Profile of Inflammatory and Infective Skin Diseases

Profile of Inflammatory and Infective Skin Diseases Contributors with their highest academic degree: GIRI VISHAL P*. , MD (PHARMACOLOGY) GIRI OM P. , MD (MEDICINE), PhD (MEDICINE) GUPTA SUDHIR K. , MD ( SKIN VD) SHUBHRA KANODIA , MDS (Std), (ORAL MEDICINE AND RADIOLOGY) Department(s) and institution(s) : â€Å"Clinico-Epidemiological Profile of Inflammatory and Infective Skin  Diseases in a Tertiary Care Centre of South India† ABSTRACT The present medical audit-study was undertaken to analyze clinical and epidemiological profile of inflammatory and infective skin diseases and to arrive at important facts about these diseases.1134 patients who attended the Dermatology of a   Medical and College Hospital were the subjects of this study . The findings were recorded in a proforma for analysis and interpretation .Etiological analysis revealed that majority ( 599 ; 52.82 % ) of dermatoses belonged to inflammatory group followed by infective group ( 535 ; 47.18 % ). Of the inflammatory group, allergic contact dermatitis ( 209 ;18.43 % ) was the most common entity followed by irritant contact dermatitis (180; 15.87 %) , seborrhroeic dermatitis( 120 ; 10.58 % ), atopic dermatitis ( 50; 4.41 % ), psoriasis ( 20; 1.76 % ) and pompholyx ( 20 ; 1.76 % ).Of the infective group, bacterial infection was the most common disease ( 349 ; 30.78% ) followed by scabies (122 ; 10.76 %) , fungal (57 ; 5.02 %) and viral infection( 3 ; 0. 26 % ).This study provides a preliminary baseline data for future clinical research. It might also help to assess the changing trends of inflammatory and infective skin diseases . Key Words: inflammatory skin diseases, infective skin diseases, changing trends in skin diseases. INTRODUCTION The pattern of skin disease is a consequence of poverty , malnutrition , overcrowding , poor hygiene , illiteracy and social backwardness in many parts of India . The examination for skin diseases is an important component of health care practice for all. Status of health , hygiene and personal cleaniness of a society can be judged from the prevalence of certain skin diseases in the community . The pattern of skin diseases vary from one country to another and within the same country from one state to another due to various climatic , cultural and socio-economic factors.[1,2] MATERIAL AND METHODS The relevant data available from medical case records of the Dermatology outpatient department of a Medical College and Hospital was collected by the investigator in person during period January 2011 to June 2012 . Name ,age ,gender , type and duration of disease were recorded in a proforma for analysis and interpretation of data . Total 1134 ( one thousand one hundred thirty four ) medical case records of inflammatory and infective skin diseases were collected and scrutinized for this observational ,perspective and medical audit- study. RESULTS Out of 1134 patients scrutinized , 220 ( 19.40 % ) patients were children up to five years of age and 149 ( 13.14 % ) children were 6 to 10 years of age . Most of adults 358 ( 31.57 % ) were aged 21 to 40 years and 146 ( 12.87 % ) adults belonged to 41 to 60 years age group . Females ( 581 ; 51.23 % ) slightly outnumbered males ( 553 ; 48.77 % ). [ Table 1-6] The majority ( 599 ; 52.82 % ) of patients belonged to inflammatory group followed by infective group ( 535 ; 47.18 % ). [Table1,2] Pattern of inflammatory skin diseases revealed allergic contact dermatitis to be the commonest ( 209 ; 18.43 % ) followed by irritant contact dermatitis (180 ; 15.87 % ) , seborrhoeic dermatitis ( 120 ; 10. 58 % ) , atopic dermatitis ( 50 ; 4.41 % ) , psoriasis ( 20; 1.76 % ) and pompholyx ( 20; 1.76 % ). [ Table 1 ] Among infective skin diseases , bacterial infection ( 349 ; 30.78 % ) was most common entity . Scabies was recorded in 122 ( 10.76 % ) patients . Fungal infection was recorded in 57 ( 5.03 % ) and viral infection 3 ( 0.26 % ) patients .[ Table 2 ] Seasonal variation pattern was observed in some diseases . Impetigo and dermatophytosis were recorded mainly in rainy and summer seasons. Scabies was recorded mainly in winter and rainy seasons . Atopic dermatitis and seborrhoeic dermatitis were documented more in winter season . DISCUSSION Pattern of inflammatory and infective skin diseases has varied in different studies. In this study , majority ( 599; 52.82 % ) of skin diseases belonged to inflammatory group followed by infective group ( 535 ; 47.18 % ) . A similar pattern of dermatoses has also been reported in several other studies .[3-8] However, in other studies infective group has been the predominant dermatoses.[9-22] Of the inflammatory dermatoses , allergic contact dermatitis was the commonest ( 209; 18.43 % ) out of all 1134 patients followed by irritant contact dermatitis( 180; 15.87 % ), seborrhoeic dermatitis ( 120 ; 10.58 % ), atopic dermatitis ( 50; 4.41 % ), psoriasis ( 20 ; 1.76 % ) and pompholyx (20; 1.76 % ). In chidren aged up to five years atopic dermatitis was the commonest ( 8 ; 0.71 % ) followed by seborrhoeic dermatitis ( 7 ;0.62 % ) , irritant contact dermatitis ( 6;0.53 % ) and pompholyx ( 2 : 0.18 % ). Similar finding has been observed in other studies . [2,5,6] Of the infective dermatoses, bacterial infections (349; 30.78 %) were the most common followed by fungal ( 57; 5.03 % ) and viral infections ( 3; 0.26 % ). Similar pattern has been observed in some other studies as well .[2,5] Studies have reported fungal infection to be more common.[13,14,22] Viral infections out-numbered bacterial and fungal infections in few studies .[7,8] Impetigo was the commonest ( 158 ; 13.93 % ) bacterial infection followed by secondary pyoderma ( 133; 11.73 % ), folliculitis ( 25 ; 2.20 % ), furunculosis ( 20; 1.76 % ) and acute paronychia ( 13; 1.15 % ). Scabies was the most common infestation seen in 122 ( 10. 76 % ) patients in the present study . CONCLUSION Majority of dermatoses belonged to inflammatory group followed by infective group , though the difference is narrow (64 ; 5.64 % ).Of the infective group bacterial infection was the most common disease followed by scabies , fungal and viral infection. This study points towards changing trends in dermatoses . This study provides preliminary baseline data for the future epidemiological and clinical research . It might also help to assess the changing trends of dermatoses. REFERENCES 1. William H.C. â€Å"Epidemiology of skin diseases† in : Burns T, Breathnach.S COXN Griffiths editors, Rook’s Textbook of Dermatology, 7th ed. Oxford : Blackwell science ; 2004 ; 81 : 06-21. 2. Balal M , Khare AK , Gupta LK , Mittal A , Kuldeep CM. Pattern of paediatric dermatosis in a tertiary care centre of South West Rajasthan . Indian J Dermatol 2012 ; 57 : 275 -8 . 3. Das DA, Haldar HS, Das DJ, Mazumdar MG, Biswas BS, Sarkar SJ. Dermatological disease pattern in an urban institution in Kolkata. Ind J Dermatol 2005;50:22-3. 4. Symvoulakis EK, Krasagakis K, Komninos ID, Kastrinakis I, Lyronis I, Philalithis A, et al. Primary care and pattern of skin diseases in a Mediterranean island. BMC Fam Pract 2006;7:6. 5. Gul U ,Cakmak SK, Gonul M, Kilic A , Bilgili S . Pediatric skin disorders encountered in a dermatology outpatient clinic in Turkey .Pediatr Dermatol 2008 ; 25 :277-78 . 6. Nanda A, Hasawi FA, Alsaleh QA. A prospective survey of pediatric dermatology clinic in Kuwait: An analysis of 10,000 cases.Pediatr Dermatol 1999 ; 16: 5-11. 7.Wenk C, ltin PH . Epidemiology of pediatric dermatology and allergology in the region of Aargau, Switzerland. Pediatr Dermatol 2003 ; 20: 109-12 . 8. Hon KL, Leung TF ,Wong T, Ma KC, Fok TF . Skin diseases in chinese children at a pediatric dermatology centre. Pediatr Dermatol 2004 ;21: 109-12 . 9. Nnoruka EN. Skin diseases in south-east Nigeria: A current perspective. Int J Dermatol 2005;44:29-33. 10. Tomb RR, Nassar JS. Profile of skin diseases observed in a department of dermatology (1995-2000). J Med Liban 2000;48:302-9 11 . Das KK. Pattern of dermatological diseases in Gauhati medical college and hospital Guahati. Indian J Dermatol Venereol Leprol 20011;77:603-4. 12. Agarwal S, Sharma P, Gupta S, Ojha A. Pattern of skin diseases in Kumaun region of Uttarakhand. Indian J Dermatol Venereol Leprol 2011;77:603-4. 13 . Das S, Chatterjee T. Pattern of skin diseases in a peripheral hospitals skin OPD: A study of 2550 patients. Ind J Dermatol 2007;52:93-5.10 14. Sanjiv Grover, Rakesh K. Ranyal and Mehar K Bedi; â€Å"A cross section of skin diseases in rural Allahabad† , Indian J.Dermatol. 2008 ; 53 (4): 179-81. 15 . Kar C, Das S, Roy AK. Pattern of skin diseases in a tertiary institution in Kolkata. Indian J Dermatol 2014;59:209 16. Ghosh SK, Dey SK, Saha I, Barbhuiya JN, Ghosh A, Roy AK. Pityriasis versicolor: a clinicomycological and epidemiological study from a tertiary care hospital. Indian J Dermatol. 2008;53(4):182-5. 17. Bhalla.K.K, â€Å"Pattern of skin diseases in a semi-urban community of Delhi†, Indian J.dermatol.venereol.leprol. 1984; 50: 213-4. 18. Gangadharan C , Joseph A , Sarojini A. Pattern of skin diseases in Kearla . Indian J Dermatol Venerol Leprol 1976; 42 : 49 -51 . 19 . Kuruvilla M, Dubey S, Gahalaut P., â€Å"Pattern of skin diseases among migrant construction workers in Mangalore†, Indian J.Dermatol.venereol.leprol. 2006; 72: 129-32. 20. Kuruvilla M, Sridhar KS, Kumar P, Rao G. Pattern of skin diseases in Bantwal Taluq, Dakshina Kannada. Indian J Dermatol Venereol Leprol 2000;66:247-8.11 21 . Dayal SG, Gupta G.P, â€Å"A cross section of skin diseases in Bundelkhand region UP.†, Indian J.Dermatol.venereol.leprol, 1977; 43: 258-61. 22. Devi T, Zamzachin G, â€Å"Pattern of skin diseases in Imphal†.Indian J.Dermatology, 2006; 51: 149-50. Table 1 : Pattern of skin inflammation in both sexes Diseases Male Female Total No. % No. % No. % Allergic contact dermatitis 105 9.26 104 9.17 209 18.43 Irritant contact dermatitis 81 7.14 99 8.73 180 15.87 Seborrhoeic dermatitis 71 6.26 49 4.32 120 10.58 Atopic dermatitis 19 1.68 31 2.73 50 4.41 Psoriasis 11 0.97 9 0.79 20 1.76 Pompholyx 8 0.70 12 1.06 20 1.76 Total 295 26.01 304 26.81 599 52.82 Table 2 : Pattern of skin infection in both sexes Diseases Male Female Total No. % No. % No. % Impetigo 72 6.35 86 7.58 158 13.93 Secondary pyoderma 72 6.35 61 5.38 133 11.73 Folliculitis 10 0.88 15 1.32 25 2.20 Furunculosis 8 0.70 12 1.06 20 1.76 Acute paronychia 5 0.44 8 0.70 13 1.15 Scabies 56 4.94 66 5.82 122 10.76 Pediculosis 2 0.18 2 0.18 4 0 .35 Dermatophytosis 22 1.94 15 1.32 37 3.26 Pitiriasis versicolor 11 0.97 9 0.79 20 1.76 Molluscum contagiosum 0 0 3 0.26 3 0.26 Total 258 22.75 277 24.43 535 47.18 Table 3 : Pattern of skin inflammation in different age groups (years) Diseases up to 5 6-10 11-20 No. % No. % No. % Allergic contact dermatitis 0 0 4 0.35 33 2.91 Irritant contact dermatitis 6 0.53 7 0.62 27 2.38 Seborrhoeic dermatitis 7 0.62 14 1.23 29 2.56 Atopic dermatitis 8 0.71 5 0.44 4 0.35 Psoriasis 0 0 0 0 0 0 Pompholyx 2 0.18 5 0.44 3 0.26 Total 23 2.03 35 3.09 96 8.47 Table 4 : Pattern of skin inflammation in different age groups ( years ) Diseases 21-40 41-60 61-100 No. % No. % No. % Allergic contact dermatitis 80 7.05 47 4.14 45 3.97 Irritant contact dermatitis 104 9.17 30 2.65 6 0.53 Seborrhoeic Dermatitis 40 3.53 20 1.76 10 0.88 Atopic dermatitis 20 1.76 3 0.26 10 0.09 Psoriasis 13 1.15 3 0.26 4 0.35 Pompholyx 10 0.88 0 0 0 0 Total 267 23.54 103 9.08 75 6.61 Table 5 : Pattern of skin infection in different age groups ( years ) Diseases up to 5 6-10 11-20 No. % No. % No. % Impetigo 96 8.47 37 3.26 15 1.32 Secondary pyoderma 59 5.20 35 3.09 23 2.02 Folliculitis 1 0.09 1 0.09 3 0.26 Furunculosis 1 0.09 1 0.09 4 0.35 Acute paronychia 0 0 1 0.09 1 0.09 Scabies 37 3.26 34 3.00 23 2.03 Pediculosis 0 0 0 0 3 0.26 Dermatophytosis 1 0.09 4 0.35 4 0.35 Pitiriasis versicolor 0 0 0 0 0 0 Molluscum contagiosum 2 0.18 1 0.09 0 0 Total 197 17.37 114 10.05 76 6.70 Table 6 : Pattern of skin infection in different age groups (years) Diseases 21- 40 41- 60 61- 100 No. % No. % No. % Impetigo 7 0.62 3 0.26 0 0 Secondary pyoderma 8 0.70 4 0.35 4 0.35 Folliculitis 15 1.32 4 0.35 1 0.09 Furunculosis 10 0.88 3 0.26 1 0.09 Acute paronychia 4 0.35 6 0.53 1 0.09 Scabies 20 1.76 4 0.35 4 0.35 Pediculosis 0 0 0 0 2 0.18 Dermatophytosis 17 1.50 10 0.88 2 0.18 Pitiriasis versicolor 10 0.88 9 0.79 1 0.09 Molluscum contagiosum 0 0 0 0 0 0 Total 91 8.02 43 3.80 16 1.41 1

Children and Young people Essay

Traditionally the legal the legal age of adulthood was 21 but in the past 20-30 years most jurisdictions have lowered this age to 18. Article 1 of the Convention on the rights of the child (CROC) states that anyone under the age of 18 is child. Also the Children and young person’s (care and protection) Act 1998 (NSW) defines a ‘young person as someone aged between 16-18. These definitions are important because laws treat children and young people differently to adults. Before the late 19th century children committing criminal acts were treated in the same way as adult offenders. The concept of an age before which a person could not be held criminally responsible -doli incapax – did not exist, and children as young as seven were convicted of serious criminal offences. There were two significant events in the 1980s that advanced the rights of children and young people internationally and in common law countries. The two events were the signature of the United Nations Convention on the rights of child (CROC) and the Gillick case. The Convention on the rights of the child (1989) sets out a comprehensive set of rights for all children and young people. These rights cover civil, political, economic, social and cultural rights. The Gillick v West Norfolk and Wisbech Health Authority (1985) was a House of Lords decision. The department of health and Social Security has distributed a flyer advising doctors that they could lawfully provide contraception and advice to persons under 16 years old without parents’ consent. The mother of 5 daughters brought and action against the health authority and the DHSS based on her belief that a child under 16 was too young to make such decision without parental consent. The court of appeal allowed Mrs Gillick’s appeal and took the matter to the House of Lords with affirmed the appeal on the basis that 16 years old was capable of consent in medical matters provided that she has sufficient understanding and intelligence to understand fully what is proposed. In other worlds children have the rights and ability to make decisions to affect their lives and they can do so competently as long as they understand the implications of their decisions Children’s have the right to education and is compulsory for children aged 6-15 to attend school under the Education Act 1990(NSW) Under section 22 of this Act, parents must send their children to a government or non-government School registered with the NSW board of studies. There is no minimum legal age limit for young workers according to the office of industrial relations in NSW however if they are under 15 they must receive authorisation from the NSW Department of Education and Training to leave school. Young people in workplace are covered by all the relevant workplace and safety legislation for workers in NSW. The High Court of Australia followed the decision in the Gillick case and stated that once a person has sufficient maturity and intelligence to understand what is proposed she or he is capable of consenting to medical treatment. Parents have the responsibility to seek proper medical cared for their children even if they have religious objections. The children and Young Persons (Care and protection) Act 1998 (NSW) section 174 authorise a medical Practitioner to carry out emergency treatment on a child or young persons without parental consents. Young people do not have the right to leave their parents’ home before 18 however the law would not normally force young people over 16 to stay at home against their wishes. Children and young people are protected from discrimination on the basis of age by the Anti- Discrimination Act 1977 (NSW). This act also outlaws discrimination on the basis of sex, race, and sexuality. The Convention of the rights of the child (CROC) is a legal mechanism which has been important in putting the rights of children on the global agenda. Once a nation has signed and ratified a treaty the United Nations committee structure monitors and reports on the extent to which hat nation is complying with its international obligation, the committee’s limitation is that it has no coercive powers. Another legal mechanism is the children’s court. Across NSW there are 13 children’s magistrates siting in seven specialists children’s court there also five children’s registrar appointed under the children’s court Act 1998(NSW) to assist in administration of matters before the court. Trade unions are organisations of workers who act together to maintain their rights to good working condition. The Australian council of trade unions (ACTU) provides information about pay and conditions, health and safety issues, apprentice- ships and training and negotiating employment contracts for young people entering the workforce for the first time. Trade unions are a Non-Legal mechanism for protecting rights of children and young people. The kids Helpline are just one of the many organisations from which children and young people in crisis can seek advice. It is a non-legal mechanism just like trade unions. It offers 24hr free telephone and online counselling. If children and young people come into contact with the criminal justice system, it usually through interaction with a police officer when being arrested or questions about some matter. Seventy eight per cent of the 843 children and young people surveyed said that the police rarely treated young people with sufficient respect. It could be argued that children and young people l on the whole do not have good relationship with the police. Young people are frequently targeted for police intervention for lacking respect or simply for being young and out in the public. Children around the world are exploited and abused where the laws of their countries fail to offer protections to them. There are approximately 250 million child labourers worldwide. In 2007 it was estimated there were as many as 300 000 children and young people involved in armed conflict with up to 100000 of these believed to be in Africa. In countries ravaged by war and famine children lack the protection normally afforded to them within the family. Very recently in Australia children sat in immigration detention centres having broken no laws, as a result of the previous federal governments’ punitive laws relating to asylum seekers. In other countries minors are still being executed for the crimes they have committed The rights on children have come a long way. Australian legislation has established processes and institutions to recognise and protect the important role that children and young people play in out in our society. There is still cause for great concern about the exploitation and abuse of children internationally. The force of international law relies on the domestic measures taken to implement the rights contained in treaties such CROC and the pressure brought to bear by parties not only by treaty based human right committees.

Juvenile Delinquency related to drugs and alcohol Essay

To tackle this topical issue, it is fairly relevant to first of all define some key terminology employed in contextual jargon as regards the question at hand. At the fore, a juvenile can be said to be a minor of such age as may be stipulated by a particular state, usually below the age of sixteen (16) or seventeen (17) years, who may be in the frame of mind to willfully conceive criminal intent whilst perpetrating a crime, be it in the form of a robbery, murder or assorted other criminal acts. Along the same line, ‘juvenile crime’ denotes several offences committed by the said minors (less than 18 years), infamously referred to as juvenile delinquency, and may include acts which would be considered ‘crimes’ if committed by adults, and misbehavior like disobedience to parents and authorities or even instances of truancy. As may be warranted by prevailing circumstance, such youthful offenders may be put to trial as either full-blown adults or simply in a capacity as juveniles, as influenced by a variety of factors, inclusive of the severity of the crime in question. For the more weighty crimes, the juvenile offender may be tried in either a juvenile or adult court, then subsequently incarcerated among the adults or juveniles, as the presiding judge may deem fit. More serious criminal offences may even spell out prison sentences for the ‘minor’ (Stafford, 1991). However, the root causes of juvenile delinquency remain a baffling mystery, as clear-cut reasons are yet to be outlined for the same. However, it is clear that the major causes of delinquency are the use of alcohol and abuse of drugs and substances. Some theorists pen a myriad of intervention mechanisms to aid in arresting this situation before it grows into being the downfall of youths the world over. In this reaction paper, I endeavor to handle each of these issues, one at a time (Shaw, 1942).). Drug trafficking has become the major source of violence in the country with rival gangs engaging in extreme violence that sometimes leads to fatality. Drug abusers sometimes results to crime in order to acquire money to satisfy their addictions since drugs are expensive. Furthermore, drugs alienate one from reality and leads to aggressive behavior which results to violence or misdemeanor. A lot of attention has been given in this area and extensive findings exist. However, it is clear that there is room for more to be done since this existing literature has not resulted to a dramatic decrease from behavior that is considered wrong in society. Furthermore, there seems to be little or inadequate research on the effect of to younger siblings if their older counterparts are abusers of alcohol and drugs (Kuntsche et al, 2009). Causal Relationships Diverse theories have been put forth as relates to the chief reasons why there is the onset of juvenile tendencies in the first place, and why this eventually metamorphosis’s into criminality in the long run. Among those advanced include schools of thought which are modeled around historical and modern – day scenarios. These theoretical traditions range from deliberations on; Theories: –   Early theories – these peg the juvenile tendencies to the forces of nature, for example, spiritual beings and even demons. Key aspects in this arena include deliberations on naturalism (the science relating human affairs and eventual behavior to interactions with the forces of nature) and spiritualism, whereby deviance and criminal tendencies can be pegged to influences of nature, and the perpetrator’s inappropriate connection with supernatural powers that be. In this theory, offenses were considered to be against nature itself – The Classical theory, which goes on to rationalize personal choice, brings to focus the issue of humanitarianism. Theorists here are of the stance that proven perpetrators ought to be held personally accountable for their delinquent acts, and that punishment was best administered accordingly. This was based on the premises that humans are by nature reasonably rational, criminality being morally wrong and outlawed in society, and also that the civil society would play its role of disciplining wrong-doers as a form of deterrent mechanism, with such punishment being proportionate to the crime at hand (Loeber, 1989). – Biological theories, which detail the physiological developmental traits of juveniles, in relation to their physical development, mental (under) development, or even hereditary characteristics, and their eventual impact on human behavior. It holds that some people are naturally-inclined toward being deviant, and that it is woven-into their genes, with little or no chance of altering this state of being. The point of note here is that delinquency and its roots are traced to a person’s physical/ physiological predisposition, as opposed mainly to the question of free will. Chief among these are theories dealing with – hereditary issues (heredity), – evolution of man and his characteristics (atavism), as well as, – The development of certain bodily traits that are common amongst people already oriented toward behaving in a particular manner (somatotyping), to name but a few. – Psychological theories – these touch on psychopathic personalities, correlation between dysfunctional and/ or troubled childhoods and the prevalence of the juvenile mannerisms in individuals. These also ascribe deviant behavior to one’s surrounding environment, as may be influenced by chemical interplay in the brain, or an assorted number of reasons. Here, it is necessary to   point out that delinquents may not have a sense of right or wrong as they go about their deviant actions, and that not only can’t they control themselves, but also, their personalities border being christened ‘abnormal’, and the root of such can be re-traced back to their age as little children. These include; Psychopathology, which relates one’s lack of a viable conscience to deviant mannerisms and also, the dys-functioning of given personalities, conditioning, which details the response to stimulating factors prevalent in the environment, and Psychoanalysis, dealing with incomplete development of one’s personality. – Sociological theories – serve to link deviance to societal interactions and also the already existing caste structures, not to mention the inherent disparities in existence between the level of achieving goals and objectives and actually being in a position to go about the same. These include; – Differential Association theory, which deals with ways in which we as humans have the tendency of picking up all manner of behavior from those around us. It further posits that delinquency is an acquired behavior that is adopted from lifestyles of varying criminals. – The Structural/ Social Ecology theory, as pertains to structural conditions in a given area that may play a pivotal role in shaping the mental framework of individuals inhabiting that area. These include; overcrowding, unemployment, poor housing, poverty, sub-standard sanitation, and last but not least, illegitimate births. – Strain and anomie theory; anomie details the aspect of lack of norms in society, especially in instances where there may be experienced some upheavals like wars and the like. When this materializes, the traditional customs and regulations are no longer abided by. Conversely, Strain refers to a situation whereby there already exists a standard set of acceptable goals and means of achieving the same. The inherent problem however, is that not all members of society have the necessary resources to go about meeting this end, thus, a scenario of need is created with some members literally straining to make ends meet, as it were. Thus, lack of opportunity and inequality can be zoned off as the major bones of contention here. – Critical theory – has a lot to do with forces of subjugation in society, and also the capitalistic nature of shrewd individuals. Societal inequities play a major role in molding the character and adaptive mind-state of given persons, more so in the earlier years right after one begins the journey to discover him/ herself.   This is further broken down into; – Radical criminology; this has the general proposition that since the wealth and power in society have been inequitably distributed, then, those less economically – empowered will ultimately seek out alternative modes, mostly of criminal nature, so as to achieve whatever it is they are in (dire) need of. This situation is set to persist until control mechanisms are put in place by society to ensure that all and sundry are catered for as pertains to the same. – Conflict theory; the main assumption is that societal conflicts and tensions are part and parcel of society in general. There thus arises a distinctive classification of peoples, pitting the haves against the have-nots, with the latter being tagged in a relatively negative light. The theory posits that there subsequently arises the need for specialized institutions that can be employed to maintain a certain degree of law and order in society. Thus, in a nutshell, this theory serves to deliberate the economic tensions created, focus being placed on the political and economic systems in existence.

Discount and Hawkins - 1069 Words

Discount and Hawkins Case Case Synopsis The subject matter of the case is presented as a negotiation between a real estate developer, Hawkins, and a possible anchor tenant, Discount Marketplace. Both parties are represented by professional negotiators: Myra Hart is representing the Hawkins Company and Genia is representing the Discount Marketplace. The Hawkins Company is a real estate developer, who is operating across UK, offering different types of services, such as: Mortgages, Energy Performance Certificates, Sales and Lettings. They are interested in having Discount Marketplace as a tenant in a proposed shopping center. The Discount Marketplace is an innovative national retailer with the main activity focused on†¦show more content†¦The Developer wished that the Retailer would deal only with soft goods, and asked them to use same product mix for all locations around the country. The proposal was declined because the Retailer felt it was limiting to deal with only soft goods. Retailer wanted to be free in selecting the type of goods and services. Their argument was that they needed to be more flexible regarding their product mix in order to achieve innovation and to follow their advertising strategy. Also the Retailer didn’t agree to use the same product mix across country because their main activity was based around a strategy of adapting the product mix. In order to get to an agreement the Developer suggested limiting the activity to some percentage of the operation area. They offered a limit of 10 – 15% for trial. The Retailer accepted the offer and issue was solved. 2. Operating Covenant Developer’s concern about the contract duration was that the Discount Marketplace would operate for only as long as the business would be viable. Their aspiration level was to sign the contract for a period of minimum 15 years and their soft constrain was to sign the contract for a minimum of 10 years. 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Additionally, Christmas is a high consumption season due to the gifts giving culture of traditional activities in western culture and also consumers are offered discounts during the occasion in which Christmas creates ‘the consumption fantasyland’. ‘Consumption satisfices our basic survival needs and the more abstract needs o f cultural, social and personal elements that are symbolic of taste, lifestyles and identity’Read MoreGroupon, By Andrew Mason Essay1781 Words   |  8 Pageshave funny copy. It focused on group buying power and helping people find interesting things to do in their city. Groupon’s concept immediately took off and became an overnight successful company. Here is how it works: A business offers a deep discount for its good/service, for example, a restaurant offered $40 value meals for the price of $20 via Groupon. The customer buys the voucher on Groupon for $20, and then later redeems it at the restaurant at the value of $40. Groupon makes money byRead MoreReinforcement Role in Operant and Classical Conditioning2066 Words   |  9 Pagesapply to future related behaviour† (p. 207). As they state, it is important to underline few tips as: it is a process that has as results future behaviours as a feedback from newly acquired knowledge or experience. How is explained by Hawkins et al.(2010), learning may occur in either high-involvement of a consumer in the learning process because of motivation to do so, or low-involvement or even nonconscious when the consumer has little or no motivation at all in learning a behaviourRead MoreReinforcement Role in Operant and Classical Conditioning2078 Words   |  9 Pagesthey apply to future related behaviour† (p. 207). As they state, it is important to underline few tips as: it is a process that has as results future behaviours as a feedback from newly acquired knowledge or experience. How is explained by Hawkins et al.(2010), learning may occur in either high-involvement of a consumer in the learning process because of motivation to do so, or low-involvement or even nonconscious when the consumer has little or no motivation at all in learning a behaviour