Co-Director, University of Texas Medical Branch School of Medicine
Without a structured strategy in the domestic market it is difficult to operate overseas where the competition is much stronger and the rapid adaptation to new circumstances is a must arteria iliolumbalis order innopran xl 80mg with amex. In this case study the entrepreneurial traits of Antуnio Brito will be considered since he is the responsible both for the creation and production processes and for the organizational structure of the company arrhythmia symptoms and treatment innopran xl 80 mg sale. The development of handmade products with designer author and unique raw materials made clear for the owner that these were premium products and its target market was a niche market blood pressure charts readings innopran xl 40mg sale. Even exhibiting the products in local markets there the need to place them in an appropriate market was evident considering the competition existent in the sector where few large players have the majority of the market share - arrhythmia buy innopran xl paypal. In order to expand the business the company decided to associate itself with Faculty of Economics Oporto University accepting an intern to help the process. However, to be able to work on the internationalization of a company it is required to have a structured strategy to sustain the expansion process. The formulation of a business plan was a priority and until then not knowing its important role in a business development the company was lost in unstructured decisions and adrift in the market. The products were created and produced without any defined destiny, no price policy, distribution channels or even a notion of the target. This uncertainty and lack of results led to the thought that the Portuguese market was not the right one for these products. Since they were so good but there were no sales in Portugal, it was logic to think that it was a market problem, so the solution was to go abroad and enter international markets. These companies offer simple and cheap solutions competing in the market through cost penetration strategies. Considering the dimension of the main players it is required that micro-enterprises focus their businesses targeting niche markets. Due to its strategic drift Minimal Cork is not able to identify its target, having so far a broad range of customers. Through the use of virtual networks as Facebook and its website, the company managed to implement online marketing campaigns, however, not having a specific target the costs were high and the return non-existent. The creative enthusiasm of the founder and lack of management experience led the company to invest in the wrong strategies as a result of non-existent planning and eager for fast results the result of the emotional relationship of the founder with the project. Being a company created without any external founds it is strategically independent which in this case constitutes a weakness for the company that does not have a balance between the emotional and the rational sides crucial in the decision-making process. In order to proceed with the business and evolve into international markets it is crucial to focus firstly in the internal organization of processes and resources to be able to support a sustainable business and enable the company to adapt itself when facing international competitors. The formulation of a business plan should not be optional in the creation of a new business since the incubation phase of a new venture can be a success but from there many of the adversities the company will face will not be predicted and the existence of a business plan, as defended by Greenbank (2001) will give managers the right tools to proceed with the making of the best decision possible. However, there is a current misconception in small companies where it is believed that if the business it is not growing in the domestic market entering external markets is the solution it is not. In order to be able to operate abroad a company must be able to face the domestic competition and know how to show its differentiation factors in the market. Being different and innovative does not mean that once in the market the concept will spread, it is required many strategic actions in order to be recognized by the customers and gain other companies respect and loyalty both suppliers and resellers. Not having the direct influence of external entities as credit institutions, Minimal Cork has total control over the decision-making process which can be an advantage if the top management team has experience in the business, and that is not the case. The analysis of this case study enables the reader to understand the strategic issues that small companies face at an early stage and the influence its characteristics have it its development such as its origin, entrepreneurial background, motivations, aspirations and goals. The creation of businesses is a phenomenon that has been growing in the last years as a solution to the high unemployment rates in Portugal. However, it is important to somehow, obtain management knowledge to sustain that business since its creation is easy and encouraged by public entities meaning more companies in the market and a higher need to differentiate and be able to face such competition. It is important that more companies grow an emotional side in the decision-making process but the ability to maintain the rational side is not request, is mandatory for its success. Philipson, Sarah1; Johansson, Jeaneth2; Schley, Don3 1University 2Luleе of Gдvle; Gдvle, Sweden and Linnaeus University, Vдxjц, Sweden University of Technology, Luleе, Sweden. Albeit partly with circumstantial evidence, we question this stability with factors making the conditions for management decision-making volatile, as explained by antecedents, and leading to unmanageable entities. The implications of this volatility have consequences for corporate governance, and question the going-concern assumption, the basis of accounting. Hence, from the dominant explanations that corrupt management, or management with different interests than the principal, leads to company failure, we evolve another chain of cause and effect: volatility, with company failure as a result. It is argued that traditional accounting rituals are unsuitable for many companies. The paper indicates a need for deinstitutionalization and reconsidering of accounting practices, and particularly the fundamental assumption of going concern.
American students learn early 13 pulse pressure diastolic buy innopran xl 80 mg low cost, unlike their Japanese or Chinese counterparts blood pressure 6020 buy generic innopran xl 80mg online, that society seeks out and reveres the best individual hypertension journal order 40mg innopran xl mastercard, whether that person achieves the best score on a test or the most points on the basketball court hypertension benign essential 4011 purchase innopran xl 40mg without prescription. Even collaborative activities focus on the leader, and team sports single out the one most valuable player of the year. The carefully constructed curriculum helps students develop their identities and self-esteem. Going to school in a capitalist nation, American students also quickly learn the importance of competition, through both competitive learning games in the classroom, and through activities and athletics outside the classroom. Some kind of prize or reward usually motivates them to play, so students learn early to associate winning with possessing. Another benefit that functionalists see in education is sorting- separating students on the basis of merit. Those who score highest on classroom and standardized tests enter accelerated programs and college-preparation courses. Sociologists Talcott Parsons, Kingsley Davis, and Wilbert Moore referred to this as social placement. After sorting has taken place, the next function of education, networking (making interpersonal connections), is inevitable. People in high school and college network with those in similar classes and majors. Sociologists primarily interest themselves in how sorting and networking lead couples together of similar backgrounds, interests, education, and income potential. Functionalists point to the ironic dual role of education in both preserving and changing culture. Studies show that, as students progress through college and beyond, they usually become increasingly liberal as they encounter a variety of perspectives. Thus, more educated individuals are generally more liberal, while less educated people tend toward conservatism. Moreover, the heavy emphasis on research at most institutions of higher education puts them on the cutting edge of changes in knowledge, and, in many cases, changes in values as well. Therefore, while the primary role of education is to preserve and pass on knowledge and skills, education is also in the business of transforming them. A final and controversial function assumed by education in the latter half of the twentieth century is replacement of the family. Many issues of career development, discipline, and human sexuality-once the domain of the family-now play a routine part in school curriculum. Parents who reject this function of education often choose to home-school their children or place them in private schools that support their values. The conflict theory Conflict theory sees the purpose of education as maintaining social inequality and preserving the power of those who dominate society. Functionalists see education as a beneficial contribution to an ordered society; however, conflict theorists see the educational system as perpetuating the status quo by dulling the lower classes into being obedient workers. Both functionalists and conflict theorists agree that the educational system practices sorting, but they disagree about how it enacts that sorting. According to conflict theorists, schools train those in the working classes to accept their position as a lower-class member of society. First, property taxes fund most schools; therefore, schools in affluent districts have more money. They can afford to pay higher salaries, attract better teachers, and purchase newer texts and more technology. Students who attend these schools gain substantial advantages in getting into the best colleges and being tracked into higher-paying professions. Students in less affluent neighborhoods that do not enjoy these advantages are less likely to go to college and are more likely to be tracked into vocational or technical training. They argue that the tests, which claim to test intelligence, actually test cultural knowledge and therefore exhibit a cultural bias.
While exotic pleasures and expensive recreations temporarily take the mind off the basic question "Is this all there is? But religions are only temporarily successful attempts to cope with the lack of meaning in life; they are not permanent answers heart attack jack 1 life 2 live order innopran xl 40mg fast delivery. At some moments in history arterial line discount innopran xl online mastercard, they have explained convincingly what was wrong with human existence and have given credible answers arrhythmia cough order innopran xl 40 mg. From the fourth to the eighth century of our era Christianity spread throughout Europe prehypertension in young adults purchase 40mg innopran xl overnight delivery, Islam arose in the Middle East, and Buddhism conquered Asia. For hundreds of years these religions provided satisfying goals for people to spend their lives pursuing. The form in which religions have presented their truths-myths, revelations, holy texts-no longer compels belief in an era of scientific rationality, even though the substance of the truths may have remained unchanged. In the meantime, those who seek consolation in existing churches often pay for their peace of mind with a tacit agreement to ignore a great deal of what is known about the way the world works. The evidence that none of these solutions is any longer very effective is irrefutable. In the heyday of its material splendor, our society is suffering from an astonishing variety of strange ills. The profits made from the widespread dependence on illicit drugs are enriching murderers and terrorists. It seems possible that in the near future we shall be ruled by an oligarchy of former drug dealers, who are rapidly gaining wealth and power at the expense of law-abiding citizens. And in our sexual lives, by shedding the shackles of "hypocritical" morality, we have unleashed destructive viruses upon one another. The trends are often so disturbing that we tend to become jaded and tune out whenever we hear the latest statistics. There are figures that may be reassuring to some: for instance, in the past thirty years, we have doubled our per-capita use of energy-most of it thanks to a fivefold increase in the use of electric utilities and appliances. In 1984, there were still thirty-four million people in the United States who lived below the poverty line (defined as a yearly income of $10,609 or less for a family of four), a number that has changed little in generations. In the United States the per-capita frequency of violent crimes-murder, rape, robbery, assault-increased by well over 300 percent between 1960 and 1986. As recently as 1978 1,085,500 such crimes were Mihaly Csikszentmihalyi / 15 reported, and by 1986 the number had climbed to 1,488,140. The murder rate held steady at about 1,000 percent above that in other industrialized countries like Canada, Norway, or France. In roughly the same period, the rate of divorce rose by about 400 percent, from 31 per 1,000 married couples in 1950 to 121 in 1984. During those twenty-five years venereal disease more than tripled; in 1960 there were 259,000 cases of gonorrhea, by 1984 there were almost 900,000. The three to fourfold increase in social pathology over the last generation holds true in an astonishing number of areas. For instance, in 1955 there were 1,700,000 instances of clinical intervention involving mental patients across the country; by 1975 the number had climbed to 6,400,000. Perhaps not coincidentally, similar figures illustrate the increase in our national paranoia: during the decade from 1975 to 1985 the budget authorized to the Department of Defense climbed from $87. It is true that the budget of the Department of Education also tripled in the same period, but in 1985 this amounted to "only" $17. At least as far as the allocation of resources is concerned, the sword is about sixteen times mightier than the pen. Fewer young people now grow up in families where both parents are present to share the responsibilities involved in bringing up children. In 1982 there were over 80,000 juveniles-average age, 15 years-committed to various jails. The statistics on drug use, venereal disease, disappearance from home, and unwed pregnancy are all grim, yet probably quite short of the mark. Between 1950 and 1980 teenage suicides increased by about 300 percent, especially among white young men from the more affluent classes. Of the 29,253 suicides reported in 1985, 1,339 were white boys in the 1519 age range; four times fewer white girls of the same age killed themselves, and ten times fewer black boys (young blacks, however, more than catch up in the number of deaths from homicide). Last but not least, the level of knowledge in the population seems to be declining everywhere.
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Stereotypes can be positive or negative heart attack vomiting order innopran xl 80mg visa, but they rarely communicate accurate information about others blood pressure medication for dogs order innopran xl 80 mg with mastercard. When people automatically apply gender assumptions to others regardless of evidence to the contrary artaria string quartet discount innopran xl 40 mg line, they are perpetuating gender stereotyping heart attack grill locations generic innopran xl 40mg visa. Many people recognize the dangers of gender stereotyping, yet continue to make these types of generalizations. He is also to be assertive, competitive, independent, courageous, and career-focused; hold his emotions in check; and always initiate sex. These sorts of stereotypes can prove harmful; they can stifle individual expression and creativity, as well as hinder personal and professional growth. The weight of scientific evidence demonstrates that children learn gender stereotypes from adults. As with gender roles, socializing agents-parents, teachers, peers, religious leaders, and the media- pass along gender stereotypes from one generation to the next. One approach to reexamining conventional gender roles and stereotypes is androgyny, which is the blending of feminine and masculine attributes in the same individual. Parents and other socializing agents can teach their children to be androgynous, just as they can teach them to be gender-biased. Feminists have fought hard to challenge and redefine traditional stereotypic gender roles. Social Stratification and Gender Throughout most of recorded history and around the globe, women have taken a "back seat" to men. Generally speaking, men have had, and continue to have, more physical and social power and status than women, especially in the public arena. Likewise, boys are often required to attain proof of masculinity through strenuous effort. This leads to males holding public office, creating laws and rules, defining society, and-some feminists might add-controlling women. For instance, not until this century were women in the United States allowed to own property, vote, testify in court, or serve on a jury. Whereas in recent decades major strides toward gender equality have been made, sociologists are quick to point out that much remains to be done if inequalities in the United States are ever to be eliminated. Behind much of the inequalities seen in education, the workplace, and politics is sexism, or prejudice and discrimination because of gender. It has caused some women to avoid pursuing successful careers typically described as "masculine"-perhaps to avoid the social impression that they are less desirable as spouses or mothers, or even less "feminine. More recently, though, researchers have found the gap in these sorts of ratings to be closing. In short, sexism produces inequality between the genders-particularly in the form of discrimination. In comparable positions in the workplace, for example, women generally receive lower wages than men. When that happens, women enter "the race" with lower selfesteem and fewer expectations, often resulting in lower achievements. But inequality has been a special problem in the areas of higher education, work, and politics. Although some exceptions exist, women were generally barred from universities and colleges, especially professional and graduate programs, until the 1960s. In fact, the more prestigious the program, the more gender discrimination women encountered. Today, women are more likely than men to attend college and earn a first or second degree, usually in a liberal arts area that does not lead to a high-paying job. Sexism occurs in the administration and on the faculties of institutions of higher learning. Research has consistently demonstrated that, compared with men, women are less likely to be hired, be promoted, or receive tenure. Women also make less money than men, even though women academicians teach as well as men, conduct research, and generate grants. Sexism in the Workplace Sexism in education is clearly associated with sexism in the workplace. When women are expected to "stay in the home," they are unable to access the necessary educational resources to compete with men in the job market. If by chance they are able to secure a position, women may be less prepared educationally for the task, and thus draw lower wages.
Machine learning has the capacity to make drug discovery faster blood pressure chart by age canada generic 40mg innopran xl otc, cheaper blood pressure medication over the counter purchase innopran xl with american express, and more effective heart attack warnings innopran xl 80mg fast delivery. Drug designers frequently apply machine learning techniques to extract chemical information from large compound databases and to design drugs with important biological properties blood pressure chart when to go to the hospital purchase innopran xl with visa. Machine learning can also improve drug discovery by permitting a more comprehensive assessment of cellular systems and potential drug effects. With the emergence of large chemical datasets in recent years, machine and deep learning methods have been used in many areas (Baskin et al. Research initiatives to link structured patient data with biobanks, radiology images, and notes are creating a rich and robust analytical playground for discovering new knowledge about human disease. Deep learning and other new techniques are creating solutions that can operate on the scale required to digest these multiterabyte datasets. The accelerating pace of discovery will probably challenge the research pipelines that translate new knowledge back into practice. It filters out normal or noncomplex cases so that specialists can focus on a more challenging case load. The central focus of health care will continue to expand from health care delivery systems to a dispersed model that aggregates information about behavior, traits, and environment in addition to medical symptoms and test results. More ethical and legal guidelines are needed for successful data sharing and analysis (see Chapters 1 and 7). As a result, some currently accepted practices may be abandoned, and best practice guidelines will be adjusted. The dissemination of innovation will occur rapidly, which on the one hand may advance the adoption of new scientific knowledge but on the other may encourage the rushed adoption of innovation without sufficient evidence. The discovery of existing bias will open the door to changing practices, but it may also produce public disillusionment and mistrust. This includes older adults, people living with multiple comorbid conditions, and people in low-resource settings. Vectors into the future of mass and interpersonal communication research: Big data, social media, and computational social science. Prevalence of disabilities and health care access by disability status and type among adults-United States, 2016. Predicting inpatient clinical order patterns with probabilistic topic models vs conventional order sets. Generating multi-label discrete electronic health records using generative adversarial networks. Predicting brain age with deep learning from raw imaging data results in a reliable and heritable biomarker. Artificial intelligence for diabetes management and decision support: Literature review. Extracting psychiatric stressors for suicide from social media using deep learning. Living systematic reviews: An emerging opportunity to narrow the evidence-practice gap. Delivering cognitive behavior therapy to young adults with symptoms of depression and anxiety using a fully automated conversational agenda (Woebot): A randomized controlled trial. The electronic medical records and genomics (emerge) network: past, present, and future. Deep learning applied to whole-brain connectome to determine seizure control after epilepsy surgery. Clinical decisions support with natural language processing facilitates determination of colonscopy surveillance intervals. Mining electronic health records: Towards better research applications and clinical care. A universal deep learning approach for modeling the flow of patients under different severities. Collaborative knowledge acquisition for the design of context-aware alert systems. Assessing the capacity of social determinants of health data to augment predictive models identifying patients in need of wraparound social services. Decision support from local data: Creating adaptive order menus from past clinician behavior.
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