Saturday, August 31, 2019

Female Body Dissatisfaction

The Media's Influence on Female Body Dissatisfaction Too often we hear ourselves and others complain about the way we look. Females of all ages complain that they need to lose weight, need a nose Job, lip injections, Bottom, and implants. These surgical procedures are even advertised on public transportation. Most of us are not satisfied with our bodies even though we are considered healthy. What can possibly be the cause for most women to be dissatisfied with their natural bodies? Consider that most women are comparing themselves to unrealistic models in magazines and â€Å"perfect† bodies advertising assign and beauty products.Notice I quote the word perfect, I do this because I believe body image is subjective, yet many people don't think so anymore causing them to become dissatisfied with their bodies. This unfortunate dissatisfaction is caused by the way the media portrays beauty and the ideal body. Commissioning editor of The Observer magazine Eva Washman, In her persuas ive-informative article, â€Å"Uncomfortable in our skin: the body-image report,† discusses the media's massive role on the way most people, from pre teens to senior citizens, are dissatisfied with their bodies.She adopts an earnest tone in order to display Just how massive the media's role towards this issue is to her adult readers. Washman's purpose is to expose that the way the media displays the ideal attractive body will, has, and is causing people from as young as age seven to be dissatisfied with their body. Washman advises people, who feel dissatisfied with their bodies, to consume the media critically and realize that they are advertising trying to sell them something. In the beginning of her article washman arrives at the University of the West of England to visit the world's only Centre for Appearance Research (Car).There she meets the women of the Car, a team led by Professor Nicholas Ramsey and Dry Diana Harcourt, to discuss their research on how people deal with changing attitudes to appearance, and along the way helping answer the question: why do people, women and men, hate the way they look? She mentions to them that she doesn't like the way she looks as well. Throughout her article she points out four main points about the way the media is effecting the way people, specifically women, hate the way they look.First she points out that people are becoming dissatisfied with their appearance from a onus age and for many women it lasts almost forever. Second she points out that people who are dissatisfied with their appearance compare themselves to social networked strangers, celebrities, and to photodiode images provided by the media. Third she points out that It is the fashion industry fault for making skinny, bony, unhealthy models seem like the ideal â€Å"perfect body' because their size zero sample sizes force the media to advertise on such bodies.The fourth point, she adds, is that today's diets, which are continuously advertised by the media in magazines, TV, and he radio, are the way people are cognitively encouraged to eat and are to blame for their anxiety. Washman concludes that the best way for people to get past the media false portrayal of the ideal â€Å"perfect† body, is to consume the media critically by reminding themselves that the media is advertising, and they are Just trying to sell them a certain product. Washman also concludes that after leaving the Car she is still insecure with her appearance but she now has a better understanding of why she feels that way.Washman furthers her purpose by effectively combining the use of Logos, Ethos, and Pathos to expand her main points. Washman Effectively convinces her audience that the media has a massive role on the way most people, from pre teens to senior citizens, are dissatisfied with their bodies through the use of interviewing women who are in a powerful position in the media paired with emotional stories from victims of this dissatisfaction including herself. She also tells of her extensive research in the area to make her readers believe in her credibility.By using all 3 strategies, Logos, Ethos, and Pathos she effectively gets the reader to believe her logically, to relate emotionally, and to establish her authority. Although washman's article is strong and credible, I believe she personalizes the topic. The Car talks in general about the way people hate the way they look while she mainly focuses on the female sex. I think that took away from her purpose because she started out talking about both sexes but got into detail on only the effect it has on females. Also, throughout the article she misuses Ethos or authority by not citing her sources in some areas.I agree with all of Wigwams points completely, I can relate to them because I personally am dissatisfied with my appearance and she helped me analyze why the media is to blame for our dissatisfaction. Specifically thou I agree that our anxiety. I always feel so g uilty when I have a piece of chocolate or a bag of chips. The reason I feel guilty is because I feel like models and women who are considered sexy are watching out, working hard, and avoiding these foods, and I am eating them and not being as slim as the people who don't.Washman mention Bounce's Bibb post pregnancy weight loss in her article to support my thoughts and feelings. Washman's effective use of Logos and misuse of ethos appears in her first point; People are coming dissatisfied with their appearance at a young age, and in many cases this dissatisfaction lasts almost forever. She uses Logos or logic to prove her point by bringing in statistics. She explains that at age 5 children start to realize that their appearance is being Judged by others, at age seven they feel insecure and dissatisfied with their appearance, and that 90% of women in Britain feel anxious about their body image. Although she did somewhat prove her point she did not include her source here, which causes the audience to question her credibility of this topic. She then explained that this can almost last forever in some women. Contrastingly in this part of her evidence Washman clearly states â€Å"And it doesn't wane – many women in their ass are still anxious about the way their bodies look which, Professor Ramsey explains, can even affect their treatment in hospital, when their health choices are influenced by aesthetics. I agree with her because, being born in the mid ass's, I went through body dissatisfaction at a very young age. I used to cry to my mom when I was 6 because I didn't look anything like Barbie. Now I feel very ignorant for that but I still feel dissatisfied with my body even though I am at a healthy weight. She shows logic because her point is clear and specific, she has strong reason, and she gives evidence of her point, but her evidence is not completely credible therefore her logos or logic is not either because in order to have strong logic your eviden ce must also be credible.As you can see in her statistics she discuses males, she only speaks of females, this will most likely cause her body image-dissatisfied males to draw away from her article. Washman then uses Ethos in a better way along with pathos or emotion to continue to prove her first point. She connects herself by going back to her editing career. She tells a story about her emotions towards her appearance. She states â€Å"Two years ago I started writing a column for this magazine, illustrated by a photo of my face. At times it made me feel odd (l have never liked photos), at other times sad, often anxious.It made me more aware that I don't like the way I look, but more, I don't like the fact that I don't like it. But it's not Just me. All Car's research suggests that Britain's body image is in crisis. † Here she establishes authority effectively by connecting herself to the gist and she uses Car as a credible source. Pathos is used here because of her emotiona l story bout how she has been feeling dissatisfied with her appearance for the past two years of her career. The emotion she used is where the Pathos strategy comes in.She gets the audience to relate to her feelings by using this story to get there emotions going and to also get them to imagine the illustration of her face. She uses the words Odd, sad, and anxious. Her use of diction here is clear there is a pattern of sadness in her words to get the audience to realize how the media affects their emotions negatively Just like it does for her. I think she should have used a much stronger rod than sad, I would liked it if she used the word gloomy or even another word that is more intense such as depressed.Also I think the women and men reading this will find themselves questioning what exactly made her feel sad, odd, and anxious. What about the illustration made her feel that way? She does not demonstrate the illustration at all. I think if she was more specific, It would bring more emotion to them and help them imagine the illustration more vividly. Wigwams point that people who are dissatisfied with their appearance compare themselves to social worked strangers, celebrities, and to photodiode images revived by the media is proven by her effective use of logic.This time she establishes better Ethos or authority to make it much more credible. â€Å"We've always compared ourselves to other people, but what has changed is the way we use images. † She says. She then brings up a famous study, to back her claim up, which looked at teenage girls in Fiji after TV was introduced to them in 1995. The study showed that after three years of the girls watching TV, the most ones who watched it were 50% more likely to describe themselves as â€Å"too fat†; 29% scored highly on a test of eating-disorder risk.Her clear use of statistics and logic causes her audience to believe what she is saying because she has evidence, a scientific study, to go with her thesis. She establishes credibility by proving that the media really does have a massive affect on their body dissatisfaction and the evidence is there to speak for her. I can't agree with her more on this. The medias role here is way too clear. Many of my friends are always out to get that celebrity look and do not feel satisfied because they will never look exactly like that celebrity.I think if this study was done again in 2013 the rates would be much higher. Washman uses Pathos or emotion and Ethos or authority to prove her third point; It is the fashion industry fault for making skinny, bony, unhealthy models seem like the ideal â€Å"perfect body' because their size zero sample sizes force the media to advertise on such bodies. Washman decides to use a personal interview with the editor of Vogue Alexandra Sultan. Washman explains that Sultan herself knows that â€Å"real people†, actors featured in Vogue, don't fit sample size cloths.Her exact words are â€Å"We're sitting i n her bright white office, beside shelves displaying international Vogue covers. She points at them one by one. Washman says. † As she pointed at them one by one washman says that she that she explained that the celebrities in each of the covers were wearing sample sizes that fit them tight, unlike the models. † The way she presents this information is much more detailed and adds vivid images of their conversation. This kind of vivid information presented with such strong imaginary detail is a great example of the way Washman uses detail in proving her third point.She continues to add evidence, but now she uses Ethos. She speaks of sultans efforts to get the fashion industry to roved larger sample sizes because she did not like that their tiny designs were forcing editors to shoot them on models with no â€Å"breasts or hips†. Washman then asks sultan if she has seen any change throughout her efforts. Sultan sees that there is still a bit off blindness and the fas hion industry does not realize that people want to see something different. I completely agree with sultan because I am the same way as well.I am Muslim and often times I prefer shopping at boutiques owned by other Muslims because they provide Muslim and middle eastern fashion and there models wear a hajji Just like I do. Washman also agrees with her by saying â€Å"She's right†, but she doesn't stop there she adds her evidence. She states â€Å"Ben Barry (a PhD student at Cambridge University) surveyed 3,000 women, the vast majority of whom significantly increase purchase intentions when they see a model that reflects their age, size and race†. Here Washman demonstrates complete credibility.She demonstrates respect for sultans viewpoint and thoughts. Backs up both her thoughts and Sultans thoughts with credible evidence and sources, and she cited her source correctly. Her fourth point claiming that Today's diets, which are mutinously advertised by the media in magazin es, TV, and the radio, are the way people are cognitively encouraged to eat and are to blame for their anxiety she combines the use of ethos and logos to show credibility and then uses pathos to get her audience to emotionally feel her thesis. Washman starts out with the use of statistics.She begins by mentioning that rates of depression in women and girls doubled between 2000 and 2010 then she adds that the more women self objectify themselves the more they become depressed. She proposes that this is caused by the medias warm embrace of disordered eating. Then she backs up her thoughts with evidence. â€Å"Garcia reports that Beyond lost 60 pounds of â€Å"baby weight† by eating only lettuce. Cosmopolitan wrote about Kate Middleman's â€Å"Dugan diet†, which begins with seven days of pure protein, and later two â€Å"celebration meals† a week.If women don't look like Beyond or Kate Middleton, their flat stomachs a testament to their stamina then, it seems, the y are not working hard enough. † here she is using Logos by providing deductive reasoning. She uses this by first stating her evidence then proving her thoughts towards it and adding it to her thesis or point. She adds ethos to it by providing her sources correctly in this case her magazine titles while titillating them. This establishes her credibility. She continues to prove her fourth point by interviewing Lauren codger.Washman explains that Codger is, in her words, â€Å"One celebrity whose body is frequently scrutinized (and scorned) by the tabloid media†. Washman meets with Codger as she is weeks into a drastic diet plan. Washman says to her: † Many women feel Judged on their appearance in some way, but what does it feel like to have those verdicts read by 99 million people a month? † Now before I mention Codgers response I want to mention that washman most probably chose that question knowing that Codger is going to have an emotional response.She does this so she can be able to provide Pathos or emotion when she comes to write about her interview to her audience women who somewhat share the same feelings. Washman said that Codger responded by saying â€Å"l can't look at comments. I can't buy the mass any more. I used to love them, but I was happy then. Then my weight became a story, not Just for the show but for the press. Yeah, I'm definitely aware of the online scrutiny. My body becomes my work. † Codgers Response causes people who are dissatisfied with their bodies to feel worse for codger than they feel for themselves after reading this.Codger is one of the victims who find that today's diets are the way they cognitively feel encouraged to eat and are to blame for their anxiety. In sum, Washman's Article is very useful because it demonstrates the media's massive role on the way females, from pre teens to senior citizens, are dissatisfied with their bodies. It offers ways the media is trying to avoid this negative inf luence, the reasons fate the influence, who is to blame, ND what women can possibly do about it, even thou they do not have control over the way the media portrays beauty.Although it provides all these aspects to prove her thesis, I do not consider it one 100% credible because Washman forgets to cite some sources and loses focus when talking about women specifically instead of all people generally as she first stated. I Think both sexes are dissatisfied with their appearance equally from the media's false portrayal of beauty and the ideal body image.

Friday, August 30, 2019

Nutrition and Healthy Lifestyle

THE IMPORTANCE OF HEALTHY LIFESTYLE Why is living a healthy lifestyle important? Better lifestyle habits will reduce your risk of heart attack, you will feel better, have more energy and reduce your risk of illness. Living healthy also elevates your mood, helping you to feel happy and have more self confidence, which results in a better quality of life. Take an active approach to living healthy and improve you health. Living a healthy lifestyle is very important due to the increase of obesity in the United States. If you are not doing everything you can to improve your overall health you are jeopardizing the quality of your life.Today you can gain knowledge on the best foods for you, the best exercise routines for you and further information you need to help on your way to a healthier lifestyle. Today you will learn the importance of living a healthy lifestyle. Healthier living is becoming more important for people all over the world. Currently, more than 66% of US adults are either overweight or obese. The greatest increase is in the body mass index. Roughly 59 million American adults are in this group, which is the greatest health risk.Living a healthy lifestyle is very important in older people and is positively related to a reduced risk and a delay in the deterioration in their health. It slows down the aging process and helps the older generation stay strong and healthy. Living a healthier lifestyle also slows down the disease development and contributes to a longer life. The importance of a healthy lifestyle in children has grown tremendously. Obesity in children is increasing in all countries. Because of this factor it is more important than ever that we educate our children on the importance of a healthier living.They need to learn to eat healthy foods and they need to be put on a daily or 3 times weekly exercise schedule. Let your children know the health risks involved in being overweight. If we teach our children the pros of living a healthier lifest yle they will carry this knowledge throughout their lives and become more productive and happier adults. Health issues associated with overweight children are diabetes and heart disease. These are the two most common side effects of childhood obesity. Any problems your child may have with obesity could and probably will be carried over to their adult life.Therefore, teaching them the importance of a healthy lifestyle at a young age is of utmost importance. The importance of a healthy lifestyle in the prevention of disease is widely understood and most people know that lifestyle changes and choices can be critical in determining their health and lifespan. Yet less than 5% of the population in the United States practices a healthy lifestyle. Living your life in a healthier manner will help create a strong body, strong mind and higher self-esteem: You need to drink lots of water, have regular physical activity, eat lots of fruits and vegetables, and protein.DO NOT smoke, drink or put a ny chemicals in your body that would cause your body harm. Nutrition is a key factor in the living of a healthy lifestyle. You need to look at what you eat now, lower your calories, make healthier choices and get educated. Another factor in the importance of living a healthy lifestyle is exercise. Muscle burns fat and therefore we must feed the muscle through good nutrition and build the muscle through healthy exercising. Protein stops muscle loss.It not only helps build your muscles when you are exercising it helps you keep your muscle in the times when you are unable to exercise. On your road to living healthier you could include protein bars and protein shakes as well as other sources of protein. What do I mean about healthy exercising? Well, some people tend to go overboard and lose track of the word healthy. They want to be thin fast and they get so obsessed they never see themselves as thin so they over exercise and actually cause injuries to their bodies. Exercise at a pace y our body can handle and slowly work up.The slower the weight comes off the more likely you will be to keep the weight off. I cannot stress enough the importance of living a health lifestyle, educating yourself and treating your body with the respect it deserves. You can do all of that right here. We have everything you need to learn about the importance of a healthy lifestyle. You will find articles, recipes, exercise information, and various other things to help you take steps to learning the importance of and start living a healthier lifestyle today! http://fit4lifefriends. com/topic/93444/1/

Thursday, August 29, 2019

Since the dawn of civilization, people agonize for? Essay

Informatics provides the means for a development and growth of social networking services. The cost for communications has been reduced by enabling simultaneous transmission of multimedia content. On professional level, videoconference systems can accommodate people from all over the world to organize meetings and arrange their business, hence the issue of distance and time has been eliminated. On personal level, people can contact with their friends at anytime without considering the economical problem or the distance, especially when someone is resident of a foreign country. Also informatics , allows us to store, analyze and search through massive amounts of data on very short time. In addition, informatics links various devices such as smart-phones, tablets and personal computers. Modern devices are adjusted for usage of the same protocols and standards, which overcomes hardware difference. Moreover, Informatics has strong contribution on the development of algorithms, applying it on cryptography. Besides that it is used for computing, biometrics and primarily for graph algorithms, which solve problems related to scheduling, connection, transportation, games and network analysis. Algorithms are further associated with neural networks. That makes it even more efficient for data study, decision-making process and machine learning. As the complexity of solution grows and the number of people involved in the project increases, so does the further development complexity. Even there, Informatics responds with various solutions by software engineering and IT management. Neverless, the users don’t want a perfect workingly services, it also has to be interesting and handy for their needs. Therefore, informatics has to offer solutions and ideas on the field of user-user interaction, which is actually based on user-service interaction. Numerous social games or virtual worlds, where we can interact with other users like in the real world gives us the feeling that we communicate directly with other users, but such services have many tasks behind the scene. Users create groups and share interests, experience, feedbacks, habit. In the backend, the social networking service may collect, analyze and learn from data. For instance,  chat service can build database of words we use the most and add them in auto-complete functionality, which speeds up search and messaging. The main goal of user interfaces is simplified user-service (human-machine) interaction and therefore, better user experience. A social networking service has to be easy to use, attractive, competitive and scalable. It must treat users as spoiled, lazy and always unsatisfied. They want real-time monitoring, the feeling of a safe and effective application. The best systems for social networking are those, which make it possible for users to use it easily in spite of their age, previous computer skills or specific demands. Also those, who have special needs, such as people with visual, hearing or any other disability, should benefit from it. Since users have become more demanding, various browsers do not support same JavaScript Functions and HTML5 with CSS3 has brought new options, such as web storage, canvas 2D drawing, geo-location, responsive design etc. – frontend development became more complex. Static generated pages have been replaced by dynamically loaded content and scripts. We can choose from a variety of open-source JavaScript frameworks that differ in purpose, speed, assertion, community size etc. Smart devices make the user experience even more diverse and exciting by using sounds, vibrations, digital camera and other built in hardware. 3. Social networking services threats Social networking services as a product of Informatics and social networks gave us unimaginable opportunity to connect with people. On the other hand, they have many disadvantages. The illusion of safety, often make us forget the possible consequences. Heedless of the danger, we share our personal data with people who we do not know, therefore a lot of misuses appear. Companies trade information about users, there are many cases of identity thefts, in brief, social networks offer a chance for various criminal offenses. We know very little about how and where they store our personal data and who has access to them. Even when we adjust our settings for completely private accounts, our friends or services may inadvertently leak our personal information. We do not know whether they will ever actually be  deleted. Immense amount of users is not only bullied interest in networking, but also invaders, who attack and abuse either from personal satisfaction, or even receive payment for their work. They use various attack methods, based on personal profiles, trust or exploits, e.g. social networking worms, such as Koobface. 4. Influences Similar to Newton’s third law of motion, one can conclude that everything society receives, passes on in the environment. The impact of the social networks on society indirectly affects other fields like economy (PayPal Inc. 2013), education, politics (Shirky 2011), entertainment etc. These fields see social networks as an opportunity to approach to the crowd, mostly for the purpose of manipulation (Benham, Edwards, Fractenberg, Gordon-Murnane, Hetherington, Liptak & Mintz 2012). The most common use of manipulation can be seen in setting imaginary guidelines, viral marketing and targeted advertising (Mitra & Baid 2009, 366-372). Referring to paragraph three, companies have free access to some of our personal data, or they can reach us by low cost targeted advertising, offered by social networking services (Eddy2012). It may be based on specific personal profiles, such as sex, interests, education, status, age, geographical location and even on private messages content.Motivated by Domingos and Richardson Viral Marketing Model (Richardson & Domingos 2002, 61-70), numerous companies are searching for cheapest ways to adopt a new product or innovation, whilst seeking for smallest subset of individuals, which may trigger a large cascade of further adoptions. They are interested in individuals who have the greatest impact on the target social network (Kempe, Kleinberg & Tardos 2003, 137-146). Moreover, the use of technologies offered by social networking services can reduce the development costs (Churchill & Halverson 2005) or can simplify the use of applications e.g. registration system with the existing user accounts from social networks. Furthermore, with clicking on the ‘’like’’ buttons one contributes to profiling users (Hung, Huang, Hsu & Wu 2008), which is especially  interesting and useful in research, determining trends, positioning in the search engines etc. Recent studies, based on a dataset of over 58,000 volunteers suggest, that easily accessible digital records of users behavior in social networking systems, can be used to automatically and accurately predict a range of highly sensitive personal attributes (Kosinski, Stillwell & Graepel 2013), e.g. religious and political views, intelligence, happiness, parental separation etc. However, the economy influences social networks by adapting social networking and its services according to the needs of the users. Economy’s investments in the most prospective social networking services have a significant influence as they allow further development, starting new projects, research and changing habits of users. 5. Trends The expansion of new research areas in the field of Informatics led to re-implementation of social interactions in social networking services. Therefore, changes in the field of social networks are incredibly fast to keep up with. Nevertheless, in few last years, we may notice two main trends that have emerged; visualization of content and mobile use and sharing (Bullas 2012). For trend of content visualization we can find the reasons in exceptional progress in technologies for detecting patterns in digital images. Thus allow analysis and image processing on servers where social networking services can get even more personal information about users. This motivated investments in deeper research, and in further years we may expect DNA data sharing, through which social networking services may link us and connect to all our near and distant relatives. Mobile use and sharing trend will continue to grow, since use of smart mobile devices is increasing. Better user experience, mobility, availability, as well as faster and cheaper mobile data transfer are just few of many reasons. Recent technologies, like digital glasses (Google Inc.2013), may allow us to record and share each moment of our life. Despite strong efforts of the health sector, where currently more than 350 million people suffer from addiction of social networking services (Bullas 2012), at the continued growth of those services trend is likely to continue. 6. Conclusion Only a few decades ago, we have not even intuited how important role will Informatics have in our daily life and how huge contribution will have through its social networking services on us, social networks and global economy. Social networking services as part of social networks are one of the hottest research topics nowadays. We have poor insights in their long term impact on society, since we have witnessed true expansion only in the last few years. However, the first negative implications, like privacy issues are already visible, as well as first solutions, which aim to limit misuse. Recently, Apple has published a patent, which targets social network stalkers and spammers. The excessive use of social networking services promote narcissism (Buffardi & Campbell 2008, 1303-1314). As one has thousands of virtual friends, this could mean that in real life he does not have them at all (Tong, Van Der Heide, Langwell & Walther 2008, 531-549). And finally, one of the studies suggests tha t frequent use of social networking services may lead to asocial user behavior (Orr, Sisic, Ross, Simmering & Arseneault 2009, 337-340). These are just some of the findings of studies pointing to major changes in society.

Wednesday, August 28, 2019

Changes in the Transactions Cost Problems Assignment

Changes in the Transactions Cost Problems - Assignment Example The transaction cost perspective on the history of the business organization then emerges largely in contrast to the neoclassical model. Williamson (1981, p. 87) argued that there were a variety of distinguishing elements between the transaction perspective and the neoclassical approach. ... 27). It would seem then that the transaction implementation of governance structures more comprehensively explains business organization. Another of the prominent supports of the e-transaction cost perspective has been in terms of behavioral assumptions. And indeed, Daniel Kahneman was recently awarded the Nobel Prize for his work in behavioral economics, attesting to the general academic acceptance of transaction perspective on the history of organizations (‘Maps of Bounded Rationality’, 2012). While previous economic theories emphasized rational markets, transaction market perspectives consider that markets must be understood in terms of bounded rationality. Bounded rationality assumes that individuals or organizations will operate within the bounded structures of their minds. The recognition that markets to a degree are irrational attests to the recognition that transaction costs have perhaps been a more accurate determinant of business organization than previous mode ls, namely the neoclassical emphasis on hyper-rationality. Essentially, these classical perspectives, as evidenced in Adam Smith’s invisible hands of the market, as well as comparative advantage theories, argued that the market functions in rationally determined ways. The transaction cost perspective takes on a view of business organization and markets as subject to more modern perspectives, including behaviorism. In addition to corporate governance, and behavioral assumptions, the view that transaction costs explain the history of the business organization is supported by a number of other elements.

Tuesday, August 27, 2019

Leadership and management Assignment Example | Topics and Well Written Essays - 1500 words - 2

Leadership and management - Assignment Example The leadership skills within the organization was very poor which resulted in arise of various issues. There have been various changes taking place in the HR Management as well as the learning and development functions in the HR Department. As the Learning and development manager of the Hospital Trust, I have been asked to prepare a draft report for the HR Director. The report would reflect the changes that have been proposed followed by the impact of the existing culture, hierarchical structure and power of the doctors on the proposed changes. A set of recommendations would also be provided in order to reduce the impact of the above mentioned factors on the proposed changes. ... Moreover the leadership skill in the top management level was poor. Proposed Changes The new CEO of the trust has decided to start a process of radical transformation which would make the trust outward looking by means of high levels of employee engagement and external and internal customer service. The streamlining of the Human Resource management & Development is taking place by using various assessment centres in order to determine the suitability of these new roles within the organization. This required recruitment of new staffs because the existing managers failed to get back their positions in the downsized trust. The HR Department of the Trust was also organized with eight HR professionals among whom four were new in the Trust. The Hr Director was expecting that this time they could provide quality service to the external organizations as well as the internal customers. The learning & development programs within the organization were also being changed. Impact of the Hierarchi cal Structure on the Proposed Change Process The hospital trust has bureaucratic hierarchy which resulted in the poor management process within the organization. According to Ashkanasy, Wilderom and Peterson (2011) the bureaucratic hierarchy has discouraged the innovation and creativity within the organization. Under bureaucratic hierarchy, the Trust faced rigid controls. In such case it is very likely that the organization will find it difficult in adapting to the change process taking place. Thus it will provide resistance to the change process and can make the process slow and time consuming. This would de-motivate the employees and provide stronger resistance to the change. Impact of the present culture on the Proposed Change Process The culture of

The analysis of the artwork Essay Example | Topics and Well Written Essays - 2500 words

The analysis of the artwork - Essay Example As evident in coronation artwork, the painting embraced heroic morality and nature. It also embraced the classics, the ancient apostle of reason, and the simplicity and calm grandeur of the highly-ranked in the society. Having been victorious in his campaigns in Italy and Egypt, Napolean won military prestige and became the first Consul following the Brumaire Coup D’etat. Although the artwork shows Empress Josephine being coronated by Napoleon, it was Napoleon who had first coronated himself on December 2, 1804 at Notre-Dame Cathedral. Napoleon had been consecrated by a Pope just as his predecessors Charlemagne a thousand years before. This was a great way of securing his authority in the French Catholic and Monarchic tradition. Nonetheless, the ceremony of the crowning of Napoleon distanced itself from the church through facing the high altar only for Napoleon to crown himself and facing the congregation. After the self-coronation, Napoleon crowned the Empress to demonstrate that he was more distinguished, less authoritative, and more of a â€Å"French Caballero†. The dimensions of the painting of the coronation of the Empress is 621 Ãâ€" 979 cm (244.5 Ãâ€" 385.4 in), and uses the oil on canvas medium. This paper contextualizes the artwork by David from the political, economic, religious, gender, technology, regional, religious, ethnic, and generational perspectives. Traditionally, Coronation ceremonies were painted and David borrowed heavily from previous coronation painting. The best example was the Coronation of Marie De Medici by Reuben. Having witnessed the Coronation of Emperor Napoleon first-hand, David, inspired by Reuben, borrowed the layout of his painting and had participants pose. Like in previous coronation paintings, the artwork highlights the protagonists in the centre and illuminated with a beam of light. Emperor Napoleon is, however, keen to observe the tradition of holding the ceremony in

Monday, August 26, 2019

Olay in the United Arab Emirates Essay Example | Topics and Well Written Essays - 1250 words

Olay in the United Arab Emirates - Essay Example They successfully entered the international markets but later sold their company to Richard Merell Inc who expanded the skin care products (Patrick, 2012). With increased marketing and advertising, the company drastically increased their sales volume. Procter & Gamble bought the company in 1985 and diversified a range of skin care products line up (Patrick, 2012). They unified the brand name to Olay worldwide, except in Germany and Italy where it is branded under the name Olaz. The Olay brand markets a wide range of products and is highly successful all over the world. The Marketing Environment This refers to all factors and forces that determine a company’s ability to interact and develop mutually beneficial relationships with their customers (Lancaster, 2012). The factors may be internal whereby the company can be able to control these factors to its advantage and external where the company has no control over these forces (Lancaster, 2012). The United Arab Emirates offers a superb marketing environment to foreign and local businesses because of few legal hurdles (alClick Advertising Network, 2009). The Micro Environment To be a leader in skin care products, Procter & Gamble Olay’s has developed and maintained a good micro marketing environment enabling it to serve women and men from all over the world. ... The company brand offers an extensive product line including facial moisturizers, body lotions, beauty bars, toners, facial cleansers, UV products combined with specialty products and formulations that caters for the needs of a majority of women all over the world (Patrick, 2012). These products have the high quality standards and are reasonably low priced for their quality (Fitness health, 2012). The company has received numerous awards on quality, innovation and advertisements making it a leader in the skin care category (Arabian Gazette, 2012; Olay, 2012). Pricing Policy Olay products are reasonably low priced for quality and are affordable to most people, facilitating noble sales volume all year round. The company offers numerous discounts and benefits when customers purchase products from online stores; making their products easily affordable to most consumers. Place Procter and Gamble has expanded all over the world with numerous distribution channels and outlets. It has partne red with the online drugstore.com. The company offers free shipping for some of its stuff in the US (Fitness health, 2012). By offering their customers convenient point of purchases, they make their products move faster. Promotion of Sales The company promotes the sales of its skin care products through strategic advertisement and astute marketing, which has enabled the brand to become the most popular skin and beauty product brand all over the world. The company invests in television marketing, internet marketing and has various coupons, cash back reward systems, and various rotating promotions that help market its brands (Olay, 2012). Employees and Staff The firm hires highly competent and skilled staff in all its sections dedicated to the provision of the highest product and

Sunday, August 25, 2019

Religion in the U.S. workplace Essay Example | Topics and Well Written Essays - 500 words

Religion in the U.S. workplace - Essay Example This is also designed to reduce the number of cases when people would ask for a religious holiday leave even though no being known as active religious practitioners. 2. If there are disputes over the distribution of the religious holiday leaves, they should be resolved in the following manner. The priority will be given to a person who applied for a leave first, i.e. First come first served rule. Secondly, a person who is known to perform active religious practice before has the priority over a person who has just taken up it. The communication in these cases should be polite and tolerant, trying not to hurt any person or cast any kind of shadow on the religious feeling of an individual. 3. One of the most effective ways to communicate the policy to the employees would be to call for a meeting and present them with a printed out version of the main provision. It is particularly important that they have those printed out as the employees will be able to refer to them any time when they have question about the distribution of religious holiday leaves. Another point about communication is that it should promote the feeling of justice: since the matter in question is rather difficult to regulate, the employees should agree on at least some kind of rule that might be suitable for that. 2. Personally, I do not think that it is a good idea to protect the individuals who are obese in case it is not conditioned by an illness. It is true that managing one’s weight might be incredible difficult, but still it is possible. If a company gives certain preference for obese people, others who are different in someway might raise a question why obesity is taking into account and other abnormalities are not. In addition to that, fair treatment of the obese people might be viewed as an additional stimulus for them. 3. The Weight law involves many issues, such as an effective way to determine the presence of obesity; the grounds upon which

Saturday, August 24, 2019

Jean-Louis Baudry and Christian Metz Essay Example | Topics and Well Written Essays - 2500 words

Jean-Louis Baudry and Christian Metz - Essay Example Beginning with Jean-Pierre Oudarts article "La suture," (Oudart 1969, 35-47) the writers associated with Cahiers du Cinema first introduced suture into film theory. In the mid-70s, the concept began to play a major role in the theoretical discussions in Britain and North America, with the result that psychoanalytical studies of the viewing subject have proliferated. In my reading of Wings of Desire, I borrow from several theoreticians of suture, including some who have been at odds with each other concerning the scope and consequence of this concept. Although my reading of Wings of Desire certainly owes much to the French scholars, claims I make concerning Wenders film run counter to the original polemical thrust of their work. For them, suture denotes the operation by which cinema encloses the subject in ideology. Their analysis bears primarily on dominant Hollywood cinema, and they restrict the scope of the suture to the ideological effacement of the cinematic code. They are reduct ive as well with respect to the semiotic system of suturing, posting at times the shot/reverse-shot system or point-of-view cutting as the fundamental cinematic articulation of suture. Other French film theoreticians who complement a general semiotics of cinema with Lacanian notions of the subject and signification, such as Christian Metz and Jean-Louis Baudry, have avoided such a rigid application of suture to the cinematic apparatus and, nevertheless, have arrived at the even more pessimistic conclusion that cinema itself functions as a support and instrument of ideology. (Metz 1974, 39-47) Anglo-American film scholars have expanded on these psychoanalytical theories of cinema without sharing their negative assessment of the basic cinematic apparatus. (MacCabe 1977, 48-76)

Friday, August 23, 2019

Pepsi Co and Coca Cola Stock Analysis Essay Example | Topics and Well Written Essays - 1250 words

Pepsi Co and Coca Cola Stock Analysis - Essay Example The report at the end presents the summary of what has been learnt in the report. COMPARING THE STOCK PERFORMANCE OF TWO FIRMS Historical prices of Pepsi co Adjusted closing price has been taken for the calculation of returns and risk. The average stock returns are found to be negative (-0.08) (Yahoo! Finance, 2013a) Historical Prices of Coca Cola Company STDEV 0.0101 The Adjusting closing has been taken for calculating returns and risk. The average returns are negative (-0.15) (Yahoo! Finance, 2013b). Dow Jones Industrial Average NASDAQ Composite Index The latest price at which the Pepsi co Philippines traded is 6.19, it is 10.03% below its high 52 week of 6.88. The listing of Pepsi co products are primarily on Philippines Stock Exchange (Financial Times, 2013). (Financial Times, 2013) Market closed at 40.81, which is 6.03% below its high 52 week of 43.43. The listing of Coca Cola Company products are primarily on NYQ. Interest Rates: For the last four years wages are being flat and there is no hint of an increase in inflation rate. In 1980s, women began to enter labor force, but still the work force participation is at its low rate. After the financial crisis the financial system has improved a lot, capitalization of the banks are managed in a better way, balance sheets are being improved by both the corporations and households and all these factors can positively impact not only the two companies but Dow Jones index as well as NASDAQ. Industry News: Despite the continuation of Fed with the policy of buying bonds and accommodation, stocks were more than expected rallied on Monday. The Dow industrials were at a positive sign for the whole day despite the sharp rise in Intel and Merck. With a success of key drug trial, Merck was up 3.8% while with the introduction of new processors of fourth generation, Intel was up to 4 %. The Dow industrial average was increased by 138 points at the closing with 15,254 and NASDAQ was up to 9 points with 3465. 545 million shar es were traded by NASDAQ; there was an increase in the volume on NYSE with 879 million shares being traded. Dow Jones industrials violated the moving average of 20 day. The support zone focused concentration on Monday with 15,115 from 15,000. The index of Dow Jones was on a lead till March. Therefore such factors can also impact companies like Coca Cola and Pepsi as they are also traded on similar stock exchange. Company News The Coca Cola Company has announced its investment in Myanmar on Tuesday 4th June. The production of the company will be in Myanmar with an investment of $200 million. This investment will lift its shares in the market and profits will be enormous. The coca cola company was given the investment permit for the foreign investment Law by Myanmar. It is the first production of Coca Cola in decades. The Dow Industrial Average secured an uneven recovery has led the 30 giants of America which includes Coca Cola Company, Microsoft etc to the most comprehensive event (E avis, 2013) PepsiCo has started its joint venture with the Theo Muller Group, established a new art-state manufacturing of yogurt plant in Batavia, New York. There’s an employment capacity of around 180 people. PepsiCo is the leader in food and beverages it has no less than $65 billion of net revenues. With twenty two brands in the portfolio PepsiCo enjoys over $1 billion to in each brand in a result of its annual sales. With the joint venture with the Theo Muller group Pepsi co enjoys expansion in stocks. PepsiCo due to increasing its price on Feb. 2013,

Thursday, August 22, 2019

Young Adult Literature Essay Example for Free

Young Adult Literature Essay In our experiences as teachers or media specialists, many of us have noticed the same phenomenon: adolescent males often tend to enjoy literature less than their female counterparts. Of course, as middle school and high school teachers and media specialists, we have no control over the early reading experiences or instruction a male child receives, and since the patterns of reading behavior have been established long before he reaches our classroom, it may seem impossible to help him become an avid reader. But it is not impossible. In fact, helping a male become an enthusiastic reader may be as simple as offering a kind of literature that will engage him with intriguing plots, fast-paced action, and characters who not only catch his interest, but who mirror the life that he is living. Recent critical studies of the subject matter and themes of young adult literature have included focuses on the presentation of female gender roles (Hayn Sherrill, 1996), readers responses to the portrayal of racial minorities (Chevalier Houser, 1997), and literary attention to teens struggles with spirituality (Mendt, 1997). However, little direct, specific attention has been given to writers portrayals of adolescent male characters in fiction or non-fiction. Nevertheless, the growing canon of adolescent literature has produced a rich base of fiction that both portrays and appeals to all types of males. Researchers have shown that introducing YA literature to males improves their reading ability (Ballash 1994). These findings, however, have also pointed out the bias that many teachers hold against YA literature. Since its inception, generally considered to coincide with the 1967 publication of Hintons The Outsiders and Zindels The Pigman, young adult literature has fought an uphill battle to be given some of the classroom space normally reserved for the classical canon. According to Christenbury (1995), its use is limited mostly to higher elementary and middle school grades, where it is included in curricula as an incentive for poor readers. In this case, the strongest argument for using young adult literature- its readability and high interest level- is also the strongest argument that critics use for not including it in the highest grades. It is my argument that YA literature, because of its range of authors and story types, is an appropriate literature for every adolescent male, whether he be a prepubescent fourth grader, or a college-bound senior who needs compelling material that speaks to him. Aidan Chambers, author of challenging YA fiction and a critic of childrens literature, maintains that every group needs its own literature (Chambers 1996). According to Chambers, adolescents constitute a minority in our modern society, and like any minority, adolescents need a literature to call their own. Chambers even goes so far as to consider adolescents an oppressed group that needs to shed its shackles. To help with the process, Chambers began writing thought-provoking fiction and plays for his teen students in England, even before Hinton and Zindel emerged on the scene. While not as militant in their insistence that adolescents receive special attention as Chambers, others have noted a need for young adults to identify with the protagonists in the books they read (Small 1980). In his study published in Literature In The Secondary School, Applebee (1993) notes that most of the books in the literary canon where not intended for, and do not feature, adolescents. However, the only two books of the 20th century books to crack the canonical top ten, Salingers Catcher in the Rye and Lees To Kill A Mockingbird, both feature adolescent protagonists. Literary theory and criticism have labeled these books with their stamp of approval, and their appeal, for many readers, is far greater. Why? One answer lies in the fact that the adolescent male characters, Holden Caufield and Jem, mirror social, emotional, and spiritual conflicts that our male adolescents are facing. As Hipple, Comer, and Boren (1997), Monseau (1994), and Small (1980) suggest, reading adolescent literature can play a significant role in the emotional and mental health of an adolescent. As teachers, we need to find books that help our young males become more literate. The question for teachers and media specialists is this: Which books are good choices, ones that will draw in young adult male readers? What follows is a short list of young adult novels with male protagonists, sorted by theme. It is likely that many of these books are already on the shelves of middle and high school classrooms, and in students home collections. The list is intended as a beginninga resource that might offer teachers and media specialists a glimpse at the variety of young adult books that they can recommend specifically to adolescent males. The result might be that the males become readers in todays middle and high school classrooms, and beyond. Young Adult Literature for Reluctant Male Readers Nature and Adventure Stories Paulsen, Gary. Hatchet (1987). Brian is flying to Canada in a two-seater airplane. When the pilot dies mid-flight, Brian has to land the plane himself. He is then faced with surviving the wilderness using only his wits and a hatchet. Cross, Gillian. On The Edge (1985). This novel tells the dramatic story of Tug, who is kidnapped by ruthless terrorists, and whose mother is a powerful newspaper publisher. Hobbs, Will. The Big Wander (1992). Clays uncle is missing. To find him Clay embarks on a big wander into the canyons of Arizona. Rylant, Cynthia. The Islander (1998). Orphaned Daniel lives a dull life with his grandfather on an island in British Columbia- until the day a mermaid appears on the shore. Identity Stories Hinton, SE. The Outsiders (1966). This is the classic story of Pony Boy trying to find his identity while staying loyal to his gang, the Greasers. Cormier, Robert. The Chocolate War (1974). Jerry Renault refuses to participate in his private schools traditional chocolate sale, turning teachers and students alike against him. Philbrick, Rodman. Freak the Mighty (1993). Max is too huge to be normal, and Kevin, though brilliant, is labeled a freak because of his physical deformity. These two outcasts form a team to go on adventures within their own hometown. Chambers, Aidan. Dance on My Grave (1982). Hal, a shy but bright kid, is arrested for dancing on the grave of his friend, Barry. As the novel unfolds, Hal reveals his reasons for performing this bizarre ritual. A challenging novel, but one that repays the readers effort. Sports Stories Crutcher, Chris. Ironman (1995). Beau is a superb athlete who rejects popular sports and his father in order to become a tri-athletic ironman. Lipsyte, Robert. The Contender (1967). To escape the drugs and thugs of his Harlem neighborhood, Alfred takes up boxing, a sport that teaches him more than how to beat up someone. Weaver, Will. Striking Out (1995). Five years after his brothers death, Billy leads his family out of mourning because of his newly discovered prowess at baseball. Myers, Walter Dean. Hoops (1981). Lonnie Jacksons basketball skills are recognized by a former pro who teaches him about the game, and about the incredible pressures that go along with it. Genre Stories Lowry, Lois. The Giver (1993). Twelve-year-old Jonas lives in a futuristic world where everyone is perfectly content. So is he, until his visions lead him to be chosen as Receiver, the one person who knows the truth. Tolkien, J.R.R. The Lord of the Rings (1965). This is the epic tale of Frodo the hobbits quest to save Middle Earth from evil. Avi. Wolfrider (1986). Andys life is turned upside down when an anonymous caller claims to have killed someone. Cormier, Robert. Tenderness (1997). It is difficult to cause readers to sympathize with a serial murderer, but Cormier does just that when Eric Poole goes on a hunt for tenderness. Historical Stories Weisel, Elie. Night (1982). The Holocaust is seen through the eyes of young Weisel, who survived the ghettos and concentration camps as a teenager. This short book is certainly not for adolescent readers exclusively, but a powerful addition to secondary school classroom libraries. Denenberg, Barry. An American Hero : The True Story of Charles A. Lindberg (1996). Lucky Lindy was many thingsaviator, grieving parent, fighter pilot, and Nazi sympathizer. Here all aspects of this complex mans life are presented with a fair, even hand. Myers, Walter Dean. Fallen Angels (1988). When Perry cant escape Harlem by going to college, he goes off to war in Vietnam. Works Cited Applebee, A. Literature In The Secondary School. NCTE, 1993. Ballash, Karen M. Remedial High School Readers Can Recover, Too! Journal of Reading. May 1994. Chambers, Aidan. Tell Me : Children, Reading, And Talk. Stenhouse, 1993. Chevalier, M. and Houser, N. Preservice Teachers Multicultural Self-Development through Adolescent Fiction, Journal of Adolescent Adult Literacy, March, 1997. Hayn, J. and Sherrill, D. Female Protagonists in Multicultural Young Adult Literature: Sources and Strategies, The ALAN Review, Fall 1996. Hipple, T. Comer, M. and Boren, D. Twenty Recent Novels (and More) about Adolescents for Bibliotherapy, Professional School Counseling, Oct 1997. Mendt, K. L. Spiritual Themes in Young Adult Books, The ALAN Review, Spring, 1996. Monseau, Virginia R. Studying Cormiers Protagonists: Achieving Power through Young Adult Literature, The ALAN Review, Fall, 1994. Small, R. C. The Young Adult Novel as a Mirror of the Teenage World, Texas Tech Journal of Education, Winter, 1980. Young Adult Literature Cited Avi. Wolfrider. Collier Books, 1986. Cormier, R. Tenderness. Delacorte, 1997. Cormier, R. The Chocolate War. Dell, 1974. Chambers, A. Dance on My Grave. Harper and Row, 1982. Cross, G. On the Edge. Holiday House, 1985. Crutcher, Chris. Ironman. Greenwillow Books, 1995. Denenberg, Barry. An American Hero : The True Story of Charles A. Lindberg. Scholastic, 1996.

Wednesday, August 21, 2019

Ethical Interpersonal Communication Essay Example for Free

Ethical Interpersonal Communication Essay Ethics refers to standards of conduct, standards that indicate how one should behave based on moral duties and virtues, which themselves are derived from principles of right and wrong. The major determinant of whether communications are ethical or unethical can be found in the notion of choice. The underlying assumption is that people have a right to make their own choices. Interpersonal communications are ethical to the extent that they facilitate a person’s freedom of choice by presenting that person with accurate information. Communications are unethical to the extent that they interfere with the individual’s freedom of choice by preventing the person from securing information relevant to the choices he or she will make. Unethical communications, therefore, are those that force a person to make choices he or she would not normally make or to decline to make choices he or she would normally make or both. The ethical communicator provides others with the kind of information that is helpful in making their own choices. You have the right to information about yourself that others possess and that influences the choices you will make. Thus, for example, you have the right to face your accusers, to know the witnesses who will be called to testify against you, to see your credit ratings, to see your medical records, and so on. At the same time that you have the right to information bearing on your own choices, you also have the obligation to reveal information that you possess that bears on the choices of your society. Thus, for example, you have an obligation to identify wrongdoing that you witness, to identify someone in a police line up, to notify the police of criminal activity, and Ethical Interpersonal Communication 3 to testify at a trial when you posses pertinent information. This information is essential for society to accomplish its purposes and to make its legitimate choices. Similarly, the information presented must be accurate; obviously, reasonable choices depend on accuracy of information. Doubtful information must be presented with qualifications, whether it concerns a crime that you witnessed or things you have heard about others. At the same time that you have these obligations to communicate information, you also have the right to remain silent; you have a right to privacy, to withhold information that has no bearing on the matter at hand. Thus, for example, a man or woman’s previous relationship history, sexual orientation, or religion us usually irrelevant to the person’s ability to function as a doctor or police officer, for example, and may thus be kept private in most job-related situations. If these issues become relevant say, the person is about to enter a new relationship then there may be an obligation to reveal previous relationships, sexual orientation, or religion, for example, to the new partner. In a court, of course, you have the right to refuse to incriminate yourself, to reveal information about yourself that could be used against you. But you do not have the right to refuse to reveal information about the criminal activities of others. In Canada, only lawyers and marriage partners are exempt from this general rule if the â€Å"criminal† was a client or spouse. In this ethic based on choice, however, there are a few qualifications that may restrict your freedom. The ethic assumes that persons are of an age and mental condition that allows free choice to be reasonably executed and that the choices they make do not prevent others from doing likewise. A child 5 or 6 years old may not be ready to make certain choices, so someone Ethical Interpersonal Communication 4 else (a parent or legal guardian) must make them. Some adults, for example people with advancing Alzheimer’s disease, need others to make certain decisions (legal or financial decisions) for them.

Tuesday, August 20, 2019

Oldtown Expansion Strategies

Oldtown Expansion Strategies The OldTown Groups (OldTown) was established in 1999 by Executive Directors, Mr. Goh Ching Mun and Mr. Tan Say Yap, who formulated OldTown own blend of 3-in-1 instant white coffee. (OldTown, 2012) OldTown commenced their business as a classic coffee shop of 3 in 1 instants white coffee in Ipoh, Malaysia under Old Town White Coffee brand name since 2005. At the following years, OldTown is divided into two segments of food services which are fast moving consumer goods (FMCG) and food and beverage (FB). At the end of year 2011, Old Town has 196 cafà © outlets in different countries such as Malaysia, Singapore, Indonesia and China. These 196 cafà © outlets are comprised of 79 fully owned cafà © outlets, 18 partially owned cafà © outlets, 96 franchised outlets and 3 licensed outlets. Besides, Old Town has manufactured the beverage products and exported to worldwide countries such as Hong Kong, Singapore, Taiwan, USA, and Canada. (OldTown Annual Report, 2011) According to OldTown (2012 ), the latest updated information showed that OldTown has expanded to 205 cafà © outlets. The goal of OldTown is to let everyone enjoy every slip of authentic Malaysian Ipoh White Coffee, anytime, anywhere. (OldTown, 2012) Therefore, OldTown will continue to launch the high quality products to customers for collective vision of creating to be Asia Pacifics Leading White Coffee producer in providing high quality product to customers globally. (OldTown, 2012) The mission of OldTown is to promote their Unique Malaysian Taste- the authentic Ipoh White Coffee and continue White Coffee Legacy through continuous improvement and innovation that exceeds customer expectations. (OldTown, 2012) On the other hand, according to the OldTown (2012), the core values consist of consistency, continuity and growth, originality and creativity, respect diversities and traditions, as well as ethics and integrity. Besides, they adopt integrated business strategies and focus on five key components. The first component is to build up strong brand equity and keep customer loyalty by strengthening a nd promoting OLDTOWN brand name. Second component is to continue in expansion of cafà © network through franchise programmed locally and internationally and rely on establishment of their fully owned outlets. Third component is to strengthen the position as an operator of a major cafà © chain. Fourth component is to continue in development of a new and innovative product. Last component is to establish high standards of the quality products and services consistently to exceed the benchmark standard of quality and customers expectations. (OldTown Annual Report, 2011) 2.0 Current expansion strategy OldTown adopts different expansion strategies such as franchise, licensed, partially-owned and fully-owned strategies in different countries which include Malaysia, Singapore, China and Indonesia. (OldTown Annual Report, 2011). OldTown more focus in adopting franchise strategies since this strategy brings more successes to expand cafà © network either locally and internationally in spite of fully relying on the establishment of fully-owned outlets. (OldTown Annual Report, 2011) OldTown is implementing export of the products to other countries. Exporting allows OldTown to gain competitive advantages which are increasing the products sales performance, market shares as well as profitability (Piercy, Kaleka and Katsikeas, 1998). OldTown exports the beverages products also can expose the brand name and attract more customers from different regions. On top of that, exporting also allows OldTown to expand the customers base in global market. (Kaleka, 2011). On the other hand, exporting requires high transport fees. The cost of shipping may be a serious issue for OldTown. Shipping costs can make exporting uneconomical especially when the products are export in high volume. Furthermore, OldTown is depending on the fluctuation of transportation costs. The transport or shipping fees keep on increasing nowadays in exporting goods due to economic downturn, inflation and financial crisis. Ultimately, OldTown should be more concerns about this issue since this could be a drawback for export sales. According to Combss study (2004), in franchising strategy, an agreement is held by two independent parties whereby franchisor grants the right to franchisee to run the business in return of annual loyalty in monetary form (as cited in Miles, Aaron, Jeremy, Kelly and Di Wu, 2011). In other words, franchising is a legal regulation activity and requires compliance with federal and state franchise laws. According to the Buckless study (2011), franchising allows the franchisors to gain opportunity to entry the new markets by attracting the potential franchisees. OldTown chooses master franchise as its form of franchising is due to franchising is the most popular mode of entry into distant and cultural dissimilar market in Asia. Franchise model also provides scale to the company. OldTown currently owns 85 franchised cafà © outlets and one licensed cafe outlet in Malaysia. Revenues from these franchised outlets are earned through the initial franchise fees (RM 80k), the sales of Old towns produces, the royalties (5% of revenues) and the AP fees (3% of revenues). (Oldtown Berhad, 2011). OldTown is required to work with well-experiencing franchise lawyer to successfully establish the franchisee strategy. In order to reduce the business risks, OldTown internationalizes the business by expanding the cafà © outlets to the close countries (Aliouche and Schlentrich, 2011). Previously, OldTown is expanded from Malaysia to Singapore which is physically close to the home country. Singapore has the similar cultures with Malaysia. Cultural factors might increase the risk to the developing corporation in foreign market in accordance to Broutherss study (2002) (as cited in Aliouche and Schlentrich, 2011). The franchisors normally prefer to expand the businesses that have geographical and cultural similarities to the host country (Aliouche and Schlentrich, 2011). According to Aliouche and Schlentrich (2011), the corporation will then move gradually to the distant ones after successfully internationalize to the close country, as OldTown has. OldTown has successfully standing in Singapore with the good reputation of the products and services. After that, OldTown targeted the China and the Indonesi a market. OldTown White Coffee is definitely successful in locals where it earns Industry Excellence Award in Malaysia which organized by Ministry of International Trade and Industry (MITI) as at 24th March 2011. Besides that, at the same year and date, OldTown also received Product Excellent Award organized by MITI, Putra Brand Award 2011 and 2012 (people choice special mention) in 2011 and 2012, and so forth (Old Town Annual repor, 2011). All these recent evidences had showed that OldTown is quite successful in locally. Based on the evidence from the study (William and James, 2009), franchising and fully-owned strategies could help in reducing costs of finding and monitoring the outlet manager. In the words of Bradach (1997), the fully-owned strategy aids in standardization; franchising gives a strong motive to locals managers (franchisee) and they are motivated to keep on improving the cafà © outlets to make it as profitable as possible (as cited in William and James, 2009). In other words, OldTown does not need to oversee the franchisee closely in protecting the franchisors image and reputation. In short, franchising allowed OldTown (franchisor) to expand and minimize the monitoring cost (William James, 2009). Besides, franchising strategy also helps to expand number of OldTown customer with faster pace (Edwards, 2011). OldTown grants the right to franchisee to operate in different countries. Therefore, by expanding the cafà © outlet in other geographical areas, this also helps OldTown to raise the customer awareness. In addition, OldTown always emphasize on brand equity. Hence, OldTown is promoting the brand name OLDTOWN through the expansion strategies. These strategies might help OldTown to gain the customers loyalty and successfully build up the brand equity, not only in Malaysia but also in other countries for instance, Singapore. Aside from these, franchising also helps OldTown to enhance competitiveness in food and beverage industry (Holmes, 2003; Joseph, 2011). Franchising spreads the risk through other people investment in different locations. Franchisee normally is the one who responsible for the loan, debt and so on, and hence, OldTown basically can minimize risk in expanding the businesses. OldTown has better expansion networks for the cafà © outlets since 2005, from a small, humble coffee cafà © to 196 cafà © outlets chain. Thus, OldTown generally could obtain the advantage of loyalties and raise the brand recognition through the ease of this type expansion strategy (Chris, 2011). By the same token, there might have a few of risks that could be faced by OldTown in adopting the franchising. The main disadvantage for OldTown in using franchise strategy is that it can be considered quite costly for the potential franchisee. Once it is implemented, franchises fee charge and ongoing royalties would cut the profits of franchisees (Sim, 2008). Besides the initial fee for agreement, original franchise fees, annual royalties, as well as a percentage of franchises business revenue, franchisees also required to pay the extra monthly fees for the franchisor (Adrian, 2010). As part of the continuing franchise agreement, on-going fees are needed to pay to the franchisor for the support, training and development which are provided by the franchisor. In the long term, it will become a restriction to the amount of profit for the franchisee. Besides, the franchisor also may charge additional fees for services provided to the franchisee, such as the cost of advertising (Ward, 20 12). Besides that, franchising also will cause the lose control right problem when the new franchisees become part of the franchise system. Sometimes, the franchisees are forced to make their own decisions in the uncertainty situation, and they might need to change the policies without make the earlier notification to the franchisor. In fact, franchisor only owns limited power to control the franchise branch and how the business runs. Furthermore, the established rules and the part of the franchise agreement, for instance, the ways of the business operation are already set up by the franchisor, it is rarely for a new franchisee to operate the business outside of these borders (Adrian, 2010). Hence, the franchisee will likely to follow the majority practices of OldTown to run the business. As a result, franchising limits the creativity of the franchisee (Sim, 2008). By adopting franchising, the issue of communications gap may arise between the OldTown and franchisee. Franchisees must follow the correct directions in order to maintain the brands image, the high level of service and so forth. If the franchisor and franchisee did not communicate well, franchisee may have misunderstanding and run the business without the proper direction. Moreover, if the franchisee unable to run the business with good quality or proper funding, it could curtail success and it will create a very unfavourable business environment as wel l. The actions and decisions of franchisees are very important because these will definite affect the OldTowns reputation, image, profession, as well as customer preference. The franchisee would rely on the brand of the business to bring a bunch of customers but OldTown is the one who need to undertake the risk. If the franchisee harms the OldTown image by serving the poor quality foods and services to the customers, it will knock on the effect of the own business. Ultimately, this could potentially damage the sales and overall profits (Adrian, 2010). According to the OldTown Annual Report (2011), the OldTown products such as beverages are more focused on the market segment which comprising professionals, managers, businessman in the age group between 30 to 50 years old. Most of the people concern with healthy conscious nowadays, Old Town also introduced healthier choices of beverage products into the marketplace, such as 2 in 1 No Sugar Added and 3 in 1 with Natural Cane Sugar coffee products. However, due to different countries have different needs, OldTown cannot oversee and control all the businesses includes the franchise outlets. Last but not least, franchise outlets need to invest in various promotion tools such as advertising, promotional and marketing campaigns to increase the OldTowns brand image as well as to enhance its brand equity value in the marketplace. These promoting activities will need a huge amount of money in order to attract the customer and retain the old customers. 3.0 Future Expansion Strategy There are some recommendations for OldTowns future expansion strategies. OldTown can continue the current strategies (franchising and exporting) and the new recommend strategies (joint venture and strategic alliances). 3.1 Franchising OldTown is using the franchising as the entry mode strategy to achieve the rapid and low-cost market expansion, either in locally or internationally. Franchising allows OldTown to get the inflow of franchise fees to expand its markets. All of the premises, equipment and all other working capital that are needed to establish a franchise unit are invested by the franchisee. Besides, OldTown also able to receive the royalty fees from the franchisees. (OldTown, 2012) OldTown is relieved of many of the costs and risks through this entry mode. OldTown can achieve global presence quickly and reduce the risk and cost of doing business via franchising, as McDonalds has. Thus, this strategy should be continued by OldTown since it had good achievements with this entry mode. (OldTown, 2012) Furthermore, OldTown would establish as master franchisee in other markets. Master franchising depend the quality of the local partner to success in another nation. Thus, OldTown should find the right local partner and sell the master franchising rights. For instance, McDonalds, KFC and others are established a master franchisee in particular country or region. (Daszkowski, 2012) Master franchisee of OldTown will oversee the management and reduce the quality control challenge in other new markets. Other than that, master franchisee also can monitor the performance of the franchisees. In fact, there are many laws and regulations implied on franchising. Different nations have different requirements in this mode of entry. The franchisor shall satisfy the 2+1 requirement in order to develop a franchise in China. The requirement means the franchisor need to own two outlets of the franchise business for more than one year. (Philip, 2010). Franchising is a new business concept in Kazakhstan and is not leveraged to its full extent. It is an opportunity for the OldTown to franchising the brand to this country. The Kazakhstani entrepreneurs find it easier to work with Russian franchisors instead of other countries franchisors. This is due to both Kazakhstan and Russian share the same language and similar tastes, ultimately reduce the localization costs in setting new franchise. (Parshina, 2009) This would be a threat for OldTown to expand its franchise into Kazakhstan. OldTown should able to justify the benefits, risks and costs before enter the particular nation. 3.2 Exporting OldTown is pursuing the exporting as the one of the mode of entry to expand to other countries. OldTown is success to expand its brand through this strategy and OldTown is encouraged to continue this mode of entry. OldTown commenced the first export of OLDTOWN brand of 3-in-1 instant coffee mix to Singapore in 2001. The following years, OldTown success to expand the export markets to over 13 countries. (OldTown, 2012) Exporting allows OldTown to increase sales and profits by fully utilize the use of existing capacities. Besides, exporting also allows OldTown to gain new knowledge and experience about the foreign countries technologies, marketing techniques and foreign competitors. (Tekle, 2007) In Malaysia, OldTown distributed the coffee mix through major hypermarkets and supermarkets (OldTown, 2012). OldTown may consider using this type distribution channel in other countries. However, OldTown needs to handle all the logistic of the transaction and spend extra costs to export the products since the transport costs are high. (Delaney, 2012) Besides the transport costs, OldTown also need to pay attention on the costs from high tariff barriers which set by the particular nation. (Hill, 2011) Additionally, OldTown obtained the HALAL certification from the Islamic Religious Department of Perak for the Groups beverages in 2002. The beverages of OldTown are complied with the Islamic Law. (OldTown, 2012) This certificate also provides extra opportunity for OldTown to export the coffee mix to Islamic countries. 3.3 Joint ventures OldTown can use joint ventures to enter a foreign market other than using franchising market entry mode in expanding the business. Joint venture is the establishment of a firm that is jointly owned by two or more otherwise independent firms (Johnson, 2000). OldTown can joint venture with Chatime in Australia in penetrating their first new market in Western country. Chatime had operated in Australia since 2009 and now has over 30 stores Australia-wide (CHATIME Autralia, 2011). Moreover, Chatime are growing fast in term of opening one new store each month on average (CHATIME Autralia, 2011). Based on Chatimes record in successful penetration to foreign market, OldTown can penetrate to Australia by joint venture with Chatime. Joint ventures will help OldTown in getting local partners knowledge regards the host country competitive condition, language, cultures, political systems, and business systems. If OldTown expands their business without further exploring to the particular country history, competitive condition, political systems, business systems and cultures, OldTown will face lots of barrier to entry to the new market. This will also cause OldTown to have a wrong timing of entry or loss the opportunity chance in penetrating to the particular foreign market. (Hill Hernandez-Requejo, 2011) In addition, joint venture is good to be practiced by OldTown due to the costs and risks of opening a foreign market are shared. It can help OldTown in reducing the necessary costs such as initial capital requirement, transportation costs, advertising costs, operational costs, and extra cost charge by the certain local government for set up a new business in country. Therefore, by having a partner in reducing the costs, OldTown will face lesser risks for setting up the business in new market at foreign country. (Hill Hernandez-Requejo, 2011) Other than that, joint venture also allows OldTown to learn about a new market environment. If OldTown can success to become an insider in the country, it may help OldTown to increase the level of commitment and exposure in future. This will help OldTown to improve the image and reputation. Besides, OldTown also can penetrate to other foreign market in future with easier way and reduce lots of entry barriers. (Keegen Green, 2011) From this point of view, by joint venture with Chatime, it will help OldTown in building up their brand name. Although joint venture may cause the company do not have the tight control over subsidiaries that it might need to realize the experience curve or location economies. But, due to OldTowns management team is led by professionals and founders who have more than 20 years experience in the particular industry, it is believed that OldTown management team is more than capable and passionate to anchor OldTown towards more successes in the future. (Kenanga Research, 2012) 3.4 Strategic alliances The changes in political, economic, social cultural and technological environments make strategic alliances have the relative importance for a company to choose as an entry mode to foreign countries (Keegen Green, 2011). China businesses are stable and growing (OSK Research, 2012). OldTown intends to replicate the popularity of its coffee brand from Hong Kong to China with promoting the OldTown brand (OSK Research, 2012). OldTown found that the FB business in China is well carrying by having average spend per customer of 40-50% higher than the businesses in Malaysia (OSK Research, 2012). Other than that, demands of OldTown FMCG products remain tough. In addition, with the new added menu such as soup, OldTown found that China prospects seem capable at this point in time for penetration (OSK Research, 2012). OldTown believe that its business in China have to expand more rapidly than its competitors to ensure its company foundation can be strongly build (OSK Research, 2012). OldTown is setting up a new food processing centre as part of its expansion in penetrating Chinese food and beverage market in China (Ho, 2012). OldTown can use strategic alliances as their entry mode in penetrating to China, forming a strategic alliance with Secret Recipe in China. Secret Recipe had successfully established its brand name in China by virtue of its fine quality cakes, fusion food and distinctive service (Secret Recipe, 2012). This strategic alliance also allow OldTown in gaining extra knowledge from Secret Recipe regards the culture, political, and economic system in China without carry out a costly detailed research in China (Keegen Green, 2011). There are several advantages of using strategic alliance as the entry mode for OldTown in penetrating to foreign country. The advantages are sharing benefits of alliance as well as control performance of assigned tasks, long-term strategies is formed between two companies, and retain national and ideological identities when competing in markets not covered by alliance. (Hill Hernandez-Requejo, 2011) 4.0 Conclusion There must be reason when local coffee shop like OldTown able to success in highly competitive market. OldTown do not bond itself in its current expansion strategy, like franchise, fully-owned outlets and export the products. Meanwhile, depending on 1 expansion strategy is less flexible and too risky. OldTown current strategies had lots of advantages as well as drawbacks. Firstly, Franchising is a popular mode of entry to local and the foreign market. OldTown master franchise because of high revenues get from initial franchise fees, royalties, sales and AP fees. Next, export the products could gain competitive advantages by exposing their brand name and attract more customers from different regions by raising customer awareness, expand the customers base in global market. While, both franchising and fully-owned strategies, has advantage OldTown in reducing costs, attract for recruitment and attract potential franchisee. In the other side, Franchising also bring drawbacks like franchisee has limited freedom and creativity was limited by franchisor. There may be communications gap between franchisor and franchisees in decisions making and it could ruined the name of franchisors. Normally, company will be choosing to expand to close countries first because of the similarity in terms of geographically and culturally. OldTown needs to have product creativity to fulfill different country needs, and customer in different segments. It is good to continue the franchising and exporting strategy for OldTown since both strategies bring lots of positive outcomes, gains and profits. Both strategies had relieved many of the costs and risks, both strategies should be continued by OldTown since it had good achievements with this entry mode. Between Joint Venture and Strategic alliances is the potential of OldTown to expand to foreign countries, Joint venture could reduce the barrier to entry, reducing the necessary costs such as extra cost charge by the certain local government, in the mean time, increase the level of exposure of OldTown in that particular country. Strategic alliances enable OldTown to have long term strategy business in other country. Business nowadays is not only need to focus on customer and service, OldTown needs to follow the latest business trend and be flexible in showing high adaptability to changes. Besides, OldTown has seen the importance of contributions to the community, environment and its investors, as well as the business ethical for its well name or reputations.

Alice Paul Essay -- essays research papers

Alice Paul was born on January 11,1885, in Moorestown, New Jersey. Her father, who died when Alice was sixteen, was a businessman, banker, and property owner. The Pauls lived in the small Quaker community of Moorestown. One of the beliefs of the Quakers was equality of the sexes. As a young girl, Alice attended the Quaker suffrage meetings with her mother. Alice Pauls' father left them enough money so she could attend the exclusive Swarthmore College in Pennsylvania. She graduated in 1905 as a biology major, but after discovering politics in her senior year, she went on to attend the New York School of Philanthropy. She majored in sociology, and spent all of her spare time working for the woman suffrage in New York. In 1907, Paul earned a master's degree in sociolgy. She went to England to continue her work toward her doctorate degree. She was begin- ning to realize that she couldn't change the situation by social work alone, but needed to change the actual laws. Women had no voice in either England or America to change any law. The suffrage movement was different in England than in the States. British suffragists had begun wild women protests in 1905. They would sneak into male political meetings, and disrupt the meetings by shouting questions, wave banners and be arrested. As Alice Paul became more involved with the Women's Social and Political Union, she was warned of possible imprisonment. This threat did not prevent her from sneaking into political events. She was arrested ten times in England, three of which ended in prison time. While in prison, she continued to protest the government's refusal to let women vote or speak publicly, by not eating. She was force-fed for four weeks. She returned to America in 1910, where she continued her studies and her suffrage work. She brought back from England with her the same tactics used to get the attention of the newspapers and the government. She brought the wild suffragette movement back to the United States. She teamed up with Lucy Burns, who she spent prison time with in England. They went ... ...egan urging members of the House and Senate to vote for the nineteenth amendment, but kept losing. Then in October 1918, he pleaded for woman suffrage as part of the war effort. The amendment was passed in 1920, giving women the rights of citizens, including the right to vote. She did not stop there. In 1922, she received her Law degree and in 1928 formed the World Party for Equal Rights for Women. Pauls equal rights amendment was "Equality of rights under the law shall not be denied or abridged by the United States or by any State on account of sex." Living in Switzerland, she encouraged an Equal Rights Treaty and a World code of Law. Equality was then written into the United Nations Charter. Paul fought for equal rights the rest of her life, nationaly and internationally. In1977, at the age of 93, she died in her childhood town of Moorestown. Alice Paul was a remarkable, unstop- pable feminist and social reformer, who paved the road we now walk.

Monday, August 19, 2019

Is the Tarnished Image of Northeastern Being Rebuilt? :: Journalism Journalistic Essays

Is the Tarnished Image of Northeastern Being Rebuilt? Boston - Northeastern University is expanding its campus and student body more and more every year. Just a few years ago it was just a small commuter school, now it is reaching close to the top 100 Colleges and University’s in the United States. The university’s enrollment is now up to over 20,000 students, both undergraduate and graduate students. Everything is not as peachy as it seems. Since 1990, Northeastern University has almost doubled its size. It used to be on just one side of the Orange Line. Now it goes all the way into Roxbury, Mission Hill, and Fenway. Residents in the area are a little angry that Northeastern University is coming into their neighborhood and pushing them around. â€Å"I haven’t liked what Northeastern has done ever since they came over the tracks,† said Randall Thomas, 51, a longtime resident of Roxbury. " In this neighborhood the rents are going up, the students are misbehaving, and the Northeastern police are hassling long time residents, instead of the students. They need discipline and Northeastern has to keep them in check,† said Thomas. Thomas talked about his years living in Roxbury, which is all 51 years of his life. He said the university has to work with the neighborhood. According to Thomas it is a long standing African-American Community that has its needs and the university should understand that and take that into consideration. According to city housing assessments, the price of real estate has doubled in some areas of Roxbury. The huge demand for property and the university’s growth has made the once poverty stricken area into a hot commodity for the university and real estate investors. One building in the neighborhood on Tremont was listed worth of $265, 500. Predictions for the end of the year 2004 have the estimated worth at about $394,000. That is a significant rise in one year. â€Å"Northeastern is taking over, their pushing the poor people out,† said Kenny Miller, 35, and a resident of Roxbury. â€Å"Roxbury residents fight to get their homes back, the damn condominiums they built, they’re taking over Mission Hill as well.† â€Å"The students are supposed to be our future leaders, they suck.† said Thomas, â€Å"Stop coming in our neighborhood, pushing us. Who do they think they are? Harvard or MIT?† On the contrary, Northeastern University feels that it is working with the neighborhoods to accomplish good for the community as a whole.

Sunday, August 18, 2019

A View from the Bridge by Arthur Miller :: Papers

A View from the Bridge by Arthur Miller The following essay is about how people reacted to Arthur Miller's play and what his intentions where and if he got the desired effect on people. Firstly let me start of by telling you about the intentions of writers, Arthur Miller's intentions in particular. A writer intends to grip the audience so people will read or view there work. Arthur Miller intended to grip the audience by telling you a story of illegal immigrants and how they could affect a person's life. He also intended to show us how Italians deal with people who inform on others. He wanted to show us the emotions and behavior a working class person who had to deal with the fact that the girl who "belonged" to him for such a long time was being "stolen" from him and he was losing her. For Arthur Miller this was "A dangerous and mysterious world at the edge of the water that drama and literature had never touched" (Time Bends) Arthur Miller intended this to be a modern version of a Greek tragedy in which a main character is led by fate towards an unavoidable destiny. Arthur Miller tells us what happens in the beginning but leaves us wanting to know how it happened. Most of Arthur Miller's plays are based on serious issues in which he tries to show us how people think and react in situations which threaten to defeat and overcome them. So by showing us all this how does Arthur miller want us to react? Arthur miller wants us to walk away with an understanding that "Some times it's better to settle for half" He also wants us to get an insight into the lives of people like Eddie, placed in situations which are uncomfortable. Miller tries to show us how people like Eddie think and react. He wants us to understand that we can only protect our little ones for so long and then we must let them go. He also tries to show us there emotions, the

Saturday, August 17, 2019

Event Management Essay

Event management is a part of management studies that aims to apply science of project management to the organization of functions, festivals and special occasions with the aim of successfully conducting the entire event to achieve its purpose. The corporate and business world has realized the significance of a smoothly conducted business in their growth and expansion plan and therefore event management has emerged as an independent market and entrepreneurship area. Today concept and knowledge of event management is applied from events like Olympic, Asian games to corporate parties and even organizing a coffee evening with just 10 guests. The whole idea is infusing professionalism in the entire business of handling the events. The international corporate world has understood the significance of event management as a major public relation exercise that is required for it to seamlessly conduct its operations. This issue takes important form especially when multinational companies are increasingly diversifying their operations. Often they are required to hold promotional events, fete, programs and cultural-social evening in places where they have no prior exposure to the aesthetical tastes and preferences of the local population. Under such circumstances, a flaw or incorrect approach towards presentation and promotional activity can backfire, and bring discredit to the company and its further plans in the popular perception. Under these circumstances, a local event management company with understanding of local customs and tastes can help the multinational corporate giants by successfully organizing the event. Event management offers corporate heads with readymade set of solutions for a wide variety of situations, whether it is conducting franchisee meeting,   a Q&A round with employees, a corporate presentation, a sales and marketing presentation, product launching, satellite video meeting, trade shows and parties, sport shows, and almost every conceivable function involving logistic, management planning and effective and timely mobilization of resources . With integration and convergence of various streams of media, event management also now comprises over media management, press release and public address, thus helping to provide a completely polished front to the corporate sector. As it can be understood, event management requires a sound knowledge by the organizing company on the purpose of the event, target audience, securing sponsorship and exhibiting complete integrity in securing objectives of the event. As a lot has to be achieved in a limited time frame, every event runs on a risk that a slight mistake can result in a flop show, causing embarrassment to the sponsors and the promoters.

Friday, August 16, 2019

Prevention Of Orthopaedic Implant Infection Health And Social Care Essay

Abstraction:The American Academy of Orthopaedic Surgeons ( AAOS ) and the American Dental Association ( ADA ) , along with 10 other academic associations and societies late ( December 2012 ) published their common clinical pattern guideline â€Å" Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures. † This evidence-based guideline, detailed in 325 pages, has three recommendations and substitutes the old AAOS guideline. The new published clinical guideline is a protocol to forestall patients set abouting dental processs from orthopedic implant infection. The guideline is developed on the footing of a collaborative systematic reappraisal to supply practical advice for preparation clinicians, tooth doctors and any qualified doctors who need to see bar of orthopedic implant ( prosthetic device ) infection in their patients. This systematic reappraisal found no expressed grounds of cause-and-effect relationship between dental processs and periprosth etic articulation infection ( PJI ) . This short communicating wants to show a graphic sum-up of AAOS/ADA clinical pattern guideline as a clinical update and an academic execution to inform and help Persian competent clinicians and tooth doctors in the class of their intervention determinations, to enrich the value and quality of wellness attention based on the latest international footing. â€Å" Evidence Insufficient to Recommend Prophylactic Antibiotics for Dental Patients with Orthopaedic Implants. † was one of the nailing headlines of the dental updates in the winter 2013. [ 4-7 ] The American Academy of Orthopaedic Surgeons ( AAOS ) and the American Dental Association ( ADA ) , along with 10 other academic associations and societies late ( December 2012 ) published their common clinical pattern guideline â€Å" Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures. † This 325-page evidence-based guideline has three recommendations and substitutes the old AAOS guideline. The new clinical pattern guideline was established utilizing the published AAOS CPG ( Clinical Practice Guideline ) development procedure and besides sing the all criterions recommended for systematic reappraisals and clinical pattern guidelines. The full guideline presents a comprehensive systematic reappraisal of available grounds directing on the bar of orthopedic implant ( OI ) infection in patients having dental processs. [ 1 ] Jevsar ( Chairman of AAOS group ) and Abt ( on behalf of ADA group ) published and editorial to this guideline and described how the recommendations have been evidence-based. They believe that antibiotic prophylaxis recommendations, in the 2009 AAOS information statement, can merely be regarded as an educational assistance and non as an official guideline. [ 3 ]SYNOPSIS OF THE NEW GUIDELINEThe workgroup, ab initio developed three recommendations for antibiotic prophylaxis in dental patients with joint replacings. These recommendations shaped the basic foundation for systematic reappraisals of the literature sing the alveolar consonant processs and periprosthetic articulation infection ( PJI ) . The workgroup besides determined elaborate standards for quality assessment of the published informations and accordingly avoiding any prejudice. To avoid prejudice, the AAOS uses specific words for its recommendations and gives rationals for their use. Due to the restrictions in available gro unds, the three recommendations presented in the new guideline are classified as limited, inconclusive, and consensus with one recommendation for each class of grounds. Higher class recommendations are relatively rare within published CPGs. The work squad emphasized that they did non say this new guideline to be an impartial papers. All three recommendations should be integrated into the decision-making procedure to better patient attention. The guideline accentuates on the coaction between the doctors, tooth doctors and patients to be after a intervention based on the grounds, clinical findings and patient penchants. [ 1-3 ] The undermentioned guideline is a sum-up of the AAOS-ADA recommendations for bar of OI infection in patients having procedural dental interventions.Recommendation 1.â€Å" The practician might see stoping the pattern of routinely ordering contraceptive antibiotics for patients with hip and knee prosthetic articulation implants undergoing dental processs. † [ 1 ]Bing graded as Limited, this recommendation is based on limited grounds and depicts that dental processs are non related to OI infection.Moreover, it indicates that practicians should see altering their customary pattern of ordering contraceptive antibiotics for dental patients. [ 1,5-7 ] The phrase limited is unequivocal ; which means low degrees of grounds is present to back up the recommendation.Practitioners should be watchful to up-coming publications that hold grounds and their determinations should reflect their single judgement and the patient ‘s penchants. [ 1 ] Stronger groundss support this recommendation compared to other two recommendations: Clinical practicians believe in altering their longstanding tradition in the prescription of contraceptive antibiotics for dental patients. The groundss indicate that dental processs are non linked to the OI infections. The hazard of OI infections is non reduced by the pre-procedural antibiotic prophylaxis. Strong grounds indicates that pre-procedural antibiotic prophylaxis reduces the incidence of bacteriemia induced by station dental process. No grounds proves that bacteriemia increases the hazard of OI infections [ 1,3,5 ]Recommendation 2.â€Å" The work group was unable to urge for or against the usage of topical unwritten disinfectants in patients with prosthetic articulation implants or other orthopedic implants undergoing dental processs. † [ 1 ] This recommendation is graded as Inconclusive, sing the strength of the grounds. The guidelines implies that practicians should see a small restraint in their determination that whether to follow an inconclusive recommendation or non. The guideline emphasizes that patient penchant should hold a important influencing function and practicians should carefully wait for future publications that elucidate the bing grounds to find the balance between benefits and possible hazard. [ 1,2,4 ] Apparently, this recommendation refers to the application of unwritten topical disinfectants in the bar of OI infections in dental patients. It indicates that there is no direct grounds to corroborate that application of unwritten topical antiseptics ( before alveolar consonant processs ) would cut down bactermia and hence prevent OI infections. [ 5 ] The guideline points out the followerss as illustrations of topical antiseptics administered by tooth doctors: Chlorhexidine Gluconate unwritten rinse, povidone-iodine oral cavity rinse, H peroxide oral cavity rinse and mouthrinses with sodium-p-toluene ( chloramine-T ) . [ 1-3,5 ]Recommendation 3.â€Å" In the absence of dependable grounds associating hapless unwritten wellness to prosthetic joint infection, it is the sentiment of the work group that patients with prosthetic articulation implants or other orthopedic implants maintain appropriate unwritten hygiene. † [ 1 ]This recommendation was graded as Consensus, bespeaking th at adept sentiment supports the guideline recommendation albeit the fact that no available grounds can meet the inclusion standards. The guideline emphasized on the imperative function of patients ‘ penchant in determination devising and besides affirmed the flexibleness of practicians in make up one's minding whether to follow a recommendation rated as Consensus or non. Consensus recommendations are the weakest signifier of recommendation, and can non be used to disregard recommendations developed from higher degrees of grounds. [ 1-3 ] This recommendation conveys the care of good unwritten hygiene and seemingly, it is the lone consensus recommendation in the new guideline. Oral hygiene steps are available and inexpensive, supply possible benefit, are consistent with current clinical pattern and are in harmony with good unwritten wellness. [ 3 ]Goals and Implications for Clinical PracticeThe rate of OI infection is recorded from 0.3 % to 8.3 % in the available published literature. Invasion of beings into the surgical lesion during the surgery, haematogenous spread, return of infection in antecedently involved and septic articulations, or extension from an morbific local beginning may bring forth such infection. [ 1 ] Established on the best bing grounds, the rational for this clinical pattern guideline is to help the related clinicians and tooth doctors to take a paramount preventing and intervention mode when it is needed. Contemporary dental pattern necessarily depends on evidence-based criterions and stipulates doctors and tooth doctors to use the best available grounds for intervention planning in their clinical pattern. That ‘s why this guideline consists a systematic reappraisal of literature, conducted between October 2010 and July 2011 by AAOS and ADA methodologists and the doctor/dentist vocational groups and declared wherever the grounds was equal or unequal.They even discussed the spreads in the literature, where future researches are peculiarly needed. [ 1 ] Jevsevar, an orthopedic sawbones and president of the AAOS squad, declared that this clinical pattern guideline was non supposed to be an impartial papers and he confirmed that clinicians should utilize it as an informative tool in their intervention planning to better the quality and efficaciousness of their wellness attention. [ 3 ] In drumhead, the guideline is deliberated to carry on clinical pattern and besides to supply a beginning of information for all qualified practicians covering with bar of OI infection in dental patients. The AAOS and ADA hope that this guideline would besides help to guarantee patients sing the logics behind their intervention planning. [ 1 ] Therefore, The new guideline replaces the old AAOS Information Statement and the full guideline with all wining certificates and workgroup declarations is available to entree on the AAOS web site: hypertext transfer protocol: //www.aaos.org/research/guidelines/PUDP/PUDP_guideline.pdf and the ADA web site: hypertext transfer protocol: //www.ada.org/sections/professionalResources/pdfs/PUDP_guideline.pdf