Smoking Cessation Interventions In England Health And Social Care Essay

Smoking Cessation Interventions In England Health And Social Care Essay Smoking causes a range of health issues and diseases in people particularly Cardiovascular diseases, chronic obstructive pulmonary disease (COPD), lung cancer and a range of other cancers, peptic ulcer and various other medical conditions. (National Health Service, 2010)The survival rates are low even after the person undergoes surgery. Post operative Complications may also develop which causes delays in recuperation and often people experience respiratory issues due to this. (National Institute of Clinical Excellence, 2010). Further, it can cause complications in pregnancy and labour among women who smoke during their pregnancy period, including ectopic pregnancy, bleeding, premature detachment of placenta and premature rapture of membranes. These women also suffer from a high risk of miscarriages in comparison to those who do not smoke. Also, the babies born to such mothers carry a lighter weight (average 200-250 gm) than women who do not smoke. (NICE, 2010). This can reduce the immunity system of children and place them at risk of developing diseases in childhood or death. It has been found that Smoking in pregnancy increases infant mortality by about 40 percent. (NICE, 2010). The number of deaths attributed to smoking were estimated to be 83,900 in adults aged 35 and above in 2008. Among these deaths, 23,200 resulted from respiratory diseases (mainly obstructive lung disease) and 37,000 accounted for cancer conditions (lung cancer, Cancer of the Oesophagus). (HSCIC, 2009) Given the varied benefits of stopping smoking and adopt healthy lifestyle, some smokers are willing to quit smoking and 70 percent of them make efforts to quit at least once in their lifetime. At present, the self reported rates of smoking in England is 21 percent among adults aged 16 and above. Despite the trends of reduction in smoking prevalence, it is still considered as a serious public health concern in England (Allender et al, 2008). NHS Stop smoking services It is reported that over two third (67%) of the smokers in the English population attempt to quit every year (ONS, 2009). However, smokers are often require to put in repeated efforts and attempts towards quitting smoking before succeeding (NHS, 2010). To support smokers who want to quit smoking and help them succeed in their quit efforts, National Health Service (NHS) founded a unique initiative program called as NHS Stop Smoking Services (NHSsss) in 1999. This national programme came into being following the White paper on Smoking kills published by Government in 1998.This policy guidance expressed strong commitment to address the serious health consequences of smoking and tackle the growing concern of rising prevalence rate of smoking in the population. It laid down plans for the development of a special national unit, Smoking Cessation Services) along with other initiatives (implementation of advertisement ban, ban of smoking at work and public places). NHSSS forms the part of th e wider Tobacco Control program run by Government to reduce the prevalence of smoking among the local population. Their primary role is to provide and deliver a high- quality clinical smoking cessation services to smokers who are motivated to quit smoking. Since its establishment, NHS Stop smoking services (SSS) have supported over two million people to quit smoking in the short run and 500,000 people to quit smoking in the long run without relapse. In total it has saved 70,000 lives uptill now. Even though smoking rates have dropped down since 1990s the progress has been slower in the last decade among the Routine and Manual workers population. It has been estimated that the dropping rate of smoking is 0.4 percent a year. (NICE, 2010). This suggests that health inequalities exist between different socio- economic groups. There have been expectations that SSS will make significant contributions in reducing the gap of smoking prevalence between these groups. This issue was taken up as one of the main priority in NHS Operating Framework and treatments and support were offered by Primary Care Trusts (PCTs) to people who were willing to stop smoking in deprived localities of England. (Low et al, 2007). However, quit rates among socially di sadvantaged groups remain low. Currently, out of the total smoking population, smoking rates among Routine and Manual workers are 26 percent. Also, the smoking rate is high among people who belong to ethnic minority groups in the UK population. Studies conducted in various ethnic minority communities have reported that people from these populations do not access the services offered by NHS SSS due to limited information about the accessibility and effectiveness of smoking cessation interventions. Thus, to maximise the potential of NHS Stop Smoking Services, a high and effective level of intervention is essential to target this public health concern and reach people from all socio economic and ethnic minority groups who are willing to stop smoking and benefit from it. NHS Stop Smoking Cessation Services- Delivering of interventions NHS Stop smoking support are offered and delivered in range of ways. The treatments are provided to people in a separately or a combined manner. Recommended treatments that have shown evidence to be effective over the years comprise (NICE, 2010): Brief interventions given by GP, nurses or other health practitioners practicing in the local community in the form of advice, self help materials or referrals for further clinical treatment. Individual Behaviour counselling in a one to one sessions Group Behaviour therapy ( Also known as Closed Groups) Pharmacotherapies ( providing alternate medications like Nicotine Replacement therapy, Buropion or Vareniclin) Self help materials (leaflets, quick kits) Telephone counselling and quitlines Media campaigns to spread awareness of smoking related ill health and interventions available to stop smoking. The sources of mass media campaigns include a combination of television, radio, newspaper advertising. Smokers who are willing to discontinue smoking are offered the above range of treatments options so that they can chose the one which suits them the most. The health professionals may provide, as appropriate, a combination of interventions that are sensitive to the needs, preferences and ethnic diversity of their local smoking population and at the same time being mindful of bridging the gap between health inequalities. These interventions are considered to be cost effective way of reducing ill health and prolonging life. So every smoker should be advised to stop smoking and offered help if they feel like wise in doing so. (NHS, 2010) All the interventions provided under Stop Smoking Services Clinics share some common properties. Such as Behavioural support offered in both individual and group therapies by health professionals and they normally advise the usage of Nicotine and Nicotine- based therapies along with it. (NHS, 2010). This clinical service is provided over multiple sessions to the smoker and a quit target date is set at a follow up of 4 weeks. Success ranges of quit rates by smokers depends upon the type of intervention received by them. Interventions that combine group support with Nicotine reduction therapy are more effective in achieving 4 weeks quit rates (71 percent) in comparison to individual support given in clinical settings. (Bauld et al, 2009). Though both types of intervention implement complimentary modes of action, the quit rates maintained over long term differ considerably. Other interventions like counselling support and information provided over quit lines, internet and mobile phones may be easily accessible by wide smoking population but may be less intensive and effective in comparison to the support given in clinical settings (NHS, 2010). Aims of this Research: This research is designed to meet the following aims: To assess the effect of the different interventions and support offered by Smoking cessation services to help achieve success rates of smoking abstinence over long period of time. To make a comparison between the studies that have evaluated the effectiveness of interventions undertaken by the smoker with the assistance of self help interventions in comparison to the clinical treatments provided under NHS stop smoking cessation services over the last decade. The comparative assessment will be done between the following: Self help materials (leaflets, information kits); Mobile phone and Web based support, Smoking Quitlines Vs Brief advice offered by GPs and other health professionals Brief GP advice + Nicotine reduction therapy, Bupropian and Vernaciline; Attending a smoking clinic and receiving Behavioural support +NRT, Bupropian and Vernaciline Highlight those interventions among the clinical and less clinical interventions which are more likely to produce successful quit rates at 4 weeks follow up. Rationale for conducting this Literature review Research Disease Burden from smoking: Smoking imposes a huge burden on the countrys economy. It imposes direct costs on National Health Service for health care and indirect costs on loss of productivity (ASH, 2010). It has been estimated that National Health Service spends approximately 2.7 billion on treatments and control this public health issue. In addition, it puts the smoker and their families and others through discomfort, pain and suffering. Among them, the cost of bereavement and consequent emotional and social distress, the payment of social security and benefits is given to the dependants of those who die as a result of smoking related disease. Also, it has been suggested that total number of deaths associated with smoking has not changed much in the last 10 years (Allender et al, 2008) Thus, given the expenditure spent by NHS in providing interventions under its National Program, it becomes highly important to deliver treatments that are evidenced based and help in maintaining consistent quit rates of between 35% and 70% in the population and meet the PSA target of reducing smoking prevalence rate by 21% or less by 2010 (NHS, 2010). This research will make a comparative assessment and provide information and insight of the effectiveness of the both highly clinical and less clinical interventions which will help in the meeting the current NHS targets for 2010. Knowledge transfer: For the purpose of achieving the third aim, the author has a personal interest in highlighting it. The author here wishes to gain wider information about the most effective smoking cessation intervention with the objective of transfer knowledge. The author of this dissertation belongs to India and she wanted to make an international comparative assessment of the effectiveness of national smoking cessation interventions between England and India. However, due to the limited published documents of current trends and related literature, it has not been possible to examine and make comparisons with India on this topic. But the author found some useful information from a national report produced under Ministry of Health and Social Welfare (MOHSW, 2004) raised awareness about the widespread production, consumption and resulting impact of ill health impinging on Indian population and its economy. So the author would like to transfer knowledge by sharing the results and outcomes of this research with the health professionals with the main purpose of sensitising Indian health care system; and promoting most effective tobacco cessation interventions based on the examples of English Stop Smoking Cessation services; and minimize the economic burden on Indian government. (MOHSW, 2004) Thus, Tobacco Control programmes worldwide are designed with the aim of reducing the burden of disease, disability and death related to the consumption of tobacco. In order to determine the effectiveness of such programmes in England, it is essential to describe the smoking cessation interventions; document implementation and show results and outcomes to guage their contribution towards bringing down the smoking rate in the population. Hence, The next section, Preliminary Literature review will discuss in detail the workings of NHS Stop smoking services; different Smoking Cessation treatments, and manner of implementation with statistical facts to support their contribution in bringing down the smoking rate in English population.

Family Type

Past research shows violent video game exposure increases aggressive thoughts angry feelings physiological arousal aggressive behaviors. The present study examined the effect of violent video on aggression. It is said that Boys would be more aggressive due to violence as compared to girls. It was hypothesized that there would be high score on aggression after watching violent video and boys would be more aggressive due to violence as compared to girls. I used Buss-Perry aggression questionnaire to measure aggression level of male and female. The sample of the study included 40 adults of 21-27 years of age. There were 20 males and 20 females. There is a highly significant mean difference between pre (M =118. 45, SD =23. 184) and post (M =130. 97, SD =29. 527, *p < . 000) test of aggression in adults with respect to total. There is also a highly significant mean difference between pre (M = 125. 15, SD = 21. 25) and post (M = 136. 40, SD = 25. 109, *p< . 00) test of aggression in men and pre (M = 111. 75, SD = 23. 59) and post (M = 125. 55, SD = 33. 12, *p < . 000) test of aggression in women. First participants were given aggression questionnaire before and after watching the violent video. The results indicated that there is significant relationship of watching video on aggression and men scored high on aggression scale than women. I used paired sample t-test technique to measure the significant mean difference between pre and postt est of aggression in adults.

Nokia Case Study

Business Interests vs German Pressures L/O/G/O www. themegallery. com What are the trends in mobile handset industry? Nokia is the largest mobile handset manufacturer in the world with a 40% market share. Industry enjoyed healthy margins however since 2001, industry is marked by declining prices and week margins making companies look at low-cost production options. Outsourced manufacturing of handsets Demands in the developed markets like US & Europe has saturated Significant growth has been noticed in the Middle East, Southeast Asia, Africa, China, India and South Korea. Demands of low cost phone in the emerging market has increased Average selling prices fell by 35%, which is directly impacting the revenue What is Nokia’s strategy and how had globalization changed its way of operation? High cost manufacturing to low cost manufacturing regions Dominant position in emerging markets such as Brazil, Russia, India and China. High growth of in Middle East, South East Asia, Africa, China and consecration on low cost countries Moving to the locations where Govt. s more supportive in granting huge subsidies Impact of globalization : Shifting of manufacturing facilities Operations are taking place at selective places(where both the suppliers and the partners are present to give impetus to over all productivity) Was the German backlash against Nokia justified? No country would prefer a MNC like Nokia to close its plant and hence affecting 2300 odd workers and their families. )Job less count to grow up , b)the overall economic development of the region t o get affected In this particular scenario it was obvious for German backlash as the operating plant is a profit making unit and not a sick unit. It was justified more because the Nokia authority had failed to explain clearly the reason for the closure of the plant to the employees Nokia’s refusal to enter at any kind of discussion with the German authorities to find a mid way to continue the operations. How can nation make themselves more competitive? Cheap labor cost(26$in case of Germany compared to 4. 2$ in china) Supportive govt. with subsidies to establish a business. Lower corporate taxes Less bureaucracy. What, if any, were the flaws in Nokia’s approach to announcing and handling its plant closure? The flaws are : No clear explanation for the closure. Thousands of people were left jobless. Refusal to think of an alternative to continue the plant. What can be company do now for damage control? Compensate employees Discuss the situation Shift employees to Romania. Try to understand the culture of Germany and be sympathetic to their cultural practices and perceptions. Can return back some portion of subsidies. Conclusion Apart from the concept of Globalization, big corporation should consider corporate social responsibility, not as Nokia did to shut down the plant which leads towards unemployment just for the high profit even than Bochum plant was make huge profit margin of Euro 90,000 per production worker out of Euro 7. 2 Billions Global profit. Thank You! Harsahl Buranpuri L/O/G/O www. themegallery. com

Data Privacy - 1063 Words

Data Privacy G.Maruthi What is data privacy? †¢ Protection of personal data †¢ Why do we need protect personal data? – The need to control personal data †¢ †¢ †¢ †¢ Fear of misuse Identity Theft Cases of Fraud Other form of cyber crimes What is Personal Information? †¢ According to the European Directive on Data Protection – Article 2: â€Å"Personal Data shall mean any information relating to an identified or identifiable natural person (‘data subject’); an identifiable person is one who can be identified , directly or indirectly, in particular, by reference to an identification number or to one or more factors specific to his physical, physiological, mental economic , cultural or social identity† – Article 8: Personal data revealing†¦show more content†¦the person so affected† – Body Corporate: â€Å"means any company and includes a firm, sole proprietorship or other association of individuals engaged in commercial or professional activities† Data Privacy: India †¢ Under the chapter XI: Offences †¢ Section 72: Penalty for breach of confidentiality and privacy †¢ Section 72A: Punishment for disclosure of information in breach of lawful contract: Data Privacy: India †¢ Information Technology (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information) Rules, 2011: – Rule 3: Sensitive personal data or information †¢ Password; †¢ Financial information such as Bank account or credit card or debit card or other payment instrument details; †¢ Physical physiological and mental health condition †¢ Sexual orientation †¢ Medical records and history †¢ Biometric information Data Privacy: India †¢ Information Technology (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information) Rules, 2011: †¢ Rule 4: Body corporate to provide policy for privacy and disclosure of information: Responsibilities of data controllers: – – – – – Practices and policies Type of information collected Purpose of collection and usage of such information Disclosure of information Reasonable security practices Data Privacy: India †¢ Information Technology (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information) Rules, 2011: †¢ Rule 5: Collection of information: †¢ RuleShow MoreRelatedPrivacy Preserving Data Of Data Essay7893 Words   |  32 Pages1. 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