Wednesday, October 9, 2019
Bruce Springsteen Research Paper Example | Topics and Well Written Essays - 1250 words
Bruce Springsteen - Research Paper Example Nicknamed, ââ¬Å"The Boss,â⬠Bruce Frederick Joseph Springsteen was born on September 23 in the year 1949 in New Jersey. With Elvis Presley as his inspiration to pick up a guitar and start playing, at the age of seven, the future of Rock and Roll has just begun. Because his only interest was to play his guitar and surround himself with music, he was a loner in high school and a drop out in college. In the middle of 1960, he, with the help of sponsors supporting young bands in town, became lead guitarist and then, lead singer of The Castiles. Afterward, by the late 1960s to 1972, he gained local fame, playing with different bands at local clubs in several states, such as Massachusetts, California, and his hometown, New Jersey. His creative songwriting skill and talent captured the attention of Mike Appel, Jim Cretecos and John Hammond, a talent scout of the renowned Columbia Records. Bruce Springsteen put his signature on a record deal with Columbia Records, which was about to c hange his life completely. He also brought his colleagues in New Jersey to record songs with him, forming the E Street Band. When Springsteen released his first album, a number of critics liked a couple of his songs, and was even compared to Bob Dylan . Jon Landau, the ex-Rolling Stone critic wrote, ââ¬Å"I saw Rock and Roll future, and its name is Bruce Springsteen.â⬠After his momentous success, releasing more albums, by 1975, he started to finally gain great success. With the release of Born to Run, the title song has gone up in the charts, and his album reached the Top Ten. Selling out concerts and selling over six million copies, Springsteenââ¬â¢s music achieved mainstream success. He was also able to grace the covers of Time and Newsweek at the same time. However, the forward motion of his success was broken when internal problems started to occur between him and Appel. Springsteen filed a lawsuit against his manager and it was settled after two long years, in 1977. D uring those years of entanglement, Springsteen was not allowed to be in the studio to record, so he channeled his songs to other artists and musicians, composing for Southside Johnny, Patti Smith and Asbury Jukes. He also kept the E Street Band intact by touring at length across the United States. After the settlement of the case, Springsteen was able to record again. In 1978, he released Darkness on the Edge of Town under Landau as the new manager, which marked a change in his musical style. Fromà the raw and natural, lively lyrics, lengthy compound musical compositions to themes of darkness, night, love and blood. Although most of the songs barely reached chart-topping success, the album indicated a turning point in his life and did attain the number one slot as NME album of the year. Despite the tribulations that occurred, Springsteen was able to gain back and strengthen his success with the help and support of his new manager, Jon Landau. His next album was solemn and serious. Entitled The River, it became the doorway of his future songwriting. It was the first album that confronted and dealt with men, women, marriage, love and family. This album hit number one in the charts and sold over five million copies. A couple of the songs such as ââ¬Å"Hungry Heartâ⬠and ââ¬Å"Fade Awayâ⬠reached the charts as well. Although his later compositions and recordings for his following album
Tuesday, October 8, 2019
The Raise interactive scenario Essay Example | Topics and Well Written Essays - 250 words
The Raise interactive scenario - Essay Example In Tanzania in the areas of Mererani, children are subjected to deplorable conditions of mining, while they ought to be in schools or other places. A child is supposed to go through childhood and enjoy the happenings that happen in that stage. It does not help matters that poverty and the rare of occurrence of gem could be coincidental in Mererani (Sanga, 2007). Thus, the children in this place are subjected to work at that early stage and point in their life. It beats logic to note that as much as this place and area is a lucrative zone of close to thirty million dollars, a sizeable proportion of the population still live under poverty. It is needless to stress that the children who work in this sites also constitute part of the poor population (Goodman & Barnes, 2011). Thus, it would be more beneficial to them and the future of the society if they were involved in other alternative activities such as pursuing education. Subsequently, the risk and the deplorable work conditions in the mines do not make matters any easy for the children. Firstly, the children do not have any skill or expertise on how to act or behave when they are down deep in the mines (Schroeder, 2010). Thus, they are exposed to dangers of losing the prospects of a better life ahead of them, if they do not succumb to the dangers of the mines. Conclusively, there are other options that could be pursued to relieve these children off their predicament as articulated above. Sanga, S. P. (2007). The Role of Poor Governance in the Tanzanite-Al Qaeda Link Controversy, and Policy Options for Tanzania Enabling it to Escape from ââ¬ËCursesââ¬â¢ in the Mining Industry. One Society Institute.[Online] Available at: www. policy. hu/document/200808/sebastian. sanga. pdf&letoltes,
Monday, October 7, 2019
What do you think comprises reality Term Paper Example | Topics and Well Written Essays - 1000 words
What do you think comprises reality - Term Paper Example We do not have a direct perception of substances in minds, but only a representation of them. What we know is not what is inherent to the substances, but only the secondary and primary qualities. Thus, according to Locke, the substances are bodies, which are material, and souls, which are immaterial. Then there is God. He explains the existence of God, not from inherent ideas, but from sense-experience. Their basic substance is assumed from the perception of physical qualities, since qualities must have a solid basis. Likewise, a spiritual soul is formed from the observation of mental operations. We perceive bodies through sensation and have a lucid and instant idea of our soul by reflection. The outside world is independent of the mind. The presence of real objects is what causes real sensations in us (Tully 53). Locke further says there are interactions between the body and mind, both of which are real beings, resulting in the actions of our bodies and minds. The changes experience d by the soul are as a result of its being acted on by outside bodies. On Lockeââ¬â¢s third substance, God, he provides that we shape an idea of God by expanding or taking to infinity the rules and objects of our sensations and reflections. What we experience are existence, extension, knowledge and power. Taking them to infinity is our idea of God (Tully 67). Descartes described a substance as a particular thing. He argues that there are material or physical substances and thinking substances, the mind. The substances have characteristics called modes. Modes of physical substances include their location in time, space, shape and volume. The mode of thinking substances includes ideas, judgments and desires of the subject. Every substance has an essential property. The essential property of a material substance is occupying space and time. The essential property of a thinking substance is thinking. Therefore, having ideas, believing or desiring are ways of thinking, and having a sh ape and volume are ways of occupying space and time. Descartes further divides material substances into finite and infinite. Examples of finite materials are human bodies, plants and earth. Likewise, human minds are finite thinking substances. Adding a third substance, he says God is an infinite substance. Therefore, according to Descartes, there are three types of substances; modes, finite substances, and infinite substance. Descartes views reality as relative and divides them into formal and objective reality. Formal is the kind of reality something possesses by merit of the type of thing it is. Infinite substances, finite substances, and modes possess formal reality in varying degrees. Modes have the least formal reality, followed by finite substances then infinite substance in ascending order. The amount of formal reality contained in something is determined by its dependence on another for its existence. The higher the dependence something has on another for existence, the less the formal reality it contains. Modes depend on finite substances, and in turn finite substances depend on infinite substances for existence (Tully 41). For example, the shape of a ball would not exist without a ball, but a ball could exist without that shape. On objective reality, Descartes contributes that first it is only possessed by representation. This means that it is possessed by things that stand for other things. Basically, these are ideas. Examples of representations
Saturday, October 5, 2019
History of money Essay Example | Topics and Well Written Essays - 1500 words
History of money - Essay Example The function of money is identifying the value of a standard measurement of goods and services. Money is used as a denominator where one can express the measure of the value of a commodity. Money is also identified as existing through human convections. For this reason, human beings have the power to change the value of money or change it. It is in the nature of money that it is identified as being subject to fluctuations due to value with all other commodities that it may be compared to. Money is, however, more stable when compared to goods. This is because goodââ¬â¢s value is related specifically to the individuals that demand the goods. Use of money is a measure of value for establishing the proportional value that could make it possible to equalize all commodities with this standard where it is accepted and makes the community and enables exchange.The nature of money is that all commodities, things, and objects are measurable by money. Exchange of goods and services for money occur when the parties reach a common ground for agreement on exchange basing the agreement on the idea of proportionality. The nature of money allows humans to reach an agreement that serves the needs of their intercourse and interaction although it might not be possible to for different goods to be equal.The nature and condition of transactions are dependent on the good and service that the buying party wants. Since nature requires equality, where unequal individuals receive shares unequally, the significance of money in the act of exchange is demonstrated
Friday, October 4, 2019
Ip3 managing organizational change Research Paper
Ip3 managing organizational change - Research Paper Example be through team work in brainstorming and initiating new strategies and developing a plan that transforms the organization from current to preferred situation. Change agents i.e. firms executives should support the change process by offering transformative leadership, goal oriented approach to change, visionary leadership, interpersonal skills and good communication skills. According to Egan, he suggests that planning be at the forefront of any change so as to gain value and desired results thus the need for goal oriented planning. Organization executive may in the short term to build up the intended change, develop various mechanism to promote the change process among employees, such include creating short term wins to show change progress, communication of vision and mission statement and team building by creating cohesive, committed and productive work groups. Long term strategies involve process strategies such as quality circles, surveys and career training and structural strategies such as firm restructuring, management by objectives and job redesign. Organization change process is also determined by the resource mobilization capability of an organization; this can range from human resources, financial resources and physical resources. An organization should motivate the employees to derive the best output from their efforts; this can be through offering financial benefits and fringe benefits. Tools of performance are vital instruments to ensure progressive change process is within the firm. Executive should be at hand to ensure that all change components are committed to the change endeavor in order to realize maximum output from the
Thursday, October 3, 2019
Organizational culture Essay Example for Free
Organizational culture Essay 1. Discuss several areas in which HR can affect organizational culture positively or negatively. A human resources department plays a significant role in determining the culture of an organization. Human resources cultivate and execute policies and procedures in key areas such as hiring practices, compensation, management relations and employee conduct and behavior. The decisions made by the human resources department can have significant positive and negative implications for the overall cultural quality of the organization. Some of the affected areas include creating awareness, compensation plans, hiring practices and behavior. Company executives may not always have a true understanding of their corporate culture, as they are often far removed from the front lines of the operation. Human resources personnel can provide the benefit of instructing top management as to what the culture is really like. This may lead to positive changes in the corporate culture, it could also lead to changes that meet with resistance from employees, such as when management decides it needs to change or eliminate popular employee programs that it deems wasteful or unproductive. When it comes to compensation, the human resources department typically accepts the responsibility of designing compensation programs for the organization. Depending on how they achieve this, it could have a positive as well as negative impact on organizational culture. For example, an incentive program for salespeople may provide the opportunity for these employees to increase their compensation through greater productivity. Nevertheless, it could also cr eate an environment where the salespeople are competing against each other, leading to the deterioration of teamwork and morale. Human resources also determine the hiring and recruiting practices used by the organization, which has a great impact on the organizational culture. A strong attention to characteristics of job candidates such as education and experience can certify that the company hires employees who are capable of performing the job. In contrast, if there is a lack of focus on characteristics like personality and people skills, the company may end up hiring candidates who will have difficulty being a sole member of the corporate culture. Another key area subsiding under human resources is the conduct of the organizations members. In many organizations, particular larger ones, this involves the development of a code of conduct or ethics that specifics how employees should treat each other and conduct their daily activities. An operative code of conduct that denotes the core values of the organization and is strictly enforced can promote a culture characterized by high levels of ethical behavior. On another note, a weak code or one that is only given lip service by human resources could lead to a culture of dishonesty and distrust. 2. For many individuals, the nature of work and jobs is changing. Describe these changes, some reasons for them, and how they are affecting both HR management and individuals. In reference to our textbook, our world is ever changing when it comes to the workplace. Some of the issues that affect the organization include technology, changing demographics, education and cultural issues. According to the article, ââ¬Å"The Changing Nature of Organizations, Work and Workplace,â⬠In todays world, the structure, content, and process of work have changed. Work is now: * more cognitively complex * more team-based and collaborative * more dependent on social skills * more dependent on technological competence * more time pressured * more mobile and less dependent on geography. In todays world, you will also be working for an organization that is likely to be very different due to competitive pressures and technological breakthroughs. Organizations today are: * leaner and more agile * more focused on identifying value from the customer perspective * more tuned to dynamic competitive requirements and strategy * less hierarchical in structure and decision authority * less likely to provide lifelong careers and job security * continually reorganizing to maintain or gain competitive advantage. 3. Why is it important for HR management to transform from being primarily administrative and operational to becoming a more strategic contributor? According to the PowerPoint, ââ¬Å"Changing Nature of Human Resource Management,â⬠Dr. Zaw states that the typical roles are still apart of human resources managers job descriptions, but the magnitude and percentage of each within the job description has altered. Human resources roles typically include; * Processing and recording keeping * Operational and employee advocate role Human resources strategic roles typically include: * ââ¬Å"having a seat at the tableâ⬠by contributing to organization results and success * Human resources becomes a strategic partner * When it focuses on creating program that will enrich the organization performance * Engage human resources in strategic planning at the onset * Contribute in the decision making in reference to mergers acquisitions and downsizing * Recreating of organizations and work processes * Accounting and documentation the financial means of human resource activities He then explains the nature of strategic Human Resource Management. 1. The relationship of the organizational and HR strategic strategies a. Cost Leadership includes i. Competition on the basis of low price and high quality of product or service ii. Relies on building employees fit specialized needs iii. Requires a longer human resources planning horizon approach b. Differentiation iv. Competition on the basis of either offering distinctively different products or services v. Relies on hiring needed skills vi. Needs a shorter planning time frame in order to be responsive to dynamic environments 2. Organizational Productivity and Efforts c. Human Resources Productivity vii. Unit labor costs computed by dividing the average cost of workers by their levels of output viii. Low unit labor costs can be a basis for strategy focusing on human resources ix. Productivity and unit labor cost can be determined at the global, country, organizational or individual level. d. Organizational Effectiveness and Financial Contributions of Human Resource x. Linking with financial executive to certify human resources financial contribution to organizationââ¬â¢s performance e. Customer Service and Quality Products Linked to Human Resources Strategies xi. High quality productions and services are the outcome of human resources enrichment to the organizational performance f. Organizational Culture and Organizational Effectiveness xii. Organization culture is the values and beliefs shared amongst the organization. 4. What steps can HR professionals take to ensure that mergers and acquisitions are successful? How can HR help during the integration process? In reference to the article, ââ¬Å"What is the Role of Human Resource During a Merger?â⬠, Diane Chinn covers five distinct areas that human resources must focus on during a merger which includes executive coaching, employee communication, culture integration, employee retention and human resources integration. Executive Coaching: Even though human resources have been considered a major staff function, it is shifting more to an essential strategy function. In the process of a merger, human resources should function as executive coaches assisting leaders in understanding the relationship with effective human resources management and merger success. It also gives management insight to the different assumption of issues that may hinder the merger and find different solution for dealing with the issues. Employee Communication: There should be ongoing communication with the employees in reference to the success of the merger. Even though employees do not understand the reason for the merger, they may presume to be against the decision without effective communication. Itââ¬â¢s the responsibility of the human resources department to create a communication strategy in reference to each step of the merger process. Cultural Integration: It is the responsibility of human resources to examine and compare the cultures of the two organizations and develop and execute a plan to address cultural issues that could affect the merger such as shared or conflicting values, beliefs and assumptions. Employee Retention: Human resources must ensure that employees have the necessary skills and knowledge needed for the organization remain a part of the merged organization. Human Resources Integration: When the companies merge, there are duplicate systems that must be consolidated or merged. This is especially true in HR where employee management, compensation and benefits, employee training, development and HR information systems must continue to function throughout the merger process. 5. Many companies in the United States have recently put an end to the practice of giving an annual employee Christmas party due to complaints by employees with non-Christian religious backgrounds or spiritual values who claimed the Christmas party was discriminatory employment practice. These dissident employees argued that the employer who celebrated by paying for an employee Christmas party favored Christianity over other religions and belief systems. Do you think non-Christian employees are treated illegally or unethically when the employer decides to give a Christmas party for all the employees? What is the basis of your decision? What would be a reasonable accommodation that an employer could make to satisfy both the Christian and non-Christian employees? Yes, I do feel that non- Christian employees are treated unfairly because employers should be delicate to the religious beliefs of their employees. Title VII of the Civil Rights Act of 1964 prohibits discrimination in employment on the basis of race, color, religion, sex or national origin. I feel that no one should be forcing to do something thatââ¬â¢s not a part of their beliefs or character. My recommendation would be to have an end of the year celebration where all are able to attend and possible share their cultural experience with everyone through foods, decorations and performances.
Substance Abuse Among Adolescent Students
Substance Abuse Among Adolescent Students CHAPTER I: INTRODUCTION 1.1. Background Adolescence is a period of transition from childhood into adulthood, a period of physical, psychological and social maturation. This is a crucial period of life when an individual is no longer a child but not yet an adult. The term adolescent refers to individuals between 10-19 years of age (early adolescence 10-14 years and late adolescence 15-19 years). In this period they are usually very energetic, enthusiastic, and anxious and become more autonomous in their decision taking.1 To show that they are capable of handling themselves the risk taking behavior among them is very high which, as a consequence, may bring different kinds of problems. Substance abuse is common and one of the most disturbing problems among the youths. In Nepal adolescents comprise about one fourth (24%) of the total population.2 Substance abuse refers to the harmful or hazardous use of psychoactive substances, including tobacco, alcohol and illicit drugs.3 Substance abuse is the use of any substance(s) for no n-therapeutic purposes or use of medication for the purposes other than those for which it is prescribed. It refers to the over-indulgence in and dependence of a drug or other chemicals leading to effects that are detrimental to the individualà ¢Ã¢â ¬Ã
¸s physical and mental health, or the welfare of the others. Substance abuse has complex roots; in biological predisposition, personal development, and social context. Specific social correlates such as parent-child conflict, child physical and sexual abuse, family breakdown etc has also great role4. The transition from adolescence to young adulthood is a crucial period in which experimentation with illicit drugs in many cases begins. Because of their innate curiosity and thirst for new experiences, peer pressures, their resistance to authority, sometimes low self-esteem and problems in establishing positive interpersonal relationships, young people are particularly susceptible to the allure of drugs. However, all youth around the world do not have the same reason for abusing drugs.5 Substance abuse also predicts affiliation with network of deviant peers who introduce these adolescents to other substances.4 [2] Adolescent substance use usually starts with alcohol and cigarette which are referred to as gateway substances. They are the initial substances used before others are tried out and later progress to more dangerous ones such as cannabis and cocaine.4 In most societies cigarette smoking, alcohol drinking and using drugs are more or less perceived by young people as something alluring. Many also see it as a status symbol, a way to telling their peers and contemporaries that they have come of age. In Nepal, alcohol use has not been taken seriously either by the community or by any social organization.6 There is no age restriction on buying cigarettes. Cannabis and alcohol were traditionally used in Nepal for centuries. A cannabis derivative such as marijuana and bhang is often justified in connection with religious festivals because of the presumed prediction by one principal figure of the Hindu pantheon, the lord Shiva for the drug.7 With time, risky behavior such as gluing, sniffing an d injecting the drugs has been introduced. Though drug use is strictly illegal in Nepal, the easy access and availability of drugs has created a conducive environment for the people to start taking such substances, especially among young people and children. Substance abuse is one of the main risk factors for numbers of heart and lung diseases, oral, lung and stomach cancer, psychiatric problems and even death. Poor social coping skills, broken homes, disturbed relationships and risky behaviors is its social consequences.3 A number of measures, both on supply reduction and demand reduction, have been taken by the government and non-governmental organizations. However, the number of drug users is in the increasing trend.6 Substance abuse, therefore, is still a major public health problem and theres a need of more extensive awareness and rehabilitation programmes. 1.2. Problem statement Substance use poses a significant health, social and economic threat to families, communities and nations. The extent of worldwide psychoactive substance use, according to World Health Organization (WHO) 2002, is estimated at 2 billion alcohol users, 1.3 billion smokers and 185 million drug users. Similarly, there are 150 million adolescent tobacco users. In an initial estimate of factors responsible for the global burden of disease, tobacco, alcohol and illicit drugs contributed together 12.4% of all deaths worldwide in the year 2000.8 [3] Tobacco alone contributes 8.8%, alcohol- 3.2% and illicit drugs-0.4% of all the death worldwide. Injecting drug use has been reported in 136 countries, of which 93 countries report HIV infection among this population. Tobacco is the largest burden in Europe and South-East Asia while alcohol poses the largest burden in Africa, the Americas, and Western Pacific. Worldwide alcohol causes 2.5 million deaths (3.8 % of total) and 69.4 million (4.5% of total) of Disability-Adjusted Life Years (DALYs).8 According to Nepal Demographic Health Survey (NDHS) 2006, one-third of men smoke cigarettes and two-fifth consumed other forms of tobacco, whereas 15% of women smoke cigarettes and 5% consumed other forms of tobacco.2 According to Non Communicable Disease Risk Factors Survey 2008 in Nepal, 37.1% were tobacco users. Of them, 26.2% (35.5% men and 15.9% women) were found to be currently smoking among which 23.8% were daily smokers. Mean age of the initiation of smoking was 18.8 years for men and 12.9 years for women. Similarly, 28.5% were found to be currently consuming alcoholic drinks wherein almost one and half times more men (39.3%) than the women counter parts (16.5%).9 The report published by United Nations Economic and Social Council (UNESC) showed that the younger the age of first use of illicit drugs, the higher the severity of drug problem later. The age of first experience with drugs has been falling in many regions of the world. Adolescent substance use is increasingly prevalent throughout the world.10 According to the Nepal Adolescent and Young Adult (NAYA) Survey 2000, about one-quarter of the young boys and one in ten girls have experienced smoking.11 Study conducted in Nepal by Ministry of Health and Population (MOHP), New ERA and orc Macro, 2002 have revealed that 47.4% of the adolescents aged 15-19 has consumed alcohol. Study conducted among teenagers in seven districts of the country stated that more than one in ten teenagers admitted to taking drugs. Of these teenagers, 56% took drugs by smoking, a quarter by inhaling (26%) and 5.4% admitted to injecting drugs.11 [4] 1.3. Rationale Substance abuse has been a rising social, economic and public health problem and the hazards associated with it are undeniable. It is one of the forms of behavior most damaging to the health in the long term and is associated with other risky behavior such as engaging in unprotected sex which may result in HIV/AIDS.7 Adolescence period is the major age of initiation of substance abuse.6 Substance abuse among adolescents seems to be alarmingly pace around the world and Nepal is no exception. Though there are organizations working for adolescents, very fewer studies are conducted regarding this issue. Awareness programs are insufficient due to the scarce of information of the real scenario. Since majority of substance abuse among youths starts in the school, the school population is the best place for early detection and prevention of substance abuse in the adolescent population. As a result of lack of sufficient and reliable data from which generalization can be derived for Nepal, the re is a definite need for additional school surveys on substance abuse in the country. This study provides the base information on the use of various substances among school adolescents. It is intended to describe the magnitude of substance abuse among school children, the factor motivating them to abuse and knowledge and perception regarding substance abuse so that the possible intervention could be taken. 1.4. Objectives 1.4.1. General objective To find out the magnitude and associated factors of substance abuse among adolescent students in secondary schools of Vyas municipality, Tanahun. [5] 1.4.2. Specific objectives To identify the prevalence of substance abuse among the adolescent students of Vyas municipality. To determine the age of initiation of substance abuse. To find out the factors influencing the initiation of substance abuse. To explore the students desire for quitting abuse of substance. To determine the students knowledge and perception regarding substance abuse. To determine patterns of substance abuse in terms of sex and type of school. 1.5. Research questions What is the prevalence of substance abuse among the adolescent students? What is the knowledge and perception of adolescents towards substance abuse? Do sex and type of school influence the use of substance? 1.6. Variables 1.6.1. Dependent à ¯Ã¢â ¬Ã Substance abuse 1.6.2. Independent à ¯Ã¢â ¬Ã Age à ¯Ã¢â ¬Ã Sex à ¯Ã¢â ¬Ã Peer influence à ¯Ã¢â ¬Ã Availability à ¯Ã¢â ¬Ã Types of school à ¯Ã¢â ¬Ã Knowledge and perception regarding substance abuse [6] 1.7. Conceptual framework Availability Substance abuse among school adolescents Age Sex Place Family History Type of school Peer influence Knowledge and Perception regarding substance abuse Types of substance Figure 1: Conceptual framework 1.8. Operational definitions Substance: Any psychoactive material which when consumed affects the way people feel, think, see, taste, smell, hear or behave. Cigarette, chewing tobacco, alcoholic products and drugs (drug tablets, cannabis, heroin, opium, glue/gum, tidigesic, tranquilizers) are included as a substance in this study. Substance abuse: Substance abuse is the non-medical use of substances in order to achieve alterations in psychological functioning. Use of any of the substances mentioned above for two or more times in a lifetime is included under substance abuse. Adolescent students: Secondary school students of grade 8, 9 10 of both community and institutional schools within the age of 10-19 years are considered adolescent students. School: Government-aided community schools and institutional schools are studied. [7] Knowledge level regarding harmful effects of substance abuse: Those who could list at least one or more harmful effects of substance abuse are considered as having ââ¬Å"good knowledgeâ⬠and those who couldnà ¢Ã¢â ¬Ã
¸t list any are regarded as having ââ¬Å"poor knowledgeâ⬠. Perception towards substance abuse: The perception of the students was measured in 3 points scale: ââ¬Å¾agreeà ¢Ã¢â ¬Ã
¸, ââ¬Å¾disagreeà ¢Ã¢â ¬Ã
¸ and ââ¬Å¾canà ¢Ã¢â ¬Ã
¸t sayà ¢Ã¢â ¬Ã
¸. Statements for measuring perceptions are: à ¯Ã¢â ¬Ã One who abuses substance has more friends. à ¯Ã¢â ¬Ã One who abuses substance has negative image in the society. à ¯Ã¢â ¬Ã It is difficult to quit the substance after getting into it. [8] CHAPTER II: LITERATURE REVIEW Substance abuse is rising public health as well as social problem throughout the world. It poses a significant threat to the health, social and economic foundation of families, communities and nations. It is one of the major preventable causes of death and disability. There are about 2 billion alcohol users, 1.3 billion smokers and 185 million drug users worldwide.8 Consumption of substances has increased all over the world and the age of initiation of substance abuse is progressively falling. There has been increase in social and economic factors which make young more vulnerable and likely to engage in drug use and drug-related risk-taking behavior.10 A study carried out on ââ¬Å"Socio-Demographic Correlates of Psychoactive Substance Abuse among Secondary School Students in Enugu, Nigeriaâ⬠showed that 33.7% of the adolescents were substance abusers. Alcohol was most commonly abused (31.6%). Prevalence of the cigarette smoking was 14.3%, inhalants 9%, tranquilizers 7.4% and ca nnabis 4.15%. Males consumed most psychoactive substances more frequently than the females. Cigarette and cannabis were the exclusive preserve of the males. Older students were more involved in multiple substance use compared to younger ones. Among the users, 75% of the respondents were using more than one substance whereas 24.8% used only one substance.4 In a study carried out on ââ¬Å"Drug use among adolescents in Asturias (Spain)â⬠among the school students, 29.1% were drug user among which 55% were male. The average age of initiation of drugs was 15.4 years for males and 15.5 years for females. Cannabis was the most frequent drug used ever i.e. 20.8% of the total respondents became involved with this drug at sometime of their lives. Tranquilizers was second (10.3%), followed by amphetamine-like substance (7.9%) and inhalants (2.3%). The mean age at first drug use was 15.4 years for males and 15.5 years for females.12 A study carried out on ââ¬Å"Licit and illicit substance use by adolescent students in eastern India: Prevalence and associated risk factorsâ⬠among 416 students of classes VIII, IX and X in rural and urban settings gave the prevalence of 6.14% and 0.6%. The mean age of initiation of substance abuse was 12.6 and 13.9 years among rural and urban students respectively. Tobacco followed by alcohol was most commonly used in both setting. Prevalence was higher in males. Use of a substance by family [9] members had a significant impact on its use by their children. Enjoyment and Curiosity were found to have the major influence in their decision to use a substance.13 Another study carried out on ââ¬Å"Substance use among secondary school students in an urban setting in Nigeria: prevalence and associated factorsâ⬠revealed that the life time use prevalence rates of alcohol and tobacco were 9.25 and 5.2%. The commonest substance used by the students was caffeine (85.7%). In terms of gender, the prevalence rate for male was higher than for their female counterparts except for antibiotics, analgesics, heroin and cocaine. Major Reason for using substances included relief from stress- 43.5%. About three quarters of the respondents (70%) were unaware of problems or complications that could arise from substance use while 10.5% believed poor physical health could arise.14 Department of Narcotic Control in Bangladesh, in June 2008, reported about 5 million drug addicts in the country amo ng which young and adolescent population comprised 91%. Heroin is the most widely abused drug in Bangladesh.15 A study of adolescent smoking and drinking carried out among adolescent students in 2007 in Korea have shown that the prevalence of smoking was 29.2% while drinking was 48.2%. The mean age at the first instance of smoking and drinking was 13.8 and 14.1 years respectively. Among drinking adolescents, 30.1% were offered a drink by their parents, although most adolescents were encouraged to smoke or drink by their friends.16 The Global Youth Tobacco Survey (GYTS) of school-going adolescents of class 8-10 conducted by WHO in the South-East Asia Region revealed that one in 10 school-going adolescents in Nepal use some form of tobacco. The smoking rate for girls was significantly lower than that for boys. Exposure to smoke was both at home and in public places. Despite a substantial proportion of adolescents using tobacco, a large proportion of current smokers wanted to stop smoking. Regular presence of smokers in the family and easy accessibility of tobacco products were the major contributing factors to the prevalence of the smoking habit among adolescents in Nepal. It was also observed that almost one in ten smoking students smoke at home, revealing that there is no parental pressure on them to stop.11 [10] United Nations International Childrens Fund (UNICEF) 2001 survey in Nepal reported that more than one in ten teenagers admitted to taking drugs. Of these, 56% took drugs by smoking, 26% by inhaling and 5% by the injecting route. Majority (76.7%) of the adolescents was introduced to the drugs by their friends and 12% started taking on their own while 7% were encouraged by their father and uncles.11 According to a study done in school students of Grade 8, 9 and 10 in Pokhara sub- metropolitan city, nearly half 47.1% of the students ever used tobacco products. One in seven (13.2%) were current users, one in four (22.7%) were experimental users and one in ten were the past users of any tobacco product. The mean age of initiating tobacco was about 13 years and nearly one fifth (18.9%) initiated before 10 years of age. Boys were more likely to use tobacco than girls and adolescents of institutional schools were more likely to use tobacco products as compared to community school students. R egarding the knowledge of students about tobacco use nearly one third (31%) of the adolescent students were having good knowledge and less than half (42.7%) were having some knowledge about the hazards of tobacco use. Significant proportions of the adolescents have wrong perceptions about the use of tobacco i.e.47% thought that tobacco users have more friends and 27.3% thought that tobacco users are more attractive.17 [11]
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