The Current Issues of Education in Cambodia

The Current Issues of Education in Cambodia Education plays very important role in the society. One country can be developed based significantly on the variety of Human resources. Anyway, the only way to get rid of Human Resources is Education. Thus, people have tried their best to find way to educate people in order to gain Human Resources for working and serving in the society. Cambodia is one of the countries in the world that has its own tradition of Education. Thus, how did Cambodia produce its human resources in the past? A system of education has been in place in Cambodia since at least the thirteenth century. This traditional education system was centered on local temples and involved teaching students about the foundations of religion, basic literacy, and skills such as carpentry that were relevant to the rural life of most Cambodians. While this nonformal system endured after the arrival of the French in Cambodia, it was gradually replaced by a Westernized educational model. The French authorities did not pursue this modern education system with any great enthusiasm and seemed unwilling to devote the educational resources that were needed to meet local demand. The educational heritage of the colonial period in Cambodia was the importation of the Western idea of a formal school system and the gradual undermining of its traditional counterpart. The colonial era introduced to Cambodians the idea that education could lead to upward social mobility. It was a realization that led to extraordinary demand for access to education in the years that immediately followed independence. There were so many problems existed in education sector in Cambodia and it is still remain existing in present day such as the inequality of participation between boy and girl at school poor attendance by girls at school, widespread difficulties in communications; the problems of hygiene and water supply within education facilities, and lack of trained educational personnel. The countrys teachers, who are grossly underpaid, have resorted to charging their students unofficial fees. Many are spending less time in the classroom as they seek additional employment elsewhere. Almost 20 percent of students in urban areas, and 26 percent in rural areas, have repeated at least one grade at school. From every one thousand students who begin primary school, only twenty-seven will graduate from upper secondary school. Girls, students from remote areas, and the poor are all grossly underrepresented in education statistics. With these significant problems as a backdrop, and the school-age populat ion continuing to grow, the Cambodian government still denies the education sector the funding it needs to realize its important role in Cambodian society. The education system in Cambodia continues to be overwhelmed by many difficulties, including an acute shortage of qualified teaching staff, poor morale due to low salary levels and lack of suitable teaching materials. Attendance at school remains limited in rural areas since children are often expected to stay at home and help their families in the fields. What methodology did Cambodia use in Education? Cambodia conducted the teacher-centered in teaching and this methodology keep conducting until the last few decades which there were some changes in Education Curriculum. In the past, students were strictly forced to learn by their teachers and most of time they were punished by various activities including violent. Therefore, many students were frighten and afraid of their teachers and finally decided to drop out of school. Nowadays, student-center methods are accepted but it not completely implemented effectively due to the lack of qualified trainers and teaching aids. II. Biography of Friedrich Froebel Life of Friedrich Froebel Friedrich Froebel, a German Philosopher, was born on April 21, 1782 in Oberweissback, Germany; Friedrich was the youngest of six children. Friedrichs mother died when he was still an infant, and his father, a pastor, left him to care for himself. When he was ten years old, his uncle took over his care. As a young child, Friedrich Froebel spent a lot of time playing alone in the gardens around his home. This led to a love and respect of nature that would remain throughout his adult life. In 1797, Froebel attended school to learn about forestry, geometry, land surveying, and valuation; and by 1802, he was working as a forester. Ever the student, Friedrich attended Frankfurt University to study architecture, and later, began teaching under Johann J. Pestalozzi, a well respected educator of the day. Pestalozzi welcomed the poor into his school, including orphans. He believed that children needed to be active in their own learning. Froebel died on the 21st June 1852. Work of Friedrich Frobel It was at Frankfurt, where he was studying architecture that he developed some relationship with the Director of a Model School. This director discovered that true field for Frobel was education. Then Frobel was advised to give up architecture and join the Model School. Froebel found his long-missed life element and was in-expressibly happy with the job of teacher. He worked there for two years. Latter he felt that he should have more training in the teaching profession. Thus, he undertook to coach three boys of one family. He was dissatisfied with his own work so he took his wards to Pestalozzis school at Yverdun where he remained for four years. His desire for knowledge of natural science carried him in 1811 to Gottimgen University whence he went to Berlin. Two years later, his university studies were interrupted as he joined the Army. Military experience showed him the value of discipline and united action. In 1814, he returned from military and became a keeper of the Museum in Be rlin. But he still kept thinking about becoming an educator. In 1816, he opened a small school which became a successful institution in 10 years. He published a book about The Education of Man which was very great work of him. Froebel opened a school in Switzerland in 1830. The Swiss Government took advantage of his presence and sent their teachers to him for instruction. Soon he moved to Burgdorf to run an orphanage and to superintend the training of teachers for short time courses of three months. In these conferences with the teachers, he learnt that the schools suffered as they did not get good raw material the educand. This he believed was due to no education in the pre-school age. In 1837, at the age of 55, Friedrich Froebel founded his own school and called it kindergarten, or the childrens garden. Kindergarten was a new word created by Froebel to express his vision for early childhood education: Children are like tiny flowers; they are varied and need care, but each is beautiful alone and glorious when seen in the community of peers. His Philosophy on Education Prior to Froebels kindergarten, children under the age of seven did not attend school. It was believed that young children did not have the ability to concentrate or to develop cognitive and emotional skills before this age. However, Froebel expressed his own beliefs about the importance of early education by stating that . . . because learning begins when consciousness erupts, education must also. Froebel labeled his approach to education as self-activity. This idea allows the child to be led by his or her own interests and to freely explore them. The teachers role, therefore, was to be a guide rather than lecturer. Froebels kindergarten was designed to meet each childs need for: physical activity, the development of sensory awareness and physical dexterity, creative expression, exploration of ideas and concepts, the pleasure of singing, the experience of living among others, and satisfaction of the soul Froebels school featured games, play, songs, stories, and crafts to stimulate imagination and develop physical and motor skills. The materials in the room were divided into two categories: 1. Gifts: were objects that were fixed in form such as blocks. The purpose was that in playing with the object, the child would learn the underlying concept represented by the object. 2. Occupations: allowed more freedom and consisted of things that children could shape and manipulate such as clay, sand, beads, and string. There was an underlying symbolic meaning in all that was done. Even clean up time was seen as a reminder to the child of Gods plan for moral and social order. In 1852, after a short illness, Friedrich Froebel passed away. During his lifetime, he changed the face of education in Germany, and led other educators to follow in his path. Between 1848 and 1852 thirty one kindergartens had been founded in German cities. Unlike other educational institutions, many kindergartens were open to children of all social classes and religious denominations. The teachers encouraged broadmindedness and understanding among these varied segments of the population. Froebels most important gifts to children were invaluable. He gave children respect for their intellectual and emotional, abilities and development, the classroom, and that which he needed most as a child. A teacher who took on the role of loving, supportive parents. Friedrich Froebel was truly a pioneer of Early Childhood Education, and a role model that all educators can still learn from today. III. Conclusion What is Friedrich Froebel Perspective on Education? And how did Froebels theory help Education in Cambodia to be better? In 1837, after years of trying to establish better schools for children, Froebel founded the first Child Nurture and Activity Institute, or Kindergarten. This school was designed for infants, reflecting Froebels belief that an improvement to infant education was necessary for educational reform. In spite of Prussian government opposition to kindergarten, the idea spread throughout Europe, effecting a lasting change to childrens education. Thus, we can see that, Froebel pay particular attention on the children education especially in the preschool education. In contrast, based on the history of Education in Cambodia society, people dont pay any attention to child education. Most children need to help their parents to earn the living and they are always staying at home and go to the rice field. This tradition leads Cambodia to have extremely poor educated people. Nowadays, many kindergarten schools have been established in Cambodia. People send their children to preschool for education as well as they are busy in their job and have no time to take care of them. We can see that, children who have attended in preschool education learn well and more qualified than those who didnt attend the preschool education. In short, in order to produce good human resources, Cambodia should adopt Froebels theory of Education. We should take particular attention on Children because education is the development of habits, attitudes and skills which help a man to lead a full and worthwhile life. Thus, we need to start educating them at the early stage of their life. IV. References Ayres, David M. (2005). Anatomy of a Crisis. Education, Development and Education Taneja, Vidya Ratna V.R.(2010). Educational Thought and Practice Zimmermann, Thomas Cohort 5. Course Reading. Foundations of Education(MEd103) http://hubpages.com/hub/Friedrich-Froebel-Founder-of-the-First-Kindergarten http://www.culturalprofiles.net/cambodia/Directories/Cambodia_Cultural_Profile/-36.html

Working At Community Pharmacies Pakistan Health And Social Care Essay

Pharmacies are managed by a assortment of dispensers in footings of making, cognition and experience. The survey aimed to measure cognition, experience and making of dispensers working at community pharmaceuticss in Pakistan.MethodsA comparative cross sectional survey was conducted at a indiscriminately selected sample of 371 pharmaceuticss in the three metropoliss of Pakistan. A questionnaire for informations aggregation was developed and finalized by focussed group treatments and pilot testing. The information was coded, entered and analyzed by utilizing SPSS Version 16.ConsequencesFifty per centum of the respondents had right cognition of room temperature. Merely 11.11 % and 5.9 % of the respondents knew about OTC and POM. While 87.6 % , 88.1 % , 58.7 and 95.7 % did non cognize the significance of h.s, q.d, SOS and p.r.n. The respondents did non cognize right the position of deltacortil, septran and fansidar in 26.7 % , 64.2 % , and 44.5 % of the instances severally. While 50.4 % , 77.4 % and 63.6 % were incognizant about the position of Augmentin, metronidazole and Lomotil.DecisionsThe overall cognition and preparation of dispensers working at community pharmaceuticss in Pakistan is unequal. Presence of qualified individual equipped with sufficient cognition and preparation is required.Key wordsCommunity pharmaceutics, cognition, experience, making, dispensers, PakistanImportant DefinitionsPharmacy: A pharmaceutics is any mercantile establishments selling allopathic medical specialties entirely, or homeopathic or herbal medical specialties if sold aboard allopathic medical specialties. Dispensers: A dispenser is any individual who prepares or gives out medical specialty, irrespective of preparation. Qualified individual: Persons finishing B.Pharm/Pharm.D, sheepskin in pharmaceutics and certified class of drug dispensing or compounders was considered as qualified individuals.BackgroundKnowledge and preparation of wellness professionals is critical for supplying appropriate wellness attention. Proper making and preparation of dispensers can help in accomplishing safe usage of medicines for the patients go toing community pharmaceuticss. Identifying the spread in pattern and preparation dispensers at community pharmaceuticss can supply improved, simple, healing attention services to profit the community [ 1 ] . It is indispensable that the forces managing medical specialties must be equipped with proper making, experience and cognition. They must be cognizant of the factors which influence drug quality and stairss to guarantee that the drugs dispensed to patients are safe and effectual [ 2 ] . Community pharmaceuticss in developing states frequently lack qualified and trained forces to hive away, label and manage drugs in appropriate manner [ 3 ] . It has been reported that in most of the instances dispensers lack formal instruction and preparation and those who are trained are largely non available at these pharmaceuticss [ 4-7 ] . While selling medical specialties it is of import to understand that which medical specialty can be sold with or without prescription. However surveies have reported sale of all types of medical specialties to all patients irrespective of any moral and legal considerations [ 5, 8 ] . The community pharmaceuticss in Pakistan are known to be managed by a diverseness of dispensers in footings of their making, cognition, experience and ages. Inadequate cognition of the dispensers at community pharmaceuticss in Pakistan has been reported [ 9, 10 ] . The making of dispensers vary from qualified druggist, pharmaceutics helpers, pharmaceutics technicians, sheepskin holders in pharmaceutics, to medical physicians, nurses and to the individuals holding no dispensing related instruction and bulk constitute this group [ 1, 3, 9-11 ] . These dispensers have minimum formal instruction with 10 to 12 old ages of schooling and with small or no professional preparation [ 3, 9-11 ] . Even this nominal instruction of primary or secondary degree is seen as a commercial necessity and non as a legal demand to be followed. They largely rely on information gathered by the representatives of pharmaceutical companies therefore selling medical specialties under the influence of publicity of drugs by the pharmaceutical companies [ 10 ] . With this province of making and preparation, here these dispensers are responsible for maps of a dispenser, shop keeper, stock list director, comptroller, prescriber, information supplier and patient counsellor [ 12 ] . Sing the range of their services it seems that they are really specialised professionals holding ample cognition. In existent universe, nevertheless, there is no existent established standard for minimal cognition of dispensers and really small is known about their background experience, perceptual experiences, instruction, preparation and cognition on how they handle the proficient undertakings of drugs storage, quality care, and pull offing assortment of patients with or without prescriptions [ 10, 12-14 ] . This insufficiency of scientific cognition among dispensers contributes to the prevailing low quality services at community pharmaceuticss. This will stay as the chief hurdle at community pharmaceuticss unless the spreads in the cognition of dispensers are identified and corrected. The importance of making, experience, preparation and cognition of dispensers working at community pharmaceuticss is non much emphasized in the state. The present survey was conducted to document and compare the province of cognition, experience and making of dispensers working at community pharmaceuticss in three major countries of Pakistan viz. Islamabad ( national capital ) , Peshawar ( capital of Khyberpakhtoonkhwa state ) and Lahore ( capital of Punjab state ) .MethodologyKeeping in position the federal administrative and regulative construction of the state the capital metropolis Islamabad was selected which is besides geographically in the center of the two states. Peshawar is located towards the No rth of Islamabad ( 184 Km off with 2 hours drive from federal capital ) while Lahore is located in the South ( 384 km off with 4.5 hours drive from federal capital ) . The survey was conducted at 371 indiscriminately selected pharmaceuticss in three metropoliss viz. Islamabad ( 118 ) , Peshawar ( 120 ) and Lahore ( 133 ) . The survey population included all community pharmacy mercantile establishments in Islamabad, Lahore and Peshawar metropoliss selling allopathic medical specialties. Pharmacies located in infirmary and private dispensaries were excluded and any mercantile establishment meeting this definition comprised the trying unit, dispenser being the sampling component. List of medical shops were obtained from several District Health Offices. The most experient dispenser was selected from the pharmaceutics for interview. The Data aggregation tool was developed by focussed group treatments and utilizing the mentions of Drug Act of Pakistan 1976 and relevant regulations under, Good Pharmacy Practice guidelines, International Pharmaceutical Federation ( FIP ) guidelines and review book of pharmaceuticss. Focus group treatments were carried out with community druggist, drug inspectors, academe and members of consumer groups for development and finalisation of informations aggregation tool. Face and content cogency was built through panel of pharmaceutics research experts, community druggists, statistician and pilot testing. Structured questionnaire was used to acquire information on the cognition of the dispensers working at community pharmaceuticss. The value of cronbachaa‚Â ¬a„?s alpha was 0.726 which was applied to measure the dependability and internal consistence of the tool. The questionnaire comprised of a sum of 30 three inquiries which included information on demographics, personal information, position in pharmaceutics, degree of instruction, experience, preparation, beginnings of information, storage temperature, prescription nomenclatures, position of drugs, positions and jobs about profession and suggestions for betterment. The minimal demand for cognition of dispensers was elaborated and transformed into mensurable indexs, which included three subscales: subscale I Knowledge about storage temperature ( 3-6 ) , subscale II Knowledge about prescription nomenclatures ( 7-14 ) and subscale III Knowledge about position of drugs ( 12-24 ) . The composite mark for all sub graduated t ables was 22-44 and lower mark referred to better conformity. Data was collected by trained informations aggregators after seeking permission from relevant drug inspectors. Local chapters of chemist and pharmacist association were contacted and informed sing the survey. The survey was besides approved by the panel of experts at Research & A ; Development wing of Drug Control Organization at Ministry of Health, Government of Pakistan. Informed and verbal consent for engagement was taken from the respondents. Respondents were ensured for the confidentiality of information verbally every bit good as confidentiality under taking signed by the chief research worker was shown. After the information aggregation, information was cleaned, coded and entered in SPSS 16 version. Statistical analysis was undertaken to compare the cognition of dispensers sing storage temperature, prescription nomenclatures and position of drugs among independent variables like urban/rural, location of pharmaceuticss, metropoliss, position of dispenser in pharmaceutics, experience, degree of instruction and preparation.ConsequencesA sum of 371 dispensers were interviewed of which 31.8 % were working in Islamabad, 32.3 % in Peshawar and 35.8 % were in Lahore. All of the dispensers were male with average age 35 old ages, changing from 17 to 75 old ages. The position of dispenser in pharmaceutics was diverse 55 % proprietors, 35.3 % employees, 2.7 % partner, and 1.6 % were licensee. The professional making of dispensers varied ; 4 % were pharmacist, 7 % were pharmaceutics helper, 6 % were dispenser sheepskin holders and 80.3 % were non-qualified. The experience was ; 4 % less than a t welvemonth, 9.7 % between 1-2 old ages, 12.9 % between 2-5 old ages and staying 73.3 % had an experience greater than 5 old ages. Merely 14 % of the dispensers had formal preparation in drug dispensing. Fifty per centum of the respondents had right cognition of room temperature. Refrigerators were available with 76.5 % of the pharmaceuticss while 50.7 % of them were besides selling vaccinums. However 66 % did non cognize which medical specialties to be kept in the icebox and cognition of icebox and vaccinum storage temperature. Merely 11.11 % and 5.9 % of the respondents knew about the significance of OTC and POM severally. However 87.6 % , 88.1 % , 58.7 and 95.7 % did non cognize the significance of h.s, q.d, SOS and p.r.n. The respondents were non cognizant of the position of deltacortil, septran, fansidar, Augmentin, metronidazole and Lomotil as prescription merely medical specialty in 26.7 % , 64.2 % , 44.5 % , 50.4 % , 77.4 % and 63.6 % of the instances severally ( Table I ) . Books were the most often used informations beginning for information by dispensers. In 46.6 % instances dispensers were confer withing Pharmaguide to acquire the desired information followed by British National Formulary 0.3 % , Drug guide 0.3 % and British Pharmacoepia in 0.3 % of the instances. In add-on to knowledge appraisal of dispensers, survey besides included some inquiries to happen general views/opinions of dispensers to acquire some penetration into the grounds of prevalent patterns. Seventy two per centum of dispensers claimed to hold some cognition of ordinance while 17.3 % claimed that they are non practised. Twenty seven per centum of dispensers were of the position that ordinance for pharmaceuticss is rough while 46 % believe that they are acceptable. The sale of prescription merely medicines without prescription was considered as a job by 80 % of the dispensers. Over 90 % of dispensers thought that selling medical specialty is a good occupation and 73.6 % would besides urge this to their households while 80 % were satisfied with their current occupation as dispensers. Bing an honorable and respectable occupation ( 53.6 % ) with ample net incomes ( 26.4 % ) and an chance to be updated with current cognition ( 9.1 % ) were the grounds for fall ining this profession. Dispensers were of the position that they are capable of run intoing the demands of the profession to the full ( 73.6 % ) , to some extent ( 21.8 % ) while 4.6 % believed that they are non run intoing the demands at all. Some of the jobs faced by the dispensers in the profession were patient demand of medical specialties without prescription ( 11.4 % ) , return of expired drugs to the pharmaceutical companies ( 11.4 % ) , clip devouring profession due to long on the job hours ( 10 % ) , ordinance ( 7.9 % ) , and handiness of many trade names in market ( 7.6 % ) , less net income bo rder ( 4.7 % ) , drug supply issues ( 3.8 % ) and illegible prescriptions ( 1.6 % ) . Over 90 % of dispensers believed that distributing in their pharmaceutics was appropriate. The grounds claimed were no ailments from patients ( 12.1 % ) , ample experience ( 7.1 % ) , following ordinances ( 26.6 % ) , holding intensifying services ( 0.5 % ) , transporting out patient guidance ( 11.5 % ) , selling full scope of medical specialties in good vicinity ( 5.8 % ) and presence of qualified individual ( 3 % ) . But still over 80 % of dispensers felt that they are far behind when compared to international criterions of distributing patterns. The dispensers notify that they can lend to the profession through following ordinances ( 25.3 % ) , by advancing generics ( 3.8 % ) , by take downing the monetary values ( 4 % ) , bettering drug handiness ( 1.6 % ) , by undertaking with unethical selling ( 5.7 % ) and this could be achieved by bettering the regulators attitude ( 4.3 % ) . Ninety per centum dispensers identified the demand for developing with 85 % with the consent of go to ing if chance provided. The median obtained for the cognition of dispensers working at community pharmaceuticss in the three metropoliss was 33 ( 31-37 ) which when compared with mention graduated table ( 22-44 ) showed unequal cognition. While the average obtained in single metropoliss was 32 ( 29-35 ) in Islamabad, 34 ( 32-36 ) in Peshawar and 35 ( 31-38 ) in Lahore. The cognition of dispensers working in community pharmaceuticss in Islamabad was relatively better than in Peshawar and Lahore. Kruskal-Wallis trial was used to compare the cognition of dispensers holding different degree of instruction, working experience in three different metropoliss sing storage temperature, prescription nomenclatures and position of drugs. A important difference in the cognition of dispensers working at community pharmaceuticss in the three metropoliss was observed. Knowledge of dispensers working at community pharmaceuticss in Islamabad was relatively better than dispensers working in Peshawar and Lahore ( Table II ) . The dispensers holding experience less than one twelvemonth had better cognition in Lahore ( Table III ) . Pharmacists were holding better cognition sing storage temperature, prescription nomenclatures and position of drugs as compared to pharmaceutics helpers, sheepskin holders and salesmen ( Table IV ) . Mann Whitney and kruskal-wallis trial were used to compare impact of preparation, position in pharmaceutics and rural/urban scene on the cognition of dispensers working at community pharmaceuticss in the three metropoliss. No important difference was observed among the cognition of dispensers working at community pharmaceuticss with different position ( licence, proprietor, partner and employee ) , rural/urban scene and preparation in the three metropoliss.DiscussionMain findings of the surveyThe overall making, cognition and preparation of dispensers working at community pharmaceuticss in Pakistan is unequal. The presence of lawfully qualified individual is negligible at the pharmaceuticss and in most of the instances proprietors are replacing the qualified individual [ 8-10, 15, 16 ] . They besides lack any formal dispensing related instruction and preparation [ 17 ] . The present survey highlighted that merely few dispensers received any formal preparation in the past old ages but this preparation could non interpret into their better cognition [ 9 ] .This raises inquiries on the quality of developing received by dispensers in the state. Drug information beginnings used by dispensers extremely influence the quality of their cognition. Most of the dispensers were utilizing Pharma Guide a commercially available collection of medical specialties [ 18, 19 ] . The survey consequences besides highlighted pharmaceutical companies as drug information supplier through medical representatives and drug literature [ 5, 10, 20 ] . The consequences of the survey showed that dispensers working at community pharmaceuticss in Islamabad had better cognition as comparison to other two metropoliss. Pharmacists were holding relatively better cognition though their presence at community pharmaceuticss was low. The dispensers holding experience of less than one twelvemonth were holding better cognition in Lahore. This might be linked to more figure of druggist and fresh alumnuss w ith updated cognition working at community pharmaceuticss in Lahore. The survey highlighted lacks in basic cognition of dispensers sing prescription nomenclatures. The consequences of the survey showed that most of the dispensers were cognizant of the position of Xanax ( lexotanil ) as POM but surprisingly Mentronidazole ( Flagyl ) , Cotrimoxazole ( Septran ) and Coamixiclave ( Augmentin ) which are POM were considered as OTC by dispensers. This lacking cognition can be linked with deficiency of making and preparation. Majority of dispensers working at community pharmaceuticss claimed that selling POM medical specialties without prescription is a job. Dispensers believed that they are far behind in their patterns as compared to international criterions though they are carry throughing the local professional demands. With this hapless province of cognition bulk of dispensers working at community pharmaceuticss believed that they are capable of run intoing the demands of their profess ion. It is interesting to detect that dispensers believe that by holding no ailments, ample experience, following ordinances and maintaining full scope of medical specialties they are carry throughing the demand of the profession. This highlights confusion and deficiency of consciousness sing professional duties among dispensers. Majority of them expressed willingness to larn and take part if any chance of preparation is provided. Even though dispensers donaa‚Â ¬a„?t possess proper tools to map, in footings of making and cognition but still they are satisfied with their occupation and would besides urge this to others as they feel it as a profitable white neckband concern with no important jobs. This fact can besides be linked with the current on traveling unbridled scenario in the state in which they can acquire off practising as professionals ; with no making, unequal cognition and appropriate experience, with least demand from regulators and society [ 21 ] .What is a lready known on this subjectInadequate cognition of the dispensers at community pharmaceuticss in Pakistan has been reported [ 9, 10 ] . The importance of making, experience, preparation and cognition of dispensers working at community pharmaceuticss is non much emphasized in the state. Very small is known about the background, experience, instruction, preparation and cognition on how they handle the proficient undertakings of drugs storage, quality care, and pull offing assortment of patients with or without prescriptions. The present survey has documented the impact of making, preparation and experience on cognition of dispensers working at community pharmaceuticss in the state. The survey has besides highlighted jobs faced in this profession and suggestions for bettering the current patterns which has non been antecedently highlighted by any other survey.What this survey addsThis survey aimed to place and compare the bing spreads in the cognition, making and preparation of dispen sers working at community pharmaceuticss in three major metropoliss of Pakistan. The present survey is important and contributes in this facet as it has assessed and compared the cognition of dispensers holding different makings, working experience, position in pharmaceutics, urban/rural scene and preparation received working in different metropoliss. The survey besides highlighted assorted jobs in the profession and suggestions for the bettering the current state of affairs. This survey will function as a baseline to plan future intercessions to better the cognition of dispensers sing drug usage in order to use maximal potencies of community pharmaceuticss in proviso of better patient oriented services.Restriction of the surveySome of the restrictions faced during the survey were fiscal and logistic restraints and political convulsion in the state. Reluctance from dispensers to portion information, existent replies may be different due to the sensitiveness of the inquiries. The cog nition of dispensers working at community pharmaceuticss was assessed in three major metropoliss and may non be generalizable to the cognition of dispensers working at community pharmaceuticss in other metropoliss of the state. In decision, deficiency of proper making, preparation and cognition of dispensers is a great challenge for accomplishing effectual wellness of general public go toing community pharmaceuticss. Ambiguity in jurisprudence and its execution and complacency in attitude of relevant interest holders are responsible for such prevalent fortunes. There is a strong demand to implement ordinances to guarantee presence of qualified individual equipped with sufficient cognition and preparation at pharmaceuticss with uninterrupted monitoring plans.Authoraa‚Â ¬a„?s partsA.H. had complete entree to informations of the survey and is responsible for the truth and analysis of informations. A.H. and M.I.M.I. conceptualized and designed the survey. A.H. and M.I.M.I. obtain, analyzed and interpreted the information. Manuscript was drafted by A.H and A.H and M.I.M.I. conducted reappraisal of literature.RecognitionsThe writers would wish to widen their grasp to Ministry of Health Pakistan, Gove rnment of Pakistan. The writers besides thank the District Health Offices of Islamabad, Peshawar and Lahore for their support during the survey. Particular gratitude to the survey participants and informations aggregators and their caputs of pharmaceutics sections at Hamdard University, Islamabad, Peshawar University, Peshawar and Punjab University, Lahore.FundingThe writers would wish to widen their grasp to the Ministry of Health R & A ; D fund Pakistan for partial support of this survey.

Competition in Healthcare

In the U. S. economy, when companies or organizations compete for consumers’ business, consumers usually win with lower prices and better quality product (Stossel, 2007). This idea has spread to the healthcare industry and is being encouraged as a way to increase value for patients (Rivers, 2008). With the healthcare industry being a very diverse industry, there are many different forms of competitions as well as benefits and shortfalls for competition in the healthcare market.Traditional competition in healthcare involves one more elements of price, quality, convenience, superior products or services, new technology and innovations (Rivers, 2008). There are different forms of healthcare competition. One form of healthcare competition is the competition that exists between individuals who provide healthcare such as physicians and other healthcare practitioners (Rivers, 2008). These entities compete for patients who are able to pay on their own, or who have their own health ins urance (Rivers, 2008). They also compete off of a non-price basis (Rivers, 2008).This means they are competing with their location, their colleague referrals, and their reputations (Rivers, 2008). Physicians and other healthcare practitioners may also compete in the medical market by reducing competition from non-physicians like psychologist (Rivers, 2008). The benefits for this type of competition are that it forces the healthcare practitioner and physicians to be more patient-orientated. It also encourages prices to competitive since some of these individuals are paying for the services out of their own pocket and is price conscious (Stossel, 2007).Another form of competition in the healthcare industry is healthcare organizations, such as hospitals (Rivers, 2008). These entities compete for physicians, third-party payers and patients (Rivers, 2008). They compete for patients by providing more services, better amenities and discounted prices (Rivers, 2008). They also compete for ph ysicians by trying to maintain a cutting edge of competition with their technology and new medical discoveries (Rivers, 2008). The final form of competition in the healthcare industry is between organizations that provide healthcare financing, insurance and plans.These entities compete with access, premiums, benefits, quality and different degrees of freedom in choosing a provider and the benefits or coverage services. The pitfall for this type of competition is that it can often be confusing for consumers who are comparing different insurance or financing plan. Competition in the healthcare industry is being encouraged to help better the quality of care patients receive as well as reduce medical costs. When patients have the choice of where they receive medical care, competition and having a competitive edge on opponents is important.Since the healthcare industry is so large and diverse, there are different forms of competition between healthcare entities. Ultimately competition is supposed to benefit the consumer and patients. resources: Rivers, P. (2008). Healthcare competition, strategic mission and patietn satisfaction:research models and propositions. Retrieved on October 13, 2012 from www. ncbi. nlm. nib/gov/pmc/articles/PMC2865678 Stossel, J (2007). The Competitive Advantage. http://abcnews. go. com/2020/story? id=36026262&page=1

Geography Of The Indian Subcontinent - 871 Words

Geography of the Indian subcontinent influenced the development of civilization there greatly, because of how diverse India is. The geography of the Indian subcontinent had a big affect not only with the development of civilization, but on economics, religion and social order as well. The Indian subcontinent is diverse in many ways, such as the array of languages, as well as the reputation of being a â€Å"cradle of religion† which created two of the world’s major religions, Hinduism and Buddhism(p. 38). For example, in civilizations such as the Harappan civilization the political and social structures were affected by the geography of where their civilization resided. â€Å"In several respects, Harappan civilization closely resembled the cultures of Mesopotamia and the Nile Valley†(p. 39). The resemblance resembled closely, because of how the civilizations probably started out being farming villages and slowly grew into a large city. The city that was considered the center of power was the city of Harappa. â€Å"The city of Harappa was surrounded by a brick wall over 40 feet thick at its base and more than 3.5 miles in circumference†(p. 39). With this city of power archaeological evidence suggest that the social structures were a loose confederation made up of more than 1500 cities connected by commerce and trade alliances and ruled by the wealthy merchants and landlords. The economy of this era was primary based on agriculture such as, wheat barley, rice, and peas being the primaryShow MoreRelatedEssay on Two Religions-Two Paths: Buddhism and Hinduism805 Words   |  4 PagesBuddhism and Hinduism-- the core area of both is Northern India and each spread through the Indian subcontinent, yet both did not seem to expand with the same radius. Buddhism flourished and spread across central and eastern Asia; whereas, Hinduism generally stayed close to home, in India. The question now becomes why. 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