6 steps decision making Essay

In addition to time pressures that we encounter when searching for evidence to support care decisions for individual patients, it may be difficult for clinicians to apply the evidence that we find. The rate limiting step may not be doing the search, but the steps needed in â€Å"setting evidence-based medicine (EBM) in motion.† We present an example of a search for evidence by a Physician Assistant (PA) student that highlights this challenge. PAs receive accelerated training in the medical model and work in teams  under physician supervision. Approximately 40 000 PAs currently work in the  US in a wide range of settings and specialties.  Practising EBM has become an important component of training for PAs.  During an internal medicine rotation, a PA student encountered a common clinical practice unsupported by current  evidence—administration of nebulised albuterol in patients with community acquired pneumonia (CAP). While this practice may  be justified in patients with underlying chronic obstructive pulmonary disease (COPD) who also present with CAP, this student  questioned the grounds for its use in patients with CAP who do not have COPD. Clinical scenario A 68 year old man presented to the emergency department with fever, chills, and a non-productive cough of 1 week’s duration. He had fatigue, headache, rhinorrhoea, and mild nausea, but  denied dyspnoea. He had no history of smoking or COPD. He  had atrial fibrillation and was taking warfarin for stroke prevention. On admission, his temperature was 38.4  °C, heart rate was  108 beats/minute, respiratory rate was 24 breaths/minute,  blood pressure was 156/88 mm Hg, and oxygen saturation was  86% by pulse oximetry on room air. Rales were heard in both  lung bases and in the right middle lobe. Chest radiography  showed a diffuse infiltrate in the right middle and lower lobes. Complete blood count showed a white blood cell count of  22 000 cells/ml with a left shift, and arterial blood gases showed mild respiratory acidosis.  One dose of ceftriaxone was administered parenterally, and a course of azithromycin was started. Albuterol, 5% solution,  delivered by n ebuliser 3 times daily was also ordered, in addition to a combination of inhaled ipratropium and albuterol,  delivered by metered dose inhaler every 4 hours as needed.  During the hospital stay, his pneumonia resolved, but his heart rate increased to 150 beats/minute and his blood pressure rose from 156/88 to 200/110 mm Hg. Clinical question Although there was no institutional protocol for use of  nebulised albuterol for treatment of CAP, the house staff often ordered it.  The PA student queried: In a 68 year old man with CAP and no underlying COPD, does use of nebulised
2 agonists improve symptoms? What is the risk of harm in this  patient? Search strategy Firstly, a treatment guideline was sought to clarify recommendations regarding use of nebulised albuterol for treatment of CAP.  The American Thoracic Society guidelines for management of  CAP1 were rapidly retrieved through PubMed, UpToDate, and  MD Consult. The British Thoracic Society (BTS) guidelines for the management of CAP in adults2 were also found in PubMed.  Both sets of guidelines were relevant to our patient, but neither guideline discussed the use of nebulised albuterol in the  treatment of CAP. The BTS guidelines had a section on general management, which discussed the use of adjunctive therapies  for CAP, but nebulised albuterol was not mentioned. Evidence from controlled clinical trials was mentioned in the guideline for â€Å"bottle blowing,†3 but not for physiotherapy.  Having not fully answered our question with a review of  relevant guidelines (and having not attracted the attention of anyone who could change the patient’s treatment p lan), we  searched PubMed again, this time specifically for studies on the use of albuterol in patients with CAP. No relevant trials were found on the use of nebulisers for CAP.  To identify evidence about harm with the use of albuterol,  PubMed was searched using the terms nebulised albuterol, cardiac arrhythmias, and randomised or controlled clinical trials.  No trials were found. When just the content terms were  searched, 9 articles, not directly relevant to our patient, were found. One prospective, open label study on the effect of  nebulised albuterol (for treatment of asthma) on cardiac rhythm was found.4 10 patients were studied, and although no adverse effect on cardiac rhythm or blood pressure was found, the study did not convince the team that no potential for harm existed in this, or other patients, especially when there  was no clear indication for use of albuterol. Recognising that searching and appraising the literature are not the only important aspects of practicing EBM, we consulted an experienced pulmonologist, who practises and teaches using the EBM model. In addition to reviewing treatment plans for  multiple cases of CAP requiring hospital admission with the  Nurse Practitioner/Physician Assistant service, he recommended review of the Centre for Evidence-Based Medicine  website at Mount Sinai Hospital in Toronto, Ontario, Canada  (www.cebm.utoronto.ca/), which suggested bubble blowing as a method for helping clear secretions.2–3 This served as an  excellent, rapid approach to finding good information on treatment of CAP, and confirmed the evidence previously found in  the literature search.  Application of the evidence to this, and future  patients  The treatment plan for this patient was not altered by the  student’s rapid search for evidence. Changes in usual care for a common illness required a compr ehensive search and discussion among all clinicians in our institution caring for patients  with CAP. The clinical team reviewed the results of the search and because no evidence was found to support use of albuterol in patients like ours, changes were made to future practice. As a result of this process, which took a few hours and evolved over several weeks, orders for bronchodilators for patients with CAP are now made on an individual basis, depending on the  presence of patient comorbid illnesses, such as COPD. 164 Volume 8 November/December 2003 EBM www.evidence-basedmedicine.com EBM notebook Downloaded from ebm.bmj.com on 10 August 2009 Conclusion The need for a rapid search for evidence is sometimes, but not always, important to the care of an individual patient. In this case, the speed of the search did not affect the ability of the PA student to apply the  evidence to the patient. Setting the evidence in motion may require communication of search results to other members of the clinical team and may affect the care of future patients. Although the catalyst for setting EBM in motion was a student, the evidence, including the results of further research, along with the judgment of the experienced pulmonologist,  convinced the clinical team to make changes to usual care and to base future treatment of this common condition on the best available evidence. The basic concept of evidence-based medicine proposes to  make health related decisions based on a synthesis of internal and external evidence. Internal evidence is composed of knowledge acquired through formal education and training, general  experience accumulated from daily practice, and specific  experience gained from an individual clinician-patient relationship. External evidence is accessible information from research.  It is the explicit use of valid external evidence (eg, randomised controlled trials) combined with the prevailing internal evidence that defines a clinical decision as â€Å"evidence-based.† To realise this concept in day to day clinical practice, the Evidence- Based Medicine Working Group proposed a 5 step strategy,  corresponding to step 1 and steps 3 to 6 shown in the left hand column of the table. In teaching this 5 step approach, we encountered several difficulties. We noticed a growing hesitance to accept this strategy  as students advanced in their medical training. In the presence of well established methods of treatment or diagnosis, this  resistance rises even more, regardless of the level of training.We assume that this barrier is associated with the process of socialisation into the health professions. Throughout medical  education students are virtually â€Å"trained† to make decisions under the condition of uncertainty. Advanced students and to a greater extent clinicians lose some of their ability to differentiate between scientific evidence and what seems to be evident. If we intend to implement evidence-based medicine more efficiently, we need to modify the way students and clinicians learn to make decisions. Therefore, an additional step was introduced in our evidencebased medicine teaching programme (step 2 in the table).  Students were to provide answers to their clinical questions based on their current knowledge (internal evidence) before  continuing with the remaining steps of the evidence-based  process.2 Our collective experience concerning this additional step was extremely positive. The students using this new step were satisfied that their pre-existing knowledge had been  integrated into the evidence-based approach. By explicitly  documenting their internal evidence, students used the remaining steps of the process to evaluate not only the best evidence in making a clinical decision but also to assess the accuracy of their internal evidence, the grounds upon which their preconcep- The 6 steps of evidence-based decision making Step Action Explanation  1 Transformation of the clinical problem into 3 or 4 part question (a) relevant patient characteristics and problem(s), (b) leading intervention, (c) alternative intervention, (d) clinical outcomes or goals. 2 Additional step: answer to the question based on â€Å"internal evidence† only Internal evidence: acquired knowledge through professional training and experience (in general and applied to the patient). Should be documented before proceeding to step 3. 3 Finding â€Å"external evidence† to answer the question External evidence: obtained from textbooks, journals, databases, experts. The value of the external evidence will be highly variable, see step 4. 4 Critical appraisal of the external evidence Should answer 3 questions: (1) Are the results valid? (2) Are the results clinically important? (3) Do the results apply to my patient? (or is my patient so different from those in the study that the results do not apply?) 5 Integrating external and internal evidence The 2 sources of information (external and internal) may be supportive, non-supportive, or conflicting. How the decision is made when non-supportive or conflicting will depend on multiple factors. 6 Evaluation of decision making process Once the decision has been made, the process and the outcome are considered and opportunities for improvement are identified. The health authority of Alto Adige in northern Italy initiated and supported a project, the â€Å"Bressanone Model,† in which the effects of implementing evidence-based medicine on the quality of health care were to be shown. In this model we used the six step approach, which proved to be successful in the student  project to teach experienced clinicians.3 The participants were asked to name problems of their day to day practice that lacked either an effective or an efficient solution. The evidence-based medicine support group helped participants to phrase the 3 or 4 part questions. Subsequently, the physicians were asked to submit their individual answers to the questions before continuing with steps 3 to 6. Agreement between internal and external evidence varies. Completing the full process could result in finding evidence that confirms the internal evidence, validating and strengthening the clinician’s or student’s confidence in the decision. The process could also reveal that little evidence exists to support the decision or that the available evidence is equivocal. In such cases, other factors such as cost or inconvenience to the patient may need to be given greater consideration. Possibly, the best external evidence found is not in agreement with the internal evidence. This represents a particularly valuable experience for the clinician or student because it may avoid an ill advised decision. It also shows the fallibility of making decisions on  uncertain ground based on internal evidence alone. This in turn will hopefully promote the routine assimilation of external evidence in clinical decision making. The documentation and  comparison of steps 2 and 5, used as a research tool or quality assurance outcome measure, coul d provide valid information  on the effects of evidence-based medicine on clinical decision making. In case of conflicting internal and external evidence, clinicians have several options. They may change their mind and align it with the external evidence. They may determine that the external evidence is not sufficiently convincing and remain with the  original decision. Or, they may choose to discuss with the  patient the conflict between the internal and external evidence in a manner that enables the patient to take part in the decision making process. This last approach is recommended because  patient preference is considered an essential part of the  evidence-based decision making process1 and decisions often  need to be made in the absence of clear research findings.

Mission and Vision Statements Essay

It often reflects the values and beliefs of top managers in an organization. A mission statement is the broad definition of the organizational mission. It is sometimes referred to as a creed, purpose, or statement of corporate philosophy and values. A good mission statement inspires employees and provides a focus and direction for setting lower level objectives. It should guide employees in making decisions and establish what the organization does. Mission statements are crucial for organizations to prosper and grow. While studies suggest that they have a positive impact on profitability and can increase shareholder equity, they also support that almost 40 percent of employees do not know or understand their company’s mission. Not only large corporations benefit from creating mission statements but small businesses as Photo by: sellingpix http://www. referenceforbusiness. com/management/Mar-No/Mission-and-Vision-Statements. html Page 1 of 12 Mission and Vision Statements – strategy, organization, examples, advantages, definition, company, disadvantages, business 5/19/13 2:42 PM well. Entrepreneurial businesses are driven by vision and high aspirations. Developing a mission statement will help the small business realize their vision. Its primary purpose is to guide the entrepreneur and assist in refining the planning process. By developing a strategic plan that incorporates the mission statement, entrepreneurs are more likely to be successful and stay focused on what is important. The mission statement encourages managers and small business owners alike to consider the nature and scope of the business. Business Week attributes 30 percent higher return on several key financial measure for companies with well-crafted mission statements. COMMON ELEMENTS While mission statements vary from organization to organization and represent the distinctness of each one, they all share similar components. Most statements include descriptions of the organization’s target market, the geographic domain, their concern for survival, growth and profitability, the company philosophy, and the organization’s desired public image. For example: Our mission is to become the favorite family dining restaurant in every neighborhood in which we operate. This will be accomplished by serving a variety of delicious tasting and generously portioned foods at moderate prices. Our restaurants will be clean, fun, and casual. Our guests will be served by friendly, knowledgeable people that are dedicated to providing excellent customer service. This mission statement describes the target market, which are families and the geographic domain of neighborhoods. It clearly states how it expects to be profitable by offering excellent customer service by friendly, knowledgeable people. When defining the mission statement it is important to take into account external influences such as the competition, labor conditions, economic conditions, and possible government regulation. It is important to remember however, that mission statements that try to be everything to everybody end up being nothing to anybody. http://www. referenceforbusiness. com/management/Mar-No/Mission-and-Vision-Statements. html Page 2 of 12 Mission and Vision Statements – strategy, organization, examples, advantages, definition, company, disadvantages, business 5/19/13 2:42 PM Companies should have mission statements that clearly define expected shareholder returns and they should regularly measure performance in terms of those expected returns. If the major reason for a business’s existence is to make a profit then it stands to reason that expectations of profit should be included in the organization’s mission. This means that management should reach a consensus about which aspects of the company’s profit performance should be measured. These might include margin growth, product quality, market share changes, competitive cost position, and capital structure efficiency. A mission statement sets the boundaries for how resources should be allocated and what strategic and operational goals should be set. The mission statement should acknowledge the company’s strengths and then inform employees where to direct their efforts in order to take advantage of those strengths. Before writing a mission statement organizations should take a look at how they are different from the competition, whether it is in technology, image and name brand, or employees. It can often be thought of as a recipe for success because it not only defines the organization’s accomplishments but it also provides employees with directions to help them develop plans and look for opportunities for improvement. The organization defines what is acceptable behavior through the mission statement. Values and beliefs are the core of a strong mission statement. For example: Quality and values will secure our success. We will live by our values, have fun, and take pride in what we do. Our values are to maintain a work environment where people enjoy coming to work, to serve our guests and exceed their expectations, and to be profitable and result oriented. This mission statement is simple and straightforward. It does not, however, specify the products or target market. The mission statement also provides meaning to the organization by stating not only what goals the company wants to achieve but also why it wants to achieve these goals. It is not effective unless it is challenging and forces workers to establish goals and means to measure the achievement of those goals. A mission statement should inspire employees and get them involved in the organization. It has been called the glue that holds the organization together through shared values and standards of behavior. A mission statement should be relevant to the history, culture, and values of the company. Many statements refer to the social responsibility of the organization. For example, a company can show their concern for the community in the following: http://www. referenceforbusiness. com/management/Mar-No/Mission-and-Vision-Statements. html Page 3 of 12 Mission and Vision Statements – strategy, organization, examples, advantages, definition, company, disadvantages, business 5/19/13 2:42 PM To be involved as good corporate citizens wherever we are around the world. We will treat customers and distributors with honesty, courtesy, and respect. We will respect and preserve the environment. Through all of this we will prove to be the worldwide leader in industry trade. One important issue in organizations today is the concern with diversity. While it is not a traditional point included in mission statements, more and more companies are including it because of the globalization of the economy and the increased diversity of the workforce. Before writing a mission statement, leaders in the organization must have an idea of what is in store for the future. This vision is the foundation for the mission statement. The vision provides a strategic direction, which is the springboard for the mission and its related goals. A vision statement differs from a mission statement. Vision statements are a view of what an organization is striving to become. For example: To bring back to neighborhoods all over America the importance of family unity. We will view ourselves as a family so these attributes will be carried over into our service. They guide an organization into the future while mission statements are a reflection of the present. Because vision statements are a glimpse into the future, they are often not realized for several years. Organizations go through many changes and can face times of confusion and uncertainty. Changes are not always expected or easy, so a well thought out vision statement will help everyone stay focused and meet the organization’s goals. Some examples of well-known companies’ mission statements: Wal-Mart: â€Å"To give ordinary folk the chance to buy the same thing as rich people. † 3M: â€Å"To solve unsolved problems innovatively. † Walt Disney: â€Å"To make people happy. † Historically, these may have seemed arrogant. But consider the outcome of the following mission statements from each company’s early days: Ford Motor Company: â€Å"Ford will democratize the automobile. † Sony: â€Å"Become the company most know for changing the world-wide poor-quality image of Japanese products. † Wal-Mart: â€Å"Become a $125 billion company by the year 2000. † http://www. referenceforbusiness. com/management/Mar-No/Mission-and-Vision-Statements. html Page 4 of 12 Mission and Vision Statements – strategy, organization, examples, advantages, definition, company, disadvantages, business 5/19/13 2:42 PM WRITING A MISSION STATEMENT When creating a mission statement there are a few simple guidelines that can be followed. It is important to remember the basics so the mission statement stays simple and straight to the point. Some researchers agree that it should be kept to between 30 and 60 words, while others believe it does not necessarily have to be that brief. Some organizations have mission statements that are only one sentence, while others are a paragraph. An example of a mission statement that is limited to one sentence is â€Å"Our business is selling houses and our mission is total customer satisfaction. At a minimum, each mission statement should answer the following three questions: (1) What are the opportunities or needs the organization addresses? (2) What does the organization do to address those needs? and (3) What principles and values guide the organization? In other words, defining the organization’s purpose, business and values. Avoiding jargon and buzzwords will keep the mission statement clear and easy to understand. It should be universal and simple to comprehend for all employees in the organization. It should be unique and identify the organization. A mission statement is often what sets one company apart from the competition. It should outline the organization’s competitive advantages and differentiate it from everyone else. Specific products/services offered as well as markets or customers should be included. Also a general business definition, behavioral standards, and desired competitive position can be added to a strong mission statement. EMPLOYEE INVOLVEMENT It is often helpful to allow company-wide input when creating a mission statement. This â€Å"bottom up† approach results in greater commitment to the organization and a better understanding of the organization. Employees from throughout the organization can help identify the core values of the company. In order to encourage employee participation, many companies have created competitions inviting employees to submit suggestions. Cash prizes are sometimes provided as an incentive for creative and inspirational statements. Some companies find it useful to invite customers to assist in writing a mission statement because they can provide an honest perspective. Another option is to review mission statements from other companies. This can help provide ideas as the writing process begins. It is important to keep in mind that there will be a draft process involved in creating the mission statement. Employees can often provide invaluable insight on how to improve on each draft. In the end, the mission statement should reflect the personality of the organization. Thus, each company should be creative and unique in developing its own statement. Creating a mission http://www. referenceforbusiness. com/management/Mar-No/Mission-and-Vision-Statements. html Page 5 of 12 Mission and Vision Statements – strategy, organization, examples, advantages, definition, company, disadvantages, business 5/19/13 2:42 PM  committee that consists of members of management, frontline employees, and customers is another way to begin writing a mission statement. The major benefit of this strategy is the inclusion of all areas of the organization to ensure that everyone is represented. Another benefit is that employees will be more willing to work toward accomplishing the mission if they know they had a vo ice in its creation. A â€Å"top down† approach can be effective in smaller organizations or even sole proprietorships. There is less time involved in creating a mission statement when it comes from the top. Also, many times frontline employees and lower level managers lack the insight necessary to see the big picture. They may not be able to conceptualize the entire organization and therefore miss important aspects of the business. Participation may not always be a good option for small businesses. In small businesses that are started by entrepreneurs the mission statement is generally a vision of an individual and therefore may not be negotiable. When the mission statement comes from upper management, employees are more assured of the organization’s commitment to the statement. A word of caution should be noted when deciding whether to adopt a â€Å"top down† approach or a â€Å"bottom up† approach. If the mission statement is to be created with a wide variety of input from both employees and customers then it will take longer than a â€Å"top down† approach. There must be a sharing of views and ideas with compromises made. A consensus should be developed without the problems associated with groupthink. There is always the possibility that too much compromise will distort the mission statement and the end result is something different from the original intent. The â€Å"top down† approach is not always effective because it rarely consults employees when making important decisions. Therefore, although it is the fastest route to take it isn’t always the most effective. While the mission statement should be able to change with the times it is also understood to have a certain degree of permanence. As new businesses begin to grow and hire more employees the mission statement should provide a strong sense of stability and a clear definition of the culture. A mission statement is worthless unless it has the support of the employees in the organization. It will only be successful if each employee commits to its success and internalizes it. Once the statement is completed it is extremely important that the organization not put it on the shelf to collect dust. It should be shared with the entire company. The introduction of the mission statement should come directly from top management in order to set the example. Organizations should be creative in making employees aware of the mission statement. Placing it strategically in locations where employees gather will increase awareness and remind them of the goals of the http://www. referenceforbusiness. com/management/Mar-No/Mission-and-Vision-Statements. html Page 6 of 12 Mission and Vision Statements – strategy, organization, examples, advantages, definition, company, disadvantages, business 5/19/13 2:42 PM organization. Videos outlining the details of the new mission statement are often useful; however, it is critical that employees have the opportunity to discuss the statement with members of management. Setting up meetings with members of management and frontline employees can often help uncover areas where the company does not meet the standards set by the mission statement. Communicating the mission statement to customers will make them feel valued and important. It can be sent to customers in a mass mailing or posted on signs in areas those customers frequent. It sets forth the goals of the organization so customers know what to expect when doing business with the company. SWOT ANALYSIS SWOT is an acronym for strengths, weaknesses, opportunities, and threats. SWOT analysis is a strategic planning tool that helps an organization match its internal strengths and weaknesses with external opportunities and threats. SWOT analysis is important and useful in creating and executing the organization’s mission statement. Often the best strategies for accomplishing the organization’s mission are revealed through the SWOT analysis. The best strategies are those that take advantage of strengths and opportunities, offset threats, and improve weaknesses. Organizations should first begin by reviewing internal strengths and weaknesses. When analyzing an organization’s strengths it is important to identify distinctive competencies or strengths possessed by only a few competing firms. These distinctive competencies often become the competitive advantages that are included in the mission statement. Distinctive competencies can be found in financial resources, quality products and services, proprietary technology, or cost advantages. Organizational weaknesses are skills and capabilities that prevent an organization from implementing strategies that achieve its mission. They can be problems with facilities, lack of a clear strategic direction, internal operating problems, too narrow a product line, weak market image, or the inability to finance changes. The next step is to identify external opportunities and threats. Organizational opportunities are circumstances in an organization’s environment that if capitalized on will result in above normal increases in economic performance. Examples of opportunities are related to the possibility of adding a new product line, increasing market growth, or diversifying into related products. Threats are viewed as circumstances that give rise to normal or below normal economic performance. They can be found in the ease of entry of competitors, increased sales of substituted products, demographic changes, slowed market growth, or increased competition. EVALUATION http://www. referenceforbusiness. com/management/Mar-No/Mission-and-Vision-State ments. html Page 7 of 12 Mission and Vision Statements – strategy, organization, examples, advantages, definition, company, disadvantages, business 5/19/13 2:42 PM Evaluation of the mission statement is necessary to ensure the organization is meeting its goals. If needed, new goals may have to be created in order to accommodate changes in the organization. It may be time to reevaluate what the organization is doing or where it is headed. This is a good time to think about entering into new areas or to begin doing things differently by rewriting part or all of the mission and vision statements. In evaluating an organization’s performance, management must look at several different aspects of the organization. First, managers need to determine if the organization’s plans are clearly linked to its mission statement and related goals. Plans should be developed for both the short run and long run. Secondly, assigning jobs that are directly related to the achievement of organizational goals will help ensure they are attained. The goals should be communicated clearly so employees understand what tasks need to be carried out and what the rewards will be. Finally, when evaluating individual performance, the information gathered should be recent and compared to established standards. Mission statements are often difficult to evaluate because they are written in a somewhat abstract form. They are, many times, not directly measurable and vaguely worded. Figure 1 presents an example of how mission statements can be measured from the top of the organization to the bottom. Strategic goals are directly tied to the organization’s mission statement and apply to the organization as a whole. Tactical goals are departmental goals that support the strategic goals. Finally, operational goals are written at the individual level. Each one of these makes it possible to measure the organization’s mission statements. An organization’s likelihood of accomplishing its mission is increased as it creates strong and measurable goals at each level. It is not necessary that the mission statement be measured in quantifiable terms. It may also be measured qualitatively. For example, â€Å"We will answer all of our customers’ questions and if we don’t know the answer, we will find out. † While this is not a quantitative statement it can be measured by monitoring customer service calls and setting operational goals for employees that revolve around follow up and thoroughness. Mission and vision statements give organizations a focus and a strategy for the future. According to Bart and Tabone, they have become the cornerstones of organizations. They contribute to organizations’ success and can lead to increases in productivity and performance. They do not have to be reserved for the entire organization—each department or division can benefit from developing a mission statement, as long as they are not in contradiction to the company’s overall mission. Preferably, an individual department’s mission links it to the fulfillment of the overall http://www. referenceforbusiness. com/management/Mar-No/Mission-and-Vision-Statements. html Page 8 of 12 Mission and Vision Statements – strategy, organization, examples, advantages, definition, company, disadvantages, business 5/19/13 2:42 PM company mission. Mission statements for functional Figure 1 departments provide the same benefits as they do for the entire organization. In conclusion, mission statements provide a sense of direction and purpose. In times of change and growth they can be an anchor and a guide in decision making. The benefits far outweigh the disadvantages and challenges when looking at the potential for increases in profitability and returns. Defining an organization by what it produces and who it satisfies are major steps towards creating a sound and stable mission statement. Setting a company apart from the competition is probably one of the biggest advantages. SEE ALSO: Strategic Planning Failure ; Strategic Planning Tools ; Strategy Formulation ; Strategy Implementation ; SWOT Analysis Amy McMillan Revised by Deborah Hausler FURTHER READING: Bart, C. K. , and J. C. Tabone.

Caregiver Stress

ASC 4126 – The AIDS Pandemic Caregiver Stress Caregivers are those people who provide assistance to other people who are unable to perform certain activities on their own because of a physical disability or chronic illness. Formal care can be obtained at home, or from institutions such as nursing homes, and is offered by trained, paid or volunteer professional caregivers. However, informal care, which is usually offered by family members or friends, often in a home setting, is becoming increasingly common. These caregivers are normally inexperienced, untrained, and otherwise lacking the education necessary to maintain their own good health under the stressful conditions they face. Informal caregiving can have significant effects on the mental and physical health of the caregiver, and this will continue to become an increasing social problem in the United States as the population ages and the number of people requiring care outpaces the availability and affordability of professional care. Therefore, it is important to address the warning signs of caregiver stress, the potential health consequences and the ways in which the stress can be managed. Informal caregiving is becoming an increasingly standard function of many American families. It is estimated that there are 29. 2 million family caregivers in the United States, and about a quarter of them are caring for an aging parent. (McLeod) One of the common unintentional, harmful effects that is a reality in informal caregiving is that there is the potential for the â€Å"illness or disability or injury of the one (being cared for to) become such a focus it almost replaces the rest of their identity†. (Article 8) The same kind of thinking can also be used to explain the health risks that the caregivers themselves face. Caregiving can be very stressful, time consuming and demanding. Informal caregiving, which is usually a healthy spouse, child or parent living with the disabled person at home, can be a 24 hour, 7 day a week responsibility. It can consume all of their free time, and therefore the caregiver could potentially lose their own identity, and become unable to recognize the warning signs of their own health deterioration as a result of their commitment to caregiving. These caregivers, as part of losing their own identity, may be putting there own needs behind the needs of the person they are caring for. The result of this is that many of the warning signs that the caregiver is risking their own health are either overlooked, or attributed to being overwhelmed or tired from the extensive amount of time and energy that is required in caregiving. It is important for caregivers to educate themselves about the signs or symptoms of caregiver stress so that they can be sure to maintain their own good health. This is the only way to continue to be able to care for their loved one, as well as to help prevent a medical situation in which they could eventually require full time care themselves. The warning signs of caregiver stress vary from person to person, but doctors and psychologists have formulated general symptoms that people should pay attention to. At risk caregivers may exhibit denial about the disease or its severity, anger at the person with the disease, an inability to concentrate and severe irritability. Other psychological conditions could include depression and anxiety, dulled emotions and frequent memory lapses. They might be quick to cry or get angry, or have the consistent feeling that they simply can not cope anymore. Physical symptoms could include chronic fatigue, headaches, stomach aches and sleeping difficulties. Caregivers might even notice that they are catching colds more often than normal, or that they are experiencing an increase in their smoking, drinking or drug use. About 30% of caregivers use psychotropic drugs, such as sleep-aids, compared to only 20% of non-caregivers. (AlzheimerSolutions) Caregivers should also recognize warning signs in other aspects of their life as well. In their social life they may feel isolation or withdrawal from their friends, or be less interested in activities or events they usually enjoy. Another signal may be reduced effectiveness at their job, or in their other family responsibilities other than the caregiving. (McLeod, Maritato) Doctors and psychologists agree that if a caregiver experiences several of these symptoms, that they should consider themselves at-risk for medical complications themselves, and realize that their ability as a caregiver may become compromised. The importance for caregivers to recognize these symptoms and make the necessary lifestyle changes can not be understated. It is especially important for elderly caregivers, most of whom are caring for their spouse. It has been shown that a caregiving spouse between the ages of 66 and 96 who experience some type of emotional or mental strain have a 63% greater chance of dying than those in the same age group that are not caregivers. (Caregiver. org) But it is not just the elderly that develop serious medical problems related to their caregiving responsibilities. Caregiving related stress can have a severe impact on the immune system, which in turn has a direct influence on our overall health. Even wound healing is affected by the stress associated with caregiving because of the impact on the immune system. One study shows that wounds, such as cuts, take 24% longer to heal in Alzheimer caregivers than in non-caregivers. (AlzheimerSolutions) A weak immune system will also result in an increased rate of infections and serious illnesses. Therefore, caregivers are at an increased risk of contracting common colds and the flu, as well as more serious, chronic illnesses such as heart disease, diabetes and cancer. O’Brien) Research has shown that 51% of caregivers with significant responsibilities have sleep difficulties. (O’Brien) Lack of sleep can result in decreased effectiveness at work and at home, as well as impairing the ability to be a functioning caregiver. This symptom of caregiving can also have severe health consequences. There is increased research that shows a direct relationship between sleep deprivation and a heightened risk of many major illnesses, i ncluding heart disease and obesity. O’Brien) Finally, it has been proven that the stress associated with caregiving can actually shorten a person’s life if they don’t pay attention to the warning signs and maintain their own good health. This is not something that only the elderly needs to consider, because caregiving stress can affect the physiology of all caregivers. It has been shown that chronic stress can â€Å"accelerate the effects of aging by actually shortening cell life, (because) it leads to weakened muscles, skin wrinkles and even organ failure†. These studies found that this type of chronic stress can potentially shorten a caregivers life by as much as ten years. (O’Brien) In order to prevent these serious medical conditions, caregivers must not only watch out for their personal warning signs, but also find ways to manage the stress of caregiving. Most importantly, caregivers need to take care of their own health. This includes regular exercise, eating nutritious meals, and maintaining regular sleep patterns. Regular medical checkups are also essential, especially if the caregiver is experiencing some of the warning igns mentioned earlier. Perhaps this is the most overlooked necessity, because of either the lack of time, or the constant focus on the person being cared for. It is estimated that caregivers average four doctor visits per year, while non-caregivers average seven. (AlzheimerSolutions) Other ways that caregivers can manage the stress include maintaining their social life, especially their friendships and ot her social relationships, which can serve as a much needed break, or â€Å"escape† from their responsibilities as a caregiver. Caregivers should also be willing to ask for and accept help from others whenever possible. This can include other family and friends, or community organizations such as a local Area Agency on Aging, faith based groups or adult day centers. Adult day centers are basically there to provide relief for caregivers. They provide social activities and minimal medical attention during normal business hours. It is also important for caregivers to have an outlet for their stress, which can be achieved through talking to their friends and co-workers about their experiences. Joining a support group can also be a beneficial tool to learn how to deal with negative feelings. In order to properly manage their stress, caregivers have to learn how to deal with the common feelings associated with caregiving, such as embarrassment, guilt, helplessness and anger, and a support group could really help in that effort. Most people that become informal caregivers do so because of the unexpected illness or injury of a loved one. Because they generally become caregivers without any training or education, they are not usually aware of the possible negative impact on their own health that can be a result of their commitment to caregiving. It is therefore extremely important that caregivers understand the warning signs and symptoms related to the stress associated with caregiving and the potential medical consequences. They need to take advantage of any services available to help them manage the stress, including help from friends, family and the community to ensure that they maintain their own health, and their ability to be a functioning caregiver.

Gap year Assignment Example | Topics and Well Written Essays - 1750 words

Gap year - Assignment Example This one year gap helps many students in creating some time to plan their lives well and make goals and objectives which they would want to strive for in years to come. Due to so much pressure from school work, this time may not be created in any other way. The holidays students go for are too short to expose them to the real world. This exposure is very much important as far as decision making is concerned. It helps students to connect their dreams and targets to reality. Students are therefore able to make realistic objectives in life. This consequently helps in bringing out the best future for them as they focus on achieving what they already know they can. As for the academic burn out, student prefer taking some time away from the loaded stress associated with academic work. This helps them to keep healthy and fit, free from stress related illnesses that may be brought about by prolonged stress. To avoid prolonging the stress, many students decide to apply the gap year between hi gh school and college levels. It is therefore healthy and greatly advisable for the government of the United States to incorporate this gap into their education system as it has more advantages as compared to disadvantages. This means it is very much helpful as compared to the harms it creates in the academic lives of students (American Gap Association). The gap year has numerous advantages to the students who choose to apply it. One of these advantages is the fact that the gap year helps students cross over to adulthood before joining university or college. The one year exposure to the outside world prepares students for the next level, both academically and socially. Students who have just left high school in most cases lack the sense of maturity and need to be connected to reality. This helps them to differentiate between wrong and right decisions in life. They are made to have insight on consequences of every

Affecting Change Research Paper Example | Topics and Well Written Essays - 1750 words

Affecting Change - Research Paper Example This is particularly so as a result of the high volume of reports and referrals, together with budget cuts (Waldfogel, 1998). As a result, there are many instances in which some children at high risk of maltreatment are not identified and in other cases, too much attention is turned toward children who are not at a genuine risk of abuse or neglect (Waldfogel, 1998). It has been widely suggested that community partnerships can improve CPS responsiveness and foster an environment capable of ensuring that children are safe (France & Utting, 2005). This paper investigates the feasibility of community partnerships as a method of improving the current CPS system. The first part of this paper details and analyzes the current CPS system. The second part of this paper will analyze the concept of community partnerships and demonstrates how it can improve the current CPS system and in turn improve the safety of children. Munro (2005) describes the current CPS system in Western ideology as similar to that of the functioning of a nuclear power plant. According to Munro (2005), like a nuclear power plant, the CPS system is focused on the prevention of disaster, injury and death. While this is not necessarily a bad thing, it focuses far too much attention on prevention rather than cure. However, the main problem is attributed to the fact that when errors are made and disaster, injury of death occurs, quite often humans rather than the system are blamed for the error. This focuses attention on personnel changes rather than systematic changes (Munro, 2005). A review of the literature suggests that the current CPS system is built around a rigid â€Å"investigative response to child maltreatment reports†, is â€Å"adversarial† in nature and does not does not take a holistic approach to meeting the needs of the family (US Department of Health and Human Services, 2009, p. 1). A national survey of CPS conducted by the US Department of Health and Human

Naturalism Essay Example | Topics and Well Written Essays - 750 words

Naturalism - Essay Example In theatre, it has come to mean a ‘natural’ depiction of characters, as if they are not actors on a stage but instead real people undertaking normal activities without a darkened theatre audience observing them. To understand how one term can apply to all of these genres, it is helpful to look at each one separately. Naturalism in art was perhaps given its greatest emphasis during the Italian Renaissance as artists began learning the mathematics and sciences of the ancient Greeks and Romans. â€Å"Henceforth, the surrounding world was to be represented as it appeared to the eye. To this end, a new basis to pictorial composition was given through the invention of linear perspective †¦ Depth was suggested by depicting the progressive decrease in the size of objects and figures as their distance from the observer increases – an illusion which in painting becomes truth. (Lemaitre & Lessing, 1993, p. 17). Raphael (1483-1520) also pushed the idea of naturalism with his focus on composition, balance and unity. â€Å"The movement of the body was now understood as an analogy for the animation of the spirit or the emotions; the external structure of a scene proclaimed its inner content. Everything in the picture was aimed at harmonious balance; each individual figure became an inseparable pa rt of the whole† (Toman, 1998). In literature, naturalism referred to an attempt to explore the base, or natural, causes of events, reactions and personality traits. This was a popular concept in the nineteenth century as writers began exploring the difference between realism and naturalism. â€Å"The main difference between Realism and Naturalism is that Realism seeks to simply explain things as they really appeared to be while Naturalism tries to explain scientifically the cause† (Realism and Naturalism, 2007). Emile Zola and Jack London are two well-known naturalist writers. While

Data Governance, Quality, Integration, and Security Essay

Data Governance, Quality, Integration, and Security - Essay Example Although these aspects are closely interrelated within a system, addressing and improving them independently results in better performance of the system as a whole (Arens, Chee, Hsu & Knoblock, 1993). Data Governance Data governance encompasses a set of procedures ensuring that important assets in data form are properly managed in all divisions of an enterprise (Abiteboul, Benjelloun & Milo, 2002). The processes ensure that data is trustworthy and employees can be held accountable for any harmful occurrences that take place due to low quality of data. The organization under review was found not to have effective control measures as to who accessed data and in what way. There were many cases of deleted or edited information by users other than the authorized owners. One way to improve data governance is by defining the governance process (Arens, Chee, Hsu & Knoblock, 1993). The organization needs to make data auditable and enable its accountability. This facilitates accurate monitorin g and effective reconciliation between the data source and its consumers. The process needs to cover initial input of data, its standardization and refinement along the whole information flow path (Resnik & Yarowsky, 2000). ... Accountability entails the creating and empowering governance roles in the company. The organization should create the roles at appropriate levels and assign them to dedicated owners and stewards (Arens, Chee, Hsu & Knoblock, 1993). With outsourcing of data governance and processing becoming a reality for most organizations, the responsibility hierarchy should be accountable to the owners of data. For example, an outsourcing agent will be held responsible by an organization for breach of governance committed by the outsourced service provider (Resnik & Yarowsky, 2000). Data Quality Data quality may be termed as the state of timeliness, validity, completeness, accuracy and consistency that render data suitable for the intended use (Abiteboul, Benjelloun & Milo, 2002). A challenge faced by the organization under review is detecting issues caused by the quality of data at the point of entry into the system from the numerous users. They are mostly typing errors as well as intentional dec isions. Recommendations to improve data quality include use of simple queries or profiling tools (Resnik & Yarowsky, 2000). Others are tracking mail deliverability, verification of information prior to database entry and understanding contents of organizational data and the way it got there. Email and other personalized communications form a considerable percentage of the marketing tools. Therefore, given their high traffic, they can be accurate indicators of data quality. By implementing a process that tracks bounced and returned emails, an organization is able to monitor its data accuracy and make applicable changes (Resnik & Yarowsky, 2000).

Gendered Movements of the 1960's Essay Example | Topics and Well Written Essays - 500 words

Gendered Movements of the 1960's - Essay Example is contrary to the past whereby most of them postponed marriages or relationships fearing extra responsibilities that remerged with being sexually active (Golson & Carlisle 170). Therefore, â€Å"The Pill’s† approval gave them liberty meant to plan how they needed their lives. This is especially to those who felt they could adequately handle both education as well as have families, because the latter would not weigh them down, hence prompting women compromise their dreams (Golson & Carlisle 170). Women’s realization that they were capable of reaching high heights in their lives prompted them to embark on guest to have equal elevation in the society, hence the â€Å"The Feminine Mystique† emergence (Kranson, Kohn & Diner 237). This was a publication chronicling numerous predicaments and injustices experienced by the female gender especially in the past that were still evident during the mid 20Th Period despite regimes claiming to believe in gender equality (Kranson, Kohn & Diner 237). Hence, questioning regimes whether motherhood and housework roles were still gratifying goals for the female gender owing to the then prevailing gender based segregation (Golson & Carlisle 159). In her book, Betty Friedan purpose entailed awakening of the female gender besides challenging the then and coming regimes about their perception concerning women’s position (Kranson, Kohn & Diner 230). The author contended what the women experienced during the mid 20Th period was in comparable and lacked name to expound it, hence her book acted as the â€Å"start of all† (Kranson, Kohn & Diner 237). The â€Å"Start of all† encompassed instilling the necessary momentum meant for the women to agitate for their privileges and equal their male counterparts. Therefore, this yielded to the enactment of numerous and key gender related acts, for instance, Civil Rights Act Title VII (Wolbrecht 152). The 1964 Civil Rights Act Title VII interpretation and amendment encompassed shunning segregation

Theories of management Essay Example | Topics and Well Written Essays - 2500 words

Theories of management - Essay Example It also involves maintenance of employee satisfaction, which on the other hand is important in maintenance of consumer satisfaction. The competitiveness of an organization highly depends on the employees and therefore leadership that keeps the employees satisfied is important in maintaining productivity and competitiveness. There are several theories that explain leadership as it applies to organizations. The theories also highlight leadership characteristics, which are significant in the accomplishment of organizational goals. This paper presents a critique of various leadership and theoretical perspectives that point towards great leadership that is needed in organizations for effective accomplishment of objectives and sustainability. The willingness to be a servant of others is usually exhibited by great leaders in organizations. Their focus is to build the capacity of everyone to help the organizational workforce to accomplish the strategic goals. They believe that success is accomplished through the participation of all the individuals in the organization. They listen to others and involve them in decision making. Through their focus on generating satisfaction among others, they are able to rally followers. The functionalist perspective is that leadership involves motivating others, influence and participate in conflict resolution. Great leaders inspire a shared vision among their subordinates to ensure that the workers anticipate the best in future. They are visionary leaders who maintain credibility in their vision by presenting authentic predictions to the subordinates. They generate enthusiasm that makes all the workers motivated to work for the accomplishment of organizational goals. The participative the ories of leadership explain such leaders who are concerned about the views of their subordinates. They encourage people to form effective teams whereby they assist each

Importance of Shipping in the Transportation of Cars Essay - 2

Importance of Shipping in the Transportation of Cars - Essay Example Contemporarily, there are easily available cargo ships to transport 300 cars direct from Emden, Germany to Davisville, RI. The company that undertakes and supervises the whole shipping process of auto cars from Germany to the U.S is Metris Limited Company. The ship used by the company in the shipping processes is of the trump category that does not operate in a specific route. The company co-owned by a German business person together with two Americans from the state of West Virginia is easily available when contracted. The company has been shipping machines from Emden, Germany to Davisville for the last two years. The request to hire their ship is made one month earlier to facilitate legal and logistic preparation. So far it’s hard to quote the price. According to the policy of the Metris Limited Company, it negotiates their prices only after seeing and weighing the loads since they impose charges based on the weight of the cars for transportation. Secondly, if you make a longtime contract with them they will always allow 10 percent discount from the total cost to the customer. Therefore, it is more economical to make a long-term agreement with them to enjoy the weaver. They also take ownership of any loss incurred during transit of the cars from Emden, Germany to Davisville, RI in America as long as you attain the legal requirements. The remaining 50 percent of the payment is made before delivery and the rest made immediately after delivery. The shipping process takes the duration of approximately two months for the transportation and delivery of the auto cars from Emden, Germany to Davisville, RI. Hence, when making an order for the shipping transportation, it is essential to consider this time factor so as to adequately plan for the timely delivery and receipt of the cars. Importation of a vehicle to the Davisville, RI has a lot of legal handles and procedures. You have to subject a vehicle to several acts like the Motor vehicle Safety standards act 1966 and the clean air act of 1968 (Hinkelmans 272). The shipping regulations in the U.S require that foreign manufactured vehicles must meet the above standards. Destruction of vehicles is the penalty charged for failure to comply with the policies.

Sensex and Nifty Essay Example for Free

Sensex and Nifty Essay In that case, the base value is set to 100 and let’s assumes that the stock is currently trading at 200. Tomorrow the price hits 260 (30% increase in price) so, the index will move from 100 to 130 to indicate that 30% growth. Now let’s assume that on day 3, the stock finishes at 208. That’s a 20% fall from 260. So, to indicate that fall, the Sensex will be corrected from 130 to 104(20%fall). As our second step to understand the index calculation, let us try to extend the same logic to two stocks – A and B. A is trading at 200 and let’s assume that the second stock ‘B’ is trading at 150. Since the Sensex follows the market capitalization weighted method, we have to find the market capitalization (or size of the company- in terms of price) of the two companies and proportionate weightage will have to be given in the calculation. That’s simple. Just multiply the total number of shares of the company by the market price. This figure is technically called ‘market capitalization’. Back to our example- We assume that company A has 100,000 shares outstanding and B has 200,000 shares outstanding. Hence, the total market capitalization is (200 x 100000 + 150 x 200000) Rs 500 lakhs. This will be equivalent to 100 points. Lets assume that tomorrow, the price of A hits 260 (30% increase in price) and the price of B hits 135. (10% drop in price). The market capitalization will have to be reworked. It would be – 260 x 100,000 + 135 x 200,000 = 530 lakhs. That means, due to the changes in price, the market capitalization has moved from 500 lakhs to 530 indicating a 6% increase. Hence, the index would move from 100 to 106 to indicate the net effect. This logic extends to many selected stocks and this calculation process is done every minute and that’s how the index moves! What we said was the general method to construct indices. Since, the Sensex consists of 30 large companies and since its shares may be held by the government or promoters etc, for the purpose of calculating market capitalization only the free float market value is considered, instead of the total number of shares. What is free float? That’s the total number of shares available for the public to trade in the market. It excludes shares held by promoters, governments or trusts, FDIs etc.. To find the free float market value, the total value of the company (total shares x market price) is further multiplied by a free float market value factor, which is nothing but the percentage of free float shares of a particular company. So logically, the company which has more public holding will have the highest free float factor in the Sensex. This equalizes everything. Example- let’s assume that the market value of a company is Rs 100,000 Crore and it has 100 Crore shares having a value of Rs 1,000 each but only 20% of it are available to the public for trade. The free float factor would be 20/100 or 0. 0 and the free float market value would be . 20 x 100,000 = 20,000 Crores. You need not calculate the free float market capitalization since its available straight on the BSE website At this point, the Sensex is at 12500. What would be the value of Sensex if the free-float market capitalization is Rs 11,50,000 Crore? †¦Ã¢â‚¬ ¦.. The answer is 14,375. NIFTY 50 NIFTY was coined from the two words ‘National’ and ‘FIFTY’. The word fifty is used because; the index consists of 50 actively traded stocks from various sectors. Similarly Nifty is calculated using the same methodology adopted by the BSE in calculating the Sensex – but with three differences. They are: The base year is taken as 1995 The base value is set to 1000 Nifty is calculated on 50 stocks actively traded in the NSE 50 top stocks are selected from 24 sectors.

B&B Hotel Life Cycle Essay Example for Free

BB Hotel Life Cycle Essay Bed and Breakfasts Hotels were established in Europe many years back. The majority of travelers that frequented BB’s in the 1800’s were pioneers, miners, 49’ers seeking gold or professionals traveling from one area to another. Most BB’s offered an accommodation for the night along with a breakfast in the morning which many hungry travelers took advantage of before setting off on the next leg of their journey. As more inns, lodges and hotels were built in the 1900’s, BB’s were seen as an affordable accommodation for people traveling through small towns or in areas that weren’t heavily developed. In the later half of the 20th century, BB’s enjoyed a renaissance in popularity, as many college students and young adults spent time visiting Europe. Most of these travelers spent time in small BB type of pensions or private residences and came back to the states to either open their own BB’s or sought them out as affordable accommodation options. They introduced in the U. S. in the mid to late 1960s. It is estimated that there are in excess 30,000 BBs at this time that represents a jump from only 2,000 in the late 1970s. The concept is now very mature average number of rooms per property has increase dramatically, occupancy rates are up, and national, state, and regional associations are setting standards. There are even a myriad of newsletters, travel publications and guide books available. Today, BB’s offer a warm and cozy alternative to the corporate hotel or motel. Most BB’s pride themselves on being privately owned and operated, as well as offering accommodations in quaint and cozy homes in locations that offer historical, leisure or small town attractions. Current stage The Bed Breakfast and Hostel Accommodations industry is in the mature phase of its life cycle The industry, however, is relatively new, having grown significantly since the early- to mid-1980s. Overall, the industry is still evolving and matching the varying (and growing) needs of various segments of the domestic and international tourism market. The industry has developed its own niche in the accommodations industry based on specific market needs and demand. Over the 10 years to 2017, industry value added, which measures an industry’s contribution to GDP, will grow at an annual rate of 1. % per year, compared to GDP growth over the same period of 1. 9%. The industry is still in a long-term mature phase, despite recent slow growth or contraction due to increased geopolitical tension from terrorist attacks and the declines in travel demand in response to the Great Recession. Over the ten years to 2017, industry value added (IVA), which measures an industry’s contribution to GDP, is expected to grow 1. 4% per year, while GDP is expected to grow 1. 8% per year. The Bed and Breakfast and Hostel Accommodations industry has fought declining demand over the past few years. With the onset of the recession, all forms of travel accommodation experienced revenue drops as consumers became more concerned about finances and made cutbacks on luxuries, including travel. From 2007 to 2017, domestic trips will increase 1. 1% to 758. 4 million. However, over the same period, international visitor arrivals will rise from 56. 0 million to 86. 2 million, or 4. 4% per year, after a slump from late 2007 to 2009. Overall, however, each of the major industry components displayed an upward trend over this period that was roughly in line with GDP growth. Future industry growth will increasingly correspond with rising global income, particularly in countries in East Asia and South America and an increasing propensity to travel internationally. Increasing incomes and the aging of the population are also expected to lead to significant growth in the domestic market. On the other hand, within the key industry segments, the Tourism industry will continue to display slow growth due to strong competition from internet-based, direct booking products. Lead time require for products The bed and breakfast (BB) segment covers a variety of types of establishments and makes 69. % of industry revenue. Homestay, farm stay or host homes, where guests share rooms and facilities with owners, are included within this segment. There are also home BBs, which provide a secondary source of revenue to the owner’s primary income and can be homes with four of five rooms converted to provide BB services to guests. BB inns or hotels are usually established as businesses to provide primary financial support for owner/operators. Breakfast is the only meal served to guests and the establishment can provide accommodations for between four and 0 guests. Quite often these are used for small weddings or business meetings. On the other hand, country inns are established as businesses with owners actively involved in its daily operations, and have between six and 30 rooms. They operate as a lodging place and have a restaurant with a liquor license. The accommodations may include lodging, dinner and breakfast included in the room rate. However, compare to other regular hotel, BB hotel need less ac tivities. It is need a short time to prepare new product, it’s easier for owners to improve it.

Experiment to Learn the Amount of Iron in Iron Tablets

Experiment to Learn the Amount of Iron in Iron Tablets GABRIELA CARUSO KANDIR 1.1 What is Topic area you are investigating in to: Prepare and standardize a potassium permanganate solution and use it to determine the amount of iron (II) in iron tablets What is your title: Analyze the actual amount of iron (II) present in a tablet of iron supplement What is your Aim: Demonstrate if iron supplements have the adequate levels of iron (II) by studying if the claims in supplement bottles are correct or not. 2.1, 2.2, 2.3 Objectives: Measure the amount of iron (II) in supplement tablets through performing a redox titration reaction 2.1, 2.2, 2.3 Extraneous variables (contaminants): Permanganate solutions tend to decompose with time, causing a change in concentration. To overcome this variable it is important to standardizing the KMnO4 solution. Sulfuric acid should always be in excess to avoid insoluble brown manganese oxide (MNO2) formation. Introduction and/or rationale: Iron is a mineral that is naturally present in many foods, added to some food products and available as a dietary supplement. Ion is an essential component of hemoglobin, an erythrocyte protein that transfers oxygen from the lungs to the tissues. As a component of myoglobin, it provides oxygen to muscles. Iron also supports the metabolism and is necessary for growth, development, normal cellular functioning, and synthesis of some hormones and connective tissues. In case of iron deficiency the human body cannot make enough healthy oxygen carrying red blood cells (erythrocyte), and a lack of those cells is called iron deficiency anemia. Without healthy red blood cells it is not possible to transport enough oxygen through the body, and without oxygen there is fatigue. Exhaustion can affect everything, from brain function to the ability of the immune system to fight infectious. The daily requirements for iron depends o age, gender and overall health. Starting at adolescence, a woman’s daily iron needs increases. Women need more iron because they lose blood each month during their period. That is why the NHS advices women from ages 19 to 50 to get 14.8 mg of iron each day, while men the same age need to ingest only 8 mg. For the same age group the United States department of health and the Heart and stroke foundation in Canada recommends a even higher daily intake of 18 mg of iron per day. Most women will ingest their daily iron needs through their normal meat and vegetables diet. Some groups, such as vegetarians, pregnant women, or those with higher blood loss (blood donations, heavy menstrual periods, stomach or intestine conditions among other examples) may need iron tablets supplementation on top of their regular diet. This is due either because of a decrease in ion intake (diet) or absorption or there is an increase in the iron needs (such as pregnancy or breast feeding for example). An iron deficiency and consequent anemia will lead to signs of short of breath, fast heartbeat, cold hands and feet, craving for strange substances such as dirt or clay, hair loss, sores at the corner of the mouth and sore tongue. As mentioned before, in some cases of iron deficiency eating a diet that is high in iron-rich foods such as fortified cereals, read meat, dried fruit and beans may not be enough to give the required needs, in this case a doctor may recommend iron supplement, but unlike some supplements, when the subject is iron, more is definitely not better. Adults shouldn’t take any more than 45 mg of iron a day unless they are being treated with iron under close medical supervision. 2.4 Analysis of source material: Oxidation-reduction (redox) reactions are one of many chemical reactions. Redox usually involves the transfer of electrons. Titration is the volumetric measurements of a solution of know concentration when it reacts completely with a measured volume or mass of another substance. The analysis of present iron in a supplement tablet can be done by a redox titration reaction. Iron (II) ions can be ionized to ion (III) ions by potassium permanganate in acidic solution. For the redox titration reaction one of the most commonly strong oxidizing agent is used, the potassium permanganate (KMnO4). Iron (II) will be oxidized to iron (III) and the potassium permanganate will be reduced to Manganese. MnO4+8H++5Fe2+à ¯Ã†â€™Ã‚  Mn2+4H2O+5Fe3+ As the Potassium permanganate doesn’t require an indicator to signal the end-point of the titration, it has a unique advantage among titrants. In an acidic condition the deep purple solution of manganite ions is reduced to a very pale pink solution of manganese ions. This solution is so pale as to appear colorless when dilute and, in practice, the marked difference in color between these two oxidation states is useful as an end-point for this redox reaction. The manganite ion accepts electrons and is reduced to colorless Mn 2+ ions according to the following half-equation: The potassium manganite solution is added from the burette to the solution of the reducing agent and is immediately decolorized. As soon as the reducing agent is used up, the next drop of potassium manganite solution is not decolorized therefore coloring the solution as a pale purple color. The end-point is the first appearance of this purple color. The acid used to provide H+ is dilute sulfuric acid. Risk assessment: Name of the Chemical Risk incurred How to reduce the severity of the risk Disposal/Spillage KMnO4 Not Hazardous Not Hazardous Not Hazardous 3M H2SO4 Risk 4 for irritating eyes and skin. Casing severe burns to eye, skin and body tissues. If well handled the risk is low. Wear Safety Glasses Keep out of reach of Children, Keep container in a ventilated place In case of contacted with skin or eyes, rinse immediately with water and seek medical advice If ingested wash out month, apply artificial respiration if needed, seek medical help Avoid contact of the acid with water. As any strong acid it may explode and or produce corrosive fumes in (fast) contact with water Wash down the sink with a large amount of water In case of Spillage, liquid can be absorbed using sand adsorbent. This should be transferred to a suitable container and disposed as contaminated waste Iron Supplement tablets Not Hazardous Not Hazardous Not Hazardous 2.1 List the equipment and chemicals/reagents you would use to undertake your experiment: Potassium Permanganate Burette and Clamp with white numbering Iron sample (Iron supplement tablets- 3 different samples) Appropriate glassware 3M sulfuric acid (H2SO4) Magnetic stirrer 3 100- 150 mL beakers 2.1 How you would carry out the experiment including the use of equipment and what chemicals/reagents you would use? preparation of the Iron tablet sample: Clear three 100-150 mL beakers with soap and water. Rinse with several small portions of distilled water Directly into each beaker, weigh approximately 0.5 grams of iron sample. Add 15 mL of distilled water to each sample and stir to dissolve the solid Add 8mL of 3M sulfuric acid, to each sample. This step is needed to provide the hydrogen ions, which are required for the reduction of the permanganate ion. Titration of the Iron sample Potassium Permanganate: Obtain approximately 55 mL of the standardized potassium permanganate solution (KMnO4), and record the exact concentration of the KMnO4 solution. Prepare the buret by cleaning, rinsing and filling with potassium permanganate solution. Record the initial volume reading to the nearest 0.01 mL Titrate each sample to the endpoint (first appearance of permanent- at leat 10 seconds-, pale pink color). Record the final buret reading The mass of iron in each sample can be determined from the volume of KMnO4 required to titrate. This is possible through determining the moles of KMnO4 used, and a balanced equation. 2.1 How will you collect and record the data: data will be collected from the 3 samples in a table with the initial and final volume of titrate. A note on the exact concentration of the KMnO4 solution will also be present in the results sheet. 2.1 How will you Analyze results: The mass present in each sample will be determine through the calculation of the concentration of a reagent from the titration results. Results will be compared with the claims from supplement bottles to verify if the amounts are similar or the claims are incorrect. 2.1 How will you present your data?: Data will be presented with tables showing the amount of iron (II) in the three samples followed by a comparing graph of the quantities found in the tests with the claims in the iron supplement bottles. References: Reference List: Heart and Stroke Foundation (2015) Nutrients for women [Online] Available from: http://www.healthcheck.org/page/nutrients-women>  (Accessed on 22 April 2015) NHS (2015) Vitamins and Minerals- Iron [Online] Available from: http://www.nhs.uk/Conditions/vitamins-minerals/Pages/Iron.aspx  (Accessed on 22 April 2015) Centers for disease control and prevention (2011) Iron and iron deficiency [Online] Available from: http://www.cdc.gov/nutrition/everyone/basics/vitamins/iron.html  (Accessed on 22 April 2015) Webmed (2011) What You Need to Know About Iron Supplements [Online] Available from: http://www.webmd.com/vitamins-and-supplements/lifestyle-guide-11/iron-supplements?page=3  (Accessed on 22 April 2015) National Institute of Health (2015) Iron [Online] Available from: http://ods.od.nih.gov/factsheets/Iron-HealthProfessional/#h2  (Accessed on 22 April 2015) AQA (2009) 2 Inorganic Chemistry PSA10 Carry out a redox titration [Online] Available from: http://filestore.aqa.org.uk/subjects/AQA-2420-W-TRB-PSA10.PDF  (Accessed on 23 April 2015) A-level Chemistry web (2015) Redox titration [Online] Available from: http://alevelchem.com/aqa_a_level_chemistry/unit3.6/inorg01.htm  (Accessed on 23 April 2015) Collin College (2010) Determination of Iron in Dietary Supplement through Redox Titrations [Online] Available from: http://www.collin.edu/chemistry/Handouts/1412/Redox Titration Experiment.pdf>  (Accessed on 23 April 2015) Chemistry Lab Mouse A2 (2008) Practical: Determination of the Percentage of Iron in Iron Tablets [Online] Available from: http://sustainability.sellafieldsites.com/resources/labmouse/chemistry_a2/3204.php>  (Accessed on 24 April 2015) Northern Virginia Community College (2014) Chemistry 111 Lab- Redox Titration [Online] Available from: http://www.nvcc.edu/alexandria/stb/chm/111/111.08RedoxTitrationSpring2015.pdf >  (Accessed on 24 April 2015) Boundless (2014) Redox titrations [Online] Available from: https://www.boundless.com/chemistry/textbooks/boundless-chemistry-textbook/aqueous-reactions-4/oxidation-reduction-reactions-48/redox-titrations-248-1533/>  (Accessed on 24 April 2015) Winona State University (2010) Determination of Iron by Redox Titration [Online] Available from: http://course1.winona.edu/cmiertschin/213/inquiry_lab/exp10_fe_redox.pdf  (Accessed on 24 April 2015) Braemar College (2015) Internal Assessment Guidelines Unit Timeline [Online] Available from: http://vinkichemistry12.weebly.com/uploads/2/5/2/1/25219856/course_description_-_unit_3_2015.pdf>  (Accessed on 24 April 2015) Risk assessment services (2008) Hazard Communication Sheet  SULPHURIC ACID 90-100%w/w [Online] Available from: http://www.riskassessmentservices.co.uk/HazCom/Sulphuric Acid3.pdf>  (Accessed on 24 April 2015) TAQ 2 Time Frame of the investigation if the experiment was to be carried out: 3 days for background research 2 days to write an introduction, reference list 1 day to arrange chemicals, samples and equipments to do the experiment 1 day to do the experiment 1 day to analyze collected data 2 days to write results, build tables and graphs and write a conclusion and abstract Total 10 days to finalize carry out the research project

Psychoanalytical Criticism Essay -- Psychology, Freud, Lacan

Psychoanalytical criticism is a form of literary critique, which uses some of the techniques of psychoanalysis in the interpretation of literature. Lacanian critics examine psychoanalytic phases such as the Symbolic and apply this phase while interpreting literary texts. Lacanian critics also associate the literary work’s content to broader Lacanian concepts, such as the Phallic and the Other. The focus of this essay is to apply these psychoanalytical techniques while interpreting Lady Macbeth’s character in William Shakespeare’s play Macbeth. However, before I begin my argument, I feel that Lacan’s concepts of psychoanalytical theory need some introduction. One of the more prevalent psychoanalytical theorists since Freud was Jacques Lacan and I will use Lacan’s â€Å"The Agency of the Letter in the Unconscious or Reason since Freud† as a starting point to explain some of his concepts of psychoanalytical thought. First of all, Lacan created three different categories to explain the subject’s transformation from infant to adulthood, namely need, demand, and desire and labeled these three psychoanalytic orders, as the Imaginary, the Symbolic and the Real. Lacan claims that during the Symbolic stage the child is initiated to language, and the unconscious and repression appear in the psyche. The child now learns that words symbolize objects, and he must use language and not images in order to acquire what he desires (Richter1021). Within the Symbolic, there is metonymy which is a mode of symbolization in which one word or phrase is signified by another that is associated with the overall meaning (Richter 1046). A secondary element in Symbolic is â€Å"the discourse Other† (with a capital O). The concept of Other is not clear or simple sinc... ...ole. Because Lady Macbeth must adhere to the Lacanian concept of â€Å"having† the Phallus, her dialogue and actions are based on her abandoning her own desires to ensure that Macbeth’s desires are fulfilled. In this light, Shakespeare exposes the complex dynamics of gender and power through representation of a ruthless female character who reproduces the violent practices of masculinist order through the Other. Therefore, Lady Macbeth’s encouragement of Macbeth to commit regicide corresponds to the violent structure of the period. Although critics have labeled Lady Macbeth’s character as a source of evil within the play, I have shown that Lady Macbeth’s dialogue and actions find their brutal source in both the monarchical and gender construction of power already in place rather than in the primitive and naturalized axiom of female good versus evil.

This Life :: essays research papers

The American Revolution was largely economic and political in nature. The political reasons were that England neglected the colonies, taxation without representation and limitation of individual rights and privacy. Then there was the most important side the economic. There was trade restriction, mercantilism, and taxation. On the economic side of the revolution colonist acknowledged that natural laws should govern their economy. But only the southern colonies were bound to England in connection with tobacco trade. Outside of the southern colonies they made their way by trading outside the empire. And if they wanted to put this trade to a stop there would be a rebellion. Then mercantilism, which was the idea of directing all trade through England, was a restriction upon economic prosperity of New England colony. The major reason for this all is that the colonies gave up to England. England then taxed it colonies with many acts. Such as the Stamp Act passed in 1765 and led by prime Minster George Greenville, which affected every colonist. It imposed a tax on all legal documents like newspapers and marriage licenses. Other acts like Currency Act, which banned all paper currency, the Sugar Act in efforts to try to reduce smuggling. In 1776 William Pitt took over he was a popular in the colonies. He opposed things like the Stamp Act and thought colonist had the same rights as English citizens. But after suddenly becoming sick Charles Townsend took over and he was not concerned with the rights of the colonist and he just wanted to strengthen the Parliament. And he then convinced Parliament to pass a series of new laws taxing lead, paint, paper, glass, and tea imported by colonists. Then Sam Adams spoke out and said that Parliament was taxing illegally and the majority of the colonists agreed and a boycott started on British goods. And because of the Currency Act they left paper practically worthless. This is the main reason for the revolution. Then there was the political side, which was not as important leader into the American Revolution but still a key role that led into the revolution. The taxation without representation was one of the major reasons that led to the revolution. The British were taxing the colonies and they had no way of standing up for themselves. They had no representation in England so they were unable to stop any taxes or polices coming over from them. The plea of taxation without representation is how the colonists stood up to acts like the Stamp Act. The colonies were being neglected from England. They left them

In Opposition of Eugenics and Human Embryo Research Essay -- Argumenta

In Opposition of Eugenics and Human Embryo Research There are a variety of views of eugenics and all that it entails. The definition of eugenics is "the science of improving the physical and mental qualities of human beings through control of the factors influencing heredity," ( Funk and Wagnall's, 1984). Others think eugenics is the social control of human genetic evolution, an ideology of racism and genocide, thought to improve society and halt disease while others think only of the Nazi Regime (Saetz, 1985 and McGee, 1997). Eugenics has a long and tumultous past but with the mapping of the human genome and research on human embryos, where will eugenics lead the wolrd in the near future? There are two main practices of eugenics: positive eugenics, increasing the procreation of those with "desireable" traits, including high IQ, physical attractiveness, resistance to disease, etc., and negative eugenics, halting the procreation of those with "undesirable" traits through sterilization, abortion, infanticide, birth control and couseling (Saetz, 1985 and Davis, 1981). Und...

Healthcare Business Organization Paper

Business Organization Paper Healthcare has drastically changed over the years in the United States. As our population is growing in size, a shortage of the number of health care professionals is also growing. Entrepreneurs have greatly benefited the world of health care by assisting with creating more jobs, producing products and services to assist and meet the growing needs of the population, and starting new business organizations to meet the needs of today’s economy. There are different forms of organizations and choosing the correct one is important, as it will affect the success or failure of the business. Define the Different Forms of Business Organizations Sole proprietorships are an individually owned business where the individual is entitled to all of the profits and also responsible for all of its debts, liabilities, taxes, and claims that may be made toward the organization. Partnerships are businesses started by 2 or more individuals. In this form of business each individual is equally responsible for the liabilities, management, as well as entitled to a portion of the profits. With the different knowledge and skills each member brings to the business will increase the chance of success. Corporations are created by law and owned by shareholders. Rather than actual property, the owners own stock or interest. Through selling stock the corporation can raise the capital o help with establishing business and increase financial gain. According to SCORE Associations (2003), limited liability companies are a â€Å"new and flexible business organization of one or more owners that offers the advantages of liability protection with the simplicity of a partnership, i. e. partners are not liable for business debts† (Para. 3). Explain the Advantages of Each Form of Business Organization Sole proprietorships are the easiest to manage due to the nature of the business and it is also easy to close if needed. Partnership business’s benefit by having shared responsibility in managing the organization and raising funds would be easier with multiple partners in the business. In corporations, according to Naol (2011), the shareholders â€Å"can only be held accountable for their investment in stock of the company† (Para. 6). However when debt raises it can be paid through the sales of stock. Some advantages associated with limited liability companies include creditors can not seize the owner’s personal property, there is no double taxation, and health insurance can be deducted from the income tax. Explain the Disadvantages of Each Form of Business Organization Sole proprietorships place the owner at risk if debts outweigh the profits due to personal property being at risk because of the owner being responsible for all debt and liabilities. This form of business may struggle with the type of employees it draws due to personal funds needed to start the business. If the owner is not available to run the business it is at high risk of failing. In a partnership business because each owner is equally accountable for the liabilities each member will be held responsible for any negative actions by another partner. Because of diversity members may run into disagreements with the management or expenses of the business. According to Business Finance (2011), â€Å"The process of incorporation requires more time and money than other forms of organization† (Para. 3). Taxes may be higher for a corporation, and there are more strict regulations to follow. A corporation may also be sued. Some disadvantages of a limited liability company are that owners are not allowed to have a wage and they must pay self-employment taxes. Define the Appropriate Form of Ownership for an Aggressive Entrepreneurial Firm According to Pullman (2011), the most appropriate form of ownership for an aggressive entrepreneurial firm would be a limited liability business. An entrepreneur who is willing to take risks in the process of being aggressive would be willing to even risk personal wealth and property, which would lead to greater success than entrepreneurs who were not as willing to take such risks. Conclusion The main focus behind marketing and healthcare is business growth and financial gain, and the form of business used plays a critical role in the success or failure of the industry. Through knowledge of the various forms of business and their advantages and disadvantages will lead to the entrepreneur being able to make an informed choice of which business form will best meet their needs to produce a successful venture. References Business Finance. (2011). Types of Business Organizations – Corporations. Retrieved November 19, 2011, from http://www. businessfinance. om/books/startabusiness/StartABusinessWorkbook012. htm Naol, M. , A. (2011), Forming a Texas business corporation. Retrieved November 19, 2011, from http://www. nacollawfirmblog. com/business-transactions/forming-a-texas-business-corporation Pullman, J. (2011). How you structure a new entrepreneurial business matters. Retrieved November 19, 2011, from http://www. streetarticles. com/entrepreneurialism/how-y ou-structure-a-new-entrepreneurial-business-matters SCORE Association. (2003). Common forms of business organization. Retrieved November 19, 2011, from http://www. tulsascore. org/organization. html

Food Intake Analysis Essay

Yesterday morning is when I started my food intake analysis by writing down what I take for the whole day an then go hold to my work at iniquity to figure out which foods I ingest belonged to what food convocation. I entered my information to the BMI ready reck unitaryr and heres what my results are Based on the natural elevation and weight entered, the BMI is 18.6 , placing the BMI-for-age at the 31st percentile for boys aged 14 years 10 months. This teen has a healthy weight. have healthy foodsParticipating in sensual activity on most (preferably all) years of the week Limiting television covering I dont level(p) have cable so I dont watch television, I BMX and play basket ball genuinely often and I kept the take healthy foods part in the back of my mind that day.For breakfast I take wholeness bowl of cereal and one cup of strawberries (6). The cereal is in the grains free radical and strawberries are in the harvest-festivals group. Later in the day I drank a smal l Blueberry Pomegranate smoothie from McDonalds which had xiv ounces in it and belonged to the fruits group. I excessively bought a salad an that was part of the vegetables group,meats and beans group, the grains group and also the dairy farm farm group.For dinner I had one fractional of a steak which is in the means and beans group an had seven ounces in it. I also had one egg which is in the dairy group, one medium sized makeup of fried doe which belongs to the grains group and one cup of milk.I think I did good eating, I dont see where I would try to make a recrudesce decision during that day besides maybe the smoothie from McDonalds but its a smoothie because they claim to use real fruit when they make them.

E-Learning Questionnaire

This proposal focuses on only e- information in one growing country, Malaysia. For this case, e-learning is utilise at tertiary level. The overall purpose of the inquiry is to investigate, analyse and discuss the potential of technology in the education dodging theoretically and pedagogically. Since there atomic number 18 not many empirical researches in developing countries more or less the effectiveness of using technology in the education system, perhaps this paper may be able to contribute some ideas and new insights into the field. umteen assumptions go through been made nation wide about the fact that technology helps in the process of tenet and learning.However, they are not proven and as such(prenominal) the need to have more independent study on the effectiveness of e-learning is high. Another research concludes that the exploit of e-learning students is at least the akin as face to face (FTF) learning students. This comes with the same consideration for peda gogical designs, pitch shot and also the right amount of sources. Thus, the governments and education stakeholders have to look again at the investments on e-learning if e-learning gives the same results as FTF, then perhaps educators can near choose to explore new FTF strategies. -Learning Concept and perpetrate in Malaysia To be more specific on the practice of e-learning, there is not yet a 100% e-learning. It is always a blended e-learning a mixed mode e-learning whereby a combination of e-learning and FTF learning are used together. The e-learning concept allows for more functional people to further their studies as distance and snip are no longer the barriers to education. There are quatern objectives of this tertiary e-learning in Malaysia. The first is to present new concept of learning at a higher level of education. Secondly, it introduces interactive and productive order of learning.The third objective is to ensure students study on an individual basis and lastly to allow for balanced education in Malaysia. Learning model in e-learning includes independent study, online interaction, self-evaluation and graded assignments sent on-line. This proposal intends to use pre/ digest tests, examination results, questionnaires and interview as the basis of entropy collection and measurement for the effectiveness of e-learning. These designs are elect because they can give an indicator for the effectiveness of e-learning. Pre/ property test results can give a go up value on the effectiveness of e-learning itself.Meanwhile, questionnaires and interviews can tidal bore students awareness and belief on e-learning as a new tool of learning. Research questions This proposal has four research questions. They are, 1. 2. 3. 4. How does e-learning help in the process of instruction and learning? What are the dealings between students faculty member performance and e-learning? What are the differences in students academic achievement before and after e- learning treatment? What are the relations between gender, socio-economic background, academic ability and e-learning? ConclusionAs this is a proposal on the topic of effectiveness of e-learning, collecting and analysing secondary data are take over in progress. Students or subjects for the research have been identify and preliminary preparation is being made to head groups, classes and materials for the students. At the same time, questionnaires are being lively and will soon be pilot tested. The pre/ fleck tests are being finalised. It is hoped that this research can be completed within its time frame as the findings may be crucial to the education system in Malaysia.

Break Free Product Life Cycle

roughly firms embodiment their merchandise strategies more or less the creative thinkerl of the merchandise smell round of drinksthe idea that by and by introduction, fruits necessarily adopt a quarrel of harvesting, maturity, and decline. It doesnt do to be that way, says Harvard air give instruction merchandising prof Youngme Moon. By aligning their mathematical products in unheralded ways, companies contribute commute how customers mentally reason them. In doing so, they sens reassign products lodged in the maturity degree bear outand sling rude(a)-fangled products anteriorinto the growth phase. The antecedent describes terzetto spatial relation strategies that marketers physical exercise to switch over consumers thinking. resign localization strips by consecrate product attributes turn adding mod ones (JetBlue, for example, withheld the expect first-class mail pose and in-flight meals on its planes firearm crack move perks wish well lash egress and surplus legroom). separatist spatial relation lads the product with a radically antithetic home (Swatch chose not to associate itself with mulct jewelry and preferably entered the expression confederate socio-economic class). And larceny post acclimates leery consumers to a forward-looking religious offering by cloaking the products confessedly record (Sony positioned its less-than-perfect home robot as a crisp pet).Clayton Christensen draw how new, frank technologies feces upend a market. In an equivalent way, these localisation strategies stop exercise the exposure of naturalised categories to new position. A friendship stomach rehearse these techniques to go on the offence and qualify a crime syndicate by pulverise its tralatitious boundaries. Companies that dispel a folk done positioning develop a paying(a) place to go their waresand crowd out desert category incumbents scrambling.