...is involved in the process? Consumer research over the years has shown that shoppers often follow a relatively common shopping behavior for product purchase. In theory, a shopper is said to go through the following five stages as a process. In reality, sometimes the steps may be switched around or even left out, as not all consumers are by rule, always alike. The decision-making process (DMP) for Metabical, Cambridge Sciences Pharmaceuticals‘ (CSP) new weight-loss drug involves several people. The product end-user is the main subject of the decision-making process, but other external parties interject at different stages, influencing the consumer’s ultimate decision. Below is the flow Metabical’s consumers would go through as part of their shopping behaviors. Stage 1: Need Recognition & Problem Awareness A recognition occurs that consumers are unhappy with their current body image, their weight or their unhealthy lifestyle. This can come from consumers’ existing, continuous dissatisfaction in terms of their weight physical appearance. It can also be triggered by external media sources such as TV, Outdoor, Radio or Magazine advertisements whereby a variety different visuals, articles, messages can lead to consumer awareness that there is a problem, and a need, that must be satisfied. At this point, both the consumer and the respective media agents are involved in process. Stage 2: Information Search In order to find a means to solve their problem and satisfy their...
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...Metabical: Positioning and Communications Strategy for a new Weight-Loss Drug Q & A 1. Who is involved in the decision making process? What is the decision making process for Metabical? Since Metabical is a prescription drug for weight loss which can only be bought via a prescription, the overweight patients are not the only decision makers involved. The health care providers are also decision makers in this process for they are the ones who prescribe the drug. The consumer decision making process (J.Paul Peter & Donnelly, Ch3, p.49) for Metabical goes through five stages: a) Perceiving or recognizing a need. According to the case, 65 % of Americans are overweight. Many perceive themselves as social outcasts. Here Metabical ties in with a variety of needs in Maslow’s hierarchy of needs: the need for belongingness and love for companionship. After all no one likes being excluded. Exclusion can also negatively impact one’s self esteem. So it also ties in with the need for self esteem and self actualization since excess weight negatively impacts hiring, wages, and job promotion. b) Alternative Search: Once the need for love and belonging, and self esteem is recognized the overweight individual collects information from marketing sources like ads, or public sources like newspapers and magazines. The consumer might even ask his health care provider about it. He/she might even ask their overweight friends i.e. group sources who tried many diet drugs...
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...rP os t 4183 APRIL 14, 2010 JOHN A. QUELCH HEATHER BECKHAM op yo Metabical: Pricing, Packaging, and Demand Forecasting for a New Weight-Loss Drug In April 2008, after 10 years of testing and $400 million in research and development costs, Cambridge Sciences Pharmaceuticals’ (CSP) newest prescription drug, Metabical (pronounced Mehtuh-bye-cal), was about to receive its coveted Food and Drug Administration (FDA) approval. CSP was an international healthcare company with over $25 billion in sales in 2007. The company, based in Cambridge, Massachusetts, focused on developing, manufacturing, and marketing products that treated metabolic disorders, gastrointestinal diseases, and immune deficiencies, as well as other chronic and acute medical conditions. Metabical was part of a strategic initiative that would allow CSP to enter the $3.74 billion market for weight-control products in the United States.1 tC CSP’s chief marketing officer, Bernard Long, said of the new product: No Metabical is revolutionary. It will be the first and only prescription drug to receive FDA approval to meet the needs of the millions of individuals struggling with moderate weight-loss goals. Previous prescription weight-loss drugs had negative side effects that, in the agency’s judgment, outweighed the benefits provided to individuals who were not considered obese. Metabical will be approved for use by those looking to shed between 10 to 30 pounds. Initial reviews...
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...1) Explain the advantages and disadvantages of using BMI to assess weight classification? Advantages -It is simple, quick, effective and can be used by adult, women and children -Quickly assess weight -Provides a range of different “normal” weight classes based on body structure Disadvantages -Not a good measure of body fat to muscular weight ratio, this makes very muscular people seem “overweight” and many underweight people to seem “healthy” -Not suitable for pregnant women or very short people 2) Identify two common body fat distribution patterns. Discuss the role that body fat plays in disease risk. 1.The Apple- people with more upper body fat run the risk of becoming obese due to the build up of fat around the abdominals. 2.The Pear- people with more, lower body fat run the risk of mechanical problems such as knee and joint pains. 3) Discuss five techniques to measure body composition. List advantage and disadvantages of each. 1.Skin fold measurement Advantage: are easy and inexpensive Disadvantage: are only as good as the hand that’s doing it 2.Dual-Energy X-Ray Absorptiometry Advantage: Measure bone bone mineral, fat, and lean mass giving you a better body fat estimate. Disadvantage: Expensive, require a prescription and aren’t good for obese people. 3.Hydrostatic Weighing Advantage: Allows technician to assess total body volume and density and determine a reliable estimated body fat %. Disadvantage: Since this test requires special equipment...
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...Penis Enlargement Exercise Guide Learn all natural techniques and strategies to help increase your size PERMANENTLY! By: Rob Miller SupplementCritique.com 1 Disclaimer! The information provided in this ebook is intended as a guide to help you understand how the penis works, its parts, and methods I have personally used to help increase both the length and the girth of my penis. It is intended solely for information purposes, and should not be construed as medical advice. Please note that these statements have not been evaluated by the FDA. As a matter of fact, most male enhancement techniques have not been evaluated by the FDA. We here at SupplementCritique.com make every effort to find the most factual information about a product based on independent websites, product websites, user reviews on third party sites, and the like. All of these exercises are safe, when done appropriately and when directions are followed. No liability is assumed for the information provided by SupplementCritique.com or any products advertised by us. The opinions are those of the writers of SupplementCritique.com and not a certified medical practitioner. Always check with your doctor before beginning any type of exercise program or using any product mentioned or advertised by SupplementCritique.com. SupplementCritique.com is not responsible for any misuse of the information given by any of our trainers or any information from our website. That being said, enjoy the ebook, and email us at...
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...To me, compulsive overeating is a disease where a person has no control over their food intake. It's a constant eating, a wanting for a more and more. You can't get enough, sort of like a junkie looking for the next high. That is my relationship with food. And I have no control. People that suffer from Compulsive Overeating have what can be labeled not only as an eating disorder, but also as an addiction and even more so as an illness. There are many reasons why people become addicted to food, many using eating as a way to cope with problems or stress in their lives. Eating can also help them conceal their emotions, to fill the emptiness that they feel inside. Food is used as a narcotic to not deal with their feelings or emotions. The tendency for people with this eating disorder is overweight because of the abnormal eating habits. People that do not suffer from the epidemic can and won’t empathize with the victims because of the common stereotypes, stereotype such as greed, gluttony or lack of disciple. Simple suggestions to a sufferer such as “Just slow down or go on a diet” are equally insulting as telling a person suffering from Anorexia to “eat something”. Not only are the words hurtful, but this disorder will negatively bleed into the body and causes health risks. A sufferer with this Compulsive Overeating disorder is prone to high blood-pressure and cholesterol, can develop kidney disease or kidney failure, arthritis, deterioration of the bones, strokes, heart attacks,...
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...enjoy seeing and smelling the trees in bloom, we’re pleased by the idea of the trees multiplying (and producing delicious cherries), and everyone for miles around seems to benefit in the process. The entire lifecycle of the cherry tree is rewarding, and the only “waste” involved is an abundant sort of nutrient cycling that only leads to more good things. Best of all, this show of productivity and generosity seems to come quite naturally to the tree. It shows no signs of discontent or resentment — in fact, it looks like it could keep this up indefinitely with nothing but good, sustainable outcomes. The cherry-tree scenario is one model that renowned designer and sustainable-development expert William McDonough uses to illustrate how healthy, sustainable systems are supposed to work. “Every last particle contributes in some way to the health of a thriving ecosystem,” he writes in his essay (coauthored with Michael Braungart), “The Extravagant Gesture: Nature, Design and the Transformation of Human Industry”...
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...Gallagher D.D.S. President of the Holistic Dental Association Introduction 100% Real Dental Healing Testimonials Leroy from Utah Ms. Steuernol from Alberta , Canada Mike from Ashland , Oregon Pioneering Tooth Cavity Remineralization CHAPTER 1 DENTISTRY'S INABILITY TO CURE CAVITIES Reaffirm Your Choice to Cure Your Cavities The Real Cause of Cavities Remembering Your Connection Fear of the Dentist How Conventional Dentistry Works Micro-organisms Conventional Dentistry’s Losing Battle Against Bacteria The Failure of Conventional Dentistry Chapter 1 References CHAPTER 2 DENTIST WESTON PRICE DISCOVERS THE CURE Lack of Nutrition is the Cause of Physical Degeneration The Healthy People of the Loetschental Valley, Switzerland Modern Swiss were Losing Their Health The Healthy People of the Outer Hebrides Gaelics on Modern Foods are Losing Their Health Genetics and Tooth Decay Aborigines of Australia Nutritive Values of Diets Compared Fat-soluble Vitamins and Activators Mantesh Why Tooth Decay with Modern Civilization? Weston Price's Tooth Decay Curing Protocol Dr. Price's Protocol Summarized Chapter 2 References CHAPTER 3 MAKE YOUR TEETH STRONG WITH FAT-SOLUBLE VITAMINS How Teeth Remineralize 101 Hormones and Tooth Decay Cholesterol The Miracle of Vitamin D Vital Fat-Soluble Vitamin A Cod Liver Oil Heals Cavities Weston Price’s Activator X More Fat-Soluble Vitamin Sources: Bone Marrow, Brain, Kidneys, and Glands Organs from the Water ...
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...also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley or for impaction 3. any of the mycin's..check for tinnitus or hearing loss 4. cloudy dialysate...always futher assess and call doctor 5.osteoporosis prevention and mgt. choose weight bearing (walking) instead of calcium if both are choices 1. Dilantin can cause gingival hypoplasia, advise good oral hygiene and freq. dental visits, IVP 25-50 mg/min...
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...When it comes to understanding animals and the diseases they have, contract, and carry there is no limits. From dogs and cats to livestock and exotics it is necessary to learn and understand diseases from metabolic to degenerative or idiopathic, Neoplastic diseases and Toxic poisonings, Congenital and Genetic diseases to Immune related diseases, and Infectious and Contagious diseases to Parasitic Infections. There is a world that one can get lost in when it comes to learning about theses things. Some diseases have been around for years while others are still being studied with new ones occurring today in the modern world. Along with these diseases it is important to study and understand what causes them, what signs to look for, what species to look for them in, how to treat them, and how to prevent them from happening, IF you can even prevent them. Some diseases and conditions have vaccines to help with prevention and some do not, while some diseases are zoonotic meaning that they can be transmitted from animal to human. While there are hundreds upon hundreds of diseases to be looked at, the ten researched below are the ones once prevalent among the veterinary technicians job in the clinic; Hip Dysplasia and Ethylene Glycol poisoning in dogs, Hyperthyroidism and Rabies in cats, Strangles and Equine Recurrent Uveitits in Horses, Cryptosporidium and Fasciola Hepatica in Ruminants and Swine, Idiopathic Epilepsy in Aviaries, and Lymphoma in Ferrets. Hip Dysplasia in dogs is a congenial...
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...3 studies and a wave of successful IPOs. Looking to 2014, we think the fundamental backdrop is very similar with 1) beatable revenue growth expectations (2014e: +16% vs. 2012/2013: +12%) including several high-profile drug launches, 2) many pivotal studies set to read out and 3) a stable/favorable regulatory and reimbursement environment. Notably, these factors should continue to make biotech attractive to generalist investors, who played a major role in the 2013 outperformance. Our bias is to stick with large caps as well as mid-caps with approved products; revenue/EPS/cash flow forecasts for 2015 and beyond look broadly beatable, in our view. In contrast, we suspect that “pure pipeline” or tech platform small caps could be more volatile in 2014. We continue to believe that the biotech industry is in the early innings of an innovation cycle with many labelexpansion opportunities and novel agents in phase 2 or 3 trials that are largely unaccounted for in Street models. Hence, we are bullish on the group for 2014. Please join us for a call today at 11am ET to discuss our sector outlook/favorite names (US dial-in: 888-889-1309; OUS: 773-756-0161; Passcode: BIOTECH). Large-cap biotech: We don’t believe that a strict assessment of P/E multiples accurately addresses the nuances of the sector (2014e – Biotech: 22x vs. S&P 500: 15x). In our view, large caps are poised for an inflection point in revenue growth over the next two years, driven by significant drug launches in major therapeutic...
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...Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following sign and symptoms? A. Tachycardia and Hypotension B. Fever and Bradycardia C. Bradycardia and Hypertension D. Fever and Hypertension SITUATION: Mr. D. Rojas, An obese 35 year old MS Professor of OLFU Lagro is admitted due to pain in his weight bearing joint. The diagnosis was Osteoarthritis. 6. As a nurse, you instructed Mr. Rojas how to use a cane. Mr. Rojas has a weakness on...
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...TeA M YYe PG Digitally signed by TeAM YYePG DN: cn=TeAM YYePG, c=US, o=TeAM YYePG, ou=TeAM YYePG, email=yyepg@msn .com Reason: I attest to the accuracy and integrity of this document Date: 2005.07.04 23:45:43 +08'00' ������������ Want to learn more? We hope you enjoy this McGraw-Hill eBook! If you’d like more information about this book, its author, or related books and websites, please click here. HOW TO ACE THE BRAINTEASER INTERVIEW JOHN KADOR M C G R AW- H I L L N E W YO R K MADRID C H I C AG O SAN FRANCISCO MILAN SYDNEY LISBON TO RO N TO LONDON S A N J UA N MEXICO CITY SEOUL NEW DELHI SINGAPORE Copyright © 2005 by John Kador. All rights reserved. Manufactured in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. 0-07-144606-0 The material in this eBook also appears in the print version of this title: 0-07-144001-1. All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill eBooks are available at special...
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...VELEZ COLLEGE F. Ramos St., Cebu City College of Nursing A CASE ANALYSIS REPORT ON PATIENT N.M.C., 47 YEARS OLD, FEMALE, DIAGNOSED WITH UTERINE LEIOMYOMA (s/p TOTAL ABDOMINAL HYSTERECTOMY and BILATERAL SALPINGO OOPHORECTOMY), BILATERAL OVARIAN NEWGROWTHS, METABOLIC SYNDROME, AND HYPERTENSION Submitted By: Villavelez, Carmina Anne Z. BSN III-C Submitted to: Mrs. Miraluna Echavez, RN, MN March 2013 UTERINE LEIOMYOMA/ UTERINE FIBROIDS Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren't associated with an increased risk of uterine cancer and almost never develop into cancer. As many as 3 out of 4 women have uterine fibroids sometime during their lives, but most are unaware of them because they often cause no symptoms. Your doctor may discover fibroids incidentally during a pelvic exam or prenatal ultrasound. In general, uterine fibroids seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding. Symptoms In women who have symptoms, the most common symptoms of uterine fibroids include: * Heavy menstrual bleeding * Prolonged menstrual periods — seven days or more of menstrual bleeding * Pelvic pressure or pain *...
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...Health & Clinical Psychology Healthy Living Stress Dysfunctional Behaviour Disorders [pic] [pic] [pic] Contents • Objectives for the Health and Clinical Psychology module 6 • What is Health Psychology? Careers in Health Psychology 7 • Unit G543: Health and Clinical Psychology 8 • Exemplar exam paper 9 PART A – INFORMATION TO HELP EVALUATE STUDIES • Evaluation sheet for the theories/studies of Health Psychology 10 • Guide for answering part A & part B exam questions 11 PART B – HEALTHY LIVING • Introduction to Healthy Living 14 • Theories of Health Belief 17 • Compliance with a Medical Regime for Asthma (Becker 1978) 18 • Internal versus External Locus of Control (Rotter 1966) 21 • Analysis of Self-Efficacy Theory of Behavioural Change (Bandura and Adams 1977) 23 • Summary of the health belief theories 26 • Comprehension questions for theories of health belief 27 • Part A exam question 28 • Part B exam question 29 • Evaluation sheet of health belief theories/studies 30 Introduction to Health Promotion 31 • Theories of Health Promotion • Chip pan fire prevention (Cowpe 1983) 32 • Legislation-Bicycle helmet laws and educational campaigns (Dannenberg et al. 1993) 34 • Effects of Fear arousal (Janis & Feshbeck 1953) 37 • Summary of the health...
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