QUESTIONS
1. How could the company have erred so badly in its estimates of spending patterns of European customers?
2. Could a better reading of the effect of cultural differences on revenues have been achieved?
3. What suggestions do you have for fostering a climate of sensitivity and goodwill in corporate dealings with the French?
4. How do you account for the great success of Tokyo Disneyland and the problems of Euro Disney? What are the key contributory differences?
5. Do you believe that Euro Disney might have done better if it were located elsewhere in Europe rather than just outside Paris? Why or why not?
6. “Mickey Mouse and the Disney Park are an American cultural abomination.” Evaluate this critical statement.
7. Consider how a strong marketing approach might be made to both European consumers and middlemen, such as travel agents, tour guides, even bus drivers.
8. Discuss the desirability of raising admission prices at the very time when attendance is static, profits are nonexistent, and new attractions are months and several years in the future.
QUESTIONS
1. As the staff assistant to the president of Euro Disney, you already believe before the grand opening that the plans to use a skimming pricing strategy and to emphasize luxury hotel accommodations are ill advised. What arguments would you marshal to try to persuade the company to offer lower prices and more moderate accommodations? Be as persuasive as you can.
2. It is six months after the opening. Revenues are not meeting target, and a number of problems have surfaced and are being worked on. The major problem remains, however, that the venture needs more visitors or higher expenditures per visitor. Develop a business model to improve the situation.
3. How would you rid an organization, such as Euro Disney, of an arrogant mindset? Assume that you are an operational VP and have substantial resources, but not necessarily the eager support of top management.
TEAM DEBATE
->Under the topic "Team Debate Exercise" , you will find information about two camps adopting two opposing positions. Pick a position and discuss why that is the right approach for improving the situation.
-> If you were to be appointed as the Chief Marketing Officer of Euro Disney, what would be your actions to make Euro Disney a more attractive place for the customers? Explain in detail.
RESPOND TO FOUR STUDENTS
ROSIE’S POST:
“Positivist Approaches (Positivism) argues that the world exists independently of people perception of it and that science uses objective techniques to discover what exists in the world” (Monette, Sullivan, & DeJong, 2017) From a positivist approach, the healthcare systems in United States and the Canadian Healthcare systems are different when providing healthcare. “Another important difference between positivists and interpretivists has to do with the role of science: Positivists argue that scientists merely discover what exists in the world, but some interpretivists claim that scien ...
This presentation was provided by Glenn Hampson of Open Scholarship Initiative, during the NISO hot topic virtual conference "Open Research." The event was held on November 17, 2021.
The document provides an overview of the key elements that should be included in a research proposal. It discusses the purpose of a research proposal is to convince others that the proposed research project is worthwhile and that the investigator has the competence and work plan to complete it. The main elements that should be included in a research proposal are an introduction section outlining the background, problem statement, objectives, literature review, methodology, ethical considerations, time schedule and references.
There are 8 discussions needed in 3 days (72 hours). I added the lis.docxsusannr
There are 8 discussions that need to be completed in 3 days. The document lists the topics for each discussion, which include research steps and applications, intake processes, locating resources, different types of research, health plans in Canada vs the US, research formats, careers in health and human services, and evaluating qualitative research. Resources on research concepts, statistics, and ethics are provided at the end.
The document discusses factors that influence people in New Zealand to use complementary and alternative medicine (CAM). CAM is broadly defined as health practices outside of mainstream medicine in a given society. The New Zealand health system uses a definition of CAM as practices intended to prevent or treat illness or promote well-being that are self-defined as such by users. While New Zealand lacks recent data on CAM use, past surveys show little is known about the social and psychological reasons behind why people choose CAM. More research is needed to better understand people's motivations for using CAM in New Zealand.
What is mass media research? Describe the development of mass media research....Md. Sajjat Hossain
Research is a systematic inquiry to describe, explain, predict, and control the observed phenomenon. The main purpose of research is to inform action, to prove a theory, and contribute to developing knowledge in a field or study according to the scientific method. Research can be about anything but the important thing for all researchers to understand is the correct methods to follow and to ensure the best results. ( ★★For making this content author used various online resources, it is share here only for those who want to know something about it. This content is not the author's primary/ own creating property. )
World Civilization I Professor Cieglo Spring 2019 .docxdunnramage
World Civilization I
Professor Cieglo
Spring 2019
“Cracking the Maya Code” Assignment (15 Points)
DUE Thursday, March 7th by 11:59pm on Blackboard
Link to Documentary: https://www.youtube.com/watch?v=OQLG0RF5UZY
Link to Transcript: http://www.pbs.org/wgbh/nova/ancient/cracking-maya-code.html
Answer each of the three questions below with a minimum of 75 words per question (although you may
need more to fully answer one or more of the questions.) THIS ASSIGNMENT MUST BE SUBMITTED AS A
.WORD OR PDF attachment on Blackboard, or I will not accept it and you will receive a “0.” You can
number your answers 1, 2, and 3.
1) What was the common historical view of the Maya before their writing was deciphered?
2) How did the events of a) World War I and b) the Cold War influence J. Eric Thompson’s study of the
Maya? Be sure to explain the influence of BOTH World War I and the Cold War.
3) How did the decipherment of the Maya writing system change scholars’ understanding of the Maya
Civilization?
https://www.youtube.com/watch?v=OQLG0RF5UZY
http://www.pbs.org/wgbh/nova/ancient/cracking-maya-code.html
MK390 Marketing across Cultures – Individual Assignment 2 – 2018/19 – subject to external examiner approval
Tutors: Dr Keith Perks and Dr Carmen Lopez
Aims of the Assignment
· To enable students to learn about a new culture of their choice
· To explore the effects of a different culture on consumer attitudes and behaviour and how exporting firms can use this knowledge effectively
· To identify and review appropriate literature on culture and social media to apply relevant theories and concepts on consumer and exporting firms use of social media.
Assignment Brief
Select an overseas country of interest (but it cannot be the UK, your home country, or the main one selected for assignment 1). You should then address the following 4 points:
1. Based on the theories and concepts from the literature, describe, discuss and interpret what is known, in general, about consumers, customers and managers motivations and behaviour in the social media environment.
2. Using your research of what is known from the literature about social media discussed in point 1, critically evaluate and apply appropriate cultural theories and concepts to explain how and why they might affect motivations and behaviour in social media in your selected country.
3. From your findings discuss the implications of this knowledge of culture and social media for SME exporters.
4. Identify any future avenues for further research.
5. Conclusion
Marking Scheme
Marking criteria
Proportion of Marks
Secondary research
Use of relevant secondary data and research literature from a suitably wide range of sources, appropriately integrated, summarized and referenced (Harvard system).
25%
Relevant discussion, application and integration of knowledge and theories in the areas of culture and social media
Demonstration of a sound understanding of cultural .
Here are the key points about your self-concept:
- Your self-concept scored 90 out of 120, which you consider a "fabulous" score, indicating you have a positive self-image overall.
- Positive qualities you mentioned include having excellent friends who care about you and having many interests and hobbies.
- Areas for improvement you identified are not enjoying school and feeling unhappy with your social life.
- You believe you can enhance your self-concept by improving your school experience through a better social life made possible by making more friends.
- You see technology as an important tangible value in your life that makes modern living much more convenient and connected.
In summary, while recognizing some aspects
This presentation was provided by Glenn Hampson of Open Scholarship Initiative, during the NISO hot topic virtual conference "Open Research." The event was held on November 17, 2021.
The document provides an overview of the key elements that should be included in a research proposal. It discusses the purpose of a research proposal is to convince others that the proposed research project is worthwhile and that the investigator has the competence and work plan to complete it. The main elements that should be included in a research proposal are an introduction section outlining the background, problem statement, objectives, literature review, methodology, ethical considerations, time schedule and references.
There are 8 discussions needed in 3 days (72 hours). I added the lis.docxsusannr
There are 8 discussions that need to be completed in 3 days. The document lists the topics for each discussion, which include research steps and applications, intake processes, locating resources, different types of research, health plans in Canada vs the US, research formats, careers in health and human services, and evaluating qualitative research. Resources on research concepts, statistics, and ethics are provided at the end.
The document discusses factors that influence people in New Zealand to use complementary and alternative medicine (CAM). CAM is broadly defined as health practices outside of mainstream medicine in a given society. The New Zealand health system uses a definition of CAM as practices intended to prevent or treat illness or promote well-being that are self-defined as such by users. While New Zealand lacks recent data on CAM use, past surveys show little is known about the social and psychological reasons behind why people choose CAM. More research is needed to better understand people's motivations for using CAM in New Zealand.
What is mass media research? Describe the development of mass media research....Md. Sajjat Hossain
Research is a systematic inquiry to describe, explain, predict, and control the observed phenomenon. The main purpose of research is to inform action, to prove a theory, and contribute to developing knowledge in a field or study according to the scientific method. Research can be about anything but the important thing for all researchers to understand is the correct methods to follow and to ensure the best results. ( ★★For making this content author used various online resources, it is share here only for those who want to know something about it. This content is not the author's primary/ own creating property. )
World Civilization I Professor Cieglo Spring 2019 .docxdunnramage
World Civilization I
Professor Cieglo
Spring 2019
“Cracking the Maya Code” Assignment (15 Points)
DUE Thursday, March 7th by 11:59pm on Blackboard
Link to Documentary: https://www.youtube.com/watch?v=OQLG0RF5UZY
Link to Transcript: http://www.pbs.org/wgbh/nova/ancient/cracking-maya-code.html
Answer each of the three questions below with a minimum of 75 words per question (although you may
need more to fully answer one or more of the questions.) THIS ASSIGNMENT MUST BE SUBMITTED AS A
.WORD OR PDF attachment on Blackboard, or I will not accept it and you will receive a “0.” You can
number your answers 1, 2, and 3.
1) What was the common historical view of the Maya before their writing was deciphered?
2) How did the events of a) World War I and b) the Cold War influence J. Eric Thompson’s study of the
Maya? Be sure to explain the influence of BOTH World War I and the Cold War.
3) How did the decipherment of the Maya writing system change scholars’ understanding of the Maya
Civilization?
https://www.youtube.com/watch?v=OQLG0RF5UZY
http://www.pbs.org/wgbh/nova/ancient/cracking-maya-code.html
MK390 Marketing across Cultures – Individual Assignment 2 – 2018/19 – subject to external examiner approval
Tutors: Dr Keith Perks and Dr Carmen Lopez
Aims of the Assignment
· To enable students to learn about a new culture of their choice
· To explore the effects of a different culture on consumer attitudes and behaviour and how exporting firms can use this knowledge effectively
· To identify and review appropriate literature on culture and social media to apply relevant theories and concepts on consumer and exporting firms use of social media.
Assignment Brief
Select an overseas country of interest (but it cannot be the UK, your home country, or the main one selected for assignment 1). You should then address the following 4 points:
1. Based on the theories and concepts from the literature, describe, discuss and interpret what is known, in general, about consumers, customers and managers motivations and behaviour in the social media environment.
2. Using your research of what is known from the literature about social media discussed in point 1, critically evaluate and apply appropriate cultural theories and concepts to explain how and why they might affect motivations and behaviour in social media in your selected country.
3. From your findings discuss the implications of this knowledge of culture and social media for SME exporters.
4. Identify any future avenues for further research.
5. Conclusion
Marking Scheme
Marking criteria
Proportion of Marks
Secondary research
Use of relevant secondary data and research literature from a suitably wide range of sources, appropriately integrated, summarized and referenced (Harvard system).
25%
Relevant discussion, application and integration of knowledge and theories in the areas of culture and social media
Demonstration of a sound understanding of cultural .
Here are the key points about your self-concept:
- Your self-concept scored 90 out of 120, which you consider a "fabulous" score, indicating you have a positive self-image overall.
- Positive qualities you mentioned include having excellent friends who care about you and having many interests and hobbies.
- Areas for improvement you identified are not enjoying school and feeling unhappy with your social life.
- You believe you can enhance your self-concept by improving your school experience through a better social life made possible by making more friends.
- You see technology as an important tangible value in your life that makes modern living much more convenient and connected.
In summary, while recognizing some aspects
This document provides a critical analysis of two research articles that use different methodologies and paradigms. The first article uses quantitative methods and a post-positivistic paradigm, while the second uses qualitative methods and a constructivist paradigm. Each article is analyzed based on its methodology, research questions, theoretical frameworks, definitions, limitations, significance, methods and procedures, quality and rigor, and researcher positionality. The analysis finds that while the articles have different purposes, they both fit within the conceptual frameworks of their respective fields.
This document discusses grounded theory and constructivist grounded theory as qualitative research methodologies. It explains that grounded theory is used to develop a theory grounded in data using an inductive approach. Constructivist grounded theory is presented as an extension of grounded theory that incorporates a constructivist perspective, where theories are co-constructed by the researcher and participants based on their shared experiences. The document provides an example of how constructivist grounded theory would be applied in a research study exploring how poor, working class clients' experiences of counseling may affect their perspectives and participation in individual counseling.
A Comparison of Key Models in Health InformaticsAs part of this co.docxJospehStull43
A Comparison of Key Models in Health Informatics
As part of this course, you will be developing an evaluation plan based on an appropriate model. For this Assignment, you will examine in depth the four models introduced in this week's Learning Resources (
Technology Acceptance, Model Diffusion of Innovations, Disruptive Innovation, Sociotechnical Theory Models
).
By increasing your familiarity with these key models, you will more easily recognize which would be most appropriate for the evaluation you decide to perform.
To prepare:
Review the four research models covered in this week’s Learning Resources.
Consider the key points of each and when they would be the most appropriate choice for an evaluation.
To complete
this Assignment:
By Thursday 12/22/2016 by 5pm,
1)
Create graphic representations of the four models, including descriptions of each overall model, key components, who was involved in their development, key ways they have been used, and potential uses in health informatics.
2)
These representations will be for your use in your upcoming course project, so the greater the detail, the more useful these representations will be to you.
3)
Potential formats could include but are not limited to tables, mind maps, Venn diagrams, or concept maps.
P.S. include an introduction and a summary. The introduction must end with a purpose statement (e.g. “The purpose of this paper is to …” ) in APA format.
Use the references listed in the instructions area for this assignment.
Thank you!
Required Readings
Technology Acceptance Model
Kowitlawakul, Y. (2011). The Technology Acceptance Model: Predicting nurses’ intention to use telemedicine technology (eICU). Computers, Informatics, Nursing, 29(7), 411–418.
Retrieved from the Walden Library databases.
Nurses encounter a variety of technological tools that are used in their field. This article explores the technology acceptance model and how it applies to nurses’ intention to use telemedicine technology.
Pai, F.-Y., & Huang, K. (2011). Applying the Technology Acceptance Model to the introduction of healthcare information systems. Technological Forecasting and Social Change, 78(4), 650–660.
Retrieved from the Walden Library databases.
This article focuses on the attempt to develop a model that will assist nurses in mastering the use of health information technology (HIT), thus enabling them to spend more time on patient care and less on clerical-type duties. The authors also studied how the use of HIT could increase patient safety.
Rippen, H. E., Pan, E. C., Russell, C., Byrne, C. M., & Swift, E. K. (2013). Organizational framework for health information technology. International Journal of Medical Informatics, 82(4), e1–e13.
Retrieved from the Walden Library databases.
In this article, the authors highlight results of a literature review on the implementation of health information technology and the related theories and models. Based on their research, the authors developed a fra.
Identifying Structures in Social Conversations in NSCLC Patients through the ...IJERA Editor
The exploration of social conversations for addressing patient’s needs is an important analytical task in which
many scholarly publications are contributing to fill the knowledge gap in this area. The main difficulty remains
the inability to turn such contributions into pragmatic processes the pharmaceutical industry can leverage in
order to generate insight from social media data, which can be considered as one of the most challenging source
of information available today due to its sheer volume and noise. This study is based on the work by Scott
Spangler and Jeffrey Kreulen and applies it to identify structure in social media through the extraction of a
topical taxonomy able to capture the latent knowledge in social conversations in health-related sites. The
mechanism for automatically identifying and generating a taxonomy from social conversations is developed and
pressured tested using public data from media sites focused on the needs of cancer patients and their families.
Moreover, a novel method for generating the category’s label and the determination of an optimal number of
categories is presented which extends Scott and Jeffrey’s research in a meaningful way. We assume the reader is
familiar with taxonomies, what they are and how they are used.
Identifying Structures in Social Conversations in NSCLC Patients through the ...IJERA Editor
The exploration of social conversations for addressing patient’s needs is an important analytical task in which
many scholarly publications are contributing to fill the knowledge gap in this area. The main difficulty remains
the inability to turn such contributions into pragmatic processes the pharmaceutical industry can leverage in
order to generate insight from social media data, which can be considered as one of the most challenging source
of information available today due to its sheer volume and noise. This study is based on the work by Scott
Spangler and Jeffrey Kreulen and applies it to identify structure in social media through the extraction of a
topical taxonomy able to capture the latent knowledge in social conversations in health-related sites. The
mechanism for automatically identifying and generating a taxonomy from social conversations is developed and
pressured tested using public data from media sites focused on the needs of cancer patients and their families.
Moreover, a novel method for generating the category’s label and the determination of an optimal number of
categories is presented which extends Scott and Jeffrey’s research in a meaningful way. We assume the reader is
familiar with taxonomies, what they are and how they are used.
Justify Your Conclusions
Hiv Aids Conclusions
Essay on Hypothesis and Conclusion
Sampling Methods Essay
Conclusion Of Solar Energy
Titanium Essay
Research Methods Essay
Dental Hygienist Conclusion
Conclusion Of Globalization
1
7
Annotated Bibliography
Lua Shanks
Walden University
Research Theory, Design, and Methods
Dr. Arome
11-7-2021
Annotated Bibliography
Introduction
Autism researchers continue to grapple with activities that best serve the purpose of fostering positive interpersonal relationships for children with autism. Children have benefited from therapy sessions that provide ongoing activities to aid their ability to engage in healthy social interactions. However, less is known about how K–12 schools might implement programs for this group of individuals to provide additional opportunities for growth, or even if and how school programs would be of assistance in the end. There is a gap in understanding the possibilities of implementing such programs in schools to foster the social and mental health of children with autism. The six articles I selected for this assignment present research on different types of therapeutic programs that have been used to promote social interactions in children with autism.
Annotated Bibliography on Autism
Wimpory, D. C., & Nash, S. (1999). Musical interaction therapy – therapeutic play for children with autism. Child Language and Teaching Therapy, 15(1), 17–28. https://doi.org/10.1177/026565909901500103
Wimpory and Nash provided a case study
for implementing music interaction therapy as part of play therapy aimed at cultivating communication skills in infants with autism spectrum disorder (ASD). The researchers based their argument on films taken of play-based therapy sessions that introduced music interaction therapy. To assess the success of music play, Wimpory and Nash filmed the follow-up play-based interaction between the parent and the child. The follow-up interactions revealed that 20 months after the introduction of music play, the child developed prolonged playful interaction with both the psychologist and the parent. The follow-up films also revealed that the child initiated spontaneously pretend play during these later sessions. After the introduction of music, the child began to develop appropriate language skills.
Since the publication date for this case study is 1999, the results are dated. Although this study found that music interaction therapy is useful, emerging research in the field has undoubtedly changed in the time since this article was published. Wimpory and Nash wrote this article for a specific audience, including psychologists and researchers working with infants diagnosed with ASD. Their focus means that others beyond these fields may not find the findings applicable to their work.
I am interested in the role of music in therapy to foster social and mental health in children with ASD. Therefore, Wimpory and Nash’s research is useful to me for background information on the implementation of music into play-based therapy in infants with ASD. Wimpory and Nash presented a basis for this t ...
Mr. Bush, a 45-year-old middle school teacher arrives at the emergen.docxaudeleypearl
Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED:
a. What priority interventions would you initiate?
b. What information would you require to definitively determine what was causing Mr. Bush’s chest pain?
.
Movie Project Presentation Movie TroyInclude Architecture i.docxaudeleypearl
Movie Project Presentation: Movie: Troy
Include: Architecture in the movie. Historical research to figure out if the movie did a good job of representing the art historical past of not. Anything in the movie that are related to art or art history. And provide its outline and bibliography (any website source is acceptable as well)
.
Motivation and Retention Discuss the specific strategies you pl.docxaudeleypearl
Motivation and Retention
Discuss the specific strategies you plan to use to motivate individuals from your priority
population to participate in your program and continue working on their behavior change.
You can refer to information you obtained from the Potential Participant Interviews. You
also can search the literature for strategies that have been successfully used in similar
situations; be sure to cite references in APA format.
.
Mother of the Year In recognition of superlative paren.docxaudeleypearl
The document discusses Facebook's decision in 2015 to change the "like" button on the platform. It describes how Chris Cox, Facebook's chief product officer, led discussions about overhauling the button. The like button had become a blunt tool, and Cox wanted to expand the range of emotions that users could express beyond just "liking" something. This would become the "Reactions" feature, allowing responses like love, haha, wow, sad, and angry. The change took over a year to develop and test before being publicly launched.
Mrs. G, a 55 year old Hispanic female, presents to the office for he.docxaudeleypearl
Mrs. G, a 55 year old Hispanic female, presents to the office for her annual exam. She reports that lately she has been very fatigued and just does not seem to have any energy. This has been occurring for 3 months. She is also gaining weight since menopause last year. She joined a gym and forces herself to go twice a week, where she walks on the treadmill at least 30 minutes but she has not lost any weight, in fact she has gained 3 pounds. She doesn’t understand what she is doing wrong. She states that exercise seems to make her even more hungry and thirsty, which is not helping her weight loss. She wants get a complete physical and to discuss why she is so tired and get some weight loss advice. She also states she thinks her bladder has fallen because she has to go to the bathroom more often, recently she is waking up twice a night to urinate and seems to be urinating more frequently during the day. This has been occurring for about 3 months too. This is irritating to her, but she is able to fall immediately back to sleep.
Current medications:
Tylenol 500 mg 2 tabs daily for knee pain. Daily multivitamin
PMH:
Has left knee arthritis. Had chick pox and mumps as a child. Vaccinations up to
date.
GYN hx:
G2 P1. 1 SAB, 1 living child, full term, wt 9lbs 2 oz. LMP 15months ago. No history of abnormal Pap smear.
FH:
parents alive, well, child alive, well. No siblings. Mother has HTN and father has high cholesterol.
SH:
works from home part time as a planning coordinator. Married. No tobacco history, 1-2 glasses wine on weekends. No illicit drug use
Allergies
: NKDA, allergic to cats and pollen. No latex allergy
Vital signs
: BP 129/80; pulse 76, regular; respiration 16, regular
Height 5’2.5”, weight 185 pounds
General:
obese female in no acute distress. Alert, oriented and cooperative.
Skin
: warm dry and intact. No lesions noted
HEENT:
head normocephalic. Hair thick and distribution throughout scalp. Eyes without exudate, sclera white. Wears contacts. Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender. Nares patent without exudate. Oropharynx moist without erythema. Teeth in good repair, no cavities noted. Neck supple. Anterior cervical lymph nontender to palpation. No lymphadenopathy. Thyroid midline, small and firm without palpable masses.
CV
: S1 and S2 RRR without murmurs or rubs
Lungs
: Clear to auscultation bilaterally, respirations unlabored.
Abdomen
- soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits. No CVAT.
Labwork:
CBC
:
WBC 6,000/mm3 Hgb 12.5 gm/dl Hct 41% RBC 4.6 million MCV 88 fl MCHC
34 g/dl RDW 13.8%
UA:
pH 5, SpGr 1.013, Leukocyte esterase negative, nitrites negative, 1+ glucose; small protein; negative for ketones
CMP:
Sodium 139
Potassium 4.3
Chloride 100
CO2 29
Glucose 95
BUN 12
Creatinine 0.7
GFR est non-AA 92 mL/min/1.73 GFR est AA 101 mL/min/1.73 Calcium 9.5
Total protein 7.6 Bilirubin, total 0.6 Alkaline.
Mr. Rivera is a 72-year-old patient with end stage COPD who is in th.docxaudeleypearl
Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the
concept map
form provided.
.
Mr. B, a 40-year-old avid long-distance runner previously in goo.docxaudeleypearl
Mr. B, a 40-year-old avid long-distance runner previously in good health, presented to his primary provider for a yearly physical examination, during which a suspicious-looking mole was noticed on the back of his left arm, just proximal to the elbow. He reported that he has had that mole for several years, but thinks that it may have gotten larger over the past two years. Mr. B reported that he has noticed itchiness in the area of this mole over the past few weeks. He had multiple other moles on his back, arms, and legs, none of which looked suspicious. Upon further questioning, Mr. B reported that his aunt died in her late forties of skin cancer, but he knew no other details about her illness. The patient is a computer programmer who spends most of the work week indoors. On weekends, however, he typically goes for a 5-mile run and spends much of his afternoons gardening. He has a light complexion, blonde hair, and reports that he sunburns easily but uses protective sunscreen only sporadically.
Physical exam revealed: Head, neck, thorax, and abdominal exams were normal, with the exception of a hard, enlarged, non-tender mass felt in the left axillary region. In addition, a 1.6 x 2.8 cm mole was noted on the dorsal upper left arm. The lesion had an appearance suggestive of a melanoma. It was surgically excised with 3 mm margins using a local anesthetic and sent to the pathology laboratory for histologic analysis. The biopsy came back Stage II melanoma.
1. How is Stage II melanoma treated and according to the research how effective is this treatment?
250 words.
.
Moving members of the organization through the change process ca.docxaudeleypearl
Moving members of the organization through the change process can be quite difficult. As leaders take on this challenge of shifting practice from the current state to the future, they face the obstacles of confidence and competence experienced by staff. Change leaders understand the importance of recognizing their moral purpose and helping others to do the same. Effective leaders foster moral purpose by building relationships, considering other’s perspectives, demonstrating respect, connecting others, and examining progress (Fullan & Quinn, 2016). For this Discussion, you will clarify your own moral perspective and how it will impact the elements of focusing direction.
To prepare:
· Review the Adams and Miskell article. Reflect on the measures taken in building capacity throughout the organization.
· Review Fullan and Quinn’s elements of Focusing Direction in Chapter 2. Reflect on aspects needed to build capacity as a leader.
· Analyze the two case examples used to illustrate focused direction in Chapter 2.
· Clarify your own moral purpose, combining your personal values, persistence, emotional intelligence, and resilience.
A brief summary clarifying your own moral imperative.
· Using the guiding questions in Chapter 2 on page 19, explain your moral imperative and how you can use your strengths to foster moral imperative in others.
· Based on Fullan’s information on change leadership, in which areas do you feel you have strong leadership skills? Which areas do you feel you need to continue to develop?
Learning Resources
Required Readings
Fullan, M., & Quinn, J. (2016).
Coherence: The right drivers in action for schools, districts, and systems
. Thousand Oaks, CA: Corwin.
Chapter 2, “Focusing Direction” (pp. 17–46)
Florian, L. (Ed.). (2014).
The SAGE handbook of special education
(2nd ed.). London, England: Sage Publications Ltd.
Chapter 23, “Researching Inclusive Classroom Practices: The Framework for Participation” (389–404)
Chapter 31, “Assessment for Learning and the Journey Towards Inclusion” (pp. 523–536)
Adams, C.M., & Miskell, R.C. (2016). Teacher trust in district administration: A promising line of inquiry. Journal of Leadership for Effective and Equitable Organizations, 1-32. DOI: 10.1177/0013161X1665220
Choi, J. H., Meisenheimer, J. M., McCart, A. B., & Sailor, W. (2016). Improving learning for all students through equity-based inclusive reform practices effectiveness of a fully integrated school-wide model on student reading and math achievement. Remedial and Special Education, doi:10.1177/0741932516644054
Sailor, W. S., & McCart, A. B. (2014). Stars in alignment. Research and Practice for Persons with Severe Disabilities, 39(1), 55-64. doi: 10.1177/1540796914534622
Required Media
Grand City Community
Laureate Education (Producer) (2016c).
Tracking data
[Video file]. Baltimore, MD: Author.
Go to the Grand City Community and click into
Grand City School District Administration Offices
. Revie.
Mr. Friend is acrime analystwith the SantaCruz, Califo.docxaudeleypearl
Mr. Friend is a
crime analyst
with the Santa
Cruz, California,
Police
Department.
Predictive Policing: Using Technology to Reduce Crime
By Zach Friend, M.P.P.
4/9/2013
Nationwide law enforcement agencies face the problem
of doing more with less. Departments slash budgets
and implement furloughs, while management struggles
to meet the public safety needs of the community. The
Santa Cruz, California, Police Department handles the
same issues with increasing property crimes and
service calls and diminishing staff. Unable to hire more
officers, the department searched for a nontraditional
solution.
In late 2010 researchers published a paper that the
department believed might hold the answer. They
proposed that it was possible to predict certain crimes,
much like scientists forecast earthquake aftershocks.
An “aftercrime” often follows an initial crime. The time and location of previous criminal activity helps to
determine future offenses. These researchers developed an algorithm (mathematical procedure) that
calculates future crime locations.1
Equalizing Resources
The Santa Cruz Police Department has 94 sworn officers and serves a population of 60,000. A
university, amusement park, and beach push the seasonal population to 150,000. Department personnel
contacted a Santa Clara University professor to apply the algorithm, hoping that leveraging technology
would improve their efforts. The police chief indicated that the department could not hire more officers.
He felt that the program could allocate dwindling resources more efficiently.
Santa Cruz police envisioned deploying officers by shift to the most targeted locations in the city. The
predictive policing model helped to alert officers to targeted locations in real time, a significant
improvement over traditional tactics.
Making it Work
The algorithm is a culmination of anthropological and criminological behavior research. It uses complex
mathematics to estimate crime and predict future hot spots. Researchers based these studies on
In Depth
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Patch Call
Known locally as the
“Gateway to the Summit,”
which references the city’s
proximity to the Bechtel Family
National Scout Reserve. More
The patch of the Miamisburg,
Ohio, Police Department
prominently displays the city
seal surroun.
Mr. E is a pleasant, 70-year-old, black, maleSource Self, rel.docxaudeleypearl
Mr. E is a pleasant, 70-year-old, black, male
Source: Self, reliable source
Subjective:
Chief complaint:
“I urinate frequently.”
HPI:
Patient states that he has had an increase in urination for the past several years, which seems to be worsening over the past year. He estimates that he urinates clear/light yellow urine approximately every 1.5-2 hours while awake and is up 2-4 times at night to urinate. He states some urgency and hesitancy with urination and feeling of incomplete voiding. He denies any pain or blood. Denies any head trauma. Denies any increase in thirst or hunger. He denies any unintentional weight loss.
Allergies
: NKA
Current Mediations
:
Multivitamin, daily
Aspirin, 81 mg, daily
Olmesartan, 20 mg daily
Atorvastatin, 10 mg daily
Diphenhydramine, 50 mg, at night
Pertinent History:
Hypertension, hyperlipidemia, insomnia
Health Maintenance. Immunizations:
Immunizations up to date
Family History:
No cancer, cardiac, pulmonary or autoimmune disease in immediate family members
Social History:
Patient lives alone. He drinks one cup of caffeinated coffee each morning at the local diner. He denies any nicotine, alcohol or drug use.
ROS:
Incorporated into HPI
Objective:
VS
– BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 195 lbs, height: 70 inches.
Mr. E is alert, awake, oriented x 3. Patient is clean and dressed appropriate for age.
Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop
Respiratory: Clear to auscultation
Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly
Neuro: CN 2-12 intact
Renal/prostate: Prostate enlarged, non-tender. No asymmetry or nodules palpated
Labs:
Test Name
Result
Units
Reference Range
Color
Yellow
Yellow
Clarity
Clear
Clear
Bilirubin
Negative
Negative
Specific Gravity
1.011
1.003-1.030
Blood
Negative
Negative
pH
7.5
4.5-8.0
Nitrite
Negative
Negative
Leukocyte esterase
Negative
Negative
Glucose
Negative
mg/dL
Negative
Ketones
Negative
mg/dL
Negative
Protein
Negative
mg/dL
Negative
WBC
Negative
/hpf
Negative
RBC
Negative
/hpf
Negative
Lab
Pt’s Result
Range
Units
Sodium
137
136-145
mmol/L
Potassium
4.7
3.5-5.1
mmol/L
Chloride
102
98-107
mmol/L
CO2
30
21-32
mmol/L
Glucose
92
70-99
mg/dL
BUN
7
6-25
mg/dL
Creat
1.6
.8-1.3
mg/dL
GFR
50
>60
Calcium
9.6
8.2-10.2
mg/dL
Total Protein
8.0
6.4-8.2
g/dL
Albumin
4.5
3.2-4.7
g/dL
Bilirubin
1.1
<1.1
mg/dL
Alkaline Phosphatase
94
26-137
U/L
AST
25
0-37
U/L
ALT
55
15-65
U/L
Pt’s results
Normal Range
Units
WBC
9.9
3.4 - 10.8
x10E3/uL
RBC
4.0
3.77 - 5.28
x10E6/uL
Hemoglobin
11.5
11.1 - 15.9
g/dL
H.
Motor Milestones occur in a predictable developmental progression in.docxaudeleypearl
Motor Milestones occur in a predictable developmental progression in young children. They begin with reflexive movements that develop into voluntary movement patterns. For the motor milestone of independent walking, there are many precursor reflexes that must first integrate and beginning movement patterns that must be learned. Explain the motor progression of walking in a child, starting with the integration of primitive reflexes to the basic motor skills needed for a child to walk independently. Discuss at which time frame each milestone occurs from birth to walking (12-18 months of age). What are some reasons why a child could be delayed in walking? At what age is a child considered delayed in walking and in need of intervention? What interventions are available to children who are having difficulty walking? Please be sure to use APA citations for all sources used to formulate your answers.
.
Most women experience their closest friendships with those of th.docxaudeleypearl
Most women experience their closest friendships with those of the same sex. Men have suffered more of a stigma in terms of sharing deep bonds with other men. Open affection and connection is not actively encouraged among men. Recent changes in society might impact this, especially with the advent of the meterosexual male. “The meterosexual male is less interested in blood lines, traditions, family, class, gender, than in choosing who they want to be and who they want to be with” (Vernon, 2010, p. 204).
In this week’s reading material, the following philosophers discuss their views on this topic: Simone de Beauvoir, Thomas Aquinas, MacIntyre, Friedman, Hunt, and Foucault. Make sure to incorporate their views as you answer each discussion question. Think about how their views may be similar or different from your own. In at least 250 words total, please answer each of the following, drawing upon your reading materials and your personal insight:
To what extent do you think women still have a better opportunity to forge deeper friendships than men? What needs to change to level the friendship playing field for men, if anything?
How is the role of the meterosexual man helping to forge a new pathway for male friendships?
.
Most patients with mental health disorders are not aggressive. Howev.docxaudeleypearl
Most patients with mental health disorders are not aggressive. However, it is important for nurses to be able to know the signs and symptoms associated with the five phases of aggression, and to appropriately apply nursing interventions to assist in treating aggressive patients. Please read the case study below and answer the four questions related to it.
Aggression Case Study
Christopher, who is 14 years of age, was recently admitted to the hospital for schizophrenia. He has a history of aggressive behavior and states that the devil is telling him to kill all adults because they want to hurt him. Christopher has a history of recidivism and noncompliance with his medications. One day on the unit, the nurse observes Christopher displaying hypervigilant behaviors, pacing back and forth down the hallway, and speaking to himself under his breath. As the nurse runs over to Christopher to talk, he sees that his bedroom door is open and runs into his room and shuts the door. The nurse responds by attempting to open the door, but Christopher keeps pulling the door shut and tells the nurse that if the nurse comes in the room he will choke the nurse. The nurse responds by calling other staff to assist with the situation.
1. What phase of the aggression cycle is Christopher in at the beginning of this scenario? What phase is he in at the end the scenario? (State the evidence that supports your answers).
2. What interventions could have been implemented to prevent Christopher from escalating at the beginning of the scenario?
3. What interventions should the nurse take to deescalate the situation when Christopher is refusing to open his door?
4. If a restrictive intervention (restraint/seclusion) is used, what are some important steps for the nurse to remember?
SCHOLAR NURSING ARTICLE>>>APA FORMAT>>>
.
Most of our class readings and discussions to date have dealt wi.docxaudeleypearl
Most of our class readings and discussions to date have dealt with the issue of ethics and ethical behavior. Various philosophers have made contributions to jurisprudence including how to apply ethical principles (codes of conduct?) to ethical dilemma.
Your task is to watch the Netflix documentary ‘The Social Dilemma.’ If you cannot currently access Netflix it offers a free trial opportunity, which you can cancel after viewing the documentary. Should this not be an option for whatever reason, then please email me and we will create an alternative ethics question.
DUE DATE: Tuesday, Sept. 29, 2020 by noon
SEND YOUR NO MORE THAN 5 PAGE DOUBLE SPACED RESPONSE TO MY EMAIL ADDRESS. LATE PAPERS SUBJECT TO DOWNGRADING
As critics have written, the documentary showcases ways our minds are twisted and twirled by social media companies like Facebook, Twitter, and Google through their platforms and search engines, and the why of what they are doing, and what must be done to stop it.
After watching the movie, respond to the following questions in the order given. Use full sentences and paragraphs, and start off each section by stating the question you are answering. Be succinct.
What are the critical ethical issues identified?
What concerns are raised over the polarization of society and promulgation of fake news?
What is the “attention-extraction model” of software design and why worry?
What is “surveillance capitalism?”
Do you agree that social media warps your perceptions of reality?
Who has the power and control over these social media platforms – software designers, artificial intelligence (Ai), CEOs of media platforms, users, government?
Are social media platforms capable of self-regulation to address the political and ethical issues raised or not? If not, then should government regulate?
What other actions can be taken to address the basic concern of living in a world “…where no one believes what’s true.”
.
Most people agree we live in stressful times. Does stress and re.docxaudeleypearl
Stress may contribute to illness according to some research cited in textbooks. The question asks whether stress and reactions to stress can lead to health issues, and opinions should be supported by evidence from course materials. References in APA format are required.
More Related Content
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This document provides a critical analysis of two research articles that use different methodologies and paradigms. The first article uses quantitative methods and a post-positivistic paradigm, while the second uses qualitative methods and a constructivist paradigm. Each article is analyzed based on its methodology, research questions, theoretical frameworks, definitions, limitations, significance, methods and procedures, quality and rigor, and researcher positionality. The analysis finds that while the articles have different purposes, they both fit within the conceptual frameworks of their respective fields.
This document discusses grounded theory and constructivist grounded theory as qualitative research methodologies. It explains that grounded theory is used to develop a theory grounded in data using an inductive approach. Constructivist grounded theory is presented as an extension of grounded theory that incorporates a constructivist perspective, where theories are co-constructed by the researcher and participants based on their shared experiences. The document provides an example of how constructivist grounded theory would be applied in a research study exploring how poor, working class clients' experiences of counseling may affect their perspectives and participation in individual counseling.
A Comparison of Key Models in Health InformaticsAs part of this co.docxJospehStull43
A Comparison of Key Models in Health Informatics
As part of this course, you will be developing an evaluation plan based on an appropriate model. For this Assignment, you will examine in depth the four models introduced in this week's Learning Resources (
Technology Acceptance, Model Diffusion of Innovations, Disruptive Innovation, Sociotechnical Theory Models
).
By increasing your familiarity with these key models, you will more easily recognize which would be most appropriate for the evaluation you decide to perform.
To prepare:
Review the four research models covered in this week’s Learning Resources.
Consider the key points of each and when they would be the most appropriate choice for an evaluation.
To complete
this Assignment:
By Thursday 12/22/2016 by 5pm,
1)
Create graphic representations of the four models, including descriptions of each overall model, key components, who was involved in their development, key ways they have been used, and potential uses in health informatics.
2)
These representations will be for your use in your upcoming course project, so the greater the detail, the more useful these representations will be to you.
3)
Potential formats could include but are not limited to tables, mind maps, Venn diagrams, or concept maps.
P.S. include an introduction and a summary. The introduction must end with a purpose statement (e.g. “The purpose of this paper is to …” ) in APA format.
Use the references listed in the instructions area for this assignment.
Thank you!
Required Readings
Technology Acceptance Model
Kowitlawakul, Y. (2011). The Technology Acceptance Model: Predicting nurses’ intention to use telemedicine technology (eICU). Computers, Informatics, Nursing, 29(7), 411–418.
Retrieved from the Walden Library databases.
Nurses encounter a variety of technological tools that are used in their field. This article explores the technology acceptance model and how it applies to nurses’ intention to use telemedicine technology.
Pai, F.-Y., & Huang, K. (2011). Applying the Technology Acceptance Model to the introduction of healthcare information systems. Technological Forecasting and Social Change, 78(4), 650–660.
Retrieved from the Walden Library databases.
This article focuses on the attempt to develop a model that will assist nurses in mastering the use of health information technology (HIT), thus enabling them to spend more time on patient care and less on clerical-type duties. The authors also studied how the use of HIT could increase patient safety.
Rippen, H. E., Pan, E. C., Russell, C., Byrne, C. M., & Swift, E. K. (2013). Organizational framework for health information technology. International Journal of Medical Informatics, 82(4), e1–e13.
Retrieved from the Walden Library databases.
In this article, the authors highlight results of a literature review on the implementation of health information technology and the related theories and models. Based on their research, the authors developed a fra.
Identifying Structures in Social Conversations in NSCLC Patients through the ...IJERA Editor
The exploration of social conversations for addressing patient’s needs is an important analytical task in which
many scholarly publications are contributing to fill the knowledge gap in this area. The main difficulty remains
the inability to turn such contributions into pragmatic processes the pharmaceutical industry can leverage in
order to generate insight from social media data, which can be considered as one of the most challenging source
of information available today due to its sheer volume and noise. This study is based on the work by Scott
Spangler and Jeffrey Kreulen and applies it to identify structure in social media through the extraction of a
topical taxonomy able to capture the latent knowledge in social conversations in health-related sites. The
mechanism for automatically identifying and generating a taxonomy from social conversations is developed and
pressured tested using public data from media sites focused on the needs of cancer patients and their families.
Moreover, a novel method for generating the category’s label and the determination of an optimal number of
categories is presented which extends Scott and Jeffrey’s research in a meaningful way. We assume the reader is
familiar with taxonomies, what they are and how they are used.
Identifying Structures in Social Conversations in NSCLC Patients through the ...IJERA Editor
The exploration of social conversations for addressing patient’s needs is an important analytical task in which
many scholarly publications are contributing to fill the knowledge gap in this area. The main difficulty remains
the inability to turn such contributions into pragmatic processes the pharmaceutical industry can leverage in
order to generate insight from social media data, which can be considered as one of the most challenging source
of information available today due to its sheer volume and noise. This study is based on the work by Scott
Spangler and Jeffrey Kreulen and applies it to identify structure in social media through the extraction of a
topical taxonomy able to capture the latent knowledge in social conversations in health-related sites. The
mechanism for automatically identifying and generating a taxonomy from social conversations is developed and
pressured tested using public data from media sites focused on the needs of cancer patients and their families.
Moreover, a novel method for generating the category’s label and the determination of an optimal number of
categories is presented which extends Scott and Jeffrey’s research in a meaningful way. We assume the reader is
familiar with taxonomies, what they are and how they are used.
Justify Your Conclusions
Hiv Aids Conclusions
Essay on Hypothesis and Conclusion
Sampling Methods Essay
Conclusion Of Solar Energy
Titanium Essay
Research Methods Essay
Dental Hygienist Conclusion
Conclusion Of Globalization
1
7
Annotated Bibliography
Lua Shanks
Walden University
Research Theory, Design, and Methods
Dr. Arome
11-7-2021
Annotated Bibliography
Introduction
Autism researchers continue to grapple with activities that best serve the purpose of fostering positive interpersonal relationships for children with autism. Children have benefited from therapy sessions that provide ongoing activities to aid their ability to engage in healthy social interactions. However, less is known about how K–12 schools might implement programs for this group of individuals to provide additional opportunities for growth, or even if and how school programs would be of assistance in the end. There is a gap in understanding the possibilities of implementing such programs in schools to foster the social and mental health of children with autism. The six articles I selected for this assignment present research on different types of therapeutic programs that have been used to promote social interactions in children with autism.
Annotated Bibliography on Autism
Wimpory, D. C., & Nash, S. (1999). Musical interaction therapy – therapeutic play for children with autism. Child Language and Teaching Therapy, 15(1), 17–28. https://doi.org/10.1177/026565909901500103
Wimpory and Nash provided a case study
for implementing music interaction therapy as part of play therapy aimed at cultivating communication skills in infants with autism spectrum disorder (ASD). The researchers based their argument on films taken of play-based therapy sessions that introduced music interaction therapy. To assess the success of music play, Wimpory and Nash filmed the follow-up play-based interaction between the parent and the child. The follow-up interactions revealed that 20 months after the introduction of music play, the child developed prolonged playful interaction with both the psychologist and the parent. The follow-up films also revealed that the child initiated spontaneously pretend play during these later sessions. After the introduction of music, the child began to develop appropriate language skills.
Since the publication date for this case study is 1999, the results are dated. Although this study found that music interaction therapy is useful, emerging research in the field has undoubtedly changed in the time since this article was published. Wimpory and Nash wrote this article for a specific audience, including psychologists and researchers working with infants diagnosed with ASD. Their focus means that others beyond these fields may not find the findings applicable to their work.
I am interested in the role of music in therapy to foster social and mental health in children with ASD. Therefore, Wimpory and Nash’s research is useful to me for background information on the implementation of music into play-based therapy in infants with ASD. Wimpory and Nash presented a basis for this t ...
Similar to QUESTIONS1. How could the company have erred so badly in its est.docx (7)
Mr. Bush, a 45-year-old middle school teacher arrives at the emergen.docxaudeleypearl
Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED:
a. What priority interventions would you initiate?
b. What information would you require to definitively determine what was causing Mr. Bush’s chest pain?
.
Movie Project Presentation Movie TroyInclude Architecture i.docxaudeleypearl
Movie Project Presentation: Movie: Troy
Include: Architecture in the movie. Historical research to figure out if the movie did a good job of representing the art historical past of not. Anything in the movie that are related to art or art history. And provide its outline and bibliography (any website source is acceptable as well)
.
Motivation and Retention Discuss the specific strategies you pl.docxaudeleypearl
Motivation and Retention
Discuss the specific strategies you plan to use to motivate individuals from your priority
population to participate in your program and continue working on their behavior change.
You can refer to information you obtained from the Potential Participant Interviews. You
also can search the literature for strategies that have been successfully used in similar
situations; be sure to cite references in APA format.
.
Mother of the Year In recognition of superlative paren.docxaudeleypearl
The document discusses Facebook's decision in 2015 to change the "like" button on the platform. It describes how Chris Cox, Facebook's chief product officer, led discussions about overhauling the button. The like button had become a blunt tool, and Cox wanted to expand the range of emotions that users could express beyond just "liking" something. This would become the "Reactions" feature, allowing responses like love, haha, wow, sad, and angry. The change took over a year to develop and test before being publicly launched.
Mrs. G, a 55 year old Hispanic female, presents to the office for he.docxaudeleypearl
Mrs. G, a 55 year old Hispanic female, presents to the office for her annual exam. She reports that lately she has been very fatigued and just does not seem to have any energy. This has been occurring for 3 months. She is also gaining weight since menopause last year. She joined a gym and forces herself to go twice a week, where she walks on the treadmill at least 30 minutes but she has not lost any weight, in fact she has gained 3 pounds. She doesn’t understand what she is doing wrong. She states that exercise seems to make her even more hungry and thirsty, which is not helping her weight loss. She wants get a complete physical and to discuss why she is so tired and get some weight loss advice. She also states she thinks her bladder has fallen because she has to go to the bathroom more often, recently she is waking up twice a night to urinate and seems to be urinating more frequently during the day. This has been occurring for about 3 months too. This is irritating to her, but she is able to fall immediately back to sleep.
Current medications:
Tylenol 500 mg 2 tabs daily for knee pain. Daily multivitamin
PMH:
Has left knee arthritis. Had chick pox and mumps as a child. Vaccinations up to
date.
GYN hx:
G2 P1. 1 SAB, 1 living child, full term, wt 9lbs 2 oz. LMP 15months ago. No history of abnormal Pap smear.
FH:
parents alive, well, child alive, well. No siblings. Mother has HTN and father has high cholesterol.
SH:
works from home part time as a planning coordinator. Married. No tobacco history, 1-2 glasses wine on weekends. No illicit drug use
Allergies
: NKDA, allergic to cats and pollen. No latex allergy
Vital signs
: BP 129/80; pulse 76, regular; respiration 16, regular
Height 5’2.5”, weight 185 pounds
General:
obese female in no acute distress. Alert, oriented and cooperative.
Skin
: warm dry and intact. No lesions noted
HEENT:
head normocephalic. Hair thick and distribution throughout scalp. Eyes without exudate, sclera white. Wears contacts. Tympanic membranes gray and intact with light reflex noted. Pinna and tragus nontender. Nares patent without exudate. Oropharynx moist without erythema. Teeth in good repair, no cavities noted. Neck supple. Anterior cervical lymph nontender to palpation. No lymphadenopathy. Thyroid midline, small and firm without palpable masses.
CV
: S1 and S2 RRR without murmurs or rubs
Lungs
: Clear to auscultation bilaterally, respirations unlabored.
Abdomen
- soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits. No CVAT.
Labwork:
CBC
:
WBC 6,000/mm3 Hgb 12.5 gm/dl Hct 41% RBC 4.6 million MCV 88 fl MCHC
34 g/dl RDW 13.8%
UA:
pH 5, SpGr 1.013, Leukocyte esterase negative, nitrites negative, 1+ glucose; small protein; negative for ketones
CMP:
Sodium 139
Potassium 4.3
Chloride 100
CO2 29
Glucose 95
BUN 12
Creatinine 0.7
GFR est non-AA 92 mL/min/1.73 GFR est AA 101 mL/min/1.73 Calcium 9.5
Total protein 7.6 Bilirubin, total 0.6 Alkaline.
Mr. Rivera is a 72-year-old patient with end stage COPD who is in th.docxaudeleypearl
Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the
concept map
form provided.
.
Mr. B, a 40-year-old avid long-distance runner previously in goo.docxaudeleypearl
Mr. B, a 40-year-old avid long-distance runner previously in good health, presented to his primary provider for a yearly physical examination, during which a suspicious-looking mole was noticed on the back of his left arm, just proximal to the elbow. He reported that he has had that mole for several years, but thinks that it may have gotten larger over the past two years. Mr. B reported that he has noticed itchiness in the area of this mole over the past few weeks. He had multiple other moles on his back, arms, and legs, none of which looked suspicious. Upon further questioning, Mr. B reported that his aunt died in her late forties of skin cancer, but he knew no other details about her illness. The patient is a computer programmer who spends most of the work week indoors. On weekends, however, he typically goes for a 5-mile run and spends much of his afternoons gardening. He has a light complexion, blonde hair, and reports that he sunburns easily but uses protective sunscreen only sporadically.
Physical exam revealed: Head, neck, thorax, and abdominal exams were normal, with the exception of a hard, enlarged, non-tender mass felt in the left axillary region. In addition, a 1.6 x 2.8 cm mole was noted on the dorsal upper left arm. The lesion had an appearance suggestive of a melanoma. It was surgically excised with 3 mm margins using a local anesthetic and sent to the pathology laboratory for histologic analysis. The biopsy came back Stage II melanoma.
1. How is Stage II melanoma treated and according to the research how effective is this treatment?
250 words.
.
Moving members of the organization through the change process ca.docxaudeleypearl
Moving members of the organization through the change process can be quite difficult. As leaders take on this challenge of shifting practice from the current state to the future, they face the obstacles of confidence and competence experienced by staff. Change leaders understand the importance of recognizing their moral purpose and helping others to do the same. Effective leaders foster moral purpose by building relationships, considering other’s perspectives, demonstrating respect, connecting others, and examining progress (Fullan & Quinn, 2016). For this Discussion, you will clarify your own moral perspective and how it will impact the elements of focusing direction.
To prepare:
· Review the Adams and Miskell article. Reflect on the measures taken in building capacity throughout the organization.
· Review Fullan and Quinn’s elements of Focusing Direction in Chapter 2. Reflect on aspects needed to build capacity as a leader.
· Analyze the two case examples used to illustrate focused direction in Chapter 2.
· Clarify your own moral purpose, combining your personal values, persistence, emotional intelligence, and resilience.
A brief summary clarifying your own moral imperative.
· Using the guiding questions in Chapter 2 on page 19, explain your moral imperative and how you can use your strengths to foster moral imperative in others.
· Based on Fullan’s information on change leadership, in which areas do you feel you have strong leadership skills? Which areas do you feel you need to continue to develop?
Learning Resources
Required Readings
Fullan, M., & Quinn, J. (2016).
Coherence: The right drivers in action for schools, districts, and systems
. Thousand Oaks, CA: Corwin.
Chapter 2, “Focusing Direction” (pp. 17–46)
Florian, L. (Ed.). (2014).
The SAGE handbook of special education
(2nd ed.). London, England: Sage Publications Ltd.
Chapter 23, “Researching Inclusive Classroom Practices: The Framework for Participation” (389–404)
Chapter 31, “Assessment for Learning and the Journey Towards Inclusion” (pp. 523–536)
Adams, C.M., & Miskell, R.C. (2016). Teacher trust in district administration: A promising line of inquiry. Journal of Leadership for Effective and Equitable Organizations, 1-32. DOI: 10.1177/0013161X1665220
Choi, J. H., Meisenheimer, J. M., McCart, A. B., & Sailor, W. (2016). Improving learning for all students through equity-based inclusive reform practices effectiveness of a fully integrated school-wide model on student reading and math achievement. Remedial and Special Education, doi:10.1177/0741932516644054
Sailor, W. S., & McCart, A. B. (2014). Stars in alignment. Research and Practice for Persons with Severe Disabilities, 39(1), 55-64. doi: 10.1177/1540796914534622
Required Media
Grand City Community
Laureate Education (Producer) (2016c).
Tracking data
[Video file]. Baltimore, MD: Author.
Go to the Grand City Community and click into
Grand City School District Administration Offices
. Revie.
Mr. Friend is acrime analystwith the SantaCruz, Califo.docxaudeleypearl
Mr. Friend is a
crime analyst
with the Santa
Cruz, California,
Police
Department.
Predictive Policing: Using Technology to Reduce Crime
By Zach Friend, M.P.P.
4/9/2013
Nationwide law enforcement agencies face the problem
of doing more with less. Departments slash budgets
and implement furloughs, while management struggles
to meet the public safety needs of the community. The
Santa Cruz, California, Police Department handles the
same issues with increasing property crimes and
service calls and diminishing staff. Unable to hire more
officers, the department searched for a nontraditional
solution.
In late 2010 researchers published a paper that the
department believed might hold the answer. They
proposed that it was possible to predict certain crimes,
much like scientists forecast earthquake aftershocks.
An “aftercrime” often follows an initial crime. The time and location of previous criminal activity helps to
determine future offenses. These researchers developed an algorithm (mathematical procedure) that
calculates future crime locations.1
Equalizing Resources
The Santa Cruz Police Department has 94 sworn officers and serves a population of 60,000. A
university, amusement park, and beach push the seasonal population to 150,000. Department personnel
contacted a Santa Clara University professor to apply the algorithm, hoping that leveraging technology
would improve their efforts. The police chief indicated that the department could not hire more officers.
He felt that the program could allocate dwindling resources more efficiently.
Santa Cruz police envisioned deploying officers by shift to the most targeted locations in the city. The
predictive policing model helped to alert officers to targeted locations in real time, a significant
improvement over traditional tactics.
Making it Work
The algorithm is a culmination of anthropological and criminological behavior research. It uses complex
mathematics to estimate crime and predict future hot spots. Researchers based these studies on
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Patch Call
Known locally as the
“Gateway to the Summit,”
which references the city’s
proximity to the Bechtel Family
National Scout Reserve. More
The patch of the Miamisburg,
Ohio, Police Department
prominently displays the city
seal surroun.
Mr. E is a pleasant, 70-year-old, black, maleSource Self, rel.docxaudeleypearl
Mr. E is a pleasant, 70-year-old, black, male
Source: Self, reliable source
Subjective:
Chief complaint:
“I urinate frequently.”
HPI:
Patient states that he has had an increase in urination for the past several years, which seems to be worsening over the past year. He estimates that he urinates clear/light yellow urine approximately every 1.5-2 hours while awake and is up 2-4 times at night to urinate. He states some urgency and hesitancy with urination and feeling of incomplete voiding. He denies any pain or blood. Denies any head trauma. Denies any increase in thirst or hunger. He denies any unintentional weight loss.
Allergies
: NKA
Current Mediations
:
Multivitamin, daily
Aspirin, 81 mg, daily
Olmesartan, 20 mg daily
Atorvastatin, 10 mg daily
Diphenhydramine, 50 mg, at night
Pertinent History:
Hypertension, hyperlipidemia, insomnia
Health Maintenance. Immunizations:
Immunizations up to date
Family History:
No cancer, cardiac, pulmonary or autoimmune disease in immediate family members
Social History:
Patient lives alone. He drinks one cup of caffeinated coffee each morning at the local diner. He denies any nicotine, alcohol or drug use.
ROS:
Incorporated into HPI
Objective:
VS
– BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 195 lbs, height: 70 inches.
Mr. E is alert, awake, oriented x 3. Patient is clean and dressed appropriate for age.
Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop
Respiratory: Clear to auscultation
Abdomen: Bowel sounds positive. Soft, nontender, nondistended, no hepatomegaly
Neuro: CN 2-12 intact
Renal/prostate: Prostate enlarged, non-tender. No asymmetry or nodules palpated
Labs:
Test Name
Result
Units
Reference Range
Color
Yellow
Yellow
Clarity
Clear
Clear
Bilirubin
Negative
Negative
Specific Gravity
1.011
1.003-1.030
Blood
Negative
Negative
pH
7.5
4.5-8.0
Nitrite
Negative
Negative
Leukocyte esterase
Negative
Negative
Glucose
Negative
mg/dL
Negative
Ketones
Negative
mg/dL
Negative
Protein
Negative
mg/dL
Negative
WBC
Negative
/hpf
Negative
RBC
Negative
/hpf
Negative
Lab
Pt’s Result
Range
Units
Sodium
137
136-145
mmol/L
Potassium
4.7
3.5-5.1
mmol/L
Chloride
102
98-107
mmol/L
CO2
30
21-32
mmol/L
Glucose
92
70-99
mg/dL
BUN
7
6-25
mg/dL
Creat
1.6
.8-1.3
mg/dL
GFR
50
>60
Calcium
9.6
8.2-10.2
mg/dL
Total Protein
8.0
6.4-8.2
g/dL
Albumin
4.5
3.2-4.7
g/dL
Bilirubin
1.1
<1.1
mg/dL
Alkaline Phosphatase
94
26-137
U/L
AST
25
0-37
U/L
ALT
55
15-65
U/L
Pt’s results
Normal Range
Units
WBC
9.9
3.4 - 10.8
x10E3/uL
RBC
4.0
3.77 - 5.28
x10E6/uL
Hemoglobin
11.5
11.1 - 15.9
g/dL
H.
Motor Milestones occur in a predictable developmental progression in.docxaudeleypearl
Motor Milestones occur in a predictable developmental progression in young children. They begin with reflexive movements that develop into voluntary movement patterns. For the motor milestone of independent walking, there are many precursor reflexes that must first integrate and beginning movement patterns that must be learned. Explain the motor progression of walking in a child, starting with the integration of primitive reflexes to the basic motor skills needed for a child to walk independently. Discuss at which time frame each milestone occurs from birth to walking (12-18 months of age). What are some reasons why a child could be delayed in walking? At what age is a child considered delayed in walking and in need of intervention? What interventions are available to children who are having difficulty walking? Please be sure to use APA citations for all sources used to formulate your answers.
.
Most women experience their closest friendships with those of th.docxaudeleypearl
Most women experience their closest friendships with those of the same sex. Men have suffered more of a stigma in terms of sharing deep bonds with other men. Open affection and connection is not actively encouraged among men. Recent changes in society might impact this, especially with the advent of the meterosexual male. “The meterosexual male is less interested in blood lines, traditions, family, class, gender, than in choosing who they want to be and who they want to be with” (Vernon, 2010, p. 204).
In this week’s reading material, the following philosophers discuss their views on this topic: Simone de Beauvoir, Thomas Aquinas, MacIntyre, Friedman, Hunt, and Foucault. Make sure to incorporate their views as you answer each discussion question. Think about how their views may be similar or different from your own. In at least 250 words total, please answer each of the following, drawing upon your reading materials and your personal insight:
To what extent do you think women still have a better opportunity to forge deeper friendships than men? What needs to change to level the friendship playing field for men, if anything?
How is the role of the meterosexual man helping to forge a new pathway for male friendships?
.
Most patients with mental health disorders are not aggressive. Howev.docxaudeleypearl
Most patients with mental health disorders are not aggressive. However, it is important for nurses to be able to know the signs and symptoms associated with the five phases of aggression, and to appropriately apply nursing interventions to assist in treating aggressive patients. Please read the case study below and answer the four questions related to it.
Aggression Case Study
Christopher, who is 14 years of age, was recently admitted to the hospital for schizophrenia. He has a history of aggressive behavior and states that the devil is telling him to kill all adults because they want to hurt him. Christopher has a history of recidivism and noncompliance with his medications. One day on the unit, the nurse observes Christopher displaying hypervigilant behaviors, pacing back and forth down the hallway, and speaking to himself under his breath. As the nurse runs over to Christopher to talk, he sees that his bedroom door is open and runs into his room and shuts the door. The nurse responds by attempting to open the door, but Christopher keeps pulling the door shut and tells the nurse that if the nurse comes in the room he will choke the nurse. The nurse responds by calling other staff to assist with the situation.
1. What phase of the aggression cycle is Christopher in at the beginning of this scenario? What phase is he in at the end the scenario? (State the evidence that supports your answers).
2. What interventions could have been implemented to prevent Christopher from escalating at the beginning of the scenario?
3. What interventions should the nurse take to deescalate the situation when Christopher is refusing to open his door?
4. If a restrictive intervention (restraint/seclusion) is used, what are some important steps for the nurse to remember?
SCHOLAR NURSING ARTICLE>>>APA FORMAT>>>
.
Most of our class readings and discussions to date have dealt wi.docxaudeleypearl
Most of our class readings and discussions to date have dealt with the issue of ethics and ethical behavior. Various philosophers have made contributions to jurisprudence including how to apply ethical principles (codes of conduct?) to ethical dilemma.
Your task is to watch the Netflix documentary ‘The Social Dilemma.’ If you cannot currently access Netflix it offers a free trial opportunity, which you can cancel after viewing the documentary. Should this not be an option for whatever reason, then please email me and we will create an alternative ethics question.
DUE DATE: Tuesday, Sept. 29, 2020 by noon
SEND YOUR NO MORE THAN 5 PAGE DOUBLE SPACED RESPONSE TO MY EMAIL ADDRESS. LATE PAPERS SUBJECT TO DOWNGRADING
As critics have written, the documentary showcases ways our minds are twisted and twirled by social media companies like Facebook, Twitter, and Google through their platforms and search engines, and the why of what they are doing, and what must be done to stop it.
After watching the movie, respond to the following questions in the order given. Use full sentences and paragraphs, and start off each section by stating the question you are answering. Be succinct.
What are the critical ethical issues identified?
What concerns are raised over the polarization of society and promulgation of fake news?
What is the “attention-extraction model” of software design and why worry?
What is “surveillance capitalism?”
Do you agree that social media warps your perceptions of reality?
Who has the power and control over these social media platforms – software designers, artificial intelligence (Ai), CEOs of media platforms, users, government?
Are social media platforms capable of self-regulation to address the political and ethical issues raised or not? If not, then should government regulate?
What other actions can be taken to address the basic concern of living in a world “…where no one believes what’s true.”
.
Most people agree we live in stressful times. Does stress and re.docxaudeleypearl
Stress may contribute to illness according to some research cited in textbooks. The question asks whether stress and reactions to stress can lead to health issues, and opinions should be supported by evidence from course materials. References in APA format are required.
Most of the ethical prescriptions of normative moral philosophy .docxaudeleypearl
Most of the ethical prescriptions of normative moral philosophy tend to fall into one of the following three categories: deontology, consequentialism, and virtue ethics. These categories in turn put an emphasis on different normative standards for judging what constitutes right and wrong actions.
Moral psychologists and behavioral economists such as Jonathan Haidt and Dan Ariely take a different approach: focusing not on some normative ethical framework for moral judgment, but rather on the psychological foundations of moral intuition and on the limitations that our human frailty places on real-world honesty, decency, and ethical commitments.
In this context, write a short essay (minimum 400 words) on what you see as the most important differences between the traditional normative philosophical approaches and the more recent empirical approach of moral psychology when it comes to ethics. As part of your answer also make sure that you discuss the implications of these differences.
Deadline reminder:
this assignment is
due on June 14th
. Any assignments submitted after that date will lose 5 points (i.e., 20% of the maximum score of 25 points) for each day that they are submitted late. Accordingly, after June 14th, any submissions would be worth zero points and at that time the assignment inbox will close.
.
Most healthcare organizations in the country are implementing qualit.docxaudeleypearl
Most healthcare organizations in the country are implementing quality improvement programs to save lives, enhance customer satisfaction, and reduce the cost of healthcare services. Limited human and material resources often undermine such efforts. Zenith Hospital in a rural community has 200 beds. Postsurgical patients tend to contract infections at the surgical site, requiring extended hospitalization. Mr. Jones—75 years old—was admitted to Zenith Hospital for inguinal hernia repairs. He was also hypertensive, with a compromised immune system. Two days after surgery, he acquired an infection at the surgical site, with elevated temperature, and then he developed septicemia. His condition worsened, and he was moved to isolation in the intensive care unit (ICU). A day after transfer to the ICU, he went into ventricular arrhythmia and was placed on a respirator and cardiac monitoring machine. Intravenous fluids, antibiotics, and antipyretics could not bring the fever down, and blood analysis continued to deteriorate.
The hospital infection control unit got involved. The team confirmed that postsurgical infections were on the increase, but the hospital was unable to identify the sources of infection. The surgery unit and surgical team held meetings to understand possible sources of infection. The team leader had earlier reported to management that they needed to hire more surgical nurses, arguing that nurses in the unit were overworked, had to go on leave, and often worked long hours without break.
Mr. Jones’ family members were angry and wanted to know the source of his infection, why he was on the respirator in isolation, and why his temperature was not coming down. Unfortunately, his condition continued to deteriorate. His daughter invited the family’s legal representative to find out what was happening to her father and to commence legal proceedings.
Then, the healthcare manager received information that two other patients were showing signs of postsurgical infection. The healthcare manager and care providers acknowledged the serious quality issues at Zenith Hospital, particularly in the surgical unit. The healthcare manager wrote to the Chairman of the Hospital Board, seeking approval to implement a quality improvement program. The Board held an emergency meeting and approved the manager’s request. The healthcare manager has invited you to support the organization in this process.
Please address the following questions in your response:
What are successful approaches for gaining a shared understanding of the problem?
How can effective communication be implemented?
What is a qualitative approach that helps in identifying the quality problem?
What tools can provide insight into understanding the problem?
In quality improvement, what does appreciative inquiry help do?
What is a benefit of testing solutions before implementation?
What is a challenge that is inherent in the application of the plan, do, study, act (PDSA) method?
What .
More work is necessary on how to efficiently model uncertainty in ML.docxaudeleypearl
More work is necessary on how to efficiently model uncertainty in ML and NLP, as well as how to represent uncertainty resulting from big data analytics.
Pages - 4
Excluding the required cover page and reference page.
APA format 7 with an introduction, a body content, and a conclusion.
No Plagiarism
.
Mortgage-Backed Securities and the Financial CrisisKelly Finn.docxaudeleypearl
Mortgage-Backed Securities and the Financial Crisis
Kelly Finn
FNCE 4302
Mortgage-Backed Securities (MBS) are “pass-through” bundles of housing debt sold as investment vehicles
A mortgage-backed security, MBS, is a type of asset-backed security that pays investors regular payments, similar to a bond. It gets the title as a “pass-through” because the security involves several entities in the origination and securitization process (where the asset is identified, and where it is used as a base to create a new investment instrument people can profit off of).
Key Players involved in the MBS Process
[Mortgage] Lenders: banks who sell mortgages to GSE’s
GSE: Government Sponsored Entities created by the US Government to make owning property more accessible to Americans
1938: Fannie Mae (FNMA): Federal National Mortgage Assoc.
1970: Freddie Mac (FHLMC): Federal Home Loan Mortgage Corp.
Increase mortgage borrowing
Introduce competitor to Fannie Mae
1970: Ginnie Mae (GNMA): Government National Mortgage Assoc.
US Government: Treasury: implicit commitment of providing support in case of trouble
The several entities involved in the process make MBS a “pass-through”. Here we have 3 main entities that we’ll call “Key Players” for the purpose of this presentation which aims to provide you with a basic and simple explanation of MBS and their role in the financial crisis.
GSE’s created by the US Government in 1938
Part of FDR’s New Plan during Great Depression
Purpose: make owning property more accessible to more Americans
GSE (ex. Fannie Mae) buys mortgages (debt) from banks, & then pools mortgages into little bundles investors can buy (securitization)
Bank’s mortgage is exchanged with GSE’s cash
Created liquid secondary market for mortgages
Result:
1) Bank has more cash to lend out to people
2) Now all who want to a house (expensive) can get the money needed to buy one!
Where MBS came from & when
Yay for combatting homelessness and increasing quality of life for the common American!
Thanks Uncle Sam!
MBS have been around for a long time. Officially in the US, they have their origins in government. During the Great Depression in the 1930s, President Franklin Delano Roosevelt signed into creation Fannie Mae that was brought about to help ease American citizen’s difficulty in becoming homeowners. The sole purpose of a GSE thus was to not make profit, but to promote citizen welfare in regards to housing. Seeing that it was created by regulatory government powers, it earned the title of Government Sponsored Entity, which we will abbreviate as GSE. 2 other GSE’s in housing were created in later decades like Freddie Mae, to further stimulate the mortgage market alongside Fannie, and Ginnie which did a similar thing but only for certain groups of people (Veterans, etc) and to a much smaller scale.
How MBS works: Kelly is a homeowner looking to borrow a lot of money
*The Lender, who issued Kelly the mor.
Moral Development Lawrence Kohlberg developed six stages to mora.docxaudeleypearl
Moral Development:
Lawrence Kohlberg developed six stages to moral behavior in children and adults. Punishment and obedience orientation, interpersonal concordance, law and order orientation, social contract orientation, and universal ethics orientation. All or even just one of these stages will make a good topic for your research paper or you could just do the research paper on Kohlberg.
.
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Article: https://pecb.com/article
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हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Film vocab for eal 3 students: Australia the movie
QUESTIONS1. How could the company have erred so badly in its est.docx
1. QUESTIONS
1. How could the company have erred so badly in its estimates
of spending patterns of European customers?
2. Could a better reading of the effect of cultural differences on
revenues have been achieved?
3. What suggestions do you have for fostering a climate of
sensitivity and goodwill in corporate dealings with the French?
4. How do you account for the great success of Tokyo
Disneyland and the problems of Euro Disney? What are the key
contributory differences?
5. Do you believe that Euro Disney might have done better if it
were located elsewhere in Europe rather than just outside Paris?
Why or why not?
6. “Mickey Mouse and the Disney Park are an American cultural
abomination.” Evaluate this critical statement.
7. Consider how a strong marketing approach might be made to
both European consumers and middlemen, such as travel agents,
tour guides, even bus drivers.
8. Discuss the desirability of raising admission prices at the
very time when attendance is static, profits are nonexistent, and
new attractions are months and several years in the future.
QUESTIONS
1. As the staff assistant to the president of Euro Disney, you
already believe before the grand opening that the plans to use a
skimming pricing strategy and to emphasize luxury hotel
accommodations are ill advised. What arguments would you
marshal to try to persuade the company to offer lower prices
and more moderate accommodations? Be as persuasive as you
can.
2. It is six months after the opening. Revenues are not meeting
target, and a number of problems have surfaced and are being
worked on. The major problem remains, however, that the
venture needs more visitors or higher expenditures per visitor.
Develop a business model to improve the situation.
2. 3. How would you rid an organization, such as Euro Disney, of
an arrogant mindset? Assume that you are an operational VP
and have substantial resources, but not necessarily the eager
support of top management.
TEAM DEBATE
->Under the topic "Team Debate Exercise" , you will find
information about two camps adopting two opposing positions.
Pick a position and discuss why that is the right approach for
improving the situation.
-> If you were to be appointed as the Chief Marketing Officer
of Euro Disney, what would be your actions to make Euro
Disney a more attractive place for the customers? Explain in
detail.
RESPOND TO FOUR STUDENTS
ROSIE’S POST:
“Positivist Approaches (Positivism) argues that the world exists
independently of people perception of it and that science uses
objective techniques to discover what exists in the world”
(Monette, Sullivan, & DeJong, 2017) From a positivist
approach, the healthcare systems in United States and the
Canadian Healthcare systems are different when providing
healthcare. “Another important difference between positivists
and interpretivists has to do with the role of science: Positivists
argue that scientists merely discover what exists in the world,
but some interpretivists claim that scientist actually help create
social reality through their scientific work.” (Knorr, 1981) To
exhibit this approach, by evaluating both healthcare systems and
revealing the differences between the two.
The United States is viewed as having weaker healthcare system
when providing healthcare to their citizens when the Canadian
Healthcare has a universal healthcare plan that covers all. The
government (Obamacare) in the United States provide
3. healthcare for those who are poor and can’t afford healthcare
for themselves and if a person can afford and can pay the
premiums to pay for healthcare they have to buy healthcare
through a private sector. The United States healthcare system
put limits on which doctor you can visit and what doctor that
may accept your insurance coverage plan. With the Canadian
Healthcare system, they have a national healthcare system
(NHI) that covers everyone which is universal and provides
equal medical care to all. The taxes provides the healthcare for
everyone and they do not have to pay a premium with unlimited
access to any physician of their choice. The major difference
between the two is the cost. American’s spent more than a
Canadian in healthcare in which the US has no control over the
cost and Canada can control the cost.
Knorr, K. (1981). The Manufacture of Knowledge: An Essay on
the Constructivist and Contextual Nature of Science. Oxford: Pe
rgamon Press.
Monette, D., Sullivan, T. & DeJong, C. (2017). Applied social
research (9th ed.). Retrieved from https://content.ashford.edu
CAMI’S POST:
Looking at the two approaches I would have to say that I would
choose the positivist approach because those that adopt this
stance often use specific methodologies like quantitative
research (Monette, Sullivan and DeJong, 2017). Quantitative
research uses more of a survey type of research and bases the
result on the numbers they get from the information they derive
from the surveys. Using this would be a good way to find out a
comparison of the programs, how many people are benefitting
from the use of the two programs and then that information
could be broken down into a variety of figures and evidence-
based charts showing which program offers the most benefits.
Positivists approach also sometimes uses a qualitative research
formula that would use field observations and descriptions when
needed (Monette et al, 2017). I think using both types of
research for this approach would open the ability to inspect both
4. programs using a wide array of data formats.
Reference
Monette, D., Sullivan, T., & DeJong, C. (2017). Applied social
research (9th ed.). Retrieved from https://content.ashford.edu
SHAWNTOBIA’S POST:
Scientific research relies on the application of methods such as
the scientific method. The scientific method can be used to gain
knowledge and solve problems while the research format is used
to expand on what is discovered. According to Erol (2017) the
scientific method should be neutral, objective, rational, and as a
result, should be able to approve or disapprove the hypothesis.
The research plan should include the procedure to obtain data
and evaluate the variables. The importance of emphasizing the
scientific method as a way to develop scientific research in
order to achieve the objectives set is understood, increasing the
rigor of research to give visibility to information that enables
professional practices to be conscientious and within criteria
that contribute to decision making on care based on validated
scientific information (de Araújo Moraes, 2019). The research
format analyzes the data collected from scientific research in a
standard format that is technical, but general in language so that
it can be communicated and understood by others. This format
poses the research question, hypotheses, methods, analysis, and
conclusions that resulted from methods such as the scientific
method. These concepts both produce data from scientific
research that can for example, deliver answers to questions,
help one make decisions or recommend improvements to meet
the needs of a population.
References
de Araújo Moraes, S. D. T. (2019). Scientific method and
research in health: orientation for professional practice. Revista
Brasileira de Crescimento e Desenvolvimento Humano, 29(1),
5–9. https://doi-org.proxy-
5. library.ashford.edu/10.7322/jhgd.157742 (Links to an external
site.)
Erol, A. (2017). How to Conduct Scientific Research? Retrieved
from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491675/
JANICE’S POST:
Winston Churchill, the prime minister of Britain during World
War II, is reported to have said that democracy is an imperfect
form of government, but that it is far superior to all other
forms. Many scientists have similar views, they realize it is
imperfect and limited, but they also recognize that it is far
superior to other sources of knowledge for gaining an
understanding of the world. Science is emperical, systemic,
search for causes, provisional, and it strives for objectivity.
The scientific method is viewed by scientists as preferable to
other ways of gaining knowledge, because it is more likely to
lead to an accurate knowledge of the world. The research
format analyzes the data that's collected. It sometimes focuses
on behavior that is unique or bizarre (Bourgors, Lettiere, &
Quesada, 1997; Miller & Tewksbury, 2001; Polsky, 1967;
Weinberg, 1968). The research method includes the hypothesis,
the research question, and conclusions.
Each of these venues is related in a way that they both have
answers to questions, which gives you knowledge of the world
around you.
References
Monette, D., Sullivan, T. & DeJong, C. (2017). Applied social
research (9th ed.). Retrieved from
https://content.ashford.edu (Links to an external site.)
The Office of Research Integrity (n.d.). Basic research
concepts. Retrieved from
http://ori.hhs.gov/education/products/sdsu/index.html (Links to
an external site.)
EXAMPLE OF RESPONSE:
6. Hi Markayla,
You gave good descriptions of the scientific method and
research format. As you stated, the scientific method has been
guiding research for a long time. An important characteristic of
the scientific method is that it provides a means of checking the
accuracy or validity of assertions against factual evidence.
These aspects are examples of why I believe it is the preferred
method in research (Nagel, 1961 & Cohen and Nagel, 1934).
Thoughts?
Reference
Ernest Nagel, The Structure of Science (New York: Harcourt,
Brace & World, 1961), pp,4 and 9; and Morris R, Cohen and
Ernest Nagel, An Introduction to Logic and Scientific Method
(New York: Harcourt, Brace & World, 1934), p,192.
Respond to two peers
Guided Peer Responses: Peer responses should be carefully
crafted and insightful. The goal of the discussion forum is to
foster continual dialogue, similar to what might occur in a
verbal face-to-face exchange. Consider discussing areas of
interest as well as the following questions in your responses:
· Discuss the disorders you shared with your peers.
· Find common symptoms between your peers’ chosen disorders
and yours.
· Discuss any additional treatments that you may be aware of
that your peer may not have included.
STACEY’S POST:
The first condition I have chosen is Tourette’s disorder.
Tourette’s is considered a biological disorder of the brain. The
symptoms for this disorder consist of simple and complex tics
that range from swearing, blinking, shoulder and neck jerking,
arms flinging, and other strange movements (Gertzfeld, 2018).
Sometimes the tics can be a bit more destructive such as head
banging and people with Tourette’s may also bark and shout
7. obscenities at others (Gertzfeld, 2018).
Stereotype movement disorder and Tourette’s disorder have
some of the same symptoms, such as head banging, waving
limbs, and purposeless motor behavior (American Psychiatric
Association,
2014). Both conditions have repetitive behavior types. The
signs in each disorder can occur many times during the day and
can last for short periods (Gertzfeld, 2018). Genetic disorders
of the nervous system have been shown to cause movement
disorders.
To diagnose a mental illness, one must understand the
symptoms so they can make the right determination of the
diagnosis. A licensed clinician should get to know the patient
and all of their symptoms so they can diagnosis the person
correctly. Throughout history, many people have been
misdiagnosed for mental health issues because it can be
challenging to get the diagnosis correct. Ethical procedures
should be followed to keep things legal and on the right path.
The environment can have an effect on Tourette’s disorder.
When someone observes a person making a gesture or a sound, a
person with a tic disorder may mimic the actions and others may
think it was done on purpose (American Psychiatric
Association, 2014). This can lead to issues when a person with
Tourette’s is interacting with others (American Psychiatric
Association, 2014). The environment may also influence the
development of the brain which can put a person at risk for the
disorder. Internal and external factors such as the environment
can affect tics (Frank, & Cavanna, 2013).
Family is always a good dynamic to have around when
managing an illness. The more the family is educated on ways
to treat the disease, the better off the patient will be. Having
support from your loved ones can make the experiences go
smoother and I think it makes people feel better when they
know there is someone there to support them in their time of
need. Although caring for people with the illness can be
challenging, but if you come together as a family, it can make it
8. easier.
The second condition I have chosen is conduct disorder.
Conduct disorder is a type of antisocial behavior that displays
in children and young adults (Gertzfeld, 2018). The symptoms
consist of violent acts of rage, such as destructive and deceitful
behavior, bullying, and just a pattern of violating the rules in
general. As a child grows up, they must learn the difference
between hostility that can harm others and decisiveness which is
necessary to interact appropriately in society (Gertzfeld, 2018).
Conduct disorder and antisocial personality disorder have some
of the same characteristics. One of the differences between the
two is age. The diagnosis for adults over the age of 18 who
display aggressive symptoms is an antisocial personality
disorder and if you are under the age of 18 conduct disorder is
the diagnosis (Gertzfeld, 2018). Both disorders violate the
rules and do not adhere to the social norms because people who
suffer from these illnesses thrive on being deceitful, reckless,
and impulsive (Gertzfeld, 2018). Conduct disorder is more
prominent in boys in community settings that have high crime
areas and gang relations (Gertzfeld, 2018). This type of
behavior does not mean the person has a psychological
condition; it just may be the only life they have known
(Gertzfeld, 2018).
Licensed clinicians must get to know a patient’s history and
understand their symptoms so they can make the right
determination of the diagnosis. Being misdiagnosed is always
an issue regarding mental illness because it can be challenging
to determine which one is accurate. The more information the
doctor has, the better chance they will have of diagnosing the
person correctly. Ethical procedures should be followed to keep
things legal and make sure the patient is being treated fairly.
In regard to the environment, some theorists believe that
hardship, drug abuse, introduction to violence, and criminals
contribute to conduct disorder (Gertzfeld, 2018). Neglect from
parents and exposure to disruptive behavior also influence the
disease. Children who are diagnosed with conduct disorder
9. usually go on to be diagnosed with an antisocial personality
disorder as an adult (Gertzfeld, 2018). The onset and diagnosis
are the same for both sexes, but usually, males exhibit
antisocial personality disorder as adults over females
(Gertzfeld, 2018).
The impact a family has on managing a person with conduct
disorder can be challenging. Because the symptoms are violent,
it can be hard to get control of those issues and that can put
pressure on family members. It is best to get treatment for the
problem through cognitive and behavioral therapies. The
combination of the two therapies together has been shown to be
effective. Supporting your loved one is best in helping to get a
good outcome.
Frank, M., & Cavanna, A. E. (2013). Behavioural treatments for
Tourette syndrome: An evidence-based review. Behavioural
Neurology, 27(1), 105–117. doi: 10.1155/2013/134863 (Links to
an external site.)
Getzfeld, A. R. (2018). Abnormal psychology (2nd ed.).
Retrieved from https://content.ashford.edu
JANET’S POST:
The first disorder that I chose to discuss is dementia. Dementia
falls into the category of Neurocognitive Disorders. According
to Getzfeld (2018), dementia is marked by a decline in cognitive
functions such as memory loss, confusion, loss of control of
motor function, and issues with speech. Most of the time,
people think about dementia as being a condition that affects
older adults, but it can present in those much younger. For this
reason, the American Psychological Association decided to
label it as a major neurocognitive disorder. According to the
APA (2013), to meet these criteria, one must have a decline of
cognitive skill from their previous level that affects them in one
or more areas such as memory, language, and motor functions,
to name a few. This type of disorder disrupts one’s daily routine
and can make it difficult to perform tasks that they were always
10. able to do. When determining if a patient is experiencing
dementia, all other medical causes have to be ruled out. It is not
uncommon for the older adult population to be forgetful, but
there is a difference in aging memory and dementia. Dementia
shows a continued decline in cognition, which is a gradual
process (Getzfeld, 2018). Many things can cause dementia, and
some are reversible while some are not. According to Getzfeld
(2018), dementia can be caused by Alzheimer’s disease,
Parkinson’s disease, stroke, lack of nutrition, and medications.
Gaining a complete history of the patient is essential to
determine if dementia is present and what may be causing it.
Alzheimer’s and dementia have similarities and differences.
One difference that is often confused is that dementia is a class
of cognitive decline while Alzheimer’s is considered a disease.
According to Getzfeld (2018), Alzheimer’s disease changes
brain structures such as the neurofibrils being tangled, plaques,
and arteriosclerosis, which are irreversible. Since Alzheimer’s
cannot be cured or reversed, it shows a difference when
compared to dementia because some causes of dementia can be
reversed. Although they have some differences, they share
similar symptoms. According to Getzfeld (2018), both
Alzheimer’s and dementia affect cognitive function, which
makes it hard for the person to communicate appropriately,
make decisions, remember things, and hinders making new
memories. It is easy to want to interchange dementia and
Alzheimer’s but they are different things even though they share
similar manifestations.
The other disorder that I chose is conduct disorder. Conduct
disorder applies to children and is characterized by aggressive
behavior to others that are deemed harmful (Getzfeld, 2018).
While there are times that it is appropriate for a child to be
aggressive to stand up for themselves, it is different when the
behavior becomes harmful to others with the intent to harm
others. According to the American Psychological Association
(2013), conduct disorder is diagnosed if the child has displayed
harmful behaviors to people and animals for one year in three of
11. the fifteen categories, which include behaviors such as bullying,
using a weapon that can cause serious physical injury,
destroying property, and participating in a theft. There are also
underlying implications that have to be considered for this
disorder, with one being the environment the child is in.
According to Getzfeld (2018), the environment can play a
significant role in a child developing a conduct disorder. It goes
back to the idea that behavior is modeled; therefore, if they live
in an environment that exposes them to constant violence, then
they may develop disorders such as conduct disorder. According
to Getzfeld (2018), conduct disorder is closely related to
antisocial personality disorder, and the biggest difference
between the two is the age of the individual.
A disorder that is similar and different to conduct disorder is
oppositional defiant disorder. Oppositional defiant disorder is
characterized by a child that throws fits and displays a lot of
anger and resentment (Getzfeld, 2018). Children who have this
disorder constantly fight with authority figures in an attempt to
get their way. The similarity between conduct and oppositional
disorder is that they both attempt to categorize aggressive
behavior in children. The differences are that although those
with oppositional defiant disorder have issues with anger and
revenge, they are not the level of violence that is seen with
conduct disorder. According to the American Psychological
Association (2013), diagnosis of oppositional defiant disorder
requires symptoms be present for six months and include four
displays of behavior such as loss of temper, angry, likes to
argue, does not comply with rules set by authority figures, and
blames others for their mistakes. With either of these disorders,
it is important to know the normal developmental stages of
children so that you will know if the symptoms present are
normal or abnormal.
It is important to understand symptoms of disorders, and there
can be ethical implications if you do not have a complete
picture of the patient and are not licensed to practice. First,
knowing how specific disorders are just the beginning of
12. becoming a good provider, but it alone could get you into some
trouble. Each person presents differently, and if enough
research about the patient is not gained, it will be hard to
determine what is going on with them. You have to know their
personal history, environment, social interactions, medical
history, and if certain disorders or diseases run in their family.
These are just a few things, but gaining a complete picture will
help guide a clinician to make the correct diagnosis. If a correct
diagnosis is not made, it can have detrimental effects on the
patient and those around them. Lastly, having a license to
practice is essential in determining the diagnosis of a patient.
The absence of a license combined with diagnosing individuals
off of general knowledge of disorders is a dangerous because it
could have legal and financial ramifications.
The environment plays a big role in managing behaviors in
dementia and conduct disorder. The environment of a patient
with dementia should maintain their safety and help them keep
as much of their independence as they can. According to
Getzfeld (2018), the best environment for those with dementia
is to keep them at home although a lot of dementia patients end
up in a nursing home. Those individuals that can stay in their
home can maintain some normalcy to their lives, which may
help combat conditions like depression. If they go into a nursing
home, it may make them feel abandoned and isolated, which
puts them at risk for depression. In conduct disorder, I had
already mentioned how the environment plays a role in their
behavior. These children, because they lack positive attention in
their environment, may cause them to seek the attention that
comes with acting out. According to Getzfeld (2018), violent
behavior gains the child attention and may support bad behavior
because they gain a reward in it. Environment in both these
situations is pivotal on the outcome of the individual.
The impact of managing a loved one that is suffering from
dementia or conduct disorder is vital to understand. First, in
those caring for someone with dementia, it can be life-changing.
It can be very stressful taking on a caregiver role for one’s
13. parent. According to Laparidou, Middlemass, Karran, and
Siriwardena (2019), caregiver stress is prevalent in caring for
those with dementia and can cause them to develop depression.
Self-care of the caregiver also tends to decrease because of the
time and energy spent taking care of the individual with
dementia. Having a good support system for the caregiver will
help them cope with the added responsibilities that have been
placed on them. Conduct disorder can carry the same stress on a
parent that it does on the individual caring for a patient with
dementia. According to Manor-Binyamini (2012), parents that
had children with conduct disorder reported a decrease in their
personal welfare as well as feeling that they cannot cope with
the situation they are in. No matter the disorder, I feel that there
is added weight placed on the family members because they
want to help their loved one, but providing that help also comes
with detriments to themselves.
American Psychiatric Association. (2013). Section II:
Disruptive, Impulse-Control, and Conduct Disorders. Diagnostic
and statistical manual of mental disorders (5th ed.) (Links to an
external site.) (Links to an external
site.). https://doi.org/10.1176/appi.books.9780890425596 (Link
s to an external site.)
American Psychiatric Association. (2013). Section II:
Neurocognitive Disorders. Diagnostic and statistical manual of
mental disorders (5th ed.) (Links to an external site.) (Links to
an external
site.). https://doi.org/10.1176/appi.books.9780890425596 (Link
s to an external site.)
Getzfeld, A. R. (2018). Abnormal psychology (2nd ed.).
Retrieved from https://content.ashford.edu (Links to an external
site.)
Laparidou, D., Middlemass, J., Karran, T., & Siriwardena, A. N.
(2019). Caregivers’ interactions with health care
services−Mediator of stress or added strain? Experiences and
perceptions of informal caregivers of people with dementia−A
qualitative study. Dementia: The International Journal of Social
14. Research and Practice, 18(7–8), 2526–2542. https://doi-
org.proxy-
library.ashford.edu/10.1177/1471301217751226 (Links to an
external site.)
Manor-Binyamini, I. (2012). Parenting children with conduct
disorder in Israel: Caregiver burden and the sense of
coherence. Community Mental Health Journal, 48(6), 781–785.
https://doi-org.proxy-library.ashford.edu/10.1007/s10597-011-
9474-x
MY POST:
Dementia and Amnestic disorders are some of the common
disorders which are experienced by different people in different
areas. As far as Dementia is concerned, the disorder is
characterized by the decline in memory, problem solving,
language and skills in thinking. This brings about negative
impacts to the people therefore making it hard for the people to
carry out their daily activities. Some of the symptoms of
dementia include; increased confusion, reduced concentration,
memory problems and behavior changes (Brinker, 2019).
On the other hand, Amnestic disorders are some of the disorders
which involve loss of memories. As a result of Amnestic
disorders, it becomes hard for the people to create new
memories. However, majority of the people experiencing the
disorder face difficulties when recalling different happenings.
Some of the symptoms of Amnestic disorders include; loss of
memory, lack of insights with time and disorientation with time
(Gallagher, 2019).
Both Amnestic disorders and dementia are similar to other
illness in that they lead to loss of memories to different people.
Again, the two disorders are different in that they make it hard
for the people to learn new information. The other illness can
easily be controlled due to the fact that they do not bring a lot
of problems to the people. Moreover, the ethical implications of
the importance of understanding the symptoms of the two
15. disorders in general is that it ensures the violation of the
people’s rights is reduced therefore ensuring that the people
acquire the right services (Getzfeld, 2018).
Again, the role of environment on managing behaviors to the
disorders is ensuring that the affected people are provided with
right services hence ensuring that they carry out their daily
activities accordingly. Finally, the impact of the family in the
management of a loved one suffering from the disorders is
ensuring that the people are supported both financially and
emotionally (Kambeitz-Ilankovic, 2019).
References
Brinker, M. J., Cohen, J. G., Sharrette, J. A., & Hall, T. A.
(2019). Neurocognitive and neurodevelopmental impact of
prenatal methamphetamine exposure: A comparison study of
prenatally exposed children with nonexposed ADHD
peers. Applied Neuropsychology: Child, 8(2), 132-139.
Gallagher, L., Fitzgerald, J., Al Shehhi, M., Lynch, S. A., &
Shen, S. (2019). DECONSTRUCTING THE NEUREXIN1
DELETION PHENOTYPE: A NEUROPSYCHOLOGICAL,
NEUROCOGNITIVE AND NEUROIMAGING
PERSPECTIVE. European Neuropsychopharmacology, 29,
S980-S981.
Getzfeld, A. R. (2018). Abnormal psychology (2nd ed.).
Retrieved from https://content.ashford.edu
Kambeitz-Ilankovic, L., Haas, S. S., Meisenzahl, E., Dwyer, D.
B., Weiske, J., Peters, H., ... & Koutsouleris, N. (2019).
Neurocognitive and neuroanatomical maturation in the clinical
high-risk states for psychosis: a pattern recognition
study. NeuroImage: Clinical, 21, 101624.
EXAMPLE OF RESPONSE:
Hello Robert,
I enjoyed reading your valuable information and thoughtful
observations. In youe answer to Ethical Implications I couldn't
agree with you more. With all of these mental disorders,
16. especially the ones that affect children it is imperative to be
very careful not to put an unnecessary label on a child. I believe
that these labels and diagnosis can become a crutch as they use
them for their identity for the rest of their lives. I know a man
45 years old who was told he had ADHD and a learning
disability as a child. Even though I don't see any sign of these
problems he mentions them as an excuse for normal mistakes
that everyone makes. He defines himself as dumb and unable to
concentrate, which just isn't true and there is no evidence of
that happening. It's sad and I think our society must be very
careful when saddling the young and impressionable with a
label that can haunt them. Young children are constantly trying
to figure out who they are and where they fit into the world and
if some authority figure says they are X they will many times
believe this and it becomes a self-fulfilling prophecy. I learned
this somewhere in one of my classes...:) I enjoyed reading your
post.
Respond to at least four of your classmates’ posts
JEREMY’S POST:
Think of an organizational change that you experienced.
Describe how you were impacted by the change.
An example of an organizational change that I experienced was
transitioning from an Aircraft Maintenance Unit to a Fighter
Squadron. I am a production superintendent and I manage all
scheduled and unscheduled repairs, inspection, modification,
and troubleshooting on a fleet of aircraft by directing
specialized repair technicians, equipment, and spare parts
consumption. My job is ultimately to provide safe, reliable
aircraft to meet the flying mission requirements of the aircrew.
Traditionally, aircraft maintenance has been a separate
organization from the aircrew because our two operations are
vast and complex. Recently, the Air Force decided to create an
experimental unit that combines the maintenance personnel with
17. the aircrew, and created a unique organizational structure to
accommodate the transition.
I was impacted by this change because my organizational
structure became significantly flatter and key decision makers
within the organization were now aircrew rather than
maintenance officers. The aircrew brought a dynamic
operational decision making capability to maintenance that
allowed new processes to emerge and significantly decreased
the time required to implement changes. The drawback to the
new structure was the loss of maintenance management
experience that occurred when maintenance officers were
removed from the organization.
What could the leadership have done to make the transition
more successful? Cite one or more change models to support
your assertion.
One thing the leadership could have done to make the transition
more successful would have been to establish clearer lines of
responsibility and authority for each of the new leadership and
management positions within the new organization’s structure.
Many of the previously established processes no longer worked
due to confusion about who was responsible for what and at
what level decisions were allowed to be made. Senior and
Fleming’s (2006) Capacity for Change model lists the degree to
which organizations are willing to grant people authority and
support them in their actions as key to that organizations
capacity to change (Weiss, 2016). Because my organization did
not effectively grant authority nor support key decision maker’s
actions, our capacity for change was limited.
Reference
Weiss, J. W. (2016). Organizational change (2nd ed.). Retrieved
from https://content.ashford.edu/
NORMA’S POST:
Think of an organizational change that you experienced.
18. Describe how you were impacted by the change.
An example of an organization changed was when I came of the
Pre-K classroom to become a full-time director. When we
moved into a larger facility and licensed for 63 children. Our
DCFS rep Karen, told the owner that we hire full time director
or Norma comes out of the classroom, and becomes the
director. At the other building we were licensed for 45, with
that I was able to be teacher/ director. With that being said, I
came out of the classroom, because I know how the owner
expectations and not to change the systems in the office. And
she would always tell me I’m a phone call away. She was the
director at the other location. Being a full-time director has
many responsibilities from parents, children and mainly the
staff. And attending director meeting, and learning ISBE
paperwork, learning how to do the billing at the end of the
months. The biggest component is dealing with the Child Care
Resource and Referral with papers work, and making sure that
parents turn everything in. I would call and ask her for help, or
I would call her and let her know when I made a mistake. She
than would assist me on how to fix it and would say that’s an
easy fix.
What could the leadership have done to make the transition
more successful? Cite one or more change models to support
your assertion.
One of the most important things the leaders could have done is
given me that one on one training, instead of me jumping in and
learning it myself. For example, I had the owner as a teacher
giving me guidance on how to become a better teacher, I wish I
could have had that as a director. As stated in the text
sustaining major organizational change- ensuring that planned
changes ensure- does not involve” one- shot” or quick fix
solution embedding change in organizations requires continuous
top-down, bottom-up leadership and process improvement-
including supportive and innovative actions throughout the
enterprise ( /Weiss, 2016).
Reference:
19. Weiss, J. W. (2016). Organizational change (2nd ed.). Retrieved
from https://content.ashford.edu/
JOHNNY’S POST:
Identify factors that can cause change initiatives to fail and the
five pillars that can cause them to succeed.
While people may have a good reason for change it does not
always succeed. There are many causes that can make change
initiatives fail. As stated by Weiss, 2016, “Just as important, the
people involved in and affected by the change must not be
excluded. Failing to communicate with and involve
professionals and employees who are affected by such changes
often creates opposition and resistance.” (Ch 4.1, Para 3). I
believe this is the main reason change initiatives fail. By not
including all the employees a company runs the risk of losing
support. Other reasons for failure include short-term fix
approach and failure to sustain change.
Opposite of failure is success. According to the text, 2016,
“five principal components that are integral to any successful
company: leadership, strategy, culture, structure, and systems.”
(Ch 4.3, Para 2). If a company has a solid base consisting of
these five pillars than they are more like to have success with
organizational change.
Highlight an organization that failed to adapt and evaluate
which of these factors and pillars were demonstrated by this
organization.
An organization that failed to adapt is Blockbuster. The
company had become very successful before movie streaming
became available. The company was even approached by Netflix
at an early stage to join forces. A huge mistake made by
Blockbuster. If they had better leadership and strategy the
company could of avoided bankruptcy and almost certainly be a
20. multibillion dollar company.
Reference:
Weiss, J. W. (2016). Organizational change (2nd ed.). Retrieved
from https://content.ashford.edu/
JERMIKAL’S POST:
The company I choose for this week’s discussion is Motorola.
The organizations first major success was with car radios,
progressing to two-way radios that eventually led Motorola to
build and sell the first mobile phone in the world. If I remember
correctly, I want to say my parents first real cell phone was a
Motorola. Back when everyone had flip phones. Motorola
dominated the industry back in 2003, when it introduced the
trendy Razr, the mobile phone with the highest revenue ever.
But they did not concentrate on devices that can manage email
and other details, which caused them to lose ground to
competitors such as Research in Motion, Apple, LG and
Samsung. Motorola was so heavily defeated that its cell phone
business became a chronic money-loser and this year the
company announced intentions to split it off into a separate
company, leaving the Motorola center to concentrate on
networking equipment and a few other sectors. The company
suffered from failure to recognize the need for change. Which at
first glance I think who can blame them, when they started off
so successfully. But then that is why competition exist.
References:
Weiss, J.W. (2016). Organizational Change (2nd ed.). San
Diego, CA: Bridgepoint Education, Inc.
Newman, R. (2010). 10 Great Companies That Lost Their Edge
EXAMPLE OF RESPONSE:
Hello Aziza,
I think Sears is one of many examples of brick and mortar
department stores that struggled to remain relevant in today's
21. buy anything online market. The whole transition is interesting
to me. I believe that many people will eventually go back to
brick and mortar shopping with certain items because they enjoy
being able to pick up and hold an item before they buy it. For
example, buying clothing online is difficult because people
want to try on the clothing to make sure it fits and looks good
on them before they buy it. Companies like stitch fix are trying
to address this concern by mailing clothing items back and forth
with customers. While innovative, I don't think this business
strategy will overtake the brick and mortar shopping experience
due to convenience and the instant gratification of purchasing
clothing that you know fits.
Euro Disney: Bungling a Successful Concept
With high expectations, Euro Disney opened just outside Paris
in April 1992. Success seemed assured. After all, the
Disneylands in Florida, California, and more recently, Japan,
were all spectacular successes. But somehow all the rosy
expectations became a delusion. The opening results cast even
the future continuance of Euro Disney into doubt. How could
what seemed so right be so wrong? What mistakes were made?
PRELUDE
OPTIMISM
Perhaps a few early omens should have raised caution. Between
1987 and 1991, three $150 million amusement parks had opened
in France with great fanfare. All had fallen flat, and by 1991
two were in bankruptcy. Now the Walt Disney Company was
finalizing its plans to open Europe's first Disneyland early in
1992. This would turn out to be a $4.4 billion enterprise
sprawling over 5,000 acres twenty miles east of Paris. Initially
it would have six hotels and 5,200 rooms, more rooms than the
entire city of Cannes, and lodging was expected to triple in a
few years as Disney opened a second theme park to keep
visitors at the resort longer.
22. Disney also expected to develop a growing office complex, this
to be only slightly smaller than France's biggest, La Défense, in
Paris. Plans also called for shopping malls, apartments, golf
courses, and vacation homes. Euro Disney would tightly control
all this ancillary development, designing and building nearly
everything itself and eventually selling off the commercial
properties at a huge profit.
Disney executives had no qualms about the huge enterprise,
which would cover an area one-fifth the size of Paris itself.
They were more worried that the park might not be big enough
to handle the crowds: “My biggest fear is that we will be too
successful.”1
Company executives initially predicted that 11 million
Europeans would visit the extravaganza in the first year alone.
After all, Europeans accounted for 2.7 million visits to the US
Disney parks and spent $1.6 billion on Disney merchandise.
Surely a park in closer proximity would draw many thousands
more. As Disney executives thought more about it, the forecast
of 11 million seemed most conservative. They reasoned that
because Disney parks in the United States (population of 250
million) attracted 41 million visitors a year, if Euro Disney
attracted visitors in the same proportion, attendance could reach
60 million with Western Europe's 370 million people. Table
10.1 shows the 1990 attendance at the two US Disney parks and
the newest Japanese Disneyland, as well as the
attendance/population ratios.
Adding fuel to the optimism was the fact that Europeans
typically have more vacation time than US workers. For
example, five-week vacations are commonplace for French and
Germans, compared with two to three weeks for US workers.
The failure of the three earlier French parks was seen as
irrelevant. Robert Fitzpatrick, Euro Disneyland's chairman,
stated that Disney was spending 22 billion French francs to
open the park, compared to the earlier competitors who spent
700 million. “This means we can pay infinitely more attention
to details—costumes, hotels, shops, trash baskets—to create a
23. fantastic place. There's just too great a response to Disney for
us to fail.”2
Nonetheless, a few scattered signs could be found that not
everyone was happy with the coming of Disney. Leftist
demonstrators at Euro Disney's stock offering greeted company
executives with eggs, ketchup, and “Mickey Go Home” signs.
Some French intellectuals decried the pollution of the country's
cultural ambiance with the coming of Mickey Mouse and
company: They called the park an American cultural
abomination. The mainstream press also seemed contrary,
describing every Disney setback with delight. And French
officials in negotiating with Disney sought less American and
more European culture at France's Magic Kingdom. Still, such
protests and bad press seemed contrived and unrepresentative,
and certainly not predictive. Company officials dismissed the
early criticism as “the ravings of an insignificant elite.”3
TABLE 10.1 Attendance and Attendance/Population Ratios of
Disney Parks, 1990
THE LOCATION DECISION
In the search for a site for Euro Disney, Disney executives
examined 200 locations in Europe. The other finalist was
Barcelona, Spain. Its major attraction was warmer weather. But
the transportation system was not as good as around Paris, and
it also lacked level tracts of land of sufficient size. The clincher
for the decision for Paris was its more central location. Table
10.2 shows the number of people within two to six hours of the
Paris site.
The beet fields of the Marne-la-Vallée area were chosen. Being
near Paris seemed a major advantage, as Paris was Europe's
biggest tourist draw. France was eager to win the project to help
lower its jobless rate and also to enhance its role as the center
of tourist activity in Europe. The French government expected
the project to create at least 30,000 jobs and to contribute $1
billion a year from foreign visitors.
To encourage the project, the French government allowed
24. Disney to buy up huge tracts of land at 1971 prices. It provided
$750 million in loans at below-market rates and also spent
hundreds of millions of dollars on subway and other capital
improvements for the park. For example, Paris's express subway
was extended out to the park; a 35-minute ride from downtown
cost about $2.50. A new railroad station for the high-speed
Train à Grande Vitesse (TGV) was built only 150 yards from
the entrance gate. This enabled visitors from Brussels to
arrive in only ninety minutes. And when the English Channel
tunnel opened in 1994, even London was only three hours and
ten minutes away. In fact, Euro Disney was the second largest
construction project in Europe, second only to construction of
the English Channel tunnel.
TABLE 10.2 Number of People within 2–6 Hours of the Paris
Site
Within a 2-hour drive:
17 million people
Within a 4-hour drive:
41 million people
Within a 6-hour drive:
109 million people
Within a 2-hour flight:
310 million people
Source: Euro Disney. Amusement Business magazine.
Commentary: The much more densely populated and
geographically compact European continent makes access to
Euro Disney much more convenient than accessing Disney parks
is in the United States.
FINANCING
Euro Disney cost $4.4 billion. Table 10.3 shows the sources of
financing in percentages. The Disney Company had a 49 percent
stake in the project, the most that the French government would
allow. For this stake, it invested $160 million, while other
investors contributed $1.2 billion in equity. The rest was
financed by loans from the government, banks, and special
partnerships formed to buy properties and lease them back.
25. The payoff for Disney began after the park opened. The
company received 10 percent of Euro Disney's admission fees
and 5 percent of the food and merchandise revenues. This was
the same arrangement as Disney had with the Japanese park. But
in Tokyo Disneyland, the company took no ownership interest,
opting instead only for the licensing fees and a percentage of
the revenues. The reason for the conservative position with
Tokyo Disneyland was that Disney money was heavily
committed to building Epcot Center in Florida. Furthermore,
Disney had some concerns about the Tokyo enterprise. This was
the first non-American Disneyland and also the first cold-
weather one. It seemed prudent to minimize the risks. But this
turned out to be a significant blunder of conservatism: Tokyo
became a huge success, as the following Information Box
discusses in more detail.
TABLE 10.3 Sources of Initial Financing for Euro Disney
(percent)
Total to Finance: $4.4 billion
100%
Shareholders equity, including $160 million from Walt Disney
Co.
32
Loan from French government
22
Loan from group of 45 banks
21
Bank loans to Disney hotels
16
Real estate partnerships
9
Source: Euro Disney.
Commentary: The full flavor of the leverage is shown here, with
equity comprising only 32 percent of the total expenditure.
SPECIAL MODIFICATIONS
With the experiences of the previous theme parks, particularly
that of the first cold-weather park in Tokyo, Disney
26. construction executives were able to bring state-of-the-art
refinements to Euro Disney. Exacting demands were placed on
French construction companies, and a higher level of
performance and compliance resulted than many thought
possible. The result was a major project on time if not
completely on budget. In contrast, the Channel tunnel was
plagued by delays and severe cost overruns.
INFORMATION BOX
THE TOKYO DISNEYLAND SUCCESS
Tokyo Disneyland opened in 1983 on 201 acres in the eastern
suburb of Urazasu. It was arranged that an ownership group,
Oriental Land, would build, own, and operate the theme park,
with advice from Disney. The owners borrowed most of the
$650 million needed to bring the project to fruition. Disney
invested no money, but received 10 percent of the revenues
from admission and rides and 5 percent of sales of food, drink,
and souvenirs.
While the start was slow, the Japanese soon began flocking to
the park in great numbers. By 1990, some 16 million a year
passed through the turnstiles, about one-fourth more than
visited Disneyland in California. In fiscal year 1990, revenues
reached $988 million with profits of $150 million. Indicative of
the Japanese preoccupation with all things American, the park
served almost no Japanese food, and the live entertainers were
mostly American. Japanese management even apologized for the
presence of a single Japanese restaurant inside the park: “A lot
of elderly Japanese came here from outlying parts of Japan, and
they were not very familiar with hot dogs and hamburgers.”4
Disney executives were soon to realize the great mistake they
made in not taking substantial ownership in Tokyo Disneyland.
They did not want to make the same mistake with Euro Disney.
Would you expect the acceptance of the genuine American
experience in Tokyo to be indicative of the reaction of the
French and Europeans? Why or why not?
4 James Sterngold, “Cinderella Hits Her Stride in Tokyo,” New
York Times, February 17, 1991, p. 6.
27. One of the things learned from the cold-weather project in
Japan was that more needed to be done to protect visitors from
such weather problems as wind, rain, and cold. Consequently,
Euro Disney's ticket booths were protected from the elements,
as were the lines waiting for attractions and even the moving
sidewalk from the 12,000-car parking area.
Certain French accents—British, German, and Italian accents as
well—were added to the American flavor. The park had two
official languages, English and French, but multilingual guides
were available for Dutch, Spanish, German, and Italian visitors.
Discoveryland, based on the science fiction of France's Jules
Verne, was a new attraction. A theater with a full 360-degree
screen acquainted visitors with a sweep of European history.
And, not the least modification for cultural diversity, Snow
White spoke German, and the Belle Notte Pizzeria and
Pasticceria were right next to Pinocchio.
Disney foresaw that it might encounter some cultural problems.
This was one of the reasons for choosing Robert Fitzpatrick as
Euro Disney's president. While American, he spoke French and
had a French wife. However, he was not able to establish the
rapport needed and was replaced in 1993 by a French native.
Still, some of his admonitions that France should not be
approached as if it were Florida fell on deaf ears.
RESULTS
As the April 1992 opening approached, the company launched a
massive communications blitz aimed at publicizing the fact that
the fabled Disney experience was now accessible to all
Europeans. Some 2,500 people from various print and broadcast
media were lavishly entertained while being introduced to the
new facilities. Most media people were positively impressed
with the inauguration and with the enthusiastic spirit of the
staffers. These public relations efforts, however, were criticized
by some for being heavy-handed and for not providing access to
Disney executives.
As 1992 wound down after the opening, it became clear that
revenue projections were, unbelievably, not being met. But the
28. opening turned out to be in the middle of a severe recession in
Europe. European visitors, perhaps as a consequence, were far
more frugal than their American counterparts. Many packed
their own lunches and shunned the Disney hotels. A visitor
named Corine from southern France typified the “no-spend”
attitude of many: “It's a bottomless pit,” she said as she, her
husband, and their three children toured Euro Disney on a three-
day visit. “Every time we turn around, one of the kids wants to
buy something.”5 Perhaps investor expectations, despite the
logic and rationale, were simply unrealistic.
Indeed, Disney had initially priced the park and the hotels to
meet revenue targets and assumed demand was there at any
price. Park admission was $42.25 for adults—higher than at the
American parks. A room at the flagship Disneyland Hotel at the
park's entrance cost about $340 a night, the equivalent of a top
hotel in Paris. It was soon averaging only a 50 percent
occupancy. Guests were not staying as long or spending as
much on the fairly high-priced food and merchandise. We can
label the initial pricing strategy at Euro Disney as skimming
pricing. The following Information Box discusses skimming and
its opposite, penetration pricing.
Disney executives soon realized they had made a major
miscalculation. While visitors to Florida's Disney World often
stayed more than four days, Euro Disney—with one theme park
compared to Florida's three—was proving to be a two-day
experience at best. Many visitors arrived early in the morning,
rushed to the park, staying late at night, then checked out of the
hotel the next morning before heading back to the park for one
final exploration.
The problems of Euro Disney were not public acceptance
(despite the earlier critics). Europeans loved the place. Since
the opening, it attracted just under 1 million visitors a month,
thus easily achieving the original projections. Such patronage
made it Europe's biggest paid tourist attraction. But large
numbers of frugal patrons did not come close to enabling
Disney to meet revenue and profit projections and cover a
29. bloated overhead.
INFORMATION BOX
SKIMMING AND PENETRATION PRICING
A firm with a new product or service may be in a temporary
monopolistic situation. If there is little or no present and
potential competition, more discretion in pricing is possible. In
such a situation (and, of course, Euro Disney was in this
situation), one of two basic and opposite approaches may be
taken in the pricing strategy: (1) skimming or (2) penetration.
Skimming is a relatively high-price strategy. It is the most
tempting where the product or service is highly differentiated,
as it yields high per-unit profits. It is compatible with a quality
image. But it has limitations. It assumes a rather inelastic
demand curve, in which sales will not be appreciably affected
by price. And if the product or service is easily imitated (which
was hardly the case with Euro Disney), then competitors are
encouraged because of the high profit margins.
The penetration strategy of low prices assumes an elastic
demand curve, with sales increasing substantially if prices can
be lowered. It is compatible with economies of scale, and
discourages competitive entry. The classic example of
penetration pricing was the Model T Ford. Henry Ford lowered
his prices to put the car within the means of the general public,
expanded production into the millions, and in so doing realized
new horizons of economies of scale.
Euro Disney correctly saw itself in a monopoly position; it
correctly judged that it had a relatively inelastic demand curve
with customers flocking to the park regardless of rather high
prices. What it did not reckon with was the shrewdness of
European visitors: Because of the high prices, they shortened
their stays, avoided the hotels, brought their own food and
drink, and only sparingly bought the Disney merchandise.
What advantages would a lower price penetration strategy have
offered Euro Disney? Do you see any drawbacks?
Other operational errors and miscalculations, most of these
cultural, hurt the enterprise. A policy of serving no alcohol in
30. the park caused consternation in a country where wine is
customary at lunch and dinner. (This policy was soon reversed.)
Disney thought Monday would be a light day and Friday a
heavy one, and allocated staff accordingly, but the reverse was
true. It found great peaks and valleys in attendance: The number
of visitors per day in the high season could be ten times the
number in slack times. The need to lay off employees during
quiet periods ran up against France's inflexible labor schedules.
One unpleasant surprise concerned breakfast. Disney executives
were led to believe that Europeans did not eat breakfast;
however, it turned out they wanted breakfast at Euro Disney.
The lines became unmanageable as Disney tried to serve 2,500
breakfasts in restaurants that seated 350 people.6
Disney failed to anticipate another demand, this time from tour
bus drivers. Restrooms were built for fifty drivers, but on peak
days 2,000 drivers were seeking the facilities. “From impatient
drivers to grumbling bankers, Disney stepped on toe after
European toe.”7
For the fiscal year ending September 30, 1993, the amusement
park had lost $960 million in US dollars, and the future of the
park was in doubt. (As of December 31, 1993, the cumulative
loss was 6.04 billion francs, or $1.03 billion.) The Walt Disney
corporation made $175 million available to tide Euro Disney
over until the next spring. Adding to the problems of the
struggling park were heavy interest costs. As depicted in Table
10.3 above, against a total cost of $4.4 billion, only 32 percent
of the project was financed by equity investment. Some $2.9
billion was borrowed primarily from 60 creditor banks, at
interest rates running as high as 11 percent. Thus, the enterprise
began heavily leveraged, and the hefty interest charges greatly
increased the overhead to be covered from operations. Serious
negotiations began with the banks to restructure and refinance.
ATTEMPTS TO RECOVER
The $960 million lost in the first fiscal year represented a
shortfall of more than $2.5 million a day. The situation was not
quite as dire as these statistics would seem to indicate.
31. Actually, the park was generating an operating profit. But
nonoperating costs were bringing it deeply into the red.
While operations were far from satisfactory, they were
becoming better. It had taken twenty months to smooth out the
wrinkles and adjust to the miscalculations about hotel demand
and the willingness of Europeans to pay substantial prices for
lodging, meals, and merchandise. Operational efficiencies were
slowly improving.
By the beginning of 1994, Euro Disney had been made more
affordable. Prices of some hotel rooms were cut—for example,
at the low end, from $76 per night to $51. Expensive jewelry
was replaced by $10 T-shirts and $5 crayon sets. Luxury sit-
down restaurants were converted to self-service. Off-season
admission prices were reduced from $38 to $30. And operating
costs were reduced 7 percent by streamlining operations and
eliminating over 900 jobs.
Efficiency and economy became the new watchwords.
Merchandise in stores was pared from 30,000 items to 17,000,
with more of the remaining goods being pure US Disney
products. (The company had thought that European tastes might
prefer more subtle items than the garish Mickey and Minnie
souvenirs, but this proved untrue.) The number of different food
items offered by park services was reduced more than 50
percent. New training programs were designed to remotivate the
9,000 full-time permanent employees, to make them more
responsive to customers and more flexible in their job
assignments. Employees in contact with the public were given
crash courses in German and Spanish.
Still, as we have seen, the problem had not been attendance,
although the recession and the high prices had reduced it. Some
18 million people passed through the turnstiles in the first
twenty months of operation. But they were not spending money
as people did in the US parks. Furthermore, Disney had
alienated some European tour operators with its high prices, and
it diligently sought to win them back.
Management had hoped to reduce the heavy interest overhead by
32. selling the hotels to private investors. But the hotels had an
occupancy rate of only 55 percent, making them unattractive to
investors. While the recession was a factor in such low
occupancy rates, most of the problem lay in the calculation of
lodging demands. With the park just thirty-five minutes from
the center of Paris, many visitors stayed in town. About the
same time as the opening, the real estate market in France
collapsed, making the hotels unsalable in the short term. This
added to the overhead burden and confounded business plan
forecasts.
While some analysts were relegating Euro Disney to the
cemetery, few remembered that Orlando's Disney World showed
early symptoms of being a disappointment. Costs were heavier
than expected, and attendance was below expectations. But
Orlando's Disney World turned out to be one of the most
profitable resorts in North America.
A FAVORABLE PROGNOSIS
Euro Disney had many things going for it, despite the disastrous
early results. In May 1994, a station on the high-speed rail
running from southern to northern France opened within
walking distance of Euro Disney. This helped fill many of the
hotel rooms too ambitiously built. Summer 1994, the 50th
anniversary of the Normandy invasion, brought many people to
France. Another favorable sign for Euro Disney was the English
Channel tunnel's opening in 1994, which could potentially bring
a flood of British tourists. Furthermore, the recession in Europe
was bound to end, and with it should come renewed interest in
travel. As real estate prices became more favorable, hotels
could be sold and real estate development around the park
spurred.
Even as Disney Chairman Michael Eisner threatened to close
the park unless lenders restructured the debt, Disney increased
its French presence, opening a Disney store on the Champs
Elysees. The likelihood of a Disney pullout seemed remote,
despite the posturing of Eisner, as royalty fees could be a
sizable source of revenues even if the park only broke even
33. after servicing its debt. With only a 3.5 percent increase in
revenues in 1995 and a 5 percent increase in 1996, these could
yield $46 million in royalties for the parent company. “You
can't ask, ‘What does Euro Disney mean in 1995?’ You have to
ask, ‘What does it mean in 1998?’”8
SUMMARY OF MAJOR MISTAKES
Euro Disney, as we have seen, fell far short of expectations in
the first twenty months of its operation, so much so that its
continued existence was even questioned. What went wrong?
EXTERNAL FACTORS
A serious economic recession that affected all of Europe
undoubtedly was a major impediment to meeting expectations.
As noted before, it adversely affected attendance—although still
not all that much—but drastically affected spending patterns,
with frugality being the order of the day for many visitors. The
recession also affected real estate demand and prices, thus
saddling Disney with hotels it had hoped to sell profitably to
eager investors, and thereby take the strain off its hefty interest
payments.
The company assumed that European visitors would not be
greatly different from those visitors, foreign and domestic, of
US Disney parks. Yet, at least in the first few years of
operation, visitors were much more price conscious. This
suggested that those within a two- to four-hour drive of Euro
Disney were considerably different from the ones who traveled
overseas, at least in spending ability and willingness.
INTERNAL FACTORS
Despite the decades of experience with the US Disney parks and
the successful experience with the newer Japan park, Disney
still made serious blunders in its operational planning, such as
the demand for breakfasts, the insistence on wine at meals, the
severe peaks and valleys in scheduling, and even such mundane
things as sufficient restrooms for tour bus drivers. It had
problems in motivating and training its French employees in
efficiency and customer orientation. Did all these mistakes
reflect an intractable French mindset or a deficiency of Disney
34. management? Perhaps both. But should not Disney management
have researched all cultural differences more thoroughly?
Further, the park needed major streamlining of inventories and
operations after the opening. The mistakes suggested an
arrogant mindset by Disney management: “We were arrogant,”
concedes one executive. “It was like, ‘We're building the Taj
Mahal and people will come—on our terms.’”9
The miscalculations in hotel rooms and in pricing of many
products, including food services, showed an insensitivity to the
harsh economic conditions. But the greatest mistake was taking
on too much debt for the park. The highly leveraged situation
burdened Euro Disney with such hefty interest payments and
overhead that the break-even point was impossibly high, and
even threatened the viability of the enterprise. See the following
Information Box for a discussion of the important inputs and
implications affecting the break-even point, and how these
should play a role in strategic planning.
INFORMATION BOX
THE BREAK-EVEN POINT
A break-even analysis is a vital tool in making go/no go
decisions about new ventures and alternative business
strategies. This can be shown graphically as follows: Below the
break-even point, the venture suffers losses; above it, the
venture becomes profitable.
Let us make a hypothetical comparison of Euro Disney, with its
$1.6 billion in high-interest loans (some of these as high as 11
percent) from the banks, and what the situation might be with
more equity and less borrowed funds.
For this example, let us assume that other fixed costs are $240
million, that the average interest rate on the debt is 10 percent,
and that average profit margin (contribution to overhead) from
each visitor is $32. Now let us consider two scenarios: (a) $1.6
billion of debt, and (b) only $0.5 billion of debt.
The number of visitors needed to breakeven is determined as
follows:
35. Because Euro Disney expected 11,000,000 visitors the first
year, it obviously was not going to break even while servicing
$1.6 billion in debt with $160 million in interest charges per
year. The average visitor would have to be induced to spend
more, thereby increasing the average profit or contribution to
overhead.
In making go/no go decisions, many costs can be estimated
quite closely. What cannot be determined as surely are the sales
figures. Certain things can be done to affect the break-even
point. Obviously it can be lowered if the overhead is reduced, as
we saw in scenario (b). Higher prices also result in a lower
break-even point because of greater per customer profits (but
would probably affect total sales quite adversely). Promotion
expenses can be either increased or decreased and affect the
break-even point; but they probably also have an impact on
sales. Some costs of operation can be reduced, thus lowering the
break-even point. But the hefty interest charges act as a
lodestone over an enterprise, greatly increasing the overhead
and requiring what may be an unattainable break-even point.
Does a new venture have to break even or make a profit the first
year to be worth going into? Why or why not?
Were such mistakes and miscalculations beyond what we would
expect of reasonable executives? Probably not, with the possible
exception of the crushing burden of debt. Any new venture is
susceptible to surprises and the need to streamline and weed out
its inefficiencies. While we would have expected such to have
been done faster and more effectively from a well-tried Disney
operation, European, and particularly French and Parisian,
consumers and employees showed different behavioral and
attitudinal patterns than expected.
The worst sin that Disney management and investors could
make would be to give up on Euro Disney and not to look ahead
a few years. A hint of the future promise was Christmas week of
1993. Despite the first year's $920 million in red ink, some
35,000 packed the park most days. A week later on a cold
36. January day, some of the rides still had 40-minute waits.
POSTSCRIPT
The problems of Euro Disney were still not resolved by mid-
1994. The theme park and resort near Paris remained troubled.
On March 15, 1994, an agreement was struck, aimed at making
Euro Disney profitable by September 30, 1995. The European
banks would fund another $500 million and make concessions
such as forgiving eighteen months interest and deferring all
principal payments for three years. In return, Walt Disney
Company agreed to spend about $750 million to bail out its
Euro Disney affiliate. Disney also agreed to eliminate for five
years the lucrative management fees and royalties it received on
the sale of tickets and merchandise.10 In addition, a new source
for financing had emerged. A member of the Saudi Arabian
royal family agreed to invest up to $500 million for a 24 percent
stake in Euro Disney. Prince Alwaleed had shown considerable
sophistication in investing in troubled enterprises in the past.
Now his commitment to Euro Disney showed a belief in the
ultimate success of the resort.11
Finally, in the third quarter of 1995, Euro Disney posted its first
profit, some $35 million for the period. This compared with a
year earlier loss of $113 million. By now, Euro Disney was only
39 percent owned by Disney. It attributed the turnaround partly
to a new marketing strategy in which prices were slashed both
at the gate and within the theme park in an effort to boost
attendance, and also to shed the nagging image of being
overpriced. It also officially changed its name to Disneyland
Paris to more closely identify the park “with one of the most
romantic and exciting cities in the world” and dissociate itself
from the business-like connotation of the word “Euro.”12
To the delight of the French government, Disney opened a
movie theme park next to Magic Kingdom, Walt Disney Studios
in March 2002. It blended Disney entertainment with the history
and culture of European film. Marketing efforts reflected a
newfound cultural awareness, and efforts were focused largely
on selling the new park through travel agents, whom Disney
37. initially neglected in promoting Disneyland Paris. The timing
could have been better, though, as tourism took a downturn
following the 9/11 terrorist attacks.13
By the end of 2004, Disneyland Paris was again facing record
losses, partly because of the resumption of full royalty
payments and management fees due to Walt Disney Co. But
deeper problems beset the venture. Attendance remained flat at
about 12.4 million. The new Disney Studios Park opened to
expectations of 4 million visitors, but only 2.2 million came in
2004, and many complained that it did not have enough
attractions.14 Disneyland Paris opened several new attractions
between 2007 and 2010, but with the exception of 2008,
continued to face losses. In 2009 and 2010, Disneyland Paris
again deferred interest payments to its largest lender as well as
royalty fees to the Walt Disney Company.
RECENT UPDATE
Disneyland Paris continued to face a tumultuous situation. For
example, on December 23, 2009, one of the busiest days for the
resort, its staff went on strike, disrupting its daily parades to the
boos and hisses of a huge crowd of holiday visitors. The entire
episode was caught on several guests' cell phones and posted to
YouTube.15 In 2010, two workers, a chef and a cook,
committed suicide. The company denied the suicides had to do
with work, but family members and a trade union insisted the
suicides were work related. The chef wrote on a suicide note
that he did “not want to return to working for Mickey.”16 CEO
Philippe Gas said that Disneyland Paris saw “certain
fundamental changes in consumer behavior” as tourists booked
at the last minute, sought out promotional incentives, and stayed
close to home.17 The attendance figures and financial results
for 2006 through 2011 shown in Table 10.4 indicate that the
situation was not improving significantly.
There is a lot at stake for Disney in the success of Disneyland
Paris. Failure would hurt its global brand image as it is
expanding into China and elsewhere in the Far East. Perhaps the
lessons learned in Paris of trying to keep visitors longer while
38. saving on fixed costs will transfer. The Information Box on
Hong Kong Disneyland suggests that some lessons learned in
Europe and the early years in Hong Kong might finally be
assimilating. Or are they?
TABLE 10.4: Disneyland Paris 2006–2011 Attendance Figures
and Financial Results
INFORMATION BOX
HONG KONG DISNEYLAND
When Hong Kong Disneyland opened in 2005, it struggled to
connect with consumers. It missed its attendance target of 5.6
million visitors in its first year, and attendance dropped nearly
30 percent in the second year to only four million. The travel
industry was quick to criticize that the park was too small and
not appealing to mainland Chinese audiences. To better
understand the China market, in the summer of 2007 Disney
executives surveyed consumers in their homes and found that
the park needed to be more Chinese; they also learned that the
heritage of Disney stories was not known to most Chinese.
Fortuitously, 2008 was the year of the rat, and they hoped to
transform this into the “Year of the Mouse” with their rodents,
Mickey and Minnie, dressed in special red Chinese outfits.
Parades down Main Street featured a dragon dance and puppets
of birds, flowers, and fish, set to traditional Chinese music.
Mickey and Minnie were joined by the god of wealth, and also
gods of longevity and happiness.
Even with the research and fine tuning, some missteps still
occurred. A Disney ad in 2006 featured a family consisting of
two kids and two parents. China's government, however, limits
most couples to just one child. So the commercial had to be
reset to show one child, two parents, and two grandparents.
During the year of the mouse campaign, Disney hoped that
“kids and families are discovering Disney stories together.”18
Design a marketing strategy for the theme park to better appeal
to Chinese consumers.
18 Geoffrey A. Fowler, “Main Street, H.K.,” Wall Street
39. Journal, January 23, 2008, pp. B1, B2.
Invitation for Your Analysis and Conclusions
How do you account for Disney management erring so badly,
both at the beginning and even for years afterwards? Any
suggestions?
WHAT WE CAN LEARN
Beware the Arrogant Mindset, Especially When Dealing with
New Situations and New Cultures
French sensitivities were offended by Disney corporate
executives who often turned out to be brash, insensitive, and
overbearing. A contentious attitude by Disney personnel
alienated people and aggravated planning and operational
difficulties.
Such a mindset is a natural concomitant of success. It is said
that success breeds arrogance, but this inclination must be
fought against by those who would spurn the ideas and concerns
of others. For a proud and touchy people, the French, this
almost contemptuous attitude by the Americans fueled
resentment and glee at Disney miscues. It did not foster
cooperation, understanding, or the willingness to smooth the
process. One might almost speculate that, had not the potential
economic benefits to France been so great, the Euro Disney
project might never have been approved.
Great Success May Be Ephemeral
We often find that great successes are not lasting, that they have
no staying power. Somehow the success pattern gets lost or
forgotten or is not well rounded. Other times an operation grows
beyond the capability of the originators. Hungry competitors are
always in the wings, ready to take advantage of any lapse. As
we saw with Euro Disney, having a closed mind to new ideas or
needed revisions of an old success pattern—the arrogance of
success—makes expansion into different environments more
difficult and even risky.
While corporate Disney has continued to have good success
with its other theme parks, competitors are moving in with their
own theme parks in the United States and elsewhere. We may
40. question whether this industry is approaching saturation, and we
may wonder whether Disney has learned from its mistakes in
Europe.
Highly Leveraged Situations Are Extremely Vulnerable
During most of the 1980s, many managers, including corporate
raiders, pursued a strategy of debt financing (leveraging) in
contrast to equity financing (stock ownership). Funds for such
borrowing were usually readily available, heavy debt had
income tax advantages, and profits could be distributed among
fewer shares so that return on equity was enhanced. During this
time a few voices decried the over-leveraged situations of many
companies. They predicted that when the eventual economic
downturn came, such firms would find themselves unable to
meet the heavy interest burden. Most lenders paid little heed to
such lonesome voices and encouraged greater borrowing.
The widely publicized problems of some of the raiders in the
late 1980s, such as Robert Campeau, who acquired major
department store corporations only to find himself overextended
and lose everything, suddenly changed some expansionist
lending sentiments. The harsh reality dawned that these
arrangements were often fragile indeed, especially when they
rested on optimistic projections for asset sales, for revenues,
and for cost savings to cover the interest payments. An
economic slowdown hastened the demise of some of these ill-
advised speculations. The subprime mortgage bubble of 2007
and 2008 was arguably the supreme example of wild exuberance
crashing down to bring the whole economy into a recession.
Disney was guilty of speculative excesses with Euro Disney,
relying far too much on borrowed funds and assuming that
assets, such as hotels, could be easily sold off at higher prices
to other investors. As we saw in the break-even box above,
hefty interest charges from such over-leveraged conditions can
jeopardize the viability of the enterprise if revenue and profit
projections fail to meet the rosy expectations.
Be Judicious with the Skimming Price Strategy
Euro Disney faced the classical situation favorable for a
41. skimming price strategy. It was in a monopoly position, with no
equivalent competitors likely. It faced a somewhat inelastic
demand curve, which indicated that people would come almost
regardless of price. So why not price to maximize per-unit
profits? Unfortunately for Disney, the wily Europeans
circumvented the high prices by frugality. Of course, a severe
recession exacerbated the situation.
The learning insight from this example is that a skimming price
assumes that customers are willing and able to pay the higher
prices and have no lower-priced competitive alternatives. It is a
faulty strategy when many customers are unable, or unwilling,
to pay the high prices and can find a way to experience the
product or service in a modest way.
CONSIDER
Can you think of other learning insights from this case?
TEAM DEBATE EXERCISE
It is two years after the opening and Euro Disney is a
monumental mistake, profit-wise. Two schools of thought are
emerging for improving the situation. One is to pour more
money into the project, build one or two more theme parks, and
really make this another Disney World. The other camp believes
more investment would be wasted at this time, that the need is
to pare expenses to the bone and wait for an eventual upturn.
Debate the two positions