Global Communications Gap Analysis Research Paper

Global Communications Gap Analysis - Research Paper Example That is, a particular organization will not be successful due to failed organizational strategies, decision-making process, etc, as well as the inept functioning of the employees. In order to correct these mistakes and to put the organization on the successful path, effective at the same time strong decisions have to be taken, without any impassiveness. One of the strong and impassive decisions should layoff of the employees, who are expendable. Although this decision will be a difficult one to take, both from the organizational and ethical point of view, it has to be taken for organizational well being. From employees’ perspective, they can be taken care, by finding other alternate options. â€Å"They got the right people on the bus, moved the wrong people off, ushered the right people to the right seats - and then they figured out where to drive it† (Collins cited in Grissom, 2006). So, this paper will discuss how Global Communication can reach its two important targe ts of achieving optimum growth as well as the tag of being the global player, through layoff of expendable workers, with the help of more innovations and plus outsourcing route. Situation Analysis Issue and Opportunity Identification Global Communications (or GC for short) is in a tight situation because of financial downslides and also due to tough competitions. To further add to its woes, the entire telecommunications sector was also not showing good growth. The fact that validates the GC tough scenario is the 50 percent depreciation it suffered in its stock value, leading to a struggling financial situation. With many competitors fighting for the same local, national as well as international markets, offering slew of new services like complete solutions for computers, televisions and plain old telephone service (POT), Global is facing very tough competition. To overcome this tough situation, beat off the competitors and increase the profits, the GC’s senior leadership team has come up with a two-pronged aggressive approach. The first plan is to, come up with their own new services, which can compete with the local telephone and cable companies. In that direction, GC got associated with a satellite provider, and has plans to offer value added services like video services and satellite version of broadband. This partnership with a wireless satellite provider can actualize a scenario where the small business owners can have anytime Internet access, just by using their wireless telephones or PC cards. The second strategy as part of the two-pronged approach is cost-cutting through the removal of employees. For that, they have identified number of job designations, which can be removed, while absorbing a minor portion of employees in other departments. The laid off jobs will be moved to India and Ireland as part of outsourcing strategy. With GC’s analysis showing that outsourcing could reduce unit costs for handling calls by nearly 40%, and with GC wanting to become a global corporation, this plan appears feasible. However, when viewed from another perspective, it raises some organizational and ethical dilemmas. Stakeholder Perspectives/Ethical Dilemmas GC GC to overcome its tough financial situation has come up with a twin strategy. Although GC’s first plan to introduce new services including value added servi

Merits and Demerits of Bariatric Surgery in the Treatment of Type 2 Literature review

Merits and Demerits of Bariatric Surgery in the Treatment of Type 2 Diabetes Mellitus in Overweight and Obese Adults - Literature review Example Bariatric operations are basically grouped into totally restrictive, mostly restrictive, and mostly malabsorptive procedures (Ferrannini and Mingrone, 2009, p. 516) but the most common surgery performed is Roux-en-Y gastric bypass through which â€Å"between 33 and 77% of excess weight can be lost† (Buchwald et al., 2004, p. 1730). General consensus among clinicians is that the bariatric operations have proved to be particularly appreciative medical treatment for diabetes associated with obesity and cardiovascular diseases. Also research has it that all these surgical options are potentially capable of helping the diabetic patients in terms of fast recovery, weight adjustment, cardiovascular risk factors management, and significant reduction in mortality of 23% from a troubling 40% (Robinson, 2009, p. 521). Evidence about the role, credibility, and shortcomings of bariatric surgery as a thriving treatment option for type 2 DM is gathered through reviewing credible scientific j ournals and findings are discussed and scrutinized in this paper as an attempt to compare and contrast what different researchers have said on this subject so far. Literature Review For people having a BMI of at least 35 with significant comorbidities like diabetes, bariatric surgery is ruled out as a safe and healthy recommendation by the health care professionals as this is considered a wise decision with great payoffs (Robinson, 2009, p. 520). In a research study involving as many as 232 obese patients with type 2 DM from 1979 to 1994, it is claimed by MacDonald et al. (1997) that 154 out of them underwent gastric bypass operation and had their small intestines resected while the rest did not... Surgery is repeatedly claimed to be an effective early intervention for diabetes by different researchers. Much research has been done on the subject of effectiveness of bariatric surgery in weight loss and diabetes-related outcomes in the obese adults. Weight reduction is the first most strategy which should be considered by the diabetic patients as the progression rate of diabetes heavily relates to the obesity rate. A reduction in all-cause mortality is stressed in the literature on bariatric surgery and its implications because the surgical interventions largely aim at decreasing the weight as obesity in itself is a potential driver of many cardiovascular and metabolic dysfunctions. The charm of bariatric surgical interventions like gastric bypass surgery is that they are performed to achieve multiple targets and may or may not include weight loss depending on the situation. This means that diabetic patients of think physique can also go through bariatric surgery to have their di abetes treated only. However different sources cite that complications resulting from weight loss surgery vary and are frequent including nutritional deficiencies, kidney issues, bone fracture risks, postprandial diarrhea, and other metabolic bones diseases. Among the postsurgical complications, gastric dumping syndrome which involves bloating and diarrhea after meals forms the commonest complication of bariatric surgery performed to treat type 2 DM in overweight or obese adult patients.