This is in order to capture new markets like the Middle East which have offered up their own ethnic competition to Barbie's Americanized style. Mattel has incorporated newer Barbies in order to appeal to a variety of markets. In 1968, the first African-American Barbie was introduced into the American market, (143). This aimed at capturing a market previously unavailable to the Barbie image of past generations. Mattel has also incorporated ispanic and Asian Barbie dolls to continue its success in the field of multiculturalism. In order to continue this success through a variety of dolls to meet various cultural requirements, Mattel has also ensured themselves further success outside of their major markets such as Europe and the United States. Even in Central Europe, Mattel marketed a Barbie called the "Friendship Barbie," which was less flamboyant and a more subdued version of its Western counterpart.
In the Middle East, Mattel is…...

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However, many newer toys are beginning to take some of the massive percentages away from the long reigning champion Mattel. In the United States the new Bratz doll has gained a percentage of market control. In many other nations around the world, smaller more ethnic dolls are becoming more popular at the behalf of Mattel's previous rule of the market. The general appearance of Mattel's famous doll has changed drastically since its first debut. This is in order to capture new markets like the Middle East which have offered up their own ethnic competition to Barbie's Americanized style. Mattel has incorporated newer Barbies in order to appeal to a variety of markets. In 1968, the first African-American Barbie was introduced into the American market, (143). This aimed at capturing a market previously unavailable to the Barbie image of past generations. Mattel has also incorporated Hispanic and Asian Barbie dolls to continue its success in the field of multiculturalism. In order to continue this success through a variety of dolls to meet various cultural requirements, Mattel has also ensured themselves further success outside of their major markets such as Europe and the United States. Even in Central Europe, Mattel marketed a Barbie called the "Friendship Barbie," which was less flamboyant and a more subdued version of its Western counterpart.

In the Middle East, Mattel is also employing this diversification strategy in order to ensure global market dominance. In the Middle East, the expensive and flamboyant Barbie image faces stiff competition from more culturally acceptable and affordable dolls. However, despite this competition, Barbie still pulls in large amounts of revenue in nations such as Iran. Yet, Barbie is still nowhere near the numbers sold in more traditional Western cultures. In Brazil, one of the first South American countries to meet the American Barbie, also faces competition from local ethnic dolls. However, Brazil is a large market for Mattel, and its success here spurred the dolls introduction to other South American markets.

One of the major discoveries Mattel witnessed was when they introduced a version of the popular Barbie into India. This doll had only minor changes, wearing a

growing agricultural hemp on an experimental basis for three years. Specifically, it will discuss the findings so that a Montana congressional representative can craft a bill and present a case before her fellow legislators. Agricultural or "industrial" hemp growth has mounting support in the United States, from farmers, businesspeople, and educators, to name a few. Industrial hemp is used in a variety of products, and growing hemp is a viable cash-crop alternative for farmers who have seen their incomes decline in recent years. Agricultural hemp is far removed from its' distant cousin, marijuana, and it should be considered as a viable alternative for Montana farmers who need to rejuvenate their fields and their livelihoods.
Growing Agricultural Hemp - An Analysis

The cultivation of hemp for industrial use is not a new idea. Americans have been cultivating the hemp plant for hundreds of years, and it was not until 1937 that the…...

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References

Andrews, David U. "Grown in the U.S.A." Mother Earth News June-July 1997: 56+.

Elvin, John. "Green Mountain State Says Go Smoke a Rope." Insight on the News 3 June 1996: 16+.

It's Definitely Not Your Father's Hemp." State Legislatures July 2000: 15.

It's Not Pot; It's Hemp: A Viable Agricultural Product." State Legislatures Apr. 2002: 10.

Alternatives to Pain Medication
Given the growing concerns over opioid addictions in recent years and the potential for tolerance, clinicians continue to search for efficacious alternatives to convention pain medications (Moore & Anderson, 2016). Fortunately, a number of alternatives to conventional pan medication are readily available, including cannabis, yoga, hypnosis, mind-body meditation, therapeutic touch, herbal remedies, acupuncture, biofeedback, massage therapy, homeopathic practices (Tan & Craine, 2007) and aromatherapy (Esposito & Bystrek, 2014). To learn more about these alternatives, this paper provides an initial reference list of ten relevant peer-reviewed and scholarly sources concerning pain medication alternatives, followed by a description of clinical guidelines and an implementation plan for these alternatives. A discussion concerning the manner in which the implementation of the intervention should be tested is followed by an assessment of potential barriers and strategies intended to gain cooperation from individuals who will be implementing the change. Finally, a timeline with…...

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References

Clinical practice guidelines. (2016). U.S. National Center for Complementary and Integrative Health. Retrieved from  https://nccih.nih.gov/health/providers/clinicalpractice.htm .

Levin, R. F. & Feldman, H. R. (2006). Teaching evidence-based practice in nursing: A guide for academic and clinical settings. New York: Springer Publishing Company.

Moore, B. A. & Anderson, D. (2016, Janury). Stepped care model for pain management and quality of pain care in long-term opioid therapy. Journal of Rehabilitation Research & Development, 53(1), 137-141.

Pain management guidelines. (2016). U.S. Agency for Healthcare Research and Quality. Retrieved from  https://www.guideline.gov/summaries/summary/9744 ?.

Music and Pain
The use of music in relation to relaxation and pain control is universal in application. Many cultures use music, tones, chanting, drums, or other forms of biofeedback to treat patients in acute pain, women in labor, recovery, and now, most recently, in pre- and post-operative care. In fact, the therapeutic value of music has been recognized as vital and powerful since Ancient Times; archaeological evidence shows flutes carved from bone in pictures of physicians healing patients, Greek physicians used music and vibration to heal, aid in digestion and induce sleep; the Early Egyptians used musical incantations to help with the healing process; and certainly, numerous native tribes use singing and chanting as part of their healing rituals (Nilsson, 2008).

Further, most postoperative patients have pain, despite the use of analgesia. Nurses are constantly trying to be more effective in delivering pain medication. One study showed that patients who were…...

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WORKS CITED

Ghetti, C. (2011). Active music engagement with emotional-approach coping to improve well being in liver and kidney translplant recipients. Journal of Music Therapy. 48 (4): 463-85.

Good, M., et.al. (2010). Supplementing Relaxation and Music for Pain After Surgery. Nursing Research. 59 (4): 259-69.

Goodwin C.J. (2010). Research in Psychology: Methods and Design. New York: John

 http://www.experiment-resources.com/scientific-control-group.html

Conclusion:

The changes in the age demographic of the U.S. As well as the need to reduce overall spending in health care are significant reasons why advanced practice and specialty provision practitioner's skill sets and demands have changed. It is for this reason as well as for patient efficacy that such a subspecialty should be offered at a postgraduate level to AAs. These advanced practice alternative providers can be successfully and efficiently trained to provide services at a significantly lower rate, creating a potential opportunity for more people to receive advanced pain management care in a broader setting. This could only improve outcomes for chronic pain sufferers and broaden the scope of opportunity for AAs and possibly other advanced practice alternative providers. As need continues to rise alternatives must be sought within the system to provide care to patients who will likely need pain management service in growing numbers in the…...

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References

American Board of Pain Medicine Website. Retrieved February, 21, 2008 at  http://www.abpm.org/ 

Bandlow, D. (1995). M.D. Monopoly: How Nurses Can Help Relieve Spiraling Health-Care Costs. Policy Review, (74), 89.

Block, a.R., Kremer, E.F., & Fernandez, E. (Eds.). (1999). Handbook of Pain Syndromes: Biopsychosocial Perspectives. Mahwah, NJ: Lawrence Erlbaum Associates.

Block, a.R. (1996). Presurgical Psychological Screening in Chronic Pain Syndromes: A Guide for the Behavioral Health Practitioner. Mahwah, NJ: Lawrence Erlbaum Associates.

Introduction
Medical marijuana has increasingly been in the news as a growing number of states throughout the U.S. have passed measures or at least put on the ballot an initiative to legalize either medicinal or recreational marijuana usage.  The history of marijuana in the U.S. is one that goes back as far as the country itself:  hemp (a type of marijuana plant) was used for rope, paper and a number of other purposes because of its strong fibrous tissue.1  It was not until the Prohibition Era of the 1920s that marijuana began to be prohibited by law in the U.S.—and within a decade, it was regulated among most states under the Uniform State Narcotic Act.2  Thus, from its very first days as a crop grown by the Virginia Company for exporting to England by decree of James I—and in fact from the days of the first President of the U.S. George…...

A newer and easy test is the OSOM Vlue, which mixes a swabbed specimen from the vagina with a reagent. The test yields sialidase activity or presence in the vaginal fluid in 10 minutes. Sialidase is produced by V pathogens (Mashburn).
pH Level

The most reliable criterion for detecting V is a pH>4.5 (Mashburn, 2007). A normal pH should, therefore, rule out V. A pH >4.5 can also indicate trichomoniasis or muco-purulent cervicitis. Vaginal inflammation more strongly suggests trichomonas or muco-purulent cervicitis, in turn associated with gonorrhea or chlamydial trachomatis (Mashburn).

The patient's pH level is 6, indicating V.

Wet Smears

These are an inexpensive and relatively easy screening procedure for the most common sexually transmitted diseases, such as V (Iglesias, Alderman & Fox, 2000). The practitioner should be appropriately trained and experienced in using this procedure. Hence, the proper protocol and quality control are needed to insure accurate diagnosis. The wet smear is…...

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BIBLIOGRAPHY

Alfonsi, G.A.; Cshlay, J., and Parker, S. (2004). What is the best approach for managing

Recurrent bacterial vaginosis? Journal of Family Practice: Dowden Health Media,

Inc. Retrieved on July 7, 2009 from  http://findarticles.com/p/articles/mi_m0689/is_8_53/ai_n6169486/?tag=content;col1 

Brown, M (2007). Treating a case of bacterial vaginosis -- case study. Health and Republic News: Health Republic. Retrieved on July 12, 2009 from  http://www.healthcarerepublic.com/res/clinical/article/572868/treating-case-bacterial-vaginosis

setting, definition Sample/Setting
Conclusions (Appraisal)

Level of Evidence

(Flagg, 2015)

Implementing patient-focused healthcare within settings burdened by the combined challenges of scarce support systems, huge patient loads and constantly-growing patient care responsibilities, especially chronically ill patients

A healthcare organization with nursing staff on twelve-hour schedules

Characteristics: Number of patients individual nursing professionals have to cater to, which ranges between 3 and 5.

Catheter care, blood extractions, surgical schedules planned, antibiotic drugs' presence in the hospital inventory, patients' medicine/treatment plans

Necessity of bedside reporting, patient satisfaction and all-inclusive care framework

A case study technique implies researchers cannot undertake a broad-scale research using the sample. Outcomes might be case-specific and non-generalizable.

This article contributes to clarifying nursing role by employing numerous kinds of patient-focused care elements for improving care quality safely and manageably.

Level 4.d -- Descriptive Observational Studies -- Case Study

(Fawaz, Williams, Myers, Jones, & Logsdon, 2015)

Assessing the efficacy of a combined intervention entailing script-based interaction, hourly rounding and whiteboard use…...

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References

Ann Rodney, P. (2015). The Design and Implementation of a Relationship-Based Care Delivery Model on a Medical- Surgical Unit. WALDEN DISSERTATIONS AND DOCTORAL STUDIES.

Ciaramella, J., Longworth, N., Larraz, L., & Murphy, S. (2014). Improving Efficiency, Consistency and Satisfaction on a Mother-Baby Unit With the Discharge Nurse Position. Wiley Online Library.

Dempsey, C., Wojciechowski, S., McConville, E., & Drain, M. (2014). Reducing Patient Suffering Through Compassionate Connected Care. Journal of Nursing Administration, 517 - 524.

Elena, A. (2015). Understanding the Culture of the Single Room Maternity Care Unit: Ethnographic Study. University of Calgary - Electronic Thesis.

Health Policy Analysis Part IIOptions AnalysisMandate Additional TrainingIn response to this public health crisis, Kentucky policymakers have a variety of options available to them. First, they could pass legislation requiring physicians to complete a certain amount of training on pain management and safe prescribing practices before being allowed to prescribe opioids. The current opioid epidemic in the United States has been labeled as the worst drug crisis in American history. In 2015, over 33,000 people died from an opioid overdose, and the majority of those deaths were caused by prescription opioids. In Kentucky, opioids are a major problem, with 1,404 overdose deaths in 2016. The high number of overdoses is due in part to the fact that opioids are very easy to obtain. In Kentucky, there are no limits on the amount of opioids that a physician can prescribe, and there is no mandatory training on pain management or safe…...

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ReferencesFink, D. S., Schleimer, J. P., Sarvet, A., Grover, K. K., Delcher, C., Castillo-Carniglia, A., ... & Cerdá, M. (2018). Association between prescription drug monitoring programs and nonfatal and fatal drug overdoses: a systematic review. Annals of internal medicine, 168(11), 783-790.Schnell, M., & Currie, J. (2018). Addressing the opioid epidemic: is there a role for physician education?. American journal of health economics, 4(3), 383-410.Scrivani, S. J., Keith, D. A., Kulich, R. J., DaSilva, A. F., Donoff, R. B., Handa, S., ... & Schatman, M. E. (2021). Pain management for dental medicine in 2021: Opioids, coronavirus and beyond. Journal of Pain Research, 14, 1371.Ti, L., Mihic, T., James, H., Shalansky, S., Legal, M., & Nolan, S. (2022). Implementation of an Opioid Stewardship Program to Promote Safer Opioid Prescribing. The Canadian Journal of Hospital Pharmacy, 75(2), 113-117.Young, S. G., Hayes, C. J., Aram, J., & Tait, M. A. (2019). Doctor hopping and doctor shopping for prescription opioids associated with increased odds of high?risk use. Pharmacoepidemiology and drug safety, 28(8), 1117-1124.

Turner resented the boy's efforts, and accused the members of Homer's Rocket Club of starting a bomb club, much the same way Homer's father's friend Doc warned the boys that they would blow themselves to kingdom come. Mr. Turner only begins to look differently at what came to be known as the Rocket Club after the high school's football season was threatened, because of the school's poor academic record. Homer's instincts and his mother's wise words were correct -- Sputnik changed everything, and America's leaders agreed that America had to look to the future. Homer was a defiant boy of conventional wisdom, a rebel, but not because of the clothes he wore or because of his anger, but because of his determination to look beyond the confines of Coalwood and to use his mind.
Homer's efforts were encouraged by his teacher Miss Riley, a rebel in her own right. She…...

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Works Cited

Hickman, Homer. Rocket Boys. New York: Delta, 2000.

Lowenstein)

These children also might see their own feelings of a wish to do physical harm toward another reflected in the feelings of others, the psychological term known as projection, and may be afraid or paranoid of others intentions.

Sometimes the criminal act of murder is an extension of previous anti-social acts of less serious forms of delinquency and criminality and children merely graduate to more extended and more violent and extreme forms of behaviour in the form of murder.

Lowenstein)

Anti-social behavior is rare but is often a trigger for the child, he or she does not have a clear sense of self or a clear sense of the pain he or she inflicts with his or her actions toward another. They are partly or completely disassociated from the emotionally charged elements of violence. They do not have fear, and as Lownstein states they do not often experience guilt.

Because of the relative difficulty…...

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Works Cited

Associated Press "Convicted Child Killer to Return Home" CNN website /  http://www.cnn.com/2004/LAW/11/29/wrestling.death.ap

company Stage I, II, III discussed text. Please creative. MY NOTES: You summarize stage (stage) management stage. Then make a list practices discussed text address (a literal list fine - words, copy text).
Potential best practice for a company in Stage I, II, or III

Facebook is a controversial company amongst investors. Almost everyone uses Facebook (or so it seems), particularly consumers in some of the critical demographic markets for advertisers, such as young people and twenty and thirty-somethings with disposable income. However, the company has struggled to achieve a profitable model that is commensurate with its popularity as a social networking tool. As seen in the recent disaster regarding its going 'public' and the fall in share value, investors are uncertain if the popularity of the site can translate into meaningful revenue for shareholders over time and truly reach target audiences. "Facebook is not yet profitable, and marketers say it…...

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References

Darwell, Brittany. (2012). Facebook tests page post ads in news feed to reach users beyond fans and friends. Inside Facebook. Retrieved:  http://www.insidefacebook.com/2012/08/14/facebook-tests-page-post-ads-in-news-feed-to-reach-users-beyond-fans-and-friends/ 

Elliot, Nate. (2012). Facebook still doesn't get marketing. Forbes. Retrieved:

 http://www.forbes.com/sites/forrester/2012/07/27/facebook-still-doesnt-get-marketing/ 

Flamholtz, Eric & Yvonne Randle. (2000). Growing pains. Jossey-Bass

Long-Term Success
Six key developmental tasks (Flamholtz & andle 2012: 11-18)

Identify a market and create a niche

egardless of whether the market niche is small or large, it is essential for an emergent organization to define the needs of the customer base to distinguish the new product from its competitors. Getting to know the target customer (and the target customer's price point) is an essential component of this stage.

Develop products and services

Defining market needs is only the first step: an appropriate product or service that the likely consumer will desire and can actually use must also be created.

Engage in resource management

As well as producing suitable products and services, the firm must be able to engage in cost-effective production techniques and deploy the resources used in production to their maximum capabilities. This also includes effective use and management of human as well as material resources.

Develop operational systems

Organizations must have standardized operating procedures…...

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References

Flamholtz, E. & Randle, Y. (2012). Growing pains: Transitioning from entrepreneurship to a professionally managed firm. New York: Wiley & Sons.

Reh, J. (2014). Professional vs. entrepreneurial management. About.com. Retrieved from:

 http://management.about.com/od/planning/a/EntreVsProMgt00.htm 

Texas Subs. (2014). INC. Retrieved from:  http://www.inc.com/profile/texas-subs

Perfect manager for all stages of growth is difficult to find in just one person, but there are examples. During the initial stages, the manager needs to be visionary. This is often the entrepreneurial stage, where an idea is just being articulated, and the manager needs to first coalesce the business plan for the product/service idea, and then get a team of people to buy into the idea on top of that. Entrepreneurial leaders are often visionaries, and this is their key strength (Lewis, 2014). They are often risk-takers as well. But the key to the success of an entrepreneur is to have a great idea, get the buy-in from others, and then begin to professionalize the operation.
The next stage of a business is the growth cycle. At this point, the operation is probably focused on building markets and on scaling up the business. Flamholtz and andle (2007) note that…...

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References

Flamholtz, E. & Randle, Y. (2007). Growing pains: Transitioning from an entrepreneurship to a professionally managed firm. John Wiley & Sons.

Lewis, J. (2014). Traits of an entrepreneur vs. manager. Houston Chronicle. Retrieved May 31, 2014 from  http://smallbusiness.chron.com/traits-entrepreneur-vs.-manager-38558.html 

Magenta, G. (2014). The secret to becoming a better manager. Entrepreneur Magazine. Retrieved May 31, 2014 from  http://www.entrepreneur.com/article/231798

Whereas the pristine manicured lawns of the course might seem to be a boon for Bottom, the encroachment of white culture onto African-American culture will prove devastating. The golf course signifies white control over newly-gained black property, the imposition of white culture on that of African-American culture, and also the reclamation and reformation of land, something that African-Americans had only recently been permitted to own. While it would seem that such a tragic possibility would serve to strengthen the tries between Bottom residents, by the end of the novel, black families are slowly edging their way out of Bottom and into Medallion, destroying the integrity of the African-American community. Added to the moral and ethical conundrums symbolized by Sula, the problem of American race relations threatened to shatter Bottom's fragile identity.
Sula becomes an unwitting martyr for her community. "In Sula, the character of Sula must sacrifice her 'self' completely…...

1. The weight of the adult world pressed down on me like an anvil, its complexities and burdens weighing heavily on my youthful shoulders.

2. As the veil of childhood lifted, I was greeted not by the promised paradise but by a labyrinth of responsibilities and disillusionments.

3. The transition into adulthood was akin to navigating a treacherous river, the currents of reality threatening to sweep me away.

4. Like a chrysalis struggling to emerge from its cocoon, I wrestled with the growing pains of shedding my youthful innocence and embracing the complexities of the adult world.

5. The bittersweet pangs of maturation gnawed....