Topshop Case Study Essay Example | Topics and Well Written Essays - 3500 words

Topshop Case Study - Essay Example trendy, moderately-priced apparel (Biesada, n d) that has grown remarkably from humble beginnings to 300 stores in the UK and over 100 in international territories. The brand gained its iconic status in 1994 when it took over a 90,000 square feet space at London Oxford Circus where it remains to date (â€Å"About Us - Topshop,† 2011). The London Oxford Circus shop alone attracts over 200,000 shoppers per week and as such has earned Topshop the accolade to be considered as the world’s largest fashion store on the high street. Topshop’s phenomenal success can be traced back to 1985 when Jane Shepherdson, then the director of Topshop, decided to take the company in a new direction. Jane put up a team of 16 stylists and made them travel the world in search of new fashion ideas. This team moved from trendy neighborhoods, to catwalks to flea markets in places as diverse as Tokyo, Paris and New York looking for fashion trends to interpret (Coco, n d). Using the un ique ideas they had encountered Jane’s team of stylists revolutionalized Topshop into a fashionable and trendy boutique. Since 2000, Topshop’s covetable collections have been made available over the Internet through www.topshop.com, which draws tens of thousands of anxious shoppers. Topshop is owned by Arcadia Group, UK’s largest privately-owned clothing retailer. The Arcadia Group owns six other high street best-known fashion brands namely: Topman, Dorothy Perkins, Burton, Evans, Wallis and Miss Selfridge. Cumulatively Arcadia Group has more than 2,500 outlets (â€Å"About Us,† n d). Topshop is their flagship brand. All the same, as the global economy is recovering from the recession, the fashion industry is experiencing intense rivalry. Sir Philip Green, the owner of Arcadia Group, believes that the fashion houses likely to emerge stronger from this current environment would be the ones who are focused on having good store environments, fresh products and ‘newness’, at low prices. Sir Green says, â€Å"It’s not going to be just about price, it’s going to be about ‘price and nice’† (Hawkes, 2008). Does Topshop’s retail strategy encompass â€Å"price and nice†? Industry at a glance The fashion industry has dramatically evolved over the past few decades. Fashion products that used to be luxury items are now considered as basic commodity products and are bought by almost all segments of the society (Mazaira, Gonzalez, & Avendano, 2003). Some of the factors that may contribute to this growing demand for fashion products are the continuous low prices brought about by an increasing number of target markets and transfer of manufacturing sites to developing countries especially in Asia. With an increasing number of players in the industry, the rivalry is intense. Topshop’s main competitors are Zara, H&M and French Connection (Biesada, n d). The fashion industry is also characterized by consumers with a strong buying

Short Story and Mick Essay Example for Free

Short Story and Mick Essay Serrusalmus I have road a short story called Serrusalmus written by Lesley Glaister. Lesley Glaister was born in Northampton shire, The United Kingdom at October 04, 1956. Lesley Glaister is a fiction writer and her first novel got published in 1990. The short story is about the protagonist Marjorie who is a woman. I will say she is in her forties and lives by herself in a apartment on the nineteenth floor. When Marjorie was a little girl she liked ants she felt that the ants inspired her. As a little girl she would have liked ants as pets. She thought as ants like people. They worked together as a team, and they were Just as pushy as the human beings was. As the years pasted and she got older, she got a illness. She suffered from the a illness called agoraphobia who made afraid to be at big open places with lot of people. her opinion also changes it was no longer ants there was like people but people there was like ants. She was afraid of people and did not speak with a lot of people. Therefore she kept fishes she meant that they were so peaceful in there aquarium. She felt like she cut be peaceful and safe when she looked at them in the aquarium. She loved her fishes like they were her own children. But one day the troublemaker Mick, came looking for her in her apartment at the nineteenth floor. He used to come when he needed something from Marjorie. Most of the time when he came did he beg her for money, food or clothing . This time did he not beg her four any of this tings. He actually came to help her with moving her sick angle fish to a new clean aquarium. Marjorie believed him because he helped her with her beloved fish. But Mick was only pretending to care for her and the fish. Mick picked up the net and caught the fish. He took the fish with him over to the open window and then asked Marjorie how much she thing the fish was worth. He wanted a hundred quid four not killing the fish. But bad for her she did not have all those money and Just like that he flipped the fish out the open window. Then he left and she was so sad. Mick come back and Marjorie gave him a rink were she had dropped some drugs in. The drugs was for her illness. The drugs made Mick felt asleep like a stone. She took her Piranha in toa bucked and then took Micks hand in to the bucked. The Piranha eat his hand in a few minutes. Now was the boot on the other foot. In The very end she got revenge over Mick not Just because he killed her fish but also for the long time where he had used her and all her things, money and food. She was free now and was now longer under his power. Short Story and Mick By cami646t

Effect Of Tailor Made Technique Nursing Essay

Effect Of Tailor Made Technique Nursing Essay Children are members of families, communities, populations and overall society, which shape the context, experiences, and opportunities of their lives. Thus, their wellbeing is inextricably linked to the well-being of their families, communities and the society in which they live. Hospitalization of children is for acute or chronic conditions. Many factors contribute to the distress of young children during hospitalization, and existing fears and emotions may be intensified with prolonged hospitalization. Children become anxious and normal fears are exacerbated when they think about being in pain, harmed, or mutilated in some way or being separated from parents (Nicki and Barbara, 2007). Cannulation causes moderate or severe pain and fear in a substantial number of children and adults. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage (Merskey and Bogduk, 1994). Pain relief is a human right, yet pain in children is an under-recognized problem around the world. Children not only have pain from injuries, surgery, burns, infections, and the effects of war, terrorism, and violence, but also undergo pain from many procedures and investigations used by doctors and nurses to investigate and treat disease. Fear can be explained as a state of dread, apprehension or trepidation related to the future. Fear is a major stressor among hospitalized children. According to children, insertion of needle is one of the most fearful experiences. For many people, the needle can only be a source of fear to the extent that a needle is a necessary part of the procedure that initiates a terrifying involuntary reaction of ones body. For some the fear may extend up to needle phobia,  who has thought about the nature and origin of their condition, they actually have no fear of needles at all, but may have an extreme fear of suffering the physical effects of a needle phobia reaction. Thus, these problems of a hospitalized child can be alleviated by the nurse who is directly responsible for their protection and guidance. Nurses are at high risk for liability with regard to the under treatment of pain and fear. Of all the members of the health care team, nurses spend most of the time with patients and are recognized as the patients primary pain managers. The nurse is concerned not only with providing nursing interventions to children, but also with obtaining cooperation of children to the procedures to them. This is possible for a nurse with the skill in wide variety of interventions such as therapeutic play and the use of the arts and humanities as music, drama, television etc. Some institutions have procedures for minimizing the predictable pain and fear of cannulation, especially in children. Current advances are being made to control pain by integrating both the science of pain medications and the science of the human mind. According to Brunner and Suddharth (2004), distraction is thought to reduce the perception of pain by stimulating the descending control system, resulting in fewer painful stimuli being transmitted to brain. Distraction techniques may range from simple activities, such as watching TV or listening to music, to highly complex physical and mental exercises. Topical analgesics have been one important tool in reducing and preventing pain during minor procedures. As elicited by Potter and Perry (2005), the anesthetic cream which is thickly applied is placed on the skin 15 minutes before local anesthetic infiltration or minor procedures, e.g., IV start. The Lidocaine patch is a topical analgesic effective in cutaneous pain. Three patches are placed on and around the pain site using a 12-hour on, 12-hour off schedule to avoid Lidocaine toxicity. According to Sr. Nancy (2005), hot applications can be dry heat applications or moist heat applications which may be applied either locally or generally. Hot applications have many local physiological effects on the body. One among the many local physiological effects of hot application is vasodilatation. Dilatation of vein aids in reducing the number of phlebotomy attempts. Also, the chief therapeutic use of local hot application is that it decreases pain due to ischemia, local congestion and muscle spasm. Injections of any kind can hurt! Children know this pain is predictable. How they respond to an injection depends in part of their developmental age and their previous experience. Intravenous and intramuscular injections should be given in such a manner that the children do not have time to build up their anxiety about the procedure. Tailor-made means, it has been specially designed for a particular purpose. Thus the researcher uses tailor-made technique for preschool and school-aged children who enjoy active play, during the injection the nurse can suggest distraction activities along with local analgesics agent and hot application. NEED FOR THE STUDY The leading health indicators, the healthy people 2010 provides a framework for identifying essential components of child health promotion programs, designed to prevent future health problems in our nations children (Department of health and human service, 2007). The present total population of children in the world is 2.2 billion where in India, 13.1 percent of the population that is 15, 87, 89,287 are children (Census, 2011). The Paediatric ward of Sri Ramakrishna hospital receives an average of 1414 admissions per year. Almost all of them ought to have venipuncture since it is an integral part of performing diagnostic procedures and administering therapy during a patients hospitalization. Each hospitalized child has to undergo at least a single venipuncture within every three days of hospital life. Thus, attention in relieving such pain and fear is a must. Pain is the primary complaint for which people seek medical treatments. Sr. Callista Roy (1991), defined pain within the psychological mode, as a sensory experience of acute and chronic nature, coded into the somatosensory pain pathways. Acute pain, according to Sr Callista Roy, refers to Discomfort which is intense but relatively short and reversible. Using principles from neuropsychology; Roy stated that a sensory experience such as pain involves the transmission of information from sensory pathways to the cerebral cortex. The theoretical explanation for the effectiveness of distraction lies in its ability to divert attention away from the painful stimulus. McCaul and Malott (1984) hypothesize that the brain has a limited capacity to focus attention on stimuli. Therefore, using up attentional resources while engaging in a distracting task leaves little capacity for attending to painful stimuli. The Gate Control Theory of Pain proposed by Melzack and Wall (1965, 1995) offers a physiological explanation of the effectiveness of attention diversion. In brief, the Gate Control Theory explains that pain perception can be affected by factors other than the stimulus itself. This theory suggests that pain perception is controlled by a neural mechanism or gate in the spinal cord. Depending on how the mechanism is activated, the gate can be opened or closed. When the gate is open, 8 pain signals are transmitted to the brain, and when the gate is closed, they are not. Melzack originally proposed this theory to exp lain why physically stimulating an area can lead to reduced pain perception, but later modified his theory to suggest that cognitive factors can also open or close the gate. Cognitive and behavioral processes, such as distraction, Lamaze, and self hypnosis, cartoons can close the gate to subsequent pain perception by diverting attention away from the painful stimulus and toward focal points. Neglected pain erodes a patients trust in the health care system. In 1995, the American pain society challenged all health care systems to make pain as the fifth vital sign. James Campbell, the societys President noted that, if pain were assessed with the same zeal as other vital signs, there would be a much better chance of its being treated properly .Failure to appropriately assess and treat pain is a liability issue for facilities and members of the health care team . Pain is always a source of anxiety, as well as a constant companion. Furthermore about 10% of adults in the United States have needle phobia, as intense fear of needle that triggers immediate anxiety in the most severe cases, vasovagal response can lead to shock. The phobia may intensify for most people with the minimal pain of venipuncture. The fear usually begins in childhood and it may lead to avoidance of medical care. According to Journal of Anxiety Disorders (2006), the tendency to experience pain, disgust, and  fear  of fainting during injections was associated with anxious responding to the venipuncture and a probable diagnosis of  needle  phobia. A local anesthetic, Lidocaine blocks the conduction of pain impulses and stabilizes the neuronal membranes, thereby relieving pain. The drug penetrates the skin to act locally on the damaged or dysfunctional nerves and soft tissues, underlying the site. The benefit of local mechanism of action is that, with appropriate use, there is minimal systemic absorption of Lidocaine and adverse effects such as central nervous system depression or excitation are averted .Local absorption, also results in fewer drug interactions , an important consideration ,because many people with chronic pain requires opioids, nonopioids or adjuvant analgesics. A study was conducted by C V Bellieni et al., in 2006 conducted to the children, the results of is reported in the November 28 issue of the Archives of Disease in Childhood.In this study, 69 children aged 7 to 12 years undergoing medical procedure were randomized to receive no distraction procedure (controls), active distraction by their mother, or passive distraction by a television cartoon. Both the mothers and childrens rating scores suggested that procedures performed during television watching were perceived as being less painful than procedures performed during active or no distraction. Many studies have tested the effectiveness of Eutectic Mixture of Local Analgesics (EMLA) and Lidocaine gel .Since the application of Lidocaine is one quarter the cost of EMLA cream, significant saving can be obtained if it is proven to be effective as a topical anesthetic agent. It was seen in earlier studies that, IV cannulation was easier with Lidocaine gel as compared to EMLA cream. A randomized, double-blinded, placebo-controlled study by J.B.Rose et al., (2002) of Lidocaine Iontophoresis for Paediatric venipuncture among 59 children aged 6-17 years suggested that lidocaine iontophoresis is safe in children, reduces discomfort associated with venipuncture, and increases satisfaction when compared with the placebo. Hot applications promote vasodilation. A study was conducted on effect of EMLA Cream and Application of Heat to Facilitate Peripheral Venous Cannulation in Children by Lori Huff et al., (2009). There was a significant increase in vein visualization from pre-application of heat to post application of heat with a success rate of 80% with the first time attempt of IV insertion. Therefore, application of heat counteracts the adverse effect of vasoconstriction that occurs with EMLA cream application, potentially increasing peripheral venous cannulation success rates. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO, 2003) has approved revised standards for pain assessment and management in hospital ambulatory and home care settings .The American pain Societys Quality improvement recommendation provides excellent foundations for meeting JCAHOs expectations which includes recognizing and treating pain properly and promising patients attentive analgesic care. On the investigators personal experience, it is observed that children are having increased pain and fear during needle-related procedures performing in Paediatric ward. This motivated the researcher to conduct a study to make venipuncture a total painless procedure. Hence Tailor-made technique was selected for the research. 1.2 STATEMENT OF THE PROBLEM EFFECT OF TAILOR-MADE TECHNIQUE ON PAIN PERCEPTION AND FEAR AMONG CHILDREN UNDERGOING VENIPUNCTURE AT SRI RAMAKRISHNA HOSPITAL, COIMBATORE. 1.3. OBJECTIVES To administer Tailor-made technique among children before venipuncture. To assess the pain perception among children after administering Tailor-made technique in experimental and control group. To assess the fear among children after administering Tailor-made technique in experimental and control group. 1.4. OPERATIONAL DEFINITION 1.4.1. Effect Effect refers to the change in the level of pain perception and fear during venipuncture among children after Tailor-made technique. 1.4.2. Tailor-made Technique Tailor-made technique refers to the combination of three interventions, such as exposure of the child to cartoon animations, application of 2 % Xylocaine gel for 10 to 15 minutes and application of local heat for 2 minutes over the planned site, before venipuncture. 1.4.3. Pain Perception Pain perception means the level of pain experienced by a child during venipuncture, expressed in terms of behavioral responses in face, legs, activity, cry and consolability. 1.4.4. Fear Fear is an unpleasant feeling due to frightened situation during venipuncture among children expressed as responses in face. 1.4.5. Children Children refer to those who are between the age group of 4-12 years, who need to undergo venipuncture at the Paediatric ward of Sri Ramakrishna hospital. 1.4.6. Venipuncture Venipuncture is a needle-related procedure, in which a vein is punctured for medication administration, fluid infusion or blood sampling among children between 4 to 12 years of age at Sri Ramakrishna hospital. 1.5. CONCEPTUAL FRAME WORK Modified Weidenbachs Helping Art of Clinical Nursing Theory Modified Weidenbachs Helping Art of Clinical Nursing Theory (1964) was adopted for developing conceptual framework. The theory views nursing as an act, based on goal oriented care and closely parallels the assessment, implementation and evaluation steps of nursing process. This theory is composed of three basic elements: Identification. Ministration. Validation. 1.5.1. Identification. It involves individualization of the patient, his experiences and recognition of the patients perception of his condition. The researcher identifies the children who need to undergo venipuncture from the medical records, collects the demographic data and then plans for Tailor-made technique. 1.5.2. Ministration. It is providing the needed help. It requires the identification of the need-for-help, the selection of a helping measure appropriate to the need, and the acceptability of the help to the patient. In this study, the researcher administers the Tailor-made technique before venipuncture to the experimental group, whereas no intervention is given to the control group. 1.5.3. Validation. It is the evidence that the patients functional ability was restored as a result of the help given. In post test, the researcher assesses the level of pain and fear after the administration of Tailor-made technique and compares the effect of Tailor-made technique on pain perception and fear during venipuncture in experimental group with the level of pain perception and fear during venipuncture without Tailor-made technique in control group. 1.6. PROJECTED OUTCOME Application of Tailor-made technique reduces the pain perception and fear among children undergoing venipuncture. Review of literature Literature review refers to the activities involved in identifying or searching for information on the topic (Polit and Hungler, 1999). Literature review is an essential component to the researcher for the greater understanding of the research problem and its aspects. It provides the researcher with an opportunity to evaluate many different approaches to the problem. Thus the literature review has organised and presented under three headings. 2.1. Literature related to pain and fear during venipuncture. Cavender et al., (2004) done a study to determine the effectiveness of parental positioning and distraction on the pain,  fear, and distress of pediatric patients undergoing  venipuncture. An experimental-comparison group design was used to evaluate 43 patients (20 experimental and 23 comparisons) who were 4 to 11 years old. Experimental participants used parental positioning and distraction. All participants rated their pain and  fear; parents and  child  life specialists (CLS) rated the  childs  fear, and CLS rated the  childs distress. Self-reported pain and  fear  were highly correlated (p Anil Agarwal et al., (2005) conducted a study to evaluate the efficacy of the valsalva maneuver on pain during venous cannulation among children. In this study 75 samples were randomly assigned to 3 groups respectively. Group I was control group without intervention, group II was instructed to blow into a sphygmomanometer tubing and raise the mercury column up to 30 mm of Hg for 20 seconds and group III was instructed to press a rubber ball. After 20 seconds peripheral venous cannulation was performed. Venous cannulation pain was graded by a 4 point scale. Results showed a significant reduction in the incidence of pain in group II (72 %), whereas other two groups experienced 100 % pain. Researcher concluded that, the valsalva maneuver performed at the time of venous cannulation greatly decreases venipuncture pain. Gupta et al., (2005) carried out a prospective, randomized controlled study to evaluate the efficacy of balloon inflation on venous cannulation pain among children by Devendra. The study was conducted among 75 children aged 6-12 years who were randomly divided into three equal groups. Group I was control group with no intervention, group II was provided with distraction like pressing a ball and group III with balloon inflation. Visual analogue scale was used to assess the venipuncture pain and there was a significant reduction observed in group II and group III, when compared with group I. Visual analogue score in group III was decreased when compared with group II (p Farion et al., (2006) conducted a randomized control study to determine the effect of vapocoolant spray on pain during intravenous cannulation by among 80 children between 6-12 years. The children received either vapocoolant spray or placebo before cannulation. Children rated their pain using a 100-mm colour visual analogue scale. Parents (p = 0.04), nurses (p = 0.01) and child life specialists (p Movahedi et al., (2006) conducted a study to examine the effect of local refrigeration prior to venipuncture on pain related responses among school age children. 80 children aged 6-12 years were selected by purposive sampling. In experimental group the injection site was refrigerated for three minutes using an ice bag before venipuncture and in control group venipuncture was performed according to routine procedure. Physiological responses, behavioral responses, and subjective responses were assessed in both groups. Results showed no significant difference between two groups for physiological responses, whereas behavioral responses (p = 0.0011) and subjective responses (p = 0.0097) showed that, the test group had lower score in behavioral and subjective responses compared to the control group. The researcher concluded that the use of local refrigeration prior to venipuncture can be considered as an easy and effective intervention for reducing pain related to venipuncture. Kennedy et al., (2008) reported in an article that pain  during venipuncture and intravenous cannulation is an important source of paediatric  pain  and has a lasting impact. Older children have reported greater  pain  during follow-up and cancer-related  procedures,  if the pain  of the initial procedure was poorly controlled. Fortunately, both pharmacologic and non pharmacologic techniques have been found to reduce childrens acute  pain  and distress and subsequent negative behaviours during venipuncture. This review gives the evidence for the importance of managing paediatric procedural  pain  and methods  for reducing venous access  pain. Nilsson et al., (2008) evaluated the concurrent and construct validity and the interrater reliability of the Face, Legs, Activity, Cry and Consolability (FLACC) scale during procedural  pain  among 80 children of 5-16 years age. Children scheduled for peripheral venous cannulation of a venous port were included in this study. In 40 cases, two nurses simultaneously and independently assessed  pain  by using the FLACC scale and in 40 cases one of these nurses assessed the child. All children scored the intensity of  pain  by using the Coloured Analogue Scale (CAS) and distress by the Facial Affective Scale (FAS). Concurrent validity was supported by the correlation between FLACC scores and the childrens self-reported CAS scores during the procedure (r = 0.59, P Hess and Hall (2009) conducted a prospective study to evaluate the effect of a near-infrared light vein viewing device on the success rate of venipuncture performed by staff nurses on a paediatric surgical unit. The number of attempts, age of the patient, and time required to establish successful vascular access were recorded for 91 children and this data was compared to baseline data (n=150) previously collected on the same unit prior to the implementation of the device. The first attempt success rate for the control group was 49.3%, and for the experimental group 80.2% (p Harrison et al., (2011) conducted a randomized controlled study to assess the efficacy of sweet tasting solutions or substances for reducing needle-related procedural pain in  children  beyond one year of age. A sweet tasting solution or substance was given to 330 children  between 1 to 16 years of age randomly in experimental group. Control conditions included water, non-sweet tasting substances, pacifier,  distraction, no treatment, positioning or breastfeeding. Results for the toddlers or pre-school  children  show that in the sucrose group in one study had significantly lower cry duration and behavioral pain scores, compared with the no intervention group, while crying time did not differ between the sucrose and the no intervention group in the other study. For school-aged  children, chewing sweet gum either before, or during the procedure, did not significantly reduce pain scores.   2.2 Literature related to distraction strategy, local anesthetics and local heat. Halperin et al., (1989) conducted a double-blind, placebo-controlled study was conducted by to evaluate the effect of topical  skin anesthesia (EMLA, eutectic mixture of prilocaine and  lidocaine)   for venous, subcutaneous drug reservoir and lumbar punctures in children. Venipunctures were performed on 18  children  (6.1 to 12.2 years of age) equally divided in the study and control groups. . Pain intensity was scored by the  children  themselves, using a visual analogue scale. EMLA cream was associated with lesser pain scores than those with placebo (means +/- SD: 2.8 +/- 2.4 versus 6.8 +/- 2.1, P less than .01). A crossover trial was used in the studies of subcutaneous drug reservoir and lumbar punctures, eight  children  (6.1 to 15.1 years of age) were tested for subcutaneous drug reservoir punctures. Pain induced by this procedure was rated at 3.9 +/- 2.2 with placebo compared with 1.2 +/- 1.8 with EMLA cream (P Peretz et al., (2002) conducted a random crossover study to assess  childrens reactions while receiving a warmed  local  anesthetic solution for dental procedures (37o C; W) and to compare with one at room temperature (21o C; RT). 44 children  between the ages of 6 to 11 years were randomly assigned to receive either a W or a RT  local  anesthesia on the first visit and the alternate  local  anesthesia on the second visit. The modified Behavioral Pain Scale (BPS) was used during the injection. For subjective evaluation, the Wong-Baker FACES Pain Rating Scale (FPS) was used. Using the FPS, 19 boys ranked the experience of  local  anesthesia as a positive experience , 4 boys and all 21 girls ranked it as negative for both types (W and RT). No significant difference was found in the mean VAS scores between the room-temperature group and the warm group (23.4 +/- 21.8 and 20.8 +/- 18.9, respectively). Thus there is no advantage to  warming  local  anesthetic solu tion prior to injection. Biswas, D. (2005) conducted a study on effectiveness of four modalities (hot fomentation, glycerine Magnesium Sulphate application, and Ichthamol Magnesium Sulphate and Ichthamol Belladonna) of nursing interventions on phlebitis pain was evaluated. Ichthamol Belladonna along with hot fomentation was effective in reducing pain, erythema, swelling, induration, palpable venous cord at 0.01 as compared to Ichthamol Belladonna dressing, glycerine Magnesium Sulphate dressing and glycerine Magnesium dressing with hot fomentation. Tools included the demographic data to know the sample characteristics, phlebitis measurement chart, observation check list and visual analogue scale. The pre test mean pain score related to peripheral IV infiltration were 61.23 and post test mean pain scores were 13.27 in treatment with Ichthamol Belladonna dressing with fomentation which was found to be the most effective out of all the 4 interventions. Thus the study concluded that Ichthamol Belladonna dressing with fomentation was effective. Vangoli et al., (2005) conducted a study to investigate the presence of clown doctors on a  childs preoperative anxiety during the induction of anaesthesia and on the parent who accompanies them until he/she is asleep. There were 40 samples of 5-12 years of age who were assigned randomly to the clown group in which the  children  were accompanied in the preoperative room with the clown doctors and a parent and to the control group in which the  children  were accompanied by only 1 of his/her parents. The anxiety of the  children  in the preoperative period was measured through the Modified Yale Preoperative Anxiety Scale instrument and the anxiety of the parents was measured using State-Trait Anxiety Inventory. Also, a questionnaire was developed for health professionals to obtain their opinion about the presence of clowns and a self-evaluation form was developed to be filled out by the clowns themselves about their interactions with the  child. This study shows that the presence of clowns during the induction of anaesthesia with the  childs parents was an effective intervention for managing  childrens and parents anxiety during the preoperative period. Anjum. S (2007) conducted a study on hot fomentation versus cold compress, to reveal that the pre-treatment mean score of degree of infiltration was 7.1667 and it was decreased to 0.7071 on the third day of treatment with hot fomentation. In cold compress group, pre-treatment mean score of degree of infiltration was reduced from 6.9333 to 0.7571 on the third day of cold compress treatment. The intensity of pain was reduced from severe [56.66%] to no pain [93.4%] in hot fomentation group. In cold compress group, the intensity of pain was reduced from moderate [60.0%] to no pain [86.6%]. The mean score of hot fomentation group was 6.5067 in reducing the degree of infiltration while cold compress the mean score was 6.6. The study concluded that hot fomentation better than that of cold compress. Lee (2008) done a randomized cross-over study to determine the effect of  heat  and duration of stretching on the extensibility of hamstring muscles and their electromyographic responses to passive stretch in  children  with hypertonia and severe mental retardation. There were 29 participants with ages from 4 to 13 years who randomly received 4 treatment sessions as (A)10-second stretching, (B)30-second stretching, (C) hot  pack followed by 10-second stretching, and  (D) hot  pack followed by 30-second stretching each consisting of 5 repetitions of stretching and successive treatments were separated by at least 24 hours. The distance between greater trochanter and lateral malleolus and hamstring electromyographic (EMG) activity during passive knee extension stretching were measured. Two-way ANOVA showed a larger increase in hamstring extensibility in conditions C and D (1.3 +/- 1.1 cm) than conditions A and B (0.7 +/- 0.9 cm) (P Warming  local  anesthetics has been proposed as a cost-free intervention that reduces injection pain. Hogan et al., (2011) conducted a study to determine the effectiveness of warming  local  anesthetics to reduce pain in adults and  children  undergoing  local  anesthetic infiltration into intradermal or subcutaneous tissue. 29 studies were retrieved for close examination and 19 studies met inclusion criteria. A total of 18 studies with 831 patients were included in a meta-analysis. 17 studies had

Advancements in Technology That Help Children with Disabilities Essay

Advancements in Technology That Help Children with Disabilities Over the past few decades there have been major advancements in technology, especially technology that helps children with disabilities in learning and participating in the classroom. Three recent technologies being used are the cochlear implant, the Fluency Master, and the FM System. Each one helps children with special needs become able to learn and participate in school as well as children without disabilities their age. The cochlear implant is a device used by profoundly deaf people. â€Å"About 6,000 individuals have had cochlear implants, since the late 1980’s. The cochlear implant is the first, and still the only neural prosthesis that is aiding a significant portion of a disabled population† (Hear). If a child is born deaf they are usually implanted young because doing so will help them have a greater chance of being on grade level in school and not have such a large learning gap. â€Å"The earlier a deaf child receives a cochlear implant, the better the child’s speech development† (Hear). Speech development is very important to young children because they need to know how to communicate with teachers and classmates. Communication is the basis for learning. â€Å"Being aware of sounds appears to help language development, and this can help narrow the gap in language skills hearing-impaired children experience compared with their hearing peers† (Hear). Cochlear implants can greatly improve a deaf child’s developmental abilities. â€Å"We have found that when a child receives a cochlear implant, the child begins to develop language skills at about the same rate as a child with normal hearing, said researcher Dr. Mario A. Svirsky† (Hear). The cochlear implant i... ...reference/tech/techgloss.html Phonak Hearing Systems. Improving the quality of life for people with hearing impairment. http://www.phonak.com/index.cfm?do ERIC Documents. Using Assistive Technology in the Inclusive Classroom. www.cooklibrary.edu ERIC Documents. Emerging Trends in Technology for Students with Disabilities: Considerations for School Personnel. www.cooklibrary.com National Association for Speech Fluency http://www.stutteringcontrol.com/ Traditional Speech Therapy for Stuttering. http://www.rickywburk.org/speech/therapy.htm The Power Stuttering Center, http://powerstuttering.com/ The American Society for Deaf Children http://www.deafhoosiers.com/Parents/ASDCPositionPaper.pdf Rosenthal, Paula, J.D. FM Systems Help Children Learn http://www.baby-place.com/articles/fm_system.htm Hear This Organization. http://www.hearthisorg.com/

Describe the challenge faced by John Proctor Essay

Describe a challenge faced by a character in the text. Explain how the character dealt with the challenge.  In ‘The Crucible’ by Arthur Millar, many of the characters faced challenges. One character who was faced with challenge was the protagonist John Proctor. He faced the challenge of trying to keep his reputation intact in the face of a judgemental Puritanical community ruled by superstition and religious intolerance. The fact that he had an illicit affair with a young woman named Abigail was a major obstacle to clearing his ‘good name’ along with the fact that his wife Elizabeth lied under oath in court to try to protect him. John Proctor was faced with the decision between life and death to deal with the challenge of trying to clear this ‘good name’ John Proctor, the protagonist, had the major challenge of trying to deal with his adulterous affair with Abigail, the key anatagonist in the play. Abigail envied John’s current wife Elizabeth and she wanted to take her place. When Abigail had the chance to accuse people of being witches, Elizabeth was her first victim. Proctor however had to ruin his good name in order to accuse Abigail of faking her claims. To do this though was a challenge he faced as he was a man with high morals and didn’t want to ruin his name. A further challenge that John Proctor faced was when his wife Elizabeth was accused of witchcraft and had to testify to clear his name. When his wife Elizabeth was arrested after she was accused by Abigail of being a witch, Proctor knew he could have stopped this trial from continuing. He had the option of telling the court that the trial is a sham because he had an affair with Abigail and that she was out for revenge after Elizabeth kicked her out of the Proctor household and also because Proctor firmly rejected her saying â€Å"I will cut off my hand before I reach for you again†. The problem was if Proctor admitted his affair with Abigail, his reputation will be ruined. Eventually he finally admitted his affair saying â€Å"God help me, I lusted† implying that he regrets having an affair, but it was too little too late as the trials were no longer in his hands and was controlled by the court. The reason why it was difficult for John Proctor to clear his name Religious intolerance was rife in the Puritannical town of Salem and the court system was based on Biblical law. and you were either with or against God and like Danforth said â€Å"you are either with or against the courts†, you can only support one side. It is hard for Proctor to keep his reputation clean because of this reason. When he testified against Abigail, he put his reputation at stake. Eventually he is betrayed by Mary Warren and his final words â€Å" it is a whores vengeance† states that the court is based on myths not facts and Abigail is only doing this for revenge in Proctor’s final attempt to turn the courts. In the end, the final challenge that Proctor faced was whether to live or die to clear his name. When he was declared a witch by the religious court, he had the option of either signing a confession admitting to this or going to the gallows. Initially, he signed the confession but then ripped it up when he realised it would ruin his reputation and he felt guilt over the others who had been falsely accused. after his plea â€Å"give me my name, I have given you my soul† is rejected. At this point Hale the witch-hunter feels guilty about his actions and pleads to Elizabeth to make him confess; all she did was say â€Å" he’ll have his goodness now, god forbid I take it from him† stating that it was his choice and she can’t take it from him.  Therefore, through the circumstances that Proctor had, he dealt with the situations with courage and dignity. He managed to redeem himself from his earlier sins and keeping his reputation clean by choosing to hang rather than living in shame and having nothing to live for. In this way Proctor has ended his life full of pride and having his reputation clean.

Extended Essay – Bnm

1 EXTENDED ESSAY Business and management RESEARCH QUESTION: How efficient would it be for BP Mwanza, Tanzania to introduce pricing strategies such as penetration pricing to drive out their competitors in Mwanza, Tanzania. Candidate name: Zafar Mohamed Iqbal Abdullah Osman IB candidate number: dwt124 School name: Indus international school Pune School number: 003508 Adviser: Mr. Brian Alex Date submitted: 26th November 2012 Word count: 3700 2 Abstract: This paper aims to answer the question ‘’How efficient would it be for BP Mwanza, Tanzania to introduce pricing strategies such as penetration pricing to drive ut their competitors in Mwanza, Tanzania’’ By using different techniques such as the S. W. O. T and the force field analysis to see where the business and if the company is using pricing strategies like penetration pricing how will this help them get over their rivals, this will give a clear understanding on the current situation of BP, I will compare B P with different petrol companies to see how they are competing and also if the other companies are using other strategies. Furthermore I will comprehend if penetration pricing will help BP gain market share and sales or not and along with this will asset led arketing be a crucial aspect in penetration pricing. I will evaluate and mention how penetration pricing is better than price leadership, predatory pricing and going rate pricing on getting market share and a high sales volume through secondary data. Through the company’s profile, the use of the records such as sales from January to December of the year 2011 will help me see how the company has being operating for the past year and if they use penetration pricing will it benefit them in their main aim. Along with this I will conduct an interview of the Dealer Mr. Iqbal Osman to extracts information and his iews of the usage of penetration pricing. I will display this through the Primary research that I have collected Thi s paper came to a conclusion that the introducing of penetration pricing would be efficient for BP in Mwanza, Tanzania to drive out their competitors. Word count: 280 3 Table of Contents Abstract: †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 2 Introduction: †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 4Body †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚ ¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6 S. W. O. T †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 8 Force Field Analysis †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 10 How will Penetration pricing affect and gain sales fo r BP: †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 1 Asset led marketing: †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 13 Why Penetration pricing is a better way of driving out competitors: †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 14 Interview analysis: †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 16 Sales Of British Petroleum of 2011 Analysis: †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 18 Conclusion †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 19 Appendix †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 21 Bibliograp hy: †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 23 4 Introduction: When most companies need to gain profits and increase the market shares and brand image in their business, the firms start thinking of driving out their competitors because the ain aim is to do that in order to be number one in the region and a particular common method that can be used is penetration pricing, which in the same way it is used as a market led based pricing strategy, Penetration pricing is defined as setting relatively low prices (or a specially introductory price) to gain brand recognition and market share. British petroleum of Mwanza, Tanzania was run by Mr. Abdullah Osman. Along the years Mr. Abdullah Osman started opening more petro l stations throughout Tanzania, which included Oryx another petrol company. The company has been opening many petrol stations throughout Tanzania and the market hares and profit of the business have increased. Due to strong competition, the company has been trying to tackle them by using different strategies that will make them over come their competitors, to gain market share and increase their brand image. I am going to see if penetration pricing can be one of them to help the company over come their competitions in the Mwanza region and how they are going to accomplish this. Mr. Iqbal Osman and his brothers took over the business because the father had retired and suggested them to continue the family business. But during 2009 British petroleum suffered a 5 loss due to the loss of one of its wner who was helping out in the business and played a key role in the business. As the company was running under a partnership deal between the two brothers, Mr. Iqbal Osman had to take over that petrol station single handedly in order to keep the business running and to sustain it from any losses or even being sold to other companies. For sometime during 2009 the company was going through losses, due to the new ownership. Mr. Iqbal Osman found it difficult to handle the company by himself and along with this the prices of the petrol had to be increased 8 times. Due to the changes in the petrol market it caused a lot of problems within he business itself in each department. After these happenings, there was a period of time when the company was going through a stream of success, which really benefited the company financially. This made them powerful in the petrol market in Mwanza and helped them increase their brand image. The company had adapted itself to the new ownership, which did start bringing up the companies brand and image through strong advertisement and making people aware of BP and leading their mission statement, which states â€Å"we are here to stay, we are here to serve†. While this was happening the subordinates of the company gained new skills and started orking better than before and the output of the company increased by a high number. This really benefited the company and it did start getting back on track. The company is now trying to introduce new ways to keep up the profits and to gain market shares in the petrol market and increase their brand image. This includes pricing strategies such as penetration pricing wherein the company set a relatively low price to gain brand recognition and market share to attract customers and gain more market shares. By doing this BP Mwanza, Tanzania hopes this will help them to drive out their competitors and gain market shares and brand image and makeBritish petroleum number one 6 in Mwanza Tanzania: This paper aims to investigate the effectiveness of penetration pricing in BP, hence the research question ‘’How efficient would it be for BP Mwanza, Tanzania to introduce p ricing strategies such as penetration pricing to drive out their competitors in Mwanza, Tanzania’’ find relevance. Body Findings: For data collection I am going to use both primary and secondary data to investigate if the pricing strategies will have any effect to the competition and bring up the brand image. For my primary research I am going to take an interview of the Dealer Mr. Iqbal Osman, to see his views on if this ricing strategies especially penetration pricing are launched will this be a success to the company and will this help the company drive out the competitors or not, also if the company really need to strategize their prices or not in order to drive out the competitors, or will this benefit the company. I will also use the company’s records to see if they introduce these pricing strategies will it have any effect. I will use the company’s sales for one year ago and see how the prices have varied through out the whole year. And from this I will be able to see if the prices of this year are better than last years, also this will give me and dea on how penetration pricing will be effectual to the driving out of their competitors and gaining market share and increasing their brand image in Mwanza Tanzania. For my secondary research, the use of S. W. O. T will help me find the strength, weakness, opportunities and the threats by the use of SWOT this give me a better understanding of the 7 organization position in the market place and therefore the formulation of the company’s strategy of its long term survival and it will give me a broader perspective of BP itself and this SWOT analysis will be a powerful source to see if this penetration pricing would be a good idea or not forBP. The use of the force field analysis will help me see if the change of using penetration pricing will be a good idea or not. I will do this by analyzing the forces for and against and after analyzing it will show weather it will be succes sive or not. I will use other external resources like the internet to find out more information about the company and to see if the company can or cannot introduce these pricing strategies at the state that they are at the moment also the internet will give me statistics of the company which will help me. British petroleum have many competitors in the market in Mwanza Tanzania there are more than 5 other ompanies that are competing with BP, these companies use different techniques to try and give a better brand image they use loads of advertisements and they try to attract customers in order to get more market shares than BP and this affects BP a lot, the use of these other strategies used by the competitors will give me an idea on how BP is facing against its odds. The usage of on how the company is investing in capital and how it is benefiting them and at the same time is it producing more for the company, if the company puts in more money they will get skilled workers and the out put would increase and the quality of the machine will be