...In Tracy Kidder’s Mountains Beyond Mountains, Dr. Paul Farmer appears as a selfless, heroic doctor. He is incredibly successful, both monetarily and medically, but his sole concern is helping patients. The way he interacts with patients, and this system of communication that he teaches to his colleagues, is a unique aspect of his practice. The narrator picks up on this when Dr. Farmer almost seems to “fold” around patients (Kidder, 2009, p. 12). He does not treat them like they need to be quarantine, but instead as people requiring care and attention. Dr. Farmer gains respect by being so sure of a diagnosis when he treats a patient. There is an instance where an intern? Is attempting to diagnose a thirteen-year-old girl, and Farmer stresses the importance of being correct, “Doctors, doctors, what’s going on with you? You do not administer an antibiotic to a person with meningitis until you have done a spinal tap and know the variety of meningitis and thus which drug will work.”(Kidder, 2009, p. 32). He would rather be positive about what is going on and do a little extra work, then give the patient incorrect information. This creates a sense of security for the patients. They are able to trust Dr. Farmer because he is not doubting himself....
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...Imagine working your entire life towards something that will never be finished; fighting the losing battle—could you handle that? While many would not take on the role of endless defeat, Paul Farmer chooses to continue to help the Haitian people, whilst knowing that for every one life he saves, five others are lost. Are Farmer’s acts simply those of kindness or out of sympathy, or rather, are they Christ-like in the way he provides for and loves those he helps? Through the biography about Paul Farmer written by Tracy Kidder, Farmer’s work becomes more than just kind acts and doing his job, and seems to show Farmer’s passion for the people he helps and cares for in Haiti. In the United States, healthcare is generally a widespread thing—most can be treated fairly easily and medication is readily available and affordable. Many times, the employer provides health insurance to employees, and very few die deaths that may have been easily avoided. In Haiti, it seems to be the exact opposite; there is a small amount of available doctors, many medications are expensive or unattainable, and thousands of people falling to easily treatable or easily prevented diseases and illnesses. Farmer’s key goals in helping others was to save the lives of those that would ordinarily be saved, “If people could be kept from dying unnecessarily, then one had to act.” (Kidder 102). Willing to help everyone, no matter who they are or their condition, Farmer explains “I can't sleep. There's always somebody...
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...In Mountains Beyond Mountains, Tracy Kidder describes a new sister organization that joined Partners in Health (PIH), Socios en Salud operating in Peru. PIH’s contrasting methods of maintaining Zanmi Lasante in Haiti and Socios made their expansion difficult, but greatly helped the new populations they served. Haiti and Peru have different political struggles which affect the potential of healthcare PIH can offer. Haiti’s government was overthrown by the Haitian army, resulting in a lot of violent political protest. Many were severely injured, which caused Zanmi Lasante’s focus to shift. Instead of working to cure those with tuberculosis, Zanmi Lasante had to nurse those victimized by the Haitian army. Not only did injuries delay Zanmi Lasante’s work , the Haitian army blacklisted PIH founder Paul Farmer for a few months. Likewise, a civil war in Peru caused the new government to place strict regulations regarding when Socios en Salud could care for people. Patients had to complete Peru’s custodial care before being surrendered to Socios. After the government let Socios care for their treatment failures, they laid heavy taxes on them. Each Socios patient costed PIH $15,000-$20,000 in contrast to Zanmi Lasante’s $150-$200. Socios could not help as many patients with tuberculosis because of the added cost, and focus shift to those injured. These problems demonstrate how crucial Paul Farmer’s leadership is to PIH. The most valuable qualities a leader can demonstrate is humility...
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...Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, A Man Who Would Cure the World the author talks about the doctor’s dedication to his patients. This interested me the most because the whole book is about his work ethic to change the world’s health. He exceeded standards for doctors. Paul Farmer believes that the only nation is humanity and healthcare should be a human right. He fights for his beliefs and all of his patients. The book uses prime examples of how Farmer works. Chapter three explains how he spends his day with his patients. Every person is looked on no matter what. Kidder later explains that Farmer has a rule that every patient must pay the eighty cents, except for women and children, the destitute, and anyone who us seriously ill (page 21). So nobody paid to be seen by Dr. Farmer. He does everything for free and doesn’t get a penny for any of the work he does in Haiti. Farmer honestly believes his patients are worth saving. His patients believe him to be a god....
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...In Tracy Kidder’s Mountains Beyond Mountains, Paul Farmer’s idealism is developed by his actions and words about overcoming “the long defeat”. Despite his awareness that his goal is impossible, Farmer’s determination is unfaltered throughout the text; however, certain occasions will test Farmer’s ability to make his idealism a reality. Ultimately, Paul Farmer, to overcome his “long defeat”, remains only just as much realistic so that he can continue his idealism. Essentially, Farmer continues to work toward his idealistic goal of ridding the poor of their impoverished conditions, which is fundamentally impossible, because he believes it is righteous. This righteousness is proved when he was accused of self-righteousness by Ophelia in which...
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...“Beyond Mountains; There Are Mountains”. Meaning of the Tittle: it refers to the main character’s determination to being health and happiness to the poor and it comes from the Haitian proverb. The book that I decided to read is called Mountains Beyond Mountains by Tracy Kiddler, Kiddler graduated from Harvard, he studied at the University of Iowa he also served as an army officer in Vietnam. I selected this book because I heard nice reviews from people who have read it. The main idea about the book is about Paul Farmer who found his life’s calling: to treat infectious diseases and also to bring the tools to save modern medicine to those people who need them the most. And he believes that everybody deserves health care and living in a decent condition. In the book Kidder’s spectacular account views how a person can make a huge difference in saving global health problems through distinctly understanding of the interaction of politics, social systems, wealth and diseases. This book takes us from Harvard to Haiti, Peru, Cuba, and Russia. And Farmer changes people’s perspectives through his dedication to the philosophy that “the only real nation is humanity.” The main characters are Paul Famer, Tracy Kidder, Ophelia Dahl, and Jim Yong Kim. I will discuss their roles later on. Additionally, social determinants of health, diseases, and health systems are the topics that we’ve covered in class that relates to this book. Paul Famer has important aspects to his character. First, He...
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...2011eng Acknowledgement: At first want to give thanks the almighty God and then my honorable teacher who give me an opportunity for doing something about Rocky Mountain Adventures Inc. After that we are all group member give thanks one another because we are unanimous on a point for work about Rocky Mountain Adventures Inc. That’s really helps us to know about the Competitors, Driving force, Company’s Competitive strength, SWOT, Competitive strength measure , key success factor etc. Rocky Mountain Adventures Inc. (Summary) Bill and his partner, Dave Costlow, were the owners of Rocky Mountain Adventures (RMA), an outdoor outfitter in Fort Collins, Colorado. The company sold and rented outdoor recreation equipment, led whitewater rafting excursions on five Colorado rivers, guided fly-fishing excursions in Colorado and Wyoming, and coordinated guided fly-fishing, hiking, and rafting expeditions in Siberia and the Patagonia region of Chile and Argentina. The scope of RMA's operations and its annual revenues had increased substantially since the company had been purchased by Dave and Bill in 1993. The opportunities they had identified included adding a second-floor restaurant to their Fort Collins store, building a mountain outpost and lodge in northern Colorado or southern Wyoming and...
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...Problem: Mountain Man Brewing Company (MMBC) was founded in 1925 by Chris Prangel’s father with one flagship brew, Mountain Man Lager. For the first time in its history, the brewery is facing declining sales. In light of this decline, Chris Prangel, a second generation brewer, is considering launching Mountain Man Light beer. The light beer market has experienced a 4% annual growth over the past six years and represents an opportunity to boost sales by entering a previously untapped market. Background: MMBC relies on its core image of being a family owned, independent brewery. MMBC’s beer formula is associated with quality. The specialty hops and barley in Mr. Prangel’s recipe have added to MMBC’s reputation of superior quality in the East Central region. In particular, the hops used in this recipe create a “bitter” flavor, which differentiates it from their competition among other mass-produced beers. MMBC’s bottles take differentiation one step further; the lager is bottled in a dark brown glass with original images of 1925 of coal miners printed on the front label. Launch: If Prangel were to launch a new light beer under the MMBC brand name, the brewery would be able to capitalize on the Mountain Man Brewing label and reputation. MMBC’s core demographic—males between the ages of 45-64 years old—is shrinking. The growing consumer segment for beer consumption is younger drinkers between the ages of 21-27 years old, which accounts for over 27% of the total...
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...Mountain View Community Hospital Case Study Deabra Hardrick-Crump DBM/502 September 30, 2013 Warren Von Worley Mountain View Community Hospital Case Study Mountain View Community Hospital has opportunities for improvement in its data management and security functions. The data governance functions will be analyzed, as well as the data quality and data integration of the existing and newly implemented systems for the Mountain View Community Hospital. Mountain View Community Hospital’s information technology team will evaluate their current operational, clinical, and financial information (Hoffer, Ramesh, & Toppi, 2011). The integration of these systems will be beneficial to the hospital and its staff members. The system that the Mountain View Community Hospital is planning on implementing is an EMR system. This system would link all the different departments and information within application in those departments. Almost all forms would become electronic and this would eliminate uncertainties in illegible handwriting. All this information entered would automatically be uploaded into a database. This new system could even catch dangerous interactions with medications that the patient may be taking. This new system will make the jobs of the physicians and staff members a lot more efficient, and productive. This system allows their visits with their patients to be faster while still being informative and accurate. Having a larger amount of information at their...
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...Mountain Man Light: More Profits or Less Brand Equity? TMBA BBUS 506 A Michael Cavelero, Joel Engstrom, Nesreen Zadah, David Tobey 5/3/2010 1 | P a g e Introduction "We are not here to sell a parcel of boilers and vats, but the potentiality of growing rich beyond the dreams of avarice." – Samuel Johnson, ‘On the Sale of Thrale’s Brewery’ “Some of those coal miners could really drink some beer. We would always stay until closing time, and it happened so many times that the busses were not running anymore. Many weekends we’d get back early in the morning, and we had to be at the coal mines at six in the morning. All we could do was change our clothes, take our lunch bag and go to work.” – Jeff Noordermeer, ‘Fifty Years of My Life’ It should surprise no one that West Virginia is beer country. Originally “beyond the pale” of European settlement in Virginia Colony, the Appalachian Mountains were nevertheless welltraversed by Scottish traders hawking spirits to the resident Cherokee. The cessation of the French-Indian war in the 1760s brought permanent settlement by Welshmen, Germans and even more English – all of whom fancied a solid stout. The 1800s saw the start of the long coal boom that transformed Appalachian society, converting subsistence farmers into coal miners and commercializing beer production to meet rising demand. That trend continues today: so popular is beer that West Virginia University has classes on the subject. Mountain Man Brewing Company...
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...UCHECHI JOSHUA AUGUST 5, 2014 PROFESSOR CARBERRY – MKTG 300 BRAND ANALYSIS PROJECT MOUNTAIN DEW I. REVIEW OF SUB-CATEGORY A soft drink is a beverage that contains water or carbonated water, a sweetener (sugar, high-fructose corn syrup, or a sugar substitute), as well as a flavoring agent. Sometimes, soft drinks may contain caffeine, too. Carbonated soft drinks are the largest players in the beverage category. Within the carbonated soft drink sub-category, the leading three companies—Coca-Cola, PepsiCo and Dr Pepper Snapple Group—make up 90.6% market share for the year ending February 2014. In the United States from 2004 to 2013, the Coca-Cola Company was the leading soft drink company. In 2013, its market share amounted to 42.4 percent. This is followed by PepsiCo, which owns Mountain Dew, at 27.7%. All three national brands and the private label sector saw declines in sales ending February 2014. Due to the category of carbonated soft drink being the highlight of a lot of negative press, American consumers are becoming more concerned with obesity and the high sugar content of many of these drink, as well as the safety of artificial sweeteners. Due to innovation in other beverage categories offering flavorful, healthy, and functional drinks, competition has increased even more outside of the carbonated soft drink category. The interest is moving away from carbonated soft drinks. This has resulted in the downward trajectory of the consumption and demand for carbonates...
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...Mountain Bank Jameelah Richardson Dr. Barrett HRM 530 January 22, 2012 Discuss the Strategies that Mountain Bank should implement to achieve a Competitive Advantage in the Marketplace Mountain Bank would need to create a strategy that would cause them to stand out among the competition. Their focus should be matching the products and services offered to the needs and wants of both new and existing customers. Mountain Bank has four lines of business that could produce a substantial amount of revenue for them. These four lines of business are retail banking, consumer banking, real estate and mortgage banking, and corporate banking. Out of these four, retail banking seems to be generating most of the income for Mountain Bank. As of today, Mountain Bank has 50% of the market for retail accounts in their serving area. Retail banking makes up personal checking and savings accounts for everyday consumers and even though the bank generates revenue through monthly maintenance fees, overdraft fees, and other services render by the bank, it’s not generating major revenue as would a mortgage or corporate account. In order for Mountain Bank to stay afloat, cost leadership and differentiation strategy should be implemented. A cost leadership strategy is a business-level strategy that seeks to produce goods and services inexpensively. Now the problem with this particular strategy would be there are many banks out here with the same products and services Mountain...
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...MMBC | Mountain Man Brewing Company: Bringing the Brand to Light | Marketing 6520: Case Analysis | | EMBA id: 005814399 | 2/23/2013 | | Solution Proposal Chris Prangel is preparing to inherit a multi-generational business and wanted to explore the implications for expanding beyond Mountain Man Brewing Company’s (MMBC) one product offering-Mountain Man Lager. After reviewing MMBC’s current state of affairs and analyzing it with different marketing tools and financial forecasting, I recommend that MMBC move forward with a premium light beer product, start research and development on a recipe and retain a marketing firm to help build brand awareness in 2006 and launch in Q1 2007. A premium light beer will not only capture a new demographic by extending the MM Lager brand, but will steadily and profitably replace the 2% annual decline in Lager revenue. (See exhibit 3). In order to defend my recommendation, I utilized a few different assessment tools including a Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis (See exhibit 4). This analysis quickly pointed out areas of brand strength and the opportunities available in diversifying the product portfolio. Additionally, both the threats and weaknesses detail the unfavorable position the company faces when launching the light beer line. I also performed a portfolio analysis incorporating the product/market expansion grid which allowed me to outline market segmentation and product positioning...
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...Green Mountain Coffee Roasters, Inc. (GMCR) Prepared For Gary L. Payne, MBA Sam Houston State University Prepared By Eric Robinson Fall Semester 2013 Part I History The coffee and tea manufacturing industry has become a $70 billion annual global sales commodity (First Research, Industry Overview). Business continues to boom and coffee manufacturers are able to broaden their revenues by reaching new segments and geographic areas through creative marketing initiatives. According to First Research (8/12/2013), the US US coffee and tea manufacturing industry includes about 300 companies with an annual combined revenue of almost $12 billion. That equates to less than one third of the global annual sales. With Starbucks corralling the majority of the upscale retail coffee consumers; Dunkin’ Donuts, the blue-collar, no-frills brand coffee drinker; Green Mountain Coffee Roasters (GMCR) went looking for a way to capture the self-serve specialty coffee consumer in North America and Canada. This customer tends to be a gourmet beverage drinker who doesn’t compromise on taste but likes quickness and convenience. The GMCR state of the art eCommerce portal allows customers to create the ultimate coffee experience in the home, in the office, and in food service environments. GMCR is so committed to the outstanding coffee experience that they purchase some of the highest quality Arabica beans available from the world’s coffee producing regions and match it with the appropriate...
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...Piaget Versus Vygotsky Jean Piaget (1896-1980) and Lev Vygotsky (1896-1934) proposed the classical constructivist theories of cognitive development. Although often compared, the concepts differ significantly. Indeed, the purpose of this essay is to argue that Piagetian theory marginalizes the social contribution to intellectual development and that, consequently, the Vygotskian approach offers a more accurate and comprehensive analysis. This paper will begin with an explanation of the theories of cognitive development propounded by Piaget and Vygotsky followed by a definition of constructivist and social constructivist theory. The superiority of Vygotsky’s theory will be established via a critical examination of Piaget’s stages of intellectual development, his perspective on language acquisition, and the methodology of his classic tests. Piaget maintained that cognitive development is a continuous progression of assimilation and accommodation and that these complementary processes lead to adaptation. Knowledge is constructed progressively via a sequence of behaviours or mental operations, what Piaget termed schemas. Piaget proposed that children develop mental representations of the world based on physical or mental actions, which they execute on the environment. These initially reflex behaviours are repeated while intrinsic motivation encourages the child to apply schemas to different situations. Assimilation occurs when the new experience is incorporated into an existing...
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