Critical Care Issue in Trauma - 1389 Words

Trauma was the major cause of mortality and morbidity till last 2 decades but after that there have been major improvements in management and resuscitation of trauma patients. This does not imply only to emergency care but also ICU management. It is well established that there is trimodal distribution of death in trauma patients. First peak is within seconds to minutes because of head or cervical spine injury or to injury to major blood vessel and much cannot be done about this. The second peak occurs in minutes to hours due to life threatening injuries and prognosis depends on initial resuscitation of the patients both in the emergency department and ICU.Then there is third peak which occurs several days to weeks and is often due to sepsis and multiorgan dysfunction[1]. This third peak can be prevented by good ICU management of these patients. Here comes the role of good intensivist who has experience in managing trauma patients as trauma patients are different from other patients coming to ICU. There are majorly two kinds of trauma patients coming to ICU; one who are still in the phase of ongoing resuscitation coming directly from the ED or Operation Theatre [OT] after damage control surgery. Secondly there are patients who were being treated in the ward, deteriorated and then shifted to ICU. There are certain problems particularly seen in trauma patients. In this review we will try to highlight certain these problems. 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Hotel Aborilities In Pessac, France - 1331 Words

There are many reasons to visit the gorgeous commune of Pessac, France. Here, one can admire the grand architecture of chateaus and indulge in the gourmet scene. Experience fantastic French cuisine here. When you head to the second-largest suburb of Bordeaux though, wine reigns supreme. We have compiled the top 10 Airbnb vacation rental accommodations in Pessac, France to help you experience this region at its optimum. Consider booking a room today to help you plan for your trip to France. Consider staying at this warm and homely house. It has a single room with two beds to accommodate up to four guests. This space is suitable for two couples, a family with children, or a group of friends. Quiet and close to the downtown area, this house†¦show more content†¦This Airbnb vacation rental offers a single bedroom that can accommodate up to two guests. This location is close to the center of Pessac and Mà ©rignac, and is ideal if you are planning a trip to Bordeaux. Nearby, you can taste wines at the beautiful and magnificent Chà ¢teau La Mission Haut-Brion, where one can get a great winery experience. How about a stay in this small, pleasant house in Pessac? It offers a bedroom with a double bed that is ideal for a couple. Also on offer is a fully-equipped kitchenette, with dishes, plates, a microwave, and a refrigerator that guests can utilize when staying at this house. In the immediate vicinity of this Airbnb vacation rental is Tram B. It can easily take you directly to the Bordeaux center and the Alouette-France SNCF train station. This Airbnb listing is located in a quiet, residential area. Stay in this house and you’ll be close to the university campus in Pessac. This private room is adjacent to the living room and can accommodate up to two guests. Guests here can also access common areas like the kitchen, the living room, and the dining room, along with the garden at this property. There are many restaurants near this property. Consider eating at Chez Le Boulanger. Here, you will get choices aplenty between breads and baguettes, with desserts and good quality food to eat on the spot or to take away. If you want to try out the best crepes in the area, visit Le Cafà © Bleu. Here, you will get crepes at good value

Research Operations of Banyan Tree Hotels-Free-Samples for Students

Questions: 1.Your first major task is to provide a comprehensive yet concise written analysis of how Banyan can make use of OR develop its Dynamic Capabilitiesgiven the industry-based considerations (both in Thailand and India) in taking advantage of the business opportunities in the hospitality-hotel industry in India. 2.Draw on our relevant topics to explain the advantages and disadvantages of your recommended strategy as a way of Banyans strategic efforts to manage differences in its global or international markets such as India. Answers: 1.Dynamic Capabilities model Lin Wu, (2014) stated in their research that dynamic capabilities model deals with three different aspects of transforming, seizing and sensing. According to this research dynamic capabilities have an impact over the performances and of this research model. This model is used in case of Banyan Tree Hotels and Resorts in order to showcase the capability in the hotel industry. Figure 1: Dynamic Capabilities model (Source: Author made) Institutional environment Banyan Tree Hotels and Resorts is one of the leading companies in the hotel industry. The Thai hospitality sector has churned 42.5 billion USD in 2015. It is an 18 percent increase from the previous year. The hospitality sector received about 29.9 million tourists in the country in the year 2015. It is also one of the busiest aviation industries in the continent. It provides facilities of training to its employees and has supported the environmental cause by good waste management, environmental goods management and protection of the trees. The employees are provided with dormitories and basic accommodation facilities for the employees. Macro level factors The macro level factors are social developments, technological departments, economic developments, environmental departments and political developments. Political development Politically Thailand has been encouraging tourism for quite some time now. The establishment of Banyan Tree Maldives Marine Laboratory is one such example. It has employed many drivers from the local community to better the economic situation in the country (Euromonitor International, 2016). Environmental developments The company established The green Imperative Fund by donating 2 USD for every room which has been booked to help several poor communities and environmental causes (Wirtz, Wirtz, 2011). Social environment There are primarily two kinds of training programs in the organisation. Firstly, it is given to the common employees. This training is based on primary aspects of hotel services according to the discipline of the company whereas the the second type of training is conducted in teh spa academy for the employees who work in spa (Wirtz, Wirtz, 2011). Technological Development The company utilises technology to minimise the ill-effects on the environment. It has adopted strategies to minimise deforestation and soil erosion. The toxic cosmetics and toiletries like shampoos, soaps, bath foam, hair conditioners and others are replaced with the non toxic and reusable celadon or ceramic (Wirtz, Wirtz, 2011). The waste water is also properly recycled in order to re-use it. Economic developments The Banyan Tree Hotels and Resorts consist of 25 hotels and resorts, 65 retail galleries and 68 spas. It also owns two golf courses. It has registered its presence in 55 different locations and 23 different countries (Wirtz, Wirtz, 2011). This information is enough to understand the grandeur of Banyan. The head quarters of the brand is situated in Thailand. The organisation moved up in the category of luxury hotels in 2008. External incentives Banyan Tree has a company policy to train every employee about the necessities in a five star hotel according to his role. It trains employees with various services, which every employee requires to learn in order to sustain in the profession for long. They are provided with good living conditions and air conditioned buses for travelling from one place to another. The medical facilities, child care facilities, canteens and others are provided with goods like refrigerators, telephones, televisions, bathrooms and others which are useful for the labours (Wirtz, Wirtz, 2011). Research and development The company has been training employees to recruit in its spa. The company has also taken several steps to do better in the environmental sectors. The organisation uses most of the local products in order to make a positive contribution to the local economy. Banyan Tree has been instrumental in including the local community in its working force. It has instrumentally utilised the local craftsmen, workers and culture in its business (Wirtz, Wirtz, 2011). Seizing Managerial practices On the other hand in order to support its growing demand of Spa business, it has successfully established a Spa Academy in order to help the recruitment process later (Wirtz, Wirtz, 2011). It will be able to recruit its own students in the spas of China and Dubai later. Firm level factors Infrastructure wise, Thailand is one of the best in the business of tourism. Thailand has the best airports in the country. Thailand has the busiest airports in Asia. The company possesses thousands of employees working in 25 hotels, 65 spas and 68 retail galleries (Wirtz, Wirtz, 2011). It has won several awards because of its great performance in providing service to the people. Internal incentives The internal incentives are provided through accommodation facilities, food and other luxuries like television and refrigerators by the company (Wirtz, Wirtz, 2011) Individual level responses Entrepreneurial actions Opportunity and recognition: As Banyan Hotel and Resorts has expanded their business in last few years. They have the ability to enter new markets as their success rate is better than many of their competitors. Skill and capabilities: The organisation has always tried to maintain discipline among its employees. It has trained its employees according to the requirements of the industry (Wirtz, Wirtz, 2011). The products and services vary according to the customer the organisation is dealing with. This showcases the discipline of their work force which can perform well in any country or economy. Developing and innovative activity: To maintain the quality of its villas and hotels it has adopted self sufficient environmental practices in terms of water management, not using bi-degradable products and training students for a better spa experience of the customers (Wirtz, Wirtz, 2011). The services like beauty treatment, music and traditional Thai food for the customers (USDA, 2016). Porters five forces Threat of new entry Banyan Tree Hotels and Industries have established itself as a luxury hotel chain in Thailand (Wirtz, Wirtz, 2011). The growth rate of the tourism business in Thailand is about 8 percent which allows them to experiment and grow in the market. Supplier power It uses local materials from traders to utilise it in business as mentioned in the dynamic capabilities (Wirtz, Wirtz, 2011). It also employs more local people in order to help the local economy of a region. Skilled and developed employees make its supply power strong. Threat of substitution The organisation has been offering authentic Thai cuisine and hospitality to the employees (Wirtz, Wirtz, 2011). And that is what it differs from Hilton and other luxury hotels. Hence, its substitution by a competitor is difficult. Hence, its threat of submission is low. Buyer power The buyer power is very high in the Hotel industry of Thailand (USDA, 2016). The customer satisfaction plays a huge role in the business of the hotel industry. Competitive rivalry Banyan Trees Hotels and Resorts have been instrumental in portraying their unique local image in the market in order to neglect the the possibilities of rivalry (Wirtz, Wirtz, 2011). Hence, the possibility of competitive rivalry is very low. 2.Porters generic strategies Figure 1: Porters generic strategies (Source: Tansey, Spillane Meng, 2014) Porters generic strategies are very useful for making strategies prior to enter into a new market. It is divided in four quadrants as depicted above in the picture. However, different strategies are suitable and feasible to the different requirements and with the different firm. For example, some companies may offer cheaper prices to attain a higher penetration into the market. This might help the concerned organization provided if there is a demand for such strategy. Walmart for example use cost leadership approach to attract its customers (Stankevi?i?t?, Grunda Bartkus, 2012). It is feasible as well with the target customers. They do a big business with the help of everyday low prices. However, this is not feasible to have the same strategy with some who want best quality and pricing is no bar for such people if it delivers on quality. For the Banyan Tree Hotel, it is important that they use cost leadership approach for entering into the Indian market. The Sociocultural lifestyle of the people living in India have soft corner for price sensitivities (Pereira Malik, 2013). This is also undeniable that the tourism and hospitality sector in India would not alone shared by the local people; this would rather be shared by many foreigners who are getting maximized with their likeness for this part of world. However, recommendations are suggested because local people have high inclination to a reduced cost and good in quality format. Additionally, the tourist sector is more supported with the fall of local public from different parts of the country. Offering a cost reliable opportunity in such context would be a better idea for the Banyan Tree Company. This would rather serve the purpose of local public. This strategy is suggested by keeping in mind the early few times of business operations of the Banyan Tree in India. The strategy is also suggested because cheaper prices of hotel rooms are one of the most selling points in the hotels industry in India (Sanjeev, Gupta Bandyopadhyay, 2012). The strategy suggested above has some advantages and disadvantages as well. However, it was recommended as an entry mode strategy, so that, the company could get a firm hold on the local people. Advantages The strategy suggested for the Banyan Tree would help the company in capitalizing the interest of mass population who belong to middle class families and prefer rooms in such hotels that offers the cheapest prices. This strategy would attract those couples who are newly married and belong to some middle class families. They would find this comparatively easier to stay in the offered services. The recommended strategy would help the Banyan Tree Company earn big because this would meet the requirements of mass population in the local country. This would also popularise the company in India. Disadvantages The recommended strategy has some expected disadvantages, which is considerable for its potentiality. Offering cheaper hotel room prices mean that the company would need to compromise on its quality part, which is not compatible with the foreign visitors. Foreign visitors have their tendency to go for luxury hotels, which are well served with some big names such as ITC Hotels, Oberoi Hotels etc (Vardharajan Rajan, 2013). Additionally, the numbers of foreign visitors are getting increased with the passage of time (INDIAN HOTEL INDUSTRY, 2011). The recommended strategy would not allow the Banyan Tree Company in occupying a vast area in the hotel industry in India. The company rather have to think on the identified weakness of the recommended strategy once they are tenured in the country. A vast customer base could only be acquired if the services have differentiating nature such as it satisfies the needs of both the middle class and high-class people. References Devang, A., Kruse, C., Parker, A., Siren, P. (2017). The Next Wave of Business Models in Asia.MIT Sloan Management Review,58(2), 35. Euromonitor International, (2016). Passport: Lodging in Thailand,Retrieved from https:euromonitor.com/Thailand on 2 June 2017. INDIAN HOTEL INDUSTRY. (2011). [ebook] New Delhi, p.4. Available at: https://www.indialawoffices.com/ilo_pdf/691469785066.pdf [Accessed 7 Aug. 2017]. Lin, Y., Wu, L. Y. (2014). Exploring the role of dynamic capabilities in firm performance under the resource-based view framework.Journal of business research,67(3), 407-413. Pereira, V., Malik, A. (2013). East is East?: understanding aspects of Indian culture (s) within organisations: a special issue of Culture and Organization Volume 21, issue 5 (2015).Culture and Organization,19(5), 453-456. Sanjeev, G. M., Gupta, K., Bandyopadhyay, R. (2012). Financial challenges in the Indian hospitality industry.Worldwide Hospitality and Tourism Themes,4(2), 163-173. Stankevi?i?t?, E., Grunda, R., Bartkus, E. V. (2012). Pursuing a cost leadership strategy and business sustainability objectives: Walmart case study.Economics and Management,17(3), 1200-1206. Tansey, P., Spillane, J. P., Meng, X. (2014). Linking response strategies adopted by construction firms during the 2007 economic recession to Porters generic strategies.Construction Management and Economics,32(7-8), 705-724. USDA, (2016). Thailand: Food Service - Hotel Restaurant Institutional. USDA Foreign Agricultural Service, Gain Report, USDA: Bangkok. Vardharajan, K., Rajan, Y. (2013). Hotels in India: trends and opportunities.Indian Management,52(4), 20-41. Wirtz, J., Wirtz, J. (2011). The Banyan Tree: branding the intangible.Emerald Emerging Markets Case Studies,1(1), 1-12.

Right or wrong in the Internet Essay Example

Right or wrong in the Internet Essay Exercise 5 It is undeniable that media has positive impacts on the development of humans knowledge. However, besides a lot of advantages of media in the high-tech world, it also has some foreseen disadvantages for some following reasons. Firstly, it is considered that media provides people a chance to reach the new civilization in the world and bestows people upon knowledge about many fields in our lives. Furthermore, the most convenient and smart techniques are conducive to saving time. It is clearly seen that people may stay at home to manage their work effectively rather than be at office all day. This leads to the good influence on saving peoples health and money. Moreover, hardly do people go to the library to look for books or do complex surveys or research when they know how to use computers. However, media has some disadvantages which results in people society skills and characteristic. It is clearly seen that Internet nowadays creates a variety of games with colorful images and live sounds. It is the reasons why students spend all their time playing game-online that make them hardly concentrate on their study. On the other hand, people use computer as a communication media. No matter where they are, they can gossip with their friends. Not only do they want to hang out and communicate with other people but they also are at the loss of communication skills. They do not know how to share, how to behave with their parents and family, how to work in a team. This leads to their being soulless and lack of experiences to do Jobs n the future. We will write a custom essay sample on Right or wrong in the Internet specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Right or wrong in the Internet specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Right or wrong in the Internet specifically for you FOR ONLY $16.38 $13.9/page Hire Writer With flows of information from media bombarding people from all fronts, they may grow confused. Today, that there are unreliable information relating to government or political problems are appeared in Internet sites make people misled and some solutions should be suggested by appropriate authorities to prevent from unrealistic information. In conclusion, it is noticeable that people should use information from media selectively to learn and work effectively and usefully.