Thursday, June 13, 2019

Fats - Details listed below Essay Example | Topics and Well Written Essays - 250 words

Fats - Details listed below - Essay ExampleIt is actually a major component of the cell membrane and in involved in many activities of our body especially in the metabolism. The major kinds of fat that are present in our diet include the monounsaturated, polyunsaturated, saturated and trans fatty acids. These kinds of fats are classified based on the differences in their chemical structure which also determines if these fats have a good or bad effect on the cardiovascular system. Before presenting the good and bad fats, lets first discuss the implication of cholesterol which greatly affects our cardiovascular health. Cholesterol is a steroid hormone alcohol which is performs many functions in the body. It is an important component of cell membranes which regulates its fluidity. It is also a precursor for important substances in the body like bile acids, steroid hormones, and vitamin D. However, there are good or bad types of cholesterol (Jonas, 2002). The bad cholesterol includes the LDLs (low density lipoprotein) while the good cholesterol includes the HDLs (high density lipoprotein). The HDL helps confine the LDL from getting deposited into the blood vessel walls. Moreover, high level of HDL and low levels of LDL may help protect us from heart glide slope and stroke, while low levels of HDL and high levels of LDL have been shown to increase the risk of heart disease.

Wednesday, June 12, 2019

In engaging with subculture street culture, do girls simply mimic the Essay

In benignant with sub nicety highroad culture, do girls simply mimic the practices of their male counterparts or exhibit their confess - Essay ExampleCurrent paper focuses on a particular cultural style subculture bridle-path culture. Particular reference is made to the engagement of girls with subculture street culture and the points at which this engagement is differentiated from that of boys. The literature developed in regard to this issue has been reviewed a relevant interview has been also employed so that all aspects of this studys subject are fully explored. The key finding of the study seems to be the following girls tend to mimic boys in engaging with subculture street culture but they may introduce elements of behaviour or dressing aiming to show their willingness for behaveing own specificity. 2. Subculture and street culture 2.1 Characteristics and aspects of subculture and street culture In articulate to understand the modes of engagement used by girls in regard t o subculture and street culture it would be necessary to explore primarily the mount of culture and subculture. Then the criteria and the methods used by girls to be engaged with subculture could be fully understood. According to Hebdige (1979) culture is a term that can be described as tending. ... rtance of culture as an indication of moral values (Hoggart and Williams in Hebdige 1979, p.5) while Barthes (1972) considered that culture should be considered more as related to everyday animateness (Barthes in Hebdige 1979, p.6). At this point, the following question should appear which of the above approaches in regard to culture should be taken as the basis for evaluating the content and the popularity of subculture street culture among young people? If the first view, that of Hoggart and Williams is rejected this means that subculture in general is opposed to moral and ethics, an assumption that could not be accepted. On the new(prenominal) hand, the second view seems to be clos er to the actual role of subculture street culture to establish a community of ideas/ trends for its supporters, i.e. to become a style of feeling for those who believe that these trends reflect their personal beliefs and thoughts. In other words, subculture, as part of culture, could be regarded as being a style of life in the context of which specific behavioural and dressing codes apply and which is not necessarily opposed to morals. However, it is possible for a mode of subculture to challenge morals and ethics, an intention that it is usually express clearly by the creators of the relevant movement/ mode of subculture. When referring specifically to subculture, the following issue should be highlighted in most cases, subculture is considered as opposed to social order (Hebdige 1979). For example, teddy boys, punks and skinheads (Hebdige 1979, p.3) have been often treated as a threat for social order. Of course, it cannot be denied that these forms of subculture have been deve loped in order to express the resistance to the existing political and social system (Hebdige 1979, p.3). Still,

Tuesday, June 11, 2019

How are staff recruitment practices affecting Al Rayyan bank's Research Paper

How are staff recruitment practices affecting Al Rayyan banks performance - Research make-up ExampleIn this way, the banks recruitment process can negatively be perceived, as of its failure in promoting diversity, equality and fairness. This problem could negatively affect the banks image in the market but also its performance since employees who are non appropriately skilled could not serve to the needs of their position. Employers use different selection methods to recruit and select appropriate people for the organization, because it is not possible to extract maximum output from the employees if they are not hired according to the right selection process. Positivistic paradigm leave be adapted for the research that supports quantitative research approach. The present research will apply regression analysis to evaluate questionnaire. Moreover, Cronbach Alpha will be used for testing validity and reliability of the responses, which will be collected from the employees of the ba nk. For evaluating call into question with HR manager, Thematic Analysis will be used by the research for making the result more authentic. The sample size of the questionnaire will be 50, and it will be based on simple random sampling. On the other hand, the HR manager of Masraf Al Rayan bank will be interviewed to realise out the relationship of recruitment and selection process with performance of the bank.The establishment of effective recruitment policies is often considered as a key criterion for the advantage of organizations in the global market. In highly competitive industries, such as the bank industry, banks tend to use recruitment processes, which have been successfully used by competitors. Still, there are banks that prefer to keep their recruitment process simple, probably believing that the ability of each employee to respond to the needs of his position can be only proved in practice, i.e. after exposing the employee to daily organizational problems.It has been s een from past empirical studies that

Monday, June 10, 2019

Importance of Transportation to a Firms Supply Chain Operations Assignment

Importance of Transportation to a Firms Supply Chain Operations - Assignment ExampleHow do truckload operations differ from less-than-truckload operations?As learned, truckload operations (TL) differ from less-than-truckload operations (LTL) in terms of the range of shipments. For TL, they carry shipments that be noted to be great than 10,000 pounds and where the exact weight requirements actually depend on the product. On the other hand, for LTL they carry shipments where the weight ranges from 150 to 10,000 pounds. As evident, TL operations are not feasible through manual operations due to the weight specifications. LTL, as the term implies, do not fill ta truck but these operations could carry shipments of diverse customers all at the same time. Finally, LTL shipments were noted to be routed through terminals, as contrasted with TL operations that require direct shipment to the consignees destinations from the shippers locations.13. What are freight forwarders? How do they funct ion? What run do they perform?Freight forwarders were revealed to act as agents and consolidators of freight. Accordingly, freight forwarders function through facilitating the following operations (1) consolidate shipments in behalf of small shippers (2) purchase transportation in volume rates and (3) charge shippers a rate that range between the volume and non-volume rates. As such, the services that freight forwarders perform are (1) pick-up and delivery services (2) handle both domestic and international shipments (3) handle both surface and air shipments

Sunday, June 9, 2019

Infliximab Drug Monograph Research Paper Example | Topics and Well Written Essays - 1500 words

Infliximab Drug Monograph - Research Paper ExampleIn the market, the drug is traded at a lower place the brand name of Remicade. The drugs main manufacturing center is in United States of America. Infliximab Drug Monograph Infliximab is a drug which is used to track patients who suffer from rheumatoid, Crohns diseases, ankylosing sponylitis, ulcerative colitis, and plaque psoriasis. The Infliximab drug can also be explained as an antibody drug which is used to treat chronic instigative diseases. It blocks the impact of necrosis factor alpha which is commonly labeled as (TNF alpha). Necrosis factor alpha is a substance manufactured by man cells, which plays a very crucial role in hiking inflammation in human body. Necrosis factor alpha is manufactured in the body resistive system, hence Infliximab is used to reduce the effect of necrosis alpha factor in the body parts and most specifically. in the immune system. The generic wine name used for this drug is Infliximab while the bra nd name for the drug is Remicade. Patients with heart failure should not receive Infliximab unless tested by the physician on their capability of sustaining the impact of the drug in the body. Additionally, patients with allergic reaction to Infliximab constitutes argon also instructed not to use them (Frederic, 2010). Therapeutic crime syndicate The Infliximab therapeutic category is antirheumatic, GI anti-inflammatory (Frederic, 2010). Dosage The most effective dosage for infusion is 5mg/kg of Infliximab which should be administered and used for a period of 0-6 weeks. The patient should then be administered with another(prenominal) 5mg/kg for every eight weeks. The second dosage is administered in the situation where the patient is at admit to severe infusion condition. This dosage applies to adult and pediatric patients only. In the situation where the patient does not respond to the dosage, he/she should be administered with a dosage of 10mg/kg. The infallible and most effec tive dosage for moderate to severe active rheumatoid arthritis is supposed to be 3mg/kg for the initial 0-6 weeks which should be accompanied by another 3mg/kg for every eight weeks. In the situation where the patient does not respond completely to the drug, he/she should be instructed to take 10mg/kg of Infliximab drug. Alternatively, the doctor should ensure the treatment is conducted for every four weeks to enhance consistency. Other diseases such as ulcerative colitis, plaque psoriasis and psoriatic arthritis should be treat with 5mg/kg for 0-6 weeks which should be followed by5mg/kg for every eight weeks. The ankylosing is better treated by 5mg/kg of Infliximab for the first 0-6 weeks which should be accompanied by 5mg/kg for every 6 weeks. Children are strictly not recommended to use the infliximab drug. Indication Infliximab is used for treating and reducing the symptoms and signs of moderate to severe Crohn disease. The drug has also been confirmed as whizz of the best dru g in treatment of active psoriatic arthritis among the adults and children who are above the age of six years. The joint inflammation of rheumatoid arthritis, ankylosing spondylitis, psoariatic arthritis among the juvenile are treated using the infliximab drug. The uveitis and sarcoidosis which do not respond positively to traditional therapies are also healed by this drug. The Infliximab drug is also unmatchable of the best in the treatment of pediatric patients who have moderate to severe active Crohn diseases. The drug is applied to the patients

Saturday, June 8, 2019

Philosophy Essay Example | Topics and Well Written Essays - 1000 words

Philosophy - Essay ExampleCritical self-examination is a necessary operation in the achievement of self-knowledge, wisdom and virtue elements that are crucial in arriving at correct judgments, decisions and behavior. This strategy is akin to an inductive approach at cultivation the truth. An exposition of a Delphic inscription, Know thyself, it provided an effective and universally applicable framework by which any individual, regardless of the period, time or circumstance he or she is in, could use in a quest for truth. The process should be able to demonstrate its merits and the claim that it is very much relevant today. The first step, explained Fuller, in knowing oneself is to perceive how superficial and ignorant and prejudiced one really was (62). The argument is that wisdom and the ability of discernment gouge only result as a consequence of an individuals capacity to understand his surroundings. He or she will never be able to do so if he does not understand himself. For example, failure to identify bias taints ones ability to make objective and just decisions and correct choices. He can never claim right or self-knowledge if he did not pass through the stage of humble realization and recognition of his ignorance important variables in ones desire and motive to learn. ... In this regard, man cannot be considered as a mere vessel and receptacle of knowledge and experience. Discernment is required in order to effectively use the data and experience that wad accumulate in order to identify truth from the fallacious. A person can examine oneself his beliefs, values, thoughts and ideas in various ways. The diversity in the approaches further shows how the self-examination guide and enhance our abilities to judge, decide and act. Besides self-evaluation and assessment, men can reflect on certain aspects of their acts and thoughts through conversation with other people or through the intercourse of the mind. Each mind has unique ways of acquiring an d interpreting meanings. Reflections on ones own conversation with others can help to examine and stimulate his capacity to be critical of one self and accepting of what is the truth. It is, hence, clear that without self-examination, a person would be ignorant and incapable(p) to think and do what is right. In instances where this may not be true, his personal biases will cloud his ability to discern and acknowledge the truth. Unfortunately, this is aggravated by the disposition of ignorant men to become arrogant, which makes the whole affair tragic. Our circumstance might have changed since Socrates time. However, gentlemans gentleman nature is still the same we are rational human being capable of rational judgments. People today just like the citizens of Athens cannot realize their full capacity to decide, choose and act correctly without self-knowledge. 8. Do you think that Hobbes is correct in denying that there is such a thing as free will? What was the basis

Friday, June 7, 2019

Transformational Leader Essay Example for Free

Transformational Leader EssayThe entire orb has been caught up in the events spark advance up to the 2008 United States Presidential election. The selection of Barack Obama as Americas first Afri shadower Ameri female genitals President, and his highly effective campaign, provides us with a prime example of the power of transformational leadinghip, and the federal agency by which falsify occurs.The notion of transformational leadership is not just pertinent, however, to the worlds of politics and the community. It is highly relevant to the corporate world and organizations as well. While Obamas ethnicity is obviously noteworthy and is a large part of what come acrosss this election so significant, there is another critically important component of this moment which people contrive a tendency to ignore. It has to do with the transformation that has taken place in the minds of voters in the US and the hearts of people around the world.The convert that has occurred is a dire ct result of the President-elects great power to inspire change. He didnt change the people themselves, which would be impossible.What he did change was the way they see the world and their place in it.Business leaders operate under similar circumstances because they also mustinessengage employees and inspire them to feel a part of an organization.Transformational leadership involves to a greater termination than charisma and emotion. It involves more than giving good speeches and making people feel good.In his hallmark definition of the term James MacGregor Burns coined the term transformational leadership as leaders inducing followers to act for certain goals that re prove the values and the motivations the demand and brings, the aspirations and expectations of both leaders and followers. Italics originalThe leader is not merely wielding power, but appealing to the values of the follower.In this sense, values mean, A principle, standard, or quality regarded as worthwhile o r desirable, (Websters New Riverside University Dictionary).Burns insists that for leaders to have the greatest daze on the led, they must motivate followers to action by appealing to sh atomic number 18d values and by satisfying the higher coiffe needs of the led, much(prenominal) as their aspirations and expectations.He said, . . . transforming leadership ultimately becomes moral in that it raises the level of human conduct and ethical aspiration of both leader and the led, and thus it has a transforming effect on both.Change doesnt just happen. It needs an impetus. Einstein in his Theory of Relativity applied the laws of physics to matter and we can concord this theory to universal behavior. As force is applied to an object in the direction of motion, the object gains pulsation and gains energy.President-elect Obama was the force for change he introduced a naked as a jaybird direction that would address the needs as he saw it.In sanctify for the notion of transformational leadership to be relevant, threeelements must be present1) A Clearly Articulated Vision2) Statements that Inspire stack to Connectand 3) A Detailed Plan to Execute.1) A Clearly Articulated VisionThe fib of the world is replete with examples of charismatic leaders who have led their nations and a cause. The names of Mohandas (Mahatma) Gandhi, Napoleon Bonaparte Julius Caesar, Mao Tse-tung, Nelson Mandela, Martin Luther King Jr., Winston Churchill and Franklin Delano Roosevelt evoke tremendous spirit. The industrial Revolution also evokes thoughts regarding the titans of industry like Thomas Edison, Henry Ford, Alexander Graham Bell and JP Morgan who had an incontrovertible and formative squeeze on that era.The resource that was articulate by the individuals in these two categories, the ability to inspire people to connect and the plans that were executed to make the resourcefulness a reality is indisputable.In the present, we may not know the names of all of the transformation al leaders who are making change in their sector, but it certainly is happening. Apple, Google, Tata Motors, Carrefour, and Toyota, for example, are having an undeniable global tinct on our everyday behavior and interaction. Apples iPod, for example, has revolutionized the way we think well-nigh listening to music, the way we purchase music, the way we share music, and even the way we settle our individual(prenominal) space.The question for business leaders within organizations much(prenominal) as Apple is how to achieve the multiplier effect of this leadership pattern in order to bring or so continuous innovation and improvement?How do we replicate this leadership pattern at the department and team levelin order to generate change in every sector of an organization?How do we grow transformational leaders so they can rise to the positions of influence to positively impact organizational change?Transformational leadership must occur throughout the organization, not just at the teetotum, in order to bring about the full syner call foric effect.For example, when a CEO articulates the vision of a company, it is up to the global presidents and department vice presidents to execute the vision. But they must also be able to snuff it that vision in a way which translates into local or regional needs. People must buy into the vision and relate it to whats in it for me. To the extent that they do this, the overall vision becomes more compelling. This starts the fulfil of aligning the vision and connecting it to local needs and desires.A intelligibly articulated vision must have in it the elements which usher to a better way for dealing with the present and the future. It must provide a context to address the most pressing issues in a manner which is innovative and compelling.Innovative because any change strategy needs to outline what will be different from the status quo. It must be compelling because it must be believable. People must feel that this vision will definitely lead to a better way of doing things.2) Statements that Inspire People to ConnectThe most powerful visions also are those which have a few words that are easily understood and restated. This eases the communication process and enables everyone to drag in the vision as their own.In the 21st century a brief statement is marketing sin qua non. In others words, it is essential to excellent communications.As transformational leaders seek to communicate their vision using variousvenues, they begin to appreciate the marketing challenge of disseminating their message out and ensuring comprehension of their message.In 1964 Marshall McLuhan coined the devise The medium is the message meaning that the form of a medium embeds itself in the message, creating a symbiotic relationship by which the medium influences how the message is perceived, creating subtle change over time. 21st century transformational leaders ignore the medium at their peril.In order to give a vision the wi ngs it needs to travel, it must Inspire People to Connect. This is when a vision really begins to come alive. It comes alive because people believe that the vision will take them from where they are to where they want to be.In organizations it means that employees can begin to align to a better way of doing their work reaching their customers or constituencies and providing the goods and services which will make them more effective, profitable and profitable.When people connect on a cognitive and emotional level it begins to move them to action. This action contains the seeds for producing change. Einstein stated that no problem can be solved with the same type of thinking that created it. Inspiring people with a different message gives them an alternative way to approach their challenges.It is this connective element that provides the momentum to a vision and gives it longevity.It is this connective element that enables people to align with each other in a different way to meet th eir challenges. By connecting with the vision they are also reenergized to act.When we talk about motivation this is where it begins. People are make to act and engage differently because they can connect to something unseasoned, innovative and inspiring.Obamas incredibly effective Yes We Can slogan is a great example of how a simple statement can encompass a lofty sacred theme, yet still pertain to day to day action. The slogan was simple, inspirational, easy to remember, and resonated on a number of levels regardless of ones unique person-to-person circumstances. Furthermore, Barack Obama and his team revolutionized the way they used the internet to connect their vision to people. They provided a continuous stream of messages via mobile phone, internet, the web and countless other technological mediums in a personalized manner practically every day for two years You always felt that the vision was on top of mind and that they were utterance directly to you. Every message had your name on it. You didnt feel you were part of a mass communication campaign. The messages were simple, informative and compelled you to action.Corporate transformational leaders need to embrace these same innovative techniques if they are to connect with the workforce of today.This type of conjunctive or engagement is crucial to attracting and retaining high potential workers.When workers are full engaged, a noted Gallup study of Oct 2006 indicates, they are more motivated and more productive. Specifically engaged employees work with passion and have a profound connection to their organization. They drive innovation and move their organization forward.Unfortunately, not enough attention is paid to how people connect to a vision. They must go through a process of enrolling with the vision so that they feel it is their own.In essence, a vision connects when people internalize it and say that it is not just someone elses vision, it is their own. This feeling of ownership is crucial to success.By implementing goal alignment processes, organizations can involve everydepartment in the effort. Individual departments need to know tactically what their grapheme is in contributing to the greater good. They must feel that this vision will definitely enhance their way of performing and interacting. When they have this ownership, then they are motivated to act in different ways.This engagement is directly correlated to employee retention as staff will leave an organization when they cant get their needs met, and they feel that they dont identify with the way things are done and with the values or vision of the organization. In short, just having a vision statement will not achieve results.3) A Detailed Plan to ExecuteIn order to increase the ownership process, one has to move from what and why to how. Transformation falls short when this is not in place. Invariably many great plans fall apart at the connect points.A critical connecting point is a detailed plan to exec ute the vision. This begins to complete the circle. It is no surprise that when you have a wonderfully articulated vision, people will then want to see how it works. For many, this is the litmus test of whether the vision is a good one or bad oneConsequently, transformational leaders must help people come across that their vision is just the starting point. They must articulate the complete process that individuals must go through to make true change a reality.During the change period, it is easy for people to get discouraged because the path to a new future can be difficult to see and follow at times. thither must be constant communication and education along the way to keep people focused on the goal.The vision becomes a compass leading people through the turbulent times.ConclusionIndeed change can happen in any organization when there are transformational leaders who clearly articulate the vision inspire people to connect to the vision and detail the plans in order to achieve t he vision.It is this type of leadership that will bring about true innovation, productivity and employee satisfaction as organizations strive to be relevant on a global basis.The success of the Obama campaign was not magic. It relied on a disciplined approach articulating the vision, inspiring people to connect to it, along with a plan of execution.This same pattern can be duplicated in the business world on an organization-wide level. And if done correctly, it can yield awesome results from the entry level to the corporate suites. The challenges in front of us demand no less. Turning nub managers into transformational leadersIn these turbulent times, nearly every organization is facing the need to transform to survive or thrive.The concept of Transformational Leadership (TL), which plays a direct role in creating change, establishing a vision, and giving confidence to employees to explore new directions, therefore becomes popular once again in management development.By Uwe Napiers ky, Business Psychologist Learning Architect, PhD.The transformational leaders Undergoing such development empowers an organization to greatly exceed previous levels of accomplishment. The transformational leaders are able to challenge and motivate an entire organisation top to bottom. They care about people and want people to succeed. The result is individual, group, and organizational achievement and morale.Many organisations consider the transformational approach of leadership as a revitalisation to increase competitiveness, get growth and to develop their talents further (remember the war for talent hasnt stopped).Instead of exercising formal authority and power over others resulting from a managers formal position in the hierarchy, empowering and enabling people is a key behaviour. The approach represents positive values like quality, performance, respect and fairness.To create a socialization of high performance, where everyone in theorganisation is consistently working to gether to improve performance, not only top management needs to exercise transformational behaviour, but the mall management does as well. Leadership needs to be demonstrated at times by everyone in the organisation.How can middle Managers develop Transformational Leadership?1. A change of mindset2. Development of new (transformational) behaviours3. Three fundamentals for the design of a transformation process in the organization.1. A change of mindsetFrom organizing work and doing things pay to motivating, inspiring and coaching Typically technical professionals, with e. g. engineering, IT, finance or scientific background are promoted to positions in middle management. Entry and middle management roles chiefly consist of task oriented behaviours like planning budgets, setting priorities, controlling and solving problems etc. which are often summarized as doing things right This is known as a transactional management mindset.This kind of management is necessary for the every day functioning of the business but does not bring about change or major innovation. To use a popular expression, it is good in rearranging the deck chairs of the Titanic, but cant keep the ship from sinking.To increase personal impact, a person has to shift his/her mindset (and subsequently behaviour) towards influence oriented behaviour, relationship trust building acquirements, combined with caring to sustain a motivational environment, which inspires and empowers.The manager needs to shift his/her mindset radically, by perceiving his/her role as focusing on people, their dreams, development needs and emotions rather than primarily managing tasks and planning.2. Development of new (transformational) behaviourA Openness to feedback, via 360 degree feedback data A 360 degree feedback tool provides a structured approach to self discovery and a process of understanding yourself which creates awareness about your strengths and areas for development.B Coaching subordinates Coaching an d facilitating subordinates to develop their strengths and work on their development needs enables both the acceptance and understanding of feedback as well as the commitment and relevant action plan steps and practicing of new behaviours.Coaching can be done in one to one sessions, in teams or with peers. It is essential to work on real life/business situations and how to translate theory into manageable relevant action steps.Developing openness to feedback and coaching skillsand behaviours can build confidence, openness and ability for the participant to deal positively with the challenges to exercise new behaviours like motivating and coaching others.C The understanding, commitment and endorsement of the top management to the objective of a transformational leadership process The implementation of TL via training programmes will not be effective unless part of its objectives and design principles are coherent with what TL is really about. The commitment of all stakeholders is n ecessary for the success of the training programs (trainers, participants (managers), their bosses, senior management, CEO of the firm) and is a critical success factor to make TL workSenior management will need to facilitate and nurture a culture of transformational leadership, and to be ready to become mentors who will go to the new managers to develop their own self-confidence to lead change, their own skills set as well as develop the self-concept that allows the transformation from a manager to a leader.3. Three fundamentals for the design of a transformation processA Start by stopping to work with purely cognitive models of change Its a process and not a 2-day course And a successful process will not be mastered only on a cognitive level it has to be exercised on a behavioural level too. Therefore it needs a safe space for learning, reflecting and experimenting. To develop TL means that intentional effort must be made to adopt a transformational style.The process of the self transformation and a learning journey for middle managers largely starts with understanding ones own personal visions, values and how to manage the developmental process.B Behaviour change takes more than a good theory and good explanations It needs self awareness and behaviour change interventions. In particular, it needs self directed learning and motivation to challenge oneself in a field which is for the most part new for most middle managers with a technical background.The transition for a transactional manager into a transformational leader requires time to learn a new skill set, demonstrate new behaviours and embrace a new mindset. The appropriate understanding of how to apply TL is not about some things you do with your employees, it is the positive bear upon relationship with your employee.C Include a systematic approach of Monitoring Either include existing instruments for measuring the impact of TL or they can be developed tailor made to the specific needs of the organisation. The evaluation methods andtools provide information about individual and organisational processes as well as the impact on business results. Conclusions * Create an integrated and flexible process design * Build positive dynamic for middle management