Case Analysis - Jennifer Essay Example for Free

Case Analysis Jennifer Essay Physician assisted suicide (PAS) is a common thing in some of the states where it is legally allowed. But, many people believe that the advocacy of Physician assisted suicide (PAS) is morally and ethically wrong . This paper analyses the case study of a Leukaemia patient Jenifer with respect to medically assisted death. Introduction Jenifer was a leukaemia patient who denied the treatment because of the complexity in the treatment and the limited anticipated success percentage.  She was ready to face the destiny and thought that her remaining time in the world is precious and it is not for spending in the hospital beds just like the recently died famous British celebrity Joe Goody. Though many of her close relatives tried to change her decisions, she has rejected all the treatment options. She has asked her close friend and nurse, Donna to give her some medications which may end her life in order to escape from the painful life. People have different opinions about Physician assisted suicide (PAS). Proponents of mercy killing argue that it is better to assist a person medically to terminate his life, if he/she is in a pathetic condition and no hope for a survival while the critics believe that nobody has the right to take the life since nobody can recreate it artificially. Even amidst the huge development of science and technology still the mysteries surrounding the birth and death is still unknown. Nobody knows from where we come and where we go and because of that life has precious value. The creator has certain mission to fulfil while sending the person to earth and only he has the right to call the person back once the mission is completed. It is ethically wrong to act against the will of the creator. â€Å"In order to be accountable, nurses act under a code of ethical conduct that is grounded in the moral principles of fidelity and respect for the dignity, worth, and self-determination of patients. Nurses are accountable for judgments made and actions taken in the course of nursing practice, irrespective of health care organizations policies or providers directives† (ANA Code of Ethics for Nurses with Interpretive Statement) Human life is so important and the every attempt of the nurse should be to preserve the human life. Nurses can take any actions to protect the life of a patient. At the same time a nurse should not be engaged in any sort of actions which may put the patient’s life in jeopardy. In the given case, Donna is not only a nurse, but a real friend as well for Jenifer. Both of them had close emotional attachments and relationships. So, Donna may be in an agony whether to allow Jennifer to die by giving her medications needed for that, or not. Donna was a friend and at the same time, a nurse. She should give priority to her profession and professional ethics in this situation. It is a fact that Jenifer is suffering from severe pain and it is difficult for Donna to remain helpless. Only thing Donna can do in these circumstances is try to lift the morale of Jenifer using some counseling techniques. Donna is primarily a nurse and she may be attached to many people through friendship relationships. It is not possible for her to assist all the suffering people or the people in no hope condition to die. Her profession is intended for saving the life rather than ending it. Even the doctors, who have the primary authority of treating the patients, often confused and hesitated to engage in activities related to mercy killing even if it is legally allowed. A nurse has no role in taking the decisions about mercy killing. It should be decided by the patient, doctor and the relatives of the patient. Conclusions Human life is so precious and mysterious so that nobody should attempt to finish it deliberately. Only the creator has the right to make modifications in his creations. Creator should have the right to destroy or sustain the life. Since no human has so far succeeded in creating a life, he has no authority to take it.

Post Operative Outcome of Extended Nasolabial Flaps

Post Operative Outcome of Extended Nasolabial Flaps TITLE: Reconstruction of post release intraoral Oral Submucous Fibrosis defects by Extended Naso-Labial flaps versus Platysma myocutaneous muscle flaps: A Comparative Study. ABSTRACT- We compared post operative outcome of extended Nasolabial flaps with Platysma myocutaneous muscle flaps, in the management of 20 randomly selected patients with histologically confirmed oral submucous fibrosis. Patients and Methods: All patients in the study were treated by release of fibrous bands and bilateral coronoidectomy. In addition reconstruction was done in ten patients with extended nasolabial flaps (Nasolabial group) and in another ten patients with platysma myocutaneous muscle flaps (Platysma group). In the nasolabial group the mean preoperative interincisal mouth opening was 12 mm (range 3-14 mm) and in platysma group it was 11 mm (~ 3-13 mm). Vigorous post-operative physiotherapy was advised to all 20 patients and they were followed up for next 3 years .The interincisal mouth opening improved to 47 mm (~35-51 mm) in the nasolabial group and 48 mm (~ 41-52 mm) in the platysma group. Conclusion: Both the procedures were equally effective in management of oral submucous fibrosis in terms of postoperative interincisal mouth opening. However the facial extra-oral scars were not aesthetically acceptable in the nasolabial group, which were prevented when Platysmal myocutaneous muscle flaps were used for the reconstruction of post release oral submucous fibrosis defects. INTRODUCTION Oral submucous fibrosis is an insidious, chronic, disabling disease of obscure aetiology that affects the entire oral cavity, sometimes the pharynx and rarely the larynx. It is characterised by blanching and stiffness of oral mucosa, which causes progressive limitations of mouth opening and intolerance to hot and spicy food. It is an established precancerous condition which is seen mostly in the Indian subcontinent. Its precancerous nature was first described by Paymaster 1, who recorded the onset of slowly growing squamous cell carcinomas in one third of the patients. Murti et al, 2 reported the malignant transformation of oral submucous fibrosis. As the aetiology is uncertain, its treatment has largely been symptomatic and various treatments have been described vastly in literature with inconsistent results. In this study, two techniques for the closure of post release oral submucous fibrosis defects were compared. The importance of coronoidectomy was emphasised and two local flaps were used for reconstruction. We hypothecated that the platysma myocutaneous muscle flaps would be a better option than extended nasolabial flaps in terms of unaesthetic extraoral facial scars for the management of oral submucous fibrosis.3,4,5. PATIENTS AND METHODS Twenty consecutive patients who were treated at the Department of Oral and Maxillofacial surgery, SDKS Dental College and Hospital, Hingna, Nagpur (18 men and 2 women aged between 18 to 41 yrs of age), were randomly selected for this retrospective study. The study was approved by the institutional ethics committee. No patient had preoperative interincisal opening more than 25mm. Following aseptic precautions, all patients were intubated using the fibreoptic bronchoscope and operated under general anaesthesia. Incisions were made using an electrosurgical knife from the corner of the mouth to the soft palate at the level of the linea alba avoiding injury to the Stenson’s duct. The bands were cut and the interincisal opening recorded. The coronoid processes were approached via the same incision and bilateral coronoidectomy or coronoidotomy was done. The maxillary and mandibular third molars were extracted. In the nasolabial group, extended nasolabial flaps as described by Borle et al 4, were raised for grafting from the tip of nasolabial fold to the inferior border of the mandible. The flaps were raised bilaterally in the plane of the superficial musculo-aponeurotic system from both terminal points to the region of the central pedicle. The diameter of the pedicle was roughly 1cm and it was distanced 1cm lateral to the corner of the mouth (Fig. 1). The flap was transposed intraorally through a small trans-buccal tunnel near the commissure of the mouth without tension. The inferior wing of the flap was sutured to the anterior edge of the defect, while the superior wing was sutured to the posterior edge of the defect. The extraoral defect was closed primarily in layers after liberal undermining of the skin in the subcutaneous plane to prevent any tension across the suture line. In the platysma group, a superiorly based platysma myocutaneous muscle flap was raised as described by D.A Baur 5 and used for reconstruction of the intraoral defects. With the neck hyper extended, the proposed skin paddle was outlined on the ipsilateral neck, below the inferior border of the mandible (Fig. 2). The superior incision was made first and the plane superficial to the platysma muscle was dissected carefully cephalic to the inferior border of the mandible. A skin incision was then made at the inferior line of the skin paddle, with additional exposure of the platysma muscle inferiorly. The platysma muscle was transected sharply at least 1cm inferior to the edge of skin paddle, and a subplatysmal plane of dissection developed just below the inferior border of the mandible. If the cervical branch of the facial nerve was to be incorporated, it was necessary to identify the nerve in the superficial layer of deep cervical fascia with careful dissection and preservation of its pr oximal portion. Once the plane of dissection was fully developed, the platysma myocutaneous flap was transected vertically, anteriorly and posteriorly for its full mobilisation. The flap was then introduced into the oral defect by creating an appropriately sized soft tissue tunnel. The harvested flap was sutured to the defect, which was created by release of the fibrous bands. The donor site was easily closed in layers, totally avoiding any unacceptable facial scar and obtaining by far a much better cosmetic result (as shown in Fig. 3b). A soft temporomandibular joint trainer was placed in the oral cavity post operatively for 10 days to prevent dehiscence of the flap, as result of occlusal trauma. After a latent period of 10 days, physiotherapy was started with the help of Hister’s jaw exerciser to prevent contracture and relapse. The patients were instructed about the exercises and mandated to do them for the next 6 months until they were followed up in the Department of Oral and Maxillofacial Surgery. We used the Student’s unpaired t test for statistical analysis of the study. RESULTS There were 2 groups of 10 patients each, one of which had nasolabial flaps, and the other platysma myocutaneous flaps.The differences in mouth opening were as shown in Table 1. All patients in nasolabial group developed extra-oral facial scars, compared with none in the platysma group. The differences in mouth opening before and after the surgery were almost similar in both groups (p) There were some complications in the nasolabial group including partial flap necrosis, particularly at the tips, temporary widening of oral commissure, unsightly extra oral scars as shown in (Fig. 3a), subluxation of the Temporomandibular Joint, perforation of the palate and intraoral growth of hair. In the platysma group, few patients developed temporary paraesthesia, which was noticed over the lateral cervical region, subluxation of the mandible and scars over the lower neck region which were usually covered by the shirt’s collar and not visible extra orally on the face. There were no delayed complications in the platysma group, but 2 patients in the nasolabial group had a â€Å"fish mouth† deformity, even after a year (Table 2). DISCUSSION The treatment of oral submucous fibrosis is mainly symptomatic, as the aetiology is not clearly understood and it is of progressive nature. Conservative treatments include multi-vitamins, iron supplementation and intra-lesional injections of hyaluronidase, placental extracts and steroids to name a few. Submucosal injections of various drugs may produce temporary symptomatic relief but can lead to aggravated fibrosis, pronounced trismus and increased morbidity from mechanical injury, secondary to the needle prick injury 6. Different treatment plans and surgical interventions have been proposed by various authors with variable success rates. Excision of fibrous bands and propping the mouth open to allow secondary epithelisation is known to cause rebound fibrosis during healing. The release of fibrous bands followed by split thickness skin grafting results in high recurrence rate following contracture. The survival of full thickness skin grafts is questionable. The use of an island palatal flap based on the greater palatine artery was recommended by Khanna et al., but has limitations including involvement of donor tissue with the limited reach of the flap, as well as the need to extract the maxillary second molar tooth, so that the flap is not under tension.7 The bilateral tongue flap causes severe dysphagia, disarticulation, and it carries unwarranted risk of aspiration. It also provides a limited amount of donor tissue as its reach is inadequate. The doubtful stability of tongue flaps and their dehiscence are the most common post operative complications caused due to uncontrolled tongue movements.8 Buccal fat pads may also be used to cover the defects after excision of fibrous bands and also as their harvest is simple. However in patients with chronic disease they are likely to be atrophic. In addition, the anterior reach of buccal fat pads is inadequate and thus the region anterior to the cuspids often is required to be left raw; which therefore heals by secondary intention and subsequent fibrosis, leading to gradual relapse. 9 Bilateral radial forearm flaps are hairy, and nearly half the patients require a secondary debulking procedure. Facilities for free tissue transfer are not universally available. 10 Caniff et al 11 recommended temporal myotomy or coronoidectomy to release severe trismus caused by the atrophic changes in the tendon of the temporalis muscle secondary to the disease. If the mouth opening was still less than 35 mm after bilateral fibrotomy, then for every case bilateral coronoidectomy was done, which increases the per-operative mouth opening. Complications like extra oral facial scars and intraoral growth of hair were common observation in our study when extended nasolabial flaps were used for reconstruction of defects. The patient’s compliance was not very good as far as facial aesthetics were concerned in the nasolabial group. These issues are taken care of when the platysma myocutaneous flap is harvested. The technique of platysma muscle flap however is more challenging as compared to that of extended nasolabial flap and needs to be mastered properly. CONCLUSION Surgical management of oral sub mucous fibrosis not only permits mouth opening but also facilitates the oral examinations for early detection and timely management of malignant transformation. This comparative study of Nasolabial flaps versus Platysma myocutaneous muscle flaps for reconstruction of intraoral post release oral submucous fibrosis defects emphasises on avoiding the extra oral facial scars in the patient. The postoperative mouth opening three years after surgery was comparable in both the techniques, however with better aesthetic outcomes in the platysmal group. We recommend the use of platysma muscle flap as compared to the extended nasolabial flap for reconstruction of the intraoral defects after release of oral sub mucous fibrosis .The facial aesthetics are not compromised in this technique. The risk of broadening of the commissure and pinched appearance of the lips are subsequently avoided. As the incision is far away from the face, and situated infero-laterally on the neck, the scars are hidden underneath the shirt’s collar, without hampering the facial aesthetics, avoiding an unsightly facial scar and ultimately resulting in better patient compliance and acceptance in today’s conscious society.

Dear Patrick, :: Creative Writing Letter Essays

Dear Patrick, I wake in the morning. I dress: khakis, black tank top, denim jacket. Leather belt hanging low on the hips. A pink scarf around the neck for a feminine touch. There is an exhibit at the Met I've been wanting to see: "Extreme Beauty: The Body Transformed." I go, because I'm drawn to it, drawn to how we have altered our bodies throughout the centuries with fashion, flashing womanhood like a neon sign. How we have created ourselves through dress, over and over again. There is one piece in particular that catches my attention, a long gown sewn with scales and feathers, myriad, iridescent, with the torso sculpted as a snake's belly. I don't know what to make of it. There is something in me that resists. I cannot identify myself with her. It's like looking into the mirror, that moment of confusion. That's not me. There was a distance between me as a woman and the creature in the dress, even though I knew that under that dress she was just as solid as I am, just as warm. She was othered by that dress. Woman and not-woman, snake and Eve, both at once. Monstrous. You come by later to visit, and we sit down with the catalog and look. When I show you the picture of the snake dress, you say, "That's dead sexy." I was offended, initially. Confused. Looking at the photograph now, though, the catalog spread open on my desk, I can see what you mean. On a mannequin, as it was at the exhibit, the dress was just a curiosity, something by P.T. Barnum. The Incredible Snake Lady. On a real woman, it is transformative. She is exotic, terrible, powerful. Sexy. Sexy because she is powerful, because she stands with such command and ease. I want to beher, alien as she is, to own that alchemy of sex and authority. "al ·che ·my Pronunciation Key ( l k -m ) n. 1. A medieval chemical philosophy having as its asserted aims the transmutation of base metals into gold. . ." Alchemists saw in matter something indiscrete, something without boundaries. Substances were implicated in each other, irreducible. The difference between gold and iron was simply a matter of scale, one easily able to shift into another. In Mary Shelley's Frankenstein, her protagonist studied alchemy before creating his monster. The monster itself is a creation of alchemy, a "phantasm," in the words of Mary Shelley, caught between worlds: both living and dead, man and machine.

Adoption of Animals Essay -- Argumentative Persuasive Essays

Adoption of Animals Anyone, who visits an animal shelter, as I do, sees an extraordinary number of beautiful, affectionate, and desperate dogs and cats. The majority of animals in any particular shelter are dogs, usually adults, for whom there aren't enough adoptive homes waiting. A few may have come from responsible breeders, whose owners do not realize that the breeder will take them back,many are those who are lost, and/or from owners who simply got tired of them. Some are pet shop puppies from a puppy mill that did not meet the owner's expectations due to health, temperament, or other reasons. A large number usually turn out to be the result of deliberate and irresponsible home breeding. These people are known as "back-yard breeders." And that is not a compliment. The bottom line is that most people who decide to purchase or adopt a companion animal simply do not realize the responsibility they will be taking on for the next one to fifteen (+) years. It is not fair to say that most people do not have good intentions in their decision to acquire a pet, especially those who rescue an unwanted pet from a neighborhood shelter. What is important is that people become educated about the acquisition of a new pet and the responsibilities that accompany the addition. When rescuing an animal from a shelter or humane society, it is required that the owner spays or neuters the pet within thirty days of date of adoption. Usually, a portion of the fees acquired at the time of adoption is used for the spay/neuter surgery. Thomas Shermerhorn,VMD acknowledges that dogs and cats can be spayed quite early (about 8-10 weeks) without the risk of any long-term problems-well before the first heat, which usually happens about six months of a... ...list of courses. 6 Dec. 1999. Information and advocacy Web site. Accurate and current reporting on legislation and humane issues. Extensive amount of links. "Humane Education Network: A Voice for Animals." Home Page. 27 Mar. 1999 6 Dec. 1999. Relevant and accurate information about animal welfare. Relevant links to other on-line educational sites. "National Association for Humane and Environmental Education." Community Outreach and Teacher Training. Home Page. 6 Dec. 1999. Extensive and excellent resources for teachers, parents. Information, advocacy, and educational site. Excellent links. "Zoo to You Online." Non-profit organization formed to help educate Students. 6 Sep. 1999. 5 Dec 1999. Information site dedicated to linking schools with on-line educational and resource communities.

Free Narrative Essays - The All-Star Baseball Team :: Example Personal Narratives

The All-Star Baseball Team    Several summers ago, I made my first All-Star baseball team for a local little league. When I heard that I was picked, I was overwhelmed with happiness. A lot of my friends and teammates in years past had made the team, but never me. I was finally selected by the head coach of the All-Star team, and considered it quite an honor.    Although I was on the team, I was the only one who had never been an All-Star. I spent most of the tournament on the bench. But there were a few times when I had to go up and pinch-hit. I loved those times. I actually came through with a few clutch hits. Eventually, we made it to the championship game. Because we had lost our first game of the tournament, we were in the loser's bracket, and had to beat our opponent twice to advance to the next tournament. I am an extremely competitive person (probably the most competitive I know) and I was pumped up. But we lost our composure, and then lost the game. Needless to say I was more than a little depressed by the whole situation.    A year later, I was again chosen for the team. This time, I worked my way from being a back-up catcher to the starting 3rd baseman in two weeks. But after going 0-2 in my first two at-bats, my coach took me out of the starting line-up. Again, I pinch-hit, and was very successful at it. I even hit what turned out to be a game-winning homerun. We later reached the championship game again, but we lost it for the second time. This time I was more frustrated than I could ever remember being. I was slamming my hand into walls and almost crying. I was really acting very childish.    Once again, the next year, I was on the All-Star team. This time we were all determined to stay in the tournament and win the championship. We started off lousy, though, making four errors in the first game and losing 4-0. We now had to win every game and beat the last team twice. We did defeat every team we went up against, including the team that beat us the first game, and once again ended up in the championship game.

Business Strategy Simulation Analysis

The actions build into my strategic plan to achieve competitive success with my strategy were to: 1. Offer a wide variety of products in order to give consumers more choices and appeal to the diverse preferences of a larger consumer base. This was to be accomplished by increasing the number of models produced at both the North American (NA) and Asia-Pacific (AP) plants for sale in the internet and wholesale segments in all four regions. 2. Offer attractive, high-quality products that will hold up to wear and tear in order to provide consumers with increased value.This was to be achieved by using a higher percentage of superior materials versus standard materials for production, incorporating more enhanced styling features into the products, and investing heavily in Six Sigma/TQM programs to improve the quality of the workmanship that went into the products and to reduce the number of defects. 3. Offer products at a price that is reasonable and considerably lower than that of rivals o ffering shoes of similar style and quality.This was to be accomplished by managing production costs and  setting a lower profit margin. To manage production costs, the majority of the products were to be produced at the AP plant and shipped to the other regions. Due to the lower production costs at the AP plant, the company would still be able to achieve the target profit margin even with the additional costs of shipping the products to the other regions. Since the costs of production in the NA plant were significantly higher, the additional costs of shipping to the other regions would not allow the company to offer the products at the lower cost. Therefore, most of the product from the NA plant were to be sold in that region to avoid the additional shipping costs.Additionally, production costs were to be managed by increasing the number of products produced per employee and reducing the number of rejects through investment in best practices training, higher base wages, and increa sed incentive pay to the employees for improved and increased production. The selling price for each product was to be kept the same and increase only slightly each year in order to increase and maintain a loyal customer base through consistently reasonable pricing.The actions built into my strategic plan to achieve financial success with my strategy were to: 1. Reduce production costs through improved efficiency of operations. This would be accomplished by investing heavily in Six Sigma/TQM programs in order to improve the quality of workmanship that went into every product. Better quality production reduces the likelihood that customers will end up with defective, low-quality products that could severely damage the company's image.Additionally, by investing in best practices training for the employees and offering higher base wages and incentive pay, the plan was to increase the number of products produced per employee and reduce the number of units ultimately rejected. Increasing employee production allows the company to create more product with the same amount of resources and improving the quality of their work reduces the amount of resources wasted on rejected units. 2. Take a conservative approach in financing operations. This was to be achieved by reducing the amount of debt and not taking any unnecessary financial risks.To reduce the amount of debt, the plan was to have the company pay off loans early in order to save monthly interest expenses. To avoid taking financial risks, the company was to use financial resources to improve the capacity and performance of the existing NA and AP  plants rather than invest in new plants in other regions. The other objective of these action plans was to increase the company's financial rating so that future financing could be obtained at reduced interest rates should the need arise to finance the construction of a new plant.†¢ Why you selected the strategy you usedThe reason I selected the Best-Cost Provider Strategy for Kix Footwear was two-fold. First, the competitive strategy of offering a wide variety of attractive, high-quality shoes was based on what consumers, such as myself, would like to see from a shoe manufacturer. As a middle-income consumer, I work hard to earn the money I have and my disposable income is limited. When I shop for shoes I want to have a variety of shoes to choose from that are well-made and will last without sacrificing style or having to secure a loan to purchase them.The large majority of consumers are also middle-income and I wanted to target the largest market. Therefore, I decided that my strategy would be to provide consumers more value for their money. I planned to achieve this by producing and offering a large number of models to satisfy the need for more choices and to incorporate more enhanced styling features into each model, use higher quality materials, and invest in Six Sigma/TQM programs in order to improve the attractiveness and quality of t he shoes produced.My strategy to maintain reasonable prices was to invest in best practices training and offer higher base wages and incentive pay to employees in order to increase the number of pairs produced per employee and reduce the number of rejected pairs, thereby reducing the production costs per pair.Secondly, the financial strategy of reducing production costs and taking a conservative approach to financing operations was based on improving profit margins and managing risks. Therefore, my strategy to reduce production costs and improve profit margins was to invest in best practices training and offer higher base wages and incentive pay to employees in order to increase the number of pairs produced per employee and reduce the number of rejected pairs, thereby reducing the production costs per pair.With lower production costs per pair, the company would be able to retain more of the  revenue generated from sales resulting in an increased profit margin. My strategy to manag e risks was to reduce the company's debt obligations by repaying loans early and not incurring any further debt unless absolutely necessary. To avoid further debt, the strategy was to maintain a cash flow sufficient to pay expenses as they came due without having to obtain short-term financing and to increase production capacity by improving or expanding existing production facilities rather than by constructing new facilities in other regions.1. Evaluate the effectiveness of your strategy.The effectiveness of my Best-Cost Provider Strategy to provide consumers with a wide variety of attractive, high-quality products at an affordable price by using better materials, improving efficiency, and taking a conservative approach to financing operations was fairly successful. With the exception of the first and final years, Kix Footwear was one of the top three companies in the industry.As the game began, Kix started out in 5th place overall with slight increases in Earnings Per Share (EPS) of $0.02, Return on Equity (ROE) of 1.3%, and Stock Price of $0.42/share. By the end of the second year (Year 12), the company had more moderate increases of $2.33 in EPS, 8.3% in ROE, and $56.15/share in Stock Price, putting me 3rd place overall with a +13 point change from Year 11.Kix maintained its standing in 3rd place throughout the game until the final year, occasionally sharing it with Company E. The final EPS for Kix Footwear at the end of the game (Year 18) was $9.08, an increase of $6.39 overall; ROE increased 4.2% to a final score of 19.2%; and the Stock Price in the final year was $172.67/share which was an increase of $140.67/share.While my strategy for Kix Footwear was fairly successful, I believe that the company’s performance could have been better if I had been more willing to take financial risks. My attempts to increase production capacity were not as effective as I had hoped, causing my company to lose many sales to my competitors with the foresight to bu ild additional capacity at the onset of  the game.Additionally, I underestimated the competition's aggressiveness in obtaining celebrity endorsements and was too risk-averse to bid high, which resulted in my initial bids to be incredibly low compared to those of my competitors. Ultimately, I was not able to obtain celebrity endorsements immediately due to my low bids, which hurt my image and cost me sales.Due to my setbacks in failing to adequately increase capacity and obtain celebrity endorsements, I lost focus on my original deliberate strategy and began implementing a reactive strategy based on mimicking the actions of the 1st and 2nd place competitors. I reduced the number of models I offered and raised my prices substantially, both of which are directly in conflict with my initial strategy. Mimicking the strategy of a rival is rarely successful and did not prove to be so in this situation.As a result of this change in strategy, the company slipped slightly in Year 14, with E PS falling from $5.08 to $4.57, ROE decreasing from 20.4% to 16.0%, and Stock Prices slipping from $96.87/share to $83.20/share. I immediately realized my error and returned to my original strategy by offering more models at lower prices. The outcome was that I was able to regain my competitive advantage the following year (Year 15) and my scores reflected this as EPS rose to $6.03, ROE to 18.7%, and Stock Prices to $105.63.C. Evaluate your ability to identify competitors’ strengths, weaknesses, and strategies during the simulation.My ability to identify my competitors' strengths, weaknesses, and strategies during the simulation were at first not as good as I had hoped they would be. My focus at the beginning of the game remained only on those companies that were ahead of me or directly below me. The other companies did not factor into my strategic decision-making and, as a result, I lost out on a vital purchase of additional capacity at the beginning of the game which set me back slightly.Additionally, because of my failure to monitor my external environment, I was taken by surprise when Company E gained ground in Year 13, coming from 6th place to being tied for 3rd place with me. I realized at that point, that it was necessary to watch all of my competitors, not just the ones that I wanted to surpass. An ambitious company can make significant  changes to their strategy and overcome rivals quickly. For a company to maintain a competitive edge, it is important to closely monitor the external environment in order to identify competitors with the ambition, capabilities, and resources necessary to pose a real threat and prepare a strategy to protect against that threat.As the game continued my ability to identify competitor strengths, weaknesses, and strategies improved. I watched the behaviors of all of the companies, not just the most successful ones, and made strategic decisions based on taking advantage of weaknesses in my competitors in order to gai n their market shares and adjusting my strategy to take advantage of consumer preference trends. For example, I noted that there were a lot of sales in the wholesale segment were lost in all of the four regions by companies that were offering products for the private-label segment. I decided to avoid the private-label segment because the profit margin was less than in the internet and wholesale segments and to provide as much product as I could to those segments in order to gain the market shares of those companies supplying the private label segment.Additionally, there was more production capacity available than there was demand and this continued to be more pronounced each year. Therefore, rather than create more capacity through new construction, I decided to increase my capacity by purchasing it from other companies. With this increased capacity, I was able to better meet the demands of the wholesale and internet segments in all four regions without the monthly interest expense of a construction loan. The results were that I had fewer lost sales in the wholesale segment than those companies offering product for the private-label segment, achieved higher levels of sales revenue, and received an A+ credit rating.1. Discuss how successful you were in predicting your competitors’ next moves.My success in predicting my competitors' next moves was initially very good and then began to lag as the game continued. I believe that my initial success was due to the fact that every company was starting out in exactly the same position and faced with identical market conditions. Therefore, I simply predicted that my competitors, in reviewing and analyzing the same market conditions as I, would come to the same or similar conclusions and react in much the same way as I would. Regardless of the strategy each company wanted to execute, the fact remained that production costs were less in the AP plants than in the NA plants.So I predicted that most of the companies w ould concentrate their production in the AP region and ship to the other regions. I also assumed that most of the companies would raise their prices, a few would keep them the same, and that none were likely to lower prices. My predictions were accurate enough during the first two years that I received bonus points for being so close.As the game progressed, I was not as successful in predicting the moves of my competitors. I believe the first cause for this outcome was the fact that I was focusing only on the actions of the companies that were ahead of me of just below me rather than monitoring the entire external environment. I failed to recognize the importance of watching all of my rivals in order to identify potential threats to my market share.My predictions, therefore, were essentially my predictions for only those 3 or 4 successful competitors as a group, not the entire industry as a whole. Additionally, as the game continued, I found it difficult to find enough time to analy ze each company properly given the time constraints. There was very little time between years for analysis and decision-making and, coupled with working full-time and family obligations, I only had enough time to perform a cursory review and analysis before entering my decisions in order to meet the deadlines. I believe that given more time, I would have been able to more accurately predict my competitors' moves within the game. D. Discuss how sustainable the most dominant competitive advantage achieved by any company within your industry was.I believe that the most dominant competitive advantage achieved by any company within the industry was very sustainable. The top company within the industry, Company B, achieved competitive advantage by building capacity within the first two years and continuing to build throughout the game in all four regions; winning and maintaining celebrity endorsements year after year; and by investing significantly in advertising.This strategy was about  taking significant risks and it resulted in increased buyer demand, product differentiation, and perceived value. Company B had the capability of producing more product in all four regions than any of the other companies in the industry and enabled them to better meet the increasing demand for their product due to their successful advertising campaigns and celebrity endorsements. They were also able to eliminate all costs associated with shipping product from one region to another, which the other companies were not able to do. This company was able to maintain a 1st place standing overall throughout the game, with the exception of Year 13.By immediately increasing capacity and doing so in all four regions, Company B was able to increase production to meet increasing demand and eliminate the additional operating costs of shipping product from one region to another, keeping production costs down and increasing profit margins. The company also managed to successfully win bids for ce lebrity endorsements by the second year and maintain a high level of celebrity contracts throughout the game by bidding high. These celebrity endorsements, along with significant investments in advertising campaigns, allowed the company to boost consumer demand, increase product differentiation, enhance consumer perceived value, and command a higher price for their product.This company shot to the top of the industry immediately by taking advantage of market conditions through aggressive strategy and risk-taking. Once at the top, the company was able to sustain their competitive advantage by building on their strengths of increased capacity and demand. Increased capacity allowed the company to gain market shares from those companies unable to meet demand and demand for their product was created through numerous celebrity endorsements and considerable advertising.E. Compare the selected strategy to three following tests of a winning strategy:The generic competitive strategy that I se lected for Kix Footwear was to provide consumers with a wide variety of attractive, high-quality products at an affordable price by using better materials, improving efficiency, and taking a conservative approach to financing operations. A winning strategy can be determined by applying three tests; The Fit Test, The Competitive Advantage Test, and The Performance Test.The Fit TestTo pass The Fit Test, a company's strategy must fit the current situation, both internally and externally. Internally, the company must be able to execute the strategy with their available resources and current capabilities. For a good external fit, the strategy must be aligned with the current market conditions.I believe that my strategy passed The Fit Test because it was a good fit internally and an adequate fit externally. Internally, my strategy was based on improving the resources available to me and building on our capabilities, such as existing facilities and current employees. My strategy consisted of investing in improvements to existing facilities in order to increase capacity and investing in enhancements to my labor force through best practices training and higher base wages and incentive pay in order to retain their valuable knowledge and experience.My strategy from an external standpoint was only adequate. As it turned out, industry demand rose much higher than I expected and my strategy to increase capacity through improving existing facilities was not enough to keep up or get ahead. As a result I lost sales to those competitors with enough courage to take risks and build additional capacity.The loss of sales due to being out of stock damaged my company's image and affected future sales. My reactive strategy to loss of sales due to insufficient capacity was to purchase capacity from other competitors in the industry. This allowed my company the ability to better meet demand and lose fewer sales due to being out of stock. As a result, my company was able to regain the 3r d place position in the industry and remain there until the final year. †¢ The Competitive Advantage TestFor a strategy to pass The Competitive Advantage Test it must be capable of  helping the company achieve a sustainable competitive advantage. To be considered sustainable, a company's competitive advantage over rivals must be long-lasting and not just a brief period of exceptional performance. My company's strategy throughout the game was to provide a wide variety of high quality shoes for a reasonable price, which was followed each year with the exception of Year 14. During this year, I lost focus and changed my strategy to mimic those of the companies ahead of me, resulting in considerable losses.I returned to my original strategy in Year 15 and saw significant increases, returning my company to its former position in 3rd place where it remained until the final year. The ability to remain within the top 3 companies in the industry for the bulk of the game and have steadi ly increasing sales revenues each year speaks to the sustainability of my company's competitive advantage and, therefore, I believe that my strategy passed The Competitive Advantage Test.  The Performance TestThe Performance Test requires that a winning strategy result in strong company performance. Indications of strong company performance are profitability and market standing. I believe my company's strategy passed The Performance Test because it resulted in excellent profitability and good market standing. In terms of profitability, my company experienced consistent increases in net revenue each year and, with the exception of Year 14, showed a steady increase in EPS. Additionally, ROE met or exceeded investor expectations every year and unit sales in both the internet and wholesale markets increased steadily each year with the exception of the final year. In terms of market standing, my company maintained a global market share of between 8% to 10% throughout the game, met or e xceeded investor expectations for image rating every year starting in Year 14, and remained one of the top 3 companies in the industry until the final year.F. Explain how effectively you applied value chain analysis during the simulation.My effectiveness in applying value chain analysis during the simulation was fairly good, but I failed to recognize the reasons for my competitor’s success in the beginning and it cost my company image points, resulting in less market share.As the game began, I analyzed what my competitors were doing to add value for their consumers and my conclusion was that they were increasing capacity so that they could provide more product in each region without the additional costs of shipping from one region to another. What I failed to realize is that, in addition to building capacity, they were also building demand for their shoes through product differentiation and increasing consumer perceived value. This was accomplished by investing heavily in adv ertising and placing high bids for and winning celebrity endorsement contracts.Since I was unable to secure any celebrity endorsement contracts immediately and my competitors were offering the same number of models with the same S/Q rating as my company, I tried to create more value for my customers by increasing the number of models I produced, increasing the amount of enhanced styling, and raising my product’s S/Q rating.My analysis of my competition also revealed that they had an advantage in that they were able to provide better value to consumers by producing locally in order to avoid shipping charges and costs lower. To create more value for my consumers in this activity, I purchased more capacity in the AP region because the production costs there were much lower than those in the NA region and, even with the additional costs of shipping product to the EA and LA region, I would still be able to provide my customers with high quality shoes at a reasonable price as well as achieve a healthy profit margin.G. Evaluate how effectively you addressed three important issues in order to achieve competitive and financial success for your simulation company.Model availability My effectiveness in addressing model availability in order to achieve competitive and financial success for Kix Footwear was very good. I initially kept the number of models consistent the first year (Year 10), but quickly realized that without the advantages of having celebrity endorsements I needed to offer something to consumers that would differentiate my product, provide more value to my customers, and give me a competitive edge. To achieve these objectives, I increased the number of models I produced and offered for sale as well as increased the style and quality above that of my competitors. As a result, despite not being able to obtain very many celebrity endorsements, consumer demand and sales rose enabling Kix Footwear to come from 5th place in Year 11 to 3rd place in Year 12 , remaining there until the final year, and showed steady increases in sales revenue throughout the simulation. Corporate CitizenshipMy effectiveness in addressing corporate citizenship in order to achieve competitive and financial success for Kix Footwear was dismal at first and improving only slightly by the end of the simulation. When I began the simulation I did not pay much attention to the corporate citizenship aspects of decision –making, but due to my falling image rating and inability to obtain celebrity endorsements, I turned my attention to corporate citizenship.I invested in using recycled materials throughout the simulation, then began making small charitable donations, increasing it slightly each year. Towards the end of the simulation, in an attempt to further boost my image rating I began investing in ethics training and enforcement. While the efforts did boost my company’s image slightly, I believe I could have demonstrated better corporate citizenship and realized better competitive and financial success by increasing my attention to this area.Fiscal responsibility My effectiveness in addressing fiscal responsibility was very good during the simulation, but not excellent. I was very focused on eliminating all outstanding debt to avoid the monthly interest expenses and achieve an A+ credit rating in preparation for the possibility of needing capital in the future at a lower interest rate. While this aspect of my strategy was quite effective and I believe that my credit rating helped boost the company’s attractiveness to investors in that the credit risk was very low, my company  should have been putting the available capital to use to increase investment earnings. Rather than simply sitting on the available capital, the company should have invested it in order to increase investor’s return on equity. In that respect, I feel that I was not effective in addressing fiscal responsibility.

Is Your Beauty More Important Than Your Health? Essay

Is your beauty more important than your health? How much are you willing to pay for the price of beauty?In our day, many of us spend tones of money on beauty products to look better, but unfortunately sometimes the short-term look is not worth the long-term damage that such products can do to our skin. You expect the food you buy to be safe, and there are huge public outcries when it isn’t, yet the same demanding standarts are not universally applied to cosmetic companies. Recently ,people have been more aware of the food they consume. The food companies, which realized this sensitivity of consumers started to be honest and open to public with the ingredients they use in their products. After learning about the ingredients, people tend to consume more organic foods and foods that have more unsaturated substances than saturated. But the big question is this, if the people are so sensitive with their food intake, why don’t they have the same awareness for the products they use for their physical appearance? Many products that women use in our day, contain chemicals that endanger their health in a long period. The government surveys the beauty industry but it does not approve the products before they are sold in stores. Cosmetic companies are only required to list needed ingredients in their products, not the by products that could have been manifest during manufacturing. You may think that natural, organic or hypo-allergic products are healthier and not harmful as other manufactured chemicals, but there are no precepts for them too. The companies are allowed to add any ingredients they wish for, and any kind of label on the package that withstands them selves. Beauty products certify users to commerce with over 126 chemicals that are not tested, aside with legal and known ingredients.