Slendertone Analysis Essay -- essays research papers

1. Describe the root causes of Slendertone ¡Ã‚ ¦s French sales revenue losses? ANS: All sales of slendertone were through distributors except of home-market. Since the investments being made in research and production, the company ¡Ã‚ ¦s marketing resources were very limited, they thought it could develop new market for Slendertone more cost-effectively and quickly. However, there were some poorly resourced and inexperienced distributors. In France, the company was concerned about the growing dependence on one distributor. There are 5main basis causes of Slendertone ¡Ã‚ ¦s French sales revenue losses listed below: Æ’ÃÅ"  Ã‚  Ã‚  Ã‚  Ã‚  Increasing competition continued to put pressure on price: from 1993 to the beginning of 1996: drop the retail price to compete the other EMS products. Æ’ÃÅ"  Ã‚  Ã‚  Ã‚  Ã‚  Lack of seconday data for the EMS product class, and the distributor reluctant to share sales data with Slendertone.: It ¡Ã‚ ¦s hard to to determine what market share different companies had. Also, lack of data made it difficult to determine the size of the existing market for EMS products in each company. Æ’ÃÅ"  Ã‚  Ã‚  Ã‚  Ã‚  Lost the TV slot: the distributor had lost the television slot for the Gymbody8 to cheaper product. Æ’ÃÅ"  Ã‚  Ã‚  Ã‚  Ã‚  Tacky advertisement: Some advertising featured topless models alongside sensational claims for the products ¡Ã‚ ¦ effectiveness. Æ’ÃÅ"  Ã‚  Ã‚  Ã‚  Ã‚  Distributor: in 1996 Slendertone decided to develop the UK market directly, without any distributor. The decision was made on the basis of the failure to attract good distributor in the past. That  ¡Ã‚ ¥s very clear to know that the problem of distributor. 2. When O ¡Ã‚ ¦Donohue arrived at Slendertone, he thoroughly researched customers reasons for purchasing Slendertone, losing weight or improving appearance. Why did he choose improving appearance as the message for men and women age 20 to 60 years. ANS: Through Mr. O ¡Ã‚ ¦Donohue gathered data on consumer behaviors and motivations relating to those different markets, he built up a clearer picture of the markets for Slendertone and found out its brand positioning, product emphasis, market segmentation, target market. Market Segmentation Positioning Strategy for Each Target Marketing Program for Each Target Originally, Slendertone was defined as  ¡Ã‚ §women betwee... ...an deny that  ¡Ã‚ §the value is equal to price and quality ¡Ã‚ ¨. Besides, Slendertone have large market share in a mature period,with slow growing with profitable products industry. He should maintain price leadership in the EMS market. There are some main ideas will point out Slendertone ¡Ã‚ ¦s brand strategy listed below: „à Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Differentiated image- slendertone as being at the top end of the market, based on its superior quality and powerful brand name. For the reason, Slendertone sould maintain their high quality and high price image to compete those low quality EMS company. „à Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Build a strong brand identification- The profession market playing an important role in the development of slendertone. It needs to get away from the  ¡Ã‚ §gadget ¡Ã‚ ¨ image and lead to profession market. „à Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Control of message marketing information- to avoid a recurrence of what happened in the French market. „à Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Innovation- To invent new product to prenuptials, postnatal and men but not only for women. „à Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Maintaining international operations and Creating a class world brand

Immigrants and The American Dream Essays -- Essays on the American Dre

The "American dream" is different for every person. To some it means financial success, to others it means freedom of expression, while others dream to practice their religion without fear. The "American dream" is a complex concept providing immigrants with the hope of better life. The U.S. government provides the environment and resources for everyone to pursue their dreams. Each year millions of people around the world apply for the Diversity Visa lottery program provided by the U.S. government, however only a few thousand people are lucky enough to come here. America is the place where people are judged by their achievements instead of having references or connections. Even though the American economy is in recession and the achieving of the American Dream is harder, many immigrants still achieve religious, political, financial, and sports dreams here in the U.S. Throughout the history of this nation there are thousands of upon thousands of immigrants coming to this country and achieving the American dream. The Irish immigrated to the United States in 1840 – 1850s in big numbers driven by hunger and by the oppression of the British. Many of them became successful politicians, police officers and businessmen. One of the brightest examples in the history of Irish immigration success is Henry Ford. His grandfather immigrated in the 1840s escaping the potato famine. Henry Ford himself was born in a poor family in Dearborn, Michigan went on to become the most successful car builder in the country (Hennigan). Between 1880 and 1920 the first wave of Italians mainly from South Italy immigrated in the United States (Hendin 13). Many escaped from the poor countryside in Southern Italy to seek better life in America. Shining ex... ...cal Engineering 122.10 (2000): 82. Academic Search Premier. EBSCO. Web. 8 Mar. 2013. More About the Film â€Å"Joe DiMaggio: The Hero’s Life. Joe DiMaggio. PBS., n.d. Web. 28 Feb. 2013. â€Å"The Bulgarians beyond the ocean.† BTV the Reporters. BTV Channel. 19 Feb. 2011. Television. Thomas, John F. Documentation. Cuban Refugees in the United States. N.d. 46-57. International Migration Review. Web. 1 Mar. 2013. Thomas, Oliver "Buzz". "How To Keep The 'United' In United States: Coping With Religious Diversity In The World's First 'New' Nation." Church & State Feb. 2007: 19+. Academic Search Premier. EBSCO. Web. 1 Mar. 2013. "U.S. Coptic church gets bishop." Christian Century 113.3 (1996): 70. Academic Search Premier. EBSCO. Web. 1 Mar. 2013. Wills, Chuck, Destination America: The People and Cultures That Created a Nation. New York: DK Publishing, 2005. Print.

English/Modern Drama Coursework †Thee Crucible Essay

How does Arthur Miller portray John Proctor as a tragic hero in final scenes of ‘The Crucible’? The Crucible was written by Arthur Miller in 1953, which was a time of McCarthyism and paranoia about Communism. Arthur Miller was involved in McCarthyism, as he was accused of supporting Communism. He wrote the play to show people how ridiculous accusations can be, and how easily they can get out of hand. The play is set in the small town of Salem, in 1692. It is set against a great forest, and the people of Salem don’t know what is out there, which is what gives them such a wary approach to the abnormal e.  g. witchcraft. Salem goes by the strict religion of Puritanism, so the people take things out of the ordinary and any sins very seriously, sometimes resulting in the death penalty. When some girls are found dancing in the woods one night by the town minister, Reverend Parris, the younger ones become afraid of the consequences and fake illness. This makes the townsfolk suspicious, and word gets spread of witchcraft resulting in Parris getting a few visitors, who are curious to find out about the previous night’s events. John Proctor is a good example of an Aristotelian tragic hero, as he has all four qualities: nobility-he is very noble in the final scenes, as he gives up his good name for the sake of the other people in the town, hamartia-his flaw or error of judgment is his lust for Abigail Williams, a reversal of fortune-he did have a good life with his farm or family, but ended up being hanged, and the discovery of recognition that the reversal was brought about by the hero’s own actions-in act four, he realizes that it is his affair that caused all of the accusations and deaths in Salem, so he allows himself to be hung. In act one, the audience finds out about the well-respected John Proctor’s affair with the niece of Parris, and the Proctor’s former house maid, Abigail Williams, â€Å"I know how you clutched my back behind your house†¦ † He has great guilt for his affair with Abigail, yet his lust for her still lingers. This lust is one of the flaws of his personality that Arthur Miller uses to make John Proctor an Aristotelian tragic hero. Later on in the play, the accusations of witchcraft have gotten out of hand and people have been hung. Proctor and Hale, a witch hunter, try to make everyone see sense, but their pride lies in the way of justice, and yet more people are hanged, including Proctor and Rebecca Nurse, one of the best respected people in Salem. When Proctor and Abigail are left alone, he flirts with her â€Å"Ah, you’re wicked yet, aren’t y’! † This has a double meaning in this case, as John means it in a sexual way as well. Abigail tries her hardest to make John return her feelings for him, by flirting and saying things like â€Å"Gah! I’d almost forgot how strong you are, John Proctor! † John’s weakness for Abigail is the cause of his own downfall in the end, as he admits to his affair when he is put under questioning. This is a noble act, as Abigail was lying, and he ruined his good reputation for the sake of justice to the others of the town. Although this is such a noble act, and there seems to be a way out for most of the condemned people, Elizabeth is asked about it, and denies all knowledge just to try and save John. This results in everyone back to where they started, on a waiting list to be hanged. Elizabeth and John Proctor’s marriage seems to be on the rocks in act two, when they are sat eating dinner, as the stage directions show that they find it very difficult to speak to each other and there is a very bad atmosphere in the room, â€Å"[it is as though she would speak but cannot]. † This awkward atmosphere is the result of John’s previous affair, and the tension is broken, when they begin an argument over her. Although they seem very far apart, later on in act three, John admits to being a lecher â€Å"I have known her, sir. † Admitting to that took a lot of courage, and it sheds a new light to the audience of John Proctor. Elizabeth is called in to prove this, and although Proctor has told the judges she will not lie, she says she knows nothing of the affair, for the sake of saving John’s name. This ends in Elizabeth being taken away, and John being accused of lying. Another sign of their love for each other is in act four, when Elizabeth cannot forgive John, as he cannot forgive himself. This shows his respect for her, and his need for her approval, which could have been the cause of his affair, and his hamartia. In the end, John dies for Elizabeth, as that is the only way he can gain his self-forgiveness, and Elizabeth’s forgiveness, â€Å"He have his goodness now. God forbid I take it from him! † The way that he allows himself to be hung, shows that he has another characteristic of a tragic hero, as he realizes that he was the one that started all of the commotion in Salem, by having an affair with Abigail. John Proctor seems to redeem himself in the final act, because he shows how much he cares for Elizabeth, suffers willingly for his actions and has a reversal of fortune, by ending up dead. The way that he is shown as so regretful and ashamed by Arthur Miller in act four, â€Å"I am not worth the dust on the feet of them that hang! Makes the audience respect him, and see him as a good man again. Arthur Miller portrays him as a tragic hero in act four, more than the rest of the play, because he breaks down, and the audience sees all of his personality, as he fights for his wife’s forgiveness and his life and good name. The emotional trauma in act four-Proctor’s life being ripped up as he tears the paper up-shows the audience that John Proctor is a good man, and has feelings and emotion like any normal person, so the audience, in a way, sees themselves in him. As well as this, the audience feels sympathy for him, because he doesn’t really deserve to die. He suffers more than he deserves, because of his pride, which is another flaw in his personality. He has the chance to sign a form, that will save him from hanging, but because it will be pinned up onto the church door, he refuses, as he feels he has lost everything apart from his good name, â€Å"I have given you my soul; leave me my name! † Another nobility in act four, is when he is asked whether he knows of anyone else who may have been ‘with the devil,’ and he will not mention anybody else’s name to the court. This shows a resemblance to Arthur Miller, the author, as when he was questioned in the 1950s about allegedly supporting Communism; he never involved anybody else in it. I think Arthur Miller based John Proctor around himself, as well as the real-life John Proctor from Salem. I think Proctor deserves respect for letting himself die, and being so noble. He suffered a lot more than he should have, because there is no death penalty for lechery, but witchcraft-the reason he was hung-does have the death penalty. Although he officially died for being a witch, I think he really died for having an affair, and this is what I think makes him so well-respected. I also think that he is spiritually wounded by Elizabeth, when she won’t forgive him, â€Å"John, it comes to naught that I should forgive you, if you’ll not forgive yourself. † He is also physically wounded, as he has been in prison for the past three months, and â€Å"[He is another man, bearded, filthy†¦ ]. â€Å"

The Beginner Nurse

CHAPTER 1 PREPARATION TO THE JOB A. Transition from beginner to Professional Before a nurse can become effective as a health care provider he or she should be psychologically and physically prepared for the job. Psychological preparedness means that the mental set and emotional state of the nurse must be ready for the everyday routines and stressors in the job. Psychological preparedness requires assessment of the self or awareness of the self. The nurse should know own strengths and limitations as a beginner. The nurse strengths include the academic theories and trainings in the BSN degree. This will require the new nurse to refresh self about those principles, fundamentals, and theories learned from the study. Limitations include lack of expert skills and dexterity (speed and efficiency in the use of hands) of nursing procedures as hospital trainings as a BSN student were not enough to encounter those specific procedures. Expert nurses in the workplace shall serve as source of the skills not encountered in academic trainings. Proper and appropriate attitude must be adopted in adjusting into working with colleagues who had earned skills and knowledge by their tenure in their job and the environment they are used to. The beginner nurse must use therapeutic self to gain confidence and trust with existing staff in the hospital. B. Hospital Policies The beginner nurse, if not given the opportunity to have job orientation, should strive to know the existing policies of the hospital. Policies which pertains to absences, tardiness, documentations, and safety of the clients should be given due attention. The beginner nurse cannot put the safety of the patient by sudden absence or tardiness from the job. The nurse should put to mind that the welfare and safety of the patients are his or her main concerns. C. Personal matters A beginner nurse and until such time he or she had become a professional should never allow personal matters to interfere in their responsibilities in the work. This is part of the emotional preparedness of the nurse in order to maintain therapeutic use of the self. CHAPTER 2 THE ROUTINE WORK OF A GENERAL NURSE PRACTITIONER There are areas in the hospitals that have common routines. Routines are nature of works or responsibilities that are normally done and repeated throughout succeeding shifts of the work. The routine works in departments like Surgical, Medical, Pediatrics, Isolation, and some critical care units such as the ICU and CCU may have some similarities. But special areas like Operating Theater, Delivery Room, OPD, Emergency, and ambulatory units may have their own unique routines. Routines in the special areas in the hospital are not taken into consideration in this handbook but individual items may be applicable to such areas. A. First Endorsement of the Shift First endorsement is defined as an endorsement of an outgoing nurse in a shift to an incoming nurse. The main purpose of this endorsement is to ensure continuity of care and avoid errors as well as missing vital interventions to the patient such as medications and special instructions. Endorsement will also safeguard personal safety of the incoming nurse of cases that are infectious that deserves special infection precautions. Below is the table for chronological items for endorsement. Table 1. Relevant Chronological Data for Patient Endorsement Patient’s name and Bed Number Diagnosis (medical) Attending Physician Age of the patient Medications Special InstructionsOngoing Interventions Laboratories and Diagnostics Special Needs of the Patient Latest Vital Signs THE PATIENT’S NAME and BED NUMBER Knowing your patient is an indispensible part of safety of care. This is to avoid mix up in the identification and documentation of the right patient. Though merely knowing the name of the patient is not enough this has to be validated by the incoming nurse when the nurse performs his or her own rounds. The endorsement shall give the name and the bed number of the patient. DIAGNOSIS Knowledge of the diagnosis or diagnoses are both for the safety of the nurse and the client as well. What is endorsed is the medical diagnosis as determined by the attending physician. With knowledge of the medical diagnosis, a nurse can immediately provide appropriate independent and dependent interventions per clinical judgment as he or she performs the nurse rounds. ATTENDING PHYSICIAN Endorsing the name of the attending physician will alert the nurse who to immediately refer to in the event of emergency or urgent situation arises. There should be an established system of how to reach attending physician or an alternate physician in case of emergent situation. One such system is the permanent list of telephone number to which the physician can be reached. If there is special consultant/s assigned to the patient it might as well be included too in the endorsement. AGE OF THE PATIENT Age of the patient is necessary for endorsement information so that the incoming nurse can anticipate what nursing approach to implement. MEDICATIONS As a matter of principle, errors in medication are never tolerated. However, no matter we desire for perfection, the chance and occurrence of an error may always be present. Errors in medication have different aspects. See Table 2 for types of medication errors. Wrong medication administered once absorbed by the body may have from nil to serious effects. We cannot afford to wait for a serious incident before becoming conscious of the proper medication. Table 2. Some Types of Medication Error 1. Failure to properly document medication. 2. Missing to carry out medication advice such as new prescription, modification of medicine, and discontinuance of medicine. 3. Mistake in the correct name, dosage, route, and timing of the medication. 4. Missed or interrupted medication. 5. Failure to observe Rights to Medication 6. Failure to maintain asepsis in medication administration. 7. Failure to validate doubts to medication. 8. Inappropriate nursing assessment of the client prior to medication administration. SPECIAL INSTRUCTIONS Special instructions are instructions coming the principal care provider of the patient such his or her attending physician, specialist, consultant, or from a senior house officer (SNO) Table 3. Some Lists of Special Instructions 1. Complete bed rest without bathroom privileges (CBR w/o BP) 2. On NPO 3. On clear or liquid diet only 4. No dark colored diet5. Gluten free diet 6. Turn to side q certain hours 7. Instructions to known allergies of the patient such as aspirin or a kind of antibiotic 8. For breath retraining Note: the nurse should also exercise clinical judgment to implement independent nursing intervention without the instruction of professional advice. Table 4. Some List of Independent Nursing Interventions 1. Nursing assessment 2. Turning the patient 3. Deep breathing and coughing 4. Checking of gag or swallowing reflex 5. Vital signs as PRN or stat 6. Referral to head and physician 7. Infection control and safety 8. Splinting of abdominal surgery9. ROM exercise 10. Providing comfort and massage 11. TSB 12. Early safe ambulation 13. Oxygen therapy 14. Positioning of HOB or head of bed 15. Oral suctioning 16. Termination of infiltrated IV access ONGOING and TO BE- CARRIED-OUT INTERVENTION Ongoing intervention is a nursing implementation of an advice that is currently being administered and is attached to the patient when the nurse who initiated it is to leave from work or bound for home. The safety of the client is primary purpose of the importance of this endorsement; secondly to avoid miscommunication or confusion to the ingoing process on the patient; and finally to ensure continuity of care. It is best to include in this aspect of endorsement relevant data to obtain accurate fluid intake and output monitoring such as the present volume of current IV, all volumes of catheter bags, level of serous fluids in water seal bottles, level of fluids in drainage bag, syringe pump, and all other similar procedures. Ongoing lood transfusion endorsement shall include the number of bags required, the current number of bag, number of remaining bag, date and time started, blood and Rh type, Serial number, and date of expiration. It is important that pending or to be-carried- out advice such as diagnostics and laboratory studies and fluid therapy be included as well. Missing out the advice and costly redundancy will be avoided through this way. Important attention should be given to blood transfusion advice. To be carried-out blood transfusion or BT should have result of cross-matching before implementation. Blood and Rh type for the right patient should be checked three 3 times with the last time to be confirmed by another staff. Table below lists some common intervention that may be having medium or long term intervention. Table 5. Some Medium and Long-Term Interventions 1. IVF therapy 2. Blood transfusion 3. Bladder irrigation 4. CTT with water seal bottle 5. Machine Ventilator 6. Lavage 7. Central Venous catheter 8. Urinary catheterization9. Phototherapy 10. Wound drainage 11. Hemovac 12. Skin or skeletal traction 13. Infusion pump 14. Syringe pump 15. Antithrombotic device By Dennis D. Monte, University of Sirte, Libya

A Wall Street Journal Article Related to Macroeconomics

The chosen article from Wall Street Journal newspaper which is related to macroeconomics is â€Å"M&A Milestone: $101 Billion Deal For ABN Amro Group Set to Dismember 183-Year-Old Bank; Will Buyers Regret It? † by Jason Singer and Carrick Mollenkamp in October 2007. As a brief summary of the article, the largest banking transaction is expected to settle at present, consequential of the unattachment of one of Europe's leading depositories. The impact of the transaction extends ahead of its $101 billion charge and the termination of 183-year-old ABN Amro Holding NV of the Netherlands (Singer & Mollenkamp, 2007).Conditional on how the customers fee, it may possibly turn out to be either an indication of the enthusiasm exuberance observed in the current unions and possessions growth or as several assets bankers anticipate as a guide for dealing with disintegration of great corporations. A three- system association headed by Royal Bank of Scotland Group PLC is projected these days to gain adequate assistance from ABN Amro shareholders to complete the agreement. ABN Amro is determined to come apart officially into three portions, with one part intended for every purchaser.A lesser proposal from Barclays Group PLC ended on the recent past, and the public who are accustomed with the circumstances stated that it dropped short. In a memorandum to workers, ABN Amro Chief Executive Rijkman Groenink declared that the acquisition by the RBS-directed group might go out of business in October. The credit risk involved in Barclays bank is treated as the possibility that a reserve loaner will not succeed to meet its responsibilities compliant with the settled conditions (George, 2002).By setting up a suitable credit risk background, it is meant that the approach should consist of a declaration of the bank’s determination to grant credit on category, economic part, geographical place, legal tender, maturity and projected turnover. The approach may as well comprise m onetary objectives of credit attribute, revenues and progress. The actual procedures of the banks can be seen in running credit risks in every item and involving the latest items to sufficient measures before being presented and accepted by the board of administrators.The implications as to how the topic of concern relates to macroeconomic theory are the following. Since multinational companies are involved in the article and they engage in creating transactions to one another, the article involves imports and exports in the process. Foreign trade is at hand. There are international economic policies where charges on import and exports are present, which is in the article are transactions. The role of fiscal policy is also involved wherein there is an imposition of levies which inevitably affects income.The dues decrease disposable income, consumption of purchasers, demand for good, and national output. Quotas of firms from the different banks from various countries can also be visi ble, with inflation rate and Consumer Price Index (CPI) change. In the national income accounts, there is an interaction between the business firms such as the banks and the households or the general public. With this kind of interaction of business firms with households, services are traded. The expenditure approach is in consumption expenditure while the factors of production and factor payments are included in the resource market using the income approach.With the topic of aggregate demand and output of the transacting firms in different countries, the business cycle in macroeconomics becomes apparent with the regular pattern of contraction (recession) and expansion (recovery) is around a trend path of output or growth. The trend path entails if the factors of production or resources are fully employed. The banks measures to distinguish circumstances by which, in contemplating bids, it is apt to categorize a cluster of obligors as linked counterparties and, accordingly, as a sole obligor.This takes account of combining exposures to sets of records revealing monetary interdependence, where they are under general possession or with strong associations. This has a connection with the concept of assets market with the LM equilibrium schedule. It is composed of real assets such as properties and financial assets such as money and bonds. As worldwide issues come at hand, dwindling administration bond markets and mounting commercial bond release of banks are promoting better study into educated management on threat or return proportions.Due to budget constraint, wherein demand equals financial wealth, a lot of banks partake in credit consortia and some organizations set unnecessary dependence on the loan stake study completed by the chief sponsor or on outside business credit evaluation. Each consortium members executes their individual conscientiousness, as well as sovereign loan risk assessment and consortium stipulations analysis before binding to the group. Ev ery bank like Barclays investigates the risk and reimbursement on consortium credits in the similar way as precisely sourced credits.Rapid market adjustments are also occurring by which money market makes easier production. A principle for the credit risk administration affirms that banks must work in positive and distinct credit endowment standards. This principle involves an apparent suggestion of the bank’s direct market. In view of latent bids, the various banks identify the need of creating stipulations for known and probable deficits and maintaining enough capital to take in the unpredicted deficiencies.It also considers these factors into bid endowment choices, in addition to the general portfolio risk administration procedure. Reference: Jason Singer and Carrick Mollenkamp (2007). M&A Milestone: $101 Billion Deal For ABN Amro Group Set to Dismember 183-Year-Old Bank; Will Buyers Regret It? Wall Street Journal newspaper, October 5, 2007, Page A1. Retrieved October 5, 2 007, from http://online. wsj. com/article/SB119154087347749578. html? mod=todays_europe_nonsu _money_and_investing.

Lactose Intolerance

An inability to digest lactose and foods containing it is called lactose intolerance (milk intolerance, lactase deficiency or dairy product intolerance). Lactose is the main sugar of Milk and milk products. An enzyme called lactase is found in the interstitial cells of small intestine. Lactase acts on lactose to break down it into simpler forms, glucose and galactose. In simpler forms sugar is easily absorbed from the walls of intestine into the blood arteries. This disease is caused due to the abnormal functioning of digestive system. Due to the deficiency of the enzyme lactase, lactose remains indigestable and hence a person may suffer a discomfort after ingesting milk or dairy product, swelling in the stomach, mild to severe diarrhea, nausea, cramps, or gas problem and bloating. Symptoms may appear immediately or any time after 2 hrs of ingestion of milk or dairy products. Tolerance in a person depends on physiological factors In primary lactase deficiency lactase is produced in too small amount that the person is unaware of this deficiency till he reaches an older age. Secondary lactase deficiency results from injury to the small intestine done due to some other diseases like Crohn’s diseases and inflammatory bowel diseases. Primary lactase deficiency is found to be linked to genetic malfunctioning. Different tests are used by the doctor to identify this deficiency. For example, stool acidity test, hydrogen breath test and lactose tolerance test. There is no specific treatment for this disease. However, symptoms can be monitored and controlled by providing preventive diet. A specific diet lacking lactose is given to the patient in order to avoid occurrence of the symptoms. Using certain medicines and drops for the digestion of lactose helps a lot. The patient may start calcium supplements as an alternative for dairy products. References http://digestive.niddk.nih.gov/ddiseases/pubs/lactoseintolerance/ Â  

Night World : The Chosen Chapter 2

Bating him or doing something with his teeth. Tearing and sucking. Making noises like Pal did when he ate his dog food. For a moment Rashel was frozen. The whole world had changed and everything seemed like a dream. Then she heard somebody screaming and her throat hurt and she knew it was her. And then the tall man looked at her. He lifted his head and looked. And she knew that his face alone was going to give her nightmares forever. Not that he was ugly. But he had hair as red as blood and eyes that shone gold, like an animal's. There was a light in them that was like nothing she had ever seen. She ran then. It was wrong to leave Timmy, but she was too scared to stay. She wasn't brave; she was a baby, but she couldn't help it. She was still screaming as she turned around and darted through the flap in the tent. Almost darted through. Her head and shoulders got outside and she saw the red plastic tubes rising above her-and then a hand clamped on the back of her Gymboree shirt. A big strong hand that stopped her in midflight. Rashel was as helpless as a baby kitten against it. But just as she was dragged back into the tent, she saw something. Her mother. Her mother was coming around the corner of the climbing structure. She'd heard Rashel screaming. Her mother's eyes were big and her mouth was open, and she was moving fast. She was coming to save Rashel. â€Å"Mommeeeeeeeee!† Rashel screamed, and then she was back inside the tent. The man threw her to one side the way a kid at preschool would throw a piece of crumpled paper. Rashel landed hard and felt a pain in her leg that normally would have made her cry. Now she hardly noticed it. She was staring at Timmy, who was lying on the ground near her. Timmy looked strange. His body was like a rag doll's-arms and legs flopped out. His skin was white. His eyes were staring straight up at the top of the tent. There were two big holes in his throat, with blood all around them. Rashel whimpered. She was too frightened to scream anymore. But just then she saw white daylight, and a figure in front of it. Mommy. Mommy was pulling the tent flap open. Mommy was inside, looking around for Rashel. That was when the worst thing happened. The worst and the strangest, the thing the police never believed when Rashel told them later. Rashel saw her mother's mouth open, saw her mother looking at her, about to say something. And then she heard a voice-but it wasn't Mommy's voice. And it wasn't an out-loud voice. It was inside her head. Wait! There's nothing wrong here. But you need to stand very, very still. Rashel looked at the tall man. His mouth wasn't moving, but the voice was his. Her mother was looking at him, too, and her expression was changing, becoming relaxed and . . . stupid. Mommy was standing very, very still. Then the tall man hit Mommy once on the side of the neck and she fell over and her head flopped the wrong way like a broken doll. Her dark hair was lying in the dirt. Rashel saw that and then everything was even more like a dream. Her mother was dead. Timmy was dead. And the man was looking at her. You're not upset, came the voice in her head. You ‘re not frightened. You want to come right here. Rashel could feel the pull of the voice. It was drawing her closer and closer. It was making her still and not afraid, making her forget her mother. But then she saw the tall man's golden eyes and they were hungry. And all of a sudden she remembered what he wanted to do to her. Not me! She jerked away from the voice and dove for the tent flap again. This time she got all the way outside. And she threw herself straight at the gap in the climbing structure. She was thinking in a different way than she had ever thought before. The Rashel that had watched Mommy fall was locked away in a little room inside her, crying. It was a new Rashel who wiggled desperately through the gap in the padded room, a smart Rashel who knew that there was no point in crying because there was nobody who cared anymore. Mommy couldn't save her, so she had to save herself. She felt a hand grab her ankle, hard enough almost to crush her bones. It yanked, trying to drag her back through the gap. Rashel kicked backward with all her strength and then twisted, and her sock came off and she pulled her leg into the padded room. Come back! You need to come back right now! The voice was like a teacher's voice. It was hard not to listen. But Rashel was already scrambling into the plastic tube in front of her. She went faster than she ever had before, hurting her knees, propelling herself with her bare foot. When she got to the first fish-bowl window, I though, she saw a face looking in at her. It was the tall man. He was staring at her. He I banged on the plastic as she went by. Fear cracked in Rashel like a belt. She scrambled I faster, and the knocks on the tube followed her. He was underneath her now. Keeping up with I her. Rashel passed another window and looked down. She could see his hair shining in the sunlight. She could see his pale face looking up at her. And his eyes. Come down, came the voice and it wasn't stem anymore. It was sweet. Come down and we'll go get some ice cream. What kind of ice cream do you like best? Rashel knew then that this was how he'd gotten Timmy into the tent. She didn't even pause in her scrambling. But she couldn't get away from him. He was traveling with her, just under her, waiting for her to come out or get to a place where he could reach in and grab her. Higher. I need to get higher, she thought. She moved instinctively, as if some sixth sense was telling her which way to turn each time she had a choice. She went through angled tubes, straight tubes, tubes that weren't solid at all, but made of woven canvas strips. And finally she got to a place where she couldn't go any higher. It was a square room with a padded floor and netting sides. She was at the front of the climbing structure; she could see mothers and fathers standing and sitting in little groups. She could feel the wind. Below her, looking up, was the tall man. Chocolate brownie? Mint chip? Bubble gum? The voice was putting pictures in her mind. Tastes. Rashel looked around frantically. There was so much noise-every kid in the climbing structure was yelling. Who would even notice her if she shouted? They'd think she was joking around. All you have to do is come down. You know you have to come down sometime. Rashel looked into the pale face turned up to her. The eyes were like dark holes. Hungry. Patient. Certain. He knew he was going to get her. He was going to win. She had no way to fight him. And then something tore inside Rashel and she did the only thing a five-year-old could do against an adult. She shoved her hand between the rough cords that made the netting, scraping off skin. She pushed her whole small arm through and she pointed down at the tall man. And she screamed in a way she'd never screamed before. Piercing shrieks that cut through the happy noise of the other kids. She screamed the way Ms. Bruce at preschool had taught her to do if any stranger ever bothered her. â€Å"Help meeee! Help meeee! That man tried to touch me I† She kept screaming it, kept pointing. And she saw people look at her. But they didn't do anything. They just stared. Lots of faces, looking up at her. Nobody moving. In a way, it was even worse than anything that had happened before. They could hear her, but nobody was going to help her. And then she saw somebody moving. It was a big boy, not quite a grown-up man. He was wearing a uniform like the one Rashel's father used to wear before he died. That meant he was a Marine. He was going toward the tall man, and his face was dark and angry. And now, as if they had only needed this example, other people were moving, too. Several men who looked like fathers. A woman with a cellular phone. The tall man turned and ran. He ducked under the climbing structure, heading toward the back, toward the tent where Rashel's mother was. He moved very fast, much faster than any of the people in the crowd. But he sent words to Rashel's mind before he disappeared completely. See you later. When he was definitely gone, Rashel slumped against the netting, feeling the rough cord bite into her cheek. People down below were calling to her; kids just behind her were whispering. None of it really mattered. She could cry now; it would be okay, but she didn't seem to have any tears. The police were no good. There were two officers, a man and a woman. The woman believed Rashel a little. But every time her eyes would start to believe, she'd shake her head and say, â€Å"But what was the man really doing to Timmy? Baby-doll, sweetie, I know it's awful, but just try to remember.† The man didn't believe even a little. Rashel would have traded them both for the Marine back at the carnival. All they'd found in the tent was her mother with a broken neck. No Timmy. Rashel wasn't sure but she thought the man had probably taken him. She didn't want to think about why. Eventually the police drove her to her Aunt Corinne's, who was the only family she had left now. Aunt Corinne was old and her bony hands hurt Rashel's arms when she clutched her and cried. She put Rashel in a bedroom full of strange smells and tried to give her medicine to make her sleep. It was like cough syrup, but it made her tongue numb. Rashel waited until Aunt Corinne was gone, then she spat it into her hand and wiped her hand on the sheets, way down at the foot of the bed where the blankets tucked in. And then she put her arms around her hunched-up knees and sat staring into the darkness. She was too little, too helpless. That was the problem. She wasn't going to be able to do anything against him when he came back. Because of course he was coming back. She knew what the man was, even if the adults didn't believe her. He was a vampire, just like on TV. A monster that drank blood. And he knew she knew. That was why he'd promised to see her later. At last, when Aunt Corinne's house was quiet, Rashel tiptoed to the closet and slid it open. She climbed the shoe rack and squirmed and kicked until she was on the top shelf above the clothes. It was narrow, but wide enough for her. That was one good thing about being little. She had to use every advantage she had. With her toe, she slid the closet door back shut. Then she piled sweaters and other folded things from the shelf on top of herself, covering even her head. And finally she curled up on the hard bare wood and shut her eyes. Sometime in the night she smelled smoke. She got down from the shelf-falling more than climbing-and saw flames in her bedroom. She never knew exactly how she managed to run through them and get out of the house. The whole night was like one long blurred nightmare. Because Aunt Corinne didn't get out. When the fire trucks came with their sirens and their flashing lights, it was already too late. And even though Rashel knew that he had set the fire-the vampire-the police didn't believe her. They didn't understand why he had to kill her. In the morning they took her to a foster home, which would be the first of many. The people there were nice, but Rashel wouldn't let them hold her or comfort her. She already knew what she had to do. If she was going to survive, she had to make herself hard and strong. She couldn't care about anybody else, or trust anybody, or rely on anybody. Nobody could protect her. Not even Mommy had been able to do that. She had to protect herself. She had to learn to fight.