Drinks That Cause Tooth Decay Health Essay

Drinks That Cause Tooth Decay Health Essay The content in the drinks that causes tooth decay is the acidic content in our food and beverages. In general, drinks with a pH below 5.0 5.7 have been known to trigger dental erosion. Previous scientific research findings have helped to warn consumers that the pH level in beverages could lead to tooth erosion, the breakdown of tooth structure caused by the acid and leads to tooth decay. The acidity level in popular beverages that we consume everyday contributes to the erosion of enamel. Dental erosion is the irreversible loss of a tooth due to chemical dissolution by acids not of bacterial origin. There is generally widespread ignorance of the damaging effects of acid erosion; this is particularly the case with erosion due to fruit juices, because they tend to be seen as healthy. Erosion is found initially in the enamel and if unchecked, may proceed to the underlying structure of a tooth. Numerous clinical and laboratory reports link erosion to excessive consumption of drinks, frui t juices such as orange juice (which contain citric acid) and carbonated drinks (citric and phosphoric acid). This essay examines scientific research of the issue to determine if, in fact, acidic drinks do cause tooth decay. As part of my research, I conducted my own experiment, using human teeth and different types of drinks. After considering the results I obtained, as well as other research, I conclude that acid contain in the drinks is the cause of tooth decay. The acid content will slowly dissolve the enamel of the teeth. It dissolves the calcium molecules from the teeth surface, thus the teeth will erode. This essay will examine the validity of acid content in the drinks as the real culprit to tooth decay, evaluate the extend of the damage and recommendations for proper tooth care. Introduction Tooth decay is the loss of enamel from the tooth surface. When sugary drinks are consumed by bacteria in the mouth, it turns the sugar into acids. These acids corrode the enamel of the teeth, which leads to cavities. Dental erosion is the irreversible loss of a tooth to chemical dissolution by acids not of bacteria origin. Tooth decay is the most common chronic disease for children aged 5 17 although it is only recently that it is recognized as a dental health problem. There is generally widespread ignorance of the damaging effects of acid erosion, this particularly due to fruit juices, because they are perceived to be healthy. Erosion is initially found in the enamel and if left unchecked, may proceed to the underlying structure of a tooth. Numerous clinical and laboratory reports linked erosion to excessive consumption of sweet drinks, carbonated drinks and fruit juices. Previous scientific research findings have help to warn consumers that the pH (potential of hydrogen) level bel ow pH 5.0 5.7 may initiate dental erosion. The consumption behaviour plays a major role in oral health. However, public awareness on dental erosion is not high. Sources of acids can be endogenous or exogenous, and erosive intensity is modified by quality and quantity of saliva. Acidic beverages are the most common extrinsic factors that cause dental erosion (tooth decay). Because of these identified factors, I am interested to do this research to clear my curiosity. Basically this experiment is done to support my hypothesis. The experiment consists of gathering extracted human teeth of various shapes and sizes, disinfection and the submission in the selected beverages. Duration of 5 months is needed to complete the whole experiment. With the findings, I will be convinced and able to convince that acidic beverages cause tooth decay. Review of Literature Lemon Juice The juice extracted from fresh lemon is used as refreshing beverage. People go for lemon juice because they are able to cool down our body temperature. This is why when people are sick, they are advised to drink more citric juices so that the body system can be cooled down and recover the patients. Besides that, lemon juice also has high content of Vitamin C which is essential to our body immune system. 2.2 Coke Coke is a very famous carbonated drink. Despite the fizzy feeling and sweet tasting of the drink, it is actually one of the main contributors to tooth decay. Coke is a very sweet beverage making it able to promote the growth of oral bacteria, which is known as Streptococcus mutan  [1]  as the sugar contained in coke can feed the bacteria. Coke contains phosphoric acid and has the ability to corrode the tooth enamel. Plus, coke can stain the teeth and forms caries on the surface of the teeth  [2]  . 2.3 Coffee Coffee causes calcium loss in our bone mass, which leads to the excretion of calcium from our bones, doesnt matter which part of our body it is. This causes the thinning of the teeth which in turn, causes the teeth to become weak and is vulnerable to corrosion or break. Furthermore, coffee is also mostly acidic, which also causes tooth erosion, then leads to tooth decay  [3]  . 2.4 Energy Drink Energy drinks can also cause tooth decay. The pH level of the drink can lead to tooth erosion and hypersensitivity. It causes the breakdown of the tooth structure. In energy drinks, it is not the acidity of the drink that cause tooth erosion, but it is the buffering capacity of the drink that corrodes the tooth. Buffering capacity is the ability to neutralize acid  [4]  . Energy drinks have high buffering capacity, making them to have the strongest potential to cause tooth erosion. 2.5 Sugar Solution Sugar is scientifically known as sucrose, a sweet tasting organic compound, derived from glucose and fructose. Streptococcus mutans which live in our oral cavity will react with the sugar and form lactic acid which will also causes tooth erosion. Sucrose will be converted into dextran which favors the bacteria to be attracted to the teeth. Dextran is the food for the oral bacteria and lactic acid is their waste product  [5]  . Therefore, those bacteria will just stick to the teeth. This will make it difficult to remove those bacteria  [6]  . 2.6 Tap Water Tap water will not cause tooth decay as it does not have any effects on our teeth. Tap water is fluoride-enhanced, and it serves the purpose of making the teeth stronger and protects the teeth, making it an important teeth-protecting agent. Therefore, tap water will not stand the possibility of causing tooth decay. 2.7 Tooth Anatomy As the function of the teeth is to bite and chew food, hence, they are the first step in the digestion of food. The long, sharp canine teeth tear up food. The wide, flat molars grind and mash up food. Teeth also help us say certain sounds. Human have two sets of teeth in their lives, the primary teeth (also called the baby, milk or deciduous teeth) and the permanent teeth. Children have 20 primary teeth; they are replaced by the permanent teeth by about age 13. Adult have 32 permanent teeth. 7 Diagram of a tooth anatomy 3.0 Hypothesis Acid in drinks is the cause of tooth decay. Acidic drinks such as orange juice and lemon juice, the acid content will slowly dissolve the calcium in the teeth, corroding the enamel. The process starts from the surface of the teeth, towards the inner structure of the teeth. Method Development Planning In order to carry out this research successfully, materials have been carefully chosen to give a more promising and accurate result. Materials were carefully studied through several researches and readings from various useful sources. For my research, I have studied and researched on drinks such as lemon juice, coke, coffee, energy drink (100-Plus), sugar solution and tap water. The choice of tap water in my experiment is because of the neutral pH and fluoride enhancement. I have been studying about the compositions of the drinks and how they actually contributed to tooth decay. This experiment was carried out in the Health Laboratory of a Government Health Clinic in Sibu. All the research work was done during each of my college holidays. I was fortunate because I was consented to use the apparatus like digital weighing scale, microscope and more. All the extracted human teeth were supplied by the dental clinic with consent granted by the dental officer. I was also being taught the proper way of disinfecting the teeth with a proper disinfectant by the health staff in the laboratory. The main reason I chose to do my experiment here is because of the proper equipment available. Besides, I can also handle the teeth in a correct way to prevent myself from the bacteria. During the planning stage, Ive done a thorough research in choosing the appropriate drinks to be tested in my experiment. I chose only those drinks is because they are some of the popular drinks and are consumed the most nowadays. Besides that, these drinks are easily available in the market, regardless whether it is in the urban or rural area. And since I am studying of the effects of these drinks on human, so children can be a good subject for me because these drinks are mostly consumed by children. These drinks are also very affordable, so there wont be any financial problem in carrying out this experiment. As for the teeth, various types of teeth were used in this experiment. However, no specific tooth is being used due to the unavailability. These teeth range from Incisors, Canine, premolar to molar. Tooth that is with minimal erosion noted is selected for this experiment as no perfect human tooth is being extracted and readily available for such an experiment. 30 human teeth are used in this experiment. Only 30 teeth are used because it is quite difficult to get human teeth as human teeth are really dirty and dentists usually dispose them off immediately due to hygienic reason. Besides that, as for the solutions, 200ml of each solution is used. The same amount of solutions are also used each and everytime when I change the solutions in each beaker, once a week. This experiment takes approximately 5 months in order to obtain a more significant and accurate result. Initially the duration of the experiment was only 10 weeks as planned; however no significant change can be seen. Therefore, the duration of the experiment was extended to 5 months instead because the teeth required a longer period of time to witness a significant change in the structure of every tooth. The experiment was carried out at room temperature, which is approximately at. This is because oral bacteria can function well at such temperature, which may contribute to a more accurate result. The experiment was done, with permission, for using the equipment at a Clinic laboratory of a Healthcare facility in Sibu. All the extracted teeth for this study were taken from the Dental Clinic of that facility with each tooth weighs between 0.510 gram and 2.280 gram depending on various types of teeth (molar, premolar, canine and incisor) extracted and the weight of these extracted teeth. After being thoroughly washed and disinfected (to prevent any possible infections during the process of this experiment), specimens (extracted teeth) were alternately immersed, 5s, in each different types of drinks place in a labelled beaker ranging from A to F as follows: Beaker A Lemon juice Beaker B Coke Beaker C Coffee Beaker D 100 Plus Beaker E Sugar Solution Beaker F Tap Water This study was done for duration of 5 months. This is to enable me to note significant changes. This is necessary in order for me to chart and document accurately the gradually changes to these teeth. A shorter duration will not show any significant changes which could be documented. The first reading will only be done after 1 month post immersion in each of the marked beaker filled with the experimented drinks. These readings include the documentation of the colour, contour (mass) and the weight of each tooth after which at the end of my study I would be able to determine which of the 6 beakers show significant changes in the tooth mass. The inspection of each beaker will be done monthly for the next subsequent 5 months. Beaker A (lemon juice) Beaker B (Coke) Beaker C (coffee) Beaker D (100 Plus) Beaker E (sugar water) Beaker F (tap water) In the meantime, a clean 200ml beaker was used to measure 200ml of lemon juice and the beaker is labelled accordingly. The pH of each drink is being measured to determine their acidity level. pH Chart from the journal of dental hygiene is being used as a guideline for my experiment. The diagram below show the various pH levels of frequently consumed foods and drinks below pH 5.0 5.7 which may initiate dental erosion. This step was repeated to measure out the same amount (200ml) of Coke, coffee, 100 Plus, sugar water and tap water. In the experiment, tap water acts as a control. After that, 30 teeth of almost the same size were cleaned and disinfected thoroughly with antiseptic disinfectant. The teeth must be clean and are without plague in order to detect new changes to the mass and contour of the teeth. Then, the teeth were dried with a hair dryer to ascertain that the teeth are totally dry and no residual water detected. This is done to make sure that the result will not be temper ed. The initial mass of each tooth was also weighted and the measurements were recorded. After the measuring processes, each of the teeth was immersed into their respective beakers ranging from beaker A to beaker F, 5 teeth per solution per beaker due to the limited amount of human teeth available. Those teeth must be immersed completely in their respective solution. After that, those 6 beakers were left in the laboratory under standard room temperature and humidity. After a month, every tooth in the 6 beakers was individually checked and the changes which had taken place on the surface of the teeth were observed and documented with each of the tooth mass measured. Then these teeth are re-immersed with fresh drinks (to ensure the potency of these drinks does not decline) for the subsequent month documentation. This process will be carried out at a monthly interval with fresh solution to detect any changes occurring to the mass and contour of the teeth, be it acute or gradual. At the end of the experiment which lasted for 5 months, the teeth were removed from each of the solutions and they were cleaned. After cleaning process, the teeth were dried using a hair dryer until each of them was totally dry. The final mass of each tooth was weighted and all the measurements were recorded as shown in the table below. At last, the data collected, which is the final mass (quantitative data) and the observation on the teeth (qualitative data) were tabulated for analysis. 8 Diagram of the pH level of frequently consumed food and drinks below pH 5.0-5.7 may initiate dental erosion. 5.0 Materials and Procedure 5.1 Materials Materials Quantity Extracted tooth 30 Lemon juice 200ml Coke 200ml Coffee 200ml 100 Plus 200ml Sugar solution 200ml Tap Water 200ml 5.2 Apparatus Apparatus Quantity 200ml beaker 6 Forceps 1 Electronic balance 1 Magnifying glass 1 Hair dryer 1 Microscope 1 5.3 Variables Variables Independent variable Different types of drinks (lemon juice, coke, coffee, 100 plus, sugar water, tap water) Dependent variable Condition of the teeth Constant variable Volume of drinks used Type of teeth used Temperature of the drinks Duration of the experiment Number of teeth used 5.4 Methodology Prepare 6 clean and empty beakers. Label all the 6 beakers with alphabets, ranging from A to F. Beaker A Lemon juice Beaker B Coke Beaker C Coffee Beaker D 100 Plus Beaker E Sugar solution Beaker F Distilled water In the mean time, use a clean 200ml beaker, measure 200ml of lemon juice. Repeat step (3) with coke, coffee, 100 Plus, sugar water and distilled water. The distilled water acts as the control experiment. Then, clean 30 teeth of the same size thoroughly. Make sure that there is no plaque on them. Dry the teeth with a hair dryer. Weight the initial mass of the teeth. Record the measurements. Immerse the each of the teeth into respective beakers. Label the teeth with numbers 1, 2, 3, 4 and 5 for easy recognition. Make sure that the tooth is completely immersed in their respective solution. Leave the 6 beakers in the laboratory with a standard surrounding temperature. After 24 hours, check on the tooth in the 6 beakers and observe the changes which are taken place on the surface of the teeth. Remove the teeth from the solutions and clean them. Dry the teeth with a hair dryer and make sure that they are totally dry. Weight the final mass of the teeth. Record the measurement. Tabulate the data. Data Collection 6.1 Quantitative Data Drinks pH Value Lemon Juice 2.10 Coke 2.30 Coffee 4.95 100 Plus 3.78 Sugar Solution 7.00 Tap Water 7.00 The table shows the pH level of each drink for this study. Type of Drinks pH Value () Month Mass of Teeth/mg () Tooth 1 Tooth 2 Tooth 3 Tooth 4 Tooth 5 Lemon Juice 2.10 1 2.37 2.68 1.80 2.22 1.05 2 2.37 2.67 1.79 2.21 1.04 3 2.35 2.65 1.78 2.20 1.03 4 2.33 2.63 1.75 2.18 1.01 5 2.29 2.60 1.72 2.14 0.98 Coke 2.30 1 1.82 2.33 2.06 1.80 2.46 2 1.81 2.32 2.06 1.80 2.44 3 1.79 2.30 2.04 1.78 2.43 4 1.75 2.28 2.01 1.76 2.41 5 1.75 2.26 1.98 1.74 2.39 Coffee 4.95 1 1.55 1.74 2.34 2.26 1.37 2 1.55 1.73 2.33 2.26 1.36 3 1.54 1.73 2.32 2.25 1.36 4 1.52 1.71 2.31 2.25 1.35 5 1.50 1.69 2.29 2.24 1.33 100 Plus 3.78 1 2.67 2.64 2.75 1.30 2.14 2 2.66 2.63 2.75 1.30 2.12 3 2.64 2.61 2.73 1.28 2.10 4 2.62 2.60 2.71 1.25 2.08 5 2.60 2.58 2.69 1.23 2.06 Sugar Solution 7.00 1 1.37 1.46 2.06 1.47 2.33 2 1.37 1.45 2.04 1.46 2.32 3 1.35 1.45 2.03 1.44 2.30 4 1.34 1.44 2.01 1.43 2.29 5 1.33 1.43 2.00 1.42 2.28 Tap Water 7.00 1 2.65 2.43 2.86 1.43 2.63 2 2.65 2.43 2.86 1.43 2.63 3 2.65 2.43 2.86 1.43 2.62 4 2.64 2.43 2.85 1.43 2.62 5 2.63 2.42 2.84 1.43 2.61 The table shows the mass of the teeth throughout the experiment. 6.2 Qualitative Data Type of Drinks Month Colour Contour Mass Lemon Juice 1 No change No change No change 2 No change No change Slight decrease 3 Yellowish Microscopic flaking and softening of enamel Slight decrease 4 Yellowish brown Erosion noted Significant decrease 5 Brown Erosion noted Consistent decrease Coke 1 No change No change No change 2 No change No change Slight decrease 3 Yellowish No change Slight decrease 4 Yellowish brown Erosion noted Significant decrease 5 Brown Erosion noted Consistent decrease Coffee 1 No change No change No change 2 Yellowish No change Slight decrease 3 Yellowish brown Microscopic flaking and softening of enamel Slight decrease 4 Brown Erosion noted Significant decrease 5 Brown Erosion noted Consistent decrease 100 Plus 1 No change No change No change 2 No change No change Slight decrease 3 Yellowish Microscopic flaking and softening of enamel Slight decrease 4 Yellowish Erosion noted Significant decrease 5 Yellowish brown Erosion noted Consistent decrease Sugar Solution 1 No change No change No change 2 No change No change No change 3 Yellowish No change Slight decrease 4 Yellowish brown Erosion noted Significant decrease 5 Yellowish brown Erosion noted Consistent decrease Tap Water 1 No change No change No change 2 No change No change No change 3 No change No change Slight decrease 4 No change No change Slight decrease 5 Yellowish No change Slight decrease The table shows the observations obtained throughout the experiment. 7.0 Data Processing Analysis 7.1 Data Processing 7.1.1 Calculation for the difference in mass of the teeth. Formula: Difference in mass =Mass in month 1- Mass in month 5 Example, The 5th month (lemon juice), tooth 1: Difference = = *Same calculation applied to others. Type of Drinks Difference in mass/mg () Tooth 1 Tooth 2 Tooth 3 Tooth 4 Tooth 5 Lemon Juice 0.08 0.08 0.08 0.08 0.07 Coke 0.07 0.07 0.08 0.06 0.07 Coffee 0.05 0.05 0.05 0.06 0.04 100 Plus 0.07 0.06 0.06 0.07 0.08 Sugar solution 0.04 0.03 0.06 0.05 0.05 Tap water 0.02 0.01 0.02 0.00 0.02 The table shows the difference in mass of each tooth throughout the 5 months for each drink. 7.1.2 Calculation for the uncertainties of difference in mass Formula: Uncertainty of the initial mass + uncertainty of the final mass Example, Therefore, difference in mass for tooth 1 in lemon juice: Difference = *Same calculation applied to others. 7.1.3 Calculation for the average difference. Formula: Example, For lemon juice: *Same calculation applied to others. Type of Drinks Average difference in mass/mg Lemon juice 0.08 Coke 0.07 Coffee 0.05 100 Plus 0.07 Sugar solution 0.05 Tap water 0.01 The table shows the average difference in mass of the teeth in each drink. 7.1.4 Calculations for the Standard deviation of the average difference in mass. Due to the complexity of the calculation, the standard deviation is calculated by using the Graphic Display Calculator (GDC). Steps: Press the STAT button. Press the ENTER button. List the data (the average difference in mass of the 5 teeth per solution) in one of the column. Press the STAT button. Press > button so that the CALC image on the screen is highlighted. Press the ENTER button. Beside the 1 Var Stats words on the screen, type the 2ND button and the name of the column that contains the data (name of the column used in step 3). Press the ENTER button. The standard deviation is equal to. The above steps are repeated to calculate the standard deviation for the teeth in the rest of the drinks. Example, For lemon juice, Key in the difference in mass of the 5 teeth in the 1st column. Based on the steps above, the GDC automatically calculated the standard deviation, which is,. *Same calculation applied to others. Type of Drinks Average Difference in Mass/mgStandard Deviation Lemon juice 0.080.004 Coke 0.070.007 Coffee 0.050.007 100 Plus 0.070.008 Sugar Solution 0.050.011 Tap water 0.010.009 The table shows the average difference in mass of the teeth with the standard deviation. 7.1.5 Calculation of the rate of reaction between the teeth and the drinks. Formula: Calculations: Lemon Juice Rate of Reaction = = Coke Rate of Reaction = = Coffee Rate of Reaction = = 100 Plus Rate of Reaction = = Sugar Solution Rate of Reaction = = Tap Water Rate of Reaction = = 7.1.6 Calculation for the standard error of the rate of reaction. Formula: Where, = uncertainty of the mass = rate of reaction Example: Lemon juice Coke Coffee 100 Plus Sugar Solution Tap Water Type of Drinks pH Value Duration of Experiment/ months Average Difference in Mass/ mg Rate of Reaction/ mg/day Lemon juice 2.10 5 0.080.004 Coke 2.30 5 0.070.007 Coffee 4.95 5 0.050.007 100 Plus 3.78 5 0.070.008 Sugar solution 7.00 5 0.050.011 Tap water 7.00 5 0.010.009 The table shows the summary of the calculations in the experiment. 7.2 Data Presentation 7.3 Statistical Analysis 7.3.1 T-test lemon juice and sugar solution. 1st Month: t-Test: Paired Two Sample for Means Variable 1 Variable 2 Mean 2.024 1.738 Variance 0.39683 0.18467 Observations 5 5 Pearson Correlation -0.933627334 Hypothesized Mean Difference 0.286 df 4 t Stat 2.38114E-16 P(T 0.5 t Critical one-tail 2.131846786 P(T 1 t Critical two-tail 2.776445105 To do a T-test, I came up with two hypotheses, which are as followed: The difference between the average mass of the teeth in lemon juice and sugar solution for the 1st month is not significant. The difference between the average mass of the teeth in lemon juice and sugar solution for the 1st month is significant. From the result of T-test generated by Microsoft Excel 2010, the value of is and the value of is. Thus, . Therefore, is accepted and is rejected. This means that from the T-test, the difference between the average mass of the teeth in lemon juice and sugar solution for the 1st month is not significant. This is because all the teeth used in this experiment have an average mass initially. 7.3.2 T-test between lemon juice and sugar solution 2nd Month: t-Test: Paired Two Sample for Means Variable 1 Variable 2 Mean 2.016 1.728 Variance 0.39858 0.18127 Observations 5 5 Pearson Correlation -0.938299713 Hypothesized Mean Difference 0.288 df 4

Hutu Tribe

Hutu The mention of the word â€Å"Hutu† immediately conjures up images of mass murder from the 1994 genocide in Rwanda. The recent film Hotel Rwanda brought the horrible atrocities of that genocide to the public eye. However, it is not only in Rwanda that the Hutu have been involved in ethnic war. The country of Burundi, a neighbor to Rwanda, was the site of the first violence between the Hutu and the Tutsi. The Hutu people of Burundi have a rich culture and history that has been largely overshadowed by ethnic conflict. The Hutu are a Bantu tribe numbering about thirteen million (Newbury 2001).Traditionally the Hutu organized themselves in clans and family groups through patrilineal decent (Ndarishikanye 1998). Within these groups they practiced polygyny and bridewealth as part of the institution of marriage (McDonald et. al 1969). Like many African tribes the Hutu’s religious beliefs include the spirit world. The supreme God Imana is seen as the giver of all good whil e there are lesser spirits who do evil (book). The Hutu inhabit the high plateau of the central African Rift Valley and inhabited 85% of Rwanda and Burundi before the ethnic wars in those countries (CIA World Factbook).The Hutu inhabit diverse geographies. In the southeast region of the Rwanda and Burundi territory there are open grasslands which are ideal for pastoral people. In the western region of the countries there are mountains. The west is good land for agriculture because it reliably receives rainfall. In the northeast there are lowlands that are along Lake Tanganyika (Newbury, 2001). This vast array of ecologies provides different possibilities for food production or procurement.The Hutu are traditionally agriculturalist but they did get involved in herding cattle because of the closely related Tutsi tribe. The Hutu wanted cattle and the Tutsi wanted laborers. To appease both groups, agreements called ubuhake were made. These agreements exchanged the Tutsi cattle for the H utu labor. In other words when a Hutu entered this agreement he received cattle but in return became submissive to a Tutsi owner (Louis 1963). This is one reason that the minority Tutsi rose to control economics and rule over the majority Hutu, this would later lead to ethnic conflict.The ethnic conflict between the Tutsi and the Hutu is most famous in Rwanda but the Hutu of Burundi have also been severely affected by ethnic tension throughout the years. Understanding the causes and effects of the violence is a part of understanding the history of the Hutu people. The causes of the ethnic tensions between the Hutu and Tutsi are not simply explained. In fact, in 1931 Bernard Zuure, a missionary with seventeen years of work in Burundi, noted that it was pointless to distinguish between the Hutu and Tutsi because their cultures were so similar (Zuure 1931).What then caused the separation between the two ethnicities? According to Alphonse Rugambarara the separation of identities came wh en there was a specific political agenda to create separate Tutsi and Hutu ideologies. These terms created animosity and dichotomist identities where there was actually little difference (Rugambarara 1990). The identities of Hutu and Tutsi were so significant that other ethnicities or social segregations became less important. The role of the Hutu as submissive to the Tutsi was engrained in society.An example of this is that in the Kirundi language (spoken by the Hutu) there is not a word equivalent to the English equality or liberty so Hutu’s could not even verbalize a desire for freedom (Lermarchand 1995). Given the strong identity associated with ethnicity in Burundi the complications behind the explanation of the 1972 genocide are understandable. To get to the root of the problem or causes of the genocide is difficult because the perceptions of the Hutu and Tutsi about the conflict are very different (Lermachand 1995). Liisa Malkki studied Hutu refugees in Tanzania who ha d fled from the genocide.She discovered that in the refugee camps â€Å"mythico-histories† were created. These were stories or parables that the Hutu told which constructed their history and moral truths (Milkka, 1989). These stories were not necessarily untrue or true but they served to construct the identity of the Hutu and the cause of the genocide. The Hutu were not the only tribe developing â€Å"mythico-histories. † The truth is very hard to discern among many â€Å"histories† (Lermarchand 1995). Beyond the â€Å"why’s† of the conflict we can conclude the â€Å"what’s. † What actually took place in Burundi in 1972?In the spring of 1972 on April 29th the Hutu attempted a rebellion against the ruling Tutsi. In response the Tutsi retaliated with warfare. Within several weeks roughly 100,000 people were killed in the ethnic conflict. Of the total population of Burundi 3. 5 percent were wiped out (Mikksa 1989). This was not the last of ethnic violence in Burundi. In 1993 the country saw more violence when its first Hutu president, Melchior Ndadaye, was assassinated (Lemarchand 2001). The Hutu reacted to the Tutsi murder of their president by killing an estimated 20,000 Tutsi in the two months following the assassination (Lemarchand 2001).Blame for the violence between the two ethnicities cannot be placed on one group or the other, they are both responsible. The history between the Tutsi and the Hutu is full of attack and reaction sequences. Both the Tutsi and the Hutu wanted to have, â€Å"the last word. † With a long history of violence between Tutsi and Hutu in Burundi there have been severe repercussions. The largest affect of the genocide has been the diaspora of Burundi. The conflict in Burundi created both Tutsi and Hutu refugees in search of safety.The UN Refugee Agency (UN Refugee Agency 2007) estimated in June 2007 that a total of 464,026 Burundians had been displaced from their homes. Of that g roup 48,144 had returned to Burundi and 396,541 were still in refugee status (UN Refugee Agency 2007) Of the refugees still in refugee status, not including internally displaced persons (IDP) the UNHCR is assisting 164,191 (UN Refugee Agency 2007). What exactly do all these terms and numbers mean? Put simply they mean that there are hundreds of thousands of people who were forced or chased away from their homes and livelihoods.The UNHCR defines a refugee as â€Å"a person who is outside his/her country of nationality or habitual residence; has a well-founded fear of persecution because of his/her race, religion, nationality, membership in a particular social group or political opinion; and is unable or unwilling to avail himself/herself of the protection of that country, or to return there, for fear of persecution† (UN Refugee Agency 2007) Under such conditions it is expected that any people group will undergo significant changes. Liisa Milkka has written a book about the ref ugee status of the Hutu’s in Tanzania.She spent one year in Tanzania studying two groups of refugees. Many refugees fled to Tanzania after the genocide of 1972 in Burundi. The first group lived in an isolated refugee camp and the other settled near the town of Kigoma. The town refugees tended to be dispersed amongst non-refugees while the camp refugees were concentrated all in one place (Milkka 1989). Because of these arrangements the town refugees assimilated into the town culture. They took on many identities and did not solely live as â€Å"Hutu† or as â€Å"refugees† (Milkka 1992). Naturally it was more ifficult for the camp people to do the same because they had isolated themselves from the Tanzanians. The camp culture glorified the Hutu identity as the original inhabitants of Burundi who would one day return there to reestablish their kingdom (Milkka 1989). The status of refugee for these camp people was a great thing. It made them become â€Å"a purer an d more powerful Hutu† (Milkka, 1992). These differences between refugee definitions of â€Å"Hutu† complicate the Hutu ethnicity further. Instead of creating more confusion and uncertainty for the Hutu there should be a movement toward unity.This is exactly the approach that the Burundi government has taken to appease the violence between the Hutu and the Tutsi. Instead of stressing differences the government wants to stress unity. By focusing on national unity, democracy, and individual rights the Burundi government has tried to dissolve ethnic tensions (Ndarishikany, 1998). Some discussion has been made about the benefit that could come from reinstating the Burundian abashingatahe (Herisse 2002), which in traditional Burundian society was a judge, moral interpreter and well respected man (Newbury, 2001).The abashingatahe served to reconcile families with communities, certify marriages, settle litigations, maintain peace, and in general speak in favor of human rights ( Herisse 2002). It is argued that bringing this social force back into practice will begin to reconstruct social unity in Burundi. This may be just what the Hutu people need to come together and rebuild. The troubles of the genocides between the Tutsi and Hutu have strained both cultures. Many refugees created by the genocides in Rwanda and Burundi have integrated themselves into foreign cultures.Just an hour to the north of us there are Burundi refugees in the city of Buffalo. These refugees come to the US speaking little if any English. They eventually get jobs and become functioning civilians. As Burundians assimilate into American culture they will eventually lose some of their â€Å"distinct† cultural features. Understanding some of the history of Burundian Hutu’s and the reasons behind the ethnic conflict with the Tutsi can increase the effectiveness with which we help refugees integrate into American society. Works Citied CIA World Factbook. (Nov. 1 2007). Burund i.Retrieved Nov. 13, 2007. https://www. cia. gov/library/publications/the-world-factbook/geos/by. html#People Lemarchand, Rene. (1998). Genocide in the Greak Lakes: Which Genocide? Whose genocide? African Studies Review, 41, 3-16. Retrieved November 7, 2001, from JSTOR. Malkki, Liisa. (1992). National Geographic: The Rooting of Peoples and Territorialization of National Identity among Scholars and Refugees. Cultural Anthropology, 7, 24-44. from JSTOR. Malkka, Liisa. (1989). Purity and Exile  : Transformations in Historical-National Consciousness among Hutu Refugees in Tanzania.Ann Arbor: University Microfilsm. Malkki, Liisa H. (1996). Speechless Emissaries: Refugees, Humanitarianism, and Dehistoricization. Cultural Anthropology, 11, 377-404. Retrieved November 11, 2007, from JSTOR. McDonald, Gordon C. Brenneman, Lyle E. , Hibbs, Roy V. , James Charlene, A. , Vincenti, Violeta. (1969). Area handbook for Burundi. Ndarishikanye, Barnabe. (1998). The Question of the Protection of Mino rities in Burundi. Issue: A Journal of Opinion, 26, 5-9, Retrieved November 8, 2007, from JSTOR. Newbury, David. 2001) Precolonial Burundi and Rwanda: Local Loyalties, Regional Royalties. The International Journal of African Historical Studies. 34,. 255-314. Retrieved November 8, 2007, from JSTOR. Rockfeler, Herisse, P. (2002). Democracy, Governance and Conflict in Burundi. Peace Studies Journal. 1-10. Rugambarara, Alphonse. (1990). Conscience ethnique. Le Reveil, July-August, 35-40. The UN Refugee Agency. (daily updated). 2006 Refugee Statistics. Retrieved Nov. 11, 2007. http://www. unhcr. org/statistics/STATISTICS/4676a71d4. pdf. Zuure, Bernard. (1931). L’ame du Murundi. Paris: Beauchesne.

Essay for Grad School Application Samples Reviews & Tips

Essay for Grad School Application Samples Reviews & Tips Length requirements can fluctuate, however, so be certain you're familiarized with the application requirements when you write. Finding the balance to communicate this information appropriately may be difficult. It's also important to make certain you have all of the correct and total info. More frequently than not, deadlines for submitting applications are almost always short which makes many prospective applicants worry they will not have the capacity to submit their sample essay for MBA application punctually. Be as specific as possible with your targets. Even in the event the deadline is truly tight, feel free to get hold of our managers. Essay requirements will change from school to school, but you'll probably be requested to write 250750 words. It is very important to capture the interest of the admission tutors no matter how strict they may appear to be. They may want to know why you chose them when they 're choosing whether to accept you as a student. Although some schools may have specific instructions, some can provide a tiny bit more freedom. Understanding my former responsibilities concerning theory and learn to turn new theories into practice is a process I can't wait to start. Many programs simply request that you submit a personal statement with no more guidance. Thereby, it's no problem for us to compose a great graduate school essay which will help you to pass the application procedure. Whatever They Told You About Essay for Grad School Application Samples Is Dead Wrong...And Here's Why As you are interested in getting the essay to communicate the ideal information about you, you have to do thorough preparation for the sample college admission essays to accomplish its purposes. Our admission essay examples can prove that we're here in order to provide simply the ideal assistance to assure you which you submit an application essay you may be confident in. Your admis sions essay is comparable to any other essay you've written. There are several ways to get ready for the graduate school essay writing. Highlight the things you need to put in your essay, summarize your own personal story and incorporate your qualifications. Once you get a rough draft of your admissions essay, remember it is a rough draft. When you know the key topics that you ought to reveal in your paper, you should find out how to organize it. A self-assessment is vital to gathering the info you have to compose an extensive essay. One of the most difficult elements of college life is finances. Thus, the essay is supposed to coincide with the applicant's qualities and interests in order for it to boost the probability of admission. This story also subtly demonstrates that I have a feeling of public wellness history, given the importance of the AIDs crisis for public health for an area. This outcomes are in accordance with my hypothesis about the use of complement system in pathophysiology of coronary artery diseases. Before you write your admissions essay you have to have a comprehension of your targets and the way in which your experiences to date prepare you for pursuing your aims. It wasn't your standard study abroad experience. It takes a specific sort of selfless person to be a nurse, and you would like to show you which you are that type of person. At times it may be required alongside other writing samples. This means that in the event that you forget a guideline, it's still possible to reach out to the writer and produce your clarifications. Before beginning writing, make an outline of the most crucial points you wish to cover. All you have to do is specify if you want your essay to be delivered. Within this circumstance, how you organize the letter can fluctuate widely, based on what you're attempting to say and the story you've got to tell. It is possible to also use it like a letter of intent template to make sure you are following the right format. You may also get different discounts on our site which will help you to save some more money for future orders or anything you want to spend them on. In addition, your work must not be excessively long because many applicants wish to include their whole life, but not too short. If you're on the lookout for one-on-one guidance, check out EssayEdge.com. Whenever you opt to ask us for skilled guidance, don't hesitate to get in touch with our support managers. Instead, it may be a great concept to emphasize your most impressive achievements. It is not important to us, whether you're too busy on the job concentrating on a passion undertaking, or simply tir ed of a seemingly infinite stream of assignments. Even though this could vary widely, the majority of the time that it will alternate between two specific targets. A grad school interview thank you letter is a huge method to convey your appreciation for an individual's willingness to devote time assisting you to accomplish a personal or professional objective.

Who Is Responsible For Increased Opioid Crisis In America - Free Essay Example

Sample details Pages: 3 Words: 805 Downloads: 3 Date added: 2018/12/15 Category Addiction Essay Type Research paper Level High school Tags: Consumer Rights Essay Drugs Essay Pharmacy Essay Did you like this example? Opioid epidermis or crises is defined as rapid increase of using opioid drugs. The opioid drugs can be prescript or not. Those responsible with prescribing usage of these painkillers are pharmaceutical man and woman. As a result of increased use and addiction of these opioid drugs, have raised questions on who should be responsible for its crisis. Many think that pharmacists are the one to be blamed and others argue that the blame lies to the consumers. As a result of abuse of painkillers most consumers have not been following doctors prescriptions on drug usage resulting to death of individuals. Concurrent use of painkillers has resulted to addiction in a manner that patients cannot do without them. Opioid abuse is rampant in most states where paramedics are spending a lot of time addressing overdose cases and increased cases of death resulting from the same. In a survey conducted in 2012 disclosed that pharmaceuticals were able to supply prescribe opioid drugs to every m an, woman and children with at least sixty eight pills each. Twenty percent of the total state population was discovered opioid prescribed. This increased overdose deaths among the citizens. The thesis here is who is responsible for this crises? Attorney generals, advocates lawyers and judges have tried to find out through the courts whether pharmaceuticals can be legally held accountable and pay back for the crises. Although there have been good precedent, especially a suit that was filed by state against tobacco industry in 1998 which compelled the industry to take charge for all treatments relating to smoking diseases. The industry was also forced to fund all ad campaign against use of tobacco substances and public health facilities. Similarly attorney general of Ohios state and many other civilians have filed cases against all pharmacies. (Sam Quinones, 21). According to G. Jean Kinney, they allege that these pharmaceutical companies has been spending millions of cash in adve rtising and marketing these opioid drugs showing that they had no adverse effect to the consumer by exaggerating their benefits. They were also alleged of colluding with doctors to affect the influence their opinion of safety of opioid drugs. There were also similar case from four counties of new yoke alleging the distributors and pharmacists in a tribunal court of opioid epidermis. Actually it is very clear that more legal minds are now focusing on how to make these huge bills true before the court. Although there are some significant evidence that pharmaceuticals have contributed knowingly to these crises. Investigation done on drug maker who advertised for oxycontin consumption showed that it could not relieve pain for the said twelve hours time as marketed. This resulted to consumers withdrawing and then caused addiction. Situations for these case differed completely from the one on tobacco. (Mohammad Akikur, p12), states that it was found that it was very difficult to claim that pharmaceuticals were responsible for the opioid crises as alleged. Individual plaintiffs who have sues these companies have not succeeded completely. Law courts have argued that those affected are largely responsible for their addictions. Court continued to point out that death resulting from overdose are caused by disobedience of consumer to doctors prescriptions. The court also added that most of the pills causing deaths are obtained by consumers directly from black market. Consumers have also been disregarding doctors prescription leading to overdose or under dose resulting to opioid crises. It was very clear that tobacco lawsuit was successful because sickness or illness resulted due to wrong instructions from tobacco companies to their immediate consumers but with opioid crises is totally different in that consumers are not taking pills as directed and so it was totally difficult to blame all pharmaceutical companies for that alleged misuse. It was also pointed out that th e aggressive marketing undertaken by pharmaceutical companies was targeting doctors but not the customer. This made it hard to link deaths of consumers to marketing that did not target them. All the companies involved cited that they do all what they can to deter consumers from misusing these pills. They also criticized patients for using these painkillers to control chronic pain. They also argued that opioid crises could be dealt with through a collaborative way. (Johann Hari P.12). There are also many parties who are responsible for opioid epidermis it was noted. Distributor and customers could play a critical role in ensuring that opioid crises are regulated and minimized. The best way to deal with this opioid crises can be control effectively by the state through adopting monitoring doctors prescriptions of opioid drugs and preventing shopping of unprescripted drugs. The state should also use constitutional mandate to legislate laws which will hold culprits responsible for misuse of opioid drugs. It has fully come out that although pharmaceuticals plays crucial roles in opioid crises, they cant not be blamed for the crises. Don’t waste time! Our writers will create an original "Who Is Responsible For Increased Opioid Crisis In America?" essay for you Create order