Thursday, October 31, 2019
Relationship Marketing Individual Assignment Essay
Relationship Marketing Individual Assignment - Essay Example For many theorists, relationship marketing appears to be a new concept, but a few others have been keen to identify that relationship marketing has always existed as a critical part of many traditional marketing theories. The main objective of adopting the relationship marketing is to ensure that an organization has a well-established and long-term relationship with its stakeholders. Most importantly, organizations focus on the most critical stakeholders who are the customers. This is because a business cannot exist without customers who are the consumers of the products and services the business provides. With the global business front becoming highly competitive, there is a salient need for businesses to adopt the relationship marketing as one of the outstanding strategies of maintaining the customer loyalty. Traditional marketing theories focus on convincing customers for the first time. On the contrary, relationship marketing intents to maintain an esteemed relationship between the customer and the business. The Starbucks Company has exhibited its commitment to using relationship marketing in an effort to develop meaningful relationships with different stakeholders. This explains why the company prides itself with a remarkable number of loyal customers. This paper will focus on describing the theoretical frameworks that define relationship marketing and how the Starbucks Company has been applying these theoretical concepts in an effort to develop meaningful relationships with stakeholders. The Starbucks Company began as a small coffee house in Seattle in 1971. However, over the decades, Starbucks Company has risen to become a giant coffee company exerting its impact across the globe. The company has received recognition as a leading company and has appeared in the top 100 Forbes companies several times (Angrisani 2013, p. 12). Over the years, Starbucks Company has
Tuesday, October 29, 2019
Americas Obesity Essay Example for Free
Americas Obesity Essay The McDonalds Corporation wants to be everywhere that children are. The number of obese children has more than doubled since 1980. Many people blame the fast food industry for making the people of America fat. Most of the people in America blames the companies for selling their unhealthy food, advertising and promoting their food to young children, and creating super sized servings. Having said that, there are people who believe that it is the persons fault for being an unhealthy and obese person. Weintraubs article ââ¬Å"The Battle Against Fast Food Begins in the Homeâ⬠, argues that America shouldnt be blaming the fast food industry or the government, but instead the parents. Weintraub explains how its the parents responsibility for their own childs health and I agree with him. I, personally blame consumers but in this case the parents are the one to be blamed since their children are not old enough to understand how fast food affects our health. People are able to make their own decisions in life and every decision should help us in a positive matter. Before we are able to make right choices, its our parents responsibility to teach us. Parents should be able to teach their children on how to make wise choices. Everyone chooses for themselves and the choices we make should reflect on our life style and well being. In Weintraubs article, he states how he treats his kids in his own home and the strict rules he has set for his children to follow. His home is a fast food , free zone or shrine to physical fitness. Weintraubs family tries to cook meals at home as much as possible. They limit television time and he encourages his boys to get out of the house, to either participate in school sports or other outside activities. Weintraub recommends having health care foundations ââ¬Å"encourage these kinds of simple policies in the homeâ⬠and maybe we might just see a slight change in Americas obesity problem. Clearly fast food companies promote their food to children because they are easier to persuade and manipulate. Many children see McDonalds advertisements while watching television and they immediately react to it by telling their parents they want to buy this or that. Sometimes parents a rent able to cook a home cook meal so they turn to fast food. Most of the time their children wanted that in the first place. There are many situations where fast food is the only choice parents have because its fast and affordable. In our economy affordable is what everyone wants. Fast food locations are everywhere and anywhere. Weintraubs loaded gun analogy, ââ¬Å"We have laws against parents leaving a loaded weapon where their children can find it and use it to hurt themselves or others. But no one seems to want to tell parents that they need to protect their children from unhealthy foods and sloth.â⬠I agree with what he is trying to portray. In my family, my mother works seven days a week, barely has time to cook a mea. but she still forbids us to eat out or buy fast food. She knows how unhealthy fast food is for people because she has worked at McDonalds in the past and that could be the result of not wanting us to always eat fast food. It just really all depends on what your parents want you to do. It is the parents job to take the initiative for their kids health. Diabetes accounts for $100 bi llion a year in health care costs today. The center for Public Health Advocacy took data and the center said, 26 percent of school children are overweight. More boys (32 percent) than girls (21 percent) were overweight. The center blamed the increasing consumption of fast food and drinks, larger portion sizes, availability of junk food on campus, advertising junk food, and the lack of consistent physical education programs in schools. The outcome of that was authors recommending the state enforce an existing law requiring an average of at least 20 minutes per day of physical education, nutritional standards for schools, and working water fountains. Out of all 20 recommendations, only one focused on parents. Authors suggest that schools be required to provide parents with fitness test results on their children and information about the importance of daily physical activity for learning and lifelong health. Weintraub states in his conclusion, ââ¬Å"Before we start talking about banning fast food, lets do more to encourage personal responsibility.â⬠I have the same opinion and agree with Weintraub. We arent forced to eat fast food, we just choose to. Parents should teach their kids at an early age that there are alternatives and other ways to prevent obesity. It is the childs parents who is accountable for their choices. More organizations should inform parents that they need to influence better exercise and keep track of their childs eating habits.
Saturday, October 26, 2019
Accountability for Reasonableness for Priority Setting
Accountability for Reasonableness for Priority Setting Essay Accountability for Reasonableness, for priority setting and resource allocation. INTRODUCTION Pakistan as a developing country has very limited health care resources whenà considering a huge population of over 170 million. We have very few tertiary careà hospitals and they are providing services to the whole country. Majority of people inà our country are poor and they are unable to afford the expenses of private hospitals,à though private hospitals are also very few. Thousands of doctors are unemployedà and still we have shortage of doctors. Majority of BHU (Basic Health Units) areà closed as majority of doctors belong to urban areas and they donââ¬â¢t want to work inà remote village areas. In all these situations, it is very difficult to maintain healthà care throughout country. In this essay, I will take into account four conditions ofà accountability for reasonableness for priority setting and resource allocation. I willà take into account these four conditions by Norman Daniels and I will consider aà tertiary care hospital scenario where I did my house job in medicine ward last year. There were majority of patients suffering from chronic liver diseases (CLD). I willà further continue this essay in discussion. DISCUSSION Before discussing the four conditions of accountability for reasonableness, I willà briefly discuss the case scenario. In my medicine ward as I earlier said majority ofà patients were of chronic liver diseases (CLD) and it includes Hepatitis B, Hepatitis Cà and cirrhosis of liver. Cirrhosis is the end result of hepatocellular injury that leadsà to both fibrosis and nodular regeneration throughout the liver. The clinical featuresà result from hepatic cell dysfunction, portosystemic shunting, and portalà hypertension. Cirrhosis may cause no symptoms for long periods. One of the majorà complications is uppergastrointestinal tract bleeding which may occur from varices,à portal hypertensive gastropathy, or gastroduodenal ulcer. Hemorrhage may beà massive, resulting in fatal exsanguinations or enencephalopathy. Esophageal varicesà are found in 50 % of patients with cirrhosis. There are several treatment andà management options available for esophageal varices includin g acute resuscitationà as initial management, pharmacologic therapy, balloon tube tamponade, portalà decompressive procedures and emergent endoscopy. Endoscopic techniques are alsoà used for prevention of Rebleeding. 1. Now, I will discuss my case scenario. In ourà hospital there is one associate professor who is trained in doing endoscopy andà Wednesday is fixed for performing endoscopies. Emergent endoscopy is performedà after the patientââ¬â¢s hemodynamic status has been appropriately stabilized (usuallyà within 2-12 hours). Majority of poor patients come to hospital in end stage liverà diseases. I have taken this case series as it is a perfect example of scarce resources. Many patients faced problems as their endoscopies were not performed on time asà there was only one day fixed in a week. Now I will apply the four conditions ofà accountability for reasonableness for priority setting and resource allocation. Theseà four conditions are publicity condition, relevance condition, revisions and appealsà condition and regulative condition. Accountability for reasonableness makes ità possible to educate all stakeholders about the substance of deliberation about fairà decisions under resource constraints. It facilitates social learning about limits. Ità connects decision making in healthcare institutions to broader, more fundamentalà democratic deliberative processes. 2. In my case scenario I will apply the fourà conditions as follows. The first one is publicity condition. It states that decisionsà regarding limits to care and their rationales must be publicly accessible to clinicians,à patients, and citizens in a publicly administered system. When the patients sufferà the complication of esophageal varices, they are informed about the limited capacityà of the ward to arrange endoscopy as it is done on only Wednesdays and surgicalà ward have their own burden of patients to be done endoscopies, due to this reasonà we were unable to send patients to surgical wards and the patients and theirà relatives mostly agrees on this setup and if their was any emergency only then weà take help from surgical ward or send the patients to any other hospital, so the firstà condition is fulfilled. In above scenario second condition is also fulfilled which isrelevance condition. It states that the reasons for limit-setting decisions will beà reasonable if it appeals to evidence, reason, and principles that are accepted asà relevant by fair-minded people who are disposed to finding mutually justifiableà terms of cooperation. In my case scenario the decision making is according to theà framework. The rationales w ere reasonable as it is evident that we had limitedà facility of endoscopy and it was fairly accepted by patients and their relatives andà also by doctors and other hospital staff. In our setup priority was given to thoseà patients who needed emergency endoscopy rather than those who requiresà endoscopy for diagnostic procedures. The third condition is revisions and appealsà condition. This condition is a very common problem in government hospitals and inà our scenario we request consultants from surgical ward to do emergency endoscopyà if we think patient is serious and he or she may die if the endoscopy is notà performed on time or in other case the other hospital is very far so that it will be lateà if we send the patient to other setup and here comes the function of oncallà consultants also, the oncall consultants plays huge role in these emergencyà situations. This third condition is a mechanism for challenge and dispute resolution regarding limit setting decisions, including the opportunity for revising decisions inà light of further evidence or arguments. 3. Thus we fulfill the third condition also byà revising our decisions as I explained above. The fourth and last condition isà regulative condition or enforcement. There is either voluntary or public regulationà of the process to ensure that conditions 1-3 are met. This condition is also fulfilled inà our setup as we communicate with the patient and their relatives about our limitedà resources. We are able to convince patients in our case scenario. The hospitalà leadership is constantly making efforts to meet the conditions of ââ¬Ëaccountability forà reasonablenessââ¬â¢. 4. CONCLUSION In this essay I have discussed all four conditions of accountability forà reasonableness, for priority setting and resource allocation. ââ¬ËAccountability forà reasonablenessââ¬â¢ is a framework that can be used to guide legitimate and fair priorityà setting in health care organizations, such as hospitals. In our beloved countryà Pakistan we have few government civil hospitals bearing the burden of millions ofà population. We try our best to server the humanity. Iam not claiming this system aà perfect one, it needs a lot of improvement and the example is my case scenario inà which we have very limited resources. Government should establish civil hospitals inà small cities also and should increase their budget; they should recruit more doctorsà and nurses as we have shortage. They should train doctors with latest equipmentsà and provide hospitals appropriate medicines. In addition to this all the hospitalsà should be provided with computers and also be made online so that a data systemà can be established and it can help the patients and also hospitals for futureà reference. I will conclude by saying that in such scarce resources, government sectorà hospitals are doing excellent job. REFERENCES Current Medical Diagnosis and Treatment 2004. 43rd edition. Norman Daniels. (2000). Accountability for reasonableness. BMJ; 321; 1300-à 1301. D K Martin, P A Singer and M Bernstein. (2003). Access to intensive careà unit beds for neurosurgery patients: a qualitative case study. J. Neurol.à Neurosurg. Psychiatry; 74; 1299-1303. Jennifer AH Bell, Sylvia Hyland, Tania DePellegrin, Ross EG Upshur, Markà Bernstein and Douglas K Martin. (2004). SARS and hospital priority setting:à a qualitative case study and evaluation. BMC Health Services Research, 4:36
Friday, October 25, 2019
The Eucharist Essay -- essays research papers fc
Eucharist is the central rite of the Christian religion, in which bread and wine are consecrated by an ordained minister and consumed by the minister and members of the congregation in obedience to Jesus' command at the Last Supper, ââ¬Å"Do this in remembrance of me.â⬠In the Orthodox and Roman Catholic churches, and in the Anglican, Lutheran, and many other Protestant churches, it is regarded as a sacrament, which both symbolizes and effects the union of Christ with the faithful. Baptists and others refer to Holy Communion as an ââ¬Å"institution,â⬠rather than a sacrament, emphasizing obedience to a commandment. Traditionally, Jesus' command to his disciples at the Last Supper to eat the bread and drink the wine ââ¬Å"in remembrance of meâ⬠constitutes the institution of the Eucharist. This specific command occurs in two New Testament accounts of the Last Supper, Luke 22:17-20 and 1 Corinthians 11:23-25. Older theology asserts that Jesus gave this command on this occasion to ensure that Christians would break bread and drink wine in his memory as long as the church endured. A critical approach to the Gospel texts, however, has made this conclusion less certain. The command ââ¬Å"Do this in remembrance of meâ⬠does not appear in either Matthew's or Mark's account of the Last Supper. Consequently, a number of scholars have supposed that the undoubted experience of communion with the risen Christ at meals in the days after Easter inspired in some later traditions the understanding that such communion had been foreseen and commanded by Jesus at the Last Supper. The matter can probabl y never be resolved with complete satisfaction. In any case, the practice of eating meals in remembrance of the Lord and the belief in the presence of Christ in the ââ¬Å"breaking of the breadâ⬠clearly were universal in the early church. The Didache, an early Christian document, refers to the Eucharist twice at some length. The Didache and the New Testament together indicate considerable diversity in both the practice and the understanding of the Eucharist, but no evidence exists of any Christian church in which the sacrament was not celebrated. à à à à à The development of Eucharistic doctrine centers on two ideas: presence and sacrifice. In the New Testament, no attempt is made to explain Christ's presence at the Eucharist. The theologians of the early church tended to accept Jesus' wo... ...s of Scripture readings, a sermon, and prayers. This part of the Eucharist, apparently adapted from Jewish synagogue worship, has been prefixed to the service of bread and wine at least since the middle of the 2nd century. The second part of the service, the ââ¬Å"service of the Upper Room,â⬠consists typically of an offering of bread and wine; the central Eucharistic prayer; the distribution of the consecrated elements to worshipers; and a final blessing and dismissal. This particular part of the service has its roots in the ancient traditional table prayers said at Jewish meals. The central Eucharistic prayer, the Anaphora, which is Greek for ââ¬Å"offeringâ⬠, typically contains a prayer of thanksgiving for the creation of the world and its redemption in Christ; an account of the institution of the Last Supper; the oblation, or Anamnesisââ¬âthe offering of the bread and wine in thankful remembrance of Christ; the Epiclesis, or invocation of the Holy Spirit on the bread and wine and on the congregation; and prayers of intercession.Bibliography Underwood, Karen. The Eucharistic Prayer. New York: Dodd, Mead, & Co., 1985 ââ¬Å"Eucharist,â⬠World Book Encyclopedia (1999 edition), IV, 290-92.
Wednesday, October 23, 2019
Defense Attorneys Essay
Discuss the role of defense attorneyââ¬â¢s in the courtroom workgroup. A defense attorney is a lawyer who provides legal representation for a person who has been arrested and charged for breaking the law or when an individual been served with a lawsuit. For example, when another individual filing the lawsuit goes after money for damages or justifiable relief of some sort. A very small portion of lawyers actually discuss that they work as criminal defense attorneys. This is because of the negative labeling assigned to the profession by American Social Forces. However defense attorneys are very important in the criminal justice system. They work to protect the innocent from being falsely convicted, and they work to protect the constitutional rights of all defendants. When a criminal defendant cannot afford to pay for the services of a private legal attorney, the United States Supreme Court requires that a defense attorney be appointed to represent the defendant. This expense is covered by taxpayers. There are three major categories of defense attorneys to help assist criminal defendants: * Private attorneys usually referred to as retained counsel.
Tuesday, October 22, 2019
Three Day Road Mini Essay Example
Three Day Road Mini Essay Example Three Day Road Mini Essay Three Day Road Mini Essay War is a game of bloodshed, filled with feelings of enmity and hatred. Although this statement is involved, some people fight for their honour and love of their country aswell as pride, glory, and of course acknowledgement. The passage Three Day Road by Joseph Boyden brings us behind the eyes of a man in the battle of Vimy Ridge, World War 1.The nature of world war 1 is about using long range guns, resources, unexpected attacks, heavy artillery and of course the mood of this battle was melancholy, bitter and nerve-racking. Resources, unexpected attacks and heavy artillery all link together in a way, and these tactics deemed worthy in this battle. Both lines would have some of their forces using scopes to hit the enemy from afar. They would use objects, sheets and in the story cement statues to hide themselves while shooting at the enemy lines.The war was a game of chess, who could make the right move at the right time and perfectly forsee the enemies attack. In this story the Canadia ns charged with the Artillery Barrage and managed to get up close and personal to the Germans. The Germans, not used to the close combat when the Canadian forces ran to them reacted in the way the Canadians wanted, akwardly. For the first time, the faces of the Hun look nervous. The canadians are so close now that the rifle fire is almost useless, and the ones just ahead of me are on the German sandbags, stabbing their rifles at the men below them. (Boyden 238)The feelings melancholy, bitter and nerve-racking were expressed through the main character who was always scared of friendly artillery shooting up him, he was also always spectating his friends dying or dissapearing and generally had a negative experience with the war. When he goes to the charge he sees many of his friends die, and this sets negative tones and moods, it also courses adrenaline through the soldiers veins. Gilberto sees me too, and turns toward me offering his hand to help me up, an expression on his face as if hes finally found his long lost-friend. I reach up to take it, just as the smile on his face blooms into a red flower. (Boyden 236) So yes, the nature of world war 1 was not of flowers, or smiles but of gruesome outright bloodshed. It wasnt a organized fight where each line would stand on either side of a farmers field and shoot, it was about soldiers using advanced tactics to unexpectedly destroy the enemy in a heartbeat. This was a war of brutality.
Monday, October 21, 2019
Opposing Genetically Modified Organisms essays
Opposing Genetically Modified Organisms essays As a result of biotechnology and its wake of controversy that follows, a number or organizations have voiced their concerns toward the corporate driven discipline. As a product of biotechnologies carelessness, or motives, activist groups have risen throughout the world opposing the novelty of genetically modified organisms. The intent of biotech companies is to market and eventually sell these innovations, eventually increasing their profits and stock prices so new products can be funded while the shareholders line their pockets. Opposing organizations which see biotechnologies incentives as a danger to society and the many other life forms that exist on our planet interrupts such a process. Greenpeace is perhaps the biggest organization in opposition to genetically modified organisms. Greenpeace is an international environmental organization which fights to help protect and restore the environment. It is currently involved in a number of areas including; climate, toxics, nuclear, oceans, ocean dumping, forests and the somewhat novel area of genetic engineering. According to Greenpeace, genetically modified organisms must not be released in the environment, as the consequences for the environment and evolution are unpredictable and irreversible (Greenpeace, 2000). Once released, the new living organisms made by genetic engineering are able to interact with other forms of life, reproduce, transfer their characteristics and mutate in response to environmental influences. In most cases they can never be recalled or contained. Any mistakes or undesirable consequences could be passed on to all future generations of life. Greenpeace addresses facts like these on their website, adding that the introduction of foreign species is a major cause of ecological disruption and erosion of biodiversity. For example, in the United States alone, 42% of the species on the threatened or endangered species list are at risk primarily because of...
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