Intercultural Miscommunication Essay - 507 Words

The frequent situations of misunderstandings in intercultural communication may be more common then one may believe. The potential for misunderstandings between two different cultures communicating is very high. Through such things as idioms, translation errors, and wrong body language communicative skills can be incorrect. When these intercultural mistakes occur between the people speaking or moving it may be perceived by the opposite culture as funny, rude or confusing. With these considerations in mind, the combination of possibilities for misinterpretations is increasingly elevated. nbsp;nbsp;nbsp;nbsp;nbsp;Idioms are used in every language, which is why it is difficult to communicate in some instances. Different languages seem†¦show more content†¦Colloquial language is another part of communication that may confuse people who speak the languages when they hear it. It is again informal and not taught to people who have just learned the language. Even within the same language there is room for miscommunication. In English, there are many different versions and accents to consider in places all around the world. For example, accents sometimes change an English word completely. For example, Canadians say â€Å"hockey† and Americans pronounce it â€Å"hackey†. Two people, who know the same language may have a problem comprehending each other when accents are used and emphasis is places differently on words and sentences. The Canadian versus American accent is the closest conflicting one to us. The American’s put a different long or sho rt sound on some vowels and say different common idiomatic phrases then we do. The American’s, for example tell Canadians, that we say the word â€Å"eh† quite a lot, or the phrase â€Å"out and about†. Canadians tell Americans that they say â€Å"huh† a lot. Even within one country there is a difference in the sound of language. For instance, Canada’s east coast population has a very different distinct sound to it then the west coast, and vice versa. Idioms are one way that the potential for misunderstanding is increased, when different cultures interact and communicate. nbsp;nbsp;nbsp;nbsp;nbsp;TranslatingShow MoreRelatedIntercultural Communication And Interpersonal Communication844 Words   |  4 PagesIntercultural communication is defined as when people communicate with one another who have different cultures. They may differ because of their languages, beliefs, values, and behavioral characteristics (Bennett, 1998). The intercultural communication plays a key role in globalization. It will help organizations to have a long-term success if they can manage the cultural differences and intercultural cooperation effectively to conflicts. Increasing shared knowledge and dealing with miscommunicationRead MoreEssay about Intercultural Communication Barriers1559 Words   |  7 Pagesculture has a deep impact on our thoughts and behaviors. Since each culture has its distinct aspects, intercultural communication can be the cause of conflict and disorder. There are three main issues which are at the root of the problem of intercultural miscommunication : language as a barrier, cultural diversity and ethnocentrism. I will analyze these three notions in situations in which intercultural communication is frequent such as : the workplace, the classroom and vacation trips. Read MoreIntercultural Communication At The Health Of Indigenous Australians Essay1301 Words   |  6 Pagesto successfully communicate proficiently with other cultures is paramount. Intercultural communication is becoming increasingly important in the healthcare industry as many workers must learn how to communicate effectively with people from other cultures. For many businesses, effective intercultural communication stands to bring them increased business and profits; however, in the health care industry, effective intercultural communication carries greater importance as it affects patients’ physicalRead More Problems In Intercultural Communication Essay1542 Words   |  7 PagesProblems In Intercultural Communication Humans have been communicating since four million years. On the other hand, the birth of culture is estimated to have taken place about 35,000 years ago. Today, both culture and communication have evolved considerably and have become interdependent of one another, to the point that communication is considered to be a product of culture. Thus, our own culture has a deep impact on our thoughts and behaviors. Since each culture has its distinct aspects,Read MoreIncreasing Intercultural Competence and Tolerance in Multicultural Schools by Lebedeva, Makarova, and Tatarko1176 Words   |  5 PagesIn their paper, â€Å"Increasing Intercultural Competence and Tolerance in Multicultural Schools: A Training Program and Its Effectiveness,† Lebedeva, Makarova, and Tatarko (2013) discuss the Training of Intercultural Competence and Tolerance (TICT) program that was developed as a measure for preventing interethnic conflicts that were prevalent in the North Caucasus Federal District of Rus sia. In the paper, the authors examine the motives for developing the training program, the structure of the programRead MoreThe Right Kind Of Care795 Words   |  4 Pagesidentities and our personalities affect our perceptions. There’s a tendency to favor others who exhibit cultural or personality traits that match up with our own. Effective communication with people of different cultures can be especially challenging. Intercultural communication occurs when a member from one culture produces a message that absorbed by a member of another culture. As stated by (Jandt, 2015), â€Å"human perception is usually thought of as a three-step process of selection, organization, and interpretationRead MoreDevelopmental Model Of Intercultural Sensitivity1225 Words   |  5 Pages Developmental Model of Intercultural Sensitivity The Developmental Model of Intercultural Sensitivity is a creation of Milton J. Bennett and is used as a basis to describe the responses of individuals to cultural diversity. In both corporate and academic settings, he noticed that people normally challenged cultural diversity in some anticipated methods as they gained knowledge of becoming more experienced intercultural communicators. Using ideas from constructivism and cognitive psychology, he structuredRead MoreIntercultural Communication : Communication And Communication1676 Words   |  7 PagesJasmin Starr-Mullins COM 440 W Final Term Paper Intercultural Communication The terms Culture,Globalization, and Communication are terms that we might hear quite often, but what is Intercultural communication? According to the dictionary, Intercultural Communication is often described as the interaction and exchange of communication between people of different cultures. Intercultural Communication dates back to the first interaction of mankind. Edward T. Hall, an American anthropologistRead MorePotential Barriers to Intercultural Communication525 Words   |  2 PagesA look at the potential barriers to intercultural communication puts emphasis that people are cultural beings. Culture is described as the ever changing values, social and political relationships, and traditions that are created and shared by a group of people that are bound together by a combination of factors. Culture thus poses the potential to create barriers in communication among people. Four of these barriers include: Ethnocentricism; this is the belief that one’s own culture is s uperior toRead MoreWhere Do We Stand?889 Words   |  4 Pageshad misunderstood them because they comprehend things differently depending on how and where they grew up. In my point of view, the main stumbling blocks for intercultural communication are the use of nonverbal communication and the different attitude toward the concept of time. One of the strongest values that can be a base for intercultural misunderstandings is the use of nonverbal communication. It means the way you greet people or the way you stand when you are talking to someone, the volume of

The Cask Of Amontillado, By Edgar Allan Poe - 1375 Words

Edgar Allan Poe, a well-known writer even today, was born January 19, 1809, and died October 7, 1848. During his life time, Poe had written sixty-six short stories and seventy poems, and his writing was inspired by a dark past. Poe’s mother died of tuberculosis after his father abandoned them. Then, while living with a foster family, his foster mother died and his foster father disliked him. These events caused Poe to have a particular style of writing and in each of these a reader is able to see similarities between the characters, theme, setting, and Poe’s use of symbolism. In ‘The Cask of Amontillado’, ‘The Tell-Tale Heart’ and ‘The Fall of the House of Usher’ a reader can make these connections and see how Edgar Allan Poe put his feelings into words. Every story has its characters. In Poe’s stories the characters have similar states of mind. In ‘The Cask of Amontillado’ Montresor is obsessed with seeking revenge. For example, â€Å"At length I would be avenged; this was a point definitely, settled – but the very definitiveness with which it was resolved precluded the idea of risk. I must not only punish but punish with impunity.† He has vowed to get revenge, and he will not be caught. During ‘The Fall of the House of Usher’ Roderick talks about his oversensitivity. â€Å"He suffered much from a morbid acuteness of the senses; the most insipid food was alone endurable; he could wear only garments of certain texture; the odours of all flowers were oppressive; his eyes wereShow MoreRelatedThe Cask of Amontillado by Edgar Allan Poe888 Words   |  4 PagesThe Cask of Amontillado by Edgar Allan Poe In ?The Cask of Amontillado?, Edgar Allan Poe takes us on a trip into the mind of a mad man. Poe uses certain elements to convey an emotional impact. He utilizes irony, descriptive detail of setting, and dark character traits to create the search of sinful deceit. Poe also uses first person, where the narrator is the protagonist who is deeply involved. The purpose is to get the reader to no longer be the observer. He wants them to see with MontressorRead MoreThe Cask of Amontillado by Edgar Allan Poe836 Words   |  3 Pagesqualities in the story. In the story many things are used as symbols such as the actual cask of amontillado, the trowel, the jester costume and the setting in which there is two in the story. Another literary technique used significantly in the story is irony. Irony is the expression of ones meaning by using language that normally signifies the opposite. In the short story â€Å"The Cask of Amontillado,† Montresor a very troubled man who plans to seek revenge on another man named FortunatoRead MoreEdgar Allan Poe And The Cask Of Amontillado1384 Words   |  6 PagesWhat makes Edgar Allan Poe work unique? Other than being a strange individual, Poe has become a remarkable literature writer. The Raven, Annabel Lee, and The Cask of Amontillado are just a few of Poe’s work that staples the theme of gothic literature. This essay will allow you to see the gothic elements Edgar Allan Poe uses through his most common poems. Gothic literature has many elements which play into its definition. The actual definition is a style of writing that is characterized by elementsRead MoreThe Cask Of Amontillado By Edgar Allan Poe906 Words   |  4 Pages â€Å"The Cask of Amontillado† â€Å"The Cask of Amontillado† was written in 1846, by Edgar Allan Poe. Born in 1809, Poe never knew any of his parents. At the age of three, his mother died of tuberculosis, and his father deserted the family before he was born. Taking care of him was his foster parents in Richmond, Virginia. They loved Poe, but were not supportive of his decisions and kept Poe poor. Having debt and not being able to provide food and clothes for himself caused Poe to quit school. Later, heRead MoreThe Cask Of Amontillado By Edgar Allan Poe920 Words   |  4 Pageswhen that trust no longer exists? In â€Å"The Cask of Amontillado† written by Edgar Allan Poe, Fortunato is about to find the answer to this question. On the surface, Montresor seems friendly with Fortunato, but deep down he feels nothing but hate for him. Could this hatred have an irrationality that only Montresor understands? In different ways, both of these men are proud and affluent, yet both have downfalls that will l ead to a tragic ending. Edgar Allan Poe’s use of language contributes to the understandingRead MoreThe Cask Of Amontillado By Edgar Allan Poe1555 Words   |  7 PagesIn his writing, Edgar Allan Poe has multiple uses of direct and indirect characterization. In The Cask of Amontillado, Montresor had rules such as â€Å"I must not only punish but punish with impunity. A wrong is unredressed when retribution overtakes its redresser. It is equally unredressed when the avenger fails to make himself felt as such to him who has done the wrong† (Poe, 2). Poe used indirect characterization to show the reader that Montresor is an unreliable narrator because he justified hisRead MoreThe Cask Of Amontillado By Edgar Allan Poe1303 Words   |  6 PagesIn Edgar Allan Poe’s â€Å"The Cask of Amontillado,† the narrator recalls an extremely significant time in his life, and takes the reader along with him. Throughout the story, one experiences a perfectly planned murder which took place over fifty years ago, and still no one has discovered what truly happened to poor Fortunato as he was chained to a wall in a room that was then closed off, and torched to death due to all the nitre in the walls. As the story goes on, the reader can see some of Poe’s unfortunateRead MoreThe Cask Of Amontillado By Edgar Allan Poe1076 Words   |  5 PagesThe short story, The Cask of Amontillado, written by Edgar Allan Poe is a story of terror and betrayal. Like many of Poe’s literary works, the story has a dark undertone with a theme of terror and depression. More than half a century ago, Marshall McLuhan argued that though Poe was fascinated by evil, the evil that he had in mind was not that of Calvinism, but that of the split man and the split civilization. In general, McLuhan was right, but in this instance Calvinism, and its God, provided a darkRead MoreThe Cask Of Amontillado By Edgar Allan Poe707 Words   |  3 PagesIn the short story of The Ca sk of Amontillado, Edgar Allan Poe writes in first person point of view from the perspective of Montresor who seeks revenge against Fortunato. Montresor began to develop the perfect plan for revenge. During the carnival season, Montresor meets with Fortunato and decides to implement his plan carefully through irony. Poe s story describes the murderer s mind which has lived as a memory of Fortunato s death for fifty years. Poe uses different types of irony and symbolismRead MoreThe Cask Of Amontillado By Edgar Allan Poe985 Words   |  4 PagesEdgar Allen Poe is a well known author of short stories and poetry from the 19th century. He is known especially for his stories of horror and suspense. The Cask of Amontillado is one of his more famous pieces. The story follows the narrator, Montresor, as he exacts revenge on Fortunato. Montressor draws Fortunato into the wine cellar where eventually he chains Fortunato to the wall and encloses him inside it. Throughout the story the narrator continually proves that he is not the most reliable source

Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay Free Essays

string(18) " old ages of age\." The outsourcing industry is presently a turning tendency in the Philippines supplying employment chances for many immature professionals. The Filipino outsourcing industry has grown 46 % yearly since 2004 ( Rivette, 2010 ) and is presently stand foring 21 % of the $ 7.2 billion of entire Business Process Outsourcing ( BPO ) grosss worldwide. We will write a custom essay sample on Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay or any similar topic only for you Order Now With the addition in BPO employment chances, more and more immature Filipino professionals are using for and working as call centre agents. Approximately 400,000 Filipinos are already employed as call centre agents ( Rivette, 2010 ) and with a growing rate of 46 % yearly, it can be estimated that another 200,000 Filipinos will be fall ining this work force following twelvemonth. However, despite the economic benefits of the enlargement of BPO in the Philippines, an addition in work-related diseases in call centre companies have besides been reported. The most researched work-related disease in call centres in the Philippines is on sexually transmitted infections, peculiarly HIV-AIDS. Harmonizing to the survey done by the UP Population Institute ( 2010 ) , 20 % of male call centre agents are commercial sex workers while 14 % of them give payment in exchange for sex. The survey besides showed that 1/3 of call centre agents have had insouciant sex in the last 12 months. These statistic s validate the addition in hazardous sexual behaviour among call centre agents in the Philippines. However, addition in hazardous sexual behaviour is merely a portion of the life style of most call centre agents. Other hapless lifestyle picks observed among call centre agents is their backing of fast nutrient, smoke, ingestion of intoxicant, increased caffeine consumption, reduced slumber, and diminish physical inaction. Besides hapless lifestyle picks, the nature of their work besides predisposes them to emphasize and perturbations in their sleeping form. All of these factors predispose them to wellness jobs peculiarly high blood pressure, fleshiness, and diabetes. A figure of surveies have already been conducted on the incidence of sexually transmitted diseases and name centre agents in the Philippines but there are presently no surveies yet on the incidence of other diseases among call centre agents. This survey would wish to bridge this information spread because cognition on th e development of other diseases like high blood pressure and diabetes are besides every bit of import as cognition on the increased transmittal of STIs among call centre agents. A In this survey, the research workers would wish to research the association between the development of Diabetes Mellitus Type II among call centre agents in the Philippines. As mentioned above, name centre agents and their lifestyle predisposes them to developing diabetes. The research workers would wish to turn to the job of potentially developing Diabetess Mellitus because of the long-run complications of this disease on the quality of life. The research workers would desire to specifically turn to Type II Diabetes Mellitus for the basic ground that this type of Diabetes develops chiefly because of lifestyle factors. The research workers believe that cognition on the association between call centre agents and the development of Diabetes Mellitus Type II is extremely important because of the wellness deductions of this disease and its possible to be prevented. II. Significance of the Study The increasing tendency of call centre bureaus in the state provides occupation chances to the increasing supply of alumnuss in the state. Bing employed as a call centre agent in a call centre bureau is assumed to increase the hazard of sensitivity to different disease entities because of the extremist life style alterations one undergoes. With the increasing figure of employed call centre agents, there is hence an addition in the figure of people who are at hazard of geting diseases. Few literature trades with call centre agents that discusses the acquisition of certain diseases secondary to their business. This survey aims to increase the fund of literature with respect to this. Diabetess Mellitus, Type II is a chronic and debilitating disease. Besides, as said, this is a life-long disease. Once a individual acquires this disease, he or she will everlastingly be predisposed to the co-morbidities and effects of the disease ; which in bend, will diminish one ‘s figure of productive life old ages. A Prevention is the most cost-effective attack when aiming populations. If the consequences of this survey will demo an association between being a call centre and geting Diabetes Type II, we would be able to turn to the spread in cognition with respects to the association of being an employed call centre agent and geting Diabetes Mellitus, Type II. Besides this would supply extra informations for policy shapers to turn to steps with respects to the bar of this disease. III. Scope of Restrictions A A A A A A A A A A A The survey will merely include employees in call centres in Ortigas, Philippines. The survey will be done for a period of 5 ( ? ) old ages and will merely find if an person will develop Type II Diabetes Mellitus ( DM ) or non. The survey will non quantify the grade and badness of the disease upon diagnosing. Fasting blood glucose ( FBG ) will be used in the diagnosing of DM, as it is the most dependable and convenient trial for placing DM in symptomless persons ( Fauci et al, 2008 ) and portion of the guidelines used by the American Association of Clinical Endocrinologists ( AACE Diabetes Mellitus Clinical Practice Guidelines Task Force, 2007 ) . Persons will be counted as instances if diagnosed with Type II DM through the class of the survey. Cases will be provided with appropriate intercessions ( non-pharmacological, referral ) . A A A A A A A A A A A A A The survey will except those who have the followers at the start of the survey: Type II DM, history of Diabetes in the immediate household, organic structure mass index ( BMI ) above or below the normal value as per Asian criterion, and more than or equal to 30 old ages of age. You read "Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay" in category "Essay examples" These exclusion standards are the factors that can be controlled in choosing the persons within the population that may predispose them to be identified as instances. IV. Review of Related Literature Name Center Industry Harmonizing to a reappraisal done by O’Maley ( 2008 ) , the Philippines has been a major participant in the outsourcing industry over the past 10 old ages. Six major factors were identified to be the grounds why the Philippines take part radically in the said industry. One is the increasing authorities support for information engineering investing despite the fickle political clime. Second is the uninterrupted pooling of college alumnuss with good English communicating accomplishments and proficiency. It was stated in the reappraisal that 75 % of the entire population in the Philippines ( harmonizing to a United Nations ‘ informations ) speak English fluently with a 94 % literacy rate which gives a comparative advantage in the industry as compared to other states. Third is high cognition about Information and Communications Technology ( ICT ) . Fourth is the easy constitution of a dependable and moderately priced telecommunication substructure. Fifth are the low costs bu t high quality locations of call centre bureaus. And in conclusion, 6th, the increasing tendencies of outsourcing globally. In that same article written by O’Maley, it was said that the Philippines systematically ranks among the top five Business Procedure Outsourcing ( BPO ) locations globally. This portions a five-year-compounded one-year growing rate of 38 % . The Philippine BPO system was besides coined as the major participant in the growing of the service sector in the state. The Philippines plays a major function in providing the demand for more call centre agents as an consequence of the planetary trending of outsourcing worldwide. Harmonizing to the Philippine National Statistic Office ( 2010 ) , name centre activities ranked first among all BPO activities covering about half of the entire industry with 219 ( 48 % ) call centre constitutions. A With the increasing figure of call centre bureaus, it is logical to state that there is besides an increasing demand for call centre agents to work for such industry. Call centre activities employ bulk of the workers among all BPOs. In 2008, call centre bureaus employed about 150,000 workers ( Philippine National Statistics Office, 2010 ) . There are about 400,000 Filipinos who are presently employed as call centre agents harmonizing to Rivette ( 2010 ) . Name Center Agents Harmonizing toA a policy provided by the Employment and Immigration Department of the Government of Alberta ( 2008 ) , call centre agents are the 1s who â€Å" respond to inquiries and enquiries, construct client relationships, decide client jobs and supply information about company policies, merchandises and services over the phone and via electronic communicating. † Working conditions from one call centre to another may differ. Harmonizing to that same policy, name centre agents normally work indoors but in a instead unfastened environment to diminish privateness. Further, directors are allowed to enter and supervise the conversations of an agent and his or her client. Working displacements besides differ from one bureau to another. Some bureaus provide services 24-hours a twenty-four hours, seven yearss a hebdomad. Lifestyle of Call Center Agents and Associated Health Risk Factors Because of the nature of their work, name centre agents normally live a life style that may set them at hazard for development of certain diseases. First, name centre â€Å" workers remained in a inactive sitting place 95 % of the clip † ( Rocha, 2005 ) which makes them prone to physical inaction that may take to fleshiness. Development of fleshiness is of significance because it is a hazard factor for the development of Diabetes Mellitus Type II harmonizing to the AACE Diabetes Mellitus Clinical Practice Guidelines Task Force of 2007. Second, name centre workers are exposed to a extremely nerve-racking environment. Call centre workers â€Å" identified call-time force per unit areas i.e. , holding to treat a client call within a specific figure of seconds as holding the strongest relationship to occupation emphasis † ( Di Tecco et Al, 1992 ) . Another survey identified â€Å" holding to cover with hard clients as the most important beginning of occupation emphasis in 54.0 % of call centre agents managing inbound services and 54.4 % of call centre agents managing outbound services † ( Lin et al, 2010 ) . High degrees of emphasis can take to increased hydrocortisone degrees in the organic structure which is of significance because of its effects on organic structure metamorphosis. Abnormalities in organic structure metamorphosis can take to metabolic jobs such as stress-induced fleshiness which may give rise to high blood pressure, lipemia, and hyperglycaemia ( Andrews, 2002 ) . Third, the usual diet of call centre agents is high in cholesterin and fat and low in fibre which puts them at hazard for dyslipidemia and hypercholesteremia. In a survey conducted by the UP Population Institute, they identified the usual lifestyle picks of immature professionals in Metro Manila and Metro Cebu. They studied the economic, societal and wellness position of 929 immature professionals less than 35 old ages old working at call centres and non call centres. The survey revealed that â€Å" there is a high degree of ingestion of french friess, Burgers, french friess and fried chicken † among the workers and â€Å" a few figure consume instant noodles and street nutrient on a regular basis † . It was found out that fried poulet was the most popular nutrient pick among Business Process Outsourcing ( BPO ) workers with 78 % stating that they consume it on a regular basis. French friess were the following most popular nutrient pick with 54 % stating they consume it on a regular basis, followed by french friess at 53 % and Burgers at 49 % . High caffeine consumption was besides reported in 2/3 of all immature professionals imbibing java daily. However, the survey pointed out that call centre workers drank more java than non-call centre workers. Call centre workers drank 2.3 cups of java daily while non call centre workers drank 1.7 cups daily. Tea consumption was besides reported where 1/4 of all call centre workers drank tea while merely 1/5 of non-call centre workers drank tea. The survey besides revealed that 50 % of all immature workers drink soda daily at an norm of 1.5 bottles or tins daily. The survey besides explored leisure activities of call centre agents. Based on the UP Population Institute study, 72 % of call centre agents said that their most common leisure activity is imbibing compared to partying ( 62 % ) or videoke catchs ( 59 % ) . The survey said that overall â€Å" there is a really high degree of current imbibing among workers † , 85 % for call centre agents and 87 % for non-call centre agents. Fatty nutrient and ingestion of intoxicant can increase triglyceride and cholesterin degrees which is a hazard factor for the development of diabetes ( AACE, 2007 ) . Fourth, sleep want is common among call centre agents. In the same survey, they besides found out that alternatively of the recommended 8 hours of slumber, name centre agents merely acquire 6.2 hours of sleep each twenty-four hours. Sleep want can take to metabolic perturbations and hormonal alterations doing fleshiness ( Merck ) and accordingly diabetes. Fifth, due to tire and miss of slumber, name centre agents resort to smoke to get by with emphasis. They reported that â€Å" 43 % of call centre employees smoke while merely 21 % of non call centre agents smoke † . â€Å" A call centre agent who smokes normally consumes 9 sticks a twenty-four hours on norm † . Smoking is a known hazard factor for the development of coronary artery disease taking to high blood pressure and cardiac disease. Since high blood pressure and cardiac disease are risk factors for the development of Diabetes Mellitus Type II ( AACE, 2007 ) , smoking may so predispose an person in developing diabetes. Diseases Associated with Call Center Employees An addition in the turnover, absenteeism, and occupational diseases in call centre employees resulted from deficiency of modernisation of procedures and organisational planning in call centres in Brazil ( Rocha et al, 2005 ) . A focussed group probe conducted in a call centre employed with 200 persons observed the â€Å" presence of ailments of muscular hurting, tummy achings, sleep changes and crossness † ( Westin in Rocha et Al, 2005 ) . Work-related muscular upsets were found to be extremely prevailing among the female than male call centre employees, specifically on the neck/shoulder part ( 43 % ) and on the wrists/hands part ( 39 % ) . It was observed that a combination of high demands and deficiency of work control among the female call centre employees A reflect a extremely nerve-racking occupation that predispose them to the increased hazard of holding musculoskeletal upsets ( Theorell in Rocha et Al, 2005 ) . The restrictions of the survey done by Rocha et Al ( 2005 ) are that the analyses were limited to one call centre linked to a bank, cross-sectional design, little sample size, and symptom-based diagnosing ( such as hurting, numbing, giddiness, prickling esthesis, stiffening, firing esthesis ) . In a survey done by d’Errico et Al ( 2010 ) , the presence of musculoskeletal symptoms in the same part was assessed utilizing the undermentioned inclusion standards to continue the specificity of the result, although it probably decreased its sensitiveness: a ) presence of musculoskeletal symptoms ( hurting, combustion, stiffing, numbness or prickling ) at any clip during the last 28 yearss and B ) audience to a physical and or self-medication because of the symptoms. Besides, the â€Å" presence of any disease known to be associated with musculoskeletal upsets such as high blood pressure, diabetes, systemic lupus erythematosus, urarthritis, thyroid diseases, rheumatoid arthritis ) , old hurts in the last five old ages, leisure physical activity, organic structure mass index, smoke, matrimonial position, educational degree, gender, and age category were explored as possible confounders of the association between workplace factors and musculoskeletal symptoms. † It was found in this survey that 45 % of workers reported musculoskeletal symptoms wherein cervix ( 39 % ) symptoms were the most prevailing, followed by the shoulder ( 22 % ) , handwrist ( 10 % ) , and cubitus ( 4 % ) . Neck/shoulder symptoms were associated with â€Å" low occupation control, elevated noise, hapless desk lighting and impossibleness to tilt back while sitting. † Elbow/hand-wrist symptoms were associated with â€Å" short intervals between calls, deficient working infinite, deficiency of forearm support, occupation insecurity, and long senior status in the industry. † Other survey that reported the presence of musculoskeletal symptoms among call centre employees were done by Halford and Cohen ( 2003 ) wherein computing machine usage factors and single psychosocial factors were significantly associated with self-reporting of musculoskeletal upset symptoms. Sudhashree et Al ( 2005 ) stated in a column missive that the call centre industry in India ranked high for abrasion due to wellness grounds such as kiping upsets ( 83 % ) , voice loss ( 8.5 % ) , ear jobs ( 8.5 % ) , digestive upsets ( 14.9 % ) and oculus sight jobs ( 10.6 % ) . Burnout stress syndrome, which includes chronic weariness, insomnia, and complete change of biological beat of the organic structure are everyday cause for sickness absenteeism. Chronic degree of emphasis besides affects other systems of the organic structure such as the cardiovascular and hormone. In a survey done by Lin et Al ( 2010 ) in a bank call centre in Taiwan, name centre employees have had prevailing ailments of musculoskeletal uncomfortableness, oculus strain, gruffness, and sore pharynx. Besides, it was found that those who perceived higher occupation emphasis had significantly increased hazard of multiple wellness jobs, including oculus strain, tinnitus, gruffness, sore pharynx, chronic cough with emotionlessness, thorax stringency, cranky tummy or peptic ulcers, and musculoskeletal uncomfortableness. In the Philippines, there are no surveies about the wellness hazards and occupational diseases associated among call centre employees. However, there is a study of a rise in the figure of Filipinos infected with Human Immunodeficiency Virus ( HIV ) and includes the call centre employees ( Ruiz, 2010 ) . Diabetess Mellitus, Type II Type II Diabetes Mellitus and Epidemiology A A A A A A A A A A A Diabetes mellitus ( DM ) is a group of metabolic upsets wherein there is an addition in blood sugar ( hyperglycaemia ) ensuing from absolute or comparative lack of insulin, or both. There are many categorizations of this disease entity based on the diseased procedure that leads to hyperglycemia. In Type II DM, hyperglycaemia resulted from a scope of preponderantly insulin opposition with comparative insulin lack to a preponderantly insulin secretory defect with insulin opposition ( Fauci et al, 2008 ) . It normally occurs among the older age group ( gt ; 30 old ages old ) but there is an increasing diagnosing in the younger group ( Tidy, 2009 ) . â€Å" Most symptoms of diabetes appear really tardily in the phase of the disease. A batch of diabetics do non hold symptoms when their blood sugars are elevated for the first clip † ( National Objectives for Health, 2005 ) . A A A A A A A A A A A There is a dramatic addition in the prevalence of Diabetes Mellitus worldwide, from ~30million instances in 1985 to 177 million in 2000. Type II DM is increasing more quickly because of â€Å" increasing fleshiness and decreased activity degrees as states become more industrialised, † as in the instance of many developing states in Asia ( Fauci et al, 2008 ) . A countrywide prevalence study in the Philippines by the Department of Health showed that four ( 4.1 % ) out of one 100 Filipinos are diabetics, and the prevalence was higher in urban ( 6.8 % ) than in rural ( 2.5 % ) countries. The World Health Organization estimates that there will be a doubling of prevalence of diabetes in Southeast Asia every five to ten old ages. Using this as premise, the prevalence of diabetes in the Philippines is about 8 to 16 per centum ( National Objectives for Health, 2005 ) . Besides, the decease rate in diabetes has risen from 4.3 per 100,000 population in 1984 to 7.1 per 100,000 population in 1993. It is of import to observe that there is underreporting of deceases due to diabetes, as shown by local surveies, because of misclassification as deceases due to cardiovascular or nephritic disease both of which are chronic complications of DM ( National Objectives for Health, 2005 ; Fauci et Al, 2008 ) . Type II Diabetes Mellitus Risk factors and Nosologies Harmonizing to the American Association of Clinical Endocrinologists ( AACE ) Medical Guidelines for Clinical Practice for the Management of Diabetes Mellitus ( AACE Diabetes Mellitus Clinical Practice Guidelines Task Force, 2007 ) , there are several hazard factors to developing prediabetes and Diabetes Mellitus. Such hazard factors are ( a ) household history of diabetes, ( B ) cardiovascular disease, ( degree Celsius ) overweight or corpulent province, ( vitamin D ) sedentary life style, ( vitamin E ) Latin american or Latino, Non-Hispanic black, Asiatic American, Native American, or Pacific Islander ethnicity, ( degree Fahrenheit ) antecedently identified impaired glucose tolerance or impaired fasting glucose, ( g ) high blood pressure, ( H ) increased degrees of triglycerides, low concentrations high-density lipoproteins cholesterin, or both, ( I ) history of gestational diabetes, ( J ) history of bringing of an baby with a birth weight gt ; 9 lbs, ( K ) polycystic ovary syndro me, and ( cubic decimeter ) psychiatric unwellness. To name Diabetes Mellitus, any one of the three standards is sufficient in diagnosing the patient harmonizing to the AACE. These standards are: ( a ) symptoms of diabetes such as polyuria, polydipsia, unexplained weight loss and insouciant plasma glucose concentration of greater than or equal to 200 mg/ deciliter, ( B ) fasting plasma glucose concentration of greater than or equal to 126 mg/ deciliter, and ( degree Celsius ) 2-hour postchallenge glucose concentration of greater than or equal to 200 mg/ deciliter during a 75-gram unwritten glucose tolerance trial. A Diabetess Mellitus Prevention A survey done by the Diabetes Prevention Program ( DPP ) showed that intensive alterations in life style, quantified as diet and exercising for 30min/day five times/week in persons with impaired glucose tolerance ( IGT ) delayed the development of Type II DM by 58 % . ( Harrison ‘s, 2008 ) . It was besides found out that Metformin slowed down the patterned advance or halted the development of Type II DM by 31 % compared to placebo. Peoples with a strong sensitivity to diabetes due to household history or impaired glucose tolerance or impaired fasting glucose ( IFG ) , are strongly advised to keep a normal BMI and prosecute in regular exercising. Harmonizing to the recent ADA Consensus panel, persons with IFG and IGT who are at a high hazard for patterned advance to diabetes ( age lt ; 60 old ages, BMI gt ; 35 kg/m2, household history of diabetes in the first-degree, elevated triglycerides, reduced HDL, high blood pressure, or A1C gt ; 6.0 % ) could be appraised for Metformin intervention but non other medicines. Acute complications of DM The acute complications of diabetes are diabetic diabetic acidosis ( DKA ) and hyperglycemic hyperoslomar province ( HHS ) . Both upsets are associated with absolute or comparative insulin lack, volume depletion, and acid-base abnormalcies. These may take to serious complications if non quickly remedied. Diabetic Ketoacidosis The usual marks and symptoms of DKA are A sickness and emesis, hyperglycaemia, hypotension, Kussmaul respirations, fruity Oder on the patient ‘s breath, inordinate thirtst, and polyuria. DKA is characterized by hyperglycaemia, ketonemia, and metabolic acidosis that is accompanied by secondary metabolic abnormalcies. Hyperglycemic Hyperosmolar State HHS may normally be seen in an aged person with Type II DM, with symptoms of polyuria, weight loss, and lessened unwritten consumption that preceded mental confusion or coma. Physical scrutiny shows profound desiccation and hyperosmolarity with concomitat hypotension, tachycardia, and altered mental province. In contrast to DKA, HHS does non present with sickness, purging, abdominal hurting and Kussmaul marks. Chronic complications of DM The chronicity of the disease brings about systemic engagement that affects multiple organ systems. Complications may be divided into nonvascular and vascular complications. Nonvascular complications include gastroparesis, tegument alterations, and cataracts. Vascular complications can be farther subdivided into micro and macrovascular. Microvascular alterations, which result from long standing hyperglycaemia include retinopathy, neuropathy, and nephropathy. Macrovascular alterations include coronary arteria disease and peripheral arterial diseases. ( NIkki, I ‘ll direct you my bill of exchange. di ko getaway kung tama. I Ca n’t make the model here. ) Figure 1.Conceptual Model V. Aims A A A A A A A A A A A With the nature of the work and environment in a call centre industry, the survey aims to find if working in a call centre predisposes an person to the development of Type II diabetes mellitus ( DM ) . Specifically, it aims: a. A A A A A A A To find the incidence of Type II Diabetes Mellitus within the period of survey. b. A A A A A A A To find the etiologic factors associated with the development of Type II Diabetes Mellitus. VI. Mentions AACE Diabetes Mellitus Clinical Practice Guidelines Task Force ( 2007 ) . American association of clinical endocrinologists medical guidelines for clincial pattern for the direction of diabetes mellitus. Endocrine Practice. 13:3-68 Andrews, R.C. , O. Herlihy, D.E.W. Livingstone et Al. ( 2002 ) . Abnormal hydrocortisone metamorphosis and tissue sensitiveness to cortisol in patients with glucose intolerance. The Journal of Clinical Endocrinology 87 ( 12 ) : 5587-5593. Di Tecco, D. , Cwitco, G. , Arsenault, A. , Andre, M. ( 1992 ) . Operator Stress and Monitoring Practices. Appl Ergon 23, 147-53. d’Errico, A. , Caputo, P. , Falcone, U. , Fubini, L. , Gilardi, L. , Mamo, C. , Migliardi, A. , Quarta, D. , and Coffano, E. ( 2010 ) . Hazard factors for upper appendage musculoskeletal symptoms among call centre employees. Journal of Occupational Health. 52:115-124. Employment and Immigration. ( 2008 ) . Alberta Occupational Profiles: Name Centre Agent. Government of Alberta. Retrieved September 10, 2010 from A hypertext transfer protocol: //alis.alberta.ca/occinfo/Content/RequestAction.asp? aspAction=GetHTMLProfile A ; format=html A ; occPro_ID=71002991 Fauci, AS. , Braunwald, E. , Kasper DL. , Hauser, SL. , Longo, DL. , Jameson, JL.. , and Loscalzo, J. ( 2008 ) . Harrison ‘s Principles of Internal Medicine. 17th erectile dysfunction. A USA: The McGraw-Hill Companies, Inc. Halford, V. , and Cohen, HH. ( 2003 ) . Technology usage and psychosocial factors in the self-reporting of musculoskeletal upset symptoms in call centre workers. Journal of Safety Research. 34 ( 2 ) :167-173 Lin, YH. , Chen, CY. , HONG, WH. , and Lin YC. ( 2010 ) . Perceived occupation emphasis and wellness ailments at a bank call centre: comparing between inbound and outbound services. Industrial Health. 48:349-356 Merck Manuals Online Medical Library ( 2010 ) . Obesity. Retrieved September 11, 2010 from hypertext transfer protocol: //merck.com/mmhe/sec12/ch156/ch156a.html National Objectives for Health. ( 2005 ) . Retrieved 9 September 2010 from hypertext transfer protocol: //www2.doh.gov.ph/noh/3-2-3.pdf National Statistics Office. ( 2010 ) . 2008 Annual Survey of Philippine Businesss and INdustry: Business Process Outsourcing Activities. Manila Philippines. Retrieved September 10, 2010 A from hypertext transfer protocol: //www.census.gov.ph/data/sectordata/aspbi08_bpotx.html O’Maley, R. ( 2008 ) . Particular Report — Call Centres in the Philippines. Retrived September 10, 2010 from: www.callcentrehelper.com/special-report-in-the-philippines-2231.htm Rivette, D. ( 2010 ) . The Emerging Philippine Value Proposition. Trestle Group Consulting. Retrieved September 11, 2010 from hypertext transfer protocol: //www.bpap.org/bpap/publications/ TG_SDS_PhilippineValueProposition_March2010 % 5B1 % 5D ( 2 ) .pdf Rocha, LE. , Glina, DMR. , Marinho, MdF. , and Nakasato, D. ( 2005 ) . Hazard factors for musculoskeletal symptoms among call centre operators of a bank in Sao Paulo, Brazil. Industrial Health. 43:637-646 Ruiz, J. ( 2010 ) . HIV instances soar among Filipino yuppies, name centre workers. ABS-CBN News. Retrieved 10 September 2010 from hypertext transfer protocol: //www.abs-cbnnews.com/lifestyle/01/27/10/hiv-cases-soar-among-filipino-yuppies-call-center-workers Sudhashree, VP. , Rohith, K. and Shrinivas, K. ( 2005 ) . Issues and concerns of wellness among call centre employees. Indian Journal of Occupational and Environment Medicine. 9 ( 3 ) : 129-132 Tidy, C. ( 2009 ) . Diabetes mellitus. Filipino Medics. Retrieved 10 September 2010 from hypertext transfer protocol: //www.philippinemedics.com/diabetes-mellitus/ UP Population Institute ( 2010 ) . Lifestyle, Health Status and Behavior of Young Workers in Call Centers and Other Industries: Metro Manila and Metro Cebu. Retrieved 11 September 2010 from hypertext transfer protocol: //www.abs-cbnnews.com/lifestyle/08/05/10/call-center-workers-diet-fast- food-caffeine-and-alcohol How to cite Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay, Essay examples

Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay Free Essays

string(18) " old ages of age\." The outsourcing industry is presently a turning tendency in the Philippines supplying employment chances for many immature professionals. The Filipino outsourcing industry has grown 46 % yearly since 2004 ( Rivette, 2010 ) and is presently stand foring 21 % of the $ 7.2 billion of entire Business Process Outsourcing ( BPO ) grosss worldwide. We will write a custom essay sample on Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay or any similar topic only for you Order Now With the addition in BPO employment chances, more and more immature Filipino professionals are using for and working as call centre agents. Approximately 400,000 Filipinos are already employed as call centre agents ( Rivette, 2010 ) and with a growing rate of 46 % yearly, it can be estimated that another 200,000 Filipinos will be fall ining this work force following twelvemonth. However, despite the economic benefits of the enlargement of BPO in the Philippines, an addition in work-related diseases in call centre companies have besides been reported. The most researched work-related disease in call centres in the Philippines is on sexually transmitted infections, peculiarly HIV-AIDS. Harmonizing to the survey done by the UP Population Institute ( 2010 ) , 20 % of male call centre agents are commercial sex workers while 14 % of them give payment in exchange for sex. The survey besides showed that 1/3 of call centre agents have had insouciant sex in the last 12 months. These statistic s validate the addition in hazardous sexual behaviour among call centre agents in the Philippines. However, addition in hazardous sexual behaviour is merely a portion of the life style of most call centre agents. Other hapless lifestyle picks observed among call centre agents is their backing of fast nutrient, smoke, ingestion of intoxicant, increased caffeine consumption, reduced slumber, and diminish physical inaction. Besides hapless lifestyle picks, the nature of their work besides predisposes them to emphasize and perturbations in their sleeping form. All of these factors predispose them to wellness jobs peculiarly high blood pressure, fleshiness, and diabetes. A figure of surveies have already been conducted on the incidence of sexually transmitted diseases and name centre agents in the Philippines but there are presently no surveies yet on the incidence of other diseases among call centre agents. This survey would wish to bridge this information spread because cognition on th e development of other diseases like high blood pressure and diabetes are besides every bit of import as cognition on the increased transmittal of STIs among call centre agents. A In this survey, the research workers would wish to research the association between the development of Diabetes Mellitus Type II among call centre agents in the Philippines. As mentioned above, name centre agents and their lifestyle predisposes them to developing diabetes. The research workers would wish to turn to the job of potentially developing Diabetess Mellitus because of the long-run complications of this disease on the quality of life. The research workers would desire to specifically turn to Type II Diabetes Mellitus for the basic ground that this type of Diabetes develops chiefly because of lifestyle factors. The research workers believe that cognition on the association between call centre agents and the development of Diabetes Mellitus Type II is extremely important because of the wellness deductions of this disease and its possible to be prevented. II. Significance of the Study The increasing tendency of call centre bureaus in the state provides occupation chances to the increasing supply of alumnuss in the state. Bing employed as a call centre agent in a call centre bureau is assumed to increase the hazard of sensitivity to different disease entities because of the extremist life style alterations one undergoes. With the increasing figure of employed call centre agents, there is hence an addition in the figure of people who are at hazard of geting diseases. Few literature trades with call centre agents that discusses the acquisition of certain diseases secondary to their business. This survey aims to increase the fund of literature with respect to this. Diabetess Mellitus, Type II is a chronic and debilitating disease. Besides, as said, this is a life-long disease. Once a individual acquires this disease, he or she will everlastingly be predisposed to the co-morbidities and effects of the disease ; which in bend, will diminish one ‘s figure of productive life old ages. A Prevention is the most cost-effective attack when aiming populations. If the consequences of this survey will demo an association between being a call centre and geting Diabetes Type II, we would be able to turn to the spread in cognition with respects to the association of being an employed call centre agent and geting Diabetes Mellitus, Type II. Besides this would supply extra informations for policy shapers to turn to steps with respects to the bar of this disease. III. Scope of Restrictions A A A A A A A A A A A The survey will merely include employees in call centres in Ortigas, Philippines. The survey will be done for a period of 5 ( ? ) old ages and will merely find if an person will develop Type II Diabetes Mellitus ( DM ) or non. The survey will non quantify the grade and badness of the disease upon diagnosing. Fasting blood glucose ( FBG ) will be used in the diagnosing of DM, as it is the most dependable and convenient trial for placing DM in symptomless persons ( Fauci et al, 2008 ) and portion of the guidelines used by the American Association of Clinical Endocrinologists ( AACE Diabetes Mellitus Clinical Practice Guidelines Task Force, 2007 ) . Persons will be counted as instances if diagnosed with Type II DM through the class of the survey. Cases will be provided with appropriate intercessions ( non-pharmacological, referral ) . A A A A A A A A A A A A A The survey will except those who have the followers at the start of the survey: Type II DM, history of Diabetes in the immediate household, organic structure mass index ( BMI ) above or below the normal value as per Asian criterion, and more than or equal to 30 old ages of age. You read "Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay" in category "Essay examples" These exclusion standards are the factors that can be controlled in choosing the persons within the population that may predispose them to be identified as instances. IV. Review of Related Literature Name Center Industry Harmonizing to a reappraisal done by O’Maley ( 2008 ) , the Philippines has been a major participant in the outsourcing industry over the past 10 old ages. Six major factors were identified to be the grounds why the Philippines take part radically in the said industry. One is the increasing authorities support for information engineering investing despite the fickle political clime. Second is the uninterrupted pooling of college alumnuss with good English communicating accomplishments and proficiency. It was stated in the reappraisal that 75 % of the entire population in the Philippines ( harmonizing to a United Nations ‘ informations ) speak English fluently with a 94 % literacy rate which gives a comparative advantage in the industry as compared to other states. Third is high cognition about Information and Communications Technology ( ICT ) . Fourth is the easy constitution of a dependable and moderately priced telecommunication substructure. Fifth are the low costs bu t high quality locations of call centre bureaus. And in conclusion, 6th, the increasing tendencies of outsourcing globally. In that same article written by O’Maley, it was said that the Philippines systematically ranks among the top five Business Procedure Outsourcing ( BPO ) locations globally. This portions a five-year-compounded one-year growing rate of 38 % . The Philippine BPO system was besides coined as the major participant in the growing of the service sector in the state. The Philippines plays a major function in providing the demand for more call centre agents as an consequence of the planetary trending of outsourcing worldwide. Harmonizing to the Philippine National Statistic Office ( 2010 ) , name centre activities ranked first among all BPO activities covering about half of the entire industry with 219 ( 48 % ) call centre constitutions. A With the increasing figure of call centre bureaus, it is logical to state that there is besides an increasing demand for call centre agents to work for such industry. Call centre activities employ bulk of the workers among all BPOs. In 2008, call centre bureaus employed about 150,000 workers ( Philippine National Statistics Office, 2010 ) . There are about 400,000 Filipinos who are presently employed as call centre agents harmonizing to Rivette ( 2010 ) . Name Center Agents Harmonizing toA a policy provided by the Employment and Immigration Department of the Government of Alberta ( 2008 ) , call centre agents are the 1s who â€Å" respond to inquiries and enquiries, construct client relationships, decide client jobs and supply information about company policies, merchandises and services over the phone and via electronic communicating. † Working conditions from one call centre to another may differ. Harmonizing to that same policy, name centre agents normally work indoors but in a instead unfastened environment to diminish privateness. Further, directors are allowed to enter and supervise the conversations of an agent and his or her client. Working displacements besides differ from one bureau to another. Some bureaus provide services 24-hours a twenty-four hours, seven yearss a hebdomad. Lifestyle of Call Center Agents and Associated Health Risk Factors Because of the nature of their work, name centre agents normally live a life style that may set them at hazard for development of certain diseases. First, name centre â€Å" workers remained in a inactive sitting place 95 % of the clip † ( Rocha, 2005 ) which makes them prone to physical inaction that may take to fleshiness. Development of fleshiness is of significance because it is a hazard factor for the development of Diabetes Mellitus Type II harmonizing to the AACE Diabetes Mellitus Clinical Practice Guidelines Task Force of 2007. Second, name centre workers are exposed to a extremely nerve-racking environment. Call centre workers â€Å" identified call-time force per unit areas i.e. , holding to treat a client call within a specific figure of seconds as holding the strongest relationship to occupation emphasis † ( Di Tecco et Al, 1992 ) . Another survey identified â€Å" holding to cover with hard clients as the most important beginning of occupation emphasis in 54.0 % of call centre agents managing inbound services and 54.4 % of call centre agents managing outbound services † ( Lin et al, 2010 ) . High degrees of emphasis can take to increased hydrocortisone degrees in the organic structure which is of significance because of its effects on organic structure metamorphosis. Abnormalities in organic structure metamorphosis can take to metabolic jobs such as stress-induced fleshiness which may give rise to high blood pressure, lipemia, and hyperglycaemia ( Andrews, 2002 ) . Third, the usual diet of call centre agents is high in cholesterin and fat and low in fibre which puts them at hazard for dyslipidemia and hypercholesteremia. In a survey conducted by the UP Population Institute, they identified the usual lifestyle picks of immature professionals in Metro Manila and Metro Cebu. They studied the economic, societal and wellness position of 929 immature professionals less than 35 old ages old working at call centres and non call centres. The survey revealed that â€Å" there is a high degree of ingestion of french friess, Burgers, french friess and fried chicken † among the workers and â€Å" a few figure consume instant noodles and street nutrient on a regular basis † . It was found out that fried poulet was the most popular nutrient pick among Business Process Outsourcing ( BPO ) workers with 78 % stating that they consume it on a regular basis. French friess were the following most popular nutrient pick with 54 % stating they consume it on a regular basis, followed by french friess at 53 % and Burgers at 49 % . High caffeine consumption was besides reported in 2/3 of all immature professionals imbibing java daily. However, the survey pointed out that call centre workers drank more java than non-call centre workers. Call centre workers drank 2.3 cups of java daily while non call centre workers drank 1.7 cups daily. Tea consumption was besides reported where 1/4 of all call centre workers drank tea while merely 1/5 of non-call centre workers drank tea. The survey besides revealed that 50 % of all immature workers drink soda daily at an norm of 1.5 bottles or tins daily. The survey besides explored leisure activities of call centre agents. Based on the UP Population Institute study, 72 % of call centre agents said that their most common leisure activity is imbibing compared to partying ( 62 % ) or videoke catchs ( 59 % ) . The survey said that overall â€Å" there is a really high degree of current imbibing among workers † , 85 % for call centre agents and 87 % for non-call centre agents. Fatty nutrient and ingestion of intoxicant can increase triglyceride and cholesterin degrees which is a hazard factor for the development of diabetes ( AACE, 2007 ) . Fourth, sleep want is common among call centre agents. In the same survey, they besides found out that alternatively of the recommended 8 hours of slumber, name centre agents merely acquire 6.2 hours of sleep each twenty-four hours. Sleep want can take to metabolic perturbations and hormonal alterations doing fleshiness ( Merck ) and accordingly diabetes. Fifth, due to tire and miss of slumber, name centre agents resort to smoke to get by with emphasis. They reported that â€Å" 43 % of call centre employees smoke while merely 21 % of non call centre agents smoke † . â€Å" A call centre agent who smokes normally consumes 9 sticks a twenty-four hours on norm † . Smoking is a known hazard factor for the development of coronary artery disease taking to high blood pressure and cardiac disease. Since high blood pressure and cardiac disease are risk factors for the development of Diabetes Mellitus Type II ( AACE, 2007 ) , smoking may so predispose an person in developing diabetes. Diseases Associated with Call Center Employees An addition in the turnover, absenteeism, and occupational diseases in call centre employees resulted from deficiency of modernisation of procedures and organisational planning in call centres in Brazil ( Rocha et al, 2005 ) . A focussed group probe conducted in a call centre employed with 200 persons observed the â€Å" presence of ailments of muscular hurting, tummy achings, sleep changes and crossness † ( Westin in Rocha et Al, 2005 ) . Work-related muscular upsets were found to be extremely prevailing among the female than male call centre employees, specifically on the neck/shoulder part ( 43 % ) and on the wrists/hands part ( 39 % ) . It was observed that a combination of high demands and deficiency of work control among the female call centre employees A reflect a extremely nerve-racking occupation that predispose them to the increased hazard of holding musculoskeletal upsets ( Theorell in Rocha et Al, 2005 ) . The restrictions of the survey done by Rocha et Al ( 2005 ) are that the analyses were limited to one call centre linked to a bank, cross-sectional design, little sample size, and symptom-based diagnosing ( such as hurting, numbing, giddiness, prickling esthesis, stiffening, firing esthesis ) . In a survey done by d’Errico et Al ( 2010 ) , the presence of musculoskeletal symptoms in the same part was assessed utilizing the undermentioned inclusion standards to continue the specificity of the result, although it probably decreased its sensitiveness: a ) presence of musculoskeletal symptoms ( hurting, combustion, stiffing, numbness or prickling ) at any clip during the last 28 yearss and B ) audience to a physical and or self-medication because of the symptoms. Besides, the â€Å" presence of any disease known to be associated with musculoskeletal upsets such as high blood pressure, diabetes, systemic lupus erythematosus, urarthritis, thyroid diseases, rheumatoid arthritis ) , old hurts in the last five old ages, leisure physical activity, organic structure mass index, smoke, matrimonial position, educational degree, gender, and age category were explored as possible confounders of the association between workplace factors and musculoskeletal symptoms. † It was found in this survey that 45 % of workers reported musculoskeletal symptoms wherein cervix ( 39 % ) symptoms were the most prevailing, followed by the shoulder ( 22 % ) , handwrist ( 10 % ) , and cubitus ( 4 % ) . Neck/shoulder symptoms were associated with â€Å" low occupation control, elevated noise, hapless desk lighting and impossibleness to tilt back while sitting. † Elbow/hand-wrist symptoms were associated with â€Å" short intervals between calls, deficient working infinite, deficiency of forearm support, occupation insecurity, and long senior status in the industry. † Other survey that reported the presence of musculoskeletal symptoms among call centre employees were done by Halford and Cohen ( 2003 ) wherein computing machine usage factors and single psychosocial factors were significantly associated with self-reporting of musculoskeletal upset symptoms. Sudhashree et Al ( 2005 ) stated in a column missive that the call centre industry in India ranked high for abrasion due to wellness grounds such as kiping upsets ( 83 % ) , voice loss ( 8.5 % ) , ear jobs ( 8.5 % ) , digestive upsets ( 14.9 % ) and oculus sight jobs ( 10.6 % ) . Burnout stress syndrome, which includes chronic weariness, insomnia, and complete change of biological beat of the organic structure are everyday cause for sickness absenteeism. Chronic degree of emphasis besides affects other systems of the organic structure such as the cardiovascular and hormone. In a survey done by Lin et Al ( 2010 ) in a bank call centre in Taiwan, name centre employees have had prevailing ailments of musculoskeletal uncomfortableness, oculus strain, gruffness, and sore pharynx. Besides, it was found that those who perceived higher occupation emphasis had significantly increased hazard of multiple wellness jobs, including oculus strain, tinnitus, gruffness, sore pharynx, chronic cough with emotionlessness, thorax stringency, cranky tummy or peptic ulcers, and musculoskeletal uncomfortableness. In the Philippines, there are no surveies about the wellness hazards and occupational diseases associated among call centre employees. However, there is a study of a rise in the figure of Filipinos infected with Human Immunodeficiency Virus ( HIV ) and includes the call centre employees ( Ruiz, 2010 ) . Diabetess Mellitus, Type II Type II Diabetes Mellitus and Epidemiology A A A A A A A A A A A Diabetes mellitus ( DM ) is a group of metabolic upsets wherein there is an addition in blood sugar ( hyperglycaemia ) ensuing from absolute or comparative lack of insulin, or both. There are many categorizations of this disease entity based on the diseased procedure that leads to hyperglycemia. In Type II DM, hyperglycaemia resulted from a scope of preponderantly insulin opposition with comparative insulin lack to a preponderantly insulin secretory defect with insulin opposition ( Fauci et al, 2008 ) . It normally occurs among the older age group ( gt ; 30 old ages old ) but there is an increasing diagnosing in the younger group ( Tidy, 2009 ) . â€Å" Most symptoms of diabetes appear really tardily in the phase of the disease. A batch of diabetics do non hold symptoms when their blood sugars are elevated for the first clip † ( National Objectives for Health, 2005 ) . A A A A A A A A A A A There is a dramatic addition in the prevalence of Diabetes Mellitus worldwide, from ~30million instances in 1985 to 177 million in 2000. Type II DM is increasing more quickly because of â€Å" increasing fleshiness and decreased activity degrees as states become more industrialised, † as in the instance of many developing states in Asia ( Fauci et al, 2008 ) . A countrywide prevalence study in the Philippines by the Department of Health showed that four ( 4.1 % ) out of one 100 Filipinos are diabetics, and the prevalence was higher in urban ( 6.8 % ) than in rural ( 2.5 % ) countries. The World Health Organization estimates that there will be a doubling of prevalence of diabetes in Southeast Asia every five to ten old ages. Using this as premise, the prevalence of diabetes in the Philippines is about 8 to 16 per centum ( National Objectives for Health, 2005 ) . Besides, the decease rate in diabetes has risen from 4.3 per 100,000 population in 1984 to 7.1 per 100,000 population in 1993. It is of import to observe that there is underreporting of deceases due to diabetes, as shown by local surveies, because of misclassification as deceases due to cardiovascular or nephritic disease both of which are chronic complications of DM ( National Objectives for Health, 2005 ; Fauci et Al, 2008 ) . Type II Diabetes Mellitus Risk factors and Nosologies Harmonizing to the American Association of Clinical Endocrinologists ( AACE ) Medical Guidelines for Clinical Practice for the Management of Diabetes Mellitus ( AACE Diabetes Mellitus Clinical Practice Guidelines Task Force, 2007 ) , there are several hazard factors to developing prediabetes and Diabetes Mellitus. Such hazard factors are ( a ) household history of diabetes, ( B ) cardiovascular disease, ( degree Celsius ) overweight or corpulent province, ( vitamin D ) sedentary life style, ( vitamin E ) Latin american or Latino, Non-Hispanic black, Asiatic American, Native American, or Pacific Islander ethnicity, ( degree Fahrenheit ) antecedently identified impaired glucose tolerance or impaired fasting glucose, ( g ) high blood pressure, ( H ) increased degrees of triglycerides, low concentrations high-density lipoproteins cholesterin, or both, ( I ) history of gestational diabetes, ( J ) history of bringing of an baby with a birth weight gt ; 9 lbs, ( K ) polycystic ovary syndro me, and ( cubic decimeter ) psychiatric unwellness. To name Diabetes Mellitus, any one of the three standards is sufficient in diagnosing the patient harmonizing to the AACE. These standards are: ( a ) symptoms of diabetes such as polyuria, polydipsia, unexplained weight loss and insouciant plasma glucose concentration of greater than or equal to 200 mg/ deciliter, ( B ) fasting plasma glucose concentration of greater than or equal to 126 mg/ deciliter, and ( degree Celsius ) 2-hour postchallenge glucose concentration of greater than or equal to 200 mg/ deciliter during a 75-gram unwritten glucose tolerance trial. A Diabetess Mellitus Prevention A survey done by the Diabetes Prevention Program ( DPP ) showed that intensive alterations in life style, quantified as diet and exercising for 30min/day five times/week in persons with impaired glucose tolerance ( IGT ) delayed the development of Type II DM by 58 % . ( Harrison ‘s, 2008 ) . It was besides found out that Metformin slowed down the patterned advance or halted the development of Type II DM by 31 % compared to placebo. Peoples with a strong sensitivity to diabetes due to household history or impaired glucose tolerance or impaired fasting glucose ( IFG ) , are strongly advised to keep a normal BMI and prosecute in regular exercising. Harmonizing to the recent ADA Consensus panel, persons with IFG and IGT who are at a high hazard for patterned advance to diabetes ( age lt ; 60 old ages, BMI gt ; 35 kg/m2, household history of diabetes in the first-degree, elevated triglycerides, reduced HDL, high blood pressure, or A1C gt ; 6.0 % ) could be appraised for Metformin intervention but non other medicines. Acute complications of DM The acute complications of diabetes are diabetic diabetic acidosis ( DKA ) and hyperglycemic hyperoslomar province ( HHS ) . Both upsets are associated with absolute or comparative insulin lack, volume depletion, and acid-base abnormalcies. These may take to serious complications if non quickly remedied. Diabetic Ketoacidosis The usual marks and symptoms of DKA are A sickness and emesis, hyperglycaemia, hypotension, Kussmaul respirations, fruity Oder on the patient ‘s breath, inordinate thirtst, and polyuria. DKA is characterized by hyperglycaemia, ketonemia, and metabolic acidosis that is accompanied by secondary metabolic abnormalcies. Hyperglycemic Hyperosmolar State HHS may normally be seen in an aged person with Type II DM, with symptoms of polyuria, weight loss, and lessened unwritten consumption that preceded mental confusion or coma. Physical scrutiny shows profound desiccation and hyperosmolarity with concomitat hypotension, tachycardia, and altered mental province. In contrast to DKA, HHS does non present with sickness, purging, abdominal hurting and Kussmaul marks. Chronic complications of DM The chronicity of the disease brings about systemic engagement that affects multiple organ systems. Complications may be divided into nonvascular and vascular complications. Nonvascular complications include gastroparesis, tegument alterations, and cataracts. Vascular complications can be farther subdivided into micro and macrovascular. Microvascular alterations, which result from long standing hyperglycaemia include retinopathy, neuropathy, and nephropathy. Macrovascular alterations include coronary arteria disease and peripheral arterial diseases. ( NIkki, I ‘ll direct you my bill of exchange. di ko getaway kung tama. I Ca n’t make the model here. ) Figure 1.Conceptual Model V. Aims A A A A A A A A A A A With the nature of the work and environment in a call centre industry, the survey aims to find if working in a call centre predisposes an person to the development of Type II diabetes mellitus ( DM ) . Specifically, it aims: a. A A A A A A A To find the incidence of Type II Diabetes Mellitus within the period of survey. b. A A A A A A A To find the etiologic factors associated with the development of Type II Diabetes Mellitus. VI. Mentions AACE Diabetes Mellitus Clinical Practice Guidelines Task Force ( 2007 ) . American association of clinical endocrinologists medical guidelines for clincial pattern for the direction of diabetes mellitus. Endocrine Practice. 13:3-68 Andrews, R.C. , O. Herlihy, D.E.W. Livingstone et Al. ( 2002 ) . Abnormal hydrocortisone metamorphosis and tissue sensitiveness to cortisol in patients with glucose intolerance. The Journal of Clinical Endocrinology 87 ( 12 ) : 5587-5593. Di Tecco, D. , Cwitco, G. , Arsenault, A. , Andre, M. ( 1992 ) . Operator Stress and Monitoring Practices. Appl Ergon 23, 147-53. d’Errico, A. , Caputo, P. , Falcone, U. , Fubini, L. , Gilardi, L. , Mamo, C. , Migliardi, A. , Quarta, D. , and Coffano, E. ( 2010 ) . Hazard factors for upper appendage musculoskeletal symptoms among call centre employees. Journal of Occupational Health. 52:115-124. Employment and Immigration. ( 2008 ) . Alberta Occupational Profiles: Name Centre Agent. Government of Alberta. Retrieved September 10, 2010 from A hypertext transfer protocol: //alis.alberta.ca/occinfo/Content/RequestAction.asp? aspAction=GetHTMLProfile A ; format=html A ; occPro_ID=71002991 Fauci, AS. , Braunwald, E. , Kasper DL. , Hauser, SL. , Longo, DL. , Jameson, JL.. , and Loscalzo, J. ( 2008 ) . Harrison ‘s Principles of Internal Medicine. 17th erectile dysfunction. A USA: The McGraw-Hill Companies, Inc. Halford, V. , and Cohen, HH. ( 2003 ) . Technology usage and psychosocial factors in the self-reporting of musculoskeletal upset symptoms in call centre workers. Journal of Safety Research. 34 ( 2 ) :167-173 Lin, YH. , Chen, CY. , HONG, WH. , and Lin YC. ( 2010 ) . Perceived occupation emphasis and wellness ailments at a bank call centre: comparing between inbound and outbound services. Industrial Health. 48:349-356 Merck Manuals Online Medical Library ( 2010 ) . Obesity. Retrieved September 11, 2010 from hypertext transfer protocol: //merck.com/mmhe/sec12/ch156/ch156a.html National Objectives for Health. ( 2005 ) . Retrieved 9 September 2010 from hypertext transfer protocol: //www2.doh.gov.ph/noh/3-2-3.pdf National Statistics Office. ( 2010 ) . 2008 Annual Survey of Philippine Businesss and INdustry: Business Process Outsourcing Activities. Manila Philippines. Retrieved September 10, 2010 A from hypertext transfer protocol: //www.census.gov.ph/data/sectordata/aspbi08_bpotx.html O’Maley, R. ( 2008 ) . Particular Report — Call Centres in the Philippines. Retrived September 10, 2010 from: www.callcentrehelper.com/special-report-in-the-philippines-2231.htm Rivette, D. ( 2010 ) . The Emerging Philippine Value Proposition. Trestle Group Consulting. Retrieved September 11, 2010 from hypertext transfer protocol: //www.bpap.org/bpap/publications/ TG_SDS_PhilippineValueProposition_March2010 % 5B1 % 5D ( 2 ) .pdf Rocha, LE. , Glina, DMR. , Marinho, MdF. , and Nakasato, D. ( 2005 ) . Hazard factors for musculoskeletal symptoms among call centre operators of a bank in Sao Paulo, Brazil. Industrial Health. 43:637-646 Ruiz, J. ( 2010 ) . HIV instances soar among Filipino yuppies, name centre workers. ABS-CBN News. Retrieved 10 September 2010 from hypertext transfer protocol: //www.abs-cbnnews.com/lifestyle/01/27/10/hiv-cases-soar-among-filipino-yuppies-call-center-workers Sudhashree, VP. , Rohith, K. and Shrinivas, K. ( 2005 ) . Issues and concerns of wellness among call centre employees. Indian Journal of Occupational and Environment Medicine. 9 ( 3 ) : 129-132 Tidy, C. ( 2009 ) . Diabetes mellitus. Filipino Medics. Retrieved 10 September 2010 from hypertext transfer protocol: //www.philippinemedics.com/diabetes-mellitus/ UP Population Institute ( 2010 ) . Lifestyle, Health Status and Behavior of Young Workers in Call Centers and Other Industries: Metro Manila and Metro Cebu. Retrieved 11 September 2010 from hypertext transfer protocol: //www.abs-cbnnews.com/lifestyle/08/05/10/call-center-workers-diet-fast- food-caffeine-and-alcohol How to cite Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay, Essay examples

Proposition 19 free essay sample

The legality of marijuana has been the subject for debate and controversy for decades. With the new generation, the number of supporters of marijuana legalization has increased dramatically. In the United States, legalizing marijuana is a major concern because it is the most frequently used illegal drug. Nearly 98 million Americans over the age of 12 have tried marijuana at least once. Politicians have thought of legalizing marijuana to increase revenue by imposing taxes. At the forefront of this idea is California, which is currently the most populous state in the United States yet has the highest budget deficit of all states. Also, California has the 5th highest unemployment rates exceeding 12 percent. In 2009, the California economic crisis became severe as the state faced bankruptcy. This budget shortfall has caused the state to look for ways out. Californias way out of a huge budget deficit begins with Proposition [5] Proposition 19 also known as the Regulate, Control and Tax Cannabis Act of 2010 would legalize various marijuana activities, allow local government to regulate these activities, allow for marijuana related government axes, and authorizes various criminal and civil penalties by local government. The California ballot for Proposition 19 opened on November 2, 2010 in California, hoping to change the fate of marijuana legalization in America forever. The bill failed, but only trailed the outcome by nearly 500 votes. 4] Among the arguments for the passing of Proposition 19 was that legalizing marijuana in California could reduce drug-related violence, based on a study conducted by the International Centre for Science in Drug Policy. In addition some believe that it would help alleviate the drug war in Mexico. Based on the theory adopted by the White House Office of National Drug Control Policy that up to 60% of Mexican drug cartels profits come from sales of marijuana, legalizing the drug in nearby California would drastically cut their funding. As a result, supporters of this argument believed that legalization would lead to a decrease in drug-related violent crime in Mexico. [3] Also cited were a savings of $960 million per year in law enforcement costs, and a generation of $350 million a year in state and local tax revenues. Supporters also argued that passing the measure would result in additional benefits including tourism and spinoff ndustries such as cafes and paraphernalia. Based on Californias wine industry, proponents of this theory anticipated that legalizing marijuana in the state could generate up to $18 billion, including the creation of 60,000-110,000 Jobs. [4] Perhaps one of the most well-known arguments for the legalization of Marijuana is to treat conditions including pain and nausea caused by HIV/AIDS, cancer and other conditions. When presented with all the information above its easy to see why so many people can rationalize their decision to support Proposition 19. Increasing revenue and employment rates while decreasing law enforcement costs and crime, ll by providing the public with a safe wonder drug to aid in a variety of ailments. What could e better? Untortunately though all these claims seem viable none ot them can escape scrutiny. To address Marijuana as a potential drug, scientific evidence needs to be provided to substantiate the claims. To date the evidence is not sufficient for the marijuana plant to gain FDA approval, for two main reasons. First, there have not been enough clinical trials showing that marijuanas benefits outweigh its health risks in patients with the symptoms it is meant to treat. The FDA equires carefully conducted studies in large numbers of patients (hundreds to thousands) to accurately assess the benefits and risks of a potential medication. [5] Also, to be considered a legitimate medicine, a substance must have well-defined and measureable ingredients that are consistent from one unit (such as a pill or injection) to the next. This consistency allows doctors to determine the dose and frequency. As the marijuana plant contains hundreds of chemical compounds that may have different effects and that vary from plant to plant, its use as a medicine is difficult to evaluate. However, THC-based drugs to treat pain and nausea are already FDA approved and prescribed, and scientists continue to investigate the medicinal properties of cannabinoids. Regarding the supposed economic benefits of taxing marijuana, some comparison with two drugs that are already regulated and taxed, alcohol and tobacco is worth considering. People dont typically grow their own tobacco or distill their own spirits, so consumers accept high taxes on them as retail products. Marijuana, though, is easy and cheap to cultivate, indoors or out, and Proposition 19 would allow individuals to grow as much as 25 square feet of arijuana for personal consumption. Why would people volunteer to pay high taxes on marijuana if it were legalized? The answer is that many would not, and the underground market, adapting to undercut any new taxes, would barely diminish at all. This bill also implied that marijuana would be regulated and controlled by the initiative. In fact, the law provides for no regulation or control, but leaves it up to local governments to initiate such controls and or regulations. In addition, there are no provisions to tax marijuana cultivation or use in the initiative. Instead, such taxation, f it ever happens will be left to local governments. In fact, a provision of the initiative specifically prevents the state of California from taxing marijuana sales any more than the usual sales tax in contrast to cigarettes and liquor. 1] Since the enforcement of locally enacted taxation will be next to impossible, there will never be any significant revenue produced through this initiative. Another major conflict is that this bill would create a state law that conflicts with federal drug laws. On the surface, this does not seem to be a big deal, since President Obama has stated that e wont enforce the federal law in California. However, the re is another issue that could cause the loss of billions of dollars to the state. Public contracts and grants require grantees to effectively enforce the drug-free workplace requirements (which includes marijuana use) outlined by the federal governments Federal Workplace Act of 1988. Not only may schools lose their federal grants, but medical research institutions, could lose millions of dollars annually The current healthcare and criminal Justice costs associated with alcohol and tobacco far surpass the tax revenue hey generate, and very little of the taxes collected on these substances is contributed to offsetting their substantial social and health costs. For every dollar society collects in taxes on alcohol, for example, we end up spending eight more in social cos ts That is hardly a recipe tor fiscal health A recent Rand Corp. report, Altered State, found that it is difficult to predict estimated revenue from marijuana taxes, and that legalization would increase consumption but could also lead to widespread tax evasion and a race to the bottom in terms of local tax rates. Perhaps the biggest concern is safety on the roads. In 2010 a comment was made by a formal General Sergeant that driving under the influence of Marijuana is much like being under the influence of Alcohol. In response an experiment was conducted by two local Los Angeles Journalists who decided to take a car and drive stoned. With the help from the California Highway Patrol the highway was closed to the public and several obstacles were arranged simulating how a driver might need to operate in heavy traffic. The experiment, said one of the Journalists was to see how impaired I was after smoking pot California has more drivers than any other state, 22 million of hem. So the big concern was if legalizing marijuana would make the roads less safe. The proponents of Proposition 19 insist it wont. The common conception among supporters is that the impairment is rather slight like taking an antihistamine. The journalists certainly found that driving and drugs dont mix. One of them nearly veered off the highway through a test course. l wasnt 0k, so that was kind of shocking to me said one of the drivers. But safety seems to be a big reason support for proposition 19 dropped. 1 percent opposed and 39 percent supported in a poll conducted before the bill was denied in 2010. 5] To give credibility to the tests conducted by the Journalists we can explore the affects Marijuana has on the brain. When marijuana is smoked, THC rapidly passes from the lungs into the bloodstream, which carries the chemical to the brain and other organs throughout the body. THC acts upon specific molecular targets on brain cells, called cannabinoid receptors. These receptors are o rdinarily activated by chemicals similar to THC called endocannabinoids, such as anandamide. These are naturally occurring in the body and are part of a neural communication network (the endocannabinoid system) that lays an important role in normal brain development and function The highest density of cannabinoid receptors is found in parts of the brain that influence pleasure, memory, thinking, concentration, sensory and time perception, and coordinated movement. Marijuana over activates the endocannabinoid system, causing the high and other effects that users experience. These include distorted perceptions, impaired coordination, difficulty with thinking and problem solving, and disrupted learning and memory. Because it seriously impairs Judgment and motor coordination, marijuana also contributes to accidents while driving. A recent analysis of data from several studies found that marijuana use more than doubles a drivers risk of being in an accident. Further, the combination of marijuana and alcohol is worse than either substance alone with respect to driving impairment. As a recreational drug, marijuana is not quite as benign as most of its proponents would claim. Heavvy marijuana use results in long-term effects on the brain, including lower responses in those areas which are affected by THC. Although users are able to compensate somewhat through the use of other brain areas, the long term effects of his damage, as users age, has not been determined. This damage may be responsible for impairments noted in short-term and long-term memory, along with a host of possible other psychiatric illnesses. Regular use of marijuana use by young people can nave especially negative long lasting impact on the structure and tunction of their brains. A recent study of marijuana users who began using in adolescence revealed a profound deficit in connections between brain areas responsible for learning and memory. And a large prospective study (following individuals across ime) showed that people who began smoking marijuana heavily in their teens lost as much as 8 points in IQ between age 13 and age 38; importantly, the lost cognitive abilities were not restored in those who quit smoking marijuana as adults. [4] A proportion of marijuana users become addicted and suffer from classic withdrawal symptoms upon abstinence. For a minority of users, marijuana is a gateway drug, and they proceed to use and abuse more powerful psychostimulants. Besides its effects upon the brain, Marijuana raises heart rate by 20-100 percent shortly after smoking; this effect can last up to 3 hours. In one study, it was estimated that marijuana users have a 4. 8-fold increase in the risk of heart attack in the first hour after smoking the drug. This may be due to increased heart rate as well as the effects of marijuana on heart rhythms, causing palpitations and arrhythmias. Marijuana use can lead to increased risks for respiratory cancers and may have some adverse cardiovascular and cerebrovascular effects in some users. Marijuana smoke has been placed on the California Proposition 65 list of carcinogenic materials, as required by California law for materials proven to cause cancer. 5] Marijuana use during pregnancy has been shown to result in lower child intelligence, while increasing the incidence of mental health problems. The idea that marijuana is a harmless recreational pastime has been disproved through continuing scientific research. Although this bill was denied the continued support for legalizing Marijuana is great, ensuring that this is a topic that will be an issue of debate for years to come. In my opinion we dont need all the problems that will result from the passage of Proposition 19 . This bill would established a legal right to use marijuana, potentially endangering the lives of thers through allowing intoxicated individuals to perform crucial driving Jobs. In addition, this bill could result in the loss of billions of dollars in federal grants and contracts to schools and hospitals, which would be unable to comply with federal drug-free workplace requirements. Contrary to the claims of proponents, Prop 19 would neither regulate, control, nor tax marijuana, but merely provides the legal right of local governments to create their own hodgepodge of local laws and ordinances, which would be virtually impossible to enforce. Although marijuana use does not egatively impact all users, it does have numerous adverse health effects on a significant percentage of individuals, which will result in increased medical and social costs to the people of California. This was a poorly written initiative that needs to make drastic revisions before it can be considered, in addition to the conduction of more scientific research needs to be done to determine future health risks for the users.