The Theme of Identity in Poetry :: Identity Digging Still I Rise The Barn Essays

The Theme of Identity in Poetry These three poems are all to do with the theme identity although I specifically choose three that contrasted with each other. Digging is portraying the identity of the three generations of digging, his father, grandfather and himself. ‘Explain how three poems concerned with developing personality, develop their themes’ For this essay I will be choosing three poems, which will help me compare and contrast how each develop their themes of identity. The three I will be choosing are: 1. Digging Between my finger and my thumb the squat pen rests: snug as a gun. Under my window, a clean rasping sound when the spade sinks into gravely ground: My father, digging. I look down till his straining rump among the flowerbeds Bends low, comes up twenty years away Stooping in rhythm through potato drills where he was digging. The coarse boot nestled on the lug, the shaft against the inside knee was levered firmly. He rooted out tall tops, buried the bright edge deep to scatter new potatoes that we picked Loving their cool hardness in our hands. By God the old man could handle a spade. Just like his old man. My grandfather cut more turf in a day than any other man on Toner's bog. Once I carried him milk in a bottle Corked sloppily with paper. He straightened up To drink it, then fell to right away Nicking and slicing neatly, heaving sods Over his shoulder, going down and down For the good turf. Digging. The cold smell of potato mould, the squelch and slap of soggy peat, the curt cuts of an edge through living roots awaken in my head. But I've no spade to follow men like them. Between my finger and my thumb the squat pen rests. I'll dig with it. 2. Still I rise You may write me down in history with your bitter, twisted lies, you may tread me in the very dirt but still, like dust, I'll rise. Does my sassiness upset you? Why are you beset with gloom? 'Cause I walk like I've got oil wells pumping in my living room. Just like moons and like suns, with the certainty of tides, just like hopes springing high, still I'll rise. Did you want to see me broken? Bowed head and lowered eyes? Shoulders falling down like teardrops. Weakened by my soulful cries. Does my haughtiness offend you? Don't you take it awful hard 'Cause I laugh like I've got gold mines Digging' in my own back yard. You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise. Does my sexiness upset you? Does it come as a surprise that I dance like I've got diamonds

Huawei Research Essay

The purpose of this report is to find out how Huawei positioned in the industry of mobile phone. We went through all Huawei’s background, offering, purpose, market contexts and understanding the business operations of Huawei. We also analyse and evaluate what marketing strategies and marketing mix to help them hold their position in such competitive industry. After understanding the concept of the marketing strategies, we investigate that the marketing segmentation and the targeting strategies which Huawei used to position itself in the market. We use it to compare and explain why the Huawei choose the strategies in promoting their products. After investigating the Segmentation, Targeting and Positioning (STP) marketing strategies, we have done our further report with the concept of the marketing mix as known as the 4Ps – Promotion, Pricing, Products and Place. After the identification and discussion of marketing mix, we found out that Huawei is facing some problems and we come up with our ideas, recommendation and suggestion how Huawei can overcome these current concerns and further concerns. Huawei enterprise has segments into different markets which are carrier network business, enterprise business and consumer business. However, Huawei is targeting more towards the consumer business and it segments the market into two parts again which are low income group and high income group. According to the segment variables, Huawei’s products are mainly targeting on low income consumers as Huawei is producing low price smartphones which are affordable by the target groups. Huawei’s positioning as the world’s third smartphone enterprise and known as the world’s largest telecoms operators offering global equipment, operational services and manufacturing electronic communications devices. Huawei enterprise is in the position of low price and personal used entertaining smartphones. INTRODUCTION Overview, Company background, Company’s offering, Purpose Huawei Technologies Co. Ltd. is a Chinese leading ICT provider, which was founded in 1987 September by the Ren Zheng Fei, the company’s president and the ex-People’s Liberation Army engineer, established in ShenZhen, China. Huawei is a private firm that owned by its own employees. Huawei is the leading telecommunications equipment manufacturing supplier and was ranked among the top three globally in mobile phone industry. The vision of Huawei is to enhance people’s lives through communication. While their mission is to focus on their clients’ market challenges and desires by providing better ICT solutions and services in order to consistently produce maximum value for clients. Huawei’s core values have been divided into customers first, dedications, continuous improvement, openness & initiative, integrity and teamwork. (Huawei, 2014) Market contexts, Use of concepts and Theories Market contexts help firm to analyse and get more personalized and relevant marketing contents. Market context is also known as SWOT. Information shown below is the Strength, Weakness, Opportunity and Threat (SWOT) of Huawei. ( Huawei,2014) (1) Strength: Huawei invested a huge amount in R&D, having wide vision and experienced sales organisation to help them in emerging markets and the cost advantage. (2) Weaknesses: Lack of awareness and experience outside telecom, the margin pressure due their low price products. (3) Opportunities: Their business models are all towards cloud and have huge data solutions. (4) Threats: Many competitors are entering these developing markets. Company planned their marketing strategies with 4Ps, which includes product, price, promotion and place. Huawei have produced low-cost smartphone to its low-income target. As its production base is in China which has low labour cost, hence Huawei could enjoy the cost advantage. Besides, Huawei is using the selective distribution strategy and also e-commerce distribution channel to sell their products. Last but not least, Huawei promotes their products by making advertisement, having exhibitions and also making a slogan that could make their low-price products well-known and recognized. BODY 1 Concepts of STP Market Segmentation is a marketing strategy that involves dividing a broad market into subsets of consumers with different requirements, characteristics or behaviors that might involve various marketing tactics to deal with. Corporations can identify the bases and develop the profiles of the resulting segments. Segmentation : Marketing segmentation is divided into four which are geographic, demographic, psychographic and behavioral segmentations. Geographic segmentation segments the market into geographical parts to perform a company determine whether it should operate in one or a few or all the areas that geographically vital to the consumers’ needs. Examples: Nation, city, density. Demographic segmentation is the most common segmentation method for segmenting consumer groups because needs also related to the demographic elements. Examples: age, income, race. Psychographic segmentation is classification of customers with regard to different characteristic. Examples: lifestyle, personality, core values. Behavioural segmentation can filters consumers into groups according to their knowledge, attitude, habit or response to a product. Examples: occasion, benefits and user rates. Targeting: Targeting is the process to help companies to filter and select potential customers to plan marketing strategy and develop a more specific tactic to reach the amount of expected sales. There are 3 general tactics in targeting the market: Undifferentiated targeting is the strategy that the company has a very competitive product that might monopolize the market and don’t need differentiate consumer group. Concentrated targeting is the company has a very strong data and company know which consumer group they should aim and let them become more competitive in the market. Multi-Segment targeting is the technique used to focus two or more well researched consumer groups so  can develop different strategies. Positioning: Positioning is improving the awareness, perceptions and impressions of consumers. Positioning can be a really efficient instrument to tempt consumers. Companies can utilize the concept of positioning and differentiation to identify themselves by bringing the distinctive value and benefits to consumers and become more competitive. BODY 2 Market Segmentation Carrier network business, enterprise business and consumer business are the three core business segments that divided by Huawei enterprise. The first segmentation which is carrier network business is mainly emphasizing on telecommunications operator and services worldwide. In order to achieve this, Huawei develop various wireless network products, at the same time they offer consistent experiences and effectives solutions to their customers. Secondly, enterprise network business mainly serves government, public utilities and enterprises customers. It provides great efficiency to ICT solutions, hardware equipment and services which include network infrastructure, cloud computing, and enterprise information solutions. Huawei aims to become one of the leading global mobile phone brands by 2015. As the results of it, the third market segment develops and manufactures consumer product, for example mobile broadband devices, home devices, smartphone, and related applications. The enterprise highly focuses on fulfilling consumers’ needs and wants. Above are generally three business segmentations that Huawei enterprise focuses on. However, to meet the assignment question requirement, Consumer Business segment is interpreted in more detail forms as below. Segmentation Income Segmentation Psychographic Segmentation Behavioral segmentation Income Level Social Class Lifestyle Benefit sought High-income Upper and upper-middle Luxury Uniqueness, brand image, deliverability and relevant Low-income Working and lower-middle Economy Desirability, deliverability and relevant Based on demographic segmentation, Huawei sorted it’s customer to low-income segment and higher income segment. As a relative new comer in smartphone market, Huawei have already captured the attention of low-income segment customers (Segmentation A), who are earning relative low income and stands at the working or lower-middle of social class. This segment has a normal or economy lifestyle and they emphasize more on the value of money. While in segmentation B, who has higher income or work as supervisor and above. They are standing on the upper or upper-middle of social class. Hence they are having a luxury lifestyle, which focus more on the uniqueness or appearance. Targeting According to research firm Gartner, smartphones’ share of worldwide mobile phones sales in year 2012 went up 12.3 percent every year from 26.6 percent in 2011, driving overall mobile sales consistently as feature phones showed  a decline in demand. However, smartphones market is rapidly well structured, in order to capture the consumers’ eyes and able to compete with others well-known brand, Huawei enterprise firstly decided to target one significant segment to enter the smartphone market. Target lower-income segment: From the demographic segmentation, Huawei targets at low-income segment consumers. As a new-comer of mobile device market, Huawei started its business at lower-end market segment. More than half of those Huawei phones were sold to people with household income of $35,000 or less, a low income segment.(NPD, 2012) Huawei succeeded in its smartphone business is due to the aggressive lower-end pricing, said Neil Shah, analyst of wireless device strategies at Strategy Analytics. The production cost is lower than other smartphone brand, and the company set it’s smartphone product at lower price, it directly attract those low income consumers to buy Huawei smartphone or tablet products. The company designs low profile development to meet growing domestic demand for cheaper smartphone, and it also indirectly stimulate the country’s economics.( Bourcier, J.,2014) The reason that Huawei chooses to target lower-income market is that lower production cost yet bigger income.( Khan, S ., 2013) It can be explained that lower income consumers have more affordability and more willingness to buy the low cost smartphone. As a result of it, bigger profit margin is successfully gained. Besides, global market giant such as Samsung and Apple have long ignored the lower-end market, it the best chance for Huawei to dominate the lower-end market segment consumers, and it proved that Huawei has succeeded setting their aggressive marketing strategy. Finding others omission and work on it is their strategy to capture the consumers’ wants and needs. It is also the second reason that Huawei tends to target lower-income consumers. For example, Huawei I M835 model Android smartphone retails at $39, and it is cheaper than some others smartphone brand, at the same time, the average smartphone selling price was $335 in 2013, IDC reported. According to the store assistant Ron Wemirovsky, Huawei’s smartphone attracts lower-income customers. The Huawei M835 is the cheapest Android smartphone in the market.(Tung, A., 2014) Furthermore, South Pacific at Huawei’s regional marketing director, Tang Siew Wai, claimed that their  overall strategy is to extend its bus iness from B2B to B2C, mainly to make well known Huawei -branded, and shifting it’s smartphone business products from lower-end products to both middle and high range products globally. (Khan, S., 2013) Positioning Huawei maintains its strong market position. According to IDC, Huawei maintained the third position over the world, it attained the highest yearly increase among the leading vendors, and raised its brand portfolio with a higher proportion of self-branded unite compare to other enterprises (Troianovski, A., 2014). Furthermore, Huawei enterprise also maintained their strong market position in other field, for example they are the world largest telecoms operators offering global equipment, operational services and manufacturing electronic communications devices such as smartphone and tablets. From the figure above, it shows Huawei smartphone in significant position which is low price and personal used entertaining smartphones. Huawei’s strong market position indicates the superiority on providing services and also indicates the company is enjoying a well-known brand name that its effectively merging into new products line and market to capture market share from the competitors. Although Huawei has got its target low-end segment marketing strategy successfully, yet the company are having several strong competitors to compete with each other on the low pricing smartphone market, for example ZTE and Lenovo. According to Gartner, while Huawei and ZTE are competing with each other furiously, Lenovo’s smartphone fugitively developed its brand in the market. Other than that, Nokia has also got its low pricing strategy in China and it makes the competition among the companies that target low-end segment into a drastic scene. In conclusion, Huawei’s strong pos ition in the smartphone market and other field products markets has strengthened the company competiveness. Besides, innovation is important for the company, the transformation of different targeting segmentation can be a way to maintain the company’s strong influence in the market. BODY 3 In business world, no matter you are product or service base company, marketing mix strategies is a must in generating sales by implementing their own marketing strategies. There are 4 elements in marketing mix strategies which are product, price, promotion and place. Product Reportedly, Huawei’s smartphone shipments show an increment of 67% annually to 13 million units in the third quarter of 2013, which captured 5% of the global smartphone market (Huawei Investment & Holding Co. Ltd, 2014). According to Kotler & Armstrong (2014), there are three levels fall under the product which are core customer value, actual product and augmented product. A research (BBC, 2013) shows Ascend Y100 is chosen as well known product in the Huawei Company as the price is below $99. This Ascend Y100 is targeting the low income customers where the customers show their core values while purchasing this product. The core customer values that can be found are the customers are spending less on the mobile phone and get an equal quality of smartphone specifications. Furthermore, actual product includes the brand name, quality level, and features. Huawei Ascend Y100 is one of the smartphone brand names in the Huawei Company. The quality of this smartphone may not as grand a s those premium phones; however, it does not really feel fragile either. Ascend Y100 has an anti- fingerprint surface, as the screen and the phone is surrounded by gloss black bezel (Huawei Ascend Y100 Android phone, 2013). The specifications of Ascend Y100 are storage capacity with 512 MB and it is expandable to 32 GB, screen sharpness of 143 pixels per inch, and it runs the Gingerbread 2.3 version of Android (Huawei Ascend Y100 Specifications, 2014). Even though Ascend Y100 is fall under the low price smartphone, but it offers all the features of most other Android smartphones such as Wi- Fi, a Web browser, and GPS. Last but not least, warranty, delivery and credit, and after sales service can be concluded in the last level, augmented product. There is a one year manufacturer warranty on the smartphone and only six months warranty for the accessories in the product’s box. Delivery process will be done upon online purchasing and credit payment services are provided too. A cross- technology method should  be used by Huawei to improve their productivity on all the mobile phones especially Ascend Y100. This can increase the specifications and designation of the products. Huawei can hire more fore ign employees to get different type of technology ideas and use it in developing the new products. A mixture of different ideas from different country can make a product more efficient and productive. Price According to Market research institution International Data Corp. (IDC), Huawei is the third largest smartphone maker in the world, which comes after Apple and Samsung. However, a lot may ask how Huawei can make it especially with those high recognition brands like Nokia and HTC. In fact, Huawei is making a good call in the lower end smartphone market, which is also one of the reasons that Huawei became a giant in the mobile phone industry (CaixinOnline,2013). They enter the industry with the intention to create low cost smartphone to all consumers, especially those with low-income. This makes a good call because the market in China is highly competitive, where a lot of people are stuck with low-paid jobs and high living cost in the city. As Huawei has their main factory in China to assemble their product, they are able to enjoy the labour cost advantage. China is known for their cheap labour cost compared to other countries, which helps Huawei to lower their devices’ prices a nd competes with others. For example, one of the Huawei’s mobile devices, Ascend Y100 was sold for only $99. Although it is a lot cheaper than those big brands, but its function is almost as good as it is (CNN,2013). This shows that they are having competitive advantage and results a rapid growth in Huawei’s sales. According to the vice minister of Information Department of China Center for International Economic Exchanges, he pointed out that living cost in China is rising due to the inflation and the increasing Chinese wage to international standards, caused the rise in China labour cost (ChinaDaily,2013). While in India, company would able to have lower Indian labour costs and currency (BusinessToday,2014). Hence, India is a good option to set up their production base in order to keep their products at a lower price. Promotion Promotion is the most concerned strategy by the Huawei Company where they are promoting their brand through advertising, public relations, personal selling, marketing and media. Huawei is advertising the smartphones to the world especially the low income consumers saying that they have the lowest price of mobile phones which indicates Ascend Y100 through YouTube, Congress and also TV. For instance, Huawei has introduced a new slogan in Mobile World Congress 2013 – Make It Possible. This slogan is designates for the consumers which allow them to dream by offering a vision of a mobile world where the journeys are never hindered by lines or limitations (Huawei Device Argentina, 2013). The low income consumers are now daring to dream there is a smartphone which the price is less than $99. Moreover, Kotler & Armstrong (2014) found that personal selling is the presentation by the firm’s sales department to increase the sales and build the customer relationship such as busines s promotion that involves trade shows. Example, Huawei takes the opportunity to introduce their mobile phones in the Mobile World Congress (MWC) which known as the world’s largest mobile trade show (Moore, 2014). This MWC is best for Huawei to display their product such as Ascend Y100 because MWC is the world’s best venue for seeking industry opportunities, making deals, and networking (Mobile World Congress, 2014). In addition, Huawei can promote their products through TED Talk. According to TED Conference, TED is a non-profit devoted to share ideas in communities around the world, usually in the form of short, powerful talks (18 minutes or less). TED began in 1984 as a conference in more than 100 languages where Technology, Entertainment and Design converged. Therefore, Huawei can invite their professional developers to give a short talk on TED Talk to let the whole world recognise and acknowledge about Huawei’s low- price products. Place There are 3 distribution strategies for each of the company to implement in their marketing strategy. They are selective distribution, intensive distribution, and exclusive distribution. All of these are strategies to approach the consumer through different distribution channels. In order to approach the consumers, Huawei is using the selective distribution strategy which involves selling their products in the most fitting and best-performing outlets. With a limited number of outlets, Huawei is able to  concentrate on their selling effort rather than dissipating it over countless marginal ones. According to Wang Weijun, head of Huawei Device Co Ltd in China, Huawei has already signed strategic cooperation agreements with Suning, Gome and D.Phone (ChinaDaily,2012). They are the few largest privately owned retailers that sell electrical appliance in the Mainland China. By selling their products there, Huawei is able to sell their products to the low-income group as most of them will search for a phone that includes good quality and features with a reasonable price in those electrical based retailers. They may compare the products with one another and choose the one which is good value for money. Other than selling their products in the outlet stores, e-commerce is also an important way for mobile phone sales. With the continue rise of e-commerce, Huawei is taking a step further to develop their e-commerce business. In addition to theirs online shopping mall, other e-commerce distribution channel like 360buy and Dangdang are also Huawei’s working partner in selling their mobile devices (WantChinaTimes,2012). Lastly, in order to demonstrate its product and also increase the brand recognition, flagship stores in few major cities like Beijing, Shanghai and Guangzhou, are planned to establish. CONCLUSION Granting to the research and the report has been executed, obviously that Huawei involved in the Smartphone industry in a great timing because the industry is in the growing stage, and Huawei uses their low pricing advantage to capture the low income consumer groups. Besides that, Huawei is still holding their strong position in the other field such like global equipment, operational services and more. After our investigation, we found out that the major problem facing by Huawei is the both competitors which are Samsung and iPhone. Although Huawei is the third biggest Smartphone provider in the world, where Samsung leads with 29% and Apple gets a 22% of the Smartphone market, but Huawei only has 5% shares in the smartphone industry and it shows a distance between Huawei and the top two competitors. This is because Samsung and iPhone already positioned well in the individual consumer market and both have a longer history than Huawei. The reputation  of China products decelerates the sales of Huawei in the overseas market causes Huawei having problem to get the high income consumers’ market. In the competitive market, the changes of environmental will bring a huge impact to the company strategic so that company needs to identify and segment the market. Huawei’s marketing strategy in price is their strongest weapon to compete with the others. Huawei should expand their business to India to get cheaper labour cost to increase revenue so that they can sustain the low labour cost advantage as well. Huawei should hire more local professionals to get their ideas on the smartphone and to promote their products as the professionals will know more on the customs and the culture of the nation. With these strategies, Huawei can remain their position in the low income consumer groups and start to dominate the high income market, that’s what Nokia achieved in the 90s and 00s years. REFERENCE LIST Business Today (2014). Made In India*. Retrieved May 17, 2014, from http://businesstoday.intoday.in/story/india-benefits-china-begins-to-lose-manufacturing-edge/1/203040.html Bourcier, J. (2014). Huawei Research Proposal. prezi.com. Retrieved 22 May 2014, from http://prezi.com/joooyt8chmho/huawei-research-proposal/ China Daily (2013). Chinese labor costs remain advantages. Retrieved May 17, 2014, from http://www.chinadaily.com.cn/business/2012-07/31/content_15636085.htm China Daily (2012).Huawei to expand distribution channel. Retrieved May 14, 2014, from http://www.chinadaily.com.cn/china/2012-09/24/content_15779363.htm CNN (2013). Would you buy a Huawei smartphone?. Retrieved May 17, 2014, from http://edition.cnn.com/2013/05/09/business/china-huawei-smartphones-stout/ Huawei. (2013, June 18). Huawei has a mobile phone that the price below $99. BBC. Retrieved from http://www.bbc.com/news/technology-22949159 Huawei Device Argentina. (2013, February 25). Huawei Make It Possible: New S logan![Videofile]. Video posted to http://www.youtube.com/watch?v=VNY6sP9mLGw Huawei News. (2013). Retrieved May 2, 2014, from http://www.huaweidevice.co.uk/news/ Huawei Ascend Y100 Android phone. (2013). Retrieved May 2, 2014, from http://www.huaweidevice.co.uk/news/ Huawei Ascend Y100 Specifications. (2014). Retrieved May 2, 2014, from http://www.gsmarena.com/huawei_ascend_y100-4839.php Huawei Investment & Holding Co. Ltd. (2014). Huawei Technologies Co. Ltd. SWOT Analysis. Huawei Technologies Co. Ltd. SWOT Analysis, 1-9. Retrieved from http://eds.b.ebscohost.com.ezproxy.sunway.edu.my/eds/pdfviewer/pdfviewer?sid=1ebf97f5-4663-4326-aea6-8c91c3dd0277%40sessionmgr113&vid=3&hid=106 Huawei.com,. (2014). Vision, Mission and Core Values – About Huawei. Retrieved 28 May 2014, from http://www.huawei.com/en/about-huawei/corporate-info/annual-report/annual-report-2011/VisionMissionandCoreValues/ Huawei Investment & Holding Co., Ltd. SWOT Analysis. (2014). Huawei Technologies Co. Ltd. SWOT Analysis, 1-9. Itnewsafrica.com,. (2014). Huawei shipped a third of global smartphones | IT News Africa- Africa’s Technology News Leader. Retrieved 1 May 2014, from http://www.itnewsafrica.com/2014/02/huawei-shipped-a-third-of-global-smartphones/ Kotler, P., & Armstrong, G. (2014). Principles of marketing (15th ed.). England, Pearson Education Limited. Khan, S. (2013). Insight: Sector Study – Budget Smartphones – Mobile brands target emerging markets. Campaign Asia-Pacific, 20. Min,T. (2013). Closer Look: How Huawei Quietly Became a Mobile Phone Giant. Caixin. Retrieved May 14, 2014, from http://english.caixin.com/2013-01-30/100487876.html Moore, M. (2014). Huawei To Unveil First Smartwatch At Mobile World Congress. Retrieved from http://www.techweekeurope.co.uk/news/smartwatch-from-huawei-coming-at-mwc-138644 Mobile World Congress. (2014). About Mobile World Congress Event [Press release]. Retrieved from http://www.mobileworldcongress.com/2014-preview/ SWOT: Huawei, Enterprise Storage, Worldwide. (2013) (1st ed.). Retrieved from enterprise.huawei.com/ilink/enenterprise/download/HW_260646 TED Conference (n.d). Retrieved May 2, 2014, from https://www.ted.com/about/our-organization Tung, A. (2014). Huawei makes a good call in low-end smartphone market|Busine ss|chinadaily.com.cn. Usa.chinadaily.com.cn. Retrieved May 2014, from http://usa.chinadaily.com.cn/weekly/2012-03/02/content_14736467.htm Troianovski, A. (2014). Can You Say ‘WAH-wey’? Low-Cost Phones Find Niche. Online.wsj.com. Retrieved 2 May 2014, from http://online.wsj.com/news/articles/SB10001424052970203733304577102223985134572 The Economist,. (2014). Who’s afraid of Huawei?. Retrieved 28 May 2014, from http://www.economist.com/node/21559922 Toolkit.smallbiz.nsw.gov.au,. (2014). Segmentation, Targeting & Positioning. Retrieved 28 May 2014, from http://toolkit.smallbiz.nsw.gov.au/part/3/10/49 Vance, A., & Einhorn, B. (2011). At Huawei, Matt Bross Tries to Ease U.S. Security Fears.Businessweek.com. Retrieved 28 May 2014, from http://www.businessweek.com/magazine/at-huawei-matt-bross-tries-to-ease-us-security-fears-09152011.html Want China Times (2012). Huawei to expand distribution channels for its terminal devices. Retrieved May 14, 2014, from http://www.wantchinatimes.com/news-subclass-cnt.aspx?id=20120623000050&cid=1502

Research Utilization Project †Fecal Transplantation Essay

Clostridium difficile (C-difficile) is a common bacterium that is a frequent cause of infection in the colon and effects numerous patients. Clostridium difficile increases the hospital costs associated with inpatient care, including identification of the organism as well as treatment. The most common cause of C-difficile infection is the elimination of normal intestinal flora caused by antibiotic use. Standard treatment of C-difficile infection includes the use of oral (Flagyl) and intravenous (Vancomycin) antibiotic therapy. The use of fecal transplantation to treat C-difficile infection is increasing in popularity. Research regarding fecal transplantation dates back to 1958; however, the efficacy of fecal transplant for the treatment of C-difficile are rapidly emerging with noted benefits for patients. The mere thought of presenting fecal transplantation for the treatment of a C-difficile infection is often dismissed because of limited available evidence and the concerns about using someone else’s stool to treat the infection. The necessity to educate patients with C-difficile is an additional challenge. Potential donors and recipients need to be assured of minimal risks associated with the screening and transplantation process. The ability to educate society on the results of evidence-based practice regarding the treatment of C-difficile with fecal transplantation should minimize concerns and enhance patient outcomes. The creation of a patient education programs is increasingly beneficial when multiple health care professionals and interdisciplinary teams are involved. Thus, a project objective in implementing an educational patient program for fecal transplantation is the creation of an informative brochure for potential use in the Endoscopy Department at Sharp Memorial Hospital by December 2014. The treatment regimen for initial and chronic C-difficile with fecal transplantation is inexpensive and noted as extremely effective. The articles reviewed consistently reveal efficacy rates greater than 85%. Fecal transplantation for the treatment of C-difficile continues to illicit multiple verbal and non-verbal responses and is not considered a standard of care for patients, families, communities, and hospital staff. The implementation of an informative educational brochure will minimize fears, hesitations, and reluctance for the treatment of C-difficile with fecal transplantation. The central theme of transplanting feces from a selected healthy donor to the recipient with C-difficile is often met with resistance. The fecal transplantation brochure will encompass aspects of fecal transplantation with the expectation of educating patients, families, and communities. Additionally, the brochure would enhance awareness of hospital staff providing an opportunity to educate units or departments. The application of Kurt Lewin’s change model for the implementation of an educational brochure for fecal transplantation will be employed. The current treatment modalities for C-difficile and the methods of transmission are increasingly becoming expensive for health care organizations. The financial goals of the organization are to decrease the rates of C-difficile and possibly entertain the concept of fecal transplantation. A dichotomous survey will be used to measure awareness and use of fecal transplantation for the treatment of C-difficile. The interdisciplinary team employed to create the brochure would prove beneficial in developing standardized procedures in performing fecal transplantations. The Southern California Society of Gastroenterology Nurses and Associates is an excellent venue for potentially validating and communicating the results. The two possible grant funding sources for the fecal transplantation brochure is the American Gastroenterological Association (AGA) and the American Society of Gastroenterology Nurses and Associates (SGNA). The creation and implementation of an educational brochure for patients considered for fecal transplantation would enhance community education and minimize fears in treating C-difficile with fecal transplantation. Keywords: fecal transplantation, clostridium difficile, fecal micobiota transplantation Problem Identification The traditional treatments for patients diagnosed with infections of the colon are antibiotics. However, many antibiotics kill the normal healthy bacteria of the colon. This results in an overwhelming increase in the risk for developing a C-difficile infection. Medicine. Net (2012) stated, â€Å"Patients taking antibiotics are at risk of becoming infected with C. difficile as antibiotics can disrupt the normal bacteria of the bowel, allowing C. ifficile to become established in the colon† (para. 1). The potential for implementing the use of fecal transplantations for the treatment of C-difficile among the general population is questionable. The mere thought of presenting fecal transplantation for the treatment of a C-difficile infection is often dismissed because of limited available evidence and the concerns about using someone else’s stool to treat the infect ion. Rohlke and Stollman (2012) stated, â€Å"Cure rates of > 90% are being consistently reported from multiple enters. Transplantation [fecal] can be provided through a variety of methodologies, either to the lower proximal, lower distal, or upper gastrointestinal tract† (p. 403). An additional consideration is the perception of fecal transplantation within the community. The necessity to educate patients with C-difficile is an additional challenge. Potential donors and recipients need to be assured of minimal risks associated with the screening and transplantation process. Current research supports and discusses a comprehensive approach to identification and screening for potential fecal donors, donor preparation, and transplantation procedures. The procedure for donor selection and screening is comprehensive to prevent the transmission of infection. According to Hamilton, Weingarden, Sadowsky, and Khoruts (2012), â€Å"The [donor] history includes assessment of infectious risk, including identification of known risk factors for HIV and Hepatitis, current communicable diseases, and recent travel to areas of the world with a higher prevalence of diarrheal illnesses† (p. 3). In educating patients, families, and the community at large, the rigor associated with the screening process must be emphasized to reduce fear. The project objective in implementing an educational patient program for fecal transplantation is the creation of an informative brochure for potential use in the Endoscopy Department at Sharp Memorial Hospital by December 2014. The brochure will be created using a collaborative approach by employing endoscopic nursing champions. The goal is for the brochure to be patient specific and encompass appropriate information to decrease fears and answer questions associated with fecal transplantation. Additionally, the development of a patient posttest associated with the brochure will be created to evaluate the effectiveness of content delivery and adjusted accordingly to meet patient needs and desired outcomes. The proposed solution will minimize the ambiguity and fears associated with fecal transplantation for the treatment of C-difficile. Solution Description The proposed solution for teaching potential recipients and donors about fecal transplantation for the treatment of C-difficile is to diminish infection rates. By creating and implementing a comprehensive nursing educational approach patients and donors can be well informed on this innovative treatment modality. â€Å"In many areas of clinical decision making, research has demonstrated that â€Å"tried and true† practices taught in basic nursing education are not always best† (Polit & Beck, 2012, p. 25). The ability to educate society on the results of evidence-based practice regarding the treatment of C-difficile with fecal transplantation should minimize concerns and enhance patient outcomes. The creation of a patient education program is increasingly beneficial when multiple health care professionals and interdisciplinary teams are involved. The importance of evidence-based practice is to ensure the evidence about fecal transplants has been collected, evaluated, and implemented to establish the best practice and approach. The main premise for patient safety is to ensure donors have been thoroughly screened to minimize the potential for the transmission of other diseases with feces. According to Rohlke and Stollman (2012) on donor selection, â€Å"There have not yet been any adverse events reported that can be conclusively or directly attributed to [fecal microbiota transplantation] FMT, and proper donor screening is essential to avoid transmitting communicable diseases from donor to recipient† (p. 406). Individuals with recurrent C-difficile infections are moderately self-educated regarding treatment modalities and are receptive to the idea of fecal transplantation. The emphasis on educating patients, families, and communities regarding fecal transplantation as the initial treatment regimen is the focus. Hospital and individual associated costs in administering antibiotic therapy for the treatment of C-difficile could be drastically reduced by using fecal transplantation as the initial therapy. Brandt (2012) stated in reply, â€Å"Do patients typically accept fecal transplantation as a treatment option? Yes †¦patients typically respond with interest, and they are generally positive about trying it and they do not typically react with disgust† (para. ). The current research base associated with fecal transplantation demonstrates high cure rates while minimizing the reoccurrence of C-difficile. Rohlke and Stollman (2012) stated, â€Å"Cure rates of > 90% are being consistently reported from multiple centers† (p. 403). The review of current literature demonstrates that patient education for fecal transplantation is performed by a gastroenterologist and not the gastrointestinal (GI) nurse. Patient education provided to patients from physicians typically entails a one-way communication style. In this scenario, the gastroenterologist sends the information to the patient, and there is little discussion with the receiver. Thus, patients commonly seek out more information from the registered nurse. The ability to educate patients regarding fecal transplantation using the proposed brochure would facilitate a commonality and minimize fears. The feasibility of implementing the brochure into endoscopic departments would be perplexing and centered on nursing knowledge of fecal transplantation. Brodine and Kellogg (2013) stated, â€Å"All patients infected or colonized with C. ifficile must be educated about this bacterium, proper disease management, and transmission prevention. The nurse should use patient-centered communication—free of jargon and appropriate to the patient’s health-literacy level† (para. 13). The health care organization must employ educational programs specific to the needs of the patients and desired outcomes. â€Å"The Joint Commission recommends using the â€Å"teach-back† and â€Å"show-back† methods to educate patients; that is, ask the patient to â€Å"teach back† the information provided or demonstrate understanding by â€Å"showing† a skill†¦Ã¢â‚¬  (Brodline & Kellogg, 2013, para. 3). The organizational culture at Sharp Memorial Hospital for nursing is centered on the American Nurses Credentialing Center (ANCC) Magnet Recognition Program ®. The nursing strategic plan is developed by nursing leaders with input from nursing staff based on the hospital strategic plan. Additionally, nurse leaders emphasize that innovation is a core value and part of the nursing process. Nurse leaders encourage innovation through training, resources, and role modeling (Beyond Excellence, 2013). The roposed solution of implementing patient education for fecal transplantation is supported by Sharp Memorial Hospital because it involves introducing new knowledge regarding innovative, evidence-based treatment modalities. Research Report Clostridium difficile infection remains a constant struggle for hospitals. The standard treatment regimen of antibiotics commonly results in relapses. Research on fecal transplantation is continuing to emerge as a promising alternative approach in treating chronic C-difficile infections. Numerous studies demonstrate positive outcomes with the administration of fecal transplant in the treatment of C-difficile (Rohlke & Stollman, 2012). Fecal transplantation has shown through research studies to be a useful treatment for C-difficile infection via the restoration of intestinal normal flora (Brandt, 2012). The most common sign reported by patients diagnosed with C-difficile is chronic diarrhea. Johnson (2012) stated, â€Å"The administration of antibiotics can alter the balance of normal colonic flora to permit the overgrowth of pathogenic C. ifficile strains that produce toxins which cause diarrhea and associated symptoms† (para. 5). In an article published in the Alimentary Pharmacology and Therapeutics, the authors reported 17 of 22 fecal transplantations for the treatment of C-difficile were effective (Landy, Al-Hassi, MLaughlin, Walker, Nicholls, Clark, & Hart, 2011). The substantiated results of the review article highlighted major differences in patients, donors, screening, methods of administration, and the definition of treatment responses (Landy et al. , 2011). The multiple factors highlighted in this review of treating C-difficile with fecal transplantation review across the spectrum using a standard approach is essential to supporting increased use of this treatment modality. Landy et al. (2011) stated, â€Å"Standardized controlled studies are necessary to ascertain the most effective treatment regimen as well as the most acceptable method of treatment† (p. 414). Grehen, Borody, Leis, Campbell, Mitchell, and Wettstein (2010) published a study, â€Å"to demonstrate the benefits of fecal biotherapy and the role of new therapeutic strategies for the treatment of gastrointestinal conditions† (p. 51). The study included 10 patients treated with fecal transplantation and monitored the progress of bacterial population of the colon pre and post transplantation for a 24 week period. Grehen et al. (2010) found the following: At intervals of 4, 8, and 24 weeks after the procedure, the bacterial populations in the patients’ fecal samples consisted predominantly of bacteria derived from the health donor samples. Comparisons of similarity at 4, 8, and 24 week samples to the donor-infused sample were made and each recipient’s baseline sample was statistically significant with Friedmen test. p. 551) Rohlke and Stollman (2012) noted that C-difficile rates continue to rise with greater intensity and severity. The treatment of C-difficile with fecal transplantation is an emerging and accepted intervention in patients with recurrent C-difficile. Rohlke and Stollman (2012) stated, â€Å"Cure rates of >90% are being consistently reported from multiple centers. Transplantation can be provided through a variety of methodologies, either to the lower proximal, lower distal, or upper gastrointestinal tract† (p. 403). The review by Rohlke and Stollman (2012) analyzed reports validating the factors of â€Å"donor selection, appropriate patient criteria, and the preparations and mechanisms of fecal microbiota transplant delivery available to clinicians and patients† (p. 403). The internal validity of the research articles reviewed demonstrates moderate samples were randomly selected. The current literature validated the need for more randomized controlled studies to determine established guidelines for the implementation of fecal transplantation. Additionally, the treatment regimen for initial and chronic C-difficile with fecal transplantation is inexpensive and noted as extremely effective. The independent variable of the effectiveness of fecal transplantation for the treatment of C-difficile remained a consistent theme. The articles reviewed consistently reveal efficacy rates greater than 85%. The external validity of the study articles revealed fecal transplantation processes are varied in the process of which patients are treated, the donor selection criteria, donor screening protocols, and the methods of delivery. The outcomes of the results reported are moderately consistent; however, the ability to generalize a standardized treatment pathway is ambiguous and larger multi-organizational and multi-disciplinary studies are essential. Rex (2012) found the following: Several studies of fecal transplantation have demonstrated high cure rates. The latest and largest to date is a retrospective case series involving 70 patients in Finland (mean age, 73; 86% outpatients). Overall, 94% of these patients had symptom resolution during the first 12 weeks after transplantation, including 32 of the 36 infected with the O27 strain of C. ifficile and all 34 of those infected with other strains. No immediate complications occurred. (para. 1) Fecal transplantation in the treatment for C-difficile has proven to be highly successful in a limited number of studies. In determining if fecal transplantation should be the standard of treatment for C-difficile infection, larger controlled studies are required. Additionally, a standard process related to donor screening, implantation techniques, transplant follow-up, and regularly documenting patient outcomes are essential in establishing standardized fecal transplantation protocols.

buy custom Marijuana Legalization essay

buy custom Marijuana Legalization essay In many developed countries marijuana is illegal to trade, transfer, cultivate, or possess. In as much as no nation has been able to fully legalize marijuana, over 10 countries allow its cultivation or use in controlled quantities. The use of marijuana for medicinal purposes is tolerated in an increasing number of countries such as Netherlands, Canada, Belgium, Australia, and some states in America. Many nations have endorsed laws impacting the legality of marijuana, since the beginning of the 20th century. These laws have mainly concentrated on the transfer, possession, use, and cultivation of marijuana for recreational purposes. Most authorities have reduced the penalties for ownership of limited quantities of marijuana, so that marijuana related offenses are punishable by a fine and confiscation, as opposed to imprisonment. The punishments now concentrate on individuals who sell or traffic marijuana on the black market. Many drug courts and authorities have established treatment p rograms for frequent or young users, with their goal being to achieve freedom from drug use. The number of countries that allow marijuana use for medicinal purposes are few, in addition there are more restrictive changes being implemented in countries such as UK and Canada. Nevertheless, in some countries such as East Asia, being in possession of marijuana may result in long term jail sentences, and the sale of marijuana might even lead to life imprisonment or death penalty. This research paper addresses the history of the issue of marijuana legalization, arguments for its legalization, and arguments against its legalization. In the 19th century, medical practitioners use to sell the drug as tincture using the name cannabis. Cannabis was used by Queen Victoria to treat her menstrual pains, Sir John Reynolds, her personal physician, prescribed this drug for her and even went further to write about the advantages of marijuana in a medical journal. In an 1894, the government of India and the United Kingdom commissioned a report on the use of Indian hemp. The report was helpful in making the decision of whether to decriminalize the use of marijuana in both countries. By 1906, numerous states in the US began establishing regulations with regards to the sale of marijuana. In 1925, the exportation of Indian hemp was banned by the international opium convention to nations that had banned its use. The countries that imported marijuana were required to provide certificates which were essential in approving that the drug was only to be used for scientific or medicinal purposes. In 1937, the administration of F.D. Roosevelt came up with the first national law that made the possession of Marijuana illegal through an un-payable tax under the Marihuana tax act. The term marijuana is linked exclusively to the psychoactive use of the plant; it was popularized in English by the drug prohibitionists in America in the 1930s. These prohibitionists used the Mexican term marijuana so as to turn the public against the opinion that it should be legalized. The individuals who were against marijuana were oblivious of the fact that the drug was similar to cannabis indica, which was regarded as pharmaceutically safe. Nevertheless, some people support the legalization of marijuana by arguing that legalization will decrease crime, illegal trade, and will increase the revenue of government from taxes. For instance, marijuana is available in Canada as a palliative drug provided a patient has a medical prescription. In the United States, a mere 16% supported the legalization of t he drug in 1969. By 2005, the figure rose up by 20% to 36%, currently it is approximated that the figure is between 46% and 56%. Buy custom Marijuana Legalization essay

How to Revise Bullet Lists for Grammatical Consistency

How to Revise Bullet Lists for Grammatical Consistency How to Revise Bullet Lists for Grammatical Consistency How to Revise Bullet Lists for Grammatical Consistency By Mark Nichol Bullet lists distinguished from numbered lists in that they do not imply a priority or chronology in the order in which the list items appear are useful for when a list becomes too unwieldy to be formatted in line (within a sentence), but just as in a sentence’s in-line list, the bullet list’s grammatical structure should be coherent. Here are three bullet lists I obtained from a job listing (a format that frequently exhibits grammatical infelicities and thus amuses job-seeking wordsmiths attuned to irony), each followed by a syntactically sound revision: 1. Original â€Å"This position is responsible for: Writing and/or editing in all media Assures quality for engaging audience Coordinates flow of information to achieve news cycle deadlines Creative Designer Contributes to high-performing teamwork Continuously seeks and applies learning to enhance skills and performances† 1. Revision â€Å"This position is responsible for writing and/or editing in all media assuring quality for engaging the audience coordinating flow of information to achieve news-cycle deadlines creatively designing presentation of content contributing to high-performing teamwork continuously seeking and applying learning to enhance skills and performances† Note that the colon in the introductory phrase has been omitted because the bullet-list items consecutively complete that phrase; it’s incorrect whether in line or in a bullet list to write, â€Å"This position is responsible for: writing and/or editing in all media . . . .† (It is acceptable to follow each bullet list item with a comma, with the conjunction and following the next-to-last comma, and include a period after the last item, which more accurately replicates an in-line list’s structure, but these additions are superfluous.) Most important, however, the verb(s) in each item now take an identical inflectional ending (-ing). The list could also, by revision of the introductory phrase, allow a simple verb form (-s), requiring alteration only of the verb form of the first item and an extension of â€Å"Creative Designer† into a complete thought: â€Å"The content manager writes and/or edits in all media† (etc.) 2. Original â€Å"Job Requirements: Applicants should have at least three years of daily newspaper copy editing and design experience. Exceptional Writing Proficiency Strong Proofreading and editing skills Experience in page design and layout on pagination systems like Quark or InDesign. Must understand that journalists are held to a higher standard and must follow strict ethical rules, such as not accepting gifts from sources; not putting political bumper stickers on their cars; etc. all outlined in The New York Times Co.s ethical policies. Knowledge of best practices in page design, typography, use of space and photography. 2. Revision â€Å"Applicants must have at least three years of daily newspaper copyediting and design experience, exceptional writing proficiency, strong proofreading and editing skills, experience in page design and layout on pagination systems like Quark or InDesign, and knowledge of best practices in page design, typography, use of space, and photography. Applicants must also understand that journalists are held to a higher standard and must follow strict ethical rules such as not accepting gifts from sources and not putting political bumper stickers on their cars all outlined in The New York Times Co.’s ethical policies.† The original introductory phrase is correctly punctuated because it is a fragment that sets up but is not syntactically continuous with each of the items that follow it. However, the items are inconsistent as to whether they are phrases or complete sentences and in terminal punctuation. In my revision, I created a new introductory phrase that can apply to all bullet list items (except the one about ethical rules, which I broke out as a separate paragraph because of its length and nonparallel structure and note the revision of its own in-line list), and I lowercased several words that were gratuitously capitalized. This scheme now matches that of the first bullet list with one exception: Here, for illustration, I have included optional internal punctuation in the bullet list, which I discussed but recommended against in my annotation of the previous example. 3. Original We are looking for candidates who have the following qualities: Quality Orientation Strong Work Standards Exceptional Communication Skills Ability to manage work Contributing to team success Proven decision making skills Building strategic working relationships Active Learning 3. Revision â€Å"We are looking for candidates who have the following qualities: quality orientation strong work standards exceptional communication skills ability to manage work desire to contribute to team success proven decision-making skills aptitude for building strategic working relationships active learning† This list was easier to fix: The introductory phrase, which comes to a halt, is correctly punctuated, and the items were mostly consistent in their phrase form. (Inconsistency in grammatical form between one list and another in a piece of content is acceptable, but lists should be internally consistent.) I simply removed unnecessary capitalization and rephrased two of the items to describe qualities rather than actions. For more tips about bullet lists, check out this post, and search the site for â€Å"lists† and â€Å"bullet lists† to find others. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Style category, check our popular posts, or choose a related post below:7 Examples of Passive Voice (And How To Fix Them)The Possessive ApostropheThe Difference Between "Shade" and "Shadow"

Promotion & Information Systems Essay Example | Topics and Well Written Essays - 500 words - 1

Promotion & Information Systems - Essay Example The use of social networks and location based services have opened a door on the privacy of individuals that can be exploited by advertisers, but also by those who have ideas that can use that information for criminal purposes. Location based services are designed to provide information based on tracking the location of the user through the use of the cell phone. Several services can be provided through location based services, including turn-by-turn navigation or finding someone or something. GPS navigation allows the user to have a moment by moment update of how to achieve finding a location. Using location based services to find a specific need, such as asking the application to find the nearest business that provides a certain product or service, allows for quicker mobility and access to businesses. The technology is engaged as the user’s location is stored through a location provider object which is then configured to the specification of the builder of the application in order to react in a way that creates a benefit for the application that is being created (Fitzek & Charaf, 2009, p. 199). The use of the website Twitter has been designed to provide a short description of what is being done by the user so that followers can know what they are doing at any given moment. Foursquare, however, has developed the use of business and services and the reporting of that use so that networks of friends are updated regularly into a game that rewards users with badges and sometimes free goods and services from businesses based on the reported use of those businesses through the website combined with the application on the smart phone. According to Levinson & Gibson, (2010) using the gathered information about a competitor and its patrons can provide a business with the ability to contact those patrons and provide a special Twitter coupon in order to divert users of one business to your own competing business.

Functions of Management in Different Spheres Assignment

Functions of Management in Different Spheres - Assignment Example Therefore, movie-on-demand is a competitive substitute for the blockbuster movies. The major stakeholders of the university include; foundation members, the board of trustees, business and industry. The students are the major stakeholders in the university because they influence the long and short-term goals of the university. Managing diversity in the organization can be done by developing an organizational culture, which synchronizes the diverse cultures into the organizational policy and operation. In addition, cultural integration practices can be used to develop the necessary group cohesion. The manager can employ cultural acceptance to avoid conflict between individuals. Lack of accountability is the major barrier to goal setting. However, as a manager, the development of step plans to achieve the set goals. However, the accountability is the vital aspect of goal setting. Start the business from scratch offer the opportunity to understand the business effectively thereby reducing the chances of collapse. Proper planning of a new business venture is easy compared to a takeover business. However, take over business has an advantage of having already set capital and infrastructure outlay. Business engineering is the process of redesigning the business operations in order to improve performance and develop success in the whole process. Re-engineering can be integrated as a product of competition or the introduction of new products by the company which is intended to improve the business performance The internal recruitment process is simple and easy to be employed. The staff does not need to be oriented to the company as such they can assume the new roles with ease. However, it reduces the pool of choice while also limiting injection of new ideas. External recruitment offers the opportunity to inject new blood into the system thus  allowing for new ideas to be developed. External recruitment offers the company the opportunity to add new employees with better skills. However, the major problem with external recruitment is time constraints and the need for further training of the new stuff on the company details and system of operation.