How do you explain the rise and fall of the Bretton Woods...

How do you explain the rise and fall of the Bretton Woods system? How far the emergence of the Euro can be seen against the background of the need for exchange rate stability and the creation of an optimal currency area? 1) The rise and fall of the Bretton Woods system: The origins of the Bretton Woods system are to be found in the convergence of several key conditions: the shared experiences of the Great Depression, the concentration of power in a small number of states, and the presence of a dominant power willing and able to assume a leading role. The depression of the 1930s, followed by the war, had vastly diminished commercial trade, the international exchange of currencies, and cross-border lending and borrowing. The creators of†¦show more content†¦As the worlds greatest industrial power, and one of the few nations undamaged by the war, the U.S. stood to gain more than any other country from the opening of the entire world to unfettered trade. The United States would have a global market for its exports, and it would have unrestricted access to vital raw materials. Without a strong European market for U.S. goods and services, most policymakers believed, the U.S. economy would be unable to sustain the prosperity it had achieved during the war. Although the system was near perfect on paper, the real monetary relations after the war were anything but stable. After a short burst of activity IMF lending reduced in size to an extremely small scale, its pool of liquidity was clearly insufficient. The reserves of most countries were near exhaustion, there was a scarcity of gold held by Central Banks outside the US and hardly any prospects for the new gold production. As the consequence, America became the last source of the global liquidity growth with the rest of the world more than willing to increase their dollar holdings. Initially, a relatively open market was maintained for imports of foreign goods. In effect, an unspoken agreement was struck. Americas allies accepted its dominance that accorded the United States special privileges, such as to act abroad unilaterally to promote U.S. or collective interests. However, in the latter years of the Bretton Woods system these special privileges of the US came underShow MoreRelatedEurope Economic Crisis55278 Words   |  222 PagesCommission to the Council and the Parliament on the economic situation and developments, such as the Economic forecasts, the annual EU economy review and the Public ï ¬ nances in EMU report. Subscription terms are shown on the back cover and details on how to obtain the list of sales agents are shown on the inside back cover. Unless otherwise indicated, the texts are published under the responsibility of the Directorate-General for Economic and Financial Affairs of the European Commission, BU24, B-1049Read MoreOne Significant C hange That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesMcKeown 9 †¢ 2 Twentieth-Century Urbanization: In Search of an Urban Paradigm for an Urban World †¢ Howard Spodek 53 3 Women in the Twentieth-Century World Bonnie G. Smith 83 4 The Gendering of Human Rights in the International Systems of Law in the Twentieth Century †¢ Jean H. Quataert 116 5 The Impact of the Two World Wars in a Century of Violence †¢ John H. Morrow Jr. 161 6 Locating the United States in Twentieth-Century World History †¢ Carl J. Guarneri 213

Essay on Equality and Inequality in Their Eyes Were...

Equality and Inequality in Their Eyes Were Watching God In the novel Their Eyes Were Watching God, the author, Zora Neale Hurston, attempts to bring into light problems caused by prejudice. However, as she tries to show examples of inequality through various character relationships, examples of equality are revealed through other relationships. Janie, the novels main character, encounters both inequality and equality through the treatment she receives during her three marriages. Janies first marriage is to Logan Killicks. Logan enters the marriage with a large portion of land. However, Janie enters the marriage with practically nothing. This ends up becoming a relationship based on inequality because Logan starts to use†¦show more content†¦Therefore, both Joe and Janie are looked up to by the townspeople. To some extent, this could be considered a form of equality. Unfortunately, this is about where the equality stops. While Joe gains prominence through his own actions and words, Janie gains some prominence by doing what she is told to do. She is not permitted to voice her own opinions or join in the lighthearted gossiping which occurs outside of their store. Janie is expected to be the dutiful wife. If she makes a mistake, then she should have known better and therefore should accept her punishment quietly. Joe holds the obvious upper hand in the relationship until his death whereupon Janie inherits a large amount of money and learns to enjoy the freedom of living as her own person. Then Janie meets Tea Cake. Their courtship and marriage involve many different forms of equality which are not seen in Janies past relationships. The equalities exhibited include Tea Cake and Janies equality to one another as persons, and equality in age, love, and money. As two different people, Janie and Tea Cake are allowed to live their lives as equals. When living with Joe, Janie is never allowed to do things such as speaking her mind, playing games, or doing anything which is not completely ladylike. Tea Cake encourages her to do things which were previously not open to her, such as playing chess, speaking openly about her feelings, and hunting. He teaches Janie to shoot and hunt wild game.Show MoreRelated Zora Neale Hurston and Racial Equality Essay1284 Words   |  6 PagesZora Neale Hurston and Racial Equality       On September eighteenth, nineteen thirty-seven, Their Eyes Were Watching God, one of the greatest novels of this century, was published. It was met with mixed reviews. The major (white) periodicals found it enjoyable and simple, while black literary circles said it carries no theme, no message (Wright,1937). 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The Treatment Of Eating Disorders Health And Social Care Essay Free Essays

Eating upsets are characterized by forms of perturbations in eating behavior frequently accompanied by feelings of hurt and/or concern about organic structure weight or form. Anorexia Nervosa ( AN ) , Bulimia Nervosa ( BN ) , Eating Disorders-Not Otherwise Specified ( ED-NOS ) are three classs by which eating upsets identified. The American Psychiatric Association ( APA ) ( 1994 ) foremost identified Binge Eating Disorder ( BED ) as a probationary feeding upset diagnosing in the DSM-IV. We will write a custom essay sample on The Treatment Of Eating Disorders Health And Social Care Essay or any similar topic only for you Order Now BED is frequently classified under the â€Å" catch all † of the ED-NOS diagnosing. The DSM-IV-TR ( APA, 2000 ) standard for AN, BN, and BED are listed in Table 1. Eating upsets have frequently been noted as one of the most hard psychiatric conditions to handle and hold been associated with increased mortality and self-destruction rates ( Crow et al. , 2009 ) . Other physical and psychosocial wellness effects include but are non limited to limb and joint hurting, concern, GI jobs, catamenial jobs, shortness of breath, thorax hurting, anxiousness, depressive symptoms, and substance maltreatment ( Johnson, Spitzer, Williams, 2001 ) . Despite legion co-morbid conditions, effectual behavioral and pharmacological interventions for eating upsets have been established. For illustration, family-based therapy ( i.e. , Maudsley Approach ) is deriving acknowledgment as an evidenced-based intervention for striplings with AN ( Wilson, Grilo, A ; Vitousek, 2007 ) in both joint household Sessionss ( Lock, Agras, Bryson, A ; Kraemer, 2005 ) and in â€Å" detached † format where person with AN and her household attend separate Sessionss ( Eisler et al. , 2000 ) . Additionally, cognitive-behavior therapy ( CBT ; Hay, Bacaltchuk, A ; Stefano, 2009 ) , dialectical-behavior therapy ( DBT ; Chen et al. , 2008 ) , and interpersonal therapy ( IPT ; Fairburn, 1997 ) have been successful in the intervention of BN. Research tends to back up CBT as the intervention of pick for both BN and BED ( Hay, Bacaltchuk, Stefano, 2004 ) . Table 1. DSM-IV-TR diagnostic standards for AN, BN, BED. Anorexia Nervosa Refusal to keep organic structure weight at or above what is normal weight for age and tallness ( i.e. , gt ; 85 % of what is expected ) . Intense fright of deriving weight or going fat, even though scraggy. Perturbation in the manner in which 1 ‘s organic structure weight or form is experienced, undue influence of organic structure weight or form on self-evaluation, or denial of the earnestness of the current low organic structure weight. In postmenarcheal female, amenorrhoea ( i.e. , absence of 3 back-to-back catamenial rhythms ) . Specify Type: Restricting Type – During current episode of AN, person does non regularly engage in binge-eating or purging behaviour. Binge-Eating/Purging Type – During current episode of AN, the individual has on a regular basis engaged in binge-eating or purging behaviour. Bulimia Nervosa Perennial orgy eating episodes. Characterized by: 1 ) feeding, in a distinct period of clip ( e.g. , within a 2-hour period ) , an sum of nutrient that is larger than most would eat in a similar period of clip under similar fortunes and 2 ) a sense of deficiency of control over eating during the episode ( e.g. , a feeling that one can non halt eating or command what or how much one is eating ) . Recurrent purging/compensatory weight loss steps in order to forestall weight addition. Binge feeding and purging/compensatory behaviours present at least 2 times a hebdomad for 3 months. Self-image inexcusably influenced by organic structure weight and form. Absence of Anorexia Nervosa. Specify Type: Purging Type – During current episode of BN, the person has engaged in self-induced emesis or the abuse of laxatives, water pills, or clyster. Nonpurging Type – During the current episode of BN, the individual has used other inappropriate compensatory behaviours, such as fasting or inordinate exercising, but has non engaged in self-induced emesis or the abuse of laxatives, water pills, or clyster. Binge Eating Disorder Recuring orgy eating episodes. Characterized by: 1 ) feeding, in a distinct period of clip ( e.g. , within a 2-hour period ) , an sum of nutrient that is larger than most would eat in a similar period of clip under similar fortunes and 2 ) a sense of deficiency of control over eating during the episode ( e.g. , a feeling that one can non halt eating or command what or how much one is eating ) . The binge-eating episodes are associated with 3 or more of the followers: 1 ) eating more quickly than normal, 2 ) feeding until experiencing uncomfortably full, 3 ) eating big sums of nutrient when non physically hungry, 4 ) eating entirely because of being embarrassed by how much one is eating, 5 ) feeling disgusted with oneself, depressed, or really guilty after gorging. Marked hurt environing orgy feeding. The orgy feeding occurs, on norm, at least 2 yearss a hebdomad for 6 months. The orgy feeding is non associated with the regular usage of inappropriate compensatory behaviours ( e.g. , purge, fasting, inordinate exercising ) and does non happen entirely during the class of ANor BN. Pharmacological interventions have been used in concurrence with behavioural intervention or entirely ( Zhu A ; Walsh, 2002 ) in the intervention of eating upsets. Research supports pharmacological intervention for persons with BN and BED ( Bacaltchuck, 2000 ) . Specifically, antidepressants have been found to hold short-run benefit in the decrease of binging and purge behaviours ( Walsh et al, 2000 ; McElroy et Al, 2003 ) . Unfortunately, pharmacological intervention tends to hold high disobedience rates and backsliding is frequently frequent ( Becker, 2003 ) . Presently, there is no empirical support for the usage of antidepressants among persons with AN ( Wilson, Grilo, Vitousek, 2007 ) . Behavioral and pharmacological interventions are most frequently used in combination with another in handling eating upsets due to legion co-morbid conditions. Unfortunately, the aforesaid behavioural interventions have a figure of restrictions when delivered outside a forte scene ( e.g. , outpatient mental wellness clinic, inpatient eating upset centre ) . For illustration, the bringing of family-based therapy for AN requires 10-20 hour- long household Sessionss over a 6-12 month period ( Lock, le Grange, Agras, A ; Dare, 2001 ) , and manualized CBT for BN requires 15-20 Sessionss over five months ( Fairburn, 1989 ; 1993 ) . Treatments for AN and BN are non merely drawn-out and dearly-won, but eating upset forte suppliers are limited, and persons with feeding upsets are frequently immune to specialty attention ( Fairburn A ; Carter, 1996 ) . Additionally, merely a little part of persons with feeding upsets are treated in mental health care ( Hoek A ; van Hoeken, 2003 ) and are more likely to show with feeding disordered symptoms in a primary attention puting ( Hoek, 2006 ) . While primary attention doctors frequently recommend forte int ervention on claim signifiers, there is small follow- through with referrals ( Hach et al. , 2005 ; 2003 ) . Therefore, the primary attention scene is frequently the chief intervention installation for those with a life-time eating upset diagnosing ( Hudson, Hiripi, Pope, A ; Kessler, 2007 ) . Due to the fast-paced nature of a primary attention scene, interventions need to be brief, cost-efficient, and executable in application for bing staff. Therefore, development and designation of brief, effectual intercessions for eating upsets are necessary. A figure of surveies have tested the efficaciousness of specific brief intercessions for AN, BN, and BED outside of primary attention environment. Fichter, Cebulla, Quadflieg, A ; Naab ( 2008 ) implemented a self-help constituent ( i.e. , self-help CBT manual ) to the pretreatment stage of forte attention for persons with AN giving significantly shorter inpatient attention. For intervention of persons with BN and BED, a stepped-care attack has gained support ( Laessle, 1991 ; Treasure, 1996 ; Carter, 1998 ) . This attack may suit good with the construction of primary attention, since persons with BN are offered brief intercessions and so reevaluated. Brief intercessions for BN are often in the signifier of abridged CBT frequently accompanied by a self-help constituent ( Treasure, 1996 ; Cooper, Coker, A ; Fleming, 1994 ) . A figure of self-help CBT books have been published aimed at assisting persons with binging and purge ( e.g. , Cooper, 1995 ; Fairburn, 1995 ) . Brief execution of CBT ( Leonard et al. , 1997 ) , self-help CBT ( Sysko A ; Walsh, 2008 ) , telephone counsel ( Palmer, Birchall, McGrain, A ; Sullivan, 2002 ) , internet bringing ( Pretorius et al, 2009 ) , and motivational sweetening ( Schmidt, 1997 ; Vitousek, 1998 ) are all illustrations of promising brief intercessions explored for the intervention of binging and purge symptoms. While primary attention has been identified as an ideal puting for handling BN and BED, few effectivity surveies using brief intercessions for eating disordered symptoms have been conducted in the primary attention scene. A figure of eating upset intervention guidelines for primary attention suppliers have been published ( e.g. , Carter A ; Fairburn, 1995 ; Gurney A ; Halmi, 2001 ; Pritts A ; Susman, 2003 ; Williams, Goodie, Motsinger, 2008 ) . However, there is limited information about the effectivity or deductions of behavioural intercessions for eating upsets delivered in the primary attention puting. Therefore, the purposes of the current survey are to 1 ) place all surveies presenting a behavioural constituent for AN, BN or BED in a primary attention scene, 2 ) examine the features and intervention results of surveies identified, and 3 ) supply intervention deductions every bit good as waies for future research. Methods Literature Review The reappraisal of the literature involved multiple computing machine hunts and reappraisal of old reappraisal documents every bit good as surveies cited within these documents. Search databases included CINAHL, EMBASE, PsycARTICLES, PsychInfo, and PubMed utilizing the hunt footings â€Å" binge-eating syndrome nervosa † OR â€Å" orgy eating upset † OR â€Å" anorexia nervosa † AND â€Å" primary attention. † Figure 1 outlines the literature hunt and shows 314 abstracts of articles reviewed for inclusion every bit good as mentions cited in five eating upset intervention reappraisal documents ( i.e. , Berkman et al. , 2006 ; Hay, Bacaltchuk, Stefano, A ; Kashyap, 2009 ; Kondo A ; Sokol, 2006 ; Williams, Goodie, A ; Motsinger, 2008 ; Wilson, Grilo, A ; Vitousek, 2007 ) . If deficient information was provided in an abstract the first writer obtained the full article for reappraisal. Inclusion and Exclusion Criteria Primary care-based intercession surveies aiming AN, BN, and BED, were identified based on the undermentioned inclusion and exclusion standards. Inclusion standards included: 1 ) the survey incorporated a behavioural constituent to the intercession for persons with AN, BN, or BED ; 2 ) the intercession was conducted in a primary attention puting ( or the intercession was implemented in a scene explicitly intended to emulate primary attention, as stated in the survey ‘s â€Å" methods subdivision † ) ; 3 ) the survey was a ) published in 2009 or earlier, B ) in English, degree Celsius ) and included empirical informations ; therefore, qualitative and instance surveies were excluded. Exclusion standards included: 1 ) intercessions in scenes other than primary attention puting ( or non explicitly saying an purpose to imitate a primary attention puting ) ; 2 ) non-intervention surveies ( e.g. , surveies conducted in primary attention with ends of obtaining epidemiological inf ormations ) ; 3 ) intercession surveies concentrating on weight loss or including an obesity-oriented attack ; 4 ) non-behavioral intercessions ( i.e. , entirely medicative intercessions ) . International and domestic surveies were included in this reappraisal. Given the limited literature, surveies were non excluded on the footing of whether or non participants were randomized to intervention, type of behavioural intercession, sample size, continuance of intervention, or participant features ( e.g. , gender ) . A sum of five surveies met standards for the current reappraisal. All surveies included were on the intervention of BN and BED. No surveies were found on AN. 314* abstracts/full-text articles reviewed: CINAHL ( 45 ) Embase ( 83 ) PsychArticles ( 0 ) PsychInfo ( 86 ) PubMed ( 100 ) Mentions cited in 5 eating upset intervention reappraisal documents: Berkman et Al. ( 2006 ) Hay et Al. ( 2009 ) Kondo A ; Sokol ( 2006 ) Williams et Al. ( 2008 ) Wilson et Al. ( 2007 ) 3 original surveies identified 2 original surveies identified 4 primary care-based intercession ( 3 randomized, 1 non-randomized ) 1 designed-for-primary attention intercession ( randomized ) Entire: 5 original surveies Figure 1. Flow chart showing designation procedure of selected primary attention articles. *Note: Overlap nowadays among articles showing in multiple databases. Consequences Features of the Studies Reviewed Of the five surveies that met inclusion standards, four of the surveies were randomized ( i.e. , Banasiak, Paxton, Hay, 2005 ; Carter and Fairburn, 1998 ; Durand and King, 2003 ; Walsh et al. , 2004 ) . Among randomised surveies, none of the surveies fulfilled all of the standards of the Consolidated Standards of Reporting Trials ( CONSORT ) , a criterion and minimal set of guidelines for describing randomized-controlled tests. All surveies included were self-described as effectiveness surveies. Therefore, feasibleness of intercession was paramount to the survey. Merely two of the five surveies recruited participants in the primary attention puting ( Durand A ; King, 2003 ; Waller et al. , 1996 ) . The figure of participants in the five surveies ranged from 11 to 109 ( M = 70.2, SD = 36.9 ) . Primary attention suppliers ( PCPs ) were the exclusive supplier of the behavioural intercession in two of the five surveies ( i.e. , Banasiak et al. , 2005 ; Durand A ; King, 2003 ) , and PCP s delivered behavioural intercessions in concurrence with nurses in two other of the five surveies ( i.e. , Waller et al. , 1996 ; Walsh et al. , 2004 ) . Minimally trained facilitators ( i.e. , former concert dance terpsichorean, medical secretary, and group leader ) delivered the behavioural intercession in the 1 survey ( Carter A ; Fairburn, 1998 ) . Three of the five surveies provided at least 2-6 hours of preparation for doctors and/or nurses transporting out the intercession ( i.e. , Banasiak, Paxton, Hay, 2005 ; Waller et al. , 1994 ; Walsh et al. , 2004 ) . Two of the surveies did non supply separate preparation for those transporting out the intercession, but instead gave facilitators the same educational stuffs distributed to the participants ( i.e. , Carter A ; Fairburn, 1998 ; Durand A ; King, 2003 ) . One survey incorporated both behavioural and pharmacological intervention attacks ( Walsh et al. , 2004 ) . See Table 2 for extra survey features. Table 2. Features of surveies reviewed. Survey Participants A ; Criteria Recruitment Randomized/ Non-randomized Delivery of Intervention/ Training Intervention Duration Banasiak et al. , 2005 N=109 ( full or sub-threshold BN â€Å" modified † DSM-IV standards ) Community Ads: Newspaper: 61.4 % Primary Care: 21.1 % Community centre: 12 % ED centre referral: 5.5 % Randomized aˆ?16 PCPs aˆ?given manual A ; attended a half-day workshop GSH utilizing Bulimia Nervosa and Binge feeding: A usher to recovery vs. delayed intervention control 17 weeks/1 30-60 minute initial contact A ; 9 20-30 minute intervention Sessionss. Carter A ; Fairburn, 1998 N=72 ( full BED DSM-IV standards, but non run intoing full BN standards ) Newspaper Ads Randomized aˆ?3 facilitators: Former concert dance terpsichorean Medical secretary Group leader aˆ?given manual A ; intervention of 2-3 pilot participants. PSH vs. GSH utilizing Overcoming Binge Eating V. Wait list control 12 weeks/ 6-8 25-minute Sessionss. Durand A ; King, 2003 N=68 ( BN symptoms ) Primary attention physician referral Randomized aˆ?32 PCPs aˆ?given manual, guidelines, A ; phone no. for particular concerns GSH via Bulimia Nervosa: A usher to recovery vs. forte clinic intervention Duration of intervention varied GSH: ~ 5 visits with PCP Waller et al. , 1996 N=11 ( full BN DSM-IV standards ) Back-to-back series of primary Care patients Non-randomized aˆ? 4 Health professionals 1 nurse aˆ? 2 three-hour preparation workshops Abridged CBT lt ; 8 20-minute Sessionss in hebdomadal intervals. Walsh et al. , 2004 N= 91 ( BN symptoms ) Newspaper advertizements and referrals Randomized aˆ? 7 Health professionals 8 nurses aˆ? brief 2-hour preparation A ; intervention of a sum of 6 pilot patients aˆ? GSH + placebo vs. GSH + Fluoxetine vs. placebo-only vs. Fluoxetine-only. aˆ? GSH used Overcoming Binge Eating. 6-8 30-minute Sessionss over 4-5 months. Note: PCP – Primary Care Physician, GSH – Guided Self-Help, PSH – Pure Self-Help, ED – Eating Disorder Interventions Overall, this current reappraisal identified two chief attacks to handling BN and BED in primary attention. The first was for practicians to supply behavioural reding themselves, with an augmentation ( i.e. , self-help manual ) . The 2nd option used a collaborative attack in which a non-physician ( e.g. , nurse ) served as the primary intervention supplier with the doctor in a encouraging function with or without an augmentation ( i.e. , self-help manual, psychopharmacological medicine ) . A PCP was the exclusive supplier of the intercession in two surveies ( Banasiak et al. , 2005 ; Durand A ; King, 2003 ) and a non-physician ( i.e. , nurse ) in two surveies ( Waller et al. , 1996 ; Walsh et al. , 2004 ) . A fifth survey used facilitators ( i.e. , concert dance terpsichorean, medical secretary, and a group leader ) to emulate primary attention suppliers ( Carter and Fairburn, 1998 ) . Guided Self-help versus Pure Self-help Among all surveies examined, four surveies implemented cognitive behavioural self-help in the intercession and incorporated the usage of a self-help manual ( i.e. , Banasiak, Paxton, Hay, 2005 ; Carter and Fairburn, 1998 ; Durand and King, 2003 ; Walsh et al. , 2004 ) . Get the better ofing Binge Eating ( Fairburn, 1995 ) , Bulimia Nervosa and Binge-Eating: A Guide to Recovery ( Cooper, 1995 ) , and Bulimia Nervosa: A Guide to Recovery ( Cooper, 1993 ) were the three manuals used. The add-on of the self-help manual came in two signifiers: 1 ) guided self-help and 2 ) pure self-help. Guided self-help pattern included a doctor or other supplier ‘guiding ‘ and directing the participants through the manual during scheduled visits and delegating specific reading in the manual to the participant. Pure self-help involved the supplier providing a manual to the participant and the instructions to read the manual over the class of the intercession. Treatment Results Three of the four surveies utilizing self-help found self-help methods to be good in relieving orgy eating episodes ( Banasiak, Paxton, A ; Hay, 2005 ; Carter A ; Fairburn, 1998 ; Durand A ; King, 2003 ) . One survey comparing guided self-help and Prozac found no benefits of guided self-help used entirely or used in concurrence with the medicine ( Walsh et al. , 2004 ) . However, medicative benefits of diminishing bulimic symptoms were important. These consequences should be interpreted with cautiousness, since this survey yielded a 69 % abrasion rate. Another survey comparing the benefits of guided self-help, pure self-help, and wait-list control found those who received guided self-help and pure-self aid to hold significantly fewer binge-eating episodes at station intervention and three month followup ( Carter A ; Fairburn, 1998 ) . While no important differences were obtained between guided self-help and pure self-help intervention groups at the terminal of intervention, the g uided self-help group attained significance over the pure self-help group across post-treatment clip points ( i.e. , 3 months and 6 months ) ( Carter A ; Fairburn, 1998 ) . Waller et Al. ( 1996 ) was the lone survey non using a self-help constituent, but instead an abridged CBT intervention. This intervention yielded a 55 % betterment rate in bulimic symptoms. See Table 3 for result informations on each survey. Table 3. Outcome information on examined surveies. Survey Result Effect Size Restrictions Abrasion Banasiak et al. , 2005 60 % decrease in nonsubjective orgy eating in GSH vs. 6 % decrease in DTC. 61 % decrease of purging behaviour in GSH vs. 10 % decrease in DTC. GSH V DTC: Gorging – Einsteinium: 1.96 Purging – Einsteinium: 1.47 aˆ? PCPs delivering intervention had involvement in eating upsets prior to analyze aˆ? Not all participants recruited from Personal computer 33 % dropped out Carter A ; Fairburn, 1998 Decrease in frequence of orgy eating episodes important in both PSH A ; GSH. GSH significantly lower in dietetic restraint than PSH at posttreatment A ; 3-month followup. GSH V PSH in dietetic restraint posttreatment: *ES: -.71 3-month followup: *ES: -.66 aˆ?34 % decrease of orgy feeding in wait list control aˆ? deficiency of weight alteration aˆ? conformity poorer in PSH vs. GSH aˆ? Participants non recruited from Personal computer aˆ? survey simulated PC office 12 % dropped out Durand A ; King, 2003 No clinical significance between self-help and forte clinic intervention result. Both self-help and forte attention yielded important betterment in bulimic symptoms indicated by BITE. Self-help at baseline V 6 month followup on BITE: *ES: .56 Forte at 6 month followup on BITE: *ES: .67 aˆ?Small sample aˆ?Outcome informations based on self-report graduated table aˆ?lack of specificity in magnitude of difference b/w intervention attention aˆ?23 % dropped out in GSH group aˆ?17 % dropped out in forte attention Waller et al. , 1996 55 % improved well, 45 % did non profit Not able to cipher ; Insufficient informations aˆ?Small sample aˆ?long preparation aˆ?inefficient intercession 18 % dropped out Walsh et al. , 2004 GSH had no important consequence on the decrease of bulimic symptoms compared to Fluoxetine. Fluoxetine had important decrease in bulimic symptoms. GSH vs. Fluoxetine: *ES: -.06 Fluoxetine V Fluoxetine w/GSH: *ES: .02 aˆ? Disobedience aˆ? 8 participants were reassigned conditions aˆ? Recruitment non in Personal computer. aˆ? No public-service corporation for GSH detected. 69 % dropped out Note: GSH – Guided Self-Help, PSH – Pure Self-Help, DTC – Delayed Treatment Control, PCPs – Primary Care Physicians, Personal computer – Primary Care, BITE – Bulimic Investigatory Test Edinburgh *Effect sizes ( ES ) calculated by article ‘s first writer utilizing the undermentioned computation: vitamin D = M1 – M2 / i?-iˆ [ ( i1A? +iˆ iiˆ iˆ?A? ) / 2 ] . vitamin D = M1 – M2 / i whereiˆ i = i?- [ iiˆ ( X – M ) A? / N ] . Discussion Persons with eating upsets have some of the highest mortality rates of all psychiatric conditions ( Crow et al, 2008 ) coupled with high physical and psychological co-morbid conditions. Because of these co-morbid conditions, persons with feeding upsets are likely to show in primary attention puting with co-morbid ailments ( CITE ) . PCPs and staff are in a alone place to supply early sensing and intervention. Due to clip restraints, primary attention suppliers frequently lack the experience and preparation to implement intercessions for persons with feeding upsets. Therefore, brief, evidenced-based intercessions with minimum required preparation are paramount to the acceptance and airing of eating upset intervention. Consequences of this reappraisal expose the limited sum of research that has been conducted on the intervention of AN, BN, and BED in a primary attention puting. The current reappraisal identified five surveies – four on BN, one on BED, and no surveies were found on the intervention of AN in a primary attention puting. Of the five surveies that met standards for inclusion, four were randomized-controlled tests ( RCTs ) , which are often recognized as the gilded criterion in efficaciousness research. Among the RCTs, none of the surveies fulfilled all of the suggested CONSORT criterions. Four of the five surveies reviewed enforced CBT self-help in the signifier of a manual with educational constituents aiming binging and purge behaviours. Three of the four surveies utilizing self-help intervention found the intervention to be good ( i.e. , Banasiak, Paxton, A ; Hay, 2005 ; Carter A ; Fairburn, 1998 ; Durand A ; King, 2003 ) . Therefore, self-help intervention may be a good intervention for some patients showing in primary attention. Among surveies describing benefits, guided self-help proved to be more good than pure self-help ; nevertheless, pure self-help was still found to hold benefit ( Carter A ; Fairburn, 1998 ) . In a scene comparing survey, guided self-help CBT intervention was deemed every bit effectual as forte clinic intervention ( Durand A ; King, 2003 ) . Effectiveness and Feasibility While all surveies were conducted in a primary attention puting or in a scene that explicitly simulated a primary attention scene, merely two surveies recruited participants from this scene ( Durand A ; King, 2003 ; Waller et Al. 1996 ) . The enlisting context may restrict the effectivity of the interventions examined given studies of persons showing in primary attention exhibit higher rates of somatization, mental unwellness, and chronic conditions ( Jyvasjarvi et al. , 2001 ; Toft et al. , 2005 ) . Besides, given this survey was an international reappraisal, primary attention scenes differ across wellness attention systems ; hence, non merely may community samples differ from primary attention samples, but primary attention samples may differ from state to state ( Bailer et al. , 2004 ) . Similarly, PCPs in different states may hold changing clip restraints with respects to preparation and intervention bringing. However, minimum preparation and bringing efficiency are of import features for PCPs ( CITE ) . In this reappraisal, two surveies required less than an hr of preparation for the primary attention suppliers presenting the intercession ( Durand A ; King, 2003 ; Carter A ; Fairburn, 1998 ) . Given PCPs clip restraints, developing necessitating more than an hr may non be executable for the typical supplier. Another restriction to generalising intervention to the primary attention scene is the continuance of intervention in the surveies examined. Duration of intercession ranged from 5-10 visits at 20-30 proceedingss per visit. The length of intervention could explicate the high rates of abrasion ( i.e. , 12-69 % ) found in the surveies reviewed. However, Waller et Al. ( 1996 ) noted the indicated intervention may non take every bit long as the prescribed interven tion, since participants dropping out prior to completion of intervention still benefitted. The long-run effects and backsliding rates of brief intercession interventions in this scene is unknown, since the none of the surveies collected follow-up informations six months post intervention. Deductions for Practice Brief intercessions may merely be effectual for a subset of patients with bulimia nervosa and orgy feeding inclinations. Most surveies reviewed excluded participants with co-morbid upsets. Therefore, findings may non be generalizable to the typical primary attention population. Identifying the subset of persons in which brief intercessions will be most effectual remains disputing. While evidenced-based, brief intercessions are considered the first line of intervention for persons showing in primary attention ( NICE, 2004 ) , it is ill-defined how patients neglecting to react to these intercessions should be treated. PCPs electing non to supply behavioural intervention to patients with BN or orgy feeding must still play a important function in measuring and handling the physical symptomatology of eating upsets. With the outgrowth of incorporate attention, psychologists and mental wellness suppliers are going more present in the primary attention puting. Therefore, persons with BN and orgy eating inclinations may be treated holistically in the primary attention scene. Directions for Future Research Future research should concentrate on honing self-help CBT intervention in the primary attention puting and including participants with co-morbid features. Expanding bringing of intervention beyond primary attention doctors to other suppliers, such as nurses, dieticians, societal workers, and staff workers, may let for more trim intervention for the single presenting with feeding disordered behaviour. How to cite The Treatment Of Eating Disorders Health And Social Care Essay, Essay examples

Analysis of the Curriculum for Career Samples †MyAssignmenthelp.com

Question: Are Business Students Work-ready? Answer: This article proposes a model for examining the undergraduate students regarding their competency level in employability skills. The study compares the current mind gap with the hypothesis of the authors that the business graduates do not have specific soft skills that are fundamental to management. The authors reasoned that the employability skills receive much attention in higher education; however, the performance of the business graduates at work is below average. To successfully conduct the survey, the authors gathered data from 1008 Australian business graduates using an online survey. The research outcomes found out that graduates performance was weak in conflict resolution, meta-cognition, management skills, and decision making. Based on their research findings, the researchers realized that the competence level of business students at work is determined by various factors. These factors include the geographical/physical location, background culture, type of undergraduate edu cations, and former experience at work. The limitation of the research is that it assumes that employment is guaranteed once specific non-technical skills are acquired. This article was significant in providing the factors that could lead to the acquisition of essential knowledge by the business students which will make them more employable. However, further research on the shift of non-technical skills to work from the university should be done seeing that this research had this limitation. The authors of this article consider a qualitative study to examine the course curriculum that produces work-ready graduates. The survey considered only China, United States, and China but still, the outcomes could be generalized to other countries. The authors reasoned that business students could be work ready if they were subjected to the quality of the curriculum. The authors further assert that the curriculum should focus on the theoretical aspects of various disciplines in addition to the practical elements such as case studies and business simulations. The main limitation of this study is the low response rate in which only China and US and an overall weak response (n=26). This article was useful for it highlights the fundamental features of curriculum that can make it joyful to the students. Student participation is an aspect that could enhance the employability of business graduates. This information suggests that students should actively be involved the course curriculum an d that they should not only acquire theoretical training but should practically implement them in various aspects of the business. The author researched to determine the perspective of the student on employability. The authors explored the responses of over 400 business students from various disciplines. The authors findings showed that students in most cases are unwilling to face the tasks and problems when they enter the job industry. Furthermore, it is not possible that the graduates acquire all the needful theoretical knowledge and skills for work completion. Though, the graduates may lack the business expertise and the real-world knowledge. The author exerts that academic education is mandatory for jobs, even though it is not the only prerequisite. The balanced and successful case scenario is for companies to engage graduates with exceptional theoretical knowledge and excellent practical exposure. This article is of benefit to the students for it points out that the students should both learn the theoretical and practical aspect of things. The theoretical knowledge is imparted by the business schools, but s till, the schools are limited in the acquisition of practical knowledge. Thus, the need of experience should not be disregarded during employment because the experience of the graduates will be significant in making decisions in tough times. The author has discussed the significance of the employability skills. The researcher surveyed the UK job market using graduates from all disciplines in 38 UK higher education institutions who had graduated four years ago and analyzed the skills that are essential in the job market and the skills that business education impart. The author examined the existing literature and found out a gap between the required skills by the industry and the skills that business schools give. Based on the quantitative findings, the researcher resolved that there is no straightforward association between employability and employment. Even though skills and employability can be imparted by the business education, it doesnt warrant hiring to the graduates. The graduates will still have to learn much other stuff in the job industry. Employability is also affected by factors such as gender, social status, and the University attended. The main limitations of this research are that it utilizes self-assessed rating to collect data and there is no standard to measure skill results. This article is essential for it considers both sides of employment and employability. There are specific skills that only work experience can impart and these the business school cannot provide. Thus, the business graduates are made employable by the business schools, but still, a gap exists that only the workplace can fulfill. In this article, the authors researched to determine the work readiness of graduates with background accounting, but still, the findings can be generalized to other disciplines as well. Extant literature on the mind gap of a cross-sectional analysis of all the views of the students, employers, and alumni regarding the efficiency of accounting curriculum is the basis of the authors research. The authors strongly believe that accounting is a discipline that is vast and in which people have to develop numerous skills and competencies. These skills can be learned in the business school. The authors highlighted that business schools are significant for the imparting of accounting skills in the accounting job market. However, the learning acquired from the job market could not be undermined as well. According to the authors conclusion, a successful combination is an education from the schools of business and the training and development plans at the place of work. The primary limitations o f this research are that it only considers data from a single institution and doesnt factor in the perceptions of the graduate students. The article is essential since it develops the case that there is a willingness in business students to face the challenges in the business job market. However, they need to undergo polishing that can only come with the job experience. There doesnt exist a substitute for work experience for it enhances the ability of decision making of individuals. References Yu, Shaokun Carol, and Natalie Tatiana Churyk. "Are students ready for their future accounting careers? Insights from observed perception gaps among employers, interns, and alumni."Global Perspectives on Accounting Education10 (2013): 1. Wilton, Nick. "Do employability skills really matter in the UK graduate labour market? The case of business andmanagement graduates."Work, employment and society25, no. 1 (2011): 85-100. Tymon, Alex. "The student perspective on employability." Studies in higher education 38, no. 6 (2013): 841-856. Mitchell, Anne Marie, and Sandra Allen. "A Qualitative Analysis of the Curriculum for Career-Ready Graduates from the Perspective of Academics and Business Professionals: China, Europe and the United States." Journal of Higher Education Theory and Practice 14, no. 1 (2014): 100. Jackson, Denise. "Testing a model of undergraduate competence in employability skills and its implications for stakeholders."Journal of Education and Work27, no. 2 (2014): 220-242.

Environmental Strategies Green Crecyling

Question: Discuss about theEnvironmental Strategiesfor Green Crecyling. Answer: Current Consumption The current consumption is not good because there has been the use of facilities that do conserve energy. For example, there has been the use of bulbs, washing machines and fridges that consume a lot of energy. The fridges are also not positioned in strategic areas that can assist in energy conservation. The cooking facilities like woks are also not energy friendly. With proper energy conservation strategies, the management can be able to reduce energy usage by 80 percent. How to monitor energy consumption, Green Crecyling, water consumption and recycling Energy Consumption: One strategy of monitoring energy consumption in the kitchen is by regularly recording the amount of energy that has been consumed in a particular period. For proper monitoring of energy consumption, it is important to install separate meters for electricity and gas. Analyzing three months bills can assist in identifying how consumption has been varying from one month to the other. Green Crecycling: The most efficient way of monitoring green crecycling in a kitchen is by ensuring waste management system is present. It is good to keep a record of the data obtained from a waste scale. Some of the relevant data that must be recorded include; time and date of weighing, the net weight and loss code. Waste audits are also critical in monitoring the level of waste being generated and the cost incurred to manage the waste. It is also good to analyze the rate at which the correct bins are filled and emptied in a particular time. Water Consumption: Water consumption will be monitored by installing water consumption meter on the main pipe. Installing meters and taking the readings from time to time assist in monitoring the level of water consumption in a given time. Installing sub-meters is also important in this case because they will aid in identifying where the areas of greatest use are. Keeping records of monthly bills can also assist in monitoring how water consumption varies from one month to the other[1]. Recycling: One effective way of monitoring recycling in a kitchen is by maintaining data concerning the amount of waste recycled at a particular time. The team should regularly record the amount of waste that was successfully recycled at a particular time and the cost incurred. Step 4: Having identified sustainability, it is clear that water and energy consumption is done well. This is because the strategies used are very effective. The use of these strategies can enable the group to reduce its water and energy consumption at a great percentage[2]. To fully embrace a sustainability environment, it is good to use equipment made from sustainable materials and dodging all toxic chemicals. It is also important to equip the kitchen with energy friendly facilities like; Crock pots, pressure cookers, solar ovens, chest freezers and so forth. It is also important all cooking pots are covered while cooking in order to prevent heat loss. Using the right burner for the right purpose is also advisable. If for example one is using a small pan, it is advisable to use a small burner to prevent the wastage of electricity or gas. The use of separate meters is also ideal because it will assist in identifying the equipment which uses a lot of energy. The green team will consider all these strategies to unsure a sustainable environment has been achieved Bibliography Albino, Balice., Azzurra, Dangelico., Rosa Lacobone. The Effects of Adoption of Environmental Strategies on Greeen Product Development: A Study of Companies on World Sustainability Indices. International Journal of Management, 29, No. 2(2012): 56-71 Jody, Freeman Charles, Kolstad. Moving to Markets in Environmental Regulation: Lessons from Twenty Years of Experience. (Oxford: Oxford University Press, 20007), 34-62

Mediation and Advocacy Integration of mediation and advocacy within a human services agency

Through exploring information from different sources to find the underlying idea that is connecting the sources and the availability of information Pertaining current trends though advocacy and mediation in the human services agencies. Therefore, my prime objective is to review various spectrums of mediation and advocacy to the human services and provide knowledgeable understanding of the positive impact of integration.Advertising We will write a custom essay sample on Mediation and Advocacy: Integration of mediation and advocacy within a human services agency specifically for you for only $16.05 $11/page Learn More To begin with, the definition of mediation refers to an act of a neutral third party who enters into negotiations with two or more conflicting parties. The aim of the mediator is find ways of initiating dialogue hence enhancing communication. This is done by trying to come up with an agreement or conclusion over a conflict existing between th e parties (Barsky2007). To advocate is to work on behalf of a Client in solving of cases. The advocate tries to foster a different type of relationship or employ Strategies that are likely to be appropriate depending on the issue at hand (Barsky2000). Human services agencies refer to organizations whose objective is to assist individuals improve the quality of their lives. The aim of advocates is to meet the need of the individuals though advocating for them where necessary. Advocacy and mediation are integrated into different dimensions of the human Services, it is within a human service agency on a national or international level that requires an individual who is ethical, knowledgeable, open-minded and understanding. This individual has a clearly defined stance for personal beliefs in an organization while advocating for Individuals depend on mediators. Hence advocates enlighten them of their rights and protection in order for them to seek justice where necessary. Many people pre fer advocate’s assistance due to their lack of knowledge of laws and procedures to be followed when seeking for justice and protection. The means of communication at this stage are advocated and mediated on to ensure that the relationship between parties remains intact, and solutions to their grievances are accepted by the both parties (The Association of Attorney-Mediators, 2001). This makes sure that the solution agreed upon by the conflicting parties in the presence of the mediator is respected. Therefore, my opinion is that mediation and advocacy is crucial in numerous dimensions and to be specific in the human service field. There are various conflicts that could not be resolved if somebody did not intervene to mediate. Many individuals’ rights could have been obliged, and not even an ounce of justice extended to those who deserve it in various situations.Advertising Looking for essay on communication strategies? Let's see if we can help you! Get your first p aper with 15% OFF Learn More In accordance to that a win-win situation can be established in various fields, for example, in parenthood, the National Casa Association is an organization that provides volunteers to assist the abused and neglected children. Besides, if it were not for mediation between the officials in other states, planning for Parenthood could become none exist. Victim Offender Mediation Association (VOMA) is a program that allows the person who offends others to come face to face with their victim. Trained mediators bring together the conflicting parties together to discuss along with family and friends. In the meeting, they discuss the effects of the crime committed also find a mutual plan to compensate the victim for the losses suffered due to the crime. Conclusively, this integration of advocacy and mediation has led to the general contribution of the wellness of human service agencies. This has enabled many individuals who take actions of seeking for a dvocates to protect their rights. It has also helped to resolve conflicts in the society through mediators, where by preventing the worst case scenarios. Works Cited Barsky, Allen. E. Conflict Resolution for the Helping Professions. Belmont: Wadsworth.2007.Print. The Association of Attorney-Mediators. Association of Attorney-Mediators Ethical Guidelines for Mediators. 2001. Web.1 December 2011. This essay on Mediation and Advocacy: Integration of mediation and advocacy within a human services agency was written and submitted by user Sarah Watson to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Marriott International

Marriott International Marriott is an international business venture, which deals with offering hospitality services to its clients. It has several business units in various countries around the world. Marriott International has been in operation for about 60 years. This has enabled it to spread its wings to 73 countries with over 3700 hotel units. It offers over twenty different brands of hotels, some of which are franchises for instance J W Marriott, The Ritz Carlton and Marriott Executive Apartments.Advertising We will write a custom essay sample on Marriott International specifically for you for only $16.05 $11/page Learn More Most of its customers are business people running business errands in multinational ventures. Mr. Marriott who is the Managing Director, Chief Executive Officer (CEO) and proprietor of this group of hotels has actualized a myriad of business strategies that would not only increase the profitability of his businesses but also attract as many customers as possible. A business or corporate strategy is a long term plan of operation that directs all the activities of an organization, and aimed towards achieving competitive advantage over its competitors. Strategizing also helps a business develop proper ways to utilize its resources within a challenging business environment. Additionally, it helps a business to meet the diverse needs of its stakeholders for instance; customers, board of directors, neighboring community and government agencies. Marriott International began as a sole proprietorship formerly owned by his family several years ago, but has developed over the years into a world class group of hotels because of these strategies. The strategies employed include corporate strategies; this can be defined as a future business plan focused at improving the general scope and purpose of the business so that stakeholder’s expectations are met. Secondly, there is the business unit strategy; this is concerned with monitoring how a business competes in the market, its customer expectations and exploiting new business opportunities. Third, there is a type of strategy that deals with organizing each part of the business such as how the various business units are managed. This strategy is called operational strategy. Marriott International uses this strategy to run its various groups of hotels since they are focused on serving specific customer needs. Marriott International uses three main components to manage the selected strategies. A thoroughly selected corporate strategy just like that used by Marriott International should have a section for strategic analysis, strategic choice and strategic implementation. Strategic analysis entails conducting a Strength Weakness, Opportunity and Threat (SWOT) analysis of the business in order to determine its operational capabilities.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More In addition to identifying favorable internal business factors that will steer the business towards high profit margins, external factors such as threat of entry of new competitors into the market are identified. The market is then segmented as it is the case of Marriott International. The management of Marriott’s group of hotels appreciates the fact that there are various customers with diverse needs. There are those people who will prefer being accommodated in executive hotel suits while there are those who cannot sustain a luxurious lifestyle. This strategy is called market segmentation where the management of a business decides to fragment the market according to customer convenience. This is why the Marriott groups of hotels run different hotel brands. After segmenting the market the strategic manager develops a different pricing strategy for all its diverse customers under the 4P’s of international business management. The P’s include place, p roduct, price and promotion. All these factors are then interrelated one after the other in such a way that it achieves not only efficiency but also effectiveness. The process of strategic choice involves selecting strategy options while considering the stakeholders expectations. Implementation poses the greatest challenge to many organizations since it requires translation of paper work into action. Marriott International History Marriott International was established in 1927 by Willard Marriot and his bride, Alice. The two started by putting a beer stand in Washington D.C. The beer stand could only accommodate nine people at the start of its operations. It was named â€Å"Hot Shoppe† where they prepared hot food substances like tacos, tamales and chili.Advertising We will write a custom report sample on Marriott International specifically for you for only $16.05 $11/page Learn More These food items were mainly served to clients during the period of winter months. In 1929, Marriott International was officially incorporated as Hot Shoppes, inc. It experienced fast growth. In 1953, the company was listed as a public company. It laid its competitive advantage in world markets on product diversification (Hoover 2002). The company opened Twin Bridges Marriott located in Arlington, Virginia; this was the first hotel opened by the company. With its fast growing pace, Twin Bri dges Marriott went international in 1966; this happened after the company took over the running of an airline catering kitchen in Venezuela. It later changed name to Marriott Corporation in 1967. The company later engaged in series of takeovers which enabled it to grow into a billion dollar corporation. In the year 1998, Marriott International was listed in the stock market as an independent public company after which it started to focus its attention on business and leisure lodging. To ensure success in such a new venture, the company sold its superior living facilities in 2002. Marriott International continues to diversify its operations. Nonetheless, leadership of Marriott International started with the two founders, Marriot and Alice. Today, the company’s top management entails six executives operating at senior level; it has also thirty six corporate officers (Hoover 2002). Vision and Mission of Marriott International Company The vision of the Marriott International Comp any is to be the leader in the global lodging industry; it aspires to be the world leader in providing excellent services in the hospitality industry. In order to achieve this vision, the company strives to provide the best services in the world within the hotel and lodging industry. The mission statement of the company affirms that company’s commitment in being the best and provider of excellent lodging and food services. It achieves this by treating its workers in the best way ever so that they can offer extra-ordinary services to the company’s customers (Brotherton and Wood, 2008).Advertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Competition The hotel is exceedingly disjointed. The competition is mainly based on the quality of the available rooms, service provision among others. Other factors that determine competition level include the presence of global distribu tion system, prices charged on various products and facilities and any other innovation that may come into the industry. It is important to note that Marriott International already operates in sixty eight nation of the world. This makes it possible for the company to offer its services to a large number of customers across the globe. However, it must be acknowledged that the company faces stiff competition from similar companies operating in the same industry both locally and abroad. Many of the company’s competitors are already spread across eight or more countries. This means that the competitors are enjoying a wider customer base than Marriott International. The main competitors to Marriott International include: Starwood Hotels: this group of hotels provides similar services to clients. The hotel already has 297 hotels in Europe alone. Besides, it operates in countries found in the American continent, Middle East and parts of Africa. It is therefore evident that the Starw ood Hotels get more revenues than the Marriott International due to its large base of operation spread across the continent (Abrahams 2007). Choice Hotels International: this is a group of hotels with international franchises totaling right over five thousand hotels. These franchises operate under different brands such as Comfort Inn, Sleep Inn and Cambria Suite amongst others. This company is also bigger than the Marriott International and definitely enjoys higher level of revenues than Marriott International. Intercontinental Hotels: this is deemed the largest hotel in the world judging by the number of rooms it has. It operates in more than a hundred countries across the world. This therefore implies that it is the largest competitor to the Marriott International (Yu 1999). Strategies used by Marriott International â€Å" Marriott International has put in place sales structure that will ensure it remains top in the provision of hotel products in the industry. The sales initiativ e is customer-centered and it aims at making sales simply, effective and efficient; this also helps the company to establish its roots deeper into the untapped market segments.Advertising We will write a custom report sample on Marriott International specifically for you for only $16.05 $11/page Learn More The strategy enables the customers to operate at one principal contact where he or she can get all product brands. In this way, the Marriott International has managed to meet all the customer needs within a centralized point of purchase. Beside, Marriott International relies on research to establish real customer needs. The company realized the rising level of complexity and number of channels through which customers in the industry secure rooms and accommodation or meetings; to solve these challenges, the Marriott International have come up with ways, through research, to improve the efficiency of its services to customers. It is important to note that t he company does research by involving those who are either directly or indirectly in contact with customers or clients. This includes interviewing sales leaders who have one-on-one engagement with clients, travel managers, meeting planners and sales associates. Moreover, the research is undertaken both internally and externally (Reid and Bojanic, 2009). The Marriott International also uses the strategy of evaluating its strengths and weaknesses. This is by obtaining data from various facets of the company and doing accurate evaluation. As a result of both internal and external research the company has established more clear roles for its employees and staff members so that customers get specific services and or assistances from specific company employees or staff members. Furthermore, Marriott International has come up with strategic idea of establishing regional sales offices to offer more effective services to its customers by organizing individual accounts. Internal audit and ext ernal audits Businesses are affected by both internal and external factors; the effect is either negative or positive. Internal factors are factors that a business can control while external factors are factors beyond the control of a single business. Internal audits To gather as much information as possible, the management undertakes the process with as many competent employees as possible. It should also analyze both published and unpublished data which will assist it in appreciating the need the prevailing conditions. The following process is followed;Advertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Gathering of information Testing data validity Interpolating and analyzing information gotten Making strategic decision based on the information gotten The following are some of the parameters found by internal audits; The company has a pool of experienced human resource who is employed on a track record. It has employed a high level of technology in all its processes where it ensures that efficiency is facilitated. Corporate customers require fast and effective services since they are busy; to attain this company has embarked on an efficient technology. Financial Ratio Analysis Ratio Status Gross Profit Margin 17.2% EBIT Margin -1.4% EBITDA Margin 11.3% Pre-Tax Profit Margin -2.6% Current Ratio 1.3 Quick Ratio 0.5 Leverage Ratio 8.2 Receivables Turnover 13.0 Inventory Turnover 5.5 Asset Turnover 1.3 Revenue to Assets 1.3 Return on Invested Capital -5.8% Return on Assets -2.8% Debt/Common Equity Ratio 2.93 Price/Book Ratio (Price/Equity) 10.70 Bo ok Value per Share $2.95 Total Debt/ Equity 3.06 Long-Term Debt to Total Capital 0.75 SGA as % of Revenue 5.9% RD as % of Revenue 0.0% Receivables per Day Sales $29.49 Days CGS in Inventory 66 Working Capital per Share $1.95 Cash per Share $0.33 Cash Flow per Share $-0.17 Free Cash Flow per Share $-1.73 Tangible Book Value per Share $-1.53 Price/Cash Flow Ratio -190.7 Price/Free Cash Flow Ratio 18.4 Price/Tangible Book Ratio -20.88 Internal factor evaluation matrix Internal factor evaluation matrix is a strategic management instrument used in auditing major strengths weaknesses of a company in major operational areas of a business entity. This instrument also provides away of linking the operations areas. Internal strengths Weight Rating Weighted score Largest product provider in the industry 5% 3 0.15 Supplies main airline customers 15% 2 0.30 Good image and reputation 5% 3 0.15 Easily accessible by customers 10% 3 0.30 Strength of manage ment team 6% 4 0.24 Account of limited customer complaints 4% 3 0.12 Rising cash flow 4% 1 0.04 Loyalty of employees and staff 4% 3 0.12 Financial ratios 5% 4 0.20 Internal weaknesses Flooded market 10% 1 0.10 diminutive diversification 8% 2 0.16 Sensitive to raw material prices 15% 2 0.30 Nonexistence f strategic partner 4% 1 0.04 Limited access to global market 5% 1 0.04 Total 100% 2.26 1-major weakness 2-Minor weakness 3-minor strength 4-major strength External Audit CPM-Competitive Matrix Competitive Matrix for the Marriott Company is an array of major competitors of the company. An external audit addresses five area, they are; Economic factors Social and cultural factors Political/governmental structures Technology and innovations and Competitive forces The world is experiencing a rapid technological change; this is brought about by the use of computers in different sectors of a business. Marriot has benefited from the changes; for example the compan y has a website where a customer can log in and communicate directly to the company. These services are available for 24 hours in seven days. In line with the same, the company has embraced computerized marketing and advertisement where it sells its products all over the world through the internet. Internal processes are also facilitated The model of management has changed with increased enlightened people; customers are continuously demanding for better treatments form companies in the way they are served and the production processes involved. Currently social corporate responsibility management, ethical business products and customer care services have taken center stage. The company has embarked on corporate social responsibilities, it practices in environmental management exercises like tree planting, engage in clean technology among others. In the times of global financial crisis, the government of United States is increasingly adopting laws and regulation aimed at ensuring tha t business are conducted effectively, standards have been reviewed and compliance with the treads is important. Factors Marriott International Accor Hilton Hotels Intercontinental Hotels Low product prices 5 3 3 2 Superior quality 3 4 4 4 Flexible products 5 3 3 3 exclusive features 5 2 2 3 Timely product delivery 4 5 4 5 Total 22 17 16 17 External Factor Evaluation Matrix Opportunities Weight Rating Weighted score Industry consolidation 10% 4 0.04 Increased in clients 12% 3 0.36 Expansion opportunities 13% 4 0.52 Reduced operation cost 10% 3 0.30 Asset acquisition 14% 4 0.64 Threats Waning margins 10% 1 0.10 Government supervision 5% 3 0.15 Rising prices of crucial input 6% 2 0.16 Taxes and tariffs 10% 2 0.10 Economic slump 10% 1 0.01 Total 100% 2.38 1-poor 2-below average 3-superior 4-very superior SWOT Analysis for Marriott International Company Marriott International SWOT analysis (Research and Marketing n.d) Strengths High qu ality brand within the industry International operations with large customer base Prompt delivery of services to customers Low debt liability and strong financial base Well coordinated management team Weaknesses Weak functional performance Vulnerability to economic slowdown Difficulty in accessing credit market Ineffective cost structure management Fluctuating profit margins Opportunities Expansion to other foreign nations/market More asset acquisitions due to high level of privatization Initiatives for transformations Product diversification Recruitment of highly experienced personnel Threats Economic slowdown due to credit crunch Increase in government taxes Entry of new players in the industry Expansion of competitors Political instability inflations Space matrix The space matrix is an instrument used to determine whether aggressive, defensive, competitive or conservative techniques are appropriate for the company. In this case, SPACE matrix is used to determine t he appropriate strategy that the Marriott International should adopt for its growth and development. It helps the company to favorably compete with other companies within the industry. When plotted on an X-Y axis, the statistics appears as follows: For Marriott International, it is important that aggressive strategy be adopted. This owes to the fact that the company lags much behind its competitors. By adopting the aggressive strategy, the company will be seeking to catch up and probably outweigh its major competitors. The strategy will be used in new acquisition of assets which are necessary for the company’s expansion to other foreign countries and other regions where it has the potential of creating more market opportunities. Furthermore, the strategy is very appropriate in terms of attracting more clients. With the large number of operators in the industry and the potential entrance of new players, aggressive strategy is most appropriate in grabbing customers and even es tablishing loyal clients. Grand strategy matrix Internal (Redirecting resource within the company) retrenching unproductive labor force divesture winding up of the company or liquidation reducing operation costs within the company Overcome weakness doing vertical integration improve on cost structure management strengthen functional performance reduce debt burden Maximize strength ensuring determined growth development of new market establishing innovations development of products attracting more qualified and experienced personnel to improve operations of the company External (acquisition or merger for resource ability) Getting into joint venture with other companies Doing concentric product diversification Pursuing horizontal integration Hiring consultants with varied necessary expertise The Internal-External (IE) Matrix This matrix places the company into a nine cell matrix. For the company, the Internal-External Matrix looks as follows: Quantitative Strategi c Planning Matrix (QSPM) for Marriott International Company First alternative-acquire competitor Second alternative-expand internally Key factors Weight Attractive-ness Score Total attractive- ness score weight Attractive-ness Score Total attractive- ness score Strengths Exclusive product 0.11 2 0.22 0.08 1 0.08 Location 0.09 4 0.36 0.06 2 0.12 Employees unique skills 0.15 1 0.15 0.13 4 0.52 Product quality 0.11 4 0.44 0.15 4 0.60 Increased productivity 0.09 0 0.00 0.12 3 0.36 Weaknesses Low quality service to customers 0.10 4 0.04 0.13 3 0.39 Poor sales and marketing 0.15 2 0.30 0.10 1 0.10 Product diversification 0.08 3 0.24 0.17 0 0.00 Pessimistic to globalization 0.12 1 0.12 0.06 1 0.06 Total weight 100% 100% Opportunities New market 0.09 4 0.36 0.12 0 0.00 Acquisition of competitors 0.14 4 0.56 0.08 2 0.16 Joining trade alliances 0.16 0 0.00 0.10 1 0.10 Threats Rising competition 0.08 4 0.32 0.12 1 0.32 Price conflict 0.10 3 0.30 0.14 0 0.00 Competitor dominance 0.18 2 0.36 0.09 1 0.09 Forex (US$) 0.09 0 0.00 0.20 0 0.00 Bad tax policies 0.16 0 0.00 0.15 0 0.00 Total attractiveness score 4.08 2.90 The price of a commodity is an element of total cost plus a profit margin. When a target market has been established, there is need to determine the price affordable to the customers. A marketer should be aware of consumer’s trends and their potential. The social class that the product is targeted will influence the price of the products. Recommendations to Marriot International Company A customer is the backbone of a company; the main decision that a marketing manager should make determining his company’s market segment. One of the ways to enter in the target market is marketing mix. The 4Ps represent Price, product/service, promotion, and place. An effective marketing ensures that goods are available to the target customer, when they need them at and they are affordable. Since the Mar riott International Company is fast growing, and with the current challenges it faces, it is important that certain recommendations be proposed. The recommendations should be adopted with the sole reason of advancing the company’s global operations. To achieve this, the following recommendations are important: Performance evaluation: the Board of Directors is the top organ of the company. It is therefore crucial that the performance of the board be evaluated with respect to the company’s goals and objectives. Besides, it will also be important to come up with appropriate instruments to be used in evaluating the performance employees and other junior staff members. This can be done through performance management; Restructure marketing techniques: the company is facing stiff international competition and is likely to lose out in case it remains with the same old marketing strategies; the company should consider drawing new market communication strategies that will repos ition its products in the market. In addition, the company should re-brand its products through careful and skillful innovation in order to attract new customers. To ensure that the operations of the company are successful, it is important that the company defines its operation principles of internal control. Moreover, the company should also establish ways of monitoring and evaluating the internal controls. The company should establish proper criteria according to which the process of risk management will be taking place. the criteria should be in such a way that potential risks are identified as early as the initial warning signs can be spotted and appropriate actions be taken promptly. Financial strength is one of the most important core businesses of the company. To ensure that the company’s financial resource are well managed and utilize, it is recommended that the company gives a clear description on how the internal audit should function to avoid any form of Fraud or m isappropriation of financial resource It will also be important for the company to enhance the flow of information from the top level to bottom level. The flow of information on crucial and sensitive matters should be effective and efficient. This should utilize the most current communication technology. The strengths and weaknesses of the company should be evaluated on a periodic basis in order to identify potential challenges that can affect the normal operations of the company. It is important to note that new challenges arise and can contribute to the company’s already existing weaknesses. Again, the company is likely to gain more strength areas which, if well utilized, can help enhance the competitive advantage of the company. A definite period should therefore be set to be used in monitoring and evaluating the internal weaknesses and strengths of the company. Analyzing the strengths and weaknesses of the company is important since the company will be able to utilize th e available opportunities and cope with threats brought about by the system. Domestic market growth vs. Overseas Expansion of Marriot International The Marriott International Company started as s mall hotel firm in the United States of America; during the following periods, it embarked on aggressive expansion within the local industry. Its growth in the domestic market earned it a lot of revenues that enabled it to start its expansion outside the home market. It expanded its operations to several countries worldwide. The domestic market is getting saturated by new entrants into the industry; this poses threat to the company at local level. However, looking at the international market, there is still great opportunity to access new market segments. This implies that, the company stands a chance to gain more from overseas expansion than domestic market growth. In the process of overseas expansion, the company also stands a great chance of acquiring other companies and new assets. The most probable candidates for acquisition are the Ritz-Carlton Hotel Company and Hilton Hotels. The most important thing is that Marriott International should focus on acquiring assets of the most performing companies as this will bolster its financial performance and also increase its presence in the market. The two presented takeover candidates are well positioned to ensure the Marriott International achieves its growth objectives and both domestic and international expansion. Reference List Abrahams, J., 2007, 101 Mission Statements from Top Companies: Plus Guidelines for Writing Your Own Mission Statement, New York, Ten Speed Press. Brotherton, B. and Wood, CR 2008, The SAGE Handbook of Hospitality Management, New York, SAGE Publications Ltd. Hoover, G., 2002, Hoovers Handbook of American Business 2003, New York, Hoovers, Incorporated. Reid, DR and Bojanic, CD 2009, Hospitality Marketing Management, New Jersey, John Wiley and Sons. Research And Marketing n.d, Marriott Internation al, Inc., Research and Markets, Ireland. Yu, L., 1999, The international hospitality business: management and operations, New York, Routledge.