Health Demographics in Derbyshire

Health Demographics in Derbyshire (Derby city council, 2013) Dermography Alvaston is in the south east of Derby city centre and approximately covers 702 hectares. It has expanded with the arrival of the railways and linked employment in the 19th century (Derby city council, 2011). The population of Alvaston is 16,255. 50.3 % are females and males make 49.7% and this follows a national trend (D.C.C, 2011). Alvaston has a higher number of children of the ages of 0-4, 2% more than England average (ONS, 2011). An increase in number of children is said to be a result of having a large population of women of childbearing age. This is reflected in the Ward. There is a higher percentage of women in this age range, potentially increasing the number of children in the Ward (ONS, 2013). Due to the vast improvements in healthcare infant mortality rates have continually decreased over the years (ONS, 2013). The high number of children can increase pressures on the local services such as childcare providers, schools and health visiting services. Gender Fig 2. According to ONS (2011) Alvaston ward has more females than males and this follows a national trend. Naidoo and Wills (2010) points out that women live 6 years longer than men on average. This is said to be because women are more likely to report illness and are less likely to be in full time employment, therefore having easier access to healthcare while men are exposed to unsafe working environments and tend to adopt risky behaviours socially, like alcoholism and they contribute to a high number of accidents. (Annandale and Hunt, 2000) Ethnicity Adapted by Author (ONS,2011)Fig 3. Alvaston Ward is not ethnically diverse, its population is predominantly white, accounting to 88% of the ward population, slightly higher than national average (ONS, 2011). However Asians make 5% of the biggest ethnic group population. Ethnicity plays a role in terms of illness and behaviour, furthermore some diseases are more prevalent in certain ethnic groups, and for example, cardiovascular diseases are more common in Asian men (NHS, 2015). Genetics cannot be altered but it is important for health professionals to be aware of such groups to allow proper preventative preparation and screening processes for diseases and illnesses prevalent in particular ethnic groups. Disease Paterns Adapted by Author:ONS,2012Fig 4. Morbidity Alvaston has good access to primary care services. There are three Gp practices, four pharmacies, four dental practices and an Optometrists serving the ward (Derby city council,2012).The ward has a significantly high percentage of people with emergency hospital admissions for myocardial infarction, 40% more than national average (local health.org.uk).The main cause of MI is smoking Coronary heart disease is also high at 38% more than national average. According to Naidoo and Wills (2010) coronary heart disease is one of the most commonly reported longstanding illness in the UK. It is the most common cause of premature death, and often results from a number of lifestyles factors (see Fig ) such as diet high in fat, smoking, alcohol and lack of exercise (Naidoo and Wills, 2010). Health practitioners have a role to construct programmes to tackle causation factors and educating the public about the risks accredited to certain habits and practices. Mortality Fig 5. Mortality is one of the indicators of deprivation, early mortality rates from Coronary heart disease are 39% higher in Alvaston compared to nationally (PHE, 2013). The death rates from CHD has increased to three times higher among unskilled man than among professionals (DOH, 1999). CHD is caused by key lifestyle risk factors such as smoking, poor nutrition, obesity, lack of exercise and high blood pressure (DOH, 1999). The ward is also high in smoking (see lifestyle graph). Poorer people are often exposed to highest risk as low socio economic status and lack of education seem to be associated with behavioural risk factors for CHD (Hemmingway, 2007). The increase of influencing factors to CHD start in childhood, and this has authenticated the healthy child programme.(DOH,2008). Although there are many causes of CHD, communities need to be made aware of the changeable risk factors. Unemployment has also shown to increase the risk of CHD, unemployment levels are higher in Alvaston compared to nationally. The DOH(2000) government document ‘Saving Lives: Our healthier nation has recommended that Health and Local authorities should lead the development and implementation of a comprehensive local programme of effective policies to reduce smoking, promoting healthy eating, physical activity and reducing overweight and obesity. In Alvaston, these services are provided by the Live-well, which is a local authority project. Cancer incidence Adapted by author: ONS, 2011Fig 6. Over 250 000 people in England are diagnosed with cancer, despite the developments made to tackle it, a big gap remains in mortality rates (Naidoo Wills, 2010). The increase in cancer rates is said to be a result of longer life expectancy, however according to ( ) work environment contribute to cancer mortalities. Workers from low class jobs are twice as likely to die from cancer as compared to professionals are (Naidoo and Wills, 2010). In Alvaston the majority of the workforce are in elementary jobs (see Fig ) and there are many smokers therefore increasing the prevalence of lung cancer to 44% more than national average. The NHS Framework, a strategy for cancer has set out actions to be used to tackle preventable causes of cancer (DOH, 2011). The focus is primary, this is aimed at health education and support for behaviour changes, especillially in relation to smoking and healthy eating. And secondary focus is intended at increasing the uptake of screening services (DOH.2011). And some of the environmental factors that are linked to cancer are being acknowledged and developed (Naidoo and Wills, 2010). Life expectancy Adapted by Author: ONS, 2011Fig 7. Life expectancy at birth defects in Alvaston is worse off compared to national average, Males at 5% worse and females at 4% worse (ONS, 2011). According to Doyal and Payne (2011) Lower life expectancy is linked to deprivation and lower socio economic status. Determinants of Health Determinants are described by World Health Organisation (2013) as the causes that impact health, such as conditions in which people are born, grow, live, work, and age including the health system. Some of these determinants are changeable like social, economic, environmental conditions that influence the health of individuals and populations (Marmot, 2010).Availability of resources that improve quality of life can have a big impact on population health outcomes, for example, availability of healthy foods, affordable housing, access to education and health services (Marmot, 2010) and these determinants can be altered either at community or social policy level. Index of Multiple deprivation Adapted by Author: (ONS,2012)Fig 8. Indices of multiple deprivation are those factors that are used to measure deprivation in an area. These measures include measurement of income, health, education and housing (Derby city council, 2012). Alvaston is one of the most deprived wards in the country, ranked fourth most deprived of all Derby Wards (Derby city council, 2010). Index of Multiple Deprivations (IMDs) measures level of deprivation in lower layer super output areas (LSOAs) (Derby city council, 2012) Childhood poverty is significantly high in the ward at 15% higher than national average, disadvantaged older people measure high at 25%, makes it 7% higher than national average, income deprivation also measure at 7% higher than England average (Derby city council, 2012). Green et-al (2015) points out that constant childhood poverty is damaging as it does not only affect in short term but it has long lasting effects and it adds to sustaining cycles of deprivation. In order to reduce childhood poverty, the government has set strategies to tackle inequalities (Green at-al, 2015). Fair society, healthy Lives document, and its first recommendations from the Marmot review (2010), are that every child is given the best start in life. These recommendations are sanctioned through a wide range of policy initiatives, including sure start, healthy child programme and Child Poverty Act, 2010. (Marmot, 2010). Education Adapted by Author: ONS, 2012Fig 8. Education is an important social determinant of health Ungerleider et-al (2009). There is a pointedly higher percentage, totalling to 33% of people with no qualification in Alvaston than England average of 23% (Derby city council, 2011). Education is linked to other health determinants in that good education increases the prospects of getting a safe and well-paying job with good working conditions (Benatar and Brook, 2011).educated individuals tend to adopt healthy lifestyles behaviours, furthermore it is Identified Health Need Adapted by Author: ONS,2012Fig 9. Coronary heart disease (CHD) Coronary heart disease is described as the narrowing of the coronary arteries, which are one of the important structures in the heart, due to build-up of fatty material within their walls and therefore damaging these vessels and thus limiting their ability to deliver blood to many organs including the heart.(BHF,2010)(Granato,2008). Coronary heart disease is also classed as cardiovascular disease, and these are said to be one of the main causes of death in Europe (BHF). In Alvaston there is a substantial percentage of coronary heart disease, amounting to 177 percent, almost doubling national average amongst the under 75s (ONS, 2012). According to the Derby city council (2012) health and wellbeing is determined by many factors, and it is clear that effects on health can be due to a number of interrelating variables. Coronary heart disease is caused by many lifestyle risk factors such as smoking, unhealthy diet (high in fat and salt), obesity and not exercising. Other factors include family history, ethnicity and co-existing predisposing factors like Diabetes and High blood pressure (Naidoo and Wills, 2010). The more risk factors an individual has the more they are likely to develop Coronary heart disease and the risk increases with age (British heart foundation, 2012). There is a small percentage of people eating healthy on the Ward and as already discussed that this is linked to CHD. Obesity increases the risk by 46 percent and physical inactivity by 37 percent and this reflects the high levels of the disease in the ward (Derby city council, 2012). Although coronary heart disease typically occur in middle age or later, it is said to be higher among the lower socio-economic communities and more men die as a result of CHD while women are more likely to die from stroke, and this is said to be due to behavioural factors associated with the risks (Doyal and Payne, 2011). To combat Heart disease the government has put in place many policies in collaboration with the Food Standards Agency to reduce the intake levels of unhealthy eating and salt (Marmot, 2010) (WHO,2015). The Department of Health document, ‘Saving Lives: Our healthier Nation(1999) has also made recommendation to tackle coronary Heart Disease There has been a reduction in the advertisements for unhealthy foods during children’s television programmes (NICE, 2010). Clear labelling and traffic light system on food labels were introduced to encourage people to make healthy option choices (DOH, 1999) (British heart Foundation). Promoting physical activity in the workplace is very well encouraged across the country and the use of green space areas to encourage exercise (Marmot, 2010) as well as introducing plain standardised tobacco packaging and banning tobacco advertisements and Smoking cessation (The white paper,2010).

Charm City :: Essays Papers

Charm City The bitter winds blow off the Chesapeake as we drive the Uhaul down the old cobblestone street toward our new apartment. My stomach flips with excitement. I'm actually moving to Baltimore. "Charm City." "The City That Reads." (At least this is what all the bus benches claim, but I'm sure many would argue.). The city where a young George Herman Ruth, Jr. swung a stick at a small rubber ball in front of 216 Emory Street and nineteen years later, after signing a contract with the Oriole's, adopted the name "Babe." The city where in 1826, an 8 year old Frederick Bailey retreated from the chains of slavery by learning to read and 21 years later, as Frederick Douglas, published the North Star, an abolitionist newspaper. The city where once upon a midnight dreary Edgar Allen Poe pondered, weak and weary and suddenly there came a tapping at his chamber door. The city where Marci Koch, an aspiring artist at 27, unpacked a Uhaul on a brisk wintry day in March of 1999. Various structures of different shapes and sizes decorate the Inner Harbor. At night, the darkness defines the scattered brilliance of towers, glowing wonders reflected in the water. The Lord Baltimore Hotel, once the tallest building in Maryland, glows gold, noble and proud. The king on a giant chessboard. The Legg Mason building stands at his side, his reigning Queen. The Bromo Seltzer building glows blue, dark and mysterious. The slender, square pillar resembles a castle. Clearly his rook. And the others scattered about, his bishops, knights, and pawns. Sprinkled upon red brick sidewalks, restaurants, shops, galleries, and hotels display dazzling signs that flicker and flash. Barnes and Nobles, Planet Hollywood, ESPN Zone. The Hyatt, The Hilton, The Sheraton Hotel. The Aquarium, Science Center, and Port Discovery Museum. A huge red and yellow neon guitar sits on top of the Hard Rock Cafe. The strings blink back and forth vibrating in the night sky. I imagine if it was real, all of Baltimore could hear it playing "Big City Nights" by the Scorpians. The sounds of the city create a symphony. The soprano squawks of seagulls, saxophones that compliment the deep sounds from ships in the harbor- a long, drawn out

Fiedler contingency model Essay

Whenever and wherever human beings are gathered together in large numbers, they need leadership. Even children need their school prefects and schools captains! Men whether of the East or the West, require to be led and each group ‘throws up’ its own leaders in each succeeding generation. Whether in the school-room, or on the battlefield or in governmental deliberations, people who are natural leaders and who are chosen to lead, always have the same qualities of character and of outlook. In order to become the best leader the person should possess several qualities that will be described in this essay. Leadership is an indispensable activity, which every leader has tap perform for directing the people, working under him. It is the ability of the Leader to induce subordinates to work with confidence and zeal. In other words â€Å"Leadership is the process by which an leader imaginatively directs, guides and influence the work of others in choosing and attaining specified goals by mediating between the individuals and the organisation in such as manner, that both will obtain maximum satisfaction. As a matter of a fact many people choose their perspective leader by appearance, however it is their fault. Some people have a misconception that only those people who are physically strong can become good leaders, but this is not the fact. A leader may not be physically strong but he needs to be mentally strong and firm in decisions. For example, Mahatma Gandhi, the Father of the Nation was the greatest leader but he was active and had a firm desire to serve the Nation. He had the power of organizing and uniting people and attracting people towards him by his speeches. This is the best quality of a leader which he had in him. We can also say that, a person who can satisfy the basic psychological needs of his followers can also be an effective leader. Leadership is a quality which cannot be acquired by any person from the other but it can be acquired by self-determination of a person. Leadership can best be called the personality of the very highest ability-whether in ruling, thinking, imagining, innovation, warring, or religious influencing. that only those people who are physically strong can become good leaders, but this is not the fact. A leader may not be physically strong but he needs to be mentally strong and firm in decisions. For example, Mahatma Gandhi, the Father of the Nation was the greatest leader but he was active and had a firm desire to serve the Nation. He had the power of organizing and uniting people and attracting people towards him by his speeches. Being altruistic and farseeing also affect the leadership. A leader has to use his/her brain every time and also has to remain alert with eyes and ears open otherwise he/she could easily be carried by any fraud or enemy. Many a times we see such situations around us, where a person in trouble or problem doesn’t hesitate in blaming and embarrassing even his closest friend to save himself, and also does not bother about his friends at all because the person has to get rid of his problems anyhow. So, he just thinks about himself and his life, the life of other does not matter to him much. Almost all of us are having one or more such close friends, so a leader should always keep in mind that he should not trust even his closest friends more than required as it can create problems for him. At the time of war, an Army Officer who leads his soldiers as to apply his brain every second and has to be attentive while marching ahead. A Police Officer has to be attentive always while he is at work as his duty is to control crime and provide safety to the people. The political leader of a county should be most intelligent as the security of not only few people but of the whole nation depends in him in one way or the other. Therefore, we can say intelligence and alertness are the indispensable qualities of a leader. As for example, one of the greatest leader of his time, Winston Churchill could win the Second World War just by applying his brain and his alertness. A leader should also be an optimist having a positive attitude. he should not think negatively or plan something showing negative attitude. A person who thinks or plans something’s showing his negative attitude never be a Leader. A leader should always be courageous. He should have courage to face the troubles or problems and solving the problems by himself in place of blaming and embarrassing others. Cowards, who at the time of facing problems or troubles in their life try to blame and embarrass others can never succeed in their life. Such person remain at the same place where they stood in the beginning. To gain height and achieve something, one should come out of cowardness, jealousy and should become innovative, courageous, action-oriented and optimist. A good leader has all these qualities in him. To elaborate further the qualities of a good leader there are three theories of leadership and these are (a) trait theory (b) behavioral theory and (c) situation theory. The first approach (trait theory) views leadership as a conglomeration of a set of personality traits. The older tradition in these studies of leadership has been the search for a cluster of traits, attributes or other types of individual difference, which see leaders apart from their followers or which distinguish effective leaders from ineffective ones. A good leader, as it found more often, is a good teacher. Instead of bossing his followers or group members – a good leader always helps them through experience that brings a changed mind and motive. The leaders are rarely born. Favorable circumstances and perseverance – these are the main components of the education of any leader. Therefore, if your goal – to take the lead, develop those qualities that, in your opinion, still do not meet the â€Å"standard. † The aforementioned characteristics can help people to make great strides in being leader regardless of sphere of work, as human should preserve the humanistic thought. Finally, a good leader must be faithful to his group members and activities. This in turn, will result in an atmosphere of assurance among the followers. Having faith in self abilities and the world around him/her the leader gains inspiration and also inspires others in the process.

Sexting Among Teenage Girls and Boys - 1435 Words

Over the last few years, there has been a lot of discussion and debate over the topic of sexting. It has become a widespread phenomenon, the number of teenage girls and boys, men and women who participate are rapidly increasing, and with this too comes the rise of moral panic within societies. Individuals within the communities are becoming more and more fearful, afraid and shocked at this new form of youth culture hysteria. Although young people ‘expressing’ their sexuality has become much more open and free as of the last decade or so, the real uproar of panic is due to the risks they involving themselves in as well as the damage and harm they are inflicting on themselves, whether they know it or not. Sexting is ‘the act of sending,†¦show more content†¦And this is what is key to the moral panic of sexting, constant over exaggeration. As stated before the technology and means to sext have always been available, so why now is there such anxiety and fear towards sexting? A reason as to why this may be so, is because of the number of teens who have committed suicide over leaked sexts. One of the most infamous cases of suicide related to this issue is of 18 year old Jesse Logan who was mercilessly harassed at the hands of her peers. She was dating a 19 year old boy and had sent him nude pictures of herself. However after they broke up, he sent those photos to another girl who then sent them to others and soon the whole school knew about it and had seen the photos. From there is where the severe bullying started. On the Today show Jesse’s friend, Lauren Taylor told NBC News about some of the abuse which was inflicted upon Jessie Logan. She says ‘When she wou ld come to school, she would always hear, â€Å"Oh, that’s the girl who sent the picture. She’s just a whore† ‘. Her mother Cynthia Logan said that ‘She was being attacked and tortured‘. Even through the bullying Jesse Logan made the decision to appear on a tv station to tell her story and make sure no one else makes the same mistake. After enduring further harassment and abuse, Jesse was finally able to graduate and looked to move on with her life. But after attending the funeral of one of her friends the following year who had committedShow MoreRelatedSexting1555 Words   |  7 PagesIntroduction The sexting trend is gaining popularity with both teens and adults. Haag and Cummings (2010), define sexting as â€Å"the sending of sexually explicit messages and/ or photos, primarily between mobile phones† (p.1). However, sexually explicit messages and photos can be sent through social media websites such as Facebook, Twitter, and Instagram and over various electronic devices, such as tablets. Although sexting between consenting adults is considered an acceptable activity, both adultsRead MoreSexting: Mobile Phone and Highly Charged Issues Essay1111 Words   |  5 PagesTeen â€Å"Sexting† Sexting – teens sending sexually explicit photos of themselves via cell phones, email, or instand message – has become the latest in a line of highly charged issues involving kids and the internet. Sexting has become a widespread occurance that has destroyed lives and has caused emotional distress to many teenagers and young adults. Sexting gives teenagers the feeling of acceptance and the chance to be popular by gaining attention but what they fail to realize is the attention theyRead MoreSexting: Virtual Abuse of the Human Body Essay1293 Words   |  6 PagesSexting: Virtual Abuse of the Human Body While the increased access to technology over the recent years provides almost every consumer with new communication tools at his or her fingertips, it also leads to negative effects. â€Å"Sexting† has become extremely popular, especially among teenage consumers. This new action is said to be any sexually explicit messages or pictures between cell phones. Sexting has become so emotionally and physically dangerous that there have been cases where suicide or otherRead MoreTechnology Is The Answer On Technology966 Words   |  4 Pagesbut it’s actually stunning it. My generation is using technology for all the wrong reasons; sexting, texting while driving and walking, social media and video games etc. In recent years the new phenomenon among teens has been sexting. To try and take control of this the court systems have started to charge teens for sexting. Just in September a North Carolina Teenage couple faced felony charges for sexting. Studies show that 39% of all teens have said that they have sent sexually suggestive messagesRead MoreTechnology Ruining Our Kids Today?1184 Words   |  5 Pagesas we know it. Michelle Ybarra did many studies on whether or not technology negatively impacted ones children (2011). She found that technology is increasing at a fast rate among children and teenagers (Ybarra, 2011). Many parents and other adults are automatically tying children’s access to technology to things such as sexting, bullying, and other violence. While these may be correlated, this does not mean technology is the sole cause of these outcomes. Ybarra did many studies that showed the numberRead MoreThe Internet Opening Up Too Much Opportunity?894 Words   |  4 Pag esfrom the social networking sites and the electronic age is â€Å"sexting.† Sexting is typically conducted over a cell phone and seems to have become popular among teenagers and young adults (Aboujaoude, 178). Twenty-two percent of teenaged girls surveyed said that they have posted online, emailed, or sexted nude pictures of themselves. Likewise, eighteen percent of teen boys reported doing similar things (Aboujaoude, 178). The real danger to sexting is the illegality of it when it comes to minors. In GreensburgRead MoreEffects Of Social Media On Teen Pregnancy Essay1400 Words   |  6 Pages When using sites such as Twitter, Facebook, Instagram, and many others, there are both positive and negative effects on the youth. While there are many challenges society and families face, one that continues to be of concern is Teen pregnancy. Teenage is a crucial phase of life where teens are growing physically and emotionally. They are vulnerable to the influences of the society and fall prey to sexual activities that could lead them to parenthood at a very young age. Teen pregnancy is not onlyRead MoreThe New Norm : Sexting1784 Words   |  8 Pages15 March 2016 The New Norm: Sexting Every generation experiences an event or societal change that influences adolescence. Technology, specifically cellular devices, have revolutionized the culture of dating and relationships. Sexting, by definition is sending someone sexually explicit photographs or messages via cell phone, has become the new normal for adolescents. More importantly, teen girls experience the pressure and repercussions of sexting. Whether a girl choses to do so or not, she isRead MoreTechnology and Sex Essay1991 Words   |  8 PagesTechnology and Sex Two years ago the word sexting did not exist. The combination of the words â€Å"sex† and â€Å"text† is now a term that is heavily discussed and causes issues for parents, students, educators, and law enforcement. Although there is no legal definition of sexting, it generally refers to writing sexually explicit messages, taking sexually explicit photos of themselves or others in their peer group and technologically transmitting those photos and/or messages to their peers. Now many peopleRead MoreAlize Johnson. Mr. Sidney. British Literature . March 27,1280 Words   |  6 PagesAlize Johnson Mr. Sidney British Literature March 27, 2017 Teen Sexuality â€Å"How sexuality, love,and autonomy are perceived and negotiated in parent-child relationships and among teenagers depends on the cultural templates people have available† -Amy Schale, 2010 The controversy over teen sexuality in America seems to be one of the top ranked topics that floods the internet, talk shows, and radio stations. Whether it’s talk about the latest teen pregnancy shows, child pornography