Anabolic Steroids and the High School Athlete Essay -- Drugs Athletics

Anabolic Steroids and the High School Athlete Anabolic steroid abuse has become a national concern among high school athletes. There has been a dramatic increase in the number of athletes using these performance enhancing drugs in high school almost double the number using since the 1980's. These athletes feel that steroids gives them the competitive edge that they think they need to boost themselves past the competition. Steroids have been used in bodybuilding and other sports since the 1950's. Nowadays, athletes from all walks of life use them. It's not uncommon for athletes such as bodybuilders, football players, boxers, sprinters, and especially powerlifters to use them on a year round basis. Some professional bodybuilders admit to using over 10 times the normal effective dosage for testosterone. Steroids and sports go hand in hand in many ways. They were legal until 1990 when they joined other banned substances such as cocaine, heroin, and methamphetamines as being illegal. Many athletes including Arnold Schwarzenegger and football great Lyle Alzado have admitted to using them to help them become better athletes. Because they are illegal without a prescription in almost every country in the world they are only available to the recreational user on the "black market". The black market consists of all steroidal substances, counterfeits, and other illegal drugs that are purchased from a source other than directly from a pharmacy or a physician. As everyone knows, when a product is available only on the black market the demand of it goes up while the supply goes down. This means that a very high percentage of all athletes that use them are doing so illegally. This is a major reason why steroids have become so popular among high school athletes, there so easy to obtain. Once viewed as a problem only associated with professional athletes, recent reports estimate that 5 to 12 percent of male high school students and 1 percent of female students have used anabolic steroids by the time they were seniors. The athletes using these drugs don?t belong to one particular sport, these users play sports ranging from girls tennis all the way to boys swimming all of which have the same goal in common, to gain the upper hand. They are usually used during training to build muscles and contrary to popular belief are not usually used when the athlete is competing... ...An ongoing series of studies has shown that this team-centered approach reduces new steroid abuse by 50 percent. A program designed for adolescent girls on sports teams, patterned after the program designed for boys, is currently being tested. Some medications that have been used for treating steroid withdrawal, restore the hormonal system after its disruption by steroid abuse. Other medications target specific withdrawal symptoms, for example, antidepressants to treat depression, and analgesics for head aches and muscle and joint pains ( May pg 65). Some patients require assistance beyond simple treatment of withdrawal symptoms and are treated with behavioral therapies. Compared to student athletes who were not exposed to the program, ATLAS participants had increased understanding of the effects of steroids, greater belief in personal vulnerability to the consequences of steroid use, improved drug-refusal skills, less belief in steroid-promoting media messages, increased belief in the team as an information source, improved perception of athletic abilities and strength training self-efficacy, improved nutrition and exercise behaviors and reduced intentions to use steroids.

Beowulf: Pagan Values Tied with Christianity

The poem titled Beowulf was composed sometime between the seventh and tenth century in a language that is known as Anglo-Saxon. It incorporates many pagan themes and concepts, yet it also contains many references to Christianity. Although paganism and Christianity can be seen as unalike, the two aspects are brought together by the poet in order to show the need for grouping. The pagan themes, such as fate or the common goal of fame and heroism, raise questions in the religious community that could be misleading or misinterpreted without the Christian insight provided in the text.As a result, it is clear that this combination of pagan concepts and Christianity shown in Beowulf is for a Christian audience. In order to enhance the value of the poem Beowulf, the author reconciles pagan concepts such as fame, vengeance, and fate with Christianity. The pagan concepts play key parts in the storyline and are related to the components of Christianity in the poem. One of the pagan concepts dep icted in Beowulf is fame. Other ancient texts, such as The Odyssey and The Iliad, show warriors who venture out far from home to accomplish heroic tasks and build fame.The poem shows Beowulf and other characters in the story to have the same urge. Beowulf is shown early in the story as â€Å"the mightiest man on earth, high-born and powerful† (p. 15). The concept of fame is very important to him and to his people. After hearing of Grendel and his strength, Beowulf declares â€Å"to heighten Hygelac’s fame and gladden his heart, I hereby renounce sword†¦: hand to hand is how it will be, a life-and-death fight with the fiend† (p. 31). He wants to maximize not only his own fame but the fame of his king.He will fight Grendel equally matched and â€Å"perform to the uttermost what your people wanted or perish in the attempt, in the fiend’s clutches† (p. 43). The pagan concept of fame is accomplished when Beowulf defeats Grendel and gives the arm of the creature to Hrothgar. Beowulf has proven his skills and strength by ridding the land of Grendel and Hrothgar praises him by stating, â€Å"You have made yourself immortal by your glorious actions† (p. 63). Although the idea of fame at this time conflicts with certain notions of Christianity, the author reconciles the two by adding many references to God with the achievement of fame.The author is able to attribute both Christian concepts and heroism to God through the dialogue of Hrothgar. When Hrothgar arrives in the mead-hall the morning after the slaying, he first thanks God by saying, â€Å"let the Almighty Father be thanked†¦the Heavenly Shepard can work His wonders always†¦Ã¢â‚¬  (p. 63). He praises Beowulf and states that the killing of Grendel was accomplished â€Å"with the Lord’s assistance† (p. 63). Another example of the ties between God and fame is when Hrothgar gives his speech to Beowulf over the dangers of power. He tells the stor y of Heremod, a king who eventually loses everything due to selfishness, to Beowulf. Almighty God had made him eminent and powerful and marked him from the start for a happy life†¦ a change happened, gave no more rings to honour the Danes†¦ he suffered in the end†¦his life lost happiness† (p. 119). The story shows that God is the true beholder of power and when man strays from Him, or lives a life of no values, He has the power to take away happiness and power. The only way to live on earth is through the grace of God. Consequently, the pagan concept of fame ties back to God and is reconciled to Christianity. Another concept of paganism found in the poem is the concept of vengeance.The first sign of vengeance comes clear when Grendel’s mother becomes aware of Grendel’s death. She is infuriated and â€Å"desperate for revenge† (p. 89). She had no interest in the Danes or Geats until the death of her son. She goes to the mead-hall, kills Aesch ere, and takes back Grendel’s remaining corpse. This anger and desire to avenge Grendel’s death also leads to her eventual death when Beowulf meets her at the mere and kills her with the mystical sword. After killing Grendel’s mother and resurfacing to land, Beowulf tells his men, â€Å"if God had not helped me, the outcome would have been quick and fatal† (p. 15). The author seems to imply that latching onto anger and vengeance leads to the destruction of oneself. It can also be interpreted that Beowulf was aided by God to destroy Grendel’s mother due to her fixed desire to wreak havoc and revenge on the mead-hall. This can be seen as the authors attempt to reconcile vengeance with Christianity. Another example of vengeance can be seen when Grendel’s mother kills Aeschere and Hrothgar mourns over his death. Beowulf tries to console Hrothgar by saying, â€Å"Wise sir, do not grieve. It is always better to avenge dear ones than to indulge in mourning. † (p. 97).This shows the importance of avenging the death of one’s comrade or friend to Beowulf and also the contrast between vengeance and Christian belief. After Beowulf finishes his boast, Hrothgar â€Å"sprang to his feet and praised God for Beowulf’s pledge† (p. 97) This is another attempt by the poet to reconcile the pagan concept of vengeance with Christianity. The desire to seek vengeance is discouraged through Christianity, and in the case of Grendel’s mother, can result in the destruction of oneself. Although, the question rises as to why Beowulf wasn’t corrected for seeking vengeance on Grendel’s mother.This is where a third pagan concept is seen in Beowulf; the pagan concept of fate. The pagan concept of fate in Beowulf is mentioned in association with good and bad fortune. For example, when explaining Hygelac’s death, the author states â€Å"fate swept him away because of his proud need to provoke a feud with the Frisians† (p. 85). The use of fate in this context refers to bad fortune due to Hygelac’s desire to stir up a confrontation with the Frisians. At an earlier point in the story, Beowulf tells Hrothgar, â€Å"no need to lament for long or lay out my body: if the battle takes me†¦Fate goes ever as fate must! (p. 31). Here Beowulf leaves the decision to fate, which is a concept of paganism, but there is no mention of fate being controlled by God. This is in direct conflict with Christianity and the author is does associate fate with Christianity in other portions of the text. For example, when Beowulf is declaring his formal boast to kill Grendel, he states, â€Å"And may the Divine Lord in His wisdom grant the glory of victory to whichever side He sees fit† (p. 47). This example shows Beowulf’s demonstration of his Christian beliefs and acknowledgement that it is ultimately up to God who will win the fight.After the fight with Grendel’s mother, Beowulf makes another declaration of fate when he states â€Å"it was hard-fought, a desperate affair that could have gone badly; if God had not helped me, the outcome would have been quick and fatal† (p. 115). Beowulf surrenders himself to God and is fully aware that his fate was left to God’s will. Beowulf once again shows his belief in not only the pagan concept of fate but in God as well. Therefore, the author has successfully reconciled fate with Christianity. In order to enhance the value of the poem Beowulf, the author reconciles pagan concepts such as fame, vengeance, and fate with Christianity.These concepts are seen all throughout the poem and act as representation for the relationship between pagan concepts and Christianity. Although in some areas the two aspects of Anglo-Saxon life can be seen in conflict, as in the pagan concept of vengeance, the two seem to be interrelated. Although Beowulf is an epic narrative, it is full of Christian elements t hat show the beliefs of Christians today venture back in time to as early as the seventh century. Christian customs, such as man believing in God and the presence of good in the world, make this pagan story into what is now believed to be a primary Christian story amongst many.

Staffing for Global Operation Free Essay Example, 2500 words

It is evidently clear from the discussion that in global staffing, companies need to choose from various types of global staff members and need to have specific approaches and strategies to global staffing. Global staff members are selected from among three different types: expatriates, host-country people and third-country nationals. Expatriate is a person who belongs to the country in which the organization is headquartered and not a citizen of the country in which the company operates. A host-country national is a citizen of the country in which the subsidiary company is located. A third-country national is a citizen of a country, but works in another country and employed by an organization headquartered in a third country. As Deresky pointed, a firm s managerial staffing in other countries, depending on its stage of internationalization, and situational factors fall into one or more of the basic four staffing modes, namely ethnocentric, polycentric, regiocentric and global appro aches. Each staffing modes present different and unique HR management challenges as well as opportunities. More specifically, when an organization uses citizens of different countries for its staffing, different tax laws and other significant HR-related factors may apply and therefore it highly recommended that HR professionals need to be knowledgeable about the laws and customs of each country that its workforce belong to. We will write a custom essay sample on Staffing for Global Operation or any topic specifically for you Only $17.96 $11.86/pageorder now The four different modes of international staffing are detailed in the paper. When companies hire expatriates to staff their high-level foreign positions, it uses the ethnocentric approach. The company focuses on using home-country nationals to staff most of its senior managerial positions for its global operation. The basic perception of this approach is that home-office perspectives and issues are likely to take precedence over local perspectives and issues and therefore these expatriates will be more effective in representing the views of home-office.

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Essay on Intrinsic motivation - 2302 Words

Intrinsic motivation Young children are compelled to learn because of their natural curiosity in life. Older children seem to need a push in the direction to learn. This describes the two types of motivation. Intrinsic motivation describes the young child. It is motivation from within and the desire someone feels to complete a task, including natural curiosity. Intrinsic motivation is anything we do to motivate ourselves without rewards from an outside source. â€Å"In relation to learning, one is compelled to learn by a motive to understand, originating from their own curiosity† (Rehmke-Ribary, 2003 p.intrinsic). There are different things a teacher can do to trigger this type of motivation in students. â€Å"Some examples of†¦show more content†¦Grades are probably the most positive example of extrinsic motivation. Many students are driven by grades for higher education and future jobs. When rewards such as candy and toys are used to gain student motivation it can be considered bribery. Maslow’s Hierarchy of Needs At the basis of motivation there are many factors that may not been seen right away. One must take a look at physiological reasons for motivation. How do we get students to their fullest potential? Abraham Maslow introduced the concept of self-actualization. This is the idea that we use our abilities to our fullest potential. If we can convince our students that they are capable of fulfilling their goals then they are on their way to self-efficacy. (Elliot, 2000 p.335). Self-actualization is the highest goal to reach in motivation. It is placed at the top of Maslow’s pyramid called the hierarchy of needs. This pyramid includes five needs that must be met before self-actualization can develop. The idea of Maslow’s hierarchy of needs is that if basic needs are not met, motivation cannot occur. The first need is physiological needs. These are things such as hunger and sleep. If these needs are not met, a student’s motivation is dominantly focused on these things. The next need up on the pyramid is safety needs. These needsShow MoreRelatedThe Motivation And Intrinsic Motivation1065 Words   |  5 PagesAll children are unique and learn in different ways, however, when it comes to their motivation they will most likely fall into one of two categories. Extrinsic motivation revolves around grades and points and competition, and intrinsic motivation stems more from personal interests, sense of belonging, and passion to grow. (Carol Dweck). Roman, an 11-year-old high functioning autistic child, had no desire to participate in any class learning when I began working with him. He only excitedly and willinglyRead MoreMotivation, Motivation And Intrinsic Motivation951 Words   |  4 Pagesresearching on how motivation works in our brain, we cannot make a conclusion about the truth of the motivation in the past century. 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Thereby it simply means that the one who is not energized orRead MoreMotivation, Intrinsic And Extrinsic Motivation756 Words   |  4 PagesMotivation is a very important factor no matter what sport you coach or what the team or athlete goals are. A true coach must be able to understand their athlete and be able to tap into their motivation, maximizing their performance. Chapter four was written about two particular types of motivation, intrinsic and extrinsic. No matter what theory you believe, all theories boil down to these two types of motivation. Knowing the difference between intrinsic and extrinsic motivation, can help you honeRead MoreExtrinsic Motivation And Intrinsic Motivation917 Words   |  4 Pagesthem the help that they need. Our agency has the ability to affect the lives of other people in a positive way, which leads to intrinsic motivation. 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Ray (1992) comments that motivation in education is concerned with students’ motivation to learn (p.3). With the understanding of these defined conceptsRead More Intrinsic Motivation Essay2788 Words   |  12 PagesIntrinsic Motivation Sometimes a student can be fascinated in a subject and are eager to learn more without outside influence or help. This kind of a situation is when there exists a large amount of intrinsic incentive to motivate a child. It is when a student enjoys an aspect of an activity enough to be motivated within. An intrinsic incentive could arise in any subject of interest such as dinosaurs, famous people, or far off places. However, topics that are learned in schools today do notRead MoreMotivation : Extrinsic And Intrinsic Factors1476 Words   |  6 PagesMotivation: An Evaluation of Extrinsic and Intrinsic Factors Motivation has been widely studied and particularly explored in organisational behaviour. Extrinsic and intrinsic motivations are two areas of current discourse that have been critically examined for motivating workforce. This paper aims to: define extrinsic and intrinsic motivations; outline the competing views regarding the relationship between the concepts; and, apply the research findings to a workplace observation within the Royal

Office Paper Recycling Essay Example For Students

Office Paper Recycling Essay Environmental science is concerned with the global impact of human activity on the planet. Indeed, at the dawn of this new century, close to 25 percent of the earths usable water is contaminated. In addition, during the last hundred years, we have increased the amount of carbon dioxide in the atmosphere, by burning fossil fuels, such as coal and petroleum and in so doing we have increased the amount of gases in the atmosphere. The result is that more heat is trapped in the system, increasing the global temperature by 1 C (about 1.8 F). Because the earth is a closed system, these issues are of major concern to environmentalists. As the Gaia Hypothesis states it, we are sustained by a single living system, meaning that we rely on it for our survival, in which all the parts are interconnected and everything we do affects it globally. For instance, as more heat is trapped in the atmosphere, the temperature increases, affecting precipitation, the rain becomes acid, which in turn affect our food production and our fresh water supply, ultimately it affects all the living system on the planet. Basically, in such a system there is no away in throwing away, hence, over the last decade people and companies started being aware of it and therefore acknowledged the need to recycle. Recycling refers to collecting and reprocessing resources into new products. The resources on earth are not all renewable, and recycling means that we could create systems where wastes become resources again, which is called closed-loop recycling. Recycling paper involves removing its ink, glue, and coating and reconverting it to pulp that is pressed again into new paper. This process brakes down some of the paper fibers, requiring addition of some new pulp to maintain paper strength. III.Recycling at American University Ten years ago the District of Columbia mandated recycling programs for schools and colleges, at this time tough, only ten percent of American Universitys waste was recycled. However, the American University started a more efficient recycling project in May 1999, as the contracted a new company, the Consolidated Waste Industry (CWI), to recycle its waste. Besides, A. U. buys its office paper to Boise Cascade Corporation, which is environmentally conscious and sustains the forests. Paper is essentially made of wood, which is crushed into small pieces, and mixed with water and chemicals The Physical Plant at A.U. collects the trash, which is then picked up by CWI and brought to a warehouse where it is dumped on the floor on a conveyor belt and separated. Most of the office papers are already disposed in special bins at A. U. and usually they do not need to be separated from the rest of the trash. Then, this company sells it to another company, First Fiber, in Pennsylvania, which actually recycles it. According to Jan Lambert, the paper goes into a mill where the ink is removed and the contaminants are taken off. Then, the rest of the recycling process involves washing the paper with water in a blender, requiring 5,000 gallons per two tons of paper. The paper is converted into pulp and laid on a web, where it is pressed and dried, to be cut into sheets again. Unfortunately we were not told if the company uses chemicals in the process, although Lambert said the water was recycled. . Nevertheless, every ton of paper that is recycled saves about 1.4 cube meter (about 50 cube feet) of landfill space. One ton of recycled paper saves 17 pulpwood trees (trees used to produce paper). According to Mark Fiest at A. .u3047ae054ba29e9c80c5dd9c234dee89 , .u3047ae054ba29e9c80c5dd9c234dee89 .postImageUrl , .u3047ae054ba29e9c80c5dd9c234dee89 .centered-text-area { min-height: 80px; position: relative; } .u3047ae054ba29e9c80c5dd9c234dee89 , .u3047ae054ba29e9c80c5dd9c234dee89:hover , .u3047ae054ba29e9c80c5dd9c234dee89:visited , .u3047ae054ba29e9c80c5dd9c234dee89:active { border:0!important; } .u3047ae054ba29e9c80c5dd9c234dee89 .clearfix:after { content: ""; display: table; clear: both; } .u3047ae054ba29e9c80c5dd9c234dee89 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u3047ae054ba29e9c80c5dd9c234dee89:active , .u3047ae054ba29e9c80c5dd9c234dee89:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u3047ae054ba29e9c80c5dd9c234dee89 .centered-text-area { width: 100%; position: relative ; } .u3047ae054ba29e9c80c5dd9c234dee89 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u3047ae054ba29e9c80c5dd9c234dee89 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u3047ae054ba29e9c80c5dd9c234dee89 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u3047ae054ba29e9c80c5dd9c234dee89:hover .ctaButton { background-color: #34495E!important; } .u3047ae054ba29e9c80c5dd9c234dee89 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u3047ae054ba29e9c80c5dd9c234dee89 .u3047ae054ba29e9c80c5dd9c234dee89-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u3047ae054ba29e9c80c5dd9c234dee89:after { content: ""; display: block; clear: both; } READ: Case Study Snap On Tools Intranet (527 words) EssayU., the college now recycles 50 percent of its waste due to this program, which is successful. Based on the information we received, and as far as A.U. is concerned, it seems to be a closed-loop-recycling program, which is a success. Considering that in a couple years the amount of waste recycled increased from ten to 50 percent, however further researches show that chemicals are used to process the paper, which is then transported in trucks, which release CO2 in the atmosphere. In addition, Lambert did not explained us how the water is recycled, chances are that it must be a chemical process that uses a lot of .

Increasing Capacity of Primary Care †Free Samples to Students

Question: Discuss about the Increasing Capacity of Primary Care. Answer: Introduction This report is designed to present an advanced, integrated analysis and evaluation of eBusiness strategies in American Well. American Well is paving the way for direct contact between patients and physicians by means of digital platforms accessed through computers, tablets, and smart phones. Their service is voluntarily available anytime and the internet connection can be established anywhere. In this context, the report provides a concise summary of the current positioning of the company in the healthcare industry. Also, the benefits of the proposed changes are clearly justified in terms of the appropriateness, and the tangible and intangible benefits, for the organization and its customers. American Well has succeeded well in overcoming the tough challenges in the medical industry. The physicians, policy makers, and other professionals working in this company provide effective servicers to the customers. The major goal of the organization is focused on improving the quality of health care, maintaining and enhancing the equity, and increases the overall efficiency (Markens, 2017). The company is planning to diversify its capabilities in the corporate development world. The professionals in the organization are talented enough to grab complicated ideas and use different analytical and innovative problem-solving skills to a wide range of strategic projects for the organization. The staff members work in coordination in order to build and present compelling and perceptive analysis. The company has gained a good position in the US market and has made healthy relations with the strategic clients, customers, partners, investors, and employees. In order to facilitate constant access to the healthcare network, American Well makes use of video, mobile, and web techniques. The average waiting time taken by it is below five minutes which is appropriate to schedule and visit to the doctors clinic (Siddiqui et al., 2017). Frost Sullivan admired the company for accelerating the move towards an Open Healthcare Ecosystem with the Exchange. Before Exchange, the company turned out AW9, its enterprise software platform displayed improved scheduling tools, directions to treat the whole population, and the capability to encourage more and more doctors to travel. It has the telemed tablet functionality known as the pan-tilt-zoom camera, and an application that allows patients and doctors to take photographs and transfer them to the consulting partners. Moreover, the company has made a strategic decision to underline video as a basic technology for its various services. It carries out around ninety-five percent of its implicit visits in this format. It results in the improvement of analytical and personalization capabilities of a medical evaluation (Wechsler et al., 2017). American Well also covers real-time patient information that can be easily integrated with the electronic medical record. For instance, the company provides a feature named, Ask Me which enables doctors to be potentially accessible without taking any appointment at any time. Also, the company is well-known for the quality of service provided by its platform and engaging physicians. The company offers high quality components which are linked with the competence of the institutions taking part in the Exchange program. The reputation of the company among the modern telehealth c consumers has improved due to its better price/performance value which is influenced by th e business models approached by the institutions (Fogel, and Sarin, 2017). American Well has been positioned as an emerging healthcare access option to those patients who do not want to be limited to a particular supplier group. It facilitates the ways to reach the specialists who were earlier inaccessible or unknown to the healthcare customers. The company has emerged as a revolutionary association with a remarkable potential to provide improved medical treatment and alternatives that are more costly or unaffordable than those presently exist. American Well has gained a position in the market wherein a number of developed and competitive entities exist, such as McKesson, Cisco, and Inuit. However, the telehealth services and products offered by these organizations, their target market, and their marketing techniques are different from that of American Well. The online facility provided by the company enables individuals to have great access along with an internet connection, who want to have digital sessions with the doctors for usual health concerns (Joiner, and Lusch, 2016). This service is different from that of competitors, which require people to first become patients of the suppliers. These services are more time-taking and inconvenient for the customers when they are in the need of urgent service procurement. Also, the patients have to schedule an initial appointment personally with the doctors or call during office hours to get registered within the telehealth system, if the patients are not pre-registered within a ny of the systems of the service providers. On the other hand, it is not required in the case of American Well, as the individuals can easily reach to the provided platform through a computer or any personal gadget with the help of browsing and feeding videos (Maslach, and Leiter, 2017). It enables them to communicate quickly with the concerned physician or doctor. Moreover, the individuals can be either instantly connected to the supplier or select from a wide range of offering services of provider using the platform offered by American Well, which is completely supported by reviews, native language, and gender. Roadmap of American Well The mission and vision of American Well is to create a future healthcare system in which telehealth has a main role in connecting the patients with reliable professionals. It also aims to ensure more accessible and better quality care to its patients. American Wells objective is to deliver an excellent customer healthcare experience by minimizing wait times and making the facility more convenient and affordable. American Well creates value by encouraging consumer participation through providing them control of their health records. The management also attempts to lower the administrative burden and duplicity by integrating with third party systems. American Well targets a huge number of people from diverse locations, such as insurance companies, and large employers. Also, among patients, it includes young mothers from age 30 to 40 years, 25-to-35-year-old health-oriented men, and above 65-years old with chronic care conditions. American Well is committed with applying legally secured harbors for suppliers in health information technology. Also, the company is concerned with promoting and protecting consumers rights such as right to information, freedom, and consent. American well has recently announced its collaboration with Samsung and Microsoft companies. In future also, it is likely to enter in joint venture with other big corporations in order to achieve large market share. In healthcare industry, changes in demands are brought by many factors such as globalization, migration trends, travel and changing socio-cultural landscape. Therefore, American Well should apply service delivery model to deal with the constant changes. American Well applies a mix model. While some employers charge per member, per month fee, others charge as per the level of customization and the price charged to employees. American Well effectively and enthusiastically promotes the strategies of its clients, all of whom launch telehealth with the universal goal of intensifying care and access to patients. New Strategies American Well has entered into a strategic partnership with Samsung Electronics at the 17th HMSS Annual Conference. The objective was to take the advantage of various opportunities for both the organizations in order to create new and innovative healthcare services for delivery groups, suppliers, financiers, and employers (Brophy, 2017). The company applies telehealth to make available quality care for the patients. For this purpose, the company provides around two hundred health systems and health plan partners throughout USA, such as Anthem, Inc., Cleveland Clinic and NewYork-Presbyterian. Samsung has already become a reputed brand in the market of consumer electronics. This company has crossed the heights of todays modern technology. It has also leveraged its healthcare specialization for helping the medical professionals in improving the quality of care and results for the patients. The new collaboration is likely to result in innovative experiences that can enhance health and business results. The main benefit from the proposal is that partnership will bring a new level of access to consumers, and effortless application to the healthcare sector (Kaissi, and Shay, 2016). It is serving as an important strategy of American Well in the delivering an integrated care to all. For this initiative, healthcare industry leaders who are in support of initial development stage of this collaboration are also providing their assistance in accomplishing the goals. The president of New York-Presbyterian has also observed a positive review from its patients as well as physicians on the implementation of digital health initiatives. He also expressed his pride in working with American Well and Samsung, and saw it has the future of USA healthcare (Young, and Nesbitt, 2017). This is because the patients feel pleased and satisfied with these expertise clinical services not only in Ne w York, but also across the globe. Furthermore, the advanced technology brought by American Well is also used in Cleveland Clinic which found expertise services beneficial for their patients and are provided to a wide number of patients (Morgan et al., 2017). In this context, the president of Cleveland Clinic stated that this new technology in medical field will be helpful in supplying highest level of care along with accurate data, and enhanced availability and access. In the telehealth industry of USA, American Well is making innovative and effective strategies to compete at high level. For this purpose, the services of American Well are offered at comparatively low prices, which make them cost leaders in the market. The cost leadership strategy applied by the company makes it a bit hard to earn high profits because in this strategy, products are sold at low costs which reduce the overall revenues of the organization (Kerner Jr et al., 2016). It implies that the company has to cut its operational expenses and shift the savings to their customers. The services of American Well are very convenient, and affordable than its rivalries, which is beneficial to gain competitive edge in the industry. This is because the competitors products and services are not focused on affordability and comfort ability of the customers. Another benefit of using this strategy is that American Well is directly connected and can interact with its customers, financiers, as well as suppliers. In contrast to this, the rivalries are only connected with the payers and suppliers (Rocco et al., 2017). Thus, American Well utilizes direct to consumer marketing strategy so as to reduce the consultation cost and provider expenses. Also, the company is facilitated to have a broad customer base from different parts of the world and attract them to use companys products and services and grab a significant market share. In manufacturing, the strategy is used by the company to make use of the best technology. In this regard, the company entered in a partnership with Microsoft for the software manufacturing for minimizing the labor expenses. However, the need of security also arises due to the increased rate of upgraded technology (Fleishon et al., 2017). But, the partnership strategy with two big corporations such as Samsung, and Microsoft, has resulted in having a wider access to the efficient technology at reduced prices than designing their own. The new strategy of online care suit of American Well also provides support medical devices such as stethoscopes, ophthalmoscopes, and derma-cams. The most innovative strategy developed by American Well is Online Care. It has enabled the ways of delivery of health care. For handling the data associated with healthcare information, telecommunication and computer-based techniques assist both patients and doctors. This services is different from others as it increases the abilities of the company to achieve competitive edge over its rivalries in the industry. Recommendations Since the Online Cares proprietary platform has became the intellectual property of American Well, it gained a significant competitive advantage in the USA market (Hockenberry, and Becker, 2016). However, this advantage is not likely to stay in future due to the rapid development in the field of Information and Technology. Therefore, it is very crucial for the company to keep innovating for retaining the advantages (Lustgarten, and Colbow, 2017). Otherwise, the competitors might get an opportunity to beat American Well in the technology stake. The best course of action for the company is consists of three steps. The first step is to introduce a team addition to enlarge the current product of American Well (McDonnell et al., 2016). The new products will supply cycle time for the customers for repeated visits to the customers, and follow-ups would be decreased from months to minutes. The aim of Team Edition is to join primary care physicians, who can easily control those medical devices, and specialist, who will be accountable for reading, interpreting, and elaborating technical reports for a particular patient. This project can be a get through in the conventional referral expert consultation since the patient can have access to a specialist consultation at the time of a primary care visit. Also, the possibility of connecting other medical devices such as glucose meters to the Online Care Suit 6.0 improve the participation of the American Well company in the treatment process of chronic patients. This opens its field of operation from not only online care consultations, but also a broader spectrum of monitoring chronic conditions. Moreover, the company can provide immediate facilities at lower cost to the patients located in backward regions, who are in need of expert advice and treatment. It would enable them not to visit long and wait for the treatment (Dzau et al., 2017). Thus, the people will be more attracted towards this facility, while the existing consumers would see it as an additional feature which would minimize their expenses and offer good quality services. Since the primary objective of American Well is to become a leader in Online Care, this team addition will be more useful. The product will be helpful in attaining differentiation benefits among the rivalries and enhancing its market share as well. Also, the building of team addition will be less costly to the company because it has an effective Research and Development staff along with the required technology (Scanlon et al., 2016). American Well is suggested to approach and appeal the recognized customer base for online care as they will be i nterested in the team addition, which will lead to win-win position for the company in the long-run. The second step suggests that American Well should diversify its operations in other potential segments such as pharmacies, hospitals, and health clinics. A successful completion of first step would enable the company to redistribute its resources in various new markets while delivering the same quality (Kroenke, and Unutzer, 2017). Finally, the final step involves expansion of American Well at the global level. For this, a fully re-structure of the organization will be required apart from collaborating with other companies operating in diverse fields situated in various countries. However, this will become easier only if the company is able to make itself a good market leader in the domestic market first. Moreover, American Well should enter into a joint venture with Blue Cross, which is an alliance of 36 diverse health insurance organizations and companies of USA and provides health insurance to more than 106 million Americans (Nakra, and Nakra, 2016). While, American Well already has created good relations with Blue Cross through Hawaii partnership, it will be beneficial for the company to attract a large number of customers by offering them an easier access for patients and savings on behalf of Blue Cross via more efficient service offerings. The company will have to dedicate its more time to train its staff to build up experience and attain the significant use requirements. Conclusion From the above discussion, it can be concluded that American Well is effectively fulfilling the customers needs and wishes, while saving money for the suppliers. The company has become able to create and maintain long-term relationships with the clients as well. In order to grow, the company should operate in consistent with the rapidly changing government policies and laws in the field of healthcare. Also, huge investment in technological developments is required by the company for fulfilling regulatory standards. Unnecessary investments in new avenues can threaten companys organic growth. In spite of any strategy adopted by American Well, it can be said that its current practices fulfill the visions, missions, and goals of the market. References Brophy, P.D., (2017) Overview on the Challenges and Benefits of Using Telehealth Tools in a Pediatric Population.Advances in Chronic Kidney Disease,24(1), pp.17-21. Dzau, V.J., McClellan, M.B., McGinnis, J.M., Burke, S.P., Coye, M.J., Diaz, A., Daschle, T.A., Frist, W.H., Gaines, M., Hamburg, M.A. and Henney, J.E., (2017) Vital Directions for Health and Health Care: Priorities From a National Academy of Medicine Initiative.Jama,317(14), pp.1461-1470. Fleishon, H.B., Itri, J.N., Boland, G.W. and Duszak, R., (2017) Academic Medical Centers and Community Hospitals Integration: Trends and Strategies.Journal of the American College of Radiology,14(1), pp.45-51. Fogel, A.L. and Sarin, K.Y., (2017) A survey of direct-to-consumer teledermatology services available to US patients: explosive growth, opportunities and controversy.Journal of telemedicine and telecare,23(1), pp.19-25. Hockenberry, J.M. and Becker, E.R., (2016) How Do Hospital Nurse Staffing Strategies Affect Patient Satisfaction?.ILR Review,69(4), pp.890-910. Joiner, K.A. and Lusch, R.F., (2016) Evolving to a new service-dominant logic for health care.Innovation and Entrepreneurship in Health,3(3), pp.25-33. Kaissi, A. and Shay, P., (2016) Hospital Systems, Convenient Care Strategies, and Healthcare Reform.Journal of Healthcare Management,61(2), pp.148-163. Kerner Jr, R.L., Gallo, K., Cassara, M., D'angelo, J., Egan, A. and Simmons, J.G., (2016) Simulation for Operational Readiness in a New Freestanding Emergency Department: Strategy and Tactics.Simulation in Healthcare,11(5), p.345. Kroenke, K. and Unutzer, J., (2017) Closing the false divide: sustainable approaches to integrating mental health services into primary care.Journal of General Internal Medicine,32(4), pp.404-410. Lustgarten, S.D. and Colbow, A.J., (2017) Ethical concerns for telemental health therapy amidst governmental surveillance.American Psychologist,72(2), p.159. Markens, S., (2017) Im not sure if they speak to everyone about this option: analyzing disparate access to and use of genetic health services in the US from the perspective of genetic counselors.Critical Public Health,27(1), pp.111-124. Maslach, C. and Leiter, M.P., (2017) New insights into burnout and health care: Strategies for improving civility and alleviating burnout.Medical teacher,39(2), pp.160-163. McDonnell, A., Rex, J.H., Goossens, H., Bonten, M., Fowler, V.G. and Dane, A., (2016) Efficient delivery of investigational antibacterial agents via sustainable clinical trial networks.Clinical Infectious Diseases,63(suppl 2), pp.S57-S59. Morgan, L., Flynn, L., Robertson, E., New, S., Forde?Johnston, C. and McCulloch, P., (2017) Intentional Rounding: a staff?led quality improvement intervention in the prevention of patient falls.Journal of clinical nursing,26(1-2), pp.115-124. Nakra, P. and Nakra, S., (2016) Not?for?profit hospitals and Affordable Care Act: Navigating the new health care landscape.Journal of Healthcare Risk Management,36(2), pp.36-44. Rocco, P., Kelly, A.S., Bland, D. and Kinane, M., (2017) The New Politics of US Health Care Prices: Institutional Reconfiguration and the Emergence of All-Payer Claims Databases.Journal of Health Politics, Policy and Law,42(1), pp.5-52. Scanlon, D.P., Beich, J., Leitzell, B., Shaw, B.W., Alexander, J.A., Christianson, J.B., Farley, D.C., Greene, J., Jean-Jacques, M., McHugh, M. and Wolf, L.J., (2016) The Aligning Forces for Quality initiative: background and evolution from 2005 to 2015.Am J Manag Care,22(suppl 12), pp.S346-S359. Siddiqui, J., Herchline, T., Kahlon, S., Moyer, K.J., Scott, J.D., Wood, B.R. and Young, J., (2017) Infectious Diseases Society of America Position Statement on Telehealth and Telemedicine as Applied to the Practice of Infectious Diseases.Clinical Infectious Diseases,64(3), pp.237-242. Wechsler, L.R., Demaerschalk, B.M., Schwamm, L.H., Adeoye, O.M., Audebert, H.J., Fanale, C.V., Hess, D.C., Majersik, J.J., Nystrom, K.V., Reeves, M.J. and Rosamond, W.D., (2017) Telemedicine quality and outcomes in stroke: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association.Stroke,48(1), pp.e3-e25. Young, H.M. and Nesbitt, T.S., (2017) Increasing the capacity of primary care through enabling technology.Journal of General Internal Medicine,32(4), pp.398-403.