...Literature Review: Enlarged Tracheoesophageal Puncture after Total Laryngectomy: A Systematic Review and Meta-Analysis Name Affiliation Date ABSTRACT Objectives: Enlargement of the tracheoesophageal puncture (TEP) is a challenging complication after laryngectomy with TEP. We sought to estimate the rate of enlarged puncture, associated pneumonia rates, potential risk factors, and conservative treatments excluding complete surgical TEP closure. Methods: A systematic review was conducted (1978–2008). A summary risk estimate was calculated using a random-effects meta-analysis model. Results: Twenty-seven peer-reviewed manuscripts were included. The rate of enlarged puncture and/or leakage around the prosthesis was reported in 23 articles (range, 1% to 29%; summary risk estimate, 7.2%; 95% confidence interval [CI], 4.8% to 9.6%). Temporary removal of the prosthesis and TEP- site injections were the most commonly reported conservative treatments. Prosthetic diameter (p =.076) and timing of TEP (p = .297) were analyzed as risk factors; however, radiotherapy variables were inconsistently reported. Conclusions: The overall risk of enlarged puncture seems relatively low, but it remains a rehabilitative challenge. Future research should clearly establish risk factors for enlarged puncture and optimal conservative management. Keywords: tracheoesophageal puncture, total laryngectomy, enlarged tracheoesophageal puncture, complications, leakage Enlarged Tracheoesophageal Puncture after Total...
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...1. Explain how S.A motivate and compensate their employees? Mr. Kelleher thinks first on happy employees, and then if you treat well your employees they will go to promote a really good customer service for your clients. Southwest is really success because the spirit that they manage within the employees, their let their staff being themselves, for example: they receive their training but also their can feel free to show their basic personalities and not trying to be anything different what their really are. Furthermore they can be highly compensated if they work really hard giving the airline a really good productivity by their work inspiration. 2. Describe S.A strategy At first Southwest try very hard to identify their customers and do marketing for them, then they said that the people that choose this airline is special and different because they focus on provide a very good service and also new and comfortable planes by a very accessible cost, they also think about put first the employees because if you treat your employees very good they will be happy and treat the customers the same way and that’s what makes the shareholders happy. They know that they need to be more open mind about expand they flights destinations because the loyal customers prefers them and this requires to promote more available destinations around the world in order to satisfy customer needs, but the company thinks that this is kind of complicated because of the cultural ethics, exchanges...
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...Company Case Payless Shoesource: Paying Less For Fashion Questions For Discussion 1.Which of the different product mix pricing strategies discussed in the text applies best to payless's new strategy? The strategy for setting a product's price changes when the product is the part of a product mix. Mostly,firms look for a set of prices that maximizes the profits on the total product mix where pricing is difficult because the various products have related demand and costs and face different degrees of competition. There are five different product mix pricing strategies that can be used for a firm. These are such as the product line pricing, optional-product pricing,captive-product pricing, by-product pricing and lastly, product bundle pricing. 2. How do concept such as psychological pricing and reference pricing apply to the Payless strategy? In what ways does Payless’s strategy deviate from these concepts? : A pricing approach that considers the psychology of prices and not simply the economics; the price is used to say something about the product. For example, $19.99 or $9.99 sort of “odd prices” that can round of by one last digit number. With the new line and new strategy, Payless increase the price of their products. However, if the suddenly change their price by increasing a lot, customers would not feel comfortable and they wouldn’t like it at all. So, they can use this kind of strategy of Psychological pricing so still increasing of prices but make their customers...
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