YEOs Marketing Strategy Analysis

YEOs Marketing Strategy Analysis Company Background YEOS PRODUCT (M) BHD is involved in the industry of canned foods and drinks. They also produce noodles. Having a new logo in the New Year represents the improvement of the organization to face new challenges in the modern era. YEOS PRODUCT (M) BHD have been working hard in this food and beverage industry and currently are very strong in it. YEO HIAP SENG Malaysia started with introduction of Schweppes canned drinks in 1985. The year before, they were the first organization in Malaysia to create and pack drinks using the brand name of Fizzi. These carbonated tropical fruit flavors drinks are packed in 325 ml cans. During the same year, YEO HIAP SENG also made history by becoming Malaysias first organization to sell mixed fruit juices. The juices were 100% pure under the brand name Junior Juice. Another innovation done by YEO HIAP SENG was from their research and development department which successfully produced the first non-fried instant noodles in this country as well. With all the success until today, YEO HIAP SENG is still looking forward to greater success. As a public relations consultant hired by YEO HIAP SENG, I have the responsibility to produce a public relation plan and the budget allowed maximum is RM 300, 000 per annum. The objectives, stakeholders, messages, detailed public relation activities as well as costing will be discussed further in the following paragraphs. Stakeholder Campaign Objectives To reach a sales of RM 8,000,000 in year 2013. To build a strong brand image among Malaysians. To persuade the consumers to consume our product. To create an awareness among our brand in Malaysia. Communication Message Product Situation Analysis Yeos emphasizes in producing curry canned food. Curry canned food are the company most favorable products categories in total. These categories of products including chicken curry, beef curry, lamb curry and mutton curry with potatoes. All these products are the company main income. The company main targets for this category of products are housewife, students, food hawker and restaurant. Yeos chooses housewife consumer as its target market because they are the decider in using spice in their cooking for her whole family. Consumer in this segmentation normally ages 30 78. However, to be more competitive, Yeos expanded its products to variable. These products are canned drinks and cintan mee. These products contribute side income to the company. Due to these products are not the company main incomes; therefore these products are quite competitive. But they still need to go on producing refining these products to be conservative. Category that purchases company products the most is at the age range from 39 63 years old, 38%. Follow by ages category of 26 -38 years old, whereby the purchases percentage is 28%. Meanwhile for 39 63 years old and 63 years old purchaser consists of 19% and 15%. Competitor Situation Analysis Today the market competition is not only rife but also growing more intense from year to year. These developments explain the current talked about marketing warfare and competitive intelligence systems. It is because market has become so competitive, understanding customers are no longer enough. Companies should start paying keen attention to their competitors. Successful companies design and operate system for gathering continues intelligence about competitors. It would seem a simple task to a company to identify their competitors. It would seem a simple task for a company to identify its competitors. However, the range of a companys actual and potential competitors is much broader. A company is more likely to be buried by its latent competitors than its current ones. The most challenging thing for Yeos is facing giant competitor such as Alagapas, Besta and Adabi. These companies have huge capital and have branch in every state in Malaysia. This makes it almost impossible to penetrate. Market Situation Analysis There are two main parts of market situation analysis, which is microenvironment analysis and macro environment analysis. A company should know its position in market, its competitors position and the threats to the company. The most important thing is how the market environment affects the company. Market Analysis From the research conduct Yeos has notice a few potential market segmentation. Target Market Housewife Students Food Hawker Restaurant Table 1: Market Segmentation From Table 1, Yeos chooses housewife consumer as its target market. Housewife prepares meal for her family everyday; she is the one who decides what to cook and what ingredients to use. They are using the salted soya bean to make the food more delicious. With the products that produce by Yeos such as canned foods are the simplest food to be prepared. We focus in the curry which is the famous foods for the Asian people. Due to this reason, we can say that housewife is the decider in using some canned foods in her cooking for her whole family. The most famous products are sardine in tomato sauces, chicken curry, chicken kurma, beef curry, lamb curry and cuttlefish in soya sources and others. Consumer in this segment normally ages from 30 78. This segment focused on canned foods such as tuna flakes in vegetables oil, tuna with sliced chili and tuna with chili and basil leaf, which are mostly favorable by housewife. Meanwhile, students who that staying outside is one of the consumer that hit the list of market segmentation because they are expanding fast. Most of it serves their meal by eating the canned foods. They are potential for chicken curry, sardine in tomato sauces and the most favorable is the tuna canned food which provide in different type of taste. Food hawker nowadays is expanding faster as to the economy downturn recently. More and more people tend to involve in food industry. They will sell sandwiches in morning and afternoon. They are potential for tuna flakes in vegetables oil, tuna with sliced chili, tuna with chili and basil leaf and sardine in tomato sauces. Restaurant is well known in this region for serving local and foreign food. As major attraction to consumer restaurant have serve local food. As a conclusion, restaurants are potential customer of company in using most of companys product. Three Year Strategy Year 1 I also suggest the organization to promote the products to the market through advertising. The two main areas of focus are magazine and newspaper. Magazine YEO HIAP SENG can publish in daily magazines their advertisements. Magazine is a very good tool to brief potential readers about the company. Many magazine readers are around Malaysia, and some even read it daily as a part of their activities. Most of the other people read magazines during their free time. Newspaper Newspaper will be a better choice compared to magazine. This is because the amount of newspaper readers is more than magazine readers. Through newspaper, YEO HIAP SENG can publish their potential products with pictures, location, profile and information regarding the product. It is very easy for YEO HIAP SENG to reach their target market through newspaper because almost everyone reads newspaper in Malaysia. Year 2 Exhibition Exhibition will be held in many famous places around Malaysia like KLCC, Midvalley, Bukit Bintang and Pavillion. Exhibition is a part of PR strategy to get more attention of the consumer. Seminar Seminar can also be held at school and university areas. Examples of famous places are Pay Fong Highschool, Inti University College and Nilai College. These places have many students and able to accommodate up to 1000 places for attendee. Year 3 Brochure Brochures will be printed in three languages and they are Mandarin, English and Malay language. Special designs that can catch attention will be used and the print will be in tri-fold brochure, tri-fold result in six panels and three panels on each side, the size (3panels x 2sides) of 3.67 x 8.5. Thick gloss paper with four colour process will be used so that the quality can be seen and also giving a good impression. The estimated print out copies will be around 10000 copies after consideration of the target market. For year 1 strategy, the total amount of budget forecasted is Rm 280, 000 which is just about the allocated budget of Rm 300, 000. The second year strategy is only Rm 200, 000 only for exhibition purposes. In the final year three, the budget is only Rm 124, 000 which is getting lower and lower because the first and second strategy are not repeated. Commercial Partner And Sponsorship Much consideration was taken before choosing our potential commercial partner and sponsorship. Guinness Anchor Berhad (GAB) was chosen because it is the market leader in the beer and stout industry of Malaysia. This company started business in 1989 with the partnership between Malayan Breweries and Guinness Malaysia Berhad. On the similar year, it was listed in the KLSE as well. As a related industry, they can truly assist our company in sponsorship to achieve greater success. This is an ideal reason to seek them as sponsor for the organization of ours. Control And Evaluation Analyzing the effectiveness of the public relation plan is another important part of evaluation test. It used to estimate whether the media that we use reach to our target market effectively. Our company marketing department staff will do a research for advertising ROI (Return On Investment). It is a strategy that uses to measures the relationship between output (sales) and input (budget, money spent on message creation and delivery). By doing this research we will know whether the tools used in the public relation plan is efficient enough (Allen, 1999). All of the measurement and evaluation activities will help us to learn which way is the most effective way to reach our target audiences. Therefore, we can increase the performance of the public relation plan in the future. Summary Absolutely, marketing is most powerful and crucial division in one company. Marketing and sales staff should work together to achieve their mission. Market opportunity is a big factor in shaping a companys strategy in its campaign. Indeed, managers can not properly tailor to the YEO s situation without first identifying each company opportunity, appraising the growth and profit potential each one holds and crafting strategic initiatives to capture the most promising of the companys market opportunities.

Manila Water Company Essay

?The true value of water is realized only when there is lack of it. It’s also why this is often taken for granted; water is so much a part of our everyday lives that the concept of not having it is too overwhelming. Unfortunately, this was once a way of life those Metro Manila residents faced every day. Before 1997, the capital’s water supply and distribution was in disarray. Communal water sources were shared by hundreds of families who had to line up for hours just to get a few pails for the day’s use. Illegal connections ran rampant, draining these water sources even more. Clean and potable water was a luxury which poor families simply did not have, and that others had to acquire at a steep price. Needless to say, the morale was low among Metro Manila’s residents. In 1995, this situation prompted the Philippine government to enact the National Water Crisis Act, which turned over the operation of water services from the government-owned Metropolitan Waterworks and Sewerage System (MWSS) to the private sector. The Ayala-led Manila Water Company took over the East Zone of Metro Manila, 40% of the capital city, under a 25-year concession agreement; this granted the company exclusive rights to the use of land and facilities for the production, treatment and distribution of water, as well as the rights to operate the sewerage system. By accepting this task, Manila Water took upon itself the responsibility of making millions of lives better. Business Sustainability Manila Water formally took over operations for the East Zone in 1997. This is comprised of Pasig, Taguig, Makati, Mandaluyong, Cubao & Balara (Quezon City), Marikina, San Juan and Antipolo-Rizal. All of these suffered from crippling water loss problems, and resorted to buying water from sources that charged ten to twenty times more than the normal cost. Manila Water began its rehabilitation plan by connecting these areas effectively. Water pipes were added and repaired, and illegal connections were thoroughly acted upon and remedied. A laboratory was established to ensure that the water delivered is consistently clean and drinkable straight out of the tap. Reservoirs were improved upon to ensure that water will be available in case of emergencies. Sewer lines and wastewater operations increased and was subsequently treated and rehabilitated. As water connections improved, so did the stability of the business; and this allowed the company to offer its water and wastewater services to areas outside Metro Manila. Now, Manila Water has established water and wastewater service partnerships in Laguna, Pampanga, Boracay and Cebu, as well as international ventures with Vietnam. The company is now internationally recognized through its corporate governance efforts as well as its business stability, as a proud example of success through the Filipino values of diligence and ingenuity. Social Responsibility Manila Water’s rehabilitation program was driven by a single principle: care for the customer. The company divided the East Zone into business areas, assigning Territory Managers and Customer Care specialists for each; its sole purpose is to understand the customer’s water concerns and to respond to these directly and efficiently. Of the 6 million residents in the East Zone, 1. 7 million come from impoverished families who cannot apply for water connections simply because they have no land they can call their own. To address this, Manila Water established the â€Å"Tubig Para Sa Barangay† (TPSB) program in 1998. Assisted by both government and non-government organizations, the company eased land title requirements for these communities, and provided them water services that are 1/3 of the normal cost. For the first time, these families could go about their lives without worrying about water ever again. Manila Water sustained this effort by establishing partners, or kasanggas among community and barangay leaders. By empowering these stakeholders as being directly responsible for the welfare of their community, key issues like sanitation, health, and livelihood due to water supply was discussed and tackled decisively. A memorable example was 2009’s Typhoon Ondoy disaster, where Manila Water and their kasanggas braved the storm to save lives and provided potable water to its victims almost immediately. Advocacy for the Environment Before Manila Water took over, a lesser-recognized, yet equally important victim suffered as well; the environment. With only 3% of homes connected to sewers, wastewater from toilets, sinks, and waterways had only two places to go: poorly-maintained residential septic tanks, or Metro Manila’s rivers and bodies of water. The company acted quickly to counter these environmental threats. Wastewater treatment plants were built and established among Metro Manila’s riverbanks and crucial areas, where this water would be treated and returned to the rivers clean and capable of supporting marine life. Septic tank desludging was introduced as a service to customers, allowing them to proactively schedule accordingly. The Lakbayan tour, a free walking tour of the company’s water and wastewater sites, allows anyone to single-handedly experience how the environment is key to the company’s efforts. This 2012, the Toka Toka campaign is launched, the first-ever wastewater campaign in the country. This aims to get people directly involved in preserving the environment by doing its own part in waste segregation, and preventing this waste from reaching the rivers. This movement will be supported government, non-government, and private organizations, making it one of the biggest environmental campaigns ever. After 15 years of service, Manila Water remains dedicated to its customers and the environment, as it gears toward a clean, clear, and sustainable future for everyone. Our vision is to become a leader in the provision of water, wastewater and other environmental services which will empower people, protect the environment, and enhance sustainable development. Sustainability Policy  Manila Water puts a very high premium on sustainable development and as much as practicable, integrates its principles into its business processes. Manila Water believes that the continued sustainability of its business is dependent on the communities that it serves and the environment that supports its resources. This policy is consistent with the Company’s values in promoting corporate social responsibility. With this in mind, the Company will be able to address the needs of the communities, the environment and the economy, without sacrificing quality.

My Personal Project On Domestic Violence - 1687 Words

My personal project focussed on the families that have been placed in Women’s Shelters. The families placed aren’t established there for no reason. All of them have been victims of domestic violence, and they’re all trying to escape from the abuse as best as they can. The organization itself housed a total of 290 people in 2013, but there are so many people in the world that are still suffering from their significant other abusing them. My focus on the project was mainly on raising my own self-awareness about the families in the organization. Domestic violence is an issue that many people are aware of, yet a majority of people don’t seem to know the consequences that are a result. I think this issue isn’t one that should be mitigated. It deserves to be made a fuss about, because domestic violence is a significant topic that’s worth discussing. The area of interaction my project fits in with is community and service. Researching about the Wome n’s Shelter has allowed me to expand my knowledge of the community around me. It’s so easy to live a life that revolves only around myself, my close friends, and my family. Researching about this topic has expanded my perspective of the people around me. By choosing this specific topic, I was able to not only benefit myself, but the community around me. I went to the shelter to help with my adviser’s advisory class, and I thoroughly enjoyed doing that. We made dinner after school, then we went to serve the shelter on February 12th.Show MoreRelatedMy Personal Project On Domestic Violence1661 Words   |  7 PagesMy personal project was focused on the families that have been placed in Women’s Shelters. The families placed aren’t established there for no reason. All of them have been victims of domestic violence, and they’re all trying to escape from the abuse as best as they can. The organization itself housed a total of 290 people in 2013, b ut there are so many people in the world that are still suffering from their significant other abusing them. My focus on the project was mainly on raising my own self-awarenessRead More`` Bad Indians : A Tribal Memoir, Deborah A. Miranda986 Words   |  4 Pages Structure of Our History in Our Present In her novel, Bad Indians: A Tribal Memoir, Deborah A. Miranda theorizes that the underlying patronage of her father’s violent behavior arises from the original acts of violence carried out by the Spanish Catholic Church during the era of missionization in California. The structure of her novel plays an essential role in the development of her theory, and allows her to further generalize it to encompass the entire human population. â€Å"In this beautiful and devastatingRead MoreInfluences For Choosing Social Work As A Career986 Words   |  4 Pagesfor Choosing Social Work as a Career Social work has been my major since childhood. Throughout my life I have persevered against poverty, discrimination, domestic violence, substance abuse and mental health barriers. Due to my experience with these issues, the art of learning grew into a passion and priority. By focusing on my education, I established my identity apart from the status quo of my background and became the first woman in my family to attend college. Despite enrolling without a careerRead MoreBuilding Relationships1094 Words   |  5 Pageswill be presented to the families. There are community resources such as health benefits, assistance for children with disabilities, mental health, domestic violence, and substance abuse agencies that reaps great benefits for families that need it. By developing a trusting relationship, you are better able to provide families guidance concerning personal issues, even through those turbulent times they think no one cares. First, is a health benefit that is available for everyone to apply at the DepartmentRead MoreGoogle Smart To Stop Domestic Violence Case Study763 Words   |  4 PagesTo: Mary Moreno Nintendo USA, Project Manager From: Rohith Yeravothula Date: November 30, 2017 Re: GOOGLE IoT NETWORK TO CURB DOMESTIC VIOLENCE I feel honored and am thankful to Google, for giving me a chance to express my idea as part of Blue Sky initiative. I would like to propose the idea of utilizing Google IoT network devices to curb and eliminate domestic violence in the United States. Domestic violence has been one of the top concerns the United States is facingRead MorePersonal Narrative for Msw1643 Words   |  7 Pageshelp people function the best way they can in their environment, deal with their relationships, and solve personal and family problems. Social workers often see clients who face a life-threatening disease or a social problem. These problems may include inadequate housing, unemployment, serious illness, disability, or substance abuse. Social workers also assist families that have serious domestic conflicts, including those involving child or spousal abuse. Social workers often provide social servicesRead MoreFinal Program Summary Hsm 2701701 Words   |  7 PagesFinal Project Program Summary Jeerna Meador HSM/270 Program Planning and Grant Proposal Writing in Hum Serv (Axia) Instructor: Richard Perrone Week Nine The overall purpose of this paper is to compare program planning in a human service organization by describing how they are related.    There will be examples of how program planning and evaluation interrelate with the PEACE Domestic Violence Agency. We will also look at the technical and political aspects of program planning and evaluation thatRead MoreHow I Use Moving Image And Graphic Art1747 Words   |  7 Pagesexplaining the relationship between my writing and practice. A Pattern of Logic Inquiries The research, both written and visual, is a creative response to the current Syrian conflict. However, it is important to mention here, that my art project does not focus on the political aspect of the conflict and it is not taking a side in supporting or attacking either parties. Instead, my project is concerned with the human aspect of the crisis and the impact of violence on Syrian everyday life. I use movingRead MoreEssay about Domestic Violence In Police Homes1420 Words   |  6 PagesAs all officers know, domestic violence is a serious problem throughout the United States. Unfortunately, it is also a crime that some officers perpetrate in their own homes. When officers - who are sworn to protect and serve in their communities - abuse their power and control at home, they violate the law. When this occurs, the victim, the family, the agency, and the entire community suffer. Officers are trained to maintain control, to use weapons, and to justify their use of force on the job.Re ad MoreMemersion Reflection Analysis1593 Words   |  7 Pagesimmersion experience was the Domestic Violence Center located in West Chester, Pennsylvania. The services provided by this organization to victims of domestic violence are impressive. The second immersion was at the Food Bank of Delaware. It was great to tour the Food Bank facility and see workers in action to fight hunger in Delaware. Both immersion activities were enjoyable learning experiences. In addition, I enjoyed learning about some of the other immersions that my colleagues attended as well

Biography of Mary Jackson, NASAs First Female Black Engineer

Mary Jackson (April 9, 1921 – February 11, 2005)  was an aerospace engineer and mathematician for the National Advisory Committee for Aeronautics (later the National Aeronautics and Space Administration). She became NASA’s first black female engineer and worked to improve hiring practices for women at the administration. Fast Facts: Mary Jackson Full Name:  Mary Winston JacksonOccupation: Aeronautical engineer and mathematicianBorn: April 9, 1921 in  Hampton, VirginiaDied:  February 11, 2005 in Hampton,  VirginiaParents:  Frank and Ella WinstonSpouse:  Levi Jackson Sr.Children: Levi Jackson Jr. and Carolyn Marie Jackson LewisEducation: Hampton University, BA in mathematics and BA in physical science; further graduate training at the University of Virginia Personal Background Mary Jackson was the daughter of Ella and Frank Winston, from Hampton, Virginia. As a teenager, she attended the all-black George P. Phenix Training School and graduated with honors. She was then accepted to Hampton University, a private, historically black university in her hometown. Jackson earned dual bachelor’s degrees in mathematics and physical science and graduated in 1942. For a time, Jackson found only temporary employment and jobs that did not line up fully with her expertise. She worked as a teacher, a bookkeeper, and even as a receptionist at one point. Throughout this time—and, in fact, throughout her life—she also privately tutored high school and college students. In the 1940s, Mary married Levi Jackson. The couple had two children: Levi Jackson Jr. and Carolyn Marie Jackson (later Lewis). Computing Career Mary Jackson’s life continued in this pattern for nine years until 1951. That year, she became a clerk at the Office of the Chief Army Field Forces at Fort Monroe, but soon moved to another government job. She was recruited by the National Advisory Committee for Aeronautics (NACA) to be a â€Å"human computer† (formally, a research mathematician) in the West Computing group at the organization’s Langley, Virginia facility. For the next two years, she worked under Dorothy Vaughan in the West Computers, a segregated division of black female mathematicians. Mathematician Mary Jackson, the first black woman engineer at NASA poses for a photo at work at NASA Langley Research Center in 1977 in Hampton, Virginia.   Bob Nye / NASA / Getty Images In 1953, she began working for engineer Kazimierz Czarnecki in the Supersonic Pressure Tunnel. The tunnel was a crucial apparatus for research on aeronautical projects and, later, the space program. It functioned by generating winds so fast that they were nearly twice the speed of sound, which was used to study the effects of forces on models. Czarnecki was impressed by Jacksons work and encouraged her to get the qualifications necessary to be promoted to a full engineer position. However, she faced several obstacles to that goal. There had never been a black female engineer at NACA, and the classes Jackson needed to take in order to qualify weren’t easy to attend. The problem was that the graduate-level math and physics classes she needed to take were offered as night classes through the University of Virginia, but those night classes were held at the nearby Hampton High School, an all-white school. Jackson had to petition the courts for permission to attend those classes. She was successful and was permitted to finish the courses. In 1958, the same year that NACA became NASA, she was promoted to aerospace engineer, making history as the organization’s first black female engineer. Groundbreaking Engineer As an engineer, Jackson remained at the Langley facility, but moved over to work at the Theoretical Aerodynamics Branch of the Subsonic-Transonic Aerodynamics Division. Her work focused on analyzing data produced from those wind tunnel experiments as well as actual flight experiments. By gaining a better understanding of air flow, her work helped improve aircraft design. She also used her wind tunnel knowledge to help her community: in the 1970s, she worked with young African American children to create a mini version of a wind tunnel. Over the course of her career, Mary Jackson authored or co-authored twelve different technical papers, many about the results of the wind tunnel experiments. By 1979, she achieved the most senior position possible for a woman in the engineering department, but could not break through to management. Instead of remaining at this level, she agreed to take a demotion in order to work in the Equal Opportunity Specialist department instead. She received specialized training at NASA headquarters before returning to the Langley facility. Her work focused on helping women, black employees, and other minorities advance in their careers, advising them on how to get promotions and working to highlight those who were particularly high-achieving in their particular fields. During this time in her career, she held multiple titles, including Federal Women’s Program Manager in the Office of Equal Opportunity Programs and Affirmative Action Program Manager. In 1985, Mary Jackson retired from NASA at the age of 64. She lived for another 20 years, working in her community and continuing her advocacy and community engagement. Mary Jackson died on February 11, 2005 at the age of 83. In 2016, she was one of three main women profiled in Margot Lee Shetterly’s book Hidden Figures: The American Dream and the Untold Story of the Black Women Who Helped Win the Space Race and its subsequent movie adaptation, in which she was portrayed by Janelle Monà ¡e. Sources â€Å"Mary Winston-Jackson. Biography, https://www.biography.com/scientist/mary-winston-jackson.Shetterly, Margot Lee. Hidden Figures: The American Dream and the Untold Story of the Black Women Who Helped Win the Space Race. William Morrow Company, 2016.Shetterly, Margot Lee. â€Å"Mary Jackson Biography.† National Aeronautics and Space Administration, https://www.nasa.gov/content/mary-jackson-biography.

A Speech Given By Simon Sinek - 1489 Words

Recently, there has been debates on the topics of millennials and technology. When it comes to these topics, one side says that it is making the younger generation addicted to them or that millennials are lazy, entitled, and narcissistic. In the other side, we have others saying that technology has helped become more advanced or that millennials are, in fact, beneficial to society as they changed the workplace and such. In a speech given by Simon Sinek, titled â€Å"Millennials in the Workplace,† he argues that due to how millennials were brought up, it affected their way of responding to challenges in their lives, such as stressors, and how they functioned in the workplace. My own view is that due to the way millennials were raised and the†¦show more content†¦Another point Sinek (2016) mentions is about how technology is a source of dopamine for these millennials, backing up his reasoning with a study done by Harvard research scientist. He states, â€Å"†¦an e ntire generation now has access to an addictive, numbing chemical called dopamine, through cell phones and social media, while they are going through the high stress of adolescence†¦Ã¢â‚¬  (2017, 4:31). In other words, due to devices being sources of dopamine, it is easy to become addicted to them as dopamine is the same chemical that released when smoking or drinking. As Sinek (2016) also said, â€Å"what’s happening is because we’re out allowing unfettered access to the dopamine producing devices and media. Basically, it’s becoming hardwired and what we’re seeing is, as they grow older, too many kids don’t know how to form deep, meaningful relationships. Their words, not mine,† (5:33). The essence of Sinek’s point is that, as he would hear others say, due to growing up with unrestricted access to devices and social media, kids do not know how to form true friendships and deep relationships with others. They end up not having r elationships or friendships where they can rely on the support of their partner or friend, as Sinek (2016) addresses. Due to using technology as a way to cope with stress, the relationship people have with others aroundShow MoreRelatedMillennials And Technology1194 Words   |  5 Pageschanged the workplace and such. In a speech given by Simon Sinek, titled â€Å"Millennials in the Workplace,† he argues that due to how millennials were brought up, it affected their way of responding to challenges in their lives, such as stressors, and how they functioned in the workplace. My own view is that due to the way millennials were raised and the environment we have around us, it truly affects how we work and function in the real world. In his speech, Simon Sinek (2016) addresses four pieces thatRead MoreSimon Sinek Speech1560 Words   |  7 PagesIn Simon Sinek speech â€Å"Millennials in the workplace interview† Simon humorously explains using past and personal experiences that millennials are a great and fantastic generation. They have become an addictive generation because of bad parenting, technology, impatience, and the environment and the only way to change this generation is if they are given help to balance physical and social lives. I would agree with this because I too suffer from an unbalanced physical and social life. At the startRead MoreSimon Sinek - How Great Leaders Inspire Action3157 Words   |  13 PagesSIMON SINEK – How Great Leaders Inspire Action How do you explain when  things don t go as we assume?  Or better, how do you explain when others are able to achieve things  that seem to defy all of the assumptions?  For example:  Why is Apple so innovative?  Year after year, after year, after year,  they re more innovative than all their competition.  And yet, they re just a computer company.  They re just like everyone else.  They have the same access to the same talent,  the same agencies, the same

Footnote to Youth Free Essays

Short story of how my brother leon brought home a wife? An Award Winning Publisher Looking for New Writers www. RaiderPublishing. com How my brother Leon brought home a wife is a short story by author Manuel E. We will write a custom essay sample on Footnote to Youth or any similar topic only for you Order Now Arguilla. Manuel E. Arguilla was well known for his short stories such as this story and many of his works were published throughout the 1940s especially. Arguilla lived between 1911 and 1944, at which point he was captured, tortured and killed by the Japanese army. The story ‘How my brother Leon brought home a wife’ is perhaps the most successful and popular of Arguilla’s short stories. The story is written from the point of view of a young boy called Baldo and his recollections of the night that he met his brother’s wife, Maria, for the first time. The story is descriptive and eloquently written and makes you feel as though you were there yourself. The story starts with Baldo meeting Leon and Maria and how he took them on a ride home through the fields near their home on a cart pulled by their family bull. The story describes the smell, look and feel of the fields and the surrounding areas and speaks well of Maria, describing her as gentle and full of laughter. It becomes apparent that Leon is taking Maria to meet his family for the first time, and she is nervous about meeting them, his father especially. As the story continues Baldo, Leon (who is called Noel in the story as this is Maria’s nickname for him, Baldo presumes that this is because Noel is Leon backwards) and Maria all arrive at the family home. The story ends with the three of them entering the father’s room upstairs and they begin talking to him. If you would like to read the story yourself you can follow this link to read the story yourself. Analysis Footnote To Youth Footnote to Youth By Jose Garcia Villa 1. Explain the title. In what way is it suitable to the story? Footnote to youth is the title of the story. It is said that it is a footnote to youth because it is abrief reminder for the Filipinos especially the youth of what a real life could be today. It also indicatesthe sources or the causes why youth act this way. It furthermore adds comment, whether it is apositive or negative, on today’s generation. Yes it is suitable to the story because it gives a warningfor those apathetic youth that ones committed mistake because of their stubbornness. . What is the predominant element in the story- plot, theme, character, and setting? Explain. The predominant element on this story is the character and the setting. The setting has a greatimpact because the story definitely empathizes the situations of a Filipino person and it is appealingfor us because we are at the poverty line. The setting is most likely the same setting as today. Alsothe ch aracters, because characters had their own definite description, their conversation is differentfrom one another, and they act as unique as their personality it enhances the story even more. Theact of the characters seems to bring up the whole story. 3. Who is the single main character about whom the story centers? Explain. The story centers at the character of Dodong. Dodong is the one who represents the typicalyouth that experiencing a lot of uncertainties in life that make him realize that he sacrifice his youthjust for the sake of proving himself that he can manage his own life because he is matured enough toface this life’s challenges. 4. What sort of conflict confronts the leading character or characters? Explain. Internal conflict confronts the leading character. Internal character in a way that he wasstruggling if he can managed himself to have a family because he knows that he is in the legal agethat he can be independent and can definitely choose the right from wrong. But†¦ â€Å"Footnote to Youth† was written by Jose Garcia Villa. Story: The sun was salmon and hazy in the west. Dodong thought to himself he would tell his father about Teang when he got home, after he had unhitched the carabao from the plow, and let it to its shed and fed it. He was hesitant about saying it, but he wanted his father to know. What he had to say was of serious import as it would mark a climacteric in his life. Dodong finally decided to tell it, at a thought came to him his father might refuse to consider it. His father was silent hard-working farmer who chewed areca nut, which he had learned to do from his mother, Dodong’s grandmother. I will tell it to him. I will tell it to him. The ground was broken up into many fresh wounds and fragrant with a sweetish earthy smell. Many slender soft worms emerged from the furrows and then burrowed again deeper into the soil. A short colorless worm marched blindly to Dodong’s foot and crawled calmly over it. Dodong go tickled and jerked his foot, flinging the worm into the air. Dodong did not bother to look where it fell, but thought of his age, seventeen, and he said to himself he was not young any more. Dodong unhitched the carabao leisurely and gave it a healthy tap on the hip. The beast turned its head to look at him with dumb faithful eyes. Dodong gave it a slight push and the animal walked alongside him to its shed. He placed bundles of grass before it land the carabao began to eat. Dodong looked at it without interests. Dodong started homeward, thinking how he would break his news to his father. He wanted to marry, Dodong did. He was seventeen, he had pimples on his face, the down on his upper lip already was dark-these meant he was no longer a boy. He was growing into a man–he was a man. Dodong felt insolent and big at the thought of it although he was by nature low in statue. Thinking himself a man grown Dodong felt he could do anything. He walked faster, prodded by the thought of his virility. A small angled stone bled his foot, but he dismissed it cursorily. He lifted his leg and looked at the hurt toe and then went on walking. In the cool sundown he thought wild you dreams of himself and Teang. Teang, his girl. She had a small brown face and small black eyes and straightglossy hair. How desirable she was to him. She made him dream even during the day. Dodong tensed with desire and looked at the muscles of his arms. Dirty. This field work was healthy, invigorating but it begrimed you, smudged you terribly. He turned back the way he had come, then marched obliquely to a creek. Dodong stripped himself and laid his clothes, a gray undershirt and red kundiman shorts, on the grass. The he went into the water, wet his body over, and rubbed at it vigorously. He was not long in bathing, then he marched homeward again. The bath made him feel cool. It was dusk when he reached home. The petroleum lamp on the ceiling already was lighted and the low unvarnished square table was set for supper. His parents and he sat down on the floor around the table to eat. They had fried fresh-water fish, rice, bananas, and caked sugar. Dodong ate fish and rice, but didnot partake of the fruit. The bananas were overripe and when one held them they felt more fluid than solid. Dodong broke off a piece of the cakes sugar, dipped it in his glass of water and ate it. He got another piece and wanted some more, but he thought of leaving the remainder for his parents. Dodong’s mother removed the dishes when they were through and went out to the batalan to wash them. She walked with slow careful steps and Dodong wanted to help her carry the dishes out, but he was tired and now felt lazy. He wished as he looked at her that he had a sister who could help his mother in the housework. He pitied her, doing all the housework alone. His father remained in the room, sucking a diseased tooth. It was paining him again, Dodong knew. Dodong had told him often and again to let the town dentist pull it out, but he was afraid, his father was. He did not tell that to Dodong, but Dodong guessed it. Afterward Dodong himself thought that if he had a decayed tooth he would be afraid to go to the dentist; he would not be any bolder than his father. Dodong said while his mother was out that he was going to marry Teang. There it was out, what he had to say, and over which he had done so much thinking. He had said it without any effort at all and without self-consciousness. Dodong felt relieved and looked at his father expectantly. A decrescent moon outside shed its feeble light into the window, graying the still black temples of his father. His father looked old now. â€Å"I am going to marry Teang,† Dodong said. His father looked at him silently and stopped sucking the broken tooth. The silence became intense and cruel, and Dodong wished his father would suck that troublous tooth again. Dodong was uncomfortable and then became angry because his father kept looking at him without uttering anything. â€Å"I will marry Teang,† Dodong repeated. â€Å"I will marry Teang. † His father kept gazing at him in inflexible silence and Dodong fidgeted on his seat. â€Å"I asked her last night to marry me and she said†¦ yes. I want your permission. I†¦ want†¦ it†¦. † There was impatient clamor in his voice, an exacting protest at this coldness, this indifference. Dodong looked at his father sourly. He cracked his knuckles one by one, and the little sounds it made broke dully the night stillness. â€Å"Must you marry, Dodong? † Dodong resented his father’s questions; his father himself had married. Dodong made a quick impassioned easy in his mind about selfishness, but later he got confused. â€Å"You are very young, Dodong. † â€Å"I’m†¦ seventeen. † â€Å"That’s very young to get married at. † â€Å"I†¦ I want to marry†¦ Teang’s good girl. † â€Å"Tell your mother,† his father said. â€Å"You tell her, tatay. † â€Å"Dodong, you tell your inay. † â€Å"You tell her. † â€Å"All right, Dodong. † â€Å"You will let me marry Teang? â€Å"Son, if that is your wish†¦ of course†¦ † There was a strange helpless light in his father’s eyes. Dodong did not read it, too absorbed was he in himself. Dodong was immensel y glad he had asserted himself. He lost his resentment for his father. For a while he even felt sorry for him about the diseased tooth. Then he confined his mind to dreaming of Teang and himself. Sweet young dream†¦. Dodong stood in the sweltering noon heat, sweating profusely, so that his camiseta was damp. He was still like a tree and his thoughts were confused. His mother had told him not to leave the house, but he had left. He had wanted to get out of it without clear reason at all. He was afraid, he felt. Afraid of the house. It had seemed to cage him, to compares his thoughts with severe tyranny. Afraid also of Teang. Teang was giving birth in the house; she gave screams that chilled his blood. He did not want her to scream like that, he seemed to be rebuking him. He began to wonder madly if the process of childbirth was really painful. Some women, when they gave birth, did not cry. In a few moments he would be a father. â€Å"Father, father,† he whispered the word with awe, with strangeness. He was young, he realized now, contradicting himself of nine months comfortable†¦ â€Å"Your son,† people would soon be telling him. â€Å"Your son, Dodong. † Dodong felt tired standing. He sat down on a saw horse with his feet close together. He looked at his callused toes. Suppose he had ten children†¦ What made him think that? What was the matter with him? God! He heard his mother’s voice from the house: â€Å"Come up, Dodong. It is over. † Of a sudden he felt terribly embarrassed as he looked at her. Somehow he was ashamed to his mother of his youthful paternity. It made him feel guilty, as if he had taken something no properly his. He dropped his eyes and pretended to dust dirt off his kundiman shorts. â€Å"Dodong,† his mother called again. â€Å"Dodong. † He turned to look again and this time saw his father beside his mother. â€Å"It is a boy,† his father said. He beckoned Dodong to come up. Dodong felt more embarrassed and did not move. What a moment for him. His parents’ eyes seemed to pierce him through and he felt limp. He wanted to hide from them, to run away. â€Å"Dodong, you come up. You come up,† he mother said. Dodong did not want to come up and stayed in the sun. â€Å"Dodong. Dodong. † â€Å"I’ll†¦ come up. † Dodong traced tremulous steps on the dry parched yard. He ascended the bamboo steps slowly. His heart pounded mercilessly in him. Within, he avoided his parents eyes. He walked ahead of them so that they should not see his face. He felt guilty and untrue. He felt like crying. His eyes smarted and his chest wanted to burst. He wanted to turn back, to go back to the yard. He wanted somebody to punish him. His father thrust his hand in his and gripped it gently. â€Å"Son,† his father said. And his mother: â€Å"Dodong†¦ † How kind were their voices. They flowed into him, making him strong. â€Å"Teang? † Dodong said. â€Å"She’s sleeping. But you go in†¦ His father led him into the small sawali room. Dodong saw Teang, his girl wife, asleep on the papag with her black hair soft around her face. He did not want her to look that pale†¦ Dodong wanted to touch her, to push away that stray wisp of hair that touched her lips, but again that feeling of embarrassment came over him and before his parents h e did not want to be demonstrative. The hilot was wrapping the child, Dodong heart it cry. The thin voice pierced him queerly. He could not control the swelling of happiness in him. You give him to me. You give him to me,† Dodong said. * * * Blas was not Dodong’s child. Many more children came. For six successive years a new child came along. Dodong did not want any more children, but they came. It seemed the coming of children could not be helped. Dodong got angry with himself sometimes. Teang did not complain, but the bearing of children told on her. She was shapeless and thin now, even if she was young. There was interminable work to be done. Cooking. Laundering. The house. The children. She cried sometimes, wishing she had not married. She did not tell Dodong this, not wishing him to dislike her. Yet she wished she had not married. Not even Dodong, whom she loved. There has been another suitor, Lucio, older than Dodong by nine years, and that was why she had chosen Dodong. Young Dodong. Seventeen. Lucio had married another after her marriage to Dodong, but he was childless until now. She wondered if she had married Lucio, would she have borne him children. Maybe not either. That was a better lot. But she loved Dodong†¦ Dodong whom life had made ugly. One night, as he lay beside his wife, he roe and went out of the house. He stood in the moonlight, tired and querulous. He wanted to ask questions and somebody to answer him. He w anted to be wise about many things. One of them was why life did not fulfill all of Youth’s dreams. Why it must be so. Why one was forsaken†¦ after Love. Dodong would not find the answer. Maybe the question was not to be answered. It must be so to make Youth. Youth. Youth must be dreamfully sweet. Dreamfully sweet. Dodong returned to the house humiliated by himself. He had wanted to know a little wisdom but was denied it. * * * When Blas was eighteen he came home one night very flustered and happy. It was late at night and Teang and the other children were asleep. Dodong heard Blas’s steps, for he could not sleep well of nights. He watched Blas undress in the dark and lie down softly. Blas was restless on his mat and could not sleep. Dodong called him name and asked why he did not sleep. Blas said he could not sleep. â€Å"You better go to sleep. It is late,† Dodong said. Blas raised himself on his elbow and muttered something in a low fluttering voice. Dodong did not answer and tried to sleep. â€Å"Itay †¦ ,† Blas called softly. Dodong stirred and asked him what was it. â€Å"I am going to marry Tena. She accepted me tonight. † Dodong lay on the red pillow without moving. â€Å"Itay, you think it over. † Dodong lay silent. â€Å"I love Tena and†¦ I want her. † Dodong rose f ROM his mat and told Blas to follow him. They descended to the yard, where everything was still and quiet. The moonlight was cold and white. â€Å"You want to marry Tena,† Dodong said. He did not want Blas to marry yet. Blas was very young. The life that would follow marriage would be heard†¦ â€Å"Yes. † â€Å"Must you marry? † Blas’s voice stilled with resentment. â€Å"I will marry Tena. † Dodong kept silent, hurt. â€Å"You have objections, Itay? † Blas asked acridly. â€Å"Son†¦ n-none†¦ † (But truly, God, I don’t want Blas to marry yet†¦ not yet. I don’t want Blas to marry yet†¦. But he was helpless. He could not do anything. Youth must triumph†¦ now. Love must triumph†¦ now. Afterwards†¦ it will be life. As long ago Youth and Love did triumph for Dodong†¦ and then Life. Dodong looked wistfully at his young son in the moonlight. He felt e xtremely sad and sorry for him. Characters: 1. Dodong – main character of the story who got married at the age of 17 2. Teang – regretted marrying at an early age 3. Lucio – Teang’s other suitor who got married after she did and who’s childless until now 4. Blas – Dodong and Teang’s oldest son who followed their footsteps in the end. Blas contemplated to marry Tona when he was 18 5. Tona – woman whom Blas wants to marry. Summary: Dodong wanted to marry Teang and asked his father’s permission. Thinking that since they are young, their love would be short, he allowed them to get married. After nine months, Teang gave birth to a child named Blas. For six consecutive years, a new child came along. Teang did not complain even thought she secretly regretted being married at an early age. Sometimes she even wondered if she would have the same life if Lucio, her other suitor who was nine years older than Dodong, was the one she married. Lucio has had no children since the time he married. When Teang and Dodong were twenty they looked like they were fifty. When Blas was 18, he told his father that he would marry Tona. Dodong did not object, but tried to make Blas think twice before rushing to marriage – because Dodong doesn’t want Blas to end up like him. *** It simply tells the story of an older person who made a mistake in the past who ended up with a not so pleasurable life. Then he had a son who is like him when he was young. His son is hasty in making the decision to get married, just like he was when he was 17. Despite this, Dodong did not – and How to cite Footnote to Youth, Papers

Neuroscience Nursing Subarachnoid Hemorrhage

Question: Discuss about theNeuroscience Nursing: Subarachnoid Hemorrhage. Answer: Rupture of the Middle Cerebral Artery aneurysm with a Subarachnoid Hemorrhage Rupture of the Middle Cerebral Artery aneurysm results in the development of approximately 80% of the cases of subarachnoid hemorrhage that are non-traumatic. These aneurysms predominantly develop at the branching points or vessel bifurcations. Middle cerebral artery aneurysm is a type of intracranial aneurysm (also known as berry aneurysms) and most of these occur near or within the circle of Willis (Wen et al. 2012, pp.688-699). However, the most common location of the intracranial aneurysms is at the anterior communicating artery and the middle cerebral artery bifurcation and collectively constitutes about 60% of the overall aneurysms. 10 20% of the aneurysms develop at the basilar and vertebral arteries (Zanaty et al. 2014, pp.381-387). Subarachnoid hemorrhage is responsible for about 6% of the cases of strokes and affects about 6 to 9 people in a population of 100,000. About 85% of the patients suffer bleeding due to intracranial aneurysms and 10% from the non-aneurysmal and pr ei-mesencephalic hemorrhage (Pierot et al. 2013, pp.27-35). 5% of the bleeding is attributed to the vascular abnormalities that include vasculitis, arteriovenous malformation and tumor-associated abnormal blood vessels. The mean age of occurrence is 50 years, affects the younger population and women are at a higher risk compared to men for subarachnoid hemorrhage (Kalani et al. 2013, pp.428-436). Furthermore, numerous researches have been carried out till date on subarachnoid hemorrhage however, limited study has been conducted to explain the neurosurgical interventions of middle cerebral artery aneurysm with a subarachnoid hemorrhage. In this assignment, the researcher will carry out an extensive literature review to determine the neurological interventions of middle cerebral artery aneurysm with a subarachnoid hemorrhage from the primary sources. Diringer (2009, p.432) carried out a study to demonstrate the management of the subarachnoid hemorrhage due to the rupture of the intracranial aneurysm. The article has demonstrated a detailed encounter of the pathological condition with the prevailing consequences and the required interventions. Neurological interventions presented in this article included neurological function assessment with angiography preparation. Neurological deterioration has been identified as the chief symptom of the disorder with seizures. This article was beneficial in understanding the condition from the neurological aspect however, much attention was not given to the management of the disease from the neurological perspectives with a deeper understanding of the various parameters of intervention. Similarly, The complications of the disease and their management have been well discussed with provision of the early clinical care management with common pharmacological interventions The main arguments raised by the article stated that blood vessels get constricted because of the pathological changes, relaxation of the intracranial arteries are impaired followed by the narrowing of the lumen and thickening of the wall. These results in a decrease in the cerebral blood flow that causes infarction and ischemia. The article has well explained the pathophysiology that was well supported by the medical intervention which stated that catheter angiography and transcranial Doppler can be employed for measuring the velocities of blood flow. On the other hand, the management can be done by several prophylactic measures and nimodipine is the preferred pharmacological intervention for vasospasm. Lumbar CSF draining has been the proposed non-pharmacological intervention for preventing the accumulation of blood in the subarachnoid space and reduces the risk of occurrence of vasospasm. In contrast with the previous article, another similar article by Connolly et al. (2012, pp.1711-1737) took the argument forward for narrowing the gaps from the previous study by stating the guidelines related to the management of the aneurismal subarachnoid hemorrhage. One of the neurological interventions discussed in this article is cerebral angiography and it has been identified as a widely used technique for the condition. Although it has been accepted that computed tomographic angiography is the best intervention process for the treatment of aneurysm with surgical clipping, it is still a controversy to determine whether its usage is suitable in cases where endovascular therapy can be an alternative. The authors carried out an exceptionally detailed identification of the various technological specifications of the instruments and concluded that 3-dimensional cerebral angiography was found to be more effective and sensitive than its 2-dimensional counterpart. The article did a th orough discussion of the treatment of the cerebral aneurysms by pharmacological and non-pharmacological interventions. Medical measures should be adopted for the early treatment for reducing the risk of re-bleeding due to ruptured middle cerebral artery aneurysm. For this, acute hypertension resulting out of aneurismal subarachnoid hemorrhage has to be controlled with medications like nicardipine as it provides smoother control of blood pressure over sodium nitroprusside and labetalol. Antifibrinolytic therapy has also been found to be effective in reducing aneurysm re-bleeding in case of delayed aneurysm obliteration. Endovascular and surgical methods for the treatment of ruptured middle cerebral artery aneurysm includes microsurgical clip obliteration and the article provided sufficient evidence to support the efficacy of this method. Furthermore, arguments have been placed by the author stating that aneurysm recurrence and incomplete occlusion is critically dependent on the dome size and the neck diameter. Increasing the rate of complete obliteration is possible by the inclusion of high porosity stent, it should be supported with dual-antiplatelet periprocedural therapy for the prevention of the arterial thromboembolism. Microsurgical approaches with pure platinum coils are the method of choice for the current endovascular technology. It is difficult to treat middle cerebral artery aneurysm by the method of coil embolization and therefore, surgical treatment is the best possible option for its treatment. This article was very informative but lacked in several other aspects of nursing intervention for the treatment of the condition. An argument was put forward by Mery, Amin-Hanjani and Charbel (2008, pp.979-982) stated that the ICG (intraoperative indocyanine green) video angiography for the confirmation of aneurysm obliteration is not secure and there have been cases reporting rupture and growth of the angiographically obliterated aneurysms. ICG video angiography is a valuable tool that is employed when the features of aneurysms are complex and direct clipping becomes challenging. Its efficacy can also be compared with catheter intraoperative angiography. However, the study demonstrated that ICG had a false indication of the aneurysm obliteration and applies to the catheter angiography. Therefore, follow up on a long term basis is recommended with angiographic evaluation with cerebral angiogram for the securing of aneurysm. To discuss on the management of subarachnoid bleeding with special focus on normalizing cerebral perfusion pressure, a research work was conducted by Umamaheswara Rao (2007, p.12) to demonstrate the pharmacological management of traumatic brain injury based on cerebral perfusion pressure. The author demonstrated cerebral perfusion pressure as the difference between the intracranial pressure and the mean arterial pressure. Subarachnoid hemorrhage due to middle cerebral artery aneurysm is a form of brain injury and its management includes drainage of cerebrospinal fluid through ventriculostomy, systemic vasopressor and vascular expansion. On the other hand, pharmacological interventions include mannitol in the dose of 0.5-1.0g/kg for maintaining the cerebral perfusion pressure at 70mmHg and albumin infusions for mobilization of the extracellular water into the intravascular compartment. Norephinephrine or phenylephrine without or with dopamine is used for achieving the required mean ar terial pressure.. However, the non-pharmacological interventions were missing in this article and to research further on this aspect, the literature search was carried on. For carrying forward the argument, a similar study was carried out by (Meyer et al. 2010, pp.706-721) suggested some other pharmacological interventions for improving the neural recovery after the aneurysmal subarachnoid hemorrhage. The other pharmacological interventions include midazolam, opioids, barbiturates, propofol, and hypertonic saline. However, the researchers argued that the cannabinoids were found to be ineffective and the corticosteroids were reported to be contraindicated in the treatment of the condition. Similarly, the long term benefits from these interventions rarely resulted in the improved and long-term outcomes for the patient. This suggested that further investigation is required to identify the non-pharmacological interventions for the management. As a support and continuation to the previous study, Meyer et al. (2010, pp.694-705) carried out a review to determine the non-pharmacological interventions for managing and maintaining cerebral perfusion pressure and blood pressure. This study demonstrated the non-pharmacological interventions in alignment with the findings from the previous study and was a conglomeration of the findings from several other studies. The nursing interventions proposed in this study include adjustment of the head posture, rotation of the body position, hyperbaric oxygen, hypothermia and hyperventilation. Elevation of the head over the heart level reduces intracranial pressure by the facilitation of the venous outflow without adjusting the cardiac output and cerebral perfusion pressure. Therapy of continuous is used for avoiding the complications due to immobilization that includes pulmonary emboli, deep vein thrombosis and bedsores. Prone position increases cerebral perfusion pressure and oxygenation i n the patients with acute respiratory insufficiency. Hyperventilation causes cerebral vasoconstriction that leads to the reduction in cerebral blood volume and cerebral blood flow. Hypothermia is regarded as a neuro-protective strategy used for reducing cerebral damage due to aneurysm and it exerts the effects of neuro-protection by the reduction of neuronal metabolism. Subarachnoid hemorrhage might cause hypoxia and brain hypoperfusion and hyperbaric oxygen increases the partial pressure of oxygen that enters the brain for reducing the deleterious effects of hypoxia. On the other hand, two of the invasive procedures discussed in the study are decompressive craniectomy and cerebrospinal fluid drainage. Cerebral perfusion pressure is maintained by decompressive craniectomy by managing the elevated pressure through surgical removal of a section of the skull and limits the damage. Elevated cerebral perfusion pressure and blood pressure is controlled by ventricular cerebrospinal fluid d rainage and it is done with the insertion of catheters in the brain. Analyzing both the studies for pharmacological and non-pharmacological interventions, it can be stated that the different regions of the brain requires different cerebral perfusion pressure levels at different points of time after the rupture of the middle cerebral artery aneurysm with subarachnoid hemorrhage. Optimal cerebral perfusion pressure is an imaginary concept and the techniques of brain monitoring like cerebral microdialysis, monitoring of oxygen tension in brain tissues and jugular venous oximetry provides specific and complimentary information. Based on this, the best cerebral perfusion pressure and blood pressure is selected for maintenance for a patient over the time. The feasibility of the previous study was established by critically appraising the research work carried out by Damkliang et al. (2015, pp. 3365-3373) which stated that evidence-based care bundle could be an effective nursing intervention for the management of the aneurysmal subarachnoid hemorrhage. The non-pharmacological interventions learnt from this article were monitoring of end-tidal carbon dioxide, assessment frequency of blood pressure, respiratory rate and pulse rate and patient positioning. This argument was further carried over by Abd-Elsayed, Wehby and Farag (2014, pp.418-425) where the researchers stated that anesthetic management of intracranial aneurysm is possible to prevent hemorrhagic stroke. High blood pressure should be avoided to prevent aneurysm rupture and further damage and low blood pressure must be avoided to reduce the cerebral perfusion pressure. Similarly, the preferred colloid is albumin and erythropoietin has been effective in lowering the vasospasm incidence and delaying cerebral ischemia. For a patient suffering from ruptured middle cerebral artery aneurysm with subarachnoid hemorrhage, fluid and electrolyte management is another crucial intervention that forms a part of the neurosurgical management of the condition. To elaborate this fact, DSouza (2015, p.222) carried out a study on aneurysmal subarachnoid hemorrhage and its management through various interventions. Patients are likely to suffer from the fluid and electrolyte abnormalities in case of intracranial aneurysm as a part of neuroendocrine abnormalities. On the other hand, hyponatremia is a more common occurrence under such circumstances while hypernatremia is a lesser occurring sequence. Hyponatremia is a condition that co-exists due to two factors which includes syndrome of inappropriate antidiuretic hormone secretion and the syndrome of cerebral salt washing. Its etiology is has been considered as multifactorial and includes the elevated levels of natriuretic peptides, angiotensin-II, renin and hypoaldos teronism. Hypernatremia is also seen in the patients suffering from subarachnoid hemorrhage and is considered to be iatrogenic that is secondary to hypertonic saline or mannitol infusion. While hyponatremia is not associated with mortality, hypernatremia is associated with it. Solutions containing glucose should be avoided as hyperglycemia gets aggravates global and focal transient cerebral ischemia. Therefore, proper balance of fluid and electrolytes is essential in case of subarachnoid hemorrhage. In context to the neurological assessment and risk of aneurysmal subarachnoid hemorrhage, Taki et al. (2011, pp. 437-445) carried out a study to examine the poor outcomes of the treatment of the ruptured aneurysms with either endovascular treatment or microsurgery. It was a cohort study which demonstrated that the ischemic and thromboembolic events are the well known risks during the process of coiling. The other complications found were post coiling ischemic complications and post-clipping hemorrhagic complications that had an independent and significant impact on the poor outcome after the aneurysmal subarachnoid hemorrhage. Larger size of the aneurysms is associated with increased complication risks by modality and smaller aneurysms are difficult to treat with the application of coiling. The commonly used neurological assessments for aneurysmal subarachnoid hemorrhage are TCD (Transcranial Doppler) and NIRS (Near-Infrared Spectroscopy). It is difficult to perform neurological asse ssment in the patients who are in a state of unconsciousness (Budohoski et al. 2012, pp. 3230). To further progress the research, Guida et al. (2012, p.59) carried out a study to demonstrate that pregnancy is a risk factor in case of aneurysmal subarachnoid hemorrhage. It can be devastating for both the child and the mother if the condition occurs in times of pregnancy. Appropriate treatment and early diagnosis are the only ways to survive and therefore, in case of pregnant women presenting with acute headache, seizures, palsy or nuchal rigidity, the gynecologists and obstetricians should be familiar with these nosocomial entity. Involvement of a neuroradiologist and neurosurgeon will play an exceptionally crucial role in the management of aneurysmal subarachnoid hemorrhage in pregnant women. In such cases, endovascular coiling is most effective for reducing bleeding. Vasospasm is a major complication in case of aneurysmal subarachnoid hemorrhage and to explore the management of the condition, Gump and Laskowitz (2008, pp.354-360) carried out a study to identify and manage this post-hemorrhagic complication. Identification of vasospasms is carried out angiographically, by clinical signs of regional or focal ischemia and by significant reduction that is visible in the diameters of arterial lumen. The common risk factor for the development of vasospasm includes distribution and volume of the subarachnoid blood and the preventive measures are not effective. The treatment strategies adopted for the management of vasospasm includes angioplasty, hyperdynamic therapy and the intra-arterial injection of the vasodilators. However, the strategies of novel treatment focus on protection of the cerebrum, identification of the genetic factors that are predisposed towards vasospasm and targeting the inflammatory cascade components. This finding was further argued by Schmidt et al. (2010, pp.895-902) who proposed pharmacological management of vasospasm in case of post-aneurysmal subarachnoid hemorrhage. The researchers found that the intraarterial administration of milrinone and nicardipine requires using vasopressors for maintaining the arterial blood pressure. It was proved from the findings that even with higher doses of the vasoconstrictors, the mortality rate was low and systemic acidosis or the end organ ischemic damage was minimal. It also improved the efficiency of the cerebral vessels that were affected by vasospasm. From the review of the literatures, it is evident that ruptured middle cerebral artery aneurysm with subarachnoid hemorrhage is a global health burden with permanent disability and higher fatality rates. Considering the death rate and global burden of the disease from the past decade, there has been an increase in the routine mortality data that went on to include one-third of the population of the world. The overall prognosis is dependent on the volume of the delayed cerebral ischemia, rebleeding and initial bleed. Neurogenic pulmonary edema and cardiac manifestations are the severity of the condition (Miura et al. 2013, pp.519-521). Although extensive research has been done to investigate the identification and management of the condition, more research is needed for investigating the preventive measures for the occurrence of intracranial aneurysms and aneurysmal subarachnoid hemorrhages. Although appropriate neurological interventions are available, the mortality and morbidity rat es are high with multifactorial pathophysiology that is not yet understood (Rodrguez-Hernndez et al. 2013, pp.415-427). The body of evidence for the management of the condition is gradually expanding and several trials are ongoing that might bring about results for enhancing and improving the short term and long term patient outcomes. References Abd-Elsayed, A.A., Wehby, A.S. and Farag, E., 2014. Anesthetic management of patients with intracranial aneurysms.The Ochsner Journal,14(3), pp.418-425. Budohoski, K.P., Czosnyka, M., Smielewski, P., Kasprowicz, M., Helmy, A., Bulters, D., Pickard, J.D. Kirkpatrick, P.J. 2012, "Impairment of cerebral autoregulation predicts delayed cerebral ischemia after subarachnoid hemorrhage: a prospective observational study",Stroke; a journal of cerebral circulation,vol. 43, no. 12, pp. 3230. Connolly, E.S., Rabinstein, A.A., Carhuapoma, J.R., Derdeyn, C.P., Dion, J., Higashida, R.T., Hoh, B.L., Kirkness, C.J., Naidech, A.M., Ogilvy, C.S. and Patel, A.B., 2012. Guidelines for the management of aneurysmal subarachnoid hemorrhage a guideline for healthcare professionals from the American heart association/American stroke association.Stroke,43(6), pp.1711-1737. DSouza, S., 2015. Aneurysmal subarachnoid hemorrhage.Journal of neurosurgical anesthesiology,27(3), p.222. Damkliang, J., Considine, J., Kent, B. Street, M. 2015, "Using an evidenceà ¢Ã¢â€š ¬Ã‚ based care bundle to improve initial emergency nursing management of patients with severe traumatic brain injury",Journal of Clinical Nursing,vol. 24, no. 23-24, pp. 3365-3373. Diringer, M.N., 2009. Management of aneurysmal subarachnoid hemorrhage.Critical care medicine,37(2), p.432. Guida, M., Altieri, R., Palatucci, V., Visconti, F., Pascale, R., Marra, M., Locatelli, G., Saponiero, R., Tufano, R., Bifulco, F. and Piazza, O., 2012. Aneurysmal subarachnoid haemorrhage in pregnancy: a case series.Translational medicine@ UniSa,2, p.59. Gump, W. and Laskowitz, D.T., 2008. Management of post-subarachnoid hemorrhage vasospasm.Current atherosclerosis reports,10(4), pp.354-360. Kalani, M.Y.S., Zabramski, J.M., Hu, Y.C. and Spetzler, R.F., 2013. Extracranial-intracranial bypass and vessel occlusion for the treatment of unclippable giant middle cerebral artery aneurysms.Neurosurgery,72(3), pp.428-436. Mery, F.J., Amin-Hanjani, S. and Charbel, F.T., 2008. Is an angiographically obliterated aneurysm always secure?.Neurosurgery,62(4), pp.979-982. Meyer, M.J., Megyesi, J., Meythaler, J., Murie-Fernandez, M., Aubut, J.A., Foley, N., Salter, K., Bayley, M., Marshall, S. and Teasell, R., 2010. Acute management of acquired brain injury part I: an evidence-based review of non-pharmacological interventions.Brain injury,24(5), pp.694-705. Meyer, M.J., Megyesi, J., Meythaler, J., Murie-Fernandez, M., Aubut, J.A., Foley, N., Salter, K., Bayley, M., Marshall, S. and Teasell, R., 2010. Acute management of acquired brain injury part II: an evidence-based review of pharmacological interventions.Brain injury,24(5), pp.706-721. Miura, Y., Ishida, F., Umeda, Y., Tanemura, H., Suzuki, H., Matsushima, S., Shimosaka, S. and Taki, W., 2013. Low wall shear stress is independently associated with the rupture status of middle cerebral artery aneurysms.Stroke,44(2), pp.519-521. Pierot, L., Klisch, J., Cognard, C., Szikora, I., Mine, B., Kadziolka, K., Sychra, V., Gubucz, I., Januel, A.C. and Lubicz, B., 2013. Endovascular WEB flow disruption in middle cerebral artery aneurysms: preliminary feasibility, clinical, and anatomical results in a multicenter study.Neurosurgery,73(1), pp.27-35. Rodrguez-Hernndez, A., Sughrue, M.E., Akhavan, S., Habdank-Kolaczkowski, J. and Lawton, M.T., 2013. Current management of middle cerebral artery aneurysms: surgical results with a clip first policy.Neurosurgery,72(3), pp.415-427. Schmidt, U., Bittner, E., Pivi, S. and Marota, J.J., 2010. Hemodynamic management and outcome of patients treated for cerebral vasospasm with intraarterial nicardipine and/or milrinone.Anesthesia Analgesia,110(3), pp.895-902. Taki, W., Sakai, N., Suzuki, H. PRESAT Group 2011, "Determinants of poor outcome after aneurysmal subarachnoid hemorrhage when both clipping and coiling are available: Prospective Registry of Subarachnoid Aneurysms Treatment (PRESAT) in Japan",World neurosurgery,vol. 76, no. 5, pp. 437-445. Umamaheswara Rao, G.U., 2007. Cerebral perfusion pressure based management of traumatic brain injury.Internet J Anesthesiol,p.12. Wen, H.T., Rhoton Jr, A.L., Figueiredo, E.G. and Teixeira, M.J., 2012. Middle cerebral artery aneurysms.à ¨Ã¢â‚¬Å¾Ã‚ ³Ãƒ §Ã‚ ¥Ã… ¾Ãƒ §Ã‚ µÃ…’à ¥Ã‚ ¤Ã¢â‚¬â€œÃƒ §Ã‚ §Ã¢â‚¬ËœÃƒ £Ã¢â‚¬Å¡Ã‚ ¸Ãƒ £Ã†â€™Ã‚ £Ãƒ £Ã†â€™Ã‚ ¼Ãƒ £Ã†â€™Ã…  Ãƒ £Ã†â€™Ã‚ «,21(9), pp.688-699. Zanaty, M., Chalouhi, N., Tjoumakaris, S.I., Gonzalez, L.F., Rosenwasser, R. and Jabbour, P., 2014. Flow diversion for complex middle cerebral artery aneurysms.Neuroradiology,56(5), pp.381-387.