Post the 2008 downturn, the luxury industry is on a growth spree. However, improving efficiencies remains a key focal point. Some of the factors are discussed in this presentation.
http://www.neurorgs.net
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J. Pastor, J. Fernández-Lorente, B. Ortega, J.M. Galán
The incidence of associate pathologies has been studied during the sleep, as well as the diagnostic efficiency of the clinical history. Patients and methods. Patients (n= 136) remitted by diverse services, have been studied. It has been carried out a complete polysomnography, as well as other supplementary studies (anxiety and depression tests, excessive daytime sleepiness Epworth’ s test, EEG and sleep notebook). Results. The most common symptom turned out to be the primary snores, followed by the excessive daytime sleepiness and apneas. The results of the excessive daytime sleepiness Epworth’ s test and the anxiety and depression tests were not useful to differ among pathologies, not even between pathologies and patients with normal sleep. The percentage of diagnosis of suspicion confirmed by the polysomnography was of 39.7%, while in 11% of the total of patients it was observed the existence of more than a pathology of the sleep. In 49.3% of the cases the polysomnographic diagnosis was completely different from the diagnosis of suspicion. Among the patients with clinic suspicion of apnoea, in 48.3% of the cases the existence of the same one was verified, although in 14.6% it was associated with other pathologies. In 51.7% of the patients it was not possible to confirm this pathology. Conclusions. The clinical history is not enough for the diagnosis of the pathologies of the sleep. On the other hand, the existence of associate pathologies diminishes the value of several ‘screening-methods’. Therefore, it is fundamental to carry out a complete polysomnography in all the patients that present any sleep disorder on the part of doctors that approach the problem of the sleep in a global way and not only thinking in the possible existence of syndrome of sleep apnoea. [REV NEUROL 2001; 32: 22-9: www.revneurol.com/3201/k010022.pdf]
Palabras claves. Apnoea. Epworth’ s test. Excessive daytime sleepiness. Periodic movements of the extremities. Polysomnography. Sleep.
http://www.neurorgs.net
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J.M. Pascual-Garvi, E. García-Navarrete, F. Ruiz-Grande, J. Duarte, J.L. Martínez-Chacón, M.L. Meilán-Paz, C. Castrillo-Cazón, L. Fernández-Fresno, R. Manzanares-Soler, R.G. Sola
Surgical treatment for thoracolumbar union instability represents a challenge, due to the difficult access to this area of the spine, and to the extreme variability of morphological and biomechanical lesions observed. Aim. To describe the indications and clinical and neuroradiological results obtained with procedures of anterior or combined spinal fusion-instrumentation used for the treatment of instable thoracolumbar lesions. Patients and methods. 17 patients with thoracolumbar instability were treated surgically, being followed-up at least for one year. Causes of instability were classified in three groups: (i) fractures or fracture-luxations (n = 7), (ii) pathologic fractures following tumoral invasion (n = 6) and (iii) infectious or degenerative spondylodiscitis (n = 5). In order to carry out the substitution of the injured vertebral body an anterior approach to the thoracolumbar union was performed in all cases, using a modified technique of thoracophrenolaparotomy in which the diaphragmatic dome was not incised. Depending on the number of columns of Denis damaged, the vertebral corpectomy was followed by either an anterolateral or a combined spinal fusion-instrumentation. Results. Pain in standing position was eliminated postoperatively in 83%. Neurological deficits were improved in 50% of cases. Surgical mortality was null and transient postoperative complications occurred in 11.7% of patients, but no lung atelectasis or respiratory infections were observed. Conclusions. Chronic pain associated to thoracolumbar instability can be treated successfully by substitution of the damaged vertebral body followed by anterior or combined spinal fusion-instrumentation. Thoracophrenolaparotomy without division of the diaphragm is feasible and it reduces the morbidity associated to postoperative respiratory complications. [REV NEUROL 2005; 40: 3-18]
Palabras clave. Spinal fusion. Spinal instability. Spine. Spine tumor. Thoracolumbar fractures. Thoracolumbar union.
http://www.neurorgs.net
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J. Pastor, J. Fernández-Lorente, B. Ortega, J.M. Galán
The incidence of associate pathologies has been studied during the sleep, as well as the diagnostic efficiency of the clinical history. Patients and methods. Patients (n= 136) remitted by diverse services, have been studied. It has been carried out a complete polysomnography, as well as other supplementary studies (anxiety and depression tests, excessive daytime sleepiness Epworth’ s test, EEG and sleep notebook). Results. The most common symptom turned out to be the primary snores, followed by the excessive daytime sleepiness and apneas. The results of the excessive daytime sleepiness Epworth’ s test and the anxiety and depression tests were not useful to differ among pathologies, not even between pathologies and patients with normal sleep. The percentage of diagnosis of suspicion confirmed by the polysomnography was of 39.7%, while in 11% of the total of patients it was observed the existence of more than a pathology of the sleep. In 49.3% of the cases the polysomnographic diagnosis was completely different from the diagnosis of suspicion. Among the patients with clinic suspicion of apnoea, in 48.3% of the cases the existence of the same one was verified, although in 14.6% it was associated with other pathologies. In 51.7% of the patients it was not possible to confirm this pathology. Conclusions. The clinical history is not enough for the diagnosis of the pathologies of the sleep. On the other hand, the existence of associate pathologies diminishes the value of several ‘screening-methods’. Therefore, it is fundamental to carry out a complete polysomnography in all the patients that present any sleep disorder on the part of doctors that approach the problem of the sleep in a global way and not only thinking in the possible existence of syndrome of sleep apnoea. [REV NEUROL 2001; 32: 22-9: www.revneurol.com/3201/k010022.pdf]
Palabras claves. Apnoea. Epworth’ s test. Excessive daytime sleepiness. Periodic movements of the extremities. Polysomnography. Sleep.
http://www.neurorgs.net
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J.M. Pascual-Garvi, E. García-Navarrete, F. Ruiz-Grande, J. Duarte, J.L. Martínez-Chacón, M.L. Meilán-Paz, C. Castrillo-Cazón, L. Fernández-Fresno, R. Manzanares-Soler, R.G. Sola
Surgical treatment for thoracolumbar union instability represents a challenge, due to the difficult access to this area of the spine, and to the extreme variability of morphological and biomechanical lesions observed. Aim. To describe the indications and clinical and neuroradiological results obtained with procedures of anterior or combined spinal fusion-instrumentation used for the treatment of instable thoracolumbar lesions. Patients and methods. 17 patients with thoracolumbar instability were treated surgically, being followed-up at least for one year. Causes of instability were classified in three groups: (i) fractures or fracture-luxations (n = 7), (ii) pathologic fractures following tumoral invasion (n = 6) and (iii) infectious or degenerative spondylodiscitis (n = 5). In order to carry out the substitution of the injured vertebral body an anterior approach to the thoracolumbar union was performed in all cases, using a modified technique of thoracophrenolaparotomy in which the diaphragmatic dome was not incised. Depending on the number of columns of Denis damaged, the vertebral corpectomy was followed by either an anterolateral or a combined spinal fusion-instrumentation. Results. Pain in standing position was eliminated postoperatively in 83%. Neurological deficits were improved in 50% of cases. Surgical mortality was null and transient postoperative complications occurred in 11.7% of patients, but no lung atelectasis or respiratory infections were observed. Conclusions. Chronic pain associated to thoracolumbar instability can be treated successfully by substitution of the damaged vertebral body followed by anterior or combined spinal fusion-instrumentation. Thoracophrenolaparotomy without division of the diaphragm is feasible and it reduces the morbidity associated to postoperative respiratory complications. [REV NEUROL 2005; 40: 3-18]
Palabras clave. Spinal fusion. Spinal instability. Spine. Spine tumor. Thoracolumbar fractures. Thoracolumbar union.
1. Luxury Roundtable – Mumbai 9 th April 2011 Sushanta Das, MBA in International Luxury Brand Management, Essec Business School Achieving Leadership through Operational Efficiencies Luxury Industry – Current Issues and Future Challenges
2. Luxury Roundtable – Mumbai 9 th April 2011 Achieving Leadership through Operational Efficiencies ……… Retail formats – Size ? ……… Network - How Many ? Where ? ……… Brand Management – Extensions ? Relevance to emerging consumers ……… Technology - Balancing the Brick and Click strategies ……… Sourcing - Continual cost rationalization ……… Splendor amid squalor - Unpredictability of emerging markets
7. Luxury Roundtable – Mumbai 9 th April 2011 Model to sell RTW online and create unique consumer experience Achieving Leadership through Operational Efficiencies
8. http://pic.pbsrc.com/spacer.gif http://pic.pbsrc.com/spacer.gif Strategy Achieving Leadership through Operational Efficiencies EU US Asia-Pacific Anthropometric Database http://picturecollection.org/data/media/5/Dymaxion_2003_animation_small_pause.gif C:sersownloadsomputer_animated_globe.gif Internet (Virtual Database) http://www.geekcreative.co.uk/img/icon15.gif http://www.geekcreative.co.uk/img/icon15.gif http://www.geekcreative.co.uk/img/icon15.gif http://www.animationplaza.com/2/animations/people_a_to_b/businessmen_women/bizwoman_thumbs_up_hb.gif Merchandising http://www.brianlemay.com/gifs/ACF3.gif Manufacturing Thracian Body 3D Model Rendering 1 http://www.akimedia.eu/files/Image/logos/facebook-logo.png http://a35.idata.over-blog.com/0/28/78/07/Images-Mars.-Avril.2010/twitter-logo.png http://a35.idata.over-blog.com/512x512/3/75/88/58/youtube-logo.png http://www.waldronareachamber.org/wp-content/uploads/2010/11/walk-in-closet-design.jpg http://www.animationplaza.com/4/animations/sports_a_to_d/archery/arrow_shake_hb.gif http://awwhellnah.com/wp-content/uploads/2009/06/rube-golbergesque.gif Order Processing http://www.animationplaza.com/2/animations/people_a_to_b/businessmen_women/woman_checking_up_on__a_hb.gif Marketing
9.
10. Luxury Roundtable – Mumbai 9 th April 2011 Achieving Leadership through Operational Efficiencies Splendor amid squalor Luxury companies making a beeline for China Can things go wrong ? Social unrest as gaps increase Government ban on luxury goods and services Consumer preferences changes Increase taxes on global brands and support local brands to grow Is this an indicator of things to come ? Future sustainability is a derivative of efficiently balancing growth across emerging economies, rather than focusing on China alone.
11. Achieving Leadership through Operational Efficiencies Brand Management Luxury Brands do not follow trends, rather they create trends “Edit” consumer choices “Influence” the consumer choices Brand Management Efficiencies Continuous evolution to keep relevance with the ever changing consumer
12. Luxury Roundtable – Mumbai 9 th April 2011 Thank You Achieving Leadership through Operational Efficiencies “Management is efficiency in climbing the ladder of success; leadership determines whether the ladder is leaning against the right wall.” Stephen Covey, author of international bestseller ‘The 7 Habits of Highly Effective People’