Saturday, August 24, 2019

Marketing Logistics Interface Case Study Example | Topics and Well Written Essays - 2750 words

Marketing Logistics Interface - Case Study Example The company is a catalogue based distributor in nature. Thus it deals with professional customers worldwide. After 1989 the company took various initiatives in order to increase the revenue and profitability. In the process the company has adopted many strategies such as battery replacement for recycling of waste batteries and the innovation of introducing Eco wire-Environment Friendly techniques (www.rswww.com). RS Components has achieved 50% of the sales from the UK internet sales in the year 1989, due to the fact that the company succeeded in increasing the awareness and the importance of the RS website including the latest electronics, electrical and industrial products. In addition to that it is basically because of the continual adoption of innovative products and also introducing the new innovative production packages online in the RS website. This new package involves a host of benefits to the customers of RS components such as easy identification of packaging format, set the required quantity, check the levels of live stock, place orders online and also fast delivery system. According to the Nik Patel, Marketing Manager e-commerce at RS commented on the success of online sales is that it could achieve basically because by listening to the RS customers and innovative investing new technology in its website. In fact they could make online ordering and valuable information sourcing in a simple and easy manner in order to attract more customers to its range of products. RS Componenents is mainly focusing on meeting the customer's demand by a rare combination of value, choice and service through innovating in pricing, product marketing and first initiative moves. The UK market for electronic and electrical goods has become so strategically competitive and RS' is focused on this market segment with more and more orientation towards meeting customers' ever changing demand patterns. The retail store as against the e-retailing offers a variety of goods and services on the spot while, the latter offers an equally diverse and complex mixture of products for later delivery (Murphy, & Poist, 1992). Its current product launching strategy is associated with making use of niche markets that exist in many parts of Britain, including e-retailing. For instance its recent product launches in Britain were highly successful due to the suddenness and the associated surprise. Customers were caught unawares by these very attractive offers. Thus RS' has adopted a strategy of launching products in cities where consumers were little or no used to such windfall bargains before.RS' developed its advanced search and navigation engine in online stores so as to save the time of the electronic and maintenance engineers, reduce their purchase cost, selecting and ordering products and improve the efficiency of the service (Lynch, & Whicker, 2008). Thus the clarity of the website allows its employees to implement host of new services in an efficient and effective manner and also customers would benefitted from free product information advices from the technical staff of the RS and accessing to about 110, 000 datasheets while ensuring the customer satisfaction. Thus according to the Marketing Manager e-commerce, supply chain

Friday, August 23, 2019

Hospital Annual Report-Medical Terminology Essay

Hospital Annual Report-Medical Terminology - Essay Example Our Dermatology Department is intended for patients who suffer from skin diseases and patients who want to undergo plastic surgery. Most of the cases involve psoriasis among adults and contact dermatitis for children. For psoriasis to be diagnosed, our physicians usually request skin biopsy. Patients with psoriatic arthritis are directed to the X-ray laboratory facility to undergo hand x-ray to know the extent of characteristic changes in the small joints. Diagnostic ESR is also done to patients who show signs of joint stiffness and also a blood test. But radiography was added because it is a cornerstone for diagnosing Psoriasis (Scheinfeld & Faad, 2010). Since exercises are a part of the treatment plan, patients are referred to our special group who renders hand rehabilitation exercises. Just a few days ago, we received a patient with a complaint of genital warts, flu like symptoms, and generalized rashes on her sole and palms. To confirm the initial assessment, our dermatologist re quested laboratory staffs to do Dark field examination of spirochete, serological test and spiral taps, all of which are diagnostic examination for syphilis (Raish & Kalus, 1987). The Oncology Department attends to cancer patients. The most prevalent cases we encounter are breast cancer for women although melanoma, leukemia, pancreatic and lung cancer are also on the rise. To diagnose breast cancer, mammogram is done especially if the patient presents suspicious findings like lump, serous bloody discharge, edema, and lymphadenopathy. Our specialty team is responsible for the post mastectomy patients for their breast reconstruction. The team also extends their services to other patients who are amputated because of gangrene or traumatic injury and need prosthesis. One particular case handled by our oncology department is ovarian cancer believed to be linked to endometriosis. Ultrasound was done by our sonogram technician who revealed metastasis thus the patient also suffers from asci tes, hepatomegaly, hirsutism, and anemia (Johnson, 2007). Patients with diseases of the gastrointestinal system are accepted in our Gastroenterology Department. The highest number of cases includes peptic ulcer. Diagnosing the disease involves gastroscopy or upper GI endoscopy. A CT scan was also realized to extend the service of the laboratory facility to patients with cholilithiasis, hernia, lymphoma, polycystic kidney disease, and others. Patients are referred to our specialty team for their diet whose service is not only confined to the department but also work with other patients with nephritis, who are obese, and with celiac disease. On performing ultrasound on one of our patient by our laboratory staff, a case of gallstone was accidentally revealed thus other diagnostic techniques were performed like cholecystography and Endoscopic Retrograde Cholangiopancreatography (ERCP). In the Pulmonary department, patient being cared for are those who suffer from lung diseases. Pneumoni a is in the top list of our chart although chronic obstructive pulmonary disease (COPD) and adult respiratory distress syndrome are trailing behind. Diagnostic procedure done to establish diagnosis is physical examination with the use of the stethoscope. However, the service of the laboratory staffs cannot be ignored with their blood and sputum test for confirmation. Other services present in our laboratory

Thursday, August 22, 2019

Deceit in Hunters in the Snow Essay Example for Free

Deceit in Hunters in the Snow Essay Tobias Wolff’s â€Å"Hunters in the Snow† centers on the actions and personalities of Kenny, Frank and Tub as they embark on a hunting trip during the winter. Each character faces problems (in character or otherwise) which they attempt to cover up through deception – the central theme in this short story – in order to accept their respective actions. The consequences of these cover ups profoundly change the power of each character over another. Furthermore, the characters don’t realize how their lies influence others around them. Kenny is a quintessential bully. His need for power over the other two causes him to assert control of any action be it driving or asking for permission to hunt on private grounds. In truth, he doesn’t even wish to ask for permission but is pressured by Frank to do so. Kenny’s seemingly flippant mannerisms also follow from his desire to be the alpha-male. He insults and mercilessly teases Frank and Tub about their insecurities. He pretends to desire to run over Tub after appearing an hour late and immediately silences any objection from Tub. However, he neither realizes how far he is pushing Tub nor the peril he is in. His stupid actions leading up to and after the murder of the old dog finally push Tub, who legitimately fears for his life, to retaliate. This immediately puts Kenny’s life at the hands of his bully victims and leaves a power vacuum to be filled. Tub’s main problem is his denial of the poor eating habits that he has. He adamantly tries to convince others that his problem is due to his glans despite acutely knowing that he gorges himself on unhealthy foods in solitude. The insecurity he feels about being found out causes him to become easily manipulated and bullied by Frank and Kenny. Moreover, the retaliation against Kenny only adds to the insecurity Tub has and he immediately searches for approval and protection against the consequence of shooting Kenny. Frank fills in this vacuum and manipulates Tub into siding with him. Frank himself faces the issue of adultery. His lust for another woman causes him to deceive himself into believing that this new female is the love of his life despite a small part of his conscience stating otherwise. He even goes as far as to perverse the beliefs of that small part by asserting that his reluctance is only due to the good that his wife had done him and the kids they had. Frank’s self-deception inadvertently acts on Tub’s insecurities, prompting Tub to open up about his problems to Frank. By deceiving himself to accept his adultery, Frank pushes Tub to accept the eating problems that Tub has by giving in to Tub’s urges. Frank is unaware that his acceptance of adultery has already influenced Tub to succumb to Tub’s desires (shown by the fact that Tub decides to open up to Frank). Each character has major issues that need to be corrected but prefer to deceive themselves and others than accept the truth and work towards correction. As such, Kenny lies in mortal peril, Frank gains newfound power in the group and over Tub, and Tub remains submissive to Frank’s wishes. Moreover, the newfound confidence in Frank leads him to ignore common sense in going back to retrieve vital directions to the hospital. The futures of these three characters is left hanging, however it is clear that the ending has each one moving down separate and erroneous paths.

Wednesday, August 21, 2019

The Power of Nonviolence Essay Example for Free

The Power of Nonviolence Essay â€Å"We heard that the city had decided to allow the police officials to stand by and allow the hoodlum element to come in and attack us†. The story â€Å"The Power of Nonviolence† by John Lewis takes place in the Southern United States during the late 1950’s and early 1960’s. An important theme revealed in â€Å"The Power of Nonviolence† is life can be hard but you should always keep going that is what gets you were you are. Three ways that this theme is revealed are, John Lewis and other blacks being discriminated against, John and his friends doing the sit-ins, and Nashville desegregating the lunch counters. The first way the theme is revealed is by John Lewis and other blacks being discriminated against. In the Southern States black people were discriminated against and were not allowed to eat or watch movies at the same places as white people because they were â€Å"colored†. Because of their skin they were denied the same things as white people. As shown in this quote â€Å"You bought your ticket at the same window that the white people did, but they could sit downstairs, and you had to go upstairs.† This quote supports the theme because it shows how hard life is on them and how they go on. The second way the theme is revealed is by John and his friends doing the sit-ins. Many people would go into the segregated places that served food and sit at the counters and wait to be served. Some times they wouldn’t get served at all other times they would get attacked, but they refused to fight back violently. As seen in this quote â€Å"They would sit down in a very orderly, peaceful, nonviolent fashion and wait to be served.† This quote supports the theme because they won’t back down and kept going on through hard times. The final way the theme is revealed is by Nashville desegregating the lunch counters. After months of the peaceful non violent sit-ins Nashville became the first city to desegregate its lunch counters and let blacks eat there too. As shown in this quote â€Å"And so Nashville became the first major city in the south to desegregate its downtown lunch counters and restaurants. That was the power of non violence†¦Ã¢â‚¬  this final quote reinforces the theme by showing that they got were they wanted to because they kept going on through hard times. The theme revealed in â€Å"The Power of Nonviolence† is life can be hard but you should always keep going that is what gets you were you are. Three ways that this theme was revealed were, discrimination all over the southern states, students participating in lunch counter sit-ins, and Nashville desegregating its lunch counters. Though out the story I was affected deeply by the careless discrimination and realized how horrible that it is and it let me see the light and realize what I was doing wrong and what I can do to correct it and fix the problems of discrimination.

End of life care child

End of life care child Care of a child with end of life During my clinical rotation at children cancer hospital, I encountered a child of 6 years old who was going through relapse of Acute Lymphoblastic Leukemia (ALL). The child and parents had difficulty talking to the staff and doctors due to inability of understanding language. The child was not in a position to talk to anyone except to few words to mother and father. While taking history from child’s father, it came to my knowledge that the child was diagnosed with Acute Lymphoblastic Leukemia in the month of September, 2014 and according to father he was diagnosed couple of months late. The child was receiving chemotherapy for three months but unfortunately the child developed relapse after the third cycle of chemotherapy. The doctor then informed the parents that now their son won’t be cured and ultimately the child passed through the end of life. As per the assessment the child had lost appetite, nasal bleeding, stomachache, nausea and vomiting. In addition, he was fa tigue, had bruises all over the body and had lost weight. The father was completely hopeless and was continuously denying the fact. Furthermore, he said that my child was diagnosed earlier than the other children admitted in this hospital with the same disease then why my child’s disease is incurable. Moreover, he emphasized if I can help his child in anyway. I found myself completely lost at that time because I wasn’t able to help father with what he was asking for. I felt like crying from inside because the child was so young and I could just realize how it feels losing a child at this age. Meanwhile, I controlled myself and tried to support father emotionally. I was able to take care of child and family on a whole with the all aspects but due to limitations of this paper, I’m considering only physical, psychosocial and end of life aspects. The child experienced substantial sufferings at the end of life and the communication with the parents was deficient. Increased focus on the palliative care needs of children with advanced cancer and their families makes an environment that fosters fundamentally improved end-of-life care and parents also report better preparedness for the end-of-life course and less suffering in their children. (Wolfe et al., 2008). The physical symptoms of the child were noticeable and painful. The physical disabilities were also associated with social role difficulties as the child was not able to socialize with his friends, relatives and parents. The literature also affirms that children with physical performance limitations are less likely to go to school or intermingle with friends and family (Tomlinson et al ., 2011). In addition children with physical sufferings are less likely to spend time with friends for social activities and less likely to participate in leisure time activities. As a health care provider for this child, I was able to help the child to reduce his physical sufferings by talking to him in his own language and listening to his concerns regarding his health. As the child wasn’t talking to anyone so I helped him to get socialized with the help of play therapy. Health care professionals, who care for children with long term physical problems, are urged to give careful attention to the emotional well being, behavior and social adjustment of children and their parents (Goldman, Hain and Liben, 2006). Psychosocial problems are often seen in children with chronic and live long illnesses. Childhood cancer affects allaspects of family life. For this reason, the care is not only focused on a child, but also to the child’s family and other parts of the child’s life. The parents of the child were not given enough attention from the staff and doctors because they considered that their child is not going to live anymore and everyone was asking me to give them emotional support instead of supporting them. Health care professionals who care for children with long-term physical health problems are urged by experts to give careful attention to the emotional wellbeing, behavior, and social adjustment of their patients (Wales, 2011). Having a child with cancer is usually a new experience for all family members. It can be very stressful, so it’s no surprise that families need education, support, and counseling to cope with it or else they will end up with depression and anxi ety disorders (Himelstein, 2006). Psychosocial support includes advocacy, education, supportive counseling, psychotherapeutic and behavioral interventions (Foster et al., 2010). I did advocacy on behalf of my patient as the child was kept in a procedure room where everyone was disturbing him and his parents during the last period of his life, so they were taken to the separate room. Palliative care professionals understand that each family is different and that a thorough psychosocial assessment is a precursor to developing an individualized plan of care that has the greatest potential for good outcomes. Psychosocial assessment should be ongoing and open ended and can be elicited simply by asking families to share their concerns with the health care team at each encounter (Friebert, Levetown and Carter, 2011) The impact of a child’s chronic illness and end of life on parents and the rest of family members is great. Sometimes it may not be possible to cure child with chronic illnesses despite the great efforts from health care team. Parent’s play an important role in helping a child continues to live a comfortable life and prepare for a dignified and peaceful death. It is the most difficult step for parents but it is necessary for them to talk about death to their children. Some parents believe that they are protecting their child by withholding the truth. However, most children with advanced cancer already know or suspect that they are dying, based on the changes they experience inside their bodies and observation of adults around them (Aschenbrenner, Winters and Belknap, 2012). The parents of the child I was caring for was not ready to tell their child about death because it was difficult for them to talk to their child about death and the father said to me that â€Å" he cannot tell his son that he is going to die and he is not able to do anything for him now†. I talked to the father that it is important for them to be honest and open. His child will feel less anxious and alone if he knows what to expect, and talking about his childs death enables him and his child to have an end by expressing love, sharing memories and saying good-bye to each other (Sullivan, Gillam and Monagle, 2014). Allowing child to talk about his or her fears and questions about death will help parents in understanding how to respond to these questions (Wolfe et al., 2008). A major factor influencing child’s understanding of death is his or her developmental level. For instance, preschool children are too young to understand the concept of death. School going children are just starting to comprehend death as a final separation. Meanwhile, adolescents and teenagers usually have an adult understanding of death. Childs understanding of death is also influenced by fam ily’s religious belief, cultural norms and views read in book or seen on television (Forster and Windsor, 2014). Since palliative nursing is entirely a different field so there should be a team which work in collaboration with other health care professionals to reduce the sufferings of the client and support the family on a whole during the end of life care. Child should be assessed on a daily basis for the physical symptoms and must be taken actions to work on symptoms if present. Parents of a child should be given guidance and support during the end of life so they go through this hard time smoothly. Bereavement is parents right and must be respected by health care professionals. Care delivery programs and health insurers, government as well as private should cover the provision of comprehensive care for terminally ill individuals who are nearing to death. Patient communication and advanced care planning that are actionable, measurable and evidenced based must be incorporated in quality standards. Health care organizations should establish the appropriate training and certification requiremen ts to strengthen the palliative care knowledge and skills of all health care providers who care for individuals with advanced serious illness who are nearing the end of life. In addition palliative care is now becoming an important approach to preventing and reducing sufferings in patients and families. It is recommended that primary palliative care should be a core skill of every health care professionals dealing with patients with advanced or serious illnesses. References Aschenbrenner, A., Winters, J. and Belknap, R. (2012). Integrative Review: Parent Perspectives on Care of Their Child at the End of Life.Journal of Pediatric Nursing, 27(5), pp.514-522. Forster, E. and Windsor, C. (2014). Speaking to the deceased child: Australian health professional perspectives in paediatric end-of-life care.International Journal of Palliative Nursing, 20(10), pp.502-508. Foster, T., Lafond, D., Reggio, C. and Hinds, P. (2010). Pediatric Palliative Care in Childhood Cancer Nursing: From Diagnosis to Cure or End of Life.Seminars in Oncology Nursing, 26(4), pp.205-221. Friebert, S., Levetown, M. and Carter, B. (2011).Palliative care for infants, children, and adolescents. Baltimore: Johns Hopkins University Press. Goldman, A., Hain, R. and Liben, S. (2006).Oxford textbook of palliative care for children. Oxford: Oxford University Press. Himelstein, B. (2006). Palliative Care for Infants, Children, Adolescents, and Their Families.Journal of Palliative Medicine, 9(1), pp.163-181. Sullivan, J., Gillam, L. and Monagle, P. (2014). Parents and end-of-life decision-making for their child: roles and responsibilities.BMJ Supportive Palliative Care. Tomlinson, D., Hinds, P., Bartels, U., Hendershot, E. and Sung, L. (2011). Parent Reports of Quality of Life for Pediatric Patients With Cancer With No Realistic Chance of Cure.Journal of Clinical Oncology, 29(6), pp.639-645. Wales, J. (2011). Promoting Psychological Well-Being in Children with Acute and Chronic Illness.Child and Adolescent Mental Health, 16(4), pp.223-223. Wolfe, J., Hammel, J., Edwards, K., Duncan, J., Comeau, M., Breyer, J., Aldridge, S., Grier, H., Berde, C., Dussel, V. and Weeks, J. (2008). Easing of Suffering in Children With Cancer at the End of Life: Is Care Changing?.Journal of Clinical Oncology, 26(10), pp.1717-1723.

Tuesday, August 20, 2019

Challenges Facing Goodyear Essay -- Business Management Consumerism Ti

Challenges Facing Goodyear Problem Statement There are several challenges facing Goodyear in the current environment. Our sales have leveled off in the past few years and we need to increase our market share in order to improve these numbers. Our debt is high and our interest payments are eating away at our profiles so we need to get more income to pay down this debt. The more immediate question is if Goodyear should launch its new line of Aquatred tires. The trend has been toward higher mileage tires and the Aquatred tire is not in line with this trend, being more of a higher end tire. Additionally, if we do determine that we are going to launch the Aquatred, do we start the advertising during the Olympics when we don’t have all the tire sizes available? We are also determining if remaining with our current distribution channel is the best approach or if we need to expand the way our tires get to market. If we decide that we are going to expand our distribution channels, we then have to determine which tires, we are going to offer in the new channels. Finally, our market share in the replacement market is lacking not sure this is true, and since consumers feel that buying tires is a necessity we have to find a way to make them excited about purchasing our product. Goodyear used to be considered the Gorilla in tire producers, but with increased competition in recent years, that is not longer the case. Issues: Consumer model and expectations Essentially, consumers fall into 4 basic segments. Â § There are Price-constrained buyers who buy the best brand they can afford. They do not show any loyalty toward any brand and tend to shop around for tires so we would have to get our tired in front of them and be the best priced. Â § There are the Value-oriented buyers that shop around a lot to get the best price, but would generally buy major brands only so we would probably be able to capture this buyer because of our brand name, but we would need competitive pricing. Â § There are the Quality buyers who were loyal to the outlet and the brand of tire. These consumers were generally upscale and are going to be our main target audience and the challenge here would be to get the tire to the outlet that the consumer is comfortable buying at and communicating the difference in our tire verses our competitors. Â § Finall... ... and concern was put forth by the company to try to make tires as safe as possible. This is a positive spin on the company as a whole, which should translate to higher sales for our other tire products. In conclusion, we have a unique opportunity to take advantage of a niche market that is as of yet untapped. We have already purchased advertising time at the Olympics for which we are going introduce our new Aquatred tire, as well as promote Goodyear’s continuing quest for safety and quality. We are going to open up new distribution channels for our lower end tires so as to increase market share in these areas, while ensuring that our independent dealers sales are respected and promoted as much as possible. This is a very exciting time for Goodyear and the Aquatred tire. A little long, but I like your plan of action. Most important attributes for consumers when purchasing a new tire: 1. Tread Life 2. Wet Traction 3. Handling 4. Snow traction 5. Dry traction US market for Passenger Tires Replacement OEM Total Industry 152.0 43 195 Goodyear 22.8 16.3 39.1 Goodyear’s percent 15% 38% 20%

Monday, August 19, 2019

Jack Londons To Build a Fire Essay -- London Jack Build Fire Essays

Jack London's To Build a Fire Nature is always pushing man to his limits. When man heeds the warning signs that nature has to offer and those warnings of other men, he is most likely to conquer nature. When he ignores these warnings, nature is sure to defeat man. To build a fire is a prime example of this scenario. In the short story, â€Å"To Build a Fire† by Jack London, an inexperienced traveler in the Yukon travels alone with his dog, even though it is ill advised to do so. The man is strong and smart but nature humbled him during his quest to reach his friends. The man’s inexperience with traveling in the cold subzero temperatures doomed him from the beginning, but his strong focus under extreme pressure and his keen sense of observation are what allows him to survive as long as he did. The ignorance of the old-timer’s words of wisdom slowly haunts him and catches up with him in the end. The man’s disregard for nature’s power is his demise during his journey. Although the man’s inexperience is his demise, he has very keen observing skills and strong focusing abilities. London writes, â€Å"he was keenly observant, and he noticed the changes in the creek, the curves and bends and timber-jams, and always he sharply noted where he placed his feet.† (London, 527) These skills allow him to make his way through the Yukon. He lacks imagination of what could happen to him in the tundra of the Yukon. â€Å"The trouble with him was that he was without imagination,† (London, 525) Lo...