Please either agree or disagree with the student Js idea below and Article

Please either agree or disagree with the student Js idea below and support your disagreement or agreement with supporting sources - Article Example It gives a platform for self-evaluation and a basis from which nurses can call for sound work environments that sustain the delivery of competent, compassionate, ethical, and safe care (Guido, 2006). I consent with student J that nursing values and responsibilities ethically, require nurses to be answerable for their practice and account for their actions. Nurses are also expected to preserve dignity by recognizing and respecting the inherent worth of every person. They are expected to respect and promote informed decision-making by recognizing, respecting, and promoting an individual’s right to be informed and make decision. Another value that a nurse is expected to portray is the promotion of health and well-being by working with people so as to facilitate their attainment of highest possible level of well-being and health (American Nurses Association, 2009). Nurses are in a setting of access to health information of individuals. It is expected of them to maintain confidentiality and privacy by safeguarding community, family, and individual information obtained within the professional relationship context. I am of the same opinion with student J that nurses are expected to also provide competent, safe, compassionate, and ethical care. Lastly, nurses ought to uphold justice principles by safeguarding equity and fairness, human rights, and by the promotion of public good (Guido, 2006). In view of the above highlighted ethical responsibilities, I concur with student J that nurses have an enormous responsibility in delivering nursing care to patients safely and without prejudice or passing judgment. Nurses are also confronted with ethical dilemmas; in the case of Ruth, she declines her nursing duties to a homosexual AIDs patient, since according to her beliefs, homosexuality is sin and AIDs is a resulting punishment for homosexual activities. The patient desperately needs nursing care that would facilitate his well-being and health,

Fast food restaurant Essay Example for Free

Fast food restaurant Essay Description of Great Burger GB is the fourth largest fast food chain worldwide, measured by the number of stores in operation. As most of its competitors do, GB offers food and combos for the three largest meal occasions: breakfast, lunch, and dinner. Even though GB owns some of its stores, it operates under the franchising business model with 85 percent of its stores owned by franchisees (individuals own and manage stores, pay franchise fee to GB, but major business decisions (e.g. , menu, look of store) controlled by GB). McKinsey study As part of its growth strategy GB has analyzed some potential acquisition targets including Heavenly Donuts (HD), a growing doughnut producer with both a U. S. and international store presence. HD operates under the franchising business model too, though a little bit differently than GB. While GB franchises restaurants, HD franchises areas or regions in which the franchisee is required to open a certain number of stores. GBs CEO has hired McKinsey to advise him on whether they should acquire HD or not. 1. What areas would you want to explore to determine whether GB should acquire HD? The team started thinking about potential synergies that could be achieved by acquiring HD. Here are some key facts on GB and HD. Exhibit 1 |Stores |GB |HD | |[pic]Total |5,000 |1,020 | |[pic][pic]North America |3,500 |1000 | |[pic][pic]Europe |1,000 |20 | |[pic][pic]Asia |400 |0 | |[pic][pic]Other |100 |0 | |[pic]Annual growth in stores |10% |15% |. |Financials |GB |HD | |[pic]Total store sales |$5,500m |$700m | |[pic]Parent company revenue |$1,900m |$200m | |[pic]Key expenses (% sales) | | | |[pic][pic]Cost of sales |51% |40% | |[pic][pic]Restaurant operating costs |24% |26% | |[pic][pic]Restaurant property equipment costs |4. 6% |8. 5% | |[pic][pic]Corporate general administrative costs |8% |15% | |[pic]Profit as % of sales |6. 3% |4. 9% | |[pic]Sales/stores |$1. 1m |$0. 7m | |[pic]Industry average |$0. 9m |$0. 8m | [pic] 2. What potential synergies can you think of between GB and HD? 3. The team thinks that with synergies, it should be possible to double HD’s U. S. market share in the next 5 years, and that GB’s access to capital will allow it to expand the number of HD stores by 2. 5 times. What sales per store will HD require in 5 years in order for GB to achieve these goals? Does this seem reasonable? Use any data from Exhibit 1 you need, additionally, make the following assumptions: †¢ Doughnut consumption/capita in the U. S. is $10/year today, and is projected to grow to $20/year in 5 years. †¢ For ease of calculation, assume U. S. population is 300m. 4. One of the synergies that the team thinks might have a big potential is the idea of increasing the businesses overall profitability by selling doughnuts in GB stores. How would you assess the profitability impact of this synergy? 5. What would be the incremental profit per store if we think we are going to sell 50,000 doughnuts per store at a price of $2 per doughnut at a 60 percent margin with a cannibalization rate of 10 percent of GBs sales? Exhibit 2 |Sales and profitability per store | | |Units of GB sold per store |300 thousand | |Sales price per unit |$3 per unit | |Margin |50 percent | | | |Units of HD sold in GB stores |50 thousand | |Sales price per unit |$2 per unit | |Margin |60 percent | |Cannibalization rate of HD products to GB products |10 percent | 6. You run into the CEO of GB in the hall. He asks you to summarize McKinsey’s perspective so far on whether GB should acquire HD. Pretend the interviewer is the CEO–what would you say?

Narcissistic Personality Disorder Essay -- Psychology

The case that we will be looking at throughout this paper is that of ‘Joe’ (name changed to so that he/she may remain anonymous. Joe has what is diagnosed by clinicians as narcissistic personality disorder. According to the DSM – IV –TR, this is characterized by ‘a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration and lack of empathy, beginning by early adult and present in a variety of contexts.’ The DSM lists nine criteria and Joe must exhibit 5 or more of them to be diagnosed with narcissistic personality disorder. The first one is Joe has a grandiose sense of self-importance. He is always assuring himself that his needs come before anyone else’s and that he should be recognized for all of his achievements, large or small, in his life. The second characteristic that Joe displays is being preoccupied with fantasies of unlimited success, power, and beauty. He believes that he is the most attractive male of a ll of his peers and strives to attract as many women as he can and to have a sexual relationship with all of them. He sees no flaws in himself and cannot begin to understand why every woman is not attracted to him. The third characteristic that Joe displays of narcissistic personality disorder is that he lives with a sense of entitlement. He believes that everyone should think the way that he does and the he has the answer to ever problem. The fourth characteristic seen in Joe is that he lacks empathy, showing now sense of understanding towards other’s sorrow. Lastly, Joe is consistently arrogant and haughty to the point that his social behaviors are being affected negatively. Joe is seen as irritating by many of his social acquaintances due to his arrogant behavior and attitude. When consid... ...pbringing to find a root cause of the narcissistic behavior. Also the socio-cultural models tells us to consider the individual’s cultural background and societal views in which they were modeled on. Also, the biological model suggest that brain malfunction is at the heart of all abnormal behavior, while on the end of the spectrum, the humanistic behavior believes that we all have control of our own destiny and power over any abnormality. Works Cited Association, American Psychiatric. DSM-IV-TR. Arlingtion: American Psychiatric Association, 2000. Comer, Ronald. "Models of Abnormality." comer, Ronald. Fundamentals of Abnormal Psychology. New York: Worth Publishers, 2011. 32-37. Staff, Mayo Clinic. Narcissistic Personality Disorder. 4 November 2011. 25 February 2012 .

A Response to Macbeth and the Rituals of Tragedy

In both Macbeth and Romeo ND Juliet, the demise of the namesake protagonists is prelude in the early parts of the play. In Romeo and Juliet, the audience Is made aware that the two will die by the chorus In the prologue – the relationship Is called a â€Å"death-marked love† – 1 and this Is done similarly In Macbeth with an apparently saying he would be conquered under certain circumstances – the apparition states, â€Å"Macbeth shall never vanquished be until Great Birdman Wood to high Adenosine Hill Shall come against him†. The tragic genre complicates the ritual of death by laying out a perceived path of success for he protagonists – e. G. Romeo and Juliet to get married, and Macbeth to remain king – which finally leads to their death and therefore provides a prelude to death. The tragedy genre also complicates the space of death due to the nature of the plays – the nature of the plays are so to entertain and this is done thr ough tools such as irony and paradoxes that complicate the space of death, amongst other things.The spaces in which the protagonists die have significant relevance to their development as characters throughout the play. The key characteristic of a Shakespearian tragedy Is death. Coupled with the contrasting story line to the comedies – comedies have an ascending story line, usually ending in marriage, whilst tragedies have a descending story line, usually ending in death – it (death) is the key component that sets the two apart. The tragic genre complicates this ritual through the core fact of it being a genre of stage performance – which by definition, exists to entertain audiences.This paper adopts the view that similarly as Shakespearian comedies reach their crescendo through a marriage, that tragedies reach their crescendo through the death of the/a main hereafter(s). Therefore, just as comedies centre around two lovers trying their utmost to get married â⠂¬â€œ In a Midsummer Night's Dream Lessened and Hermit fled Athens in order to get married – tragedies centre around a protagonist (or protagonists) who try equally as hard to attain that which will never be theirs – Macbeth trying to remain king of Scotland and Romeo and Juliet to get married.Thus, this plot development utilized by Shakespeare must use death in as many ways as is conceivable in order Macbeth to die of a heart attack in the third act. With regards to death being such an integral part of tragedies, A. C. Bradley remarked, â€Å"It is remarkable that almost all the scenes which at once recur to memory take place either at night or in some dark spot†. 3 The complication of death in Macbeth is thus two-fold. Death is built up to be something dark throughout the play, a menacing enigma. However Machete's death brings hope and light, thus contrasting the darkness.This is evident after he is killed when Macadam exclaims, â€Å"Behold where stands the usurper's cursed head. The time is free†. 4 This implicates not only death but also the play as a whole. Previous deaths in the play, such as that of King Duncan and Banquet, were done for reasons of self-gain and self- preservation respectively on behalf of Macbeth. However Machete's death was done for the betterment of the kingdom of Scotland. This complicates the ritual of death in the context of the play by providing it with another dimension.As Bradley remarked, the play in general is dark and the deaths preceding Machete's were dark, by virtue of the already-mentioned reasons behind them. This creates a ritual – a series of actions or type of behavior regularly and invariably followed – 5 of death for the play and therefore the killing of Macbeth, which has been established as not being dark as it ushered out his tyrannical rule, complicates that ritual. This complication relates to the point raised in paragraph two, whereby it can be seen that the complica tion itself exists for the improvement of the play as a spectacle.For example, Macbeth might have been murdered by his wife so that she may gain power, instead of by Macadam to restore order. This complication of the ritual of death is also evident in Romeo and Juliet whereby he deaths prior to Romeo and Gullet's come as a result of the feud between the Montague and the Capsules. Romeo and Gullet's death does not come out of that feud but out of love for each other. This was similarly the case in Macbeth, as his death came not out of self-gain or self-preservation, but out of necessity for the kingdom of Scotland.Their death (Romeo and Juliet) ultimately stops the rivalry between the two families, as Machete's death stopped the war and his rule. In both instances, we see the final death in a contrasting light to preceding deaths, with an equally contrasting effect. Naturally, the role of Shakespeare as the author is significant as the protagonists themselves shaped their deaths in b oth Romeo and Juliet and Macbeth. Not only did they create the figurative space which allowed for them to die, but also the literal space where they died was of their own creation.Shakespearean role in this could be more direct than it initially appears. It draws substantially from the context of the period and place, when and where his plays were originally performed. Romeo and Juliet was first stages at the Theatre', which was in an area described as being, â€Å"less object to London Jurisdictions†, 6 and this therefore allowed for Shakespearean creativity to blossom – Shakespeare later moved to the Globe, in an area described as a â€Å"fairly lawless environment†. Shakespeare staging his plays away from the gaze of effort and this has been translated into the tragic genre. In Macbeth, Macbeth seems to go increasingly further out of his realm of what is acceptable and what is not and his actions appear Juxtaposed to his character – this is evident in his internal struggle to kill King Duncan, â€Å"We will proceed no further in this business/ He hath moored me of late†. 8 One could perceive this as Macbeth leaving the Jurisdiction of his former self into one that is more, for want of a better word, evil.One sees Macbeth becoming increasingly lawless and does things regardless of authority – the fact that he is king does not mean that he should not respect other forms authority. In this regard, Macbeth – as well as Romeo and Juliet, who do so more directly – creates his own space of death, contrasting to the deaths preceding his own e. G. King Duncan was murdered in his bed. Contrasting this, Macbeth actively creates the environment he finds himself in when he loses his life by virtue of wanting to remain king.This is also seen in Romeo and Juliet whereby the love of both main characters sees them willingly choose to meet in the Capsule tomb, which has significance as two youths from both families lost their lives prematurely in a place in existence in order to remember the dead – the death of Romeo and Juliet however, is something both families would rather forget (and this ultimately sees the feud come to an end). This complicates the space of death, for we are lead to believe n both plays that death does not have a set space. However in both plays, Macbeth and Romeo and Juliet set their space of death up on their own accord.These instances are when Macbeth, along with his wife, decides to kill King Duncan and when Romeo and Juliet decide to run away. In conclusion, it can be seen from the points raised that the ritual of death is complicated through Shakespearean insertion of the final, perhaps most important death at the end of his tragedies. This final death is contrasted to the deaths that precede it through factors such as motive, repercussions and space. The issue of space and its complication draws its roots from the actual staging of Shakespearean plays on the ou tskirts of London, where the law had less influence.Figurative comparisons can be drawn from this as one could relate Shakespearean willingness to be away from or above the law to the protagonists in the two plays. What is wholly evident though, is that similarly with death, the notion of space does not remain constant throughout the play. Macbeth, who can be considered the false king, being killed in the castle whereas King Duncan, the true and original king, being killed in he bed of another man raises the issue of space and how Macbeth created his own and King Duncan did not.

Causes of Road Accidents in Pakistan

J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Causes of Road Accidents in Pakistan By Abdul Manan Khan1 and Ansa Tehreem2 Abstract Every day many people are killed and injured on our roads. Men, women, children, biking or riding to school or work, playing in the streets or setting out on long trips, will never return home, leaving behind shattered families and communities. Road traffic injuries are a growing public health issue, disproportionately affecting vulnerable groups of road users, specially the poor.Main causes which are found behind these road accidents are lack of training institutes, unskilled drivers, poor road conditions, use of cell phone during driving, use of intoxicants, over loading and poor performance of government in this regard. If these issues are tackled in a manner way then it can positively affect the social and economic conditions of the residents of developing countries. Key Words: Public Health, Road Accidents, Traffic Accidents 1. In troduction and Literature Review The growth and development of a nation depends, largely, upon the capacity of its transport system to move persons and goods to desired locations safety.In Pakistani society, nuclear family system is very common. Here, it is like a trend that one or two members of family earn the money and other family members heavily depend on them. In developing countries, like Pakistan, roads often carry a wide range of users – from heavy goods-vehicles to bicycles and pedestrians without any separation. Road traffic accidents (RTA) are a significant, cause of any disability, death and economic loss in developing countries like Pakistan. Among the pedestrians, the most vulnerable are those young people who play an important part in the socio-economic growth of the country.In Pakistan, male proportion play dominant role to run their families economically, so they have to face more problems like injuries and disability. Every day many people are killed and in jured on our roads. Men, women, children, biking or riding to school or work, playing in the streets or setting out on long trips, will never return home, leaving behind shattered families and communities. Road traffic injuries are a growing public health issue, disproportionately affecting vulnerable groups of road users, specially the poor.Road traffic injuries are a major but neglected global public health problem, requiring concerted efforts for effective and sustainable avoidance. Worldwide, the number of people killed in road traffic crashes each year is estimated at almost 1. 2 million, while the number injured could be as high as 50 million (WHO, 2004). In economic terms, the cost of road crash injuries is projected at roughly 1% of gross national product (GNP) in low-income countries, 1. 5% in middle-income countries and 2% in high-income countries (Soderlund,1995).The economic cost of road crashes and injuries is estimated to be over Rs100 billion for Pakistan (Ahmad, 2008 ). 1 Graduate, Department of Sociology,University of Gujrat, Gujrat. 2 Graduate, University of the Punjab, Lahore 23 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Lower socio-economic groups have limited access to post-crash emergency health care (Mock, etal1997). In Pakistan also, a large portion of population has also limited access to post-crash emergency health care which causes a precious loss of lives.In many developing countries, the costs of prolonged medical care, the loss of the family breadwinner, the cost of a funeral, and the loss of income due to disability can push families into poverty (Hijar etal 2003). In developing countries, the population groups exposed to the highest risks of injury and death from road crashes, pedestrians and users of motorized two-wheelers – are from lower socioeconomic groups (Nantulya, 2003 and Ghaffar A, 2004). In Mexico, the second commonest cause of children being orphaned is traffic crashes (Hijar etal, 2003). Pakistan is also a developing country where a large number of people die every because of the road-side accidents. Especially death proportion of pedestrians and motorcyclists are very high which mostly belong to lower socio-economic groups of society. Recent studies have shown that pedestrians and motorcyclists have the highest rates of injury in Asia (Yang,etal 2003 and Suriyanwongpaisal etal 2003). In Pakistan Incidence of road traffic injuries was 15. 0 (including minor injuries) per 1,000 persons per year (Ghaffar etal 2004). If we use this rate in 2008 it will be in millions. The burden of injury is unequal.More boys are injured than girls, and children from poorer families have higher rates of injury. In 2002, males accounted for 73% of all road traffic deaths, with an overall rate almost three times that for females: 27. 6 per 100 000 population and 10. 4 per 100 000 population, respectively (WHO, 2004). Pakistan is a patriarchal society, where most of the time male family m embers are the primary source of income. So, the higher rate of road traffic deaths among men, can even more severely affect the socio-economic status of the family as well as the whole social structure of the society.In Pakistan, among males of the economically active age group accidental death rate is very high, and also according to the study, motor vehicle injuries are the third most important cause of death in developing countries. (Soderlund 1995). It is projected that RTA will be the second most common cause of disability-adjusted life years in developing countries in the year 2020 (Murray, 1997). Road traffic crashes can place a heavy burden on the family and friends of the injured person. According to WHO estimates for 2002, there were 180500 children killed as the result of road crashes.Some 97% of these child road deaths occurred in low-income and middle-income countries (WHO, 2004). There are many factors which cause the accidents. The motorized traffic on these roads is capable of high acceleration and speed, both key factors in the causes of road crash injury. Most of the factors of traffic accidents are the driver, the highway and motor vehicles (Aaron ,1990, Balogun etal,1992; Luby etal,1997 and Mock etal,1999). Majority of road users including motorists and pedestrians lack road sense, leading to frequent road accidents and continued traffic jams across the country.Some other research evidence also indicates that the human element is responsible for 80 to 85% of all traffic accidents. Traffic violations, driving while intoxicated and lack of driving courtesy are the results of human actions. Unsafe highway and road conditions cause about 10% of all traffic accidents while mechanical deficiencies are responsible for nearly 5% of all traffic problems (Aaron,1990; Collier, 1983; American Automobile Association, 1988; Mc Glade, 1980).Traffic violations like signal crossing, driving without license, wrong parking, usage of mobile phones while drivi ng, wrong overtaking, disregard of zebra crossing, riding motorbikes without lights and helmets, 24 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X over-speeding, change of lane sans using indicators are so common in Pakistan which are the major cause of accident in our society. 2. Data Collection and Methodology This study is based on primary data which is collected from people belongs to transportation system and drivers of LTV, HTV, motorcyclist and pedestrians.For this purpose 100 cases were selected from the universe as described by Neumann (1997). Data is collected via discussion and questionnaire on causes of road accidents and its aspects from each side. 3. Data Analysis On the basis of primary data, when we ask to respondents about the main reason behind road accidents then 40% of the respondents answer that ignorance of traffic rules is the main reason of road accidents. While 32% respondents answer that rash driving and 28% of the view that untrained dri vers are the cause of road accidents.This whole issue is shown in table 1. Table 1. Reasons of Road Accidents Percent Cumulative Percent Ignorance of traffic rules 40. 0 40. 0 Rash driving 32. 0 72. 0 Untrained drivers 28. 0 100. 0 Total 100. 0 When we put the question that is poor conditions of roads is responsible for accidents then 44% of the respondents answer that to some extent poor conditions of roads cause accidents and 32% people response that yes, poor condition of roads is responsible and all is shown in table 2. Table 2. Is Poor Condition of Roads Responsible for Accidents PercentCumulative Percent Yes 32. 0 32. 0 No 24. 0 56. 0 To some extent 44. 0 100. 0 Total 100. 0 25 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Our next question highlight another burning issue that 68% of the road accidents occur due to untrained/ unskilled drivers while only 12% of the respondents view that unskilled drivers are not responsible, which is shown in table 3. Table 3. Accidents Occur Due to Unskilled Drivers Percent Cumulative Percent Yes 68. 0 68. 0 No 12. 0 80. 0 To some extent 20. 0 100. 0 Total 100. 0In most of the parts of the country, one wheeling occurs by young people on roads and 76% of the respondents view that this cause road accidents while only 4% of the respondents answer that one wheeling is not a cause of accidents. Table 4 shows detailed data on this issue. Table 4. Is One Wheeling Causes Accidents Percent Cumulative Percent Yes 76. 0 76. 0 No 4. 0 80. 0 To some extent 20. 0 100. 0 Total 100. 0 Use of cell phones during driving cause road accidents and government take measures to avoid cell phone and there is some penalty.The 52% of the respondents answers that use of cell phone during driving cause accidents while 40% answer to some extent it cause, only 8% view that cell phone is not the cause of road accidents. This is shown in detail in table 5. Table 5. Is Use of Cell Phone Causes Road Accidents Percent Cumulative Percen t Yes 52. 0 52. 0 No 8. 0 60. 0 To some extent 40. 0 100. 0 26 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Total 100. 0 Another issue was raised when we ask a question from respondents that are use of drugs during driving cause road accidents.The answer was astonished us that only 4% of the respondents view that drugs is not a cause of accidents while 72% and 24% response yes and to some extent, respectively. As shown in table 6 below. Table 6. Use of Drugs during Driving Cause Accidents Percent Cumulative Percent Yes 72. 0 72. 0 No 4. 0 76. 0 To some extent 24. 0 100. 0 Total 100. 0 Overloading is another cause of road accidents and respondents answer that overloading is the cause of road accidents as shown in table 7. Table 7. Is Overloading Causes Road Accidents Percent Cumulative Percent Yes 40. 0 40. 0 No 4. 0 44. 0 To some extent 6. 0 100. 0 Total 100. 0 The literacy rate in Pakistan is low which relates with road accidents because most of the drivers are illiterate and can’t read anything even helping booklet/ safety guides on roads. The 72% of the respondents answer that lack of awareness about driving rules and other safety measures is the cause of road accidents. Only 8% of the respondents view that it is not a cause of road accidents and all this is shown in table 8. Table 8. Is Lack of Awareness Causes Road Accidents 27 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Percent Cumulative Percent Yes 2. 0 72. 0 No 8. 0 80. 0 To some extent 20. 0 100. 0 Total 100. 0 Above all information explains the causes of road accidents but now we have collected some information about the role of different administrative institutes in overcoming these issues. When we ask about role of government in reducing the ratio of accidents then 40% of the respondents are of the view that government is playing poor role and there is need to improve its role. 28% respondents answer that its role is satisfactory while only 8% resp onse that government is playing excellent role, detail about this is given in table 9.Table 9. Role of Govt. in Reducing Traffic Accidents Percent Cumulative Percent Excellent 8. 0 8. 0 Very good 24. 0 32. 0 Satisfactory 28. 0 60. 0 Poor 40. 0 100. 0 Total 100. 0 The role of traffic police in reducing the road accidents is better and 52% of the respondents show satisfactory role of traffic police while 24% answers very good. So the overall role of traffic police is good but the problem exists when we make a comparison between roads and number of police servants. Only 8% of the respondents answer that traffic police is playing poor role, which is shown in table 10.Table 10. Role of Traffic Police in Reducing Traffic Accidents Percent Cumulative Percent Excellent 16. 0 16. 0 Very good 24. 0 40. 0 Satisfactory 52. 0 92. 0 28 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Poor 8. 0 100. 0 Total 100. 0 Conclusion The main objective of this paper is to highlight the mai n causes of road accidents in Pakistan. On the basis of primary data we conclude the paper as following. The main reason of traffic accidents is due to lack of awareness about rules and regulation, so there is need of institutes for awareness about these rules.Government may create awareness in public by offering different courses in educational institutes and also distribute some material for drivers and for general public also. Government needs to make some core courses/ training before the provision of license and traffic police should keep strong check and balance in this regard. Another problem which causes road accidents is overloading, use of cell phone during driving and drugs addiction by majority of the drivers. These all issues can be solved by creating awareness and by applying some penalty to defaulters.These are not serious issues and easily solved by the strong system of check and balance by any administrative authority. By overcoming on these causes we can save a lot of benefits in the shape of monetary and non-monetary terms. In a nut shell, we say that road accidents are playing prominent role in the families of victims of traffic accidents which is the loss of property on one side while death of humanity is on the other hand. These both can through a family into a vicious circle of poverty and then it impacts on the overall economy.So need of the day is to take some encouraging steps by public side and individuals side also. References ? A Resource Curriculum in Driver and Traffic Safety Education, (1990), Washington D. C. Automative Safety Foundation. ? Aaron, J. E. and Strasser, M. K. , (1990), Driver and Traffic Safety Education, London: The Macmillan Company. ? Ahmad, B. , (2006), Country Report on Road Network in Pakistan, Ministry of Communications, Islambad. ? Balogun, J. , A. Abereoje, (1992), Pattern of Road Traffic Accidents cases in a Nigerian University Teaching Hospital between: 1987 and 1990, Journal of Tropical Medicine 95: 23 -29. Collier, J. P, (1983), Automotive Safety Education London, Macmillan Publishers. 29 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X ? Ghaffar, A. , Hyder A. A. and Masud, T. I. , (2004), The burden of road traffic injuries in developing countries: the 1st National Injury Survey of Pakistan Public Health. ? Hijar, M. , Vazquez-Vela, E, Arreola-Risa, (2003), Pedestrian traffic injuries in Mexico: a country update. Injury Control and Safety Promotion. 10:37–43 ? McGlade, F, (1980), Adjustive Behaviour and Safety Performance Sringfield, Illinois: Carl of C.Thomas Publisher. ? Mock, C. , Amegashie J. and Darteh, K, (1999), Role of Commercial Drivers in motor vehicle related injuries in Ghana. Inj. Prev 5: 268-271 ? Mock, C. N. , nii-Amon-Kotei D. , and Maier, R. V. , (1997), Low utilization of formal medical services by injured persons in a developing nation: health service data underestimate the importance of trauma. Journal of Trauma. 42:504–513. ? Murray, CJL, Lopez A. D. , (1997), Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet . 349:1498504. Nantulya, V. M. , and Reich M. R. , (2003), Equity dimensions of road traffic injuries in low and middle-income countries: Injury Control and Safety Promotion. 10:13–20. ? Neumann, W. L. , (1997), Social Research Methods, Qualitative and Quantitative Approaches, Allyss and Bacon, USA. ? Peden M, McGee K, and Sharma G, (2002), The injury chart book: a graphical overview of the global burden of injuries. Geneva, World Health Organization. ? Peden, M. , Scurfield, R. , et al (2004), World Report on Traffic Injuries Prevention; Geneva, WHO ? Soderlund N, Zwi A. B. (1995), Traffic related mortality in industrialized and less developed countries. BuU World Health Organ. 73:175-82. ? Stutts, Hunter. , (1999), Motor Vehicle and Roadway factors in pedestrians and Bicyclist injuries. Accd Aral Prev. 31:505-514. ? Suriyanwongpai sal, P. , and Kanchanasut S, (2003), Road traffic injuries in Thailand: trends, selected underlying determinants and status of intervention. Injury Control and Safety Promotion. 10:95–104. ? Yang, B. M. , and Kim J. , (2003), Road traffic accidents and policy interventions in Korea. Injury control and Safety Promotion. 0:89–93. ? www. makeroadssafe. org ? www. prb. org/Articles/2006/RoadTrafficAccidentsIncreaseDramaticallyWorldwide. aspx ? www. asiaone. com/News/Latest%2BNews/Asia/Story/A1Story20080719-77661. html ? www. dawn. com/2008/04/27/nat16. htm ? www. dailymailnews. com/200802/13/news/dmboxitem2. html ? www. dawn. com/2008/04/27/nat16. htm ? www. statpak. gov. pkJ. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Causes of Road Accidents in Pakistan By Abdul Manan Khan1 and Ansa Tehreem2 Abstract Every day many people are killed and injured on our roads.Men, women, children, biking or riding to school or work, playing in the streets or setting out on long trips, will never return home, leaving behind shattered families and communities. Road traffic injuries are a growing public health issue, disproportionately affecting vulnerable groups of road users, specially the poor. Main causes which are found behind these road accidents are lack of training institutes, unskilled drivers, poor road conditions, use of cell phone during driving, use of intoxicants, over loading and poor performance of government in this regard.If these issues are tackled in a manner way then it can positively affect the social and economic conditions of the residents of developing countries. Key Words: Public Health, Road Accidents, Traffic Accidents 1. Introduction and Literature Review The growth and development of a nation depends, largely, upon the capacity of its transport system to move persons and goods to desired locations safety. In Pakistani society, nuclear family system is very common. Here, it is like a trend that one or two members of famil y earn the money and other family members heavily depend on them.In developing countries, like Pakistan, roads often carry a wide range of users – from heavy goods-vehicles to bicycles and pedestrians without any separation. Road traffic accidents (RTA) are a significant, cause of any disability, death and economic loss in developing countries like Pakistan. Among the pedestrians, the most vulnerable are those young people who play an important part in the socio-economic growth of the country. In Pakistan, male proportion play dominant role to run their families economically, so they have to face more problems like injuries and disability. Every day many people are killed and injured on our roads.Men, women, children, biking or riding to school or work, playing in the streets or setting out on long trips, will never return home, leaving behind shattered families and communities. Road traffic injuries are a growing public health issue, disproportionately affecting vulnerable g roups of road users, specially the poor. Road traffic injuries are a major but neglected global public health problem, requiring concerted efforts for effective and sustainable avoidance. Worldwide, the number of people killed in road traffic crashes each year is estimated at almost 1. 2 million, while the number injured could be as high as 50 million (WHO, 2004).In economic terms, the cost of road crash injuries is projected at roughly 1% of gross national product (GNP) in low-income countries, 1. 5% in middle-income countries and 2% in high-income countries (Soderlund,1995). The economic cost of road crashes and injuries is estimated to be over Rs100 billion for Pakistan (Ahmad, 2008). 1 Graduate, Department of Sociology,University of Gujrat, Gujrat. 2 Graduate, University of the Punjab, Lahore 23 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Lower socio-economic groups have limited access to post-crash emergency health care (Mock, etal1997).In Pakistan also, a large portion of population has also limited access to post-crash emergency health care which causes a precious loss of lives. In many developing countries, the costs of prolonged medical care, the loss of the family breadwinner, the cost of a funeral, and the loss of income due to disability can push families into poverty (Hijar etal 2003). In developing countries, the population groups exposed to the highest risks of injury and death from road crashes, pedestrians and users of motorized two-wheelers – are from lower socioeconomic groups (Nantulya, 2003 and Ghaffar A, 2004).In Mexico, the second commonest cause of children being orphaned is traffic crashes (Hijar etal, 2003). Pakistan is also a developing country where a large number of people die every because of the road-side accidents. Especially death proportion of pedestrians and motorcyclists are very high which mostly belong to lower socio-economic groups of society. Recent studies have shown that pedestrians and mot orcyclists have the highest rates of injury in Asia (Yang,etal 2003 and Suriyanwongpaisal etal 2003). In Pakistan Incidence of road traffic injuries was 15. (including minor injuries) per 1,000 persons per year (Ghaffar etal 2004). If we use this rate in 2008 it will be in millions. The burden of injury is unequal. More boys are injured than girls, and children from poorer families have higher rates of injury. In 2002, males accounted for 73% of all road traffic deaths, with an overall rate almost three times that for females: 27. 6 per 100 000 population and 10. 4 per 100 000 population, respectively (WHO, 2004). Pakistan is a patriarchal society, where most of the time male family members are the primary source of income.So, the higher rate of road traffic deaths among men, can even more severely affect the socio-economic status of the family as well as the whole social structure of the society. In Pakistan, among males of the economically active age group accidental death rate is very high, and also according to the study, motor vehicle injuries are the third most important cause of death in developing countries. (Soderlund 1995). It is projected that RTA will be the second most common cause of disability-adjusted life years in developing countries in the year 2020 (Murray, 1997).Road traffic crashes can place a heavy burden on the family and friends of the injured person. According to WHO estimates for 2002, there were 180500 children killed as the result of road crashes. Some 97% of these child road deaths occurred in low-income and middle-income countries (WHO, 2004). There are many factors which cause the accidents. The motorized traffic on these roads is capable of high acceleration and speed, both key factors in the causes of road crash injury. Most of the factors of traffic accidents are the driver, the highway and motor vehicles (Aaron ,1990, Balogun etal,1992; Luby etal,1997 and Mock etal,1999).Majority of road users including motorists and pedestr ians lack road sense, leading to frequent road accidents and continued traffic jams across the country. Some other research evidence also indicates that the human element is responsible for 80 to 85% of all traffic accidents. Traffic violations, driving while intoxicated and lack of driving courtesy are the results of human actions. Unsafe highway and road conditions cause about 10% of all traffic accidents while mechanical deficiencies are responsible for nearly 5% of all traffic problems (Aaron,1990; Collier, 1983; American Automobile Association, 1988; Mc Glade, 1980).Traffic violations like signal crossing, driving without license, wrong parking, usage of mobile phones while driving, wrong overtaking, disregard of zebra crossing, riding motorbikes without lights and helmets, 24 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X over-speeding, change of lane sans using indicators are so common in Pakistan which are the major cause of accident in our society. 2. Dat a Collection and Methodology This study is based on primary data which is collected from people belongs to transportation system and drivers of LTV, HTV, motorcyclist and pedestrians.For this purpose 100 cases were selected from the universe as described by Neumann (1997). Data is collected via discussion and questionnaire on causes of road accidents and its aspects from each side. 3. Data Analysis On the basis of primary data, when we ask to respondents about the main reason behind road accidents then 40% of the respondents answer that ignorance of traffic rules is the main reason of road accidents. While 32% respondents answer that rash driving and 28% of the view that untrained drivers are the cause of road accidents.This whole issue is shown in table 1. Table 1. Reasons of Road Accidents Percent Cumulative Percent Ignorance of traffic rules 40. 0 40. 0 Rash driving 32. 0 72. 0 Untrained drivers 28. 0 100. 0 Total 100. 0 When we put the question that is poor conditions of roads i s responsible for accidents then 44% of the respondents answer that to some extent poor conditions of roads cause accidents and 32% people response that yes, poor condition of roads is responsible and all is shown in table 2. Table 2. Is Poor Condition of Roads Responsible for Accidents PercentCumulative Percent Yes 32. 0 32. 0 No 24. 0 56. 0 To some extent 44. 0 100. 0 Total 100. 0 25 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Our next question highlight another burning issue that 68% of the road accidents occur due to untrained/ unskilled drivers while only 12% of the respondents view that unskilled drivers are not responsible, which is shown in table 3. Table 3. Accidents Occur Due to Unskilled Drivers Percent Cumulative Percent Yes 68. 0 68. 0 No 12. 0 80. 0 To some extent 20. 0 100. 0 Total 100. 0In most of the parts of the country, one wheeling occurs by young people on roads and 76% of the respondents view that this cause road accidents while only 4% of the respondents answer that one wheeling is not a cause of accidents. Table 4 shows detailed data on this issue. Table 4. Is One Wheeling Causes Accidents Percent Cumulative Percent Yes 76. 0 76. 0 No 4. 0 80. 0 To some extent 20. 0 100. 0 Total 100. 0 Use of cell phones during driving cause road accidents and government take measures to avoid cell phone and there is some penalty.The 52% of the respondents answers that use of cell phone during driving cause accidents while 40% answer to some extent it cause, only 8% view that cell phone is not the cause of road accidents. This is shown in detail in table 5. Table 5. Is Use of Cell Phone Causes Road Accidents Percent Cumulative Percent Yes 52. 0 52. 0 No 8. 0 60. 0 To some extent 40. 0 100. 0 26 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Total 100. 0 Another issue was raised when we ask a question from respondents that are use of drugs during driving cause road accidents.The answer was astonished us that only 4% of the respondents view that drugs is not a cause of accidents while 72% and 24% response yes and to some extent, respectively. As shown in table 6 below. Table 6. Use of Drugs during Driving Cause Accidents Percent Cumulative Percent Yes 72. 0 72. 0 No 4. 0 76. 0 To some extent 24. 0 100. 0 Total 100. 0 Overloading is another cause of road accidents and respondents answer that overloading is the cause of road accidents as shown in table 7. Table 7. Is Overloading Causes Road Accidents Percent Cumulative PercentYes 40. 0 40. 0 No 4. 0 44. 0 To some extent 56. 0 100. 0 Total 100. 0 The literacy rate in Pakistan is low which relates with road accidents because most of the drivers are illiterate and can’t read anything even helping booklet/ safety guides on roads. The 72% of the respondents answer that lack of awareness about driving rules and other safety measures is the cause of road accidents. Only 8% of the respondents view that it is not a cause of road accidents and all this is shown in table 8. Table 8. Is Lack of Awareness Causes Road Accidents 7 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Percent Cumulative Percent Yes 72. 0 72. 0 No 8. 0 80. 0 To some extent 20. 0 100. 0 Total 100. 0 Above all information explains the causes of road accidents but now we have collected some information about the role of different administrative institutes in overcoming these issues. When we ask about role of government in reducing the ratio of accidents then 40% of the respondents are of the view that government is playing poor role and there is need to improve its role. 8% respondents answer that its role is satisfactory while only 8% response that government is playing excellent role, detail about this is given in table 9. Table 9. Role of Govt. in Reducing Traffic Accidents Percent Cumulative Percent Excellent 8. 0 8. 0 Very good 24. 0 32. 0 Satisfactory 28. 0 60. 0 Poor 40. 0 100. 0 Total 100. 0 The role of traffic police in reducing t he road accidents is better and 52% of the respondents show satisfactory role of traffic police while 24% answers very good. So the overall role of traffic police is good but the problem exists when we make a comparison between roads and number of police servants.Only 8% of the respondents answer that traffic police is playing poor role, which is shown in table 10. Table 10. Role of Traffic Police in Reducing Traffic Accidents Percent Cumulative Percent Excellent 16. 0 16. 0 Very good 24. 0 40. 0 Satisfactory 52. 0 92. 0 28 J. Asian Dev. Stud, Vol. 1, Issue 1, (March 2012). ISSN 2304-375X Poor 8. 0 100. 0 Total 100. 0 Conclusion The main objective of this paper is to highlight the main causes of road accidents in Pakistan. On the basis of primary data we conclude the paper as following. The main reason of traffic accidents is due to lack of awareness bout rules and regulation, so there is need of institutes for awareness about these rules. Government may create awareness in public b y offering different courses in educational institutes and also distribute some material for drivers and for general public also. Government needs to make some core courses/ training before the provision of license and traffic police should keep strong check and balance in this regard. Another problem which causes road accidents is overloading, use of cell phone during driving and drugs addiction by majority of the drivers.These all issues can be solved by creating awareness and by applying some penalty to defaulters. These are not serious issues and easily solved by the strong system of check and balance by any administrative authority. By overcoming on these causes we can save a lot of benefits in the shape of monetary and non-monetary terms. In a nut shell, we say that road accidents are playing prominent role in the families of victims of traffic accidents which is the loss of property on one side while death of humanity is on the other hand.These both can through a family into a vicious circle of poverty and then it impacts on the overall economy. So need of the day is to take some encouraging steps by public side and individuals side also. References ? A Resource Curriculum in Driver and Traffic Safety Education, (1990), Washington D. C. Automative Safety Foundation. ? Aaron, J. E. and Strasser, M. K. , (1990), Driver and Traffic Safety Education, London: The Macmillan Company. ? Ahmad, B. , (2006), Country Report on Road Network in Pakistan, Ministry of Communications, Islambad. ? 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