and non-health courses, while two of the studies have engaged to undergraduates simply majoring in health, and the rest did not revealed the field of the undergraduates involved in the studies. Frequency of self-medication observed among the university student was diverse. The occurrence of self-medication reported was mainly depend on how the query was created in the questionnaire.For example, the occurrence reported was authentic, if the question was concerned to the modern practice of self-medication. On the contrary, when asked whether the students had used any medication for the past one month, the incidence reported was low. However, some studies did not report the prevalence of self medication. Due to the difference in the methods used in studies, therefore, it is quite difficult to estimate the true prevalence rate of self-medication in university students. 2. 5 Benefits and Risks of Self Medication According to Carmel M et al. 2001) Practices of self-care for mild illnesses are increasingly encouraging by some governments, including self-medication. Support of self-care is observed as giving all probability to patients to take accountability and construct confidence in their capability to control their own health. Patient confidence is observed as a helpful step in the improvement of the correlation between patient and healthcare provider and is described as an significant health policy model. 2. 6 In? uences on Knowledge and Attitudes about Prescription Drugs among Teens.According to Twombly et al, (2008) escalating precise information about the hazards of recommended medicines misuse is expected to reduce misuse. In fact, there is an inverse relationship between level of perceived risk and likelihood of use when it comes to teenagersââ¬â¢ willingness to misuse prescription drugs. 2. 7 Symptoms leading to self-medication According to Zafar et al. (2008) Approximately in Pakistan, everyone can get medicine without any prescription, mostly pharmacy selling medicines without a d octor advise; this incident observed in every developing nations.Even, antibiotics and high potential medicines are easily available to the common man. The common practices of self-medication among undergraduates is leading to the main symptoms of self-medication were headache or mild pain; fever; flu, caught and cold; and diarrhea. Others symptoms includes allergy, skin problems, inability to sleep, vomiting, eye and ear symptoms, menstrual syndrome and others minor problems. This case study shows the outcome of the Pakistani youth's information, mind-set, and practice towards self medication. 2. 8 Sources of drug informationAccording to Hussain et al, (2008) in this research, the author explains sources of drug information in self-medication practice. In this research statement shows that the undergraduates obtain access to drug information from many resources. Which is relate to their own earlier experience, family, contacts or university course mates, pharmacy sales representati ve, doctor or nurse, and advertisement in the television, radio, newspaper, magazine or books. 2. 9 Problems-related to self-medication practices According to James et al, (2006) a new important findings significance of elf-medication highlighted in this literature was the effect of health instruction on the knowledge of drugââ¬â¢s side-effects amid the self medicating undergraduates. Calculate the effect of exposure to medical knowledge to equally the first year and senior medical undergraduates. The research exposed that troubles linked with self-medications were fewer in senior medical undergraduates as contrast to the first year students. Less awareness of medical information may be reason to the low self-assurance of the first year medical students 2. 0 Self -Medication among university students According to Mumtaz et al, (2011) Self medication mounting the probability of illegal use of medicine and medicine addiction and due to this the symptoms of disease are underlying th us are complicating the problem, produce drug resistance and create difficulty to diagnosis. On the other side many of people involved in self medication who accept accountability and are cautious is a source saving phenomenon to the health system. Easy accessibility of the medicine by the counter sales increases self medication.Self medication is a phenomenon and practiced almost in the countries all over the world with different prevalence. In the low and middle income countries, commonness of self medication is higher. This research is explained that the educated people tend to practice self medication more than uneducated peoples. According to this research the frequency of self medication among undergraduates of medical and non medical is nearly 80%. This study endorses earlier reported local estimates of self medication among university students. . 11 Self-Medication in Nigeria According to Fadare et al, (2011) now a dayââ¬â¢s Self-medication is growing in the population ma ny counties as a common type of self-care behavior. Many global researches have explored the frequency and characteristics of self-medication practices at the residentââ¬â¢s level. In Nigeria, many studies conduct to find the frequency of self-medication in general; still the frequency of antibiotic self-medication among medical undergraduates has not been conducted.The interest in studying this practice among this select group is due to the fact that they are the future prescribes and health educators of the population of Nigeria. 2. 12 Evaluation of Self-Medication According to SD Sontakke et al, (2011) The World Health Organization has also identified that proper self-medication can help patients and treat illness that do not need medical consultation and gives a cheaper substitute for treating common diseases. With self-medication, the person takes primary accountability for the use of self-medication products.Every individual must be aware of advantages and disadvantages of self medication products who involved in self-medication practices . however many researches has been conducted in different populations to assess the frequency of self-medication there is a paucity of studies on self-medication among medical students. Support of self-care is considered as providing patients' every opportunity to construct self-confidence in their capability to control their own health. Unlike other aspects of self-care, self-medication involves the use of drugs and drugs have the potential to do good as well as cause harm. . 13 Self-medication in Sri lanka According to Wijesinghe et al, (2012) Self medication growing with increasing literacy and it is even appreciated so as to have self-sufficiency for healing, preventive , primitives and rehabilitative care . If done properly, it is helpful to save expenses of health care seekers. therefore, considering the usefulness of self-medication, the World Health Organization (WHO) has focused to develop strategy for regul atory estimation of the medicines suitable for self-medication. he frequency of Self-medication is very familiar among women, youngster, those individuals who living alone and the individuals who belongs to low financial status (SES), sufferers of chronic ailments and psychiatric conditions. Many researches in Sri Lanka were conducted to city areas which have well built-up health and hospitals networks. Substitute indicators such as self-medication prevalence for malaria indicate that self-medication is relatively low in rural areas. 2. 14 Self-Medication pattern in Punjab According to S Shveta et al, (2011) the frequency of self medication practices is common in the state.Fever, cough and cold are reasons for the use of self-medication. The most common drugs which is commonly used for self-medication is tonics and food supplements and it is taken frequently without prescription. We recommend that holistic approach should be taken to prevent this problem, which contain correct knowl edge and information regarding the self medication and strictness concerning pharmaceutical marketing. Furthermore especially in case of Punjab state ban must be implemented on counter sale of medicines. Dispensing modes in the state required to be enhanced by proper education, regulatory and administrative strategies. . 15 Self-Medication in Childrenââ¬â¢s According to Oshikoya et al, (2007) medicine use in children is of great anxiety worldwide and has received a lot of attention. Various researches have been performed in the urbanized and developing countries, and have all the countries faced many problems from mistreat and abuse of recommended medicines, and errors of medications. Children include a larger percentage of the residents in developing countries and are responsible to many illnesses as a effect of poverty. The majority of medicines in children are used outside of hospitals, both as recommended and non- recommended medicines.The primary reply by the majority famili es too many diseases in their children has been found to be use of non-prescribed medicines . Self-medication is very common among urban children in Nigeria. The presented laws concerning the use and sale of over the counter medicine, prescribed and non-prescribed drugs must be reinforced to ensure normal use of medicines. 2. 16 Self-medication practices for drug consumers According to Andualem et al, (2004) On Socio-demographic the respondents concealed the characteristic of drug consumers consist of all age category like both genders, pregnant women and breast-feeding mothers.Self-medication illnesses that reported very commonly in the respondents were headache, fever, cold, respiratory tract infection and gastrointestinal diseases. Education for the self-medication should be provided to public as well as health care providers ;i. e; this type of illnesses can be easily self-treated and diagnosed and the drug products to be used in promoting the responsible self-medication. 2. 17 Self-medication in West Uttarpradesh According to Ghosh et al, (2010) some students reported that they were alcoholic, smoker or involve in some chronic problems i. . non-communicable diseases, they have less awareness about the medicines that they use with smoking, alcohol or suffer problems with chronic diseases. Non-seriousness related to the disease is the most common reason reported for self-treated and for self-medication, previous experience on the medicine and emergency use. 2. 18 Assessment of Self-medication According to Sawalha, (2007) In An-Najah students the preference of self-medication in very common. Practice of treating this condition is done either simple or by previous experience.Even important self-medication predictors did present in the studied group, types of medications knowledge on the level of self-care orientation can be significant in analyzing the self-medication practices. 2. 19 Health care strategies According to Haider et al, (1995) treatment from som e medical systems found in majority of cases. Health care behavior for childhood illnesses and assessment of the degree and the reasons for self-medication assess in Karachi, Pakistan. The main reason is the good past experience of self-medication. he main reason is the use of different medicines by health professional that influence the parents for self-medicate to their children. Self-medication is hard to reduce but some information can be made to discourage wrong use of harmful drugs. 2. 20 Self-medication (WHO). According to WHO (1988) The WHO pointed that Self medication can help and treat illness that does not require any consultation of medication and provides a cheaper option for treat such common diseases. Yet, the person bears basic responsibility for the use of self-medication products.Due to self-medication products parties should be aware about the benefits and risks of self-medication. 3 METHADOLOGY This part presents an overview of the methods to be used in the study . Areas covered in this part include data collection, variables, sample and sampling techniques and model for analyzed the data. 3. 1 Data In this study primary data is used for gathering information. A survey was conducted in 4 areas of Karachi, Pakistan during May 2012. Data collection was entered using SPSS version 17 to generate descriptive statistics.Data analyzed complete using chi-square test to check the associations between variables. 3. 2 Variables Variables used in this study are 1. Age 2. Gender 3. Qualification 3. 3 Sample and Sampling techniques Convenience sampling techniques is use to select respondents from Gulshan-e-iqbal area. A convenience sample of 100 participants was taken. A questionnaire was distributed among participants after explaining the background of the study and objective. 3. 4 Model The model we are used. To summarize the questionnaires we used statistical model of chi-square.According to Zafar et al (2008) the author used Chi-square in his study. 4 RESULT Table: 1 QUALIFICATION v/s VARIABLES DESCRIPTION| CHI SQUARE| SIG VALUE| RESULTS| | | | | MY ILLNESS| 29. 354| 0. 007| Reject| SELF MEDICATION| 6. 425| 0. 6| Accept| PRESCRIBE| 11. 48| 0. 321| Accept| LACK OF TIME| 16. 431| 0. 37| Accept| HIGH FEES| 7. 423| 0. 492| Accept| SIDE EFFECT| 12. 461| 0. 132| Accept| DANGEROUS| 10. 582| 0. 221| Accept| YOUNGSTERS| 12. 285| 0. 139| Accept| COMMUNICATION CHAIN| 16. 846| 0. 032| Reject| It is found that the chi-square and sig. alue shows that the self medication is increasing in youngsters. the sig. value of the qualification shows that self medication (0. 6), prescribe (0. 321), lack of time (0. 37), high fees (0. 492), side effects (0. 132), dangerous (0. 221), youngsters (0. 139) these all variables were accepted and shows that are independent to the qualification Table: 2 GENDER v/s VARIABLES DESCRIPTION| CHI SQUARE| SIG VALUE| RESULTS| | | | | MY ILLNESS| 6. 053| 0. 195| Accept| SELF MEDICATION| 3. 334| 0. 504| Accept| PRESCRIBE| 9. 368| 0. 095| Accept| LACK OF TIME| 14. 038| 0. 007| Reject| HIGH FEES| 2. 38| 0. 71| Accept| SIDE EFFECT| 5. 008| 0. 286| Accept| DANGEROUS| 8. 898| 0. 064| Accept| YOUNGSTERS| 2. 356| 0. 671| Accept| COMMUNICATION CHAIN| 1. 361| 0. 851| Accept| It is found that the chi-square and sig. value shows that the self medication is increasing in youngsters. the sig. value of the gender that My illness (0. 195), self medication(0. 504), Prescribe (0. 095)high fees(0. 71),side effects(0. 286), dangerous(0. 064), youngsters(0. 671), Communication chain (0. 851) these all variables were accepted and shows that are independent to the gender. Table: 3 AGE v/s VARIABLESDESCRIPTION| CHI SQUARE| SIG VALUE| RESULTS| | | | | MY ILLNESS| 12. 914| 0. 115| Accept| SELF MEDICATION| 7. 128| 0. 523| Accept| PRESCRIBE| 7. 612| 0. 667| Accept| LACK OF TIME| 9. 468| 0. 304| Accept| HIGH FEES| 12. 789| 0. 119| Accept| SIDE EFFECT| 2. 677| 0. 953| Accept| DANGEROUS| 11. 182| 0. 192| Accept| YOUNGSTERS| 19. 388| 0. 013| Reject| COMMUNICATION CHAIN| 15. 794| 0. 045| Reject| It is found that the chi-square and sig. value shows that the self medication is increasing in youngsters. the sig. value of the age that my illness (0. 115), self medication (0. 23), prescribe (0. 667), lack of time (0. 304), high fees (0. 119), side effects (0. 953), dangerous (0. 192) these all variables were accepted and shows that are independent to the age. 5 DISCUSSION In the light of the literature review self medication is a most common practice. In this study mostly males involve in self medication. The number of youngsters participate in this study were 100, having age range of 14-27 years, the overall reply is positive. There females were 37 (37%) and males were 63 (63%). This shows that the greater part of the samples was undergraduate youngsters.In term of gender, majority of the youngsters who adept self-medication are males. Moreover, the sampling methods were varied among the studies, range from conv enience. The trend of self-medication is high in undergraduate youngsters as compared to the inter and metric level youngsters. Mostly Youngsters have a preference of self-medication, 63% of undergraduates, 18% of inter and only 19% of metric youngsters involve in self medication. By the research we get the result that people think that they could understand their own illness themselves and that leads them to self medication.Qualification and understanding own illnesses are not independent. So we accepted alternative hypothesis. Increasing communication chain is also one of the major reasons of increment of self medication in well qualified too. The above data was found to be good sufficient to maintain from literature review that the trend towards self medication is increasing literally. 6 CONCLUSION Self medication practice increasing in the youngsters of Karachi, Pakistan mostly in males and undergraduate youngsters under age of 18-22.The reason is lack of time or not consulting to the doctor. Need to educate the youngsters to avoid such practice majority know that self medication is incorrect and some time cause side effect. 7 BIBLOGRAPHY Almasdy Dedy & Azmi Sherrif , (2011 ), Self-Medication Practice with Nonprescription Medication among University Students: a review of the literature, Archives of Pharmacy Practice, Vol 2, No 3, pp 95-100. Andualem Tenaw, B. Pharm, BA, et al, (2004), SELF-MEDICATION PRACTICES IN ADDIS ABABA: A PROSPECTIVE STUDY, Ethiopia Journal health science, Vol 14, No 1, pp 1-11.Carmel M, Hughes; McElnay, James C; Fleming, Glenda F. , (2001), Bene? ts and risks of self medication, Drug Safety, Vol 24, No 14, pp 1027-1037. Fadare Joseph O & Igbiks Tamuno, (2011), Antibiotic self-medication among university medical undergraduates in Northern Nigeria, Journal of Public Health and Epidemiology, Vol 3, No 5, pp 217-220. Ghosh Sourav, Vikas, Vimal, et al, (2010), Evaluation of the practice of self medication among college students in west U ttar Pradesh, International Journal of Pharma Professional's Research, Vol 1, No 1, pp 14-18.Haider S, Thaver IH, (1995), Self medication or self care: implication for primary health care strategies, J Pak Med Assoc, Vol 45, No11, pp 297-298. Hussain Azhar, Asifa Khanum,(2008), Self medication among university students of Islamabad, Pakistan- a preliminary study, Southern Med Review, Vol 1, No 1, pp 14-16. Hussain Shahzad, Farnaz Malik, Kazi Muhammad Ashfaq, et al , (2011), Prevalence of self-medication and health-seeking behavior in a developing country, African Journal of Pharmacy and Pharmacology, Vol 5 , No 7, pp 972-978 James Henry, Shailendra S, Handu Khalid A.J, et al, (2006), Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students, Med Princ Practice, Vol 15, No 4, pp 270-275. Khalid Tanzeela, Tariq Iqbal, (2010),Trends of self medication in patients with acne vulgarus, JUMDC, Vol 1, No 1, pp 10-13. Mumtaz Yasmin, S. M. Ashraf Jahangeer, Tahira Mujtaba, et al, (2011), Self Medication among University Students of Karachi, JLUMHS, Vol 10, No 3, pp 102-105. Oshikoya K A, O F Njokanma, J A Bello, et al, (2007), Family self-medication for children in an urban area of Nigeria , Paediatric and Perinatal Drug Therapy, Vol 8, No 3, pp 124-130.S Shveta, Jagmohan S, (2011), A study of self medication pattern in Punjab, Indian Journal of Pharmacy Practice, Vol 4, No 2, pp 43-46. Sawalha, Ansam F, (2007), Assessment of self-medication practice among University students in Palestine: Therapeutic and Toxicity Implications, The Islamic University Journal (Series of Natural Studies and Engineering), Vol 15, No 2, pp 67-82. SD Sontakke, Bajait CS , Pimpalkhute SA, et al, (2011), Comparative study of evaluation of self-medication practices in first and third year medical student, International Journal of Biological ; Medical Research , Vol 2, No 2, pp 561-564.Shankar PR, P Partha and N Shenoy, (2002), Self-medication and no n-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study, BMC Family Practice, Vol 3, No 17, pp 1-7. Twombly Eric C ; Kristen D. Holtz, (2008), Teens and the Misuse of Prescription Drugs:Evidence-Based Recommendations to Curb a Growing Societal Problem, J Primary Prevent, Vol 29, No 18, pp 503ââ¬â516. WHO, (1988), The role of pharmacist in self-care and self-medication, Netherland.Wijesinghe R Pushpa, Ravindra L Jayakody, Rohini de A Seneviratne, (2012), Prevalence and predictors of self-medication in a selected urban and rural district of Sri Lanka, WHO South-East Asia Journal of Public Health, Vol 1, No 1, pp 28-41. Zafar Syed Nabeel, Reema Syed, Sana Waqar, et al, (2008), Self medication amongst university students of Karachi: prevalence, knowledge and attitudes, J Pak Med Assoc, Vol 58, No 4, pp 214-217. http://apps. who. int/medicinedocs/pdf/whozip32e/whozip32e. pdf Trend of Self Medication Among Youngsters ABSTRACT Objective: To determine the trend of self medication among youngsters. Methods: A survey was conducted in 4 areas of Karachi, Pakistan during May 2012. Data collected was entered using SPSS version 17 to generate descriptive statistics. Data analyzed done using chi-square test to check the associations among variables. Results: The result shows that the number of youngsters participated in this study were 100, having age range of 14-27 years, the overall response is positive. There females were 37 (37%) and males were 63 (63%). This was reflected by the majority of the samples was undergraduate youngsters.By the research we get the result that people think that they could understand their own illness themselves and that leads them to self medication. Qualification and understanding own illness is not independent. Lack of time is found to be a fact that males do self medication more often then females the trend towards self medication is increasing day by day. Conclusion: Sel f medication practice increasing in the youngsters of Karachi, Pakistan mostly in males and undergraduate youngsters under age of 18-22. The reason is lack of time or not consulting to the doctor.Need to educate the youngsters to avoid such practice majority know that self medication is incorrect and some time cause side effect. Key words: Self medication, youngsters, trend, prescription. 1 INTRODUCTION 1. 1 Background of the study Self-medication is defined as obtaining and using medicine without the suggestion of a doctor either for diagnosis. Drugs for self-medication are normally name as ââ¬Ënonprescription' or ââ¬Ëover the counter' (OTC) and are obtainable without advice of doctor's through chemists. Self medication is nowadays gradually being considered as a self-care component.Support of self-care is seen as give patients' every view to take accountability and create self-confidence in their ability to deal with their own health. Unlike other characteristics of self-car e, self-medication involves the use of medicines and medicines have the potential to do better as well as cause harm. This is mainly concern to these countries where there is lack of enforcement of system leading to accessibility of non prescription medicines over the counter like Pakistan. This results in extensive use of such drugs which is related with serious undesirable effects.Numerous cases studies have stated that unsuitable self-medication outcomes in wastage of resources and causes serious health hazard such as unwanted drug reactions, prolonged suffering and drug dependence. When the medication correctly done, self-medication might be save the time which spent in waiting to see a physician, may be cost-effective and also propose savings for medical schemes and the general healthcare system. The WHO has also pointed out that dependable self-medication can help patient and treat illness that do not need medical consultation and gives a cheaper option for treating common dis eases.With self-medication, the person tolerates primary accountability for the use of self-medication products. All parties concerned in self-medication should be attentive of the advantages and disadvantages of any self-medication product. Through many studies have been conducted in different populations to appraise the practice of self-medication there is a scarceness of studies on self-medication among university and medical students. To enhance our knowledge we carry on this agenda and targeted the youngsters to find out the practices of self-medication in youngsters of Karachi.This study is conduct on trend of Self-medication in youngsters of Karachi. Self medication trend is continuously increasing in youngsters. This study might be helpful to determine the rate of self medication in youngster of schools, colleges and universities of Karachi. This study also explores the injurious effects of self medication, causes for not discussing with the doctor and general issues for whi ch students rely on self medication. Self-medication is the healing of general health issues with drugs particularly proposed and labeled for utilize without any medical prescription and permitted as safe and useful for such medical issues.To enhance our information, we conduct this study in Karachi and especially target the youngsters to evaluate self medication in the youth. In Karachi, approximately every chemist sells medicines without a prescription of doctor; a phenomenon seen in many is developing countries. Self medication is a part of health care and it is measured as initial public health source in system of health care. Use of non-prescription medicines by people on their own initiative is a part of self medication and it is in common practice in youngsters for common issues related to their health.Self medication also encompasses the use of the medicines by the users for self perceived health problems or the continuing use of medications formally prescribed earlier. Furt her broading of the definition includes treatment of family members especially to minor and elderly. Adverse effects of self medication Its very common in our society that whenever we catch a cough, flu or any common disease we have fixed a prescription in our mind and we do self-medication in such situations. We ask any of our friends or neighbors who prescribes the medicine which was effective for him.We do these types of things but the main thing we forget in all this is going to a doctor. Some adverse effects of self-medication are as follows. Insomnia Due to self-medication you can face the problem of insomnia. Insomnia is a sleeping disorder this is very common now a days and one of the major reason to insomnia is self-medication. When this problem occurs again open you medicine box and do self-medication again for this problem too. This worsens your problem. When you take one type of medicine again and again you may addicted to it and you also get dependent on such medicines. Skin problems When you involve in self medication you will get some skin problem or any other allergy due to reaction of medicine. Skin problem that occur due to self-medication are itching and redness on your skin. Depression People who have a habit of taking medicines which relax them that people facing the problem of depression. Many people self-medicate themselves to get relax without the advice of doctor. This type of habit may cause serious problem and no one can deny the effects of this self-medication addiction. Skin problems through creams and lotionsSelf-medication is does not only mean to in take such medicines. Self-medication can also be using lotion or cream on your skin without the advice of doctor. This type of self medication can also cause many skin problems. 1. 2 Objective of the study The Aim/objective of this study is to determine the trend of Self medication among youngsters. 1. 3 Problem statement Although self-medication being an issue of global concern, espe cially in Pakistan self medication is very common and rising day by day. Literate people involve in the practices of self medication more than illiterate people.This study includes some general aspects of self medication to identify the frequency of self medication among the youngsters. 1. 4 Hypothesis Ho1. 4. 1:self medication among youngsters and age are independent. Ha 1. 4. 1:self medication among youngsters and age are not independent. Ho1. 4. 2: self medication among youngsters and gender are independent. Ha 1. 4. 2: self medication among youngsters and gender are not independent. Ho1. 4. 3: self medication among youngsters and qualification are independent. Ha 1. 4. : self medication among youngsters and qualification are not independent. 2 LITERATURE REVIEW 2. 1 Trends of Self-Medication According to Khalid (2010) in our country Self medication is an average. The counter sales of nearly all medicine are available without any prescription or regulation this is one of the majo r factor probably contributing to this phenomenon. In the practice of our dermatology, we commonly meet patients with acne infections due to use of topical self medication. The prevalence of self medication is extensively high in the acne infections patients in our residents.The most frequently used medication was potent topical steroids. 2. 2 Self-Medication practices According to Shankar et al (2002) Mild illness is the most common reason of self-medication which is mentioned in the literature, prior knowledge of treating related disease, lack of availability of healthcare personnel and financial considerations. Analgesics and antimicrobial are commonly used for self medications. In addition to allopathic medicines,à herbal medicines were also usually used for self-medication. 2. 3 Reasons for self-medication practiceAccording to Almasdy et al, (2011) Among university students the major reason for self-medication were their prior experiences and the majority of the authors agree d with this major reason of self medication, their health problems was measured as too insignificant and time savings. Family or friends guidance, non availability of transport, doctor was not available, capability to self-manage the symptom, urgency of the problem and have adequate information were other main reasons for self-medication practice.Have reported that the main reasons to self-medication practice among university student were lack of time and low cost consultation. 2. 4 Demographic characteristics and prevalence of self medication practice According to Hussain et al. (2011) many of these researches mentioned the mean age of undergraduates was under 25 years old. This was reflected by the majority of the samples was undergraduate students. In manner of sexual characteristics, prevalence of the undergraduates who have involved in self-medication is female.Three of these researches have been engaged to undergraduates majoring in equally health and non-health courses, while two of the studies have engaged to undergraduates simply majoring in health, and the rest did not revealed the field of the undergraduates involved in the studies. Frequency of self-medication observed among the university student was diverse. The occurrence of self-medication reported was mainly depend on how the query was created in the questionnaire.For example, the occurrence reported was authentic, if the question was concerned to the modern practice of self-medication. On the contrary, when asked whether the students had used any medication for the past one month, the incidence reported was low. However, some studies did not report the prevalence of self medication. Due to the difference in the methods used in studies, therefore, it is quite difficult to estimate the true prevalence rate of self-medication in university students. 2. 5 Benefits and Risks of Self Medication According to Carmel M et al. 2001) Practices of self-care for mild illnesses are increasingly encouraging by some governments, including self-medication. Support of self-care is observed as giving all probability to patients to take accountability and construct confidence in their capability to control their own health. Patient confidence is observed as a helpful step in the improvement of the correlation between patient and healthcare provider and is described as an significant health policy model. 2. 6 In? uences on Knowledge and Attitudes about Prescription Drugs among Teens.According to Twombly et al, (2008) escalating precise information about the hazards of recommended medicines misuse is expected to reduce misuse. In fact, there is an inverse relationship between level of perceived risk and likelihood of use when it comes to teenagersââ¬â¢ willingness to misuse prescription drugs. 2. 7 Symptoms leading to self-medication According to Zafar et al. (2008) Approximately in Pakistan, everyone can get medicine without any prescription, mostly pharmacy selling medicines without a d octor advise; this incident observed in every developing nations.Even, antibiotics and high potential medicines are easily available to the common man. The common practices of self-medication among undergraduates is leading to the main symptoms of self-medication were headache or mild pain; fever; flu, caught and cold; and diarrhea. Others symptoms includes allergy, skin problems, inability to sleep, vomiting, eye and ear symptoms, menstrual syndrome and others minor problems. This case study shows the outcome of the Pakistani youth's information, mind-set, and practice towards self medication. 2. 8 Sources of drug informationAccording to Hussain et al, (2008) in this research, the author explains sources of drug information in self-medication practice. In this research statement shows that the undergraduates obtain access to drug information from many resources. Which is relate to their own earlier experience, family, contacts or university course mates, pharmacy sales representati ve, doctor or nurse, and advertisement in the television, radio, newspaper, magazine or books. 2. 9 Problems-related to self-medication practices According to James et al, (2006) a new important findings significance of elf-medication highlighted in this literature was the effect of health instruction on the knowledge of drugââ¬â¢s side-effects amid the self medicating undergraduates. Calculate the effect of exposure to medical knowledge to equally the first year and senior medical undergraduates. The research exposed that troubles linked with self-medications were fewer in senior medical undergraduates as contrast to the first year students. Less awareness of medical information may be reason to the low self-assurance of the first year medical students 2. 0 Self -Medication among university students According to Mumtaz et al, (2011) Self medication mounting the probability of illegal use of medicine and medicine addiction and due to this the symptoms of disease are underlying th us are complicating the problem, produce drug resistance and create difficulty to diagnosis. On the other side many of people involved in self medication who accept accountability and are cautious is a source saving phenomenon to the health system. Easy accessibility of the medicine by the counter sales increases self medication.Self medication is a phenomenon and practiced almost in the countries all over the world with different prevalence. In the low and middle income countries, commonness of self medication is higher. This research is explained that the educated people tend to practice self medication more than uneducated peoples. According to this research the frequency of self medication among undergraduates of medical and non medical is nearly 80%. This study endorses earlier reported local estimates of self medication among university students. . 11 Self-Medication in Nigeria According to Fadare et al, (2011) now a dayââ¬â¢s Self-medication is growing in the population ma ny counties as a common type of self-care behavior. Many global researches have explored the frequency and characteristics of self-medication practices at the residentââ¬â¢s level. In Nigeria, many studies conduct to find the frequency of self-medication in general; still the frequency of antibiotic self-medication among medical undergraduates has not been conducted.The interest in studying this practice among this select group is due to the fact that they are the future prescribes and health educators of the population of Nigeria. 2. 12 Evaluation of Self-Medication According to SD Sontakke et al, (2011) The World Health Organization has also identified that proper self-medication can help patients and treat illness that do not need medical consultation and gives a cheaper substitute for treating common diseases. With self-medication, the person takes primary accountability for the use of self-medication products.Every individual must be aware of advantages and disadvantages of self medication products who involved in self-medication practices . however many researches has been conducted in different populations to assess the frequency of self-medication there is a paucity of studies on self-medication among medical students. Support of self-care is considered as providing patients' every opportunity to construct self-confidence in their capability to control their own health. Unlike other aspects of self-care, self-medication involves the use of drugs and drugs have the potential to do good as well as cause harm. . 13 Self-medication in Sri lanka According to Wijesinghe et al, (2012) Self medication growing with increasing literacy and it is even appreciated so as to have self-sufficiency for healing, preventive , primitives and rehabilitative care . If done properly, it is helpful to save expenses of health care seekers. therefore, considering the usefulness of self-medication, the World Health Organization (WHO) has focused to develop strategy for regul atory estimation of the medicines suitable for self-medication. he frequency of Self-medication is very familiar among women, youngster, those individuals who living alone and the individuals who belongs to low financial status (SES), sufferers of chronic ailments and psychiatric conditions. Many researches in Sri Lanka were conducted to city areas which have well built-up health and hospitals networks. Substitute indicators such as self-medication prevalence for malaria indicate that self-medication is relatively low in rural areas. 2. 14 Self-Medication pattern in Punjab According to S Shveta et al, (2011) the frequency of self medication practices is common in the state.Fever, cough and cold are reasons for the use of self-medication. The most common drugs which is commonly used for self-medication is tonics and food supplements and it is taken frequently without prescription. We recommend that holistic approach should be taken to prevent this problem, which contain correct knowl edge and information regarding the self medication and strictness concerning pharmaceutical marketing. Furthermore especially in case of Punjab state ban must be implemented on counter sale of medicines. Dispensing modes in the state required to be enhanced by proper education, regulatory and administrative strategies. . 15 Self-Medication in Childrenââ¬â¢s According to Oshikoya et al, (2007) medicine use in children is of great anxiety worldwide and has received a lot of attention. Various researches have been performed in the urbanized and developing countries, and have all the countries faced many problems from mistreat and abuse of recommended medicines, and errors of medications. Children include a larger percentage of the residents in developing countries and are responsible to many illnesses as a effect of poverty. The majority of medicines in children are used outside of hospitals, both as recommended and non- recommended medicines.The primary reply by the majority famili es too many diseases in their children has been found to be use of non-prescribed medicines . Self-medication is very common among urban children in Nigeria. The presented laws concerning the use and sale of over the counter medicine, prescribed and non-prescribed drugs must be reinforced to ensure normal use of medicines. 2. 16 Self-medication practices for drug consumers According to Andualem et al, (2004) On Socio-demographic the respondents concealed the characteristic of drug consumers consist of all age category like both genders, pregnant women and breast-feeding mothers.Self-medication illnesses that reported very commonly in the respondents were headache, fever, cold, respiratory tract infection and gastrointestinal diseases. Education for the self-medication should be provided to public as well as health care providers ;i. e; this type of illnesses can be easily self-treated and diagnosed and the drug products to be used in promoting the responsible self-medication. 2. 17 Self-medication in West Uttarpradesh According to Ghosh et al, (2010) some students reported that they were alcoholic, smoker or involve in some chronic problems i. . non-communicable diseases, they have less awareness about the medicines that they use with smoking, alcohol or suffer problems with chronic diseases. Non-seriousness related to the disease is the most common reason reported for self-treated and for self-medication, previous experience on the medicine and emergency use. 2. 18 Assessment of Self-medication According to Sawalha, (2007) In An-Najah students the preference of self-medication in very common. Practice of treating this condition is done either simple or by previous experience.Even important self-medication predictors did present in the studied group, types of medications knowledge on the level of self-care orientation can be significant in analyzing the self-medication practices. 2. 19 Health care strategies According to Haider et al, (1995) treatment from som e medical systems found in majority of cases. Health care behavior for childhood illnesses and assessment of the degree and the reasons for self-medication assess in Karachi, Pakistan. The main reason is the good past experience of self-medication. he main reason is the use of different medicines by health professional that influence the parents for self-medicate to their children. Self-medication is hard to reduce but some information can be made to discourage wrong use of harmful drugs. 2. 20 Self-medication (WHO). According to WHO (1988) The WHO pointed that Self medication can help and treat illness that does not require any consultation of medication and provides a cheaper option for treat such common diseases. Yet, the person bears basic responsibility for the use of self-medication products.Due to self-medication products parties should be aware about the benefits and risks of self-medication. 3 METHADOLOGY This part presents an overview of the methods to be used in the study . Areas covered in this part include data collection, variables, sample and sampling techniques and model for analyzed the data. 3. 1 Data In this study primary data is used for gathering information. A survey was conducted in 4 areas of Karachi, Pakistan during May 2012. Data collection was entered using SPSS version 17 to generate descriptive statistics.Data analyzed complete using chi-square test to check the associations between variables. 3. 2 Variables Variables used in this study are 1. Age 2. Gender 3. Qualification 3. 3 Sample and Sampling techniques Convenience sampling techniques is use to select respondents from Gulshan-e-iqbal area. A convenience sample of 100 participants was taken. A questionnaire was distributed among participants after explaining the background of the study and objective. 3. 4 Model The model we are used. To summarize the questionnaires we used statistical model of chi-square.According to Zafar et al (2008) the author used Chi-square in his study. 4 RESULT Table: 1 QUALIFICATION v/s VARIABLES DESCRIPTION| CHI SQUARE| SIG VALUE| RESULTS| | | | | MY ILLNESS| 29. 354| 0. 007| Reject| SELF MEDICATION| 6. 425| 0. 6| Accept| PRESCRIBE| 11. 48| 0. 321| Accept| LACK OF TIME| 16. 431| 0. 37| Accept| HIGH FEES| 7. 423| 0. 492| Accept| SIDE EFFECT| 12. 461| 0. 132| Accept| DANGEROUS| 10. 582| 0. 221| Accept| YOUNGSTERS| 12. 285| 0. 139| Accept| COMMUNICATION CHAIN| 16. 846| 0. 032| Reject| It is found that the chi-square and sig. alue shows that the self medication is increasing in youngsters. the sig. value of the qualification shows that self medication (0. 6), prescribe (0. 321), lack of time (0. 37), high fees (0. 492), side effects (0. 132), dangerous (0. 221), youngsters (0. 139) these all variables were accepted and shows that are independent to the qualification Table: 2 GENDER v/s VARIABLES DESCRIPTION| CHI SQUARE| SIG VALUE| RESULTS| | | | | MY ILLNESS| 6. 053| 0. 195| Accept| SELF MEDICATION| 3. 334| 0. 504| Accept| PRESCRIBE| 9. 368| 0. 095| Accept| LACK OF TIME| 14. 038| 0. 007| Reject| HIGH FEES| 2. 38| 0. 71| Accept| SIDE EFFECT| 5. 008| 0. 286| Accept| DANGEROUS| 8. 898| 0. 064| Accept| YOUNGSTERS| 2. 356| 0. 671| Accept| COMMUNICATION CHAIN| 1. 361| 0. 851| Accept| It is found that the chi-square and sig. value shows that the self medication is increasing in youngsters. the sig. value of the gender that My illness (0. 195), self medication(0. 504), Prescribe (0. 095)high fees(0. 71),side effects(0. 286), dangerous(0. 064), youngsters(0. 671), Communication chain (0. 851) these all variables were accepted and shows that are independent to the gender. Table: 3 AGE v/s VARIABLESDESCRIPTION| CHI SQUARE| SIG VALUE| RESULTS| | | | | MY ILLNESS| 12. 914| 0. 115| Accept| SELF MEDICATION| 7. 128| 0. 523| Accept| PRESCRIBE| 7. 612| 0. 667| Accept| LACK OF TIME| 9. 468| 0. 304| Accept| HIGH FEES| 12. 789| 0. 119| Accept| SIDE EFFECT| 2. 677| 0. 953| Accept| DANGEROUS| 11. 182| 0. 192| Accept| YOUNGSTERS| 19. 388| 0. 013| Reject| COMMUNICATION CHAIN| 15. 794| 0. 045| Reject| It is found that the chi-square and sig. value shows that the self medication is increasing in youngsters. the sig. value of the age that my illness (0. 115), self medication (0. 23), prescribe (0. 667), lack of time (0. 304), high fees (0. 119), side effects (0. 953), dangerous (0. 192) these all variables were accepted and shows that are independent to the age. 5 DISCUSSION In the light of the literature review self medication is a most common practice. In this study mostly males involve in self medication. The number of youngsters participate in this study were 100, having age range of 14-27 years, the overall reply is positive. There females were 37 (37%) and males were 63 (63%). This shows that the greater part of the samples was undergraduate youngsters.In term of gender, majority of the youngsters who adept self-medication are males. Moreover, the sampling methods were varied among the studies, range from conv enience. The trend of self-medication is high in undergraduate youngsters as compared to the inter and metric level youngsters. Mostly Youngsters have a preference of self-medication, 63% of undergraduates, 18% of inter and only 19% of metric youngsters involve in self medication. By the research we get the result that people think that they could understand their own illness themselves and that leads them to self medication.Qualification and understanding own illnesses are not independent. So we accepted alternative hypothesis. Increasing communication chain is also one of the major reasons of increment of self medication in well qualified too. The above data was found to be good sufficient to maintain from literature review that the trend towards self medication is increasing literally. 6 CONCLUSION Self medication practice increasing in the youngsters of Karachi, Pakistan mostly in males and undergraduate youngsters under age of 18-22.The reason is lack of time or not consulting to the doctor. Need to educate the youngsters to avoid such practice majority know that self medication is incorrect and some time cause side effect. 7 BIBLOGRAPHY Almasdy Dedy & Azmi Sherrif , (2011 ), Self-Medication Practice with Nonprescription Medication among University Students: a review of the literature, Archives of Pharmacy Practice, Vol 2, No 3, pp 95-100. Andualem Tenaw, B. Pharm, BA, et al, (2004), SELF-MEDICATION PRACTICES IN ADDIS ABABA: A PROSPECTIVE STUDY, Ethiopia Journal health science, Vol 14, No 1, pp 1-11.Carmel M, Hughes; McElnay, James C; Fleming, Glenda F. , (2001), Bene? ts and risks of self medication, Drug Safety, Vol 24, No 14, pp 1027-1037. Fadare Joseph O & Igbiks Tamuno, (2011), Antibiotic self-medication among university medical undergraduates in Northern Nigeria, Journal of Public Health and Epidemiology, Vol 3, No 5, pp 217-220. Ghosh Sourav, Vikas, Vimal, et al, (2010), Evaluation of the practice of self medication among college students in west U ttar Pradesh, International Journal of Pharma Professional's Research, Vol 1, No 1, pp 14-18.Haider S, Thaver IH, (1995), Self medication or self care: implication for primary health care strategies, J Pak Med Assoc, Vol 45, No11, pp 297-298. Hussain Azhar, Asifa Khanum,(2008), Self medication among university students of Islamabad, Pakistan- a preliminary study, Southern Med Review, Vol 1, No 1, pp 14-16. Hussain Shahzad, Farnaz Malik, Kazi Muhammad Ashfaq, et al , (2011), Prevalence of self-medication and health-seeking behavior in a developing country, African Journal of Pharmacy and Pharmacology, Vol 5 , No 7, pp 972-978 James Henry, Shailendra S, Handu Khalid A.J, et al, (2006), Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students, Med Princ Practice, Vol 15, No 4, pp 270-275. Khalid Tanzeela, Tariq Iqbal, (2010),Trends of self medication in patients with acne vulgarus, JUMDC, Vol 1, No 1, pp 10-13. Mumtaz Yasmin, S. M. Ashraf Jahangeer, Tahira Mujtaba, et al, (2011), Self Medication among University Students of Karachi, JLUMHS, Vol 10, No 3, pp 102-105. Oshikoya K A, O F Njokanma, J A Bello, et al, (2007), Family self-medication for children in an urban area of Nigeria , Paediatric and Perinatal Drug Therapy, Vol 8, No 3, pp 124-130.S Shveta, Jagmohan S, (2011), A study of self medication pattern in Punjab, Indian Journal of Pharmacy Practice, Vol 4, No 2, pp 43-46. Sawalha, Ansam F, (2007), Assessment of self-medication practice among University students in Palestine: Therapeutic and Toxicity Implications, The Islamic University Journal (Series of Natural Studies and Engineering), Vol 15, No 2, pp 67-82. SD Sontakke, Bajait CS , Pimpalkhute SA, et al, (2011), Comparative study of evaluation of self-medication practices in first and third year medical student, International Journal of Biological ; Medical Research , Vol 2, No 2, pp 561-564.Shankar PR, P Partha and N Shenoy, (2002), Self-medication and no n-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study, BMC Family Practice, Vol 3, No 17, pp 1-7. Twombly Eric C ; Kristen D. Holtz, (2008), Teens and the Misuse of Prescription Drugs:Evidence-Based Recommendations to Curb a Growing Societal Problem, J Primary Prevent, Vol 29, No 18, pp 503ââ¬â516. WHO, (1988), The role of pharmacist in self-care and self-medication, Netherland.Wijesinghe R Pushpa, Ravindra L Jayakody, Rohini de A Seneviratne, (2012), Prevalence and predictors of self-medication in a selected urban and rural district of Sri Lanka, WHO South-East Asia Journal of Public Health, Vol 1, No 1, pp 28-41. Zafar Syed Nabeel, Reema Syed, Sana Waqar, et al, (2008), Self medication amongst university students of Karachi: prevalence, knowledge and attitudes, J Pak Med Assoc, Vol 58, No 4, pp 214-217. http://apps. who. int/medicinedocs/pdf/whozip32e/whozip32e. pdf
Tuesday, October 8, 2019
International Marketing Management Essay Example | Topics and Well Written Essays - 1750 words
International Marketing Management - Essay Example Globalization and Liberalization has opened many doors to the international companies like Coke and they are currently exploiting these opportunities. The destruction of communism has made the business climate in Bulgaria more suitable for the American business tycoon Coke. Earlier the communist regime looked suspiciously at the intrusion of the products and organizations from the capitalist countries. On the other hand, Spain had no such political obstacles for the entry of Coke in their market. Spain traditionally a close ally of America and American products never faced many barriers in Spain. This report analyses the macro-environmental analysis of Coca Cola product in Bulgaria and Spain. Coca Cola is currently marketing across different countries and different cultures. One of the major characteristics of Cokeââ¬â¢s international marketing strategy is the custom made marketing strategies for each country and region where Coke operates. Coke knows that different countries may have different social, political, economical environmental, legal, cultural and communal factors and each country needs marketing strategies suitable to their characteristics. Even though Coca Cola is marketing same products all over the world, they have realized that even for same product, different marketing techniques needed in different countries. Since 1990, Bulgaria has embraced parliamentary democracy as communism failed to fulfil the needs of the people. Spain on the other hand is a parliamentary representative democratic constitutional monarchy since 1975. In short both these countries are under democratic administration at present which is a good sign for Cokeââ¬â¢s business hopes in these countries. Historically, communist countries were reluctant in allowing American companies to function in their soil because of suspected spy work. But the current political systems in Spain and Bulgaria offers less resistance to
Monday, October 7, 2019
Intraprofessional Project Essay Example | Topics and Well Written Essays - 1250 words
Intraprofessional Project - Essay Example Regulated Health Professional A health professionalââ¬â¢s efficiency could mean the life or death of a patient; hence, health care is placed in the foreground when it comes to public safety (Field, 2007, pp. 3-4). This is where the regulation of the health professional comes in. These set of professionals equate the obtainment of legal professional licenses to the practice of their profession (Forrester & Griffiths, 2010, p. 321). Licensure is the legal conferment of authority to utilize professional titles one is qualified to use upon meeting the standards thereof and entitlement of the said professional to put into practice their medical skills (Sultz & Young, 2010, p. 187). Regulation of health care is deemed necessary to ensure quality public service (Field, 2007, p. 4). Regulation also affects the education of individuals in the medical field as their curricula is focused on what is deemed appropriate by their regulatory board (Aries, Middaugh, & Nickitas, 2011, p. 106). Nurs ing is one of the regulated health professions, along with dentistry, physiotherapy, pharmacy, and medicine (Forrester & Griffiths, 2010, p. 321). Standards of practice. The standards of nursing practice discuss the responsibilities of registered nurses in their entirety to ensure their competitivity (American Nurses Association [ANA], 2010, p. 2). The first standard of nursing practice deals with assessment. Also, it talks about the registered nurses responsibility in data collection of appropriate information related to the management and treatment of the patientââ¬â¢s condition (ANA, 2010, p. 9). In the second standard, the registered nurse is expected to formulate diagnoses on the health problem or concerns the patient has based on the information collected (ANA, 2010, p. 9). The third standard revolves around outcome identification, wherein the registered nurse is tasked to determine the results of a plan of care to be developed for the individual patient based on the diagno ses formulated (ANA, 2010, p. 9). In the fourth standard, the nurse develops a comprehensive plan of care for the patient, including the techniques, regimens, and treatments needed to achieve the aimed results identified (ANA, 2010, p. 9). The fifth standard expects the registered nurse to carry out the plan developed. He or she is likely to coordinate with other members of the team to provide health teachings that would further promote patientsââ¬â¢ safety and wellness, to consult more experienced nurses for the provision of optimal patient care, and to abide by state laws in the implementation of treatment, use of referrals, and prescription (ANA, 2010, p. 10). In the sixth standard, the registered nurse evaluates the success of the plan of care formulated based on the expected outcomes achieved (ANA, 2010, p. 10). The seventh standard reminds him or her to be ethical in the practice of the profession (ANA, 2010, p. 11). The eight standard tackles education; the registered nurs e is expected to pursue continuous learning in the face of recent techniques and skills of the nursing profession (ANA, 2010, p. 11). The ninth standard is evidence-based practice and research in which he or she should incorporate into her care, evidence, and research findings obtained (ANA, 2010, p. 11). The tenth standard equates to ensuring quality in the nursing care the registered nurse gives (ANA, 2010, p. 11). The eleventh standard deals with effective communication in all aspects of the
Sunday, October 6, 2019
Proposal finance Essay Example | Topics and Well Written Essays - 500 words - 1
Proposal finance - Essay Example e main objectives are, first, determine the cause the global financial crisis and secondly, the effect of the financial crisis on the developing country. The research will attempt to answer the following questions; what caused the financial crisis and what was its impact on the least developed nations. The results of the research will be of great importance to both governments and private sector in both developing and developed nations alike. It will enable the governments to come up with strategies for predicting and preventing future occurrences. The private sector will be able to cushion their businesses from a financial crisis and learn how business practices can cause a financial crisis. Many economists consider the 2008 to 2012 financial crisis as the worst since the great depression of the 1930ââ¬â¢s. It led to the collapse of financial institutions, decline in consumer wealth (Muma, 2012, p. 6); the stock market dropped worldwide and mortgages default in the housing sector. What started as US mortgage crunch (Sun et al., 2011, p. 2), extended to the other nation especially the European Union. On September 14, 2008, the fate of Lehman Brothers was to be decided (Dolezalek, 2011, p. 7). The eventual fall of Lehman Brothers undermined the confidence and trust of the investors in the financial market. One year earlier, the Bank of England has bailed out Northern Rock, a large mortgage lender (Dolezalek, 2011, p. 7). The financial and banking crisis that started in the developed nation reached the least developed nation through at least three channels. First, the crisis led to sharp decline in world trade volume (Alabi et al., 2011, p. 3) and commodity prices (Alabi et al., 2011, p. 116). Secondly, the foreign direct investment started declining since 2007 and hurt most, the mineral and oil exporting nations (Nafziger, 2012, p. 546). Thirdly, it led to a reduction in the foreign remittances to the least develop countries. The research will extend the body of
Saturday, October 5, 2019
Personal Leadership Philosophy and Practice Paper Thesis
Personal Leadership Philosophy and Practice Paper - Thesis Example What is leadership? Leadership can be broadly defined as unique approach of individuals or leaders who can bring about changes in other people. It is an integral part of human behaviour as it is linked to followers. Kouzes and Posner (2007) assert that leadersââ¬â¢ approach to tackling issues or promoting a cause is major factor that makes them popular amongst the followers. It becomes highly pertinent within the organizations as it helps to meet the challenges of work paradigms and inspires others to achieve a common goal. Leadership styles Chandler (1977) has explored the issues with reference to individual approach and says that strategies of managerial leadership become their major motivating factor for their success within the organizations. I believe that three major styles of leadership are popular within organizations: Transformational; situational; and participative. James Burns (1978) states that transforming leadership is based on a relationship of mutual inspiration an d elevation that converts followers into leaders and may convert leaders into moral agents. The political leaders are often endowed with traits of transformational leaders who take up social causes as major agenda to transform them into staunch followers. Situational leaders exploit situations to enhance performance. Sjostrand and Tyrstrup (2001) believe that managerial leadership is relational ongoing social construction which adapts to the changing equations. This is very important in the contemporary environment of fast changing technology and globalization. Such types of leaders are able to convince others to adopt changes and take them as opportunities for improving productive outcome. Participative leadership takes into consideration the views of others and promotes collectives decision making based on informed choice for common goals. Tannenbaum & Schmidt (1973) emphasize that organizational leaders increasingly prefer participative leadership as they can use effective commun ication to share organizational vision, mission and goals with the workforce. Leadership traits Leadership qualities and traits encourage participation of the workforce in the overall strategy of having collective goals through shared learning. Many scholars have conducted studies to find the traits and behaviour and leadership style that has transformed common man into effective leaders (Stogdill 1974; Yukl 2002). Few of the important traits that a leader must inculcate are: good communication; vision; adaptability towards change; positive attitude and commitment; creativity, initiative and belief; integrity and ethics; compassion and caring nature. Effective communication is one of the most crucial traits of the leaders which is used to disseminate information and inculcate a sense of responsibility amongst the various stakeholders of the organization. Visionary leaders empower their followers so that they can make decisions based on informed choices. It facilitates in adapting to the changes which occur due to transforming technologies and values and significantly impact organizational processes. Indeed, effective leadership influences cultural identity and helps adapt to the changing environment. The organizational le
Friday, October 4, 2019
The differences of entrepreneurship in China and Japan Research Paper
The differences of entrepreneurship in China and Japan - Research Paper Example es is China; consequently, many American firms have set up their manufacturing firm there in order to take advantage of not only the low taxes but also the comparatively cheap labor. Considering this, one can identify a significant difference between the costs of doing business in China verses Japan. The tax rates in China is at 25 percent, which is one of the lowest in Asia, with some parts of China such as the Taiwan province where taxes are as low as 16 percent. As such, entrepreneurs do not have to pay much in taxes, and this encourages more people to invest therein, whether they are locals, or foreigners. In sharp contrast, Japan has the highest tax rate among the countries in the region, standing at approximately 40 percent (EU-Japan Centre for Industrial Cooperation, 2011). This is almost as high as that the United States being the second highest in the OECD member states after the USA. This inevitably has made it more difficult for small business to take off in Japan unlike i n China, and the international firms are more likely to choose Japan over China in an effort to cut costs. A decisive way in which the difference between Chinese and Japanese entrepreneurship can be differentiated is in their corporate cultures, the Japanese leverage their corporate culture with the intention of producing high quality products and services, by patiently building their global reputations on diligence and quality. When a Japanese firm employs someone, it is done under the assumption that the person will stay with the firm indefinitely and they take loyalty extremely seriously as opposed to the bottom line. For instance, a firm in Japan is expected to make decisions that will allow the firm to avoid laying off workers even in times of crisis; however, a Chinese firm may take... Entrepreneurship can be defined in among other ways, as a process that causes changes in economic systems through the innovations facilitated by individuals as they respond or generate economic activities opportunities that add value to both themselves and society in which they live and do business. Ultimately, the roles of entrepreneurs who run the small and medium sized business enterprises cannot be overrated. Entrepreneurship, especially in the small and medium size enterprises is undoubtedly an integral part of the economies of both Japan and China. Despite the many differences that exist in the entrepreneurship, in the two countries, it noteworthy that the business cultures in both countries are closely related and unlike their western counterparts, business transactions are personalized and people oriented. Foreigners wishing to start a small business in either country have to be well versed in the business cultures of the respective countries, and failure to do this can resul t in frustration. Personal trust is valued in both countries and especially in Japan, contracts are not considered final and are open to be renegotiated, and one needs to be introduced to clients and customers by someone who knows them, as opposed to just approaching them as is characteristic of business interactions in the west. However, despite the cultural similarities, entrepreneurs wishing to start or run a successful business in any of these two countries will encounter a variety of different situations depending on the country in question.
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