Antibiotic sensitivity Lab Report Example | Topics and Well Written Essays - 1000 words

Antibiotic sensitivity - Lab Report Example The third section contains the results generated from the lab report while the fourth section contains the discussions of the results generated herein. The last section has the conclusion on the overall matters discussed I the entire paper Antibiotic sensitivity is also referred to as the antibiotic susceptibility of bacteria to a given antibiotics. Susceptibility tests are conducted, in laboratories, to investigate which antibiotics would be suitable for treating a bacterial infection in question (National Committee for Clinical Laboratory Standards, 2002; Lalitha, Manayani, Priya, Jesudason, Thomas, & Steinhoff, 1997). Various methods have been developed by scientists to help in testing for sensitivity/ susceptibility of bacteria to a given antibiotic. These methods include the CDS method (Murray, 1990), the Stokes method (Hiramatsu, Hanaki, Ino, Yabuta, Oguri, & Tenover, 1997), the E- test method (Lalitha, Manayani, Priya, Jesudason, Thomas, & Steinhoff, 1997), and Agar and Broth method (Centers for Disease Control and Prevention, 2002) among others. These methods can be categorized as quantitative methods (Hamilton-Miller & Shah, 2000), qualitative methods (Tait-Kamradt, Davies, Appelbaum, Depardieu, Courvalin, & al., 2000), automated susceptibility tests (Malbruny, Werno, Anderson, Murdoch, & Leclercq., 2004), newer non- automated susceptibility tests (Chu, Afzah-Shah, Huang, Palepou, & Lyon, 2001), and the molecular tests (Kirby, Sader, Walsh, & Jones, 2004). Each of the listed tests above is applicable in either of the two cases of bacterial resistance. Bacteria exhibit two kinds of resistance to antibiotics; these are the intrinsic resistance and the acquired resistance. Intrinsic resistance is a condition whereby the bacteria are naturally resistant to a given antibiotic even before its use. Acquired resistance, on the other hand, is acquired by

Apple brand marketing campaigns positively impacts the consumers Dissertation

Apple brand marketing campaigns positively impacts the consumers purchase intent to buy apple products - Dissertation Example Because of data asymmetries buyers are improbable to clear concept about the genuine value of the merchandise and they usually outlook the emblem as a cue or goods the value of the pointer is not observed. A powerful emblem is positively associated to believe the value requirements. In such positions powerful emblem title as conspicuously the check is anticipated to be positively correlated with believe and value of preannouncement of new goods and decrease the witnessed risk of drinking. Effects of an assessment may furthermore be manifested through the psychological mechanism. Brand elongation is a good demonstration of utilising a powerful brand. Brand associations and sway affiliated with powerful emblems can be effortlessly moved to the new merchandise which considerably decreases the risk and boost the viewed relation benefit of this new product. Thus buyers are probable to delay for a merchandise launch or postpone the buy of comparable emblems which directs to a high likeliho od of selection. Thus it is presumed that: H1. Consumers have a higher aim to buy new goods broadcast in anticipation of a powerful brand. Apple inc. Description: Before the Phantom Whether the merchandise is accomplished as recounted overhead is another significant component to hold the status of Apple Inc. indicating and therefore leverage buyer answers to products. Because of the doubt merchandise development and trading business Apple Inc cannot insert new merchandise as pledged in supplement; some businesses intentionally make untrue preannouncements in certain situations. The merchandise is broadcast in accelerate but does not need new or went away is called phantom (East Harris Willson & Hammond 2005). An increasing number of phantom nourishment has emerged in diverse commerce extending from hardware to programs and from the blended vehicles. A classic demonstration is the phantom 3DRealms video game Duke Nukem Forever which was formally broadcast in accelerate in 1997 will b e issued no subsequent than mid-1998. But until now it has habitually been in development for over 13 years. The game has won yearly phantom Wired Magazine's a couple of accolades and was mocked as the Duke of Nukem Forever. Zeithaml (2008) contends that businesses can be boosted to preannounce phantom on reason disappoint new entrants and competition. However as a public pointer the phantom will be discerned by buyers and to have contradictory penalties for the business Apple Inc pronouncing. As indicating idea proposes is the status of Apple indicating is decreased if the pointers are not contacted before and receivers can be little questioning the self-assurance of the present signal. These contradictory associations are needed to make a contradictory influence on consumers' yearn to delay for a new product. Therefore contemplating the contradictory influence on the phantom in the viewed integrity and anticipations of clients it is presumed that: H2. Consumers have less aim to pu rchase merchandise advocated in accelerate with the new Apple phantom article before. Product Feature: Ability to Innovate An absolutely crucial characteristic of preannouncement discovery is the new merchandise which

Etanercept Essay Example for Free

Etanercept Essay Although it is known that etanercept is a recombinant human soluble tumor necrosis factor-alpha (TNF? ) receptor fusion protein that decreases its role in disorders that involves excess inflammation in animals, mainly in humans, including autoimmune diseases such as ankylosing spondylitis, psoriasis, hepatitis C, rheumatoid and psoriatic arthritis, it obviously shows that the effect of this fusion protein depends on the genes of the patient relative to his or her reaction to this protein. Citing the 60 year old male patient who was involved of being treated with etanercept, again, it manifests that there are different cases for different sets of specimens. Presumably, it is not wise to jump to conclusions that etanercept is not that beneficial in treating psoriasis or hepatitis C or both. One must take into consideration the genial pattern of the patient. Furthermore, etanercept is protein, which as we all know, comprises the basic genial structure of each cell of the body. In order for such protein to react or perform smoothly and beneficially, the subject should be focused more on protein â€Å"match-up† rather than citing several cases from the past or other occurrences involving etanercept.

Insulin and Predicting Clinical Outcome

Insulin and Predicting Clinical Outcome A. To identify predicting clinical outcome: Predicting clinical outcome in patients with incessant hepatitis C is testing. We utilized the hepatitis C long-term treatment against cirrhosis trial database to create two models, utilizing pattern estimations of routinely accessible research facility tests together with changes in these qualities amid follow-up to foresee clinical decompensation and liver-related demise transplant in patients with cutting edge hepatitis C. b. Identify the inhaled insulin: Inhaled insulin is a type of insulin that can be inhaled into the lungs through utilization of an exceptional inhaler. Breathed in insulin may in some cases be utilized to treat diabetes mellitus. Insulin treatment has advanced since its initiation. At first, we saw changes in its immaculateness, and new details to expand activity time and decline recurrence of infusions. With time and a further comprehension of the need to supplant insulin in a way that imitated ordinary physiology, more current insulins were composed that could achieve this objective all the more viable (Moshe Phillip, 2012). Simultaneously, strategies for insulin conveyance have likewise enhanced, including dispensable syringes, insulin pens, and insulin pumps, all of which have made insulin organization more sensible and more agreeable. c. To identify long-term insulin: Long-acting insulins dont top like short-acting insulins they can control glucose for a whole day. This is like the activity of insulin ordinarily delivered by your pancreas to help control glucose levels between dinners. Long-acting insulins are likewise called basal or foundation insulins. They continue working out of sight to monitor your glucose all through your day by day schedule. d. To identify Diabetes type 1: The more extreme type of diabetes is sort 1, or insulin-subordinate diabetes. Its occasionally called adolescent diabetes, since Type 1 diabetes more often than not creates in kids and young people, however, it can create at any age (Richard I. G. Holt, 2011). With type 1 diabetes, the bodys resistant framework assaults some portion of its pancreas. Researchers dont know why. In any case, the invulnerable framework erroneously observes the insulin-delivering cells in the pancreas as outside and annihilates them. This assault is known as immune system sickness. Conceptual model: Conceptual models in wellbeing training research have been characterized as outlines of proposed causal linkages among an arrangement of ideas accepted to be identified with a specific general medical issue. The calculated models appear the little piece of the causal web chose for study. They frequently are educated by more than one hypothesis, and additionally by exact discoveries. A reasonable model gives a visual picture that speaks to the exploration address which is to be researched. The best models pass on complex data in a way that is miserly as well as grants a speedy handle of confounded connections (Kane, 2006). For instance, a theoretical model can be utilized to portray the different ideas that are important in a specific infection or condition and the speculated interfaces between the ideas, or to give a structure from which potential focuses for treatment can be chosen. A theoretical model can manage our decision of what to quantify and how to gauge it and give a settin g to translating the discoveries. In 1995 Wilson and Cleary distributed a calculated model for wellbeing related personal satisfaction which coordinated both organic and mental parts of wellbeing results. They proposed five unique levels in their model, to be specific physiological elements, side effect status, utilitarian wellbeing, general wellbeing recognitions and general personal satisfaction. They characterized their calculated model as a scientific categorization of patient results as indicated by the fundamental wellbeing ideas they speak to and proposes particular causal connections between various wellbeing ideas. The Wilson-Cleary Conceptual Model of HRQoL is caught in figure 1. As the per user moves from left to right of the model, the nature of the ideas shifts from the cell toward the individual, and afterward to the communication of the person as an individual from society. A conceptual model can be utilized to investigate the patient point of view of a sickness and can help recognize the viewpoints that should be tended. Such theoretical models could be utilized to show the significance and seriousness of patient-focused results for measuring treatment benefits in a particular infection or condition. They would be particularly valuable for exchanges with administrative organizations about treatment advantage claims given patient, detailed results. Conceptual model for Clinical Outcomes and Response to combination of rapid-acting inhaled insulin with long-acting injectable insulin in patients with diabetes type 1.   Ã‚   Key dependent and independent variables: Variable is a term as often as possible utilized as a part of research activities. It is applicable to characterize and recognize the factors while outlining quantitative research ventures. A variable induces fervor in any explore than constants. It is in this way basic for amateurs in research to have lucidity about this term and the related ideas. Independent variable: The independent variable is the forunner while the destitute variable is the resulting. In case the self-governing variable is a dynamic variable then we control the estimations of the variable to study its impact on another variable. In the above case, we change pressure level to check whether responsiveness to torment diminishes medication is updated. Uneasiness level is the self-sufficient element variable. Dependent variable: The dependent changeable is the variable that is partial through the free factor. Receptiveness to anguish lessening drug is the district changeable in the beyond illustration. The area changeable is dependent on the autonomous variable. The operational definition of the key variable: An operational definition, when associated with data social occasion, is an unmistakable, compact point by point significance of a measure. The prerequisite for operational definitions is significant when assembling an extensive variety of data. It is particularly basic when a decision is being made about whether something is correct or off course, or when a visual check is being made where there is space for perplexity (Tracey D. Matthews, 2011). Clearly, the operational meaning of the reliant variable is an essential stride in the outline of the review. Some other wellbeing related applied factors that have numerous operational definitions: insight, wellness, wellbeing, personal satisfaction. A few polls have been produced to quantify these theoretical factors. In an exploration article, the operational definition is typically found in the strategies section. Operational definition in the variable table it is used in health research. Analyze the threats for research: In medical studies, viability thinks about in test settings are directed to address the issue of inward legitimacy while adequacy ponders in naturalistic settings are utilized to look at the outer legitimacy of the claim. Normally patients in experimentation are exceptionally chosen though patients in this present reality are most certainly not. For instance, subjects in clinical trials, for the most part, have quite recently the sickness under review. Patients who have various wellbeing conditions are rejected from the review because those uncontrolled factors could jumble the research result. In the research of Predicting Clinical Outcomes and Response to a combination of rapid-acting inhaled insulin with long-acting injectable insulin in patients with diabetes type 1 two types of threats are produced one is internal threats, and other is external threats. Internal legitimacy implies especially to whether an exploratory treatment/condition has any impact on the outcome or not, and whether there is satisfactory confirmation to substantiate the claim. Outer legitimacy insinuates the generalizability of the treatment/condition comes about across over various settings (STEVEN TAYLOR, 2007). Internal legitimacy is how much changes in a dependent variable can be attributed to changes in a self-sufficient variable. In this manner, inward legitimacy involves degree instead of one of nearness or nonappearance. The scientists trust in his or her discoveries is proportionate to the quality of inward legitimacy of the examination plan . Genuine tests are outlines that have solid inward legitimacy. That is individuals are randomized to test conditions, and distinctive means are used to ensure that changes in the Reliant variable can be credited to the trial control of the self-sufficient variable. Eight dangers to inward legitimacy have been descri bed:history, development, test, instrumentation, relapse, determination, exploratory mortality, and a cooperation of dangers. History: History turns into hazard when dissimilar basics external to the subject happen by uprightness of the series of time. Development: The advancement hazard can work when natural or mental changes occur inside subjects, and these movements may record to some degree or all together for effects saw in the survey. For example, a point by point decreasing in emergency room visits in a whole deal examination of pediatric patients with asthma may be a direct result of surpassing youth asthma rather than any treatment regimen constrained. Testing: The testing danger may happen when changes in test scores happen not therefore of the intervention yet rather in light of reiterated testing. This is of particular concern when examiners coordinate vague pretests and posttests. Regression: The regression hazard can occur when the outrageous score has selected subject since extraordinary scores inside a conveyance tend toward sketch earlier to the mean in rehash test. Differential Selection: The assurance hazard is of most extraordinary concern when subjects cant be subjectively doled out to treatment groups, particularly if social events are unequal inapplicable elements before treatment intervention. Diffusion or Imitation of Treatments: When members in the diverse exploratory conditions can speak with each other, to such an extent that members in one condition find out about what occurs in the other condition. This can undermine the contrasts between the exploratory controls in each condition. Example. In an investigation of the impacts of weight on snake fears, wind frightful undergrad brain research understudies were haphazardly relegated to one of two groups. Testing: The reactive impacts of testing where the very demonstration of appraisal impacts the variable under scrutiny. A few measures are exceedingly receptive, while different measures are inert. Likewise, rehashed testing can increment recognition with the test, which may predisposition scores. This risk can be managed in different courses, for example, by choosing inert measures or, on the other hand by counting a control aggregate. Selection: When the effects on the dependent variable emerge from contrasts in the sorts of individuals in the test bunches. Choice impacts are unavoidable in semi-exploratory outlines. These are among the most broadly utilized plans in clinical brain science, in which an objective gathering is thought about with at least one control bunches. Endeavors are made to coordinate the bunches on foundation factors, and after that, they are looked at on the factors of intrigue. External validity needs to do with the generalizability of the examination discoveries; to what degree can the discoveries of analysis or quasiexperimental be summed up to and crosswise over different populaces, settings, and ages? In the accompanying segments, we look at, in further detail, the significant sorts of dangers to outside legitimacy, the connection amongst inside and outer legitimacy, and the circumstances in which we ought to be worried about dangers to outer legitimacy. Dangers to outer legitimacy are assessed by the trial of the degree to which one can sum up crosswise over different sorts of individuals, settings, whats more, times and are, fundamentally, the trial of factual cooperations. Analysis plan of the research project: An analysis plan helps you thoroughly consider the information you will gather, what you will utilize it for, and how you will examine it. Making an investigation plan is a vital approach to guarantee that you gather every one of the information you require and that you utilize every one of the information you gather. Investigation arranging can be a precious speculation of time. It can help you select the most suitable research techniques and measurable instruments. It will guarantee that the way you gather your information and structure your database will help you get a solid analytic result. In this research paper, many people include in the research project. In this research project, different types of diseases include such as diabetes, insulin, and long term insulin and so on. In this paper, many people are injected with diabetes, and some individuals are injected with insulin. We find that diabetes is two types type 1 diabetes and type 2 diabetes. We find the data of patients which is injected to this problem. Data collection is a very important step for this research paper. Firstly we collect the data and after that take steps to control it. In this research for diseases use the conceptual model. Conceptual models in wellbeing training research have been characterized as outlines of proposed causal linkages among an arrangement of ideas accepted to be identified with a specific general medical issue. The calculated models appear the little piece of the causal web chose for study. The research project includes the operational definition for prevention the diseases. It connected to information gathering, is an unmistakable, succinct point by point meaning of a measure. The requirement for operational definitions is major when gathering a wide range of information. This is the research project paper for Predicting Clinical Outcomes and Response to a combination of rapid-acting inhaled insulin with long-acting injectable insulin in patients with diabetes type 1. References Kane, R. L. (Ed.). (2006). Understanding Health Care Outcomes Research. Jones Bartlett Learning. Moshe Phillip, T. B. (2012). ATTD 2011 Year Book: Advanced Technologies and Treatments for Diabetes. John Wiley Sons. Richard I. G. Holt, C. C. (Ed.). (2011). Textbook of Diabetes. John Wiley Sons. STEVEN TAYLOR, G. J. (2007). INTERNAL AND EXTERNAL VALIDITY IN CLINICAL RESEARCH. 12. Tracey D. Matthews, K. T. (2011). Designing and Conducting Research in Health and Human Performance. John Wiley Sons.

Essay on Taming of the Shrew: Stand by Your Man -- Taming Shrew Essays

The Taming of the Shrew:   Stand by Your Man - The Psychotherapist Perspective  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The universal nature of the themes in The Taming of the Shrew,   beg analysis and social critique. This comedic farce, by William Shakespeare, creates an elegant depiction of a modern life and romantic love with all of its masks and pretensions. It is easy to assume the perspective of a psychotherapist while witnessing the drama of Katherine and Petruchio’s love affair unfolding. Concepts like â€Å"emotional repression† and â€Å"therapeutic catharsis† neatly fit the â€Å"taming† scenario. In fact, this play offers many new insights into what it takes to create an enduring, viable marriage—if one understands it from a very contemporary, psychotherapeutic or even spiritual point of view. If one is distracted by the recent feminist perspectives of this play, it is easy to miss the integrity and practicality expressed in Katherine’s final exhortation to women on how to love their men:    Thy husband is thy lord, thy life, thy keeper, Thy head, thy sovereign, one that cares for thee, And for the maintenance commits his body To painful labour both by sea and land, †¦Ã¢â‚¬ ¦.I am ashamed that women are so simple To offer war where they should kneel for peace†¦.. (Act V, ii, (150-153), (165-166)    Viewed through the lens of a one kind of feminist critic, we could ask: wasn’t Kate’s â€Å"taming† the result of a brutal conditioning by a manipulative Petruchio who was a kind of shrewd â€Å"behavioral psychologist?† For at the close of the play, in this passage especially, Kate appears to have metamorphosed from an intractable, ill-tempered woman into a subdued, submissive â€Å"Stepford Wife† for Petruchio. And wasn’t her final speech a humilia... ...nt to creating a deeper, more harmonious relationship involved a mature acceptance of the dark, shadow sides of Kate. The â€Å"baggage† of her wounded past with all of its unmet needs had been waiting to be loved and transformed. In the radical courtship of Kate and Petruchio, all â€Å"buttons† got pressed, character armor was released, and in the mirror of lover and beloved, childhood vulnerabilities eventually diminished freeing up enormous reserves of creative energy.   It is in this light that I appreciate Kate’s final impassioned speech to the other women who, in their selfish defiance of their new husbands had acted immaturely. For here, Shakespeare ironically exposes Bianca as the real, untamed shrew and reveals a very sagacious and loving Katherine. Works Cited: Shakespeare, William. The Taming of the Shrew. Ed. David Bevington. New York: Longman, 1997

Babie’s Nutrition Essay

Is immunity compromised in babies who are formula fed for their first year compared to babies who are breastfed for the first year? Anastasia J. Jorgensen LCC Nursing 165 Is immunity compromised in babies who are formula fed for their first year compared to babies who are breastfed for the first year? Many hospitals are now implementing a â€Å"Baby Friendly† environment in their delivery and mother-baby units. This initiative promotes breastfeeding as the priority feeding method to new mothers and leaves formula feeding by the wayside. Is formula feeding hurting these children or all of the children who have been formula fed up to this point? One study suggests that there is a high use of laxatives in formula-fed infants (Gitte Zachariassen, 2013). While another sets out to prove that formula containing galactose, galactooligosaccharides (GOS) would help reduce infections and allergic manifestations with a prebiotic effect on intestinal microbiota (Carlos Sierra, 2014). Purpose In Sierra’s et al.’s (2014) article, which reviews the effect of prebiotic’s during the first year of life in formula fed infants, a randomized, double-blind, placebo-controlled trial is performed to assess the effects of prebiotic supplements on intestinal micro bacteria and the incidence of infections and allergic reactions during the first year of life. In Gitte Zachariassen’s et al.’s (2013) article on preterm infant diet and the high use of laxatives among the formula-fed infants, a study was performed to see what the effects of formula were on the infant gastrointestinal system versus infants who were given breastmilk along with formula and breastmilk alone. This study included the number of meals given, number and amount of regurgitation, number of stools, and amount of laxatives used daily. Summary of Studies1 Population. The first study, Carlos Sierra et al. (2014), consisted of infants less than 2 months old and healthy term infants from eight Spanish hospitals. These infants ranged in gestational age of 37 to 42 weeks and weighed more than 2500 grams. The infants were then placed into different groups to monitor the effects of the different food given whether it was formula or breastmilk. In the next study, Gitte Zachariassen et al. (2013), parents of very preterm infants (  regarding breastfeeding is important but I believe that more information should be provided about formula feeding and the problems that can occur. Specifically, I think parents should be informed that their infant could be more irritable because they are gassy or constipated if they are only formula fed, this may deter some parents from the use of formula or at least encourage them to supplement with breastmilk. I also think that they should be informed that breastfeeding, while it does contribute to passive immunity, is not the only way to keep your infant healthy. Formula, while more convenient to use at times, is not going to make your infant less healthy but it will not increase their immunity eith er. References Carlos Sierra, M.-J. B.-I.-L.-M. (2014). Prebiotic effect during the first year of life in healthy infants fed formula containing GOS as the only prebiotic: a multicentre, randomised, double-blind and placeboi-controlled trial. Springerlink.com, 11. Gitte Zachariassen, J. F.-G. (2013). Preterm dietary study: meal frequency, regurgitation and the surprisingly high use of laxatives among formula-fed infants following discharge. ACTA Paediatrica, 7.

Social Welfare System in Hong Kong

Question 1: Identify one type of the social welfare, discuss its services of Hong Kong and a)explain its values, rationales and objectives; b)ways of service delivery; c)discuss the strengths and weaknesses of the service and d)make suggestions to improve the services in future. CSSA—AN INTRODUCTION The comprehensive Social Security Assistance Scheme (CSSA) is surely one of the most influential social welfare in Hong Kong, in terms of money and beneficiary.In the fiscal year of 2010 alone, 19 billion was spent on CSSA, which increased noticeably by 40% as compared with the expenditure ten years ago. As at the end of 2009, total number of CSSA cases amounted to 289 139, representing an increase of 25. 3% over 1999. CSSA accounted for 8. 6% of government recurrent expenditure, compared with 7. 5% in 2000. During 1999 to 2009, the average growth in total number of cases per annum was 2. 3%. In fact, the growth rate of CSSA cases is expected to accelerate because the growth of eld erly population will peak in 2016-2026.In other words, the problem is not coming yet. But it will within 10 years. In view of the potential alarming situation, there is an urgent need to investigate the effectiveness of the scheme. This essay will give a brief review of the captioned scheme as well as to discuss possible ways to improve the services in the future, making the most effective use of government resources. CSSA—ITS VALUES, RATIONALES AND OBJECTIVES The CSSA Scheme was introduced in 1993, replacing the former Public Assistance Scheme, and evolved over the past 20 years into the current complex system.It is designed to provide a safety net for individuals or families who cannot support themselves financially for various reasons such as old age, disability, illness, unemployment and low earnings. The CSSA Scheme provides financial assistance to bring the income of such individuals or families up to a prescribed level to meet their basic needs. All CSSA recipients are entitled to free medical treatment at public hospitals or clinics. It is administered by the Social Welfare Department (SWD) and is non-contributory but means-tested.APPLICATION REQUIREMENTS To be eligible for assistance, the applicant must satisfy the residence requirements, that is, to have resided in Hong Kong continuously for at least one year before the date of application and be a Hong Kong resident for seven years. Yet, exception can be granted for discretion. They must also pass both the income and assets tests. To pass the income test means the applicant’s total assessable monthly household income is insufficient to meet their total monthly needs as recognized under the Scheme.To pass the asset test means the total value of the capital assets held by the applicant is below the prescribed limit. If the applicant lives with other family members, the application shall be made on a household basis. On top of the basic subsistence support, there is a number of supplement s, like disability, old age, community living, single parent, transport supplement, which is too excessive to mention here. A person can make an application directly to a social security field unit, or by referral to the Social Welfare Department by another government department or a non-governmental organization.Upon receipt of an application, staff of the SWD will conduct investigation and verification of the applicant’s circumstances. It is usually completed in a month and is very convenient. CSSA—ITS STRENGTHS AND WEAKNESSES Generally speaking CSSA has been quite effective in providing a safety nets towards the needy, whether the amount of grants is sufficient or not is subject to argument, one has to acknowledge the fact that there is no major starvation/freezing death caused by poverty in recent years. The general living conditions and nutrition’s of the poor improved, compared many years ago.In the past, social welfare is just a feeding station, or remedy measures after the problems exist, CSSA, with its recent reform of adding more and more subsidies like disabilities, elderly, transport supplement†¦etc, is a rather complicated cash transfer framework, which definitely, effectively created a safety net and contributed a part of improving peoples’ living standard. It seems that CSSA was able to fulfill the very basic philosophy of social security policy and social policy in general terms, which is residual or remedial. CSSA is somewhat a passive scheme as a rescue if the applicant himself, or his family failed to help.It is remedial because it functions only if you fall and will not prevent you from falling. This is of no doubt that CSSA can solve immediate issues, but not the root of it. In fact there are changes that CSSA can make to help better cope with this problem. Moreover, there is room of improvement of the efficiency of the scheme, as it has become more and more complex that something can be done to make it mor e efficient as a safety net. And as progress, it is vital that we look at the possible policy that can be adjusted to better cope with the situation as things do change over time.One of the major characteristics of CSSA is that it is a means tested scheme. In a nutshell, as long as the applicant meets the requirements, the applicants are entitled to get the benefits, as a matter of right. What they do is to assess the quantitative elements of the applicants, such as how many assets they have, how much they earn per month, the severity of his sickness, and treat them as fair as possible, without looking at their background, their ability, the reason they apply for the scheme.As a government servant, I comprehend the difficulty to do so because their job is to do assessment on the financial criteria. But CSSA is not just simple financial assistance, ideally speaking. When the unemployed come for assistance, their problem is not just short of money for assistance, they are unable or no t willing to find jobs which they do not like or do not match their skills or think the wage is too low for him. Recent news reporting a postgraduate graduated from The Chinese University of Hong Kong is an example. CSSA applicants have problems besides financing.I dare say a considerably proportion of staff running the program are not equipped with the skills that can deal with the key issue, thus missed the chance of preliminary investigation of the candidate while looking at the documents and data before the grant. However, CSSA is far from sufficient to provide something constructive, to help the recipients for taking constructive acts to participate in society. Right now we see that, the community is increasingly dependent, which is harmful. The CSSA should abandon the passive strategy of simply looking at needs and handing out cash.This can be done by demanding the recipients to take steps to help themselves as a prerequisite to receive the payments. It has in fact already bee n adopted and have a positive result. With the introduction of the intensified Support for Self-reliance Scheme measures in June 2003, there was a rapid deceleration in the rate of increase in unemployment cases during June to September 2003, the number of cases also started to decline as from October 2003 to October 2008. But the unemployment case started to rise since 2009, and almost reached the level of 1999, which is the year of financial crisis.As a suggestion, the said scheme can add community service work as a component of the criteria of getting subsistence, such as to clean toilets in governmental departments, of some minimum hours per month as a way to encourage them to contribute to the society. Back to the postgraduate in CU as an example, of course he will get something better than looking after elderly as a job! Even if he cannot do so what he has done will be beneficial to the society. Moreover, the scheme is becoming more complicated as more and more supplement and discretionary items have been added.It is no longer a system that is administratively simple or efficient. The lack of training of the said officials and the complexity the system deter the efficiency of the officials to tackle the applicants specific needs, rather in a degree enhanced their reliability on CSSA. Alternative of solving the problems, despite of training workers, is to tidy up the current structure of the administration, such as diving the recipients into categories, with their own eligibility criteria, referrals, conditions of assistance and kinds of help to offer.Bureau working on this will be, despite more systematic, will have a much more clear idea of how to help the applicant and in turn, the applicant received a better idea of their benefit and get better helped. For instance the financial needs of the elderly should be considered with their health care. They may, because worrying insufficient money to pay their health care, save the already little grants receiv ed from CSSA, sacrificing their living quality. There seems little cooperation with the Social Welfare department with relevant charity organizations.The same applies to other groups, like, for single parents family, which they save the CSSA for family services. I have already made the point through the above that CSSA, generally speaking is effective and have done a good job in providing a safety net to Hong Kong, by a one-way handout of cash. But it can, in fact, requiring the recipients to contribute back to the society by adding a component of voluntary services element into the scheme. This, on one hand can screen out people who do not really need CSSA, thus focusing to the resources and attention to those desperately in need.And on the other hand to help those screened out forcing them getting back to the mainstream. And as mentioned about, the efficiency of the CSSA system can be more efficient by adopting a categorical approach, better matching the skills of staff working th erein and the background of recipients. In a nutshell, CSSA do create some sort of dependency because, looking at the amount of CSSA cases and the economy of Hong Kong it is not very much correlated. That suggests that the determining factor for the number of people on welfare is, maybe the welfare system itself.Therefore it is very critical for the government to formulate its social welfare policy so that the policy will not create dependency by itself, better organizing structure of manpower, so the budget can save a few billion and most importantly, better matching of resources and helping those really in need. (1719 words) Reference: 1. Research and Statistics Section, Social Welfare Department, Statistics on Comprehensive Social Security Assistance Scheme, 1999 to 2009 2. Social Welfare Department, A Guide to Comprehensive Social Security Assistance