<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/' xmlns:georss='http://www.georss.org/georss' xmlns:gd='http://schemas.google.com/g/2005' xmlns:thr='http://purl.org/syndication/thread/1.0'><id>tag:blogger.com,1999:blog-5407902357081248967</id><updated>2012-01-01T02:55:10.344+08:00</updated><category term='Cancer'/><category term='Islamic Banking'/><category term='Pharmaceutical Industry'/><title type='text'>Sample Review of Related Literature</title><subtitle type='html'>Free Online Samples of Literature Reviews</subtitle><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default?max-results=100'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/'/><link rel='hub' href='http://pubsubhubbub.appspot.com/'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>10</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>100</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-722007676341253863</id><published>2009-07-05T05:11:00.001+08:00</published><updated>2009-07-05T05:11:22.759+08:00</updated><category scheme='http://www.blogger.com/atom/ns#' term='Islamic Banking'/><title type='text'>Performance of Islamic banking in Pakistan</title><content type='html'>&lt;p style="MARGIN: 0in 0in 5.75pt; LINE-HEIGHT: 200%"&gt;&lt;strong&gt;Background and Literature Overview&lt;/strong&gt;&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 5.75pt; LINE-HEIGHT: 200%"&gt;There has been large scale growth into the Islamic banking in Muslim countries and around the world during the last twenty years as the performance growth is influenced by factors including the introduction of broad macroeconomic and structural reforms in financial systems, the liberalization of capital movements, privatization, the global integration of financial markets, and the introduction of innovative and new Islamic products. Islamic finance is now reaching new levels of sophistication. However, there has been presence of Islamic financial system with its identifiable instruments and markets is still very much at an early stage of evolution. Many problems and challenges relating to Islamic instruments, financial markets, and regulations must be addressed and resolved. In Islamic banking rules apply which differ from those in traditional banking as there consequences of Islamic banking for financial operations as there goes in examining in several Islamic procedures as being introduced by Pakistan's banking sector ever since the year 1985. Considering the drastic change in procedures, (Cornelisse and Steffelaar, 2008 p. 687) the effect of Islamization on the banking sector performance has been moderate. One reason for the reality, is that banks in Pakistan have consistently opted for financial instruments closely resembling interest based finance aside, certain behavior did have determined within large extent by the fact that these banking sectors are owned by the state of Pakistan (Cornelisse and Steffelaar, 2008 p. 687).&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;strong&gt;Objectives&lt;/strong&gt;&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;The need to provide comprehensive comparative review of the literature on the Islamic banking sector in Pakistan, to discuss basic features of Islamic finance and banking, there is a need to introduce Islamic financial instruments in order to compare such to existing Western financial instruments and discuss the legal problems that investors in Pakistan can encounter. Indeed, there is importance of having in empirical assessment of performance of Islamic banking in Pakistan which there will highlight regulations, challenges and problems in the Islamic banking market. Thus, the main objectives is to review the growth of the Islamic banking on global basis, assess its performance based on latest financial data available, discuss its salient products/services, evaluate for departures from traditional Islamic principles, to offer suggestions for improvement based on the experience of the authors and evidence provided by literature studies in research area. Furthermore, the need to integrate several performance of Islamic banking in Pakistan, recognizing in certain banks in Pakistan, the assuming performance of the banking sector, the linking of reliable literature information towards banking performance will be imperative in this research denoting to research questions as well as hypothesis&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt; &lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;strong&gt;Questions&lt;/strong&gt;&lt;/p&gt;&lt;br /&gt;&lt;ol style="MARGIN-TOP: 0in" type="1"&gt;&lt;br /&gt;&lt;li style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; tab-stops: list .5in; mso-list: l0 level1 lfo1"&gt;What is performance? What constitutes Islamic banking performance?&lt;/li&gt;&lt;br /&gt;&lt;li style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; tab-stops: list .5in; mso-list: l0 level1 lfo1"&gt;What is an Islamic bank? How is organization of the bank formed according to framework/structure?&lt;/li&gt;&lt;br /&gt;&lt;li style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; tab-stops: list .5in; mso-list: l0 level1 lfo1"&gt;Any aspects of Islamic bank in Pakistan that implies to positive and or negative performance?&lt;/li&gt;&lt;br /&gt;&lt;li style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; tab-stops: list .5in; mso-list: l0 level1 lfo1"&gt;How is performance manifested in terms of management and control assumptions? Discuss&lt;/li&gt;&lt;br /&gt;&lt;/ol&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt; &lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;strong&gt;Hypothesis&lt;/strong&gt;&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;H1: There is positive performance of Islamic banking in Pakistan&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;H2: There is negative performance of Islamic banking in Pakistan&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt; &lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;strong&gt;Methodology&lt;/strong&gt;&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 13.7pt 0in 0pt; LINE-HEIGHT: 200%"&gt;For the research method, the need for the study to demonstrate understanding of performance factors linked in the banking sectors of Pakistan, regarding organization and facts towards Islamic banking operations through the research process of collating cases from within Pakistan context as there may imply to performance measures and analysis in determining study factors that influence performance involvement of banks. The methodology will be in utilization of certain case study analysis allowing statistical variation of performance analysis of Islamic banks as well as the using of several secondary resources, the study endeavors to the application of awareness of stable financial performance of such Islamic banks and how methods assimilation is useful into the research practice. The Islamic banks will persist in taking the easy and risk adverse route and avoid profit and loss sharing contracts as the desire to withhold information must be negligible and systems must be put in place which allows efficient and open profit and loss share instruments to develop and be able to create suggestions as to how venture capital can be developed into Pakistan setting, without fear of banking operations collapsing or being restricted in the performance development.&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 13.7pt 0in 0pt"&gt; &lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 13.7pt 0in 0pt"&gt;&lt;strong&gt;Reference&lt;/strong&gt;&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0.05in; mso-outline-level: 3"&gt; &lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 0.05in; mso-outline-level: 3"&gt;Cornelisse, P. and Steffelaar, W. (2008). Islamic Banking in Practice: the Case of Pakistan. &lt;a href="http://www3.interscience.wiley.com/journal/118538567/home"&gt;Development and Change&lt;/a&gt; &lt;a href="http://www3.interscience.wiley.com/journal/121474686/issue"&gt;Volume 26 Issue 4&lt;/a&gt;, Pages 687 - 699 Published Online: 22 Oct 2008, 2009 Institute of Social Studies&lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 0in 0in 5.75pt"&gt; &lt;/p&gt;&lt;br /&gt;&lt;p style="MARGIN: 13.7pt 0in 0pt"&gt; &lt;/p&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-722007676341253863?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/722007676341253863/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=722007676341253863' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/722007676341253863'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/722007676341253863'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2009/07/performance-of-islamic-banking-in.html' title='Performance of Islamic banking in Pakistan'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-212470354290585510</id><published>2009-04-16T14:59:00.001+08:00</published><updated>2009-04-16T14:59:58.564+08:00</updated><title type='text'>Cathay Pacific Literature Review Sample Chapter 2</title><content type='html'>&lt;table cellspacing="0" cellpadding="0" border="0" &gt;&lt;tr&gt;&lt;td valign="top" style="font: inherit;"&gt;&lt;P style="LINE-HEIGHT: 200%"&gt;&lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;FONT face="Times New Roman" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;B&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;2&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; LITERATURE REVIEW&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;B&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;B&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Loyalty programs&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Loyalty programs have long been used as a mean of strengthening customer relationship. &amp;nbsp;Programs are designed to fit in different industries, such as airline, hospitality and banking industries, to retain their customers by rewarding their loyalty, so as to boost companies' profits.&amp;nbsp; &lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;The concept of loyalty program started to appear in the 1950s, S&amp;amp;H Green Stamps and Raleigh cigarettes coupons adopted similar concept in encouraging repeat business; the more customers purchased, the greater the benefits.&amp;nbsp; On May 1, 1981, Advantage as a frequent flyer program of American Airlines was launched.&amp;nbsp; It was the first loyalty program introduced in airline industries, and was quickly followed by its competitors, such as United Airlines, Delta Air Lines and Trans World Airlines.&amp;nbsp; &lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Frequent flyer programs offer members to redeem tickets, upgrade service class, or obtain free or discounted car rentals or hotel stays, or others products services through various linkages.&amp;nbsp; Today, frequent flyer programs are everywhere, being recognized as one of the most effective and successful marketing tools.&amp;nbsp; &lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;However, do these marketing programs really built loyalty to the airlines? &amp;nbsp;Or do they merely create a group of customers who simply want to be rewarded for their spending.&amp;nbsp; &lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;By identifying individual customers, frequent flyer programs designate customers with colorful names, for example, True-Blue, Executive Club, Flying Dutchman and Frequent Flyer, then differentiate members into groups, for example, the four tiers in The Macro Polo Club, so that each membership has its own exclusivity and distinctive features.&amp;nbsp; &lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Modeling of frequent flyer program is very important to the success of a company.&amp;nbsp; Should a company regard this program as a reward program?&amp;nbsp; Or should it be a loyalty program?&amp;nbsp; These questions also trigger the effectiveness of such program, and so as the sales generated through operating it.&amp;nbsp; In the retail industries, according to the Center or Retail Management at &lt;?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /&gt;&lt;st1:place w:st="on"&gt;&lt;st1:PlaceName w:st="on"&gt;Northwestern&lt;/st1:PlaceName&gt; &lt;st1:PlaceType w:st="on"&gt;University&lt;/st1:PlaceType&gt;&lt;/st1:place&gt;, both business and consumers have recognized the value of loyalty programs.&amp;nbsp; Only 12% - 15% of customers are loyal to a single retailer.&amp;nbsp; But that small cadre  of customers actually generate between 55% - 70% of company sales.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;However, being able to identify individual customers, to measure and to understand their individual behaviors and desires is of great importance to the success of a loyalty program.&amp;nbsp; Companies should also avoid developing loyalty programs with good intentions but unclear objectives.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;In order to acquire new customers, retain existing ones and increase their spending through loyalty programs, products and services provided should be shaped with objectives, and have their characteristics identified apparently.&amp;nbsp; Services are generally described as having four key characteristics: intangibility, simultaneity, variability and perish ability.&amp;nbsp; Kotler, An strong, Saunders and Wong (1996) have given a contemporary definition of service in relationship management context: "&lt;I&gt;A service is any activity benefit that one party can offer to another, which is essentially intangible and does not result in the ownership of anything.&amp;nbsp; Its production may or may not be tied to a physical product.&lt;/I&gt;".&amp;nbsp; However, the  airline industry definitely is a service provider; thus, loyalty marketing activities becomes part of service relationship management (RM).&amp;nbsp; During the course of managing relationship in the service sector, it is crucial for marketers to understand it is to strengthen the bonds between the service provider and the customer rather than to increase the number of transactions (Gordon, 1998, p.10) that is the heart of RM.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;I&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/I&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;I&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/I&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;B&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Frequent-flyer programs alone cannot do trick for airlines&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;B&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;What are the essences to loyalty marketing for airlines?&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Crosby and Johnson (2004), in American Marketing Association's &lt;I&gt;Marketing Management&lt;/I&gt;, talked about one of their clients discovering that, through repurchasing and cross-selling opportunities, a mere 1% increase in its customer loyalty index could increase the revenue by as much as 5%.&amp;nbsp; Indisputably, customer loyalty is an intangible corporate asset.&amp;nbsp; Numerous research studies have pointed to the same fact that – an increase in customer loyalty can increase profitability.&amp;nbsp; It is commonly accepted that the creation of loyal customers is the key to achieving consistently above-normal market performance.&amp;nbsp; Remember, satisfied customers are not necessarily loyal ones.&amp;nbsp; Consumer inertia and lack of choice in the market are often reasons why  they are attached to a brand.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Before one could start manage this intangible corporate asset (i.e. customer loyalty), one must be able to identify and understand the causal relationship (i.e. cause-and-effect) between its brand and its customers:&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P style="MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 200%; mso-list: l0 level1 lfo1; tab-stops: list .5in"&gt;&lt;SPAN style="FONT-SIZE: 10pt; LINE-HEIGHT: 200%; FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt"&gt;&lt;SPAN style="mso-list: Ignore"&gt;·&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;What are the touch points and attributes affecting customer attitudes and behaviors (attempts to rule out customers who are attached to the brand merely due to inertia)?&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P style="MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 200%; mso-list: l0 level1 lfo1; tab-stops: list .5in"&gt;&lt;SPAN style="FONT-SIZE: 10pt; LINE-HEIGHT: 200%; FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt"&gt;&lt;SPAN style="mso-list: Ignore"&gt;·&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;What are the customers looking for in the products or services offered?&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P style="MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 200%; mso-list: l0 level1 lfo1; tab-stops: list .5in"&gt;&lt;SPAN style="FONT-SIZE: 10pt; LINE-HEIGHT: 200%; FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt"&gt;&lt;SPAN style="mso-list: Ignore"&gt;·&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;How do these touch points and attributes influence vary over the different life stage of the customer relationship?&amp;nbsp; Among different customer segments?&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P style="MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 200%; mso-list: l0 level1 lfo1; tab-stops: list .5in"&gt;&lt;SPAN style="FONT-SIZE: 10pt; LINE-HEIGHT: 200%; FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt"&gt;&lt;SPAN style="mso-list: Ignore"&gt;·&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;How can we influence these touch points and attributes?&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P style="MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.25in; LINE-HEIGHT: 200%; mso-list: l0 level1 lfo1; tab-stops: list .5in"&gt;&lt;SPAN style="FONT-SIZE: 10pt; LINE-HEIGHT: 200%; FONT-FAMILY: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt"&gt;&lt;SPAN style="mso-list: Ignore"&gt;·&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;What is loyalty?&amp;nbsp; Repurchase, recommendation, sole source?&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;In causal relationship i.e. from various touch points to loyalty, there is a chain of effects attributes by different variables.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Apart from the above, marketers should also dig deeper into the role of emotions in order to fully understand the causal relationship and map a holistic landscape on customer loyalty.&amp;nbsp; Behaviors, including purchase, are motivated by emotions.&amp;nbsp; Emotions, motivations, motions as well as rational interact with one another.&amp;nbsp; For instance, consumers are motivated to purchase if an emotional connection is established with the brand's promise.&amp;nbsp; This rests with the emotional ability of consumers to grasp the benefits projected by a brand.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Strategically speaking, there are three-M's to the architecture of customer loyalty (Crosby and Johnson, 2004): Measure, Manage and Model – which help devise strategies for segmentation, distribution, pricing, positioning, communications etc.&amp;nbsp; &lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Measurement – many companies are now adopting a simplified measurement on customer loyalty, some are now advocating surveys composed of only one or a few questions to assess the strength of customer relationships and provide direction and indication on how they might be approved.&amp;nbsp; However this is like diagnosing the reasons behind a fever simply by taking the patience's temperature.&amp;nbsp; Customer loyalty is too complex to be measured by a single measure.&amp;nbsp; Customer loyalty is known to manifest itself in numerous ways, which all have economic consequences for the company including repurchase, recommend, sole source, etc. Measurement progress in the social sciences that multi-item indices tend to outperform single question indicators in terms of  reliability and validity.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;A survey is done recently by &lt;st1:PlaceName w:st="on"&gt;Wharton&lt;/st1:PlaceName&gt; &lt;st1:PlaceType w:st="on"&gt;School&lt;/st1:PlaceType&gt; of the &lt;st1:place w:st="on"&gt;&lt;st1:PlaceType w:st="on"&gt;University&lt;/st1:PlaceType&gt; of &lt;st1:PlaceName w:st="on"&gt;Pennsylvania&lt;/st1:PlaceName&gt;&lt;/st1:place&gt;, it shows that most companies have made little effort to identify areas of non-financial performance, e.g. customer loyalty, that might advance their chosen strategy.&amp;nbsp; Many companies avoid measuring such areas as they are hard to measure.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Measurement, although hard to perform, is a critical enabler to performance.&amp;nbsp; Research was done to discern differences among companies that used strategic measurement to manage performance and those that did not found that measurement-managed organizations have much stronger results than other organizations: 1) about 83% of measurement-managed companies are in the top third of their industry vs. 52% for non-measurement-managed companies; 2) about 80% of measurement-managed companies realize a three-year positive return on investments vs. 45% for non-measurement-managed companies.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;Right measures also critical.&amp;nbsp; Customer measures must be in sync with your company vision, mission and strategy.&amp;nbsp; This will help ensure alignment in the organization and a common focus on your strategy.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;In order to maximize profitability, organization must align activities (e.g. advertising, communications, call centre, front line etc.) to the customer loyalty causal factors.&amp;nbsp; A consumer-centric organization can ensure cross-functional alignment to the customer loyalty priorities.&amp;nbsp; For instance, marketing, engineering, procurement, human resources and finance teams must get together to discuss and decide on the optimization of the company's resources in order to achieve customer loyalty.&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;I&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/I&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/DIV&gt;&lt;B&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"&gt;&lt;BR style="PAGE-BREAK-BEFORE: always" clear=all&gt;&lt;/SPAN&gt;&lt;/B&gt; &lt;P style="LINE-HEIGHT: 200%"&gt;&lt;B&gt;&lt;SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;&lt;br&gt;    &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-212470354290585510?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/212470354290585510/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=212470354290585510' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/212470354290585510'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/212470354290585510'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2009/04/cathay-pacific-literature-review-sample.html' title='Cathay Pacific Literature Review Sample Chapter 2'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-470510570985214171</id><published>2009-03-12T06:44:00.001+08:00</published><updated>2009-03-12T06:44:26.185+08:00</updated><title type='text'>Chapter 2 : Review of Related Literature : The Concept of Strategic Management  </title><content type='html'>&lt;table cellspacing="0" cellpadding="0" border="0" &gt;&lt;tr&gt;&lt;td valign="top" style="font: inherit;"&gt;&lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: center" align=center&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Chapter 2&lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: center" align=center&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Review of Related Literature&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Company Overview&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The Concept of Strategic Management&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Strategic management can be defined as the art and science of formulating, implementing and evaluating cross-functional decisions that enables any organisation to attain its objectives.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;As this definition entails, strategic management gives emphasis on integrating management, marketing, finance, production/operations, research and development and computer information systems to achieve organisational success. The term strategic management is also used synonymously with strategic planning (David, 2001). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;FONT size=3&gt;Strategic management is guiding an organisation relative to challenges and opportunities appearing in the contingent environment. This environment is composed of those external elements that most directly affect organisational goal achievement and new goal development. Thus, organisation system design and management should complement strategic actions taken for productive subsystems, as well as those providing output delivery and other support functions for the organisation. To the extent possible, the organisation bases its actions on strategic planning that, rather than a one-time effort, is an ongoing process of adaptation of original conceptions of mission, goals, structure, roles, and so forth relative to environmental dynamics (Siegel,  1992).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Furthermore, due to the existence of competitions within and outside the marketing arena, it is therefore very significant for a company to establish strategic management and set a strategic plan for its development and improvement. It is for the reason that the twenty-first-century realities of globalisation, rapid changes in technology, increasing competition, a changing workforce, changing market and economic conditions, and developing resource shortages all increase the complexity of modern management. Whereas strategic planning was a competitive advantage in the past decade, it is a necessity of global thinking in this century. Planning strategically is certainly a new requirement in the global business world. In order to survive the new business challenge, global thinking and practice  must permeate all corporate activities. Successful companies are, of course, the first to consider the global marketplace as their arena for competition. According to David (1999), strategic management has become a vital part of most, if not all, organisations. "Almost all organisations of any reasonable size have some kind of strategic planning." More importantly, strategy implementation has been heralded as the key to corporate strategic success.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Potential Benefits and Limitations of Strategic Management&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/I&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Strategic management can contribute significantly to organisational performance; however, its practice can have limitations. The statement means that although strategic management can consider as one of the most effective strategy to attain business goals and to gain an efficient organisational performances and functions, its practice can also have restrictions and limitations because of different factors that might affects the overall implementation of strategic management within a company. As mentioned, the whole concept of strategic management encompasses potential benefits and limitations. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Historically, the principal benefit of strategic management has been to help organisation formulate better strategies through the uses of a more systematic, logical and rational approach to strategic choice (Thompson &amp;amp; Strickland, 2003). One of the potential benefits of strategic management is it make sure that the organisation only follows one direction or path and that is towards the achievement of its business mission, objectives and success. Through the used of strategic planning as part of the strategic management concept, the company will be able to determine the best approach to be used in order to efficiently attain the said goals. In addition, strategic management is also beneficial in ensuring not only the success of an organisation but also its survival by adapting the whole  organisation to changes in its environment and making sure that the organisation remains competitive (Drejer, 2002).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;One of the advantages of strategic management is it enables a firm to proficiently identify how a certain organisation should deploy its resources in the environment and adapts the organisation to satisfy the long-term objectives of the firm. It is important to note that strategic management deals with several time spans. The organisation needs to be more than just competitive here-and-now. The competition for industry leadership is just as crucial to firms as is the competition for developing the right competencies in the right time. Thus, strategic management is also about integrating time horizons and activities related to all three kinds of competition. This often means finding those issues that should be  kept invariant for the time being and adjusting other activities and issues accordingly (Pearce &amp;amp; Robinson, 2000). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Although strategic management encompasses many advantages and benefits for the organisation, strategic management has also some restrictions or limitations. One of the limitations of strategic management is it may not function well enough for the organisation without having a good and effective leader to initiate such approach.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;It is known that strategic management is a concept of determining and executing the most effective business approach, however, if the leader of such company do not have what it takes for implementing effectively the strategic plan formulated, then strategic management will not be successful as expected. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;Strategic management is a process used in an organisation so as to develop essential goals and resources. It is a combination of impure, mixed and interactive process loaded with difficulty, both politically and intellectually. Strategic management and human resource are very much related to each other. Through the combined efforts of these two practices, several improvements can be attained, however, without an effective human resources, implementation of strategic management will not be possible (Boxall and Purcell, 2003). &lt;/SPAN&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-ansi-language: EN-US"&gt;In addition, strategic management is a three way process (choice, analysis and implement), hence, if one of the three processes does not meet the company's expectations, then it will affect other process  which can make the use of strategic management a failure for the organisation. It is important note, that in order to gain success through strategic management, the company must be strategic from the very beginning up to the last. When, one does not become successful, all other functions and operations within the organisation will be affected; hence can make the business to face its major downturn (Pearce &amp;amp; Robinson, 2000).&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-ansi-language: EN-US"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-ansi-language: EN-US"&gt;&lt;FONT size=3&gt;Generic Strategies&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;Successful strategy requires the firm to choose the markets in which its distinctive capabilities yield competitive advantage. But the adaptive, &lt;BR&gt;incremental nature of strategy means that the starting-point is where the &lt;BR&gt;firm is now.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN lang=DE style="FONT-FAMILY: Arial; mso-ansi-language: DE"&gt;Strategy is the direction and scope of an organisation over the long term: which achieves advantage for the organisation through its configuration of resources within a changing environment, to meet needs of the markets and fulfil stakeholder expectations. The strategy answers both the questions "where do you want to go?" and "how do you want to ge there?" but the first question is answered when each industry set the goals and the second is  answered when such industries plan the strategies. The traditional approach basically focused on the first question but the traditional approach gives equal importance to both of them. While developing a corporate strategy for the any profit organisation, the management have to keep in mind the demand of the customers and the marketability of the products and services offered. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;These generic strategies are used by different organisation because of the potentialities that the management have seen with these strategy and the benefits it may provide. However, if the company should not strongly commit themselves with these strategies, like what Southwest Airlines and British Airways have done, then, instead of achieving competitive advantage within the marketplace, the industry might be at risk of falling. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;FONT size=3&gt;These generic strategies are guiding an organisation relative to challenges and opportunities appearing in the contingent environment. This environment is composed of those external elements that most directly affect organisational goal achievement and new goal development. Thus, organisation system design and management should complement strategic actions taken for productive subsystems, as well as those providing output delivery and other support functions for the organisation. To the extent possible, the organisation bases its actions on strategic planning that, rather than a one-time effort, is an ongoing process of adaptation of original conceptions of mission, goals, structure, roles, and so forth relative to environmental dynamics. There are five different  generic strategies that a business can choose.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;These include cost leadership, differentiation, focused cost leadership and integrated cost leadership/differentiation.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;Each generic strategy helps the company to establish and exploit a competitive advantage within a particular competitive scope (Hitt, Ireland &amp;amp; Hoskisson 2003). B&lt;/SPAN&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;y applying these strengths, three generic strategies are resulted: cost leadership, differentiation and focus (Johnson &amp;amp; Scholes 1997).&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN lang=EN style="FONT-FAMILY: Arial; mso-ansi-language: EN"&gt;The strategies used by the company include cost leadership, differentiation strategy and focused differentiation. &lt;/SPAN&gt;&lt;SPAN lang=EN-AU  style="FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;Cost leadership strategy is based upon a business organising and managing its value-adding activities so as to be the lowest cost producer of a product within an industry (Campbell, 2002). Cost advantage may achieve in terms of how product or services is designed or in terms of its quality. Differentiation strategy is based upon persuading customers that a product is superior to that offered by competitors (Campbell, 2002). The value added by the uniqueness of the product or services may allow the company to charge a premium price for it. However, the danger associated with differentiation may include imitation by competitors and changes in customer tastes.&lt;/SPAN&gt;&lt;SPAN lang=EN style="FONT-FAMILY: Arial; mso-ansi-language: EN"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Focus-differentiation strategy is aimed at a segment of the market fro a product rather than at the whole market or many markets (Campbell, 2002). The successful way using focus strategy is to tailor a broad of product or service development strengths to a relatively narrow market segment that they know very well. The risk may include imitation and changes in the target segments.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Experiential Learning Theory&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN lang=EN-GB style="FONT-FAMILY: Arial; mso-ansi-language: EN-GB"&gt;In business strategies, it is important that the management must be able to identify the needs of the business. In this regard, t&lt;/SPAN&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;he adaptive competency approach to needs analysis is based upon Kolb (1984) Experiential Learning Theory (ELT) which allows one to view the person (employee) and job in commensurate terms. The cornerstone of this approach is that learning, adaptation, and problem-solving processes are similar and that all jobs involve each of these processes. Therefore, if one describes both the person's adaptive skills and job requirements in learning terms, then one can identify and describe the adaptive or interactive processes that occur in the work setting. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;ELT conceptualizes the learning process in such a way that differences in learner styles and corresponding learning environments can be identified. The application of the adaptive competency approach accepts the premise that typical needs analysis at the employee level portrays jobs in one set of terms (i.e., job specifications), and employees are thought of in another set of terms (person-trait characteristics). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;To achieve a commensurate means of assessing business needs at the employee and job interaction level two critical assumptions underlie the adaptive competency approach: (1) that the person or employee be viewed as an adult learner, and (2) that the job context be viewed as a learning environment in which job performance necessitates some type of cycling through the ELT process (Sims, 1983).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Using ELT in business strategies, the management will be able to determine the specific needs of the company based on their learning styles. Through this, the outdoor development program will ensure that the employees are learning things within their potentialities and their capacities. Through this also, the company will also be able to identify which strategies will be suitable for the company. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-ansi-language: EN-US"&gt;&lt;FONT size=3&gt;Key Elements of Strategic Management &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/I&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Strategic management is the process of specifying an organisation's objectives, developing policies and plans to achieve these objectives, and allocating resources so as to implement the plans. It provides overall direction to the whole enterprise (Abell, 1999). It can be "viewed as a set of theories, frameworks designed to explain the factors underlying the performance of organisations and to assist managers in thinking, planning and acting strategically" (Campbell, et al. 2002). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Strategic management can be thought of as having three main elements-strategic analysis, strategic choice and strategic implementation (See Appendix 2). First, strategic analysis is concerned with understanding the strategic position of the organisation. Secondary, strategic choice is the result of strategic analysis, which is to do with the formulation of possible course of action, their evaluation and the choice between them. Last, strategic implementation is concentrated on how the choice of strategy can be put into effect (Johnson &amp;amp; Scholes, 1997).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Strategic analysis includes developing a vision and mission to be achieved by the organisation, analysing and identifying an organisation's external opportunities and threats, determining the internal position of the company including its strengths and weaknesses and establishing long-term objectives. Strategic analysis means to know the overall position of the organisation within and outside the marketing environment. There are many ways in which a company can be able to analyse the overall position of the organisation internally and externally. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;For the external analysis, an organisation can be analysed through the used of Porter's Five Forces Model or Political, Economical, Sociological and Technological (PEST) Analysis. The major concern of this analysis is to determine and present the level of the company to be geographically positioned in accordance with the degree of its external environment. And to be able to strategically analyse the internal position of an organisation, the management can use SWOT Analysis or Value Chain Analysis. Value chain is the framework for examining the strengths and weaknesses of an organisation, and for using the results of this analysis to improve performance. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;On the other hand, strategic choice refers to the activity of an organisation which involves generating alternative strategies and choosing particular strategies to pursue. The degree of discretion or strategic choice an organisation has will be determined to a large extent by leadership style, national culture, commitment to past and continuing strategies, the success of certain symbolic actions, and the nature of its systems and processes (Gratton, et al, 1999). The perspective of strategic choice reverses the emphasis by concentrating on the responsibilities of the management teams in shaping the conditions and processes of the strategic management from both internal and external environment of an organisation.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;In addition, strategic action draws  upon the social activities and strategic management concept to improve the view that any managerial actions can influence or affect performance.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;The range of strategic actions is very broad.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;In environmental context, strategic choice comprises the selection of the product/market realm in which a certain organisation will engage (Thompson &amp;amp; Strickland, 2003). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;On the other hand, in organisational context, strategic choice involves the selection of the structures and allocation of the resources to be adopted within the chosen real.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;Further, strategic choice also involves activities for selecting the most appropriate strategy to be used by the organisation to stay competitive and survive in the stiff competition of the marketplace. Hence, it can be said that strategic choice is one of the crucial element of strategic management because the success of the implementation of the strategic management depends on how well and efficient the choice made by the management team.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Lastly, the third key element of strategic management is strategic implementation. Strategic implementation requires a firm to establish annual objectives, devise policies, motivate employees, and allocate resources so that the formulated strategies can be executed effectively. Strategic implementation includes developing a strategy-supportive culture, creating an effective organisational structure, redirecting marketing efforts, preparing budgets, developing and utilising information systems and linking employee compensation to organisational performance. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In addition, strategic implementation is often regarded as the action stage of strategic management. Implementing the most appropriate strategy means mobilising employees and managers to put formulated strategies and theories into practice.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;It is also considered as one of the most difficult and complex stage in strategic management because it requires personal discipline, commitment and sacrifice. Successful strategic implementation hinges upon manager's ability to motivate employees, which is more an art than science. Strategies formulated and analysed but not implemented serve no useful purpose (Miller, 1992). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;It is said that each of the three key elements of strategic management is essential and that the used of these elements must be integrated with each other.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;If such elements will be treated as a discrete element or if one is separated from the other, it can be concluded that the organisation may not be able to achieve the main objective of using the concept of strategic management. It is said that strategic analysis, strategic choice and strategic implementation activities occur at three hierarchical levels in a large organisation: corporate, divisional or strategic business unit and functional. By using these three as interdependent with each other will make any business organisation have the competitive edge in the business arena (Hax and Majluf,  1996).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/I&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Approaches to Strategic Management &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/I&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/I&gt;&lt;/B&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;The concept of strategic management was developed to enable managers to align their organisations with the changing environment in order to achieve organisational goals and objectives (Liou, 2000). Today, strategic management has been associated with a variety of models and styles. The development of this concept is essential because it corrects the anxiety with strategy analysis in the early stage and gives special attention to strategic choice and strategic implementation in the later stage.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Strategic management may be viewed from three general perspectives: product-market strategy, competence-based strategy and the integration of the first two by means of the mission and the vision of the organisation. The product-market strategy perspective views the firm as a collection of product/market combinations (i.e., a portfolio). This view sees strategy as a matter of positioning the firm in its environment, either by selecting the optimal mix of product/market combinations or by positioning in relation to stakeholders. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Instead of viewing the firm as a collection of product/markets, it is also possible/feasible to view an organisation as a collection of resources or competencies. This view starts in opposite perspective from that of the traditional product-market. It assumes that a firm cannot be defined by the changing nature of its products and/or markets, but rather by its core competencies, which may be less likely to change in the long run. The rationale, then, is to generate competitive advantage by means of internal factors (i.e., technologies or core competencies). The next approach is &lt;I&gt;core competencies &lt;/I&gt;which are considered to be a more appropriate term for describing what generates competitive advantage for a firm. These two views appear to be a duality. A core competence is a well-performed  internal capability that is central, not peripheral, to a company's strategy, competitiveness, and profitability. The best-known explanation of core competence is provided by Prahalad and Hamel (1990): &lt;I style="mso-bidi-font-style: normal"&gt;" core competencies are the collective learning of the organization, especially how to co-ordinate diverse production skills and integrate multiple streams of technologies".&lt;/I&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-AU style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;On the one hand, they appear to be rather incompatible, but on the other hand, they are still two sides to the same coin: the organisation that must survive and prosper. This corresponds to the third view, which is a holistic view in the sense that it sees both product-markets and core competencies and attempts to integrate them for the benefit of the firm. The considerations so far make it possible to propose a division of strategic management into three sub decision areas: product-market strategy, competence-based strategy, and integration of the other two decision areas.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;&lt;br&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-470510570985214171?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/470510570985214171/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=470510570985214171' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/470510570985214171'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/470510570985214171'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2009/03/chapter-2-review-of-related-literature.html' title='Chapter 2 : Review of Related Literature : The Concept of Strategic Management  '/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-7659925302547721190</id><published>2009-01-27T01:35:00.001+08:00</published><updated>2009-01-27T01:35:35.627+08:00</updated><title type='text'>Literature Review on Management Techniques</title><content type='html'>&lt;table cellspacing="0" cellpadding="0" border="0" &gt;&lt;tr&gt;&lt;td valign="top" style="font: inherit;"&gt;&lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;H1 style="MARGIN: 12pt 0in 3pt; TEXT-INDENT: 0in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify; tab-stops: .5in"&gt;&lt;SPAN style="mso-fareast-font-family: Arial"&gt;&lt;SPAN style="mso-list: Ignore"&gt;&lt;FONT size=5&gt;I.&lt;/FONT&gt;&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;FONT size=5&gt;Literature Review&lt;/FONT&gt;&lt;/H1&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The literature review of this paper has been divided into two parts, primary research and secondary research. The primary research will take into consideration the differences of gender attributes with regards to the decision making processes in an organization. This means that the primary research will constitute studies that will constitute previous works on gender differences in decision making, particularly with reference to managers and other executive level personnel in the organization. A similar consideration will be taken on the specific reactions of these managers on situations where their decisions will be crucial in the organization. The secondary research will take into consideration the general studies regarding gender differences in the organization. The secondary research will try to  establish the assumption whether there is indeed a gap regarding the attribute gender in an organization. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;H2 style="MARGIN: 12pt 0in 3pt 0.5in; TEXT-INDENT: 0in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="mso-fareast-font-family: Arial"&gt;&lt;SPAN style="mso-list: Ignore"&gt;&lt;EM&gt;A.&lt;/EM&gt;&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;EM&gt;Primary Research&lt;/EM&gt;&lt;/H2&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The context in which dilemmas are dealt with in a company comprise mainly of ethical issues. When managers are subjected to such a situation, their assessment to specific elements such as their economic and financial obligations to the company and the moral obligations to the individuals surrounding the organization is involved. (Corriher and Kohut, 1994, 32) Other studies have indicated that the existence of dilemma in the decision making process of managers is triggered by the complex changes that took place on the subject of managerial problems. (Hunt, Jennings, and Munn, 1996, 425) This indicates that problems involving management has considerably changed and evolved as organizational processes developed.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Other studies regarding management have taken a turn to gender difference in carrying out decisions for the organization. This account of the literature has been triggered by the fact that a lot of appointment of female managers has been taking place in organizations. A recent study of Corman, Lussier, McKinley, and Sonfield (2001, p165), they took a gender-comparative report on the decision making of male and female managers. Their study took on the strategic decision making of these managers. Nonetheless, their findings indicated that there are no clear differences among male and female managers with regards to the "situational" aspect of their strategic decisions. (p169) The authors indicated that these situational elements refer to the attitude of the managers towards innovation as well as  risk-taking on their individual strategies. They indicated that the earlier studies claiming that women are more risk-averse are rejected in this context. Moreover, Corman et al (2001) further claimed in their study that the male managers have the propensity to acquire a higher satisfaction rate with regards to the business performance of the organization, particularly in relation to the strategic decision that they have made in the process. Other than that, the authors have claimed that there is no other differences that have emerged in the strategic decision making process.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;However, other recent studies indicate that female managers may possibly acquire a "masculine" frame of mind when acquiring decisions especially when they are in a managerial position. The study of Sczesny (2003, 353) establishes this claim. Generally, the study claimed that female managers acquire a leadership role that seemingly defies the "prescriptive aspects of their gender norms. (p363) This means that the gender stereotypes are still present in the leadership role in organizations. It is not as much as there are differences in the context of male or female executives and managers, the Sczesny (2003) indicates that the masculine and feminine leadership differences are still present. This indicates that a masculine role in the context of leadership and decision making still is predominant,  regardless of the gender of the manager. This is particularly true in a highly masculine organization. (Hofstede, 1984, in Herbig, 1994, p53) In this context, masculinity describes the level on which a society regards masculine roles and achievement. Moreover, this shows how gender is regarded in the said society. This shows that the major structures of the organization are dominated by male. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;H2 style="MARGIN: 12pt 0in 3pt 0.5in; TEXT-INDENT: 0in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="mso-fareast-font-family: Arial"&gt;&lt;SPAN style="mso-list: Ignore"&gt;&lt;EM&gt;B.&lt;/EM&gt;&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;EM&gt;Secondary Research&lt;/EM&gt;&lt;/H2&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In the working environment, several studies have indicated the differences among male and female part of the workforce. One example is given by the study of White (1999). His study tried to measure the level of ethical development of individuals with particular concern on gender. The study found out that female employees display a greater propensity to take more ethical courses of action as compared to their male counterparts. White (1999) indicated that there are specific consequences in having the said findings. One particular concern is that it has established that there is indeed a difference in the moral development in the context of gender. This difference consequently will reflect on the actual ethical behavior of the employees.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;However, some doubt is given in this claim considering the fact that the issue of ethics and ethical behavior is subjective. On a recent study of &lt;?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /&gt;&lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;Oldenburg&lt;/st1:place&gt;&lt;/st1:City&gt; (2005) the findings indicated that the gender of an individual have a considerable effect on how his/her behavior is interpreted. The work of &lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;Oldenburg&lt;/st1:place&gt;&lt;/st1:City&gt; (2005) noted that behaviors in which the ethical behavior is debatable, it is more likely that an individual will take into consideration the gender of the person. Thus, the stereotypical standards of socially accepted behavior between males and females are apparent in this context.&lt;SPAN  style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;H1 style="MARGIN: 12pt 0in 3pt; TEXT-INDENT: 0in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify; tab-stops: .5in"&gt;&lt;SPAN style="mso-fareast-font-family: Arial"&gt;&lt;SPAN style="mso-list: Ignore"&gt;&lt;FONT size=5&gt;II.&lt;/FONT&gt;&lt;SPAN style="FONT: 7pt 'Times New Roman'"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;FONT size=5&gt;Conclusion&lt;/FONT&gt;&lt;/H1&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The study has taken into consideration several studies relating to the differences in gender, particularly in the decision making and behavior of male and females. This has been triggered by the evolution of the organization to a more diverse one, especially with the context of those acquiring executive roles and decision making duties. The discussion regarding the differences in behavior lies greatly on the assumption that there is indeed an actual gap with regards to how male and female react to specific situations. The studies indicated above that women would be able to react in a more ethical manner when they are subject to an organizational dilemma. With regards to the strategic differences in the decision making process, particularly with references to situations involving an organizational  dilemma, the arguments above has indicated that there is no apparent difference.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt;&lt;SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: Arial; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;&lt;br&gt;     &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-7659925302547721190?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/7659925302547721190/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=7659925302547721190' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/7659925302547721190'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/7659925302547721190'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2009/01/literature-review-on-management.html' title='Literature Review on Management Techniques'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-8897856360314303140</id><published>2009-01-08T03:50:00.001+08:00</published><updated>2009-01-08T03:50:14.702+08:00</updated><title type='text'>Literature Review Sample on Alcoholism</title><content type='html'>&lt;table cellspacing="0" cellpadding="0" border="0" &gt;&lt;tr&gt;&lt;td valign="top" style="font: inherit;"&gt;&lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: center" align=center&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Review of Literature&lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Facts on Alcoholism&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Alcoholism is also known as alcohol dependence and is considered a disease with symptoms such as craving or feeling a strong urge to drink; loss of control or not being able to stop once drinking has begun; physical dependence such as nausea, sweating, shakiness, and anxiety; and tolerance or drinking greater amounts of alcohol to "get high" ('National Institute on Alcohol Abuse and Alcoholism' 2006). Many people believe that drinking alcohol will and may ease their problems regarding their family, work and the society, but in fact, it would not. Acquiring alcoholism may lead to more serious complications and fatal illnesses that would cause the person's life. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Several think that alcoholism is a disease, and in fact, the National Institute on Alcohol Abuse and Alcoholism (2006) is supporting this statement. The Institute explains that the craving that an alcoholic feels for alcohol can be as strong as the need for food or water, and an alcoholic will continue to drink despite serious family, health, or legal problems. Moreover, like many other diseases, alcoholism is chronic, which means that it lasts a person's lifetime, usually follows a predictable course, and has symptoms ('National Institute on Alcohol Abuse and Alcoholism 2006). The risk for developing alcoholism is influenced by both the person's genes and by his or her lifestyle ('National Institute on Alcohol  Abuse and Alcoholism' 2006).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;It has been reported that alcoholism was first recognized as a disease in the 1930s by a group called "Alcoholics Anonymous", and since then, the American Medical Association has recognized alcoholism as a serious and chronic disease ('What is Chemical Dependency?' 2005). Alcoholism takes time to develop, but once it develops, it does not go away ('What is Chemical Dependency?' 2005). Cure is not available for alcoholism, but is treatable, and with proper treatment, an alcoholic will be able to reclaim his or her normal, satisfying lifestyle ('What is Chemical Dependency?' 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;It has been reported that the World Health Organization (WHO) estimates that there are about 2 billion people worldwide who consume alcoholic beverages and&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;76.3 million with diagnosable alcohol use disorders ('Global Status Report on Alcohol' 2004, p. 7). From a public health perspective, the global burden related to alcoholism and alcohol consumption, both in terms of morbidity and mortality, is considerable in most parts of the world ('Global Status Report on Alcohol' 2004, p. 7). Moreover, given alcohol's significance in world health, the World Health Organization has been developing a database since 1996, named the Global Alcohol Database, in its aim in providing  a standardized reference source of information for global epidemiological surveillance of alcohol use and its related problems ('Global Status Report on Alcohol' 2004, p. 7). This database will be helpful for the organization to record the incidence of alcoholism worldwide. This is essential so the government can take action and responsibility in proposing or implementing programs to help lessen the incidence of alcoholism. &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Similarly, in the United States, alcohol is still the number one drug problem, and affects adolescents, middle-aged people and senior citizens, and people of all races, religions, intelligence levels and professions ('What is Chemical Dependency?' 2005). In fact, there are approximately 18 million alcoholics in &lt;?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /&gt;&lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;America&lt;/st1:country-region&gt;&lt;/st1:place&gt; ('What is Chemical Dependency?' 2005), and this high incidence affects many aspects in the society. In 1995, the estimated annual cost of alcohol abuse in the United States was $166.5 billion, where alcohol use disorders cost $56.7 billion more than the estimated annual economic cost of illegal drug use and $36.5  billion more than the estimated annual economic cost of smoking ('Impact on Society' 2006). &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&amp;nbsp;&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Effects of Alcoholism&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;Alcoholism presents a variety of effects, not only on the physical or biological aspect of an individual, but on the society as well. It has been reported that short-term physical effects of alcohol use include distorted vision, hearing and coordination, altered perceptions and emotions, impaired judgment and hangovers ('What is Alcoholism?' 1999). On the other hand, long-term physical effects of heavy alcohol use include loss of appetite, vitamin deficiencies, stomach ailments, skin problems, sexual impotence, liver damage, heart and central nervous system damage, and memory loss ('What is Alcoholism?' 1999). Long-term physical effects also include diseases and organ  malfunctions. These diseases include brain damage, which varies from psychosis to permanent memory loss; cancer, such as in the mouth, esophagus, and stomach due to the irritating effects of alcohol; heart disease, such as an enlarged heart and congestive heart failure; liver damage leading to cirrhosis or scarring of the liver and liver cancer; ulcers that produces stomach and intestinal irritation; glandular problems in the adrenal and pituitary glands; and birth defects on women who drink alcohol during pregnancy ('What is Chemical Dependency?' 2005). This condition is known as Fetal Alcohol Syndrome or FAS ('What is Chemical Dependency?' 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Aside from the diseases caused by alcoholism, it also presents psychological and psychiatric problems, which in turn determines social issues happening in the society, such as suicide, accidents, and crimes. Some of these problems include depression, which can be triggered by alcoholism and vice versa; anxiety, which occurs during attempted withdrawal; change in personality with loss of normal behavior and appearance; and hallucinations, which is an affect of alcohol withdrawal ('Alcohol Abuse, Alcoholism and Alcohol-Related Problems' 1997). These psychiatric problems often lead to social issues such as suicide, which is result of depression; accidents, being a result of drunk-driving; and physical abuse, which are  the cause of a large portion of homicides, child abuse cases and other domestic violence cases ('What is Chemical Dependency?' 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Adolescent Alcoholism&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Alcohol abuse and alcohol dependence are not only adult problems, but they also affect a significant number of adolescents and young adults between the ages of 12 and 20, even though drinking under the age of 21 is illegal (Califano 2000). According to a research done by the National Institute on Alcohol Abuse and Alcoholism, adolescents who begin drinking before age 15 are four times more likely to develop alcohol dependence than those who begin drinking at age 21 (Califano 2000). In addition, drinking at an early age can also be associated with alcohol-related violence, not only among persons under the age of 21 but among adults as well (Califano 2000). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;It has been estimated that over three million teenagers are alcoholics, and several million more have a serious drinking problem that they cannot manage on their own (Califano 2000). This is why early treatment of alcoholism in adolescents must be done to prevent further damage on their lives. It has been mentioned earlier that alcoholism presents grave threats on the lives of many individuals, especially on the lives of many teenagers. These threats include accidents associated with drunk driving, and crimes. It has been reported that the three leading causes of death for 15 to 24 year olds are automobile crashes, homicides and suicides, and alcohol is a leading factor in all three (Califano 2000). While drinking may be  a singular problem behavior for some, research suggests that for others if may be an expression of general adolescent turmoil that includes other problem behaviors and that these behaviors are linked to unconventionality, impulsiveness, and sensation seeking (Califano 2000). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;It has been reported that binge drinking, often begins around the age of 13, tends to increase during adolescence, peak in young adulthood in the ages between 18 to 22, then gradually decreases (Califano 2000). Individuals who increase their binge drinking from the age of 18 to 24 and those who consistently binge drink at lease once a week during this period may have problems attaining the goals typical of the transition from adolescence to young adulthood (Califano 2000). These goals include marriage, education, employment, and financial independence (Califano 2000). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Moreover, alcohol use among adolescents has also been associated with considering, planning, attempting, and completing suicide (Califano 2000). Research does not indicate whether drinking causes suicidal behavior, only that the two behaviors are correlated (Califano 2000). Suicide is also related to depression and anxiety, for these behaviors somehow trigger alcoholics to result to suicide. In addition, these behaviors can also become severe with the influence of alcohol. This is why during the event of suicide, the alcoholic has already experienced severe depression and anxiety prior to the activity, including the fact that with the influence of alcohol, a person cannot make sound judgments.  &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Furthermore, the influence of peers can also be attributed to adolescent drinking. More often than not, adolescents become exposed to alcohol drinking through their peers. With this, the role of the parents becomes crucial in the discipline of their children. Proper guidance must be given to adolescents regarding drinking alcohol. Education also is important, for information regarding alcoholism and drug abuse must be give to adolescents for early prevention.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Parental Guidance and Influence&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Califano (2000) reports that parents' drinking behavior and favorable attitudes about drinking have been positively associated with adolescents' initiating and continuing drinking. Children who were warned about alcohol by their parents and children who reported being closer to their parents were less likely to start drinking (Califano 2000). Lack of parental support, monitoring and communication has been significantly related to frequency of drinking, heavy drinking, and drunkenness among adolescents (Califano 2000). Harsh, inconsistent discipline and hostility or rejection toward children has also been found to significantly predict adolescent drinking and alcohol-related problems (Califano 2000).  &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Adolescent Drinking Study&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;In relation to this is the study done by Hill and Yuan (1999) regarding the familial density of alcoholism and onset of adolescent drinking. According to the authors, the purpose of the study was to assess the age of onset to begin drinking in relation to family history of alcoholism using survival analysis, and to examine the importance of selected risk factors in predicting outcome, using a Cox proportional hazards model analysis (Hill and Yuan 1999). The study examined 52 children and adolescents at low risk for developing alcoholism and 73 children and adolescents from high-risk families, with the ages of 7 to 18 years old and evaluated annually to provide 2.1 waves of  longitudinal data concerning age of onset along with a number of predictors (Hill and Yuan 1999). These predictors include positive familial loading of alcoholism, extraversion, and manifest anxiety scores (Hill and Yuan 1999). It has been reported that a number of normal population studies have shown that initiation of drug use in adolescence follows a predictable pattern in which adolescents first use licit drugs like alcohol and cigarettes, before they try marijuana and illicit drugs (Hill and Yuan 1999). Furthermore, the identification of this sequence in adolescence, along with adult follow-up, has allowed for the determination that the earlier an adolescent begins to experiment with alcohol and cigarettes the greater the severity and persistence of problems with illicit drugs (cited in Hill and Yuan 1999). Excessive drinking during adolescence has also been found to be predictive of later problems with alcohol (Hill and Yuan 1999). In relation, a  study done by Andersson and Magnusson in the year 1988 found that self-reported frequency of intoxication between the ages of 14 and 16 was predictive of being in Swedish registries for alcohol abuse in young adulthood. Similarly, the report of Grant and Dawson in 1997 shows that age of onset to begin regular drinking predicts the likelihood of adult alcohol dependence in a large population-based sample, further suggests the importance of determining the factors that predict initiation of drinking in youth. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;With these findings involving the general population, the initiation of alcohol use in normal populations of adolescents may differ from that seen among adolescents who come from families with histories of alcohol and drug dependence (Hill and Yuan 1999). Moreover, the factors predicting onset in high-risk families may differ from that seen in the general population surveys of adolescents (Hill and Yuan 1999). This is why a study tracing the family histories of adolescents is important. It has long been known that a positive family history is one of the most powerful predictors of risk for becoming alcoholic (cited in Hill and Yuan 1999). Alcoholics with a family history of alcoholism in fact appear to have an earlier  onset of problem-related drinking and an earlier onset of regular drinking, both of which appear to be highly correlated (cited in Hill and Yuan 1999). Therefore, it would just appear reasonable to predict that the children of alcoholic parents might become more susceptible for development of early-onset regular drinking and/or alcohol abuse compared to children of non-alcoholics (Hill and Yuan 1999). With these reasons, it is considerable to target to those children and adolescents in particular who have begun to drink earlier than their low familiar risk counterparts for specialized intervention and treatment (Hill and Yuan 1999). In addition, according to Hill and Yuan (1999), children of alcoholics are typically considered to be at greater risk for developing alcohol problems due to the presence of alcoholism in one or more members of their nuclear or extended family. However, these high risks children frequently come from multi-problem backgrounds  (Hill and Yuan 1999).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;With the information and problem in mind, the study conducted examined two major groups, namely, the high-risk group and the low-risk group. The high-risk group consisted of children and adolescents from high-density multi-generational alcoholism families, while the low-risk group consisted of children and adolescents with one of their parents coming from a "low-risk" target pedigree ascertained as part of a larger family study designed to assess the role of familial or genetic factors in the development of alcoholism (Hill and Yuan 1999). Furthermore, the socioeconomic status and family stability of the participants were also determined. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Results of the study indicate that there appears to be converging evidence that high-risk children not only drink earlier but also drink more during adolescence than do low-risk children (Hill and Yuan 1999). These findings are further proven by the examination of the quantity per occasion consumed by individuals who had begun drinking revealed risk group differences as well (Hill and Yuan 1999). Moreover, although the primary focus of the study is on intergenerational transmission of alcohol dependence, clarifying the patterns of use of other drugs such as marijuana, amphetamines, cocaine, opioids, hallucinogens and tobacco was also of interest (Hill and Yuan 1999). The tests revealed that among the 26 drinkers  identified, seven came from low-risk families and did not report any drug use other than cigarette smoking (Hill and Yuan 1999). In contrast, 42% of the high-risk subjects who drank regularly also reported some form of drug use along with cigarettes (Hill and Yuan 1999). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;In discussion, the study implies that high-risk children begin drinking earlier than low-risk children do, and its significance is that population-based samples have demonstrated that the risk for developing alcohol dependence can be predicted by the age of onset to begin drinking (cited in Hill and Yuan 1999). In addition, the strongest predictor for alcoholism is extraversion (Hill and Yuan 1999). Moreover, the results also suggest that the high-risk children will be likely to develop problems at a higher rate than other groups (Hill and Yuan 1999). With this information, it will be helpful to propose effective ways for treatment of adolescent alcoholics at an early age. This is to prevent more grave consequences on  the lives of the adolescent alcoholics, such as discontinuing education, substance misuse, and committing crimes. &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Ways of Motivating Treatment&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;At some point, many alcoholics will choose to become treated of their disease. This is why motivation of alcoholics, especially of alcoholic adolescents must be effective to propose treatment. Treatment at an early age will be beneficial so as not to result to worse consequences or events.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;It has been reported that once a diagnosis of alcoholism is made, the next major step is getting the patient to seek treatment, and one study suggests that the main reasons alcoholics do not seek treatment are due to lack of confidence in successful therapies; denial of their own alcoholism; and the social stigma attached to the condition and its treatment ('Alcoholism' 2006). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Recognizing the Problem&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; – It has been reported that the first and most important step in getting appropriate treatment for alcoholism is recognizing that you have a problem, and often, family members and close friends initiate treatment for the person with the addiction ('Alcoholism' 2004). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;In addition, the alcoholic patient and everyone involved should fully understand that alcoholism is a disease, and responses to this disease are not character flaws but symptoms, just as pain or discomfort are symptoms of other illnesses ('Alcoholism' 2006). They should also realize that treatment is difficult and sometimes painful, just as are treatments for other life-threatening diseases, such as cancer, but that treatment is the only hope for a cure ('Alcoholism' 2006). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Role of Family and Friends&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; – Another effective way for motivation are the intervention of family members, employers, and therapists, which can be very effective in motivating a person to quit ('Alcoholism' 2006). This can also help in reducing drinking over the short term ('Alcoholism' 2006). Moreover, even brief interventions from a primary care doctor and self-help information can be helpful in reducing harmful drinking, for studies report, that only regular follow-up and reinforcement will sustain quit rates and possibly even improve survival rates ('Alcoholism' 2006). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Personal Intervention Meetings&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; – It has been reported that the best approaches for motivating a patient to seek treatment are interventional group meetings between people with alcoholism and their friends and family members who have been affected by the alcoholic behavior ('Alcoholism' 2006). Using this approach, each person affected offers a compassionate but direct and honest report describing specifically how the person has been hurt by their loved one's alcoholism ('Alcoholism' 2006). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Moreover, the family and friends should express their affection for the patient and their intentions for supporting the patient through recovery, but they must strongly and consistently demand that the patient seek treatment ('Alcoholism' 2006). Children may even be involved in this process, depending on their level of maturity and ability to handle the situation ('Alcoholism' 2006). With this interventions, the alcoholic adolescents can be helped by their parents and loved ones, and be guided regarding what they should do with their life. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Employer Intervention&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; – For adolescents who are working, their employers can be also particularly effective ('Alcoholism' 2006). Their approach should also be compassionate but strong, threatening the employee with loss of employment if he or she does not seek help ('Alcoholism' 2006). Some large companies provide access to inexpensive or free treatment programs for their workers ('Alcoholism' 2006). These rehabilitation programs can be helpful for the alcoholics to realize their worth as individuals in the company. In this way, they can be motivated to undergo treatment and in turn, become productive.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Long-Term Treatment&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; – This is when the alcoholic decides to participate in the treatment from the Alcoholics Anonymous. To achieve total abstinence as being done by the patients, the alcoholic aims to avoid high-risk situations and replace the addictive patterns with satisfying, time-filling behaviors ('Alcoholism' 2006). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Moreover, many alcohol treatment programs are based on the 12-step program, which is used in Alcoholics Anonymous, where the alcoholics are encouraged to be open and share experiences, but are not required to do so ('Treatment for Alcoholics' 2006). Those who are serious about quitting must seek out a sponsor, which help them through their recovery process, and this person is available to them in case they are having a weak moment or if they just need words of encouragement ('Treatment for Alcoholics' 2006). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Inspiring Words&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; – It has been reported that alcohol treatment programs are designed to get the person back on track physically and emotionally, so that they can face their addiction and gain control of their lives ('Treatment for Alcoholics' 2006). Self-esteem and self-worth is greatly distorted by the addiction, so treatment interventions include group and individual therapy to get at the root of the trauma which may have caused the cycle to begin in the first place ('Treatment for Alcoholics' 2006). Inspiring words can be beneficial for the alcoholic adolescent to become motivated to undergo treatment. With this, the family and friends can help by talking frequently to the patient. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Drugs and Medication&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; – The alcoholic must discover what causes them to drink, whey they cannot stop, and what counter measures they can use when these triggers occur ('Treatment for Alcoholics' 2006). Recovering alcoholics may also benefit from prescribed medications, such as anti-depressants or anti-anxiety drugs to help them control their physical symptoms of withdrawal, which can only be prescribed by a medical doctor or psychiatrist ('Treatment for Alcoholics' 2006). However, the parents or guardian of the patient must supervise the patient in administering treatment of drugs. In this way, the patient can be given the proper dose of the medication and can be ensured of proper treatment.&lt;SPAN style="mso-spacerun:  yes"&gt;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Preventive Measures&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;The saying 'an ounce of prevention is worth a pound of cure' is applicable in this situation. With earlier prevention and information, many adolescents will not be involved in drinking at an early age. With this, parents and guardians of the adolescents must take responsibility over them to inform them of the consequences of being an alcoholic. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;It has been reported that one way to prevent adolescent drinking is to stay involved and interested in the teenager's life ('Alcoholism' 2004). In this way, the parents know the activities of their children, including their peers and their schedule in school. Another way is to talk openly to your children, especially to pre-teens and teens, about the widespread presence and dangers of alcohol and drugs ('Alcoholism' 2004). This will serve as a warning for them and information to prevent the incidence of alcoholism. Act as a role model and do not drink excessively or use other drugs or smoke ('Alcoholism' 2004). The adolescents will realize that their parents are good example of moral values, and not indulge  themselves to becoming alcoholics. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;With these, the parents can interact properly with their children and somehow monitor their behavior. The key concept in this issue is communication. With good and constant communication, parents and children can have a good and lasting relationship. This can help both parties to educate one another regarding life and become involved with the activities of one another. Good communication can help each other create a good environment for one another. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: center" align=center&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Methodology&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;A three-stage stratified sampling method will be used in this study. In the first stage of sampling, six cities will be stratified into eastern and western &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;United States&lt;/st1:country-region&gt;&lt;/st1:place&gt;. In addition, three cities from the eastern part of the &lt;st1:country-region w:st="on"&gt;United States&lt;/st1:country-region&gt;, namely, &lt;st1:State w:st="on"&gt;Mississippi&lt;/st1:State&gt;, &lt;st1:State w:st="on"&gt;New York&lt;/st1:State&gt; and &lt;st1:State w:st="on"&gt;Florida&lt;/st1:State&gt; will be chosen, and three cities from the western part, namely &lt;st1:State w:st="on"&gt;California&lt;/st1:State&gt;, &lt;st1:State w:st="on"&gt;Wyoming&lt;/st1:State&gt; and &lt;st1:place w:st="on"&gt;&lt;st1:State  w:st="on"&gt;Oregon&lt;/st1:State&gt;&lt;/st1:place&gt;, will be chosen for data gathering and comparison. In the second stage of sampling, one rural city and one city region will be randomly selected from each state. In the third stage of sampling, individuals will be randomly chosen from the selected city and only one participant will be selected from each household. &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&amp;nbsp;&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;A total of 30 participants aged 13 to 20 years will be randomly selected from the population and will be invited to participate. This age bracket will be considered because at these ages, adolescents become exposed for the first time to alcoholic drinks or beverages. The socioeconomic status of the participants will also be considered, as with their classification, whether they belong to a rural or an urban city. Aside from these, the education of the participants will also be considered. Education is also a good basis for the knowledge of the participants regarding alcoholism. &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Data will be collected in the participants' residential area, and during the visits, the participants will be asked to answer a questionnaire to obtain information on demographic characteristics, including age, sex, education, and occupation. Obtaining data through questionnaire will be easier for evaluation of the participants' exposure and interest in alcoholic drinks. The questionnaire that will be distributed to the participants will have 20 questions, and will be answered by each of the participants with the supervision of the researcher. In addition, a simple interview will be also be administered by the researcher to somehow interact with the participants. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;From these questionnaires, a data will be generated and will serve as a survey on the exposure of the participants to alcoholic drinks or beverages. These data will be helpful in assessing their interest and opinion regarding treatment, if ever they will be diagnosed to suffer from alcoholism. The questionnaires will not only include questions regarding the participants' exposure to alcohol, but will contain questions talking about the common symptoms being experienced by alcoholics. These will be helpful for evaluation and examination of the participants. If ever the results will indicate a positive diagnosis for alcoholism as indicated by the symptoms listed in the questionnaire, then the researcher can refer the  participants to a hospitals or rehabilitation centers for treatment. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;To check the reliability and the significance of the study, statistical analysis will be also be used. Statistical tools will be helpful to assess the significance and the relationship of demographic factors and the data gathered from the participants. All the calculations will be weighted to evaluate and assess the interest of the participants for possible treatment. In this light, the researcher can assess if the treatments proposed to alcoholics are effective to motivate them to participate and undergo treatment. &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun:  yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: center" align=center&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Summary&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;The possible results of the study would somehow become helpful in the fulfillment of its aim to detect the earliest possible age of adolescents to become exposed to alcoholic drinks. This study can also assess the relationship of having a family history of alcoholism and its effect to adolescent alcoholism. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Potential implication of the study would include the evaluation of the researcher of the conditions existing among the adolescents in the &lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;United States&lt;/st1:place&gt;&lt;/st1:country-region&gt;. This study would also provide information and knowledge on adolescent alcoholism, which can be attributed to the adolescents' exposure or none exposure to alcoholic drinks or beverages. Another implication of the study also includes the development of more effective ways of treatment for alcoholics. These also include the improvement of the existing treatments, and the conceptualization of new ones to motivate the adolescents for treatment of alcoholism at an early age. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;This study also has several limitations. One of its limitations is that it covers only a small number of participants, and due to limited budget, cannot cover the entire &lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;United States&lt;/st1:place&gt;&lt;/st1:country-region&gt; for obtaining data. Another limitation, is that the survey does not represent the total population of the adolescents with the age of 13 to 20 years, due to the limited number of participants to be included. Another limitation is that this study would not obtain blood samples from the participants to examine their blood alcohol content. This can be helpful to assess the condition of the participants. &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/DIV&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;&lt;br&gt;  &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-8897856360314303140?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/8897856360314303140/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=8897856360314303140' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/8897856360314303140'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/8897856360314303140'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2009/01/literature-review-sample-on-alcoholism.html' title='Literature Review Sample on Alcoholism'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-4042816792168243020</id><published>2008-10-13T19:40:00.001+08:00</published><updated>2008-10-13T19:40:47.821+08:00</updated><title type='text'>Literature Review Sample on Bullying</title><content type='html'>&lt;div style="font-family:arial, helvetica, sans-serif;font-size:12pt"&gt;&lt;DIV&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Chapter 2&lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;REVIEW OF RELATED LITERATURE&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;This part of the study will be discussing the relevant literature connected with the study of the bullying in high school. This part of the study accounts the works that has been published on a topic by accredited scholars and researchers. All this would allow the readers to map the field and position your research within the context. Moreover, this part of the study justifies the reason for research. This is closely connected with demonstrating that is known in the field. It is the knowledge of the field that allows one to identify the gap, which the research could fill. Concurrently, it allows the researcher to establish the theoretical framework and methodological focus.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Adolescents in High School&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Adolescence is an especially dangerous time of life. The onset of puberty produces biological changes that are certainly unprecedented, if not scary. The adolescent's body changes visibly, and while his appearance continues to change, his concept of self changes as well. The reception he receives from others changes, in addition to the way he responds to them. The boundaries once conceived of as permanent are uncertain and must be reconfigured. The adolescent will begin to see himself as having sexual drives and may feel great anxiety surrounding sexual matters. And in response to this myriad of intense feelings and changes, the adolescent presents himself as omnipotent and totally in control, lest anyone misperceive him for weak, confused, and searching for an identity. When their identities and body images are unclear, adolescents are especially sensitive  to the way they are seen by others, especially their peer group. Here especially, the actual self is constantly being compared to the ideal self, a representation of what is important and valued by a particular group. The conglomeration of these factors makes adolescence highly susceptible to the development of shame. Additionally, adolescence is a period of time in which conflicts with parents are abundant. These conflicts are developmentally appropriate, as the individual is torn between wanting to please his parents and wanting to separate and differentiate his identity from theirs. This experience of feeling such opposing emotions may add to an already overwhelming sense of shame. Adolescence is confusing, in part, because self-consciousness is increased and personal differences are muffled. The primary concern for adolescents is how a wide circle of significant people sees them. This is much more important than who and what they themselves have  come to feel they are (Erikson, 1985). When individuals who are experiencing shame enter adolescence, these painful feelings are exaggerated. Shame alone is often debilitating and adolescence alone is often debilitating. Put together, the combination is intolerable and often combustible.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Furthermore, Erikson (1963) considers identity formation to be the cornerstone of adolescent psychosocial development. Josselson (1987) offers this definition, "Identity, then is a dynamic fitting together of parts of the personality with the realities of the social world so that a person has a sense both of internal coherence and meaningful relatedness to the real world" (pp. 12-13). An alternative to identity achievement is identity diffusion, which occurs when adolescents are not able to commit to definite life choices. Erikson (1985) stresses that at least some role confusion is a "normative and necessary" experience for adolescents, but it can lead to a more dysfunctional state, such as an inability to fully experience intimacy, if an individual remains unable to move out of this period of indecision. Erikson notes several assumptions about the nature  of identity. First, although identity development is particularly salient during adolescence, changes can and do occur earlier, in childhood, and later, in adulthood. Second, successful identity development depends in part on how earlier tasks during the life span have been resolved. Third, optimal identity formation can occur only when adolescents take an active role in their identity search and experience a normative period of moratorium, when they actively try out different roles without making a definite commitment. Fourth, identity development cannot be considered solely an individualistic process. Exploration and commitment are based in part on historical and contextual factors. Fifth, identity is neither static nor unidimensional. Erikson (1963) cites five facets of identity - sexual, religious, political, ideological, and occupational - and believes that individuals redefine these identities throughout the course of their lives. One of the  strengths of adolescents, according to Erikson, is their capacity for fidelity to individuals or institutions. Adolescents, as a result of their search for identity, may be eager to make a strong commitment, at least temporarily, to new belief systems. Even though the rationale behind these belief systems cannot always be articulated, it does not decrease the passion that adolescents are capable of expressing for individuals or ideas. This sense of commitment has been found to be an important part of ethnic (Phinney &amp;amp; Tarver, 1988) and religious (Markstrom-Adams &amp;amp; Hofstra, 1993) identity development, as well as global identity (Waterman, 1985). Fidelity, similar to commitment in many ways, also includes a focus on expressing pride in being affiliated with persons or institutions, as well as placing high value on keeping promises and being faithful (Kitchener, 1983). It could also be argued that the development of a personal sense of fidelity  serves as a protective factor for adolescents. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Concurrently, Garbarino, Kostelny, and Dubrow (1991) argue that the formation of a strong ideological identity is an effective buffer against extreme stress, especially if that ideology is based on tolerance for others, even an enemy. Humans are meaning-seeking organisms without meaning they tend to get lost and succumb to self-destructive or to antisocial behavior or to madness" (p. 22). Thus, self-construed ideologies may buffer against negative outcomes, both psychological and behavioral. Although identity development during adolescence has been the subject of considerable study, Waterman (1985) maintains that several of its dimensions have not been fully explored. This has resulted from a tendency, in both Erikson's writing and in the research on identity (Marcia, 1980), to treat identity as a global descriptive quality. An. adolescent is said either to  have a clear personal sense of identity or to lack one, with each state viewed as having distinct psychological concomitants. Grotevant (1986) suggests that the study of identity should examine specific content areas, in those different identity domains of an adolescent's life "come into focus" in different periods. Previous studies have reported that a strong sense of self-efficacy was associated with better coping with stressors (Bandura, 1997). Thus, a high level of self-efficacy may prevent a potential negative effect of stress experience on bullying behavior, in addition to having a direct effect. To explore whether perceived efficacy might have a modifying affect, however, the first step would be to examine whether there is any association between stress experience and bullying behavior. Similarly, perceived social support and influence on decisions that are made, may be of importance in how the pupils react to a stressful environment (Karasek and  Theorell, 1990). These factors may thus act as buffers in a potential association between stress experience and bullying behavior. However, they may also have a direct influence on how the pupils behave. Perceived social support have been observed to be positively associated with psychosomatic health (Bru et al., 1998; Natvig et al., 1999) and may be related to behavior as well.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Violence and Aggression &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Violence and undesirable behavior among school children have received increasing attention the last years. Different aspects of associations between aggression and self-perceptions have also been explored. Some studies (Olweus, 1997) have observed associations between high degree of self-esteem and bullying or aggressive behavior. In contrast, one previous study (DuBois et al., 1998) found that high levels of global self-esteem were associated with more favorable scores on measures of adjustment, with fewer emotional and behavioral problems. Other aspects of associations between aggression and self-perceptions have been explored as well. Children with an aggressive attitude have been observed to rate their personal competence higher than their teachers and parents (Hughes et al., 1997). This finding is consistent with conclusions in a previous review  (Baumeister et al., 1996), stating that violent behavior is associated with unrealistic favorable self-views that is contradicted by other persons (Baumeister et al., 1996). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;A personal factor that partly overlaps with that of self-esteem is covered by the concept of self-efficacy. Self-efficacy comprises both a general and a more specific measure. The scale of general self-efficacy covers aspects related to self-worth. In view of similarities with the concept of self-esteem, high levels of general self-efficacy among the bullies may be expected. As concepts, however, self-efficacy and self-esteem differ somewhat. While self-esteem is viewed as a global concept with aspects of self-worth, perceived self-efficacy refers to beliefs in one's capabilities to organize and execute the courses of action required to produce given attainments (Bandura, 1997). A general lack of such self-beliefs may negatively affect a person's reaction pattern or attitude. Thus, low scores on the self-efficacy scales may be related to aggressive or  bullying behavior as well. We have not found any previous studies exploring whether self-efficacy beliefs are related to bullying behavior. However, previous school related studies (Zimmerman et al., 1992; Zimmerman and Martinez-Pons, 1990) have found that high self-efficacy beliefs for self-regulated learning and academic goals were associated with better achievements. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Bullying Behavior&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Bullying behavior is one part of the problem of school violence, covering both less and more severe types of violent behavior. Bullying is characterized by an aggressive behavior that is carried out repeatedly over time (Olweus, 1997). Typically, the bully is perceived as stronger than the victim. Personality characteristics of the bullies seem to be an important factor in explaining the problem of bullying (Olweus, 1997). Pulkkinen and Tremblay (1992) found that the bullies were aggressive, non social, and hyperactive. On the other hand, Olweus (1997) has reported that some bullies may be insecure and anxious, as opposed to the typical aggressive bully, in particular those who do not usually take the initiative to bullying when acting in groups. It has been reported that some bullies are also victims of bullying themselves (Craig, 1998; Rigby,  1998).&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Some studies have focused on environmental factors at school in explaining the problem of bullying behavior. Typical factors have been school size and class size (Batsche and Knoff, 1994) as well as competition at school (Olweus, 1997). However, no significant relationships between these factors and bullying have been observed. Few previous studies have focused on the pupils' perception of different aspects of the school environment as potential risk factors for bullying behavior. Stress experience has been focused on in relation to the health of the pupils (Natvig et al., 1999), but less in relation to undesirable behavior. There are different ways of coping with stressful environments. Lazarus and Folkman (1984) have distinguished two types of coping functions as ways of responding to stressful events. One form of coping is problem focused or through  direct action. This aims at confronting problem events directly by trying to solve them. The other type of coping is in tended to deal with the emotions aroused by the stressful situations (Lazarus and Folkman, 1984). Finding adequate ways of coping might be difficult for school adolescents. While some pupils can find acceptable ways of reacting, other pupils may have bullying as a way of reacting to an environment that they perceive as stressful. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Bullies are children who start fights with, tease, pick on, and dominate other children (Pellegrini, 1998). Large-scale investigations of bully/victim problems have been conducted in &lt;?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /&gt;&lt;st1:City w:st="on"&gt;Scandinavia&lt;/st1:City&gt;, &lt;st1:country-region w:st="on"&gt;Great Britain&lt;/st1:country-region&gt;, &lt;st1:country-region w:st="on"&gt;Italy&lt;/st1:country-region&gt;, and &lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;Australia&lt;/st1:place&gt;&lt;/st1:country-region&gt; (Olweus, 1994; Menesini et al., 1997; Rigby, 1996; Whitney &amp;amp; Smith, 1993). These investigations, especially the Scandinavian and British studies, have sought to define bullying, determine the prevalence of bully/victim problems, examine the effects of bullying on children, describe the family relationships among bullies and victims,  and finally, identify effective components of school-based bully/victim intervention programs (Olweus, 1994). The purpose of this study was to further examine the family relationships of school-age bullies. Previous studies have found that the family relationships of bullies tend to be troubled (Olweus, 1994). In particular, parents of bullies are hostile, rejecting, and indifferent. Oftentimes, parents of bullies use inconsistent discipline by combining hostility with laxness. When parents of bullies do punish for child misbehavior, their punishment of choice is usually some form of harsh power assertion combined with violent emotional outbursts (Olweus, 1994). Finally, most bullies have weak to nonexistent father figures (Berdondini &amp;amp; Smith, 1996).&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Externalities of Bullying&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Previous research examining family influences on the development of children's aggression, which includes more generally deviant behaviors such as cheating, lying, and destroying property in addition to bullying of peers, supports the conclusion that poor parenting skills play a causal role (Kandel &amp;amp; Wu, 1995). More research, however, is needed to identify the precise mechanisms by which family members and family processes influence children's aggression, and especially children's bullying or aggression with peers (Ladd, 1992). This study draws on three bodies of literature: The literature regarding children's bulling and victimization; the literature regarding family influences on the development of children's aggression; and the literature regarding family influences on children's peer relationships. Putallaz and Heflin (1990) proposed a model that  accounts for direct and indirect parental influences on the development of children's peer relationships. Direct parental influences are those, which influence children's acquisition of social skills and social behaviors. Direct parental influences include parental modeling, conditioning, and coaching of children's social interactions. Parental modeling refers to behaviors that parents engage in to form and maintain interpersonal relationships with other adults; namely their spouses, relatives, and friends. Parental modeling also refers to behaviors that parents use to guide or control their children. Behaviors modeled by parents are observed by children and then imitated within the context of peers. The literature regarding the development of children's aggression and the literature regarding children's competence with peers are replete with findings that support a modeling theory for parental influences on children's peer relationships. Specifically,  in comparison to parents of non-aggressive children, parents of aggressive children model incompetence in relationships because they are more likely to experience angry, emotional disagreements with their children, spouses, and other adults (Elder, Caspi, &amp;amp; Downey, 1986); they are more likely to solve parent-child conflicts by using physical punishment (Eron &amp;amp; Huesmann, 1990; Kandel &amp;amp; Wu, 1995); and finally, they, especially mothers, tend to be isolated and have few friends (Patterson, 1980). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;A second type of direct parental influence on children's peer relationships involves conditioning. Specifically, children develop positive or negative associations with social interactions based upon the affective quality of their relationships with parents (Putallaz &amp;amp; Heflin, 1990). Previous studies demonstrate that children, whose parents are agreeable, warm, and affectionate, tend to develop competence with peers (Brody &amp;amp; Flor, 1998). In contrast, children whose parents are disagreeable, hostile, cold, or rejecting tend to be at risk for the development of aggression, including bullying peers, and delinquency (Sutton, Cowen, Crean &amp;amp; Wyman, 1999). Similarly, parent-child involvement, which refers to the amount of time and activities that parents and children share together, influences how children view social interactions. Children who spend  considerable time with their parents, especially in activities that are perceived as fun and pleasurable, have more opportunities to experience parental warmth and affection than children who spend little time with their parents in shared activities. Children generalize the positive feelings that arise from shared activities with parents to social interactions with non-family members. In support of this notion, children's lack of involvement with parents has been related to children's aggression and deviancy (Loeber et al., 1998). Finally, a third type of direct parental influence on children's peer relationships is parents' coaching of children's interactional strategies with peers. A previous investigation of young children and their mothers found that the frequency of conversations between mothers and their children about peer relationships is related to children's social preference, or likeability (Laird, Pettit, Mize, Brown, &amp;amp; Lindsey, 1994).  In addition, mothers in the same study reported that common topics of mother-child conversations involved giving advice to their children about how to initiate a friendship or deal with bullying. Other studies have found that the quality of advice that parents give to their children is related to children's peer competence. For example, mothers who suggest prosocial strategies for how to deal with hypothetical peer provocations and rebuffs tend to have children who are rated as less aggressive by teachers than mothers who suggest neutral or unfriendly strategies (Mize &amp;amp; Pettit, 1997). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Indirect parental influences on children's peer relationships deal with how parents influence children's opportunities for social interaction. Rubin and Sloman (1983) describe indirect influences as ways parents set the stage for children's social interactions. Indirect influences reflect how parents determine contexts within which children's peer interactions occur. These contexts include neighborhoods, day care programs and schools. Indirect influences also reflect how parents arrange children's social contacts by scheduling parties, allowing for visits with friends, and encouraging participation in organized extracurricular activities such as youth sports, scouts, and music lessons.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;The Bully-Victim Relationship&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;In the context of bullying and peer victimization, empirical findings have uncovered different factors that may explain the occurrence of bully/victim problems at school. Alongside children's psychosocial functioning (Olweus, 1994), it was observed that social environmental factors, such as the peers (Smith et al., 1993), the school (Mooij, 1998), and the home environment (Smith et al., 1993), contribute to the risk of peer aggression and victimization at school. Outcomes studies of anti-bullying intervention programs, focusing on the school environment, revealed a diverse pattern of positive (Olweus and Alsaker, 1991), moderate (Smith and Sharp, 1994; Stevens et al., 2000), and low (Pepler et al., 1994) effects. Besides other factors, it was argued that the limited focus on the relationship of the family environment to children's involvement in  bully/victim problems at school contributes to the maintenance of the problem behavior (Stevens et al., 2001). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Furthermore, previous family studies on bully/victim problems primarily focused on children's perceptions of family dimensions. This research revealed significant differences between bullies, victims, and bully/victims. Bullies perceive their family as less cohesive (Bowers et al., 1992) and experience more hostility (Oliver et al., 1994). Peer aggression was found to be associated with an avoidant attachment history (Smith et al., 1993). Moreover, bullies perceive a strong power imbalance between father and mother, the fathers being more powerful. A power imbalance was also observed between siblings and themselves, the siblings being more powerful (Bowers et al., 1992). According to the bullies, their family encourages less autonomy (Rican et al., 1993), lacks structure, and primarily adopts rules that reinforce aggressive behavior (Oliver et al., 1994).  For boys in particular, an association was found between bullying and inadequate communication structures in the family (Rigby, 1994). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Victims perceive their families as characterized by high levels of cohesion (Bowers et al., 1992) and low scores on negotiation (Oliver et al., 1994; Rican et al., 1993). An association was found between victimization and ambivalent attachment relationships. Compared with a group of controls, victims of bullying reported that their fathers had more power than did their mothers. They perceived siblings as being slightly less powerful compared to themselves (Bowers et al., 1992). Furthermore, it was found that victims perceive small differences on parental monitoring compared to control children, thus revealing a less accurate monitoring style (Bowers et al., 1994). Clear differences were found between boys and girls. For boys, it was found that victimization is associated with a negative relationship with the absent father in single-parent families.  Victimized girls reported more negativism and hostility (Rican et al., 1993) and a negative relationship with the mother (Rigby, 1993). It was found that the famil y encourages less autonomy in girls (Rican et al 1993). Bowers et al. (1994) identified a distinct family profile for the bully/victim group. The bully/victim group included children that have bullied others and themselves have been bullied as well. These families have low scores on cohesion, although these scores were not as low as the cohesion scores of bullies. Bully/victim children perceive a power-imbalance between father and mother, again showing fathers to be more powerful than mothers. However, compared to bullies, victims, or control children, bully/victim children reported having more power for themselves. Furthermore, bully/victim children perceive less accurate monitoring and warmth, but more overprotection and neglect. It was concluded that these families are distinguished by  inconsistent discipline and monitoring (Schwartz et al., 1997;).&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Empirical work that investigated the perception of parents on bully/victim problems is limited. Olweus (1980) carried out in-depth interviews with parents of victims and bullies. Research questions were related to parenting style and parental interaction with their children. For the fathers and mothers of bullies (only boys), Olweus (1980) found high permissiveness toward aggression, harsher discipline, and power-assertive child-rearing methods. In bullies' families, he also observerd more negativism toward the child. For parents of victimized children (only boys), the interview outcomes revealed close contacts with and overprotection by the mother. Moreover, there was more negativism and a weak identification between son and father. Nonetheless, no studies are known on family characteristics of bully/victim problems using data from multiple reporters  within 1 family (parents and children). Previous studies showed that reports of family interactions primarily show the perception of each respondent (Langhinrichsen et al., 1990). Consequently, it would be fruitful to involve parents' and child's perception directly in the study. Differences between family members in their perceptions of family characteristics were found in several earlier studies. They reveal only moderate congruence between parents and children (De Bourdeaudhuij and Van Oost, 1998). It also has to be taken into account that questionnaires have to be completed independently by family members. Questionnaires are often completed at home and sent to the researchers afterwards. This procedure undoubtedly leads to congruence scores between family members, which are unrealistically high (De Bourdeaudhuij and Van Oost, 2000). From this it could be argued that more research is needed to investigate characteristics of bullies' and victims'  families including both the viewpoint of parents and the child. An important question is whether and how parents and children's perceptions on family characteristics are related. The family dimensions included in this study were derived from the previous perception studies on family correlates of bully/victim problems. It focused on general dimensions of family functioning and general child-rearing practices. In addition, problem-solving strategies of children and their parents in hypothetical bully/victim conflicts were included as a more specific measure of family interactions, In a previous study, Barrett et al. (1996) asked anxious, oppositional, and non-clinical children and their parents to interpret and provide plans of action for ambiguous scenarios. They found evidence of family enhancement of avoidant and aggressive responses in children.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Although dramatic acts of school violence are relatively rare, ongoing aggression and victimization are serious problems that arise in schools on a daily basis. For instance, research has found that 10-20% of kindergarten and elementary age children are repeatedly teased, threatened, or attacked by their peers (Leff, Kupersmidt, Patterson, &amp;amp; Power, 1999). A pattern of perpetuating milder forms of aggression or being the victim of such aggression in the preschool and elementary age years is associated with a number of difficulties in the elementary and middle school years (Kochenderfer &amp;amp; Ladd, 1996). Even more striking is the finding that early aggressive behavior is highly correlated with later aggressive behavior (Huesmann, Eron, Lefkowitz, &amp;amp; Walder, 1984) and is predictive of later antisocial behavior, including physical aggression, criminal  behavior, and spouse abuse (Huesmann et al., 1984). Further, there is strong evidence that many severely antisocial youth exhibit a "life-course" development of aggression in which their childhood acts of aggression progress from being somewhat mild (bullying, teasing, and annoying others), to more serious (repeated physical fighting, gang membership), to extremely serious (assault, robbery, rape) (Moffitt, Caspi, Dickson, Silva, &amp;amp; Stanton, 1996). Thus, it is imperative to direct prevention and early intervention efforts to lessen the milder forms of aggression that occur frequently in the elementary schools and that can lead to more serious acts of aggression and outbreaks of school violence among middle school and high school students. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Even though school aggression has become one of the most pressing societal concerns, aggression statistics, research, and prevention/intervention efforts are difficult to evaluate due to a host of methodological difficulties (Tolan &amp;amp; Guerra, 1996). For instance, many prevention/intervention programs do not employ sound research designs such as a group design including a random assignment procedure, adequate sample size, and sufficient follow-up assessment. Second, many programs do not utilize a multi-method outcome evaluation protocol (Weisz &amp;amp; Hawley, 1998) or adequate procedures to assess treatment integrity and acceptability (Moncher &amp;amp; Prinz, 1991). Further, very few programs provide structured and user-friendly manuals and handouts (Moncher &amp;amp; Prinz, 1991), which may greatly affect the integrity and generalizability of the program. Thus,  methodological considerations have limited the usefulness of many initiatives within the schools.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;References:&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Bandura, A. (1997). 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Routledge, &lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;London&lt;/st1:place&gt;&lt;/st1:City&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Smith, P. K., Bowers, L., Binney, V., and Cowie, H. (1993). Relationships of children involved in bully/victim problems at school. In Duck, S. (ed.), Learning About Relationships, Understanding Relationship Processes Series Sage, &lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;London&lt;/st1:place&gt;&lt;/st1:City&gt;, pp. 184-212.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Stevens, V., De Bourdeaudhuij, &lt;st1:place w:st="on"&gt;I.&lt;/st1:place&gt;, and Van Oost, P. (2000). Bullying in Flemish schools: An evaluation of anti-bullying intervention in primary and secondary schools. Br. J. Educ. Psychol. 70:195-210.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Sutton, S. E., Cowen, E. L., Crean, H. F., &amp;amp; Wyman, P. A. (1999). Pathways to aggression in young, highly stressed urban children. Child Study Journal, 29, 49-63.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Tolan, P. H., &amp;amp; Guerra, N. G. (1996). Progress and prospects in youth violence-prevention evaluation (1996). American Journal of Prevention Medicine, 12 (Suppl. 5), 129-131.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Waterman, A. S. (1985). Identity in the context of adolescent psychology. In A. S. Waterman (Ed.), Identity in adolescence: Processes and contents. &lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;San Francisco&lt;/st1:place&gt;&lt;/st1:City&gt;: Jossey-Bass.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Weisz, J. R., &amp;amp; Hawley, K. M. (1998). Finding, evaluating, refining, and applying empirically supported treatments for children and adolescents. Journal of Clinical Child Psychology, 27,206-216.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Whitney, &lt;st1:place w:st="on"&gt;I.&lt;/st1:place&gt;, &amp;amp; Smith, P. K. (1993). A survey of the nature and extent of bullying in junior, middle, and secondary schools. Educational Research, 35, 3-25.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Zimmerman, B. J., and Martinez-Pons, M. (1990). Student differences in self-regulated learning: Relating grade, sex, and giftedness to self-efficacy and strategy use. J. Educ. Psychol. 82(1): 51-59.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Zimmerman, B. J., Bandura, A., and Martinez-Pans, M. (1992). Self-motivation for academic attainment: The role of self-efficacy beliefs and personal goal setting. Am. Educ. Res. J. 29(3): 663-676. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&amp;nbsp;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/DIV&gt;&lt;/div&gt;&lt;br&gt;        &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-4042816792168243020?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/4042816792168243020/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=4042816792168243020' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/4042816792168243020'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/4042816792168243020'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2008/10/literature-review-sample-on-bullying.html' title='Literature Review Sample on Bullying'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-2538343263833795357</id><published>2008-10-01T12:15:00.001+08:00</published><updated>2008-10-01T12:15:11.334+08:00</updated><title type='text'>Review of Related Literature on the Human Resource Function</title><content type='html'>&lt;div style="font-family:arial, helvetica, sans-serif;font-size:10pt"&gt;&lt;DIV&gt; &lt;H3 style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: center" align=center&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;REVIEW OF RELATED LITERATURE &lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/H3&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;In the last decade, the HR function has increasingly become a target of criticism. The criticism is that the HR function is too bureaucratic, controlling, too operationally focused, reactive and powerless. Brief and Weiss (2002) says that HR indeed has not kept up with developments elsewhere in organizations. They say that HR professionals have become numb by the monopoly position they long enjoyed. The role of HR can become a very important one, that of a strategic &lt;/FONT&gt;&lt;A title="See other pages Jiglu tagged with 'Business'" href="http://vicfabe-tagging.jiglu.com/overlay/42114434187478240118dd9ee7cb6116/Business"&gt;&lt;FONT face="arial, helvetica, sans-serif" color=#5588aa size=3&gt;business&lt;/FONT&gt;&lt;/A&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT  size=3&gt; partner responsible for the return on investment in personnel and organization. To a lesser extent than before, human resource (HR) plays a purely operational, administrative and service delivery role. Administration and execution remain important but a considerable part of these activities will be automated or outsourced to external suppliers. &lt;TAG 36&gt;HR&lt;/TAG&gt; then becomes more a distributor than a producer of services. Another part of the &lt;TAG 41&gt;HR&lt;/TAG&gt; activities will disappear through new technology applications. HR-information systems for example, take over routine tasks by automating the processing transactions and &lt;TAG 47&gt;administration&lt;/TAG&gt;. Further, personnel itself will more and more be able to retrieve information from and change information in databases. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Human Resources (HR) are an exciting function, which offers many opportunities for individuals to contribute to the business. At all levels of the company, HR professionals support leaders and leadership teams in the creation of business strategies and in ensuring the resources are ready and available to deliver those strategies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Nevertheless, &lt;TAG 66&gt;human resources&lt;/TAG&gt; (HR) seems to be losing ground in a majority of &lt;TAG 69&gt;organizations&lt;/TAG&gt; (Saint-Onge, 2001). In most cases, &lt;TAG 71&gt;human resources&lt;/TAG&gt; appear to be playing a secondary role at a time when this function should be more in demand and more valued. The &lt;TAG 77&gt;HR function&lt;/TAG&gt; continues to be criticized for not moving with the times. The forces of the market have radically altered the 'employment contract', yet the people management practices do not seem to have followed suit. In the face of all this, the &lt;TAG 86&gt;human resources&lt;/TAG&gt; function is often perceived as slow to adapt to the new realities of the market place. The traditional structures of &lt;TAG 91&gt;HR&lt;/TAG&gt; inherited from the industrial era are not appropriate for &lt;TAG 93&gt;the business&lt;/TAG&gt; challenges  companies currently face. In this context, &lt;TAG 97&gt;HR&lt;/TAG&gt; must evolve to successfully take on a key role in formulating and implementing the &lt;TAG 100&gt;organization&lt;/TAG&gt;'s strategy for generating capability.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;H4 style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;Organizational Culture&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/H4&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;Any &lt;TAG 103&gt;organization&lt;/TAG&gt;, may it be profit oriented or not-for-profit, the most vital asset is its &lt;TAG 107&gt;personnel&lt;/TAG&gt;. And for these &lt;TAG 108&gt;organizations&lt;/TAG&gt; to maximize their assets, they should &lt;/FONT&gt;&lt;A title="See other pages Jiglu tagged with 'manager'" href="http://vicfabe-tagging.jiglu.com/overlay/42114434187478240118dd9ee7cb6116/manager"&gt;&lt;FONT face="arial, helvetica, sans-serif" color=#5588aa size=3&gt;manage&lt;/FONT&gt;&lt;/A&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt; the employees' working condition with intelligence and efficiency (Ulrich, 1998).&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;They must be allowed to be involved in making work-related decisions to further enhance the organizational structure (Delaney &amp;amp;  Huselid, 1996). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Furthermore, the structure of tasks among the employees strengthens the organizational performance (&lt;?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /&gt;&lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;Wilson&lt;/st1:place&gt;&lt;/st1:City&gt;, 1989). It is therefore necessary to understand the employees for &lt;TAG 123&gt;the organization&lt;/TAG&gt; to be effective (Schneider, 1983). The development, building, motivation, enhancement and enrichment of &lt;TAG 128&gt;the employees&lt;/TAG&gt; of any &lt;TAG 129&gt;organization&lt;/TAG&gt; largely depend on the leadership, mandate and vision of &lt;TAG 133&gt;the organization&lt;/TAG&gt; (Rainey &amp;amp; Steinbauer, 1999).&lt;/SPAN&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;In the case of an international organization, it is very challenging to run its day-to-day operations in a smooth fashion. There is a whole area of human resource management that &lt;TAG 141&gt;the organization&lt;/TAG&gt; has to consider especially when it consists of different nationalities. People make or break the &lt;TAG 145&gt;organization&lt;/TAG&gt;. Therefore, it is &lt;TAG 146&gt;important&lt;/TAG&gt; for any &lt;TAG 147&gt;organization&lt;/TAG&gt; to be proactive with regard to their &lt;TAG 150&gt;employees&lt;/TAG&gt;' needs and requirements. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;According to Barbeschi (2002), the process of making &lt;TAG 154&gt;an organization&lt;/TAG&gt; is simultaneously the growth and maintenance of relationships among individuals who are working towards a common goal and the actual accomplishment of &lt;TAG 162&gt;tasks&lt;/TAG&gt;, &lt;TAG 163&gt;individually&lt;/TAG&gt; and collectively. In any &lt;TAG 164&gt;organization&lt;/TAG&gt;, there exist two dimensions (Barbeschi, 2002). The technical dimension includes elements that are generally visible but hard to decipher like the control systems (recruitment mechanisms, &lt;TAG 170&gt;administrative&lt;/TAG&gt; rules and procedures, etc.), &lt;TAG 172&gt;structures&lt;/TAG&gt; (departments and divisions and physical facilities), and techniques and procedures (performance, &lt;TAG 176&gt;working&lt;/TAG&gt;  methods).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;The cultural/political &lt;TAG 177&gt;dimension&lt;/TAG&gt; is more intangible and strategic in nature. This &lt;TAG 179&gt;dimension&lt;/TAG&gt; explains the assumption about the essence of the Secretariat's culture. It includes rituals and myths, symbols and games. Due to the common behavior, an internal integration within &lt;TAG 189&gt;the organization&lt;/TAG&gt; is &lt;TAG 190&gt;developed&lt;/TAG&gt;. In a sense, all cultural learning reflects the original values of &lt;TAG 194&gt;individuals&lt;/TAG&gt; and their sense of what ought to be as distinct from what is. According to McEwan (2001), &lt;TAG 196&gt;culture&lt;/TAG&gt; is inseparable form the nation of human society which makes defining it a complicated &lt;TAG 200&gt;task&lt;/TAG&gt;. As a result, there are many definitions for &lt;TAG 203&gt;culture&lt;/TAG&gt;. Czinkota et  al (Cited in McEwan, 2001) define &lt;TAG 204&gt;culture&lt;/TAG&gt; as "an integrated system of learned behavior patterns, characteristic of the members of any given society". In addition Hofstede (1991) identifies &lt;TAG 210&gt;culture&lt;/TAG&gt; as "collective programming of the mind".&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;TAG 213&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Culture&lt;/TAG&gt; is an &lt;TAG 214&gt;important&lt;/TAG&gt; factor in understanding organization, because for any &lt;TAG 216&gt;organization&lt;/TAG&gt; to &lt;TAG 217&gt;operate&lt;/TAG&gt; effectively it must for some extent have a general set of believes and assumptions. Because &lt;TAG 221&gt;understanding&lt;/TAG&gt; the term of the &lt;TAG 223&gt;culture&lt;/TAG&gt; metaphor helps &lt;TAG 224&gt;organizations&lt;/TAG&gt; to be aware of how &lt;TAG 226&gt;employees&lt;/TAG&gt; are thinking about &lt;TAG 227&gt;the organization&lt;/TAG&gt; phenomena, and to recognize how different attitudes, value and beliefs affect the workplace. &lt;TAG 232&gt;Understanding&lt;/TAG&gt; and assessing the national culture and &lt;TAG 234&gt;organization&lt;/TAG&gt;'s &lt;TAG 235&gt;culture&lt;/TAG&gt; can mean &lt;TAG 236&gt;the difference&lt;/TAG&gt; between success and failure in today's fast changing organizational environment.  &lt;TAG 242&gt;Cultural&lt;/TAG&gt; assessment can provide measurable data about the real organizational &lt;TAG 245&gt;values&lt;/TAG&gt; and norms that can be used to get management's attention. Though, it &lt;TAG 251&gt;can&lt;/TAG&gt; be said that the basic &lt;TAG 252&gt;assumption&lt;/TAG&gt;, &lt;TAG 253&gt;values&lt;/TAG&gt; and norms drive practices and behaviors. Hence when a &lt;TAG 257&gt;culture&lt;/TAG&gt; is created it becomes a driving force for the shape and scope of &lt;TAG 261&gt;the organization&lt;/TAG&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Researcher Hofstede (1980) has &lt;TAG 263&gt;developed&lt;/TAG&gt; the framework for &lt;TAG 265&gt;national&lt;/TAG&gt; culture. While the respective merits and drawback of &lt;TAG 267&gt;different&lt;/TAG&gt; framework are widely discussed, the Hofstede basic module of &lt;TAG 270&gt;culture&lt;/TAG&gt; can be seen as a helpful framework to illustrate the major issues that need to be considered in &lt;TAG 274&gt;change&lt;/TAG&gt; process.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Culture environment is one of the &lt;TAG 276&gt;important&lt;/TAG&gt; principles that influence the &lt;TAG 278&gt;organization&lt;/TAG&gt;. Hostfede (1991) identifies that there are four &lt;TAG 279&gt;dimensions&lt;/TAG&gt; that differentiate &lt;TAG 280&gt;cultures&lt;/TAG&gt; at a &lt;TAG 281&gt;national&lt;/TAG&gt; level (power distance, individualism-collectivism, masculinity-femininity, uncertainty avoidance), which help to &lt;TAG 283&gt;understand&lt;/TAG&gt; that &lt;TAG 284&gt;people&lt;/TAG&gt; arrive to &lt;TAG 285&gt;organizations&lt;/TAG&gt; with their own &lt;TAG 286&gt;national&lt;/TAG&gt; culture.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Therefore, it is only necessary to &lt;TAG 287&gt;understand the&lt;/TAG&gt; relation between &lt;TAG 288&gt;organization&lt;/TAG&gt; itself and its &lt;TAG 289&gt;culture&lt;/TAG&gt;. For that reason Hall (1976) identifies two classifications of &lt;TAG 292&gt;culture&lt;/TAG&gt; that have an impact on &lt;TAG 294&gt;business&lt;/TAG&gt; activity, the "High Context &lt;TAG 296&gt;Culture&lt;/TAG&gt;" and the "low context culture". The high context &lt;TAG 299&gt;culture&lt;/TAG&gt; have a very &lt;TAG 300&gt;high&lt;/TAG&gt; prevailing homogenous view on &lt;TAG 302&gt;nationality&lt;/TAG&gt;, religious &lt;TAG 303&gt;values&lt;/TAG&gt; and beliefs (Hall, 1976). &lt;TAG 305&gt;Such culture&lt;/TAG&gt; can be found in &lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;Japan&lt;/st1:place&gt;&lt;/st1:country-region&gt; and Arab countries; &lt;TAG 308&gt;the context&lt;/TAG&gt; of communication is more  valued such as body language and gestures. However in the low &lt;TAG 312&gt;context&lt;/TAG&gt; culture, communication context is more of formal written records, &lt;TAG 315&gt;such culture&lt;/TAG&gt; can be found in the &lt;st1:country-region w:st="on"&gt;UK&lt;/st1:country-region&gt; and &lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;USA&lt;/st1:place&gt;&lt;/st1:country-region&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="LAYOUT-GRID-MODE: line; COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Many studies about &lt;TAG 319&gt;international&lt;/TAG&gt; organizations have been undertaken. However, a brief review of the literature about the sociology of &lt;TAG 323&gt;international&lt;/TAG&gt; organizations indicates that these studies which have been conducted mostly by former &lt;TAG 325&gt;employees&lt;/TAG&gt; of &lt;TAG 326&gt;such organizations&lt;/TAG&gt; and were largely undertaken by white males who have tended to belittle &lt;TAG 328&gt;the role&lt;/TAG&gt; of staff members from &lt;TAG 330&gt;developing&lt;/TAG&gt; countries.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="LAYOUT-GRID-MODE: line; COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;These authors have suggested that &lt;TAG 332&gt;employees&lt;/TAG&gt; of &lt;TAG 333&gt;international&lt;/TAG&gt; secretariats, hailing from &lt;TAG 334&gt;developing&lt;/TAG&gt; counties are responsible for incompetence and inefficiency in these &lt;TAG 336&gt;organizations&lt;/TAG&gt; as they are employed due to the principle of equitable geographical distribution and not because of their competence, qualifications and experience.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 150%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 150%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;H2 style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="mso-bidi-font-family: Arial"&gt;&lt;FONT color=#999999&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Organization Behavior&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/H2&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;According to Brief and Weiss (2002), organizational behavior is an area of inquiry concerned with both sorts of influence: &lt;TAG 348&gt;work&lt;/TAG&gt; organizations on &lt;TAG 349&gt;people&lt;/TAG&gt; and &lt;TAG 350&gt;people&lt;/TAG&gt; on &lt;TAG 351&gt;work&lt;/TAG&gt; organizations. The &lt;TAG 352&gt;organizations&lt;/TAG&gt; in which &lt;TAG 353&gt;people&lt;/TAG&gt; work affect their thoughts, feelings, and actions in the workplace and away from it (Brief &amp;amp; Weiss, 2002). Likewise, &lt;TAG 358&gt;people&lt;/TAG&gt;'s thoughts, feelings, and actions affect the &lt;TAG 362&gt;organizations&lt;/TAG&gt; in which they &lt;TAG 363&gt;work&lt;/TAG&gt;. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;The central problems in organizational behavior are &lt;TAG 366&gt;influenced&lt;/TAG&gt; by &lt;TAG 367&gt;changes&lt;/TAG&gt; in &lt;TAG 368&gt;organizations&lt;/TAG&gt; themselves (Goodman &amp;amp; Whetten 1997). Although researchers have reported the durability of such traditional categories as &lt;TAG 372&gt;work&lt;/TAG&gt; motivation and performance, absenteeism and turnover, climate and &lt;TAG 377&gt;culture&lt;/TAG&gt;, and groups and &lt;TAG 379&gt;leadership&lt;/TAG&gt;, other recent commentaries report more substantial shifts. &lt;TAG 383&gt;The time&lt;/TAG&gt; frame used to review a body of &lt;TAG 387&gt;research&lt;/TAG&gt; is probably the greatest determinant of whether we observe &lt;TAG 389&gt;change&lt;/TAG&gt; or stability. For example, Kunda's (1992) investigation of trends in managerial &lt;TAG 394&gt;thought&lt;/TAG&gt; ranged from the 1870s  to the present and reported alternating cycles of rational and &lt;TAG 397&gt;normative&lt;/TAG&gt; thinking among &lt;TAG 398&gt;managers&lt;/TAG&gt; and scholars predicated on the degree of expansion or contraction in the economy of &lt;TAG 403&gt;the time&lt;/TAG&gt;. From their starting point in the 1950s, Goodman &amp;amp; Whetten (1997) noted an adaptive quality in the field's &lt;TAG 408&gt;work&lt;/TAG&gt; that shifts attention toward particular applied problems firms &lt;TAG 411&gt;face&lt;/TAG&gt; within a given decade.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;H3 style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Diversity and cross-culture HRM&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/H3&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify; tab-stops: .5in"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Diversity training remains the primary method used to facilitate &lt;TAG 415&gt;behavior&lt;/TAG&gt; change (Combs, 2002). However, existing diversity training is perceived to have failed, calling for a new diversity leadership focus to improve diversity performance.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; tab-stops: .5in"&gt;&lt;SPAN style="COLOR: #333333"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;TAG 420&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Research&lt;/TAG&gt; suggests that situations reflecting serious overt and subtle discrimination continue to exist in &lt;TAG 423&gt;the work&lt;/TAG&gt; environment. Grossman (2000) suggests that in spite of organizational efforts to &lt;TAG 425&gt;manage&lt;/TAG&gt; diversity very little has &lt;TAG 426&gt;changed&lt;/TAG&gt; in the experiences of &lt;TAG 428&gt;culture&lt;/TAG&gt;, ethnicity, race, and gender groups. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Organizational leadership has opted, most frequently, &lt;TAG 433&gt;to use&lt;/TAG&gt; diversity training to bring about a positive diversity climate. &lt;TAG 437&gt;Diversity training&lt;/TAG&gt; infuses &lt;TAG 438&gt;the organization&lt;/TAG&gt; with information and seeks &lt;TAG 440&gt;to change&lt;/TAG&gt; the &lt;TAG 441&gt;behaviors&lt;/TAG&gt; of &lt;TAG 442&gt;employees&lt;/TAG&gt; related to &lt;TAG 443&gt;diversity&lt;/TAG&gt;. In many &lt;TAG 444&gt;cases&lt;/TAG&gt; the perception is that &lt;TAG 446&gt;diversity training&lt;/TAG&gt; has not met expectations as a mechanism for alleviating &lt;TAG 449&gt;the work&lt;/TAG&gt; environment of discrimination and prejudice (Caudron, 1999). As a &lt;TAG 452&gt;change&lt;/TAG&gt; strategy, &lt;TAG 453&gt;diversity training&lt;/TAG&gt; has been labeled ineffective (Flynn, 1998; McKee &amp;amp; Schor, 1999) Many suggest that such training does very little to promote a positive  diversity &lt;TAG 457&gt;climate&lt;/TAG&gt;. And, at best, &lt;TAG 458&gt;diversity training&lt;/TAG&gt; programs, as currently constructed, result in only short-term suspension of discriminatory &lt;TAG 460&gt;behaviors&lt;/TAG&gt; and often create more trouble than they resolve (Hemphill &amp;amp; Haines, 1997).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;In the 15 years since the publication of Workforce 2000 (Johnston &amp;amp; Packer, 1987), &lt;TAG 465&gt;diversity&lt;/TAG&gt; has emerged as an increasingly &lt;TAG 467&gt;important&lt;/TAG&gt; issue in &lt;TAG 468&gt;management&lt;/TAG&gt; circles. &lt;TAG 469&gt;Diversity&lt;/TAG&gt;, workforce diversity, and managing diversity are now frequently &lt;TAG 472&gt;used&lt;/TAG&gt; terms in and about &lt;TAG 473&gt;business&lt;/TAG&gt;, and &lt;TAG 474&gt;managers&lt;/TAG&gt; have been presented with a plethora of materials in the popular press on how to handle a &lt;TAG 477&gt;diverse&lt;/TAG&gt; work force (Ferris, Frink, &amp;amp; Galang, 1994). The persistent messages about &lt;TAG 480&gt;the need&lt;/TAG&gt; to address the phenomenon of a &lt;TAG 482&gt;changing&lt;/TAG&gt; workforce and consumer base have motivated &lt;TAG 484&gt;managers&lt;/TAG&gt; and &lt;TAG 485&gt;organizations&lt;/TAG&gt; either to create &lt;TAG  486&gt;internal&lt;/TAG&gt; diversity training programs or to hire consultants to sensitize &lt;TAG 489&gt;employees&lt;/TAG&gt; to &lt;TAG 490&gt;differences&lt;/TAG&gt; in race, gender, &lt;TAG 493&gt;culture&lt;/TAG&gt;, religion, age, sexual orientation and abilities (Harter and Kirby, 2003). While 75 percent of Fortune 500 &lt;TAG 499&gt;companies&lt;/TAG&gt; have already instituted &lt;TAG 500&gt;diversity-training&lt;/TAG&gt; programs, at least another eight percent are in the planning stage, and small companies are also beginning to plan diversity programs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; tab-stops: .5in"&gt;&lt;SPAN style="COLOR: #333333"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Prior to the emergence of this notion of &lt;TAG 507&gt;diversity&lt;/TAG&gt; management in the 1990s, issues of workforce composition were usually addressed through one of two approaches: affirmative action or &lt;TAG 512&gt;valuing&lt;/TAG&gt; differences (Thomas, 1994). While affirmative action refers to requirements, often legally mandated, &lt;TAG 516&gt;to change&lt;/TAG&gt; organizational demographics and remedy past situations where minorities and women were passed over for jobs and promotions, the approach of "&lt;TAG 525&gt;valuing&lt;/TAG&gt; differences" is intended to be ethically and morally driven and encourages organizational members to appreciate &lt;TAG 527&gt;differences&lt;/TAG&gt;. But as Wheeler (1995) notes regarding these &lt;TAG 529&gt;approaches&lt;/TAG&gt;, "one of the primary &lt;TAG 530&gt;problems&lt;/TAG&gt; was that they were not clearly  connected &lt;TAG 531&gt;to business&lt;/TAG&gt; objectives" (p. 9). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;A primary &lt;TAG 532&gt;business&lt;/TAG&gt; objective is being &lt;TAG 533&gt;profitable&lt;/TAG&gt;, and &lt;TAG 534&gt;managers&lt;/TAG&gt; must explain and justify business performance and decisions in light of this objective (Toulmin, Rieke, &amp;amp; Janik, 1984). Subsequently, a movement has &lt;TAG 541&gt;emerged&lt;/TAG&gt; to make a &lt;TAG 542&gt;business&lt;/TAG&gt; case for addressing the increasing &lt;TAG 543&gt;diversity&lt;/TAG&gt; of both the &lt;TAG 544&gt;workforce&lt;/TAG&gt; and the consumer base, and &lt;TAG 546&gt;this approach&lt;/TAG&gt; is reflected in the popular literature surrounding &lt;TAG 548&gt;diversity&lt;/TAG&gt; initiatives. Carnevale and Stone (1994), proponents for addressing &lt;TAG 550&gt;diversity&lt;/TAG&gt; based on a &lt;TAG 551&gt;business&lt;/TAG&gt; rationale, begin their article by saying, "Welcoming &lt;TAG 553&gt;diversity&lt;/TAG&gt; is directly connected to the bottom line" (p.  24). As further evidence of such an orientation, a &lt;TAG 557&gt;report&lt;/TAG&gt; entitled "The 'bottom line' &lt;TAG 559&gt;organization&lt;/TAG&gt; benefits of &lt;TAG 560&gt;diversity training&lt;/TAG&gt;: What's in it for us?"), outlines &lt;TAG 561&gt;the importance&lt;/TAG&gt; of managing diversity for &lt;TAG 563&gt;profitability&lt;/TAG&gt; (Wheeler, 1995).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;The views on effective &lt;TAG 565&gt;management&lt;/TAG&gt; of &lt;TAG 566&gt;diversity&lt;/TAG&gt; in &lt;TAG 567&gt;general&lt;/TAG&gt;, and cultural diversity in particular, are scattered and it is hard to find a common line of agreement among the earlier writers. In one stream, there are writers arguing that a &lt;TAG 573&gt;culturally&lt;/TAG&gt; mixed &lt;TAG 574&gt;work&lt;/TAG&gt; force holds a potential competitive advantage for &lt;TAG 576&gt;organizations&lt;/TAG&gt; (Cox and Blake, 1991; Mandrell and Kohler-Gray, 1990). In another stream are the &lt;TAG 577&gt;writers&lt;/TAG&gt; who stress that similarity helps to &lt;TAG 579&gt;develop&lt;/TAG&gt; cohesion which, in turn, is related to the success of a group. There are some other authors whose &lt;TAG 585&gt;position&lt;/TAG&gt; lies in the middle of these streams (Adler, 1991).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;H1 style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;International HRM&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/H1&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="COLOR: #333333"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;As an increasing number of &lt;TAG 588&gt;organizations&lt;/TAG&gt; seek to &lt;TAG 589&gt;operate&lt;/TAG&gt; in foreign markets, it is vital that &lt;TAG 591&gt;management&lt;/TAG&gt; practitioners &lt;TAG 592&gt;develop&lt;/TAG&gt; a better &lt;TAG 593&gt;understanding&lt;/TAG&gt; of, and sensitivity to, the impact of &lt;TAG 596&gt;different&lt;/TAG&gt; national settings on &lt;TAG 598&gt;the management&lt;/TAG&gt; task. In the field of cross-cultural management/organization, scholars have sought to assist practitioners in achieving this by conducting &lt;TAG 601&gt;research&lt;/TAG&gt; that has generally been guided by two key questions: (1) what is &lt;TAG 603&gt;general&lt;/TAG&gt; and universal in &lt;TAG 604&gt;the management&lt;/TAG&gt; of &lt;TAG 605&gt;organizations&lt;/TAG&gt;; and (2) what is peculiar or specific to one &lt;TAG 606&gt;nation&lt;/TAG&gt; or culture?  &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;To date, there have been a series of review articles of the cross-cultural management/organization literature that have given a detailed picture of the nature of &lt;TAG 613&gt;the research&lt;/TAG&gt; undertaken to answer these two questions. In addressing these issues, &lt;TAG 616&gt;researchers&lt;/TAG&gt; have described the conceptual, theoretical, and methodological problems encountered and the solutions proposed. However, no equivalent review exists of the &lt;TAG 620&gt;literature&lt;/TAG&gt; concerning comparative and international HRM. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Rapid changes in &lt;TAG 623&gt;forces&lt;/TAG&gt; affecting the global &lt;TAG 624&gt;workforce&lt;/TAG&gt;, &lt;TAG 625&gt;differences&lt;/TAG&gt; between countries related to labor-management relations, and increases in the incidence of multinational corporate (MNC) activity have resulted in significant attention to &lt;TAG 633&gt;international&lt;/TAG&gt; human resources management (Overman, 1994). Not only are labor relations affected by domestic &lt;TAG 636&gt;change&lt;/TAG&gt;, but also &lt;TAG 637&gt;the impact&lt;/TAG&gt; of global production has added another complex &lt;TAG 639&gt;dimension&lt;/TAG&gt; for those firms choosing to compete internationally. Innovative global competitors, such as BSN &lt;TAG 644&gt;Group&lt;/TAG&gt;, have &lt;TAG 645&gt;developed&lt;/TAG&gt; approaches for effective labor-management &lt;TAG 646&gt;relations&lt;/TAG&gt; at  &lt;TAG 647&gt;the international&lt;/TAG&gt; level. However, even innovators continue to have concerns over loss of managerial flexibility and authority (&lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;Campbell&lt;/st1:place&gt;&lt;/st1:City&gt;, 1989). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;TAG 653&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;International&lt;/TAG&gt; labor &lt;TAG 654&gt;relations&lt;/TAG&gt; is concerned with all aspects of the employment relationship in a global &lt;TAG 658&gt;context&lt;/TAG&gt; (&lt;st1:place w:st="on"&gt;Poole&lt;/st1:place&gt;, 1986). In every industrialized &lt;TAG 659&gt;nation&lt;/TAG&gt; there are three labor relations "actors" with varying levels of common interests: employers and &lt;TAG 665&gt;managers&lt;/TAG&gt;; workers and their unions; and the government (Dunlop, 1958). Recently, international joint ventures have begun to replace the wholly owned subsidiary as the most widespread form of &lt;TAG 672&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;U.S.&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; multinational investment (Shenkar &amp;amp; Zeira, 1987). These joint ventures demand heightened &lt;TAG  675&gt;attention&lt;/TAG&gt; to &lt;TAG 676&gt;labor&lt;/TAG&gt; relations since the constituent owners of the joint venture may have significantly &lt;TAG 679&gt;different&lt;/TAG&gt; prior &lt;TAG 680&gt;experiences&lt;/TAG&gt; with &lt;TAG 681&gt;labor&lt;/TAG&gt; relations in their home countries. The relative lack of familiarity of MNC managers with local industrial and political conditions have oftentimes needlessly worsened conflicts that a local firm could have resolved because of its familiarity with the host country and its &lt;TAG 691&gt;labor&lt;/TAG&gt; sector (Prahalad &amp;amp; Doz, 1987).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Since &lt;TAG 692&gt;labor&lt;/TAG&gt; relations vary greatly from &lt;TAG 693&gt;country&lt;/TAG&gt; to &lt;TAG 694&gt;country&lt;/TAG&gt;, MNC managers find &lt;TAG 696&gt;the human resource&lt;/TAG&gt; approach, or &lt;TAG 697&gt;strategy&lt;/TAG&gt;, &lt;TAG 698&gt;used&lt;/TAG&gt; in one &lt;TAG 699&gt;country&lt;/TAG&gt; to be ineffective or of limited &lt;TAG 700&gt;value&lt;/TAG&gt; in another &lt;TAG 701&gt;country&lt;/TAG&gt; (Prahalad &amp;amp; Doz, 1987; Bean, 1987). However, &lt;TAG 703&gt;labor&lt;/TAG&gt; relations are &lt;TAG 704&gt;important&lt;/TAG&gt; because they directly determine labor costs, productivity, and ultimately, &lt;TAG 708&gt;profits&lt;/TAG&gt;. If &lt;TAG 709&gt;labor&lt;/TAG&gt; and &lt;TAG 710&gt;management&lt;/TAG&gt; do not have good &lt;TAG 711&gt;relations&lt;/TAG&gt;, the cost of doing &lt;TAG 713&gt;business&lt;/TAG&gt; will be higher than otherwise (Hodgetts &amp;amp; Luthans, 1997). Therefore, given  the rapidly &lt;TAG 714&gt;changing&lt;/TAG&gt; global marketplace and &lt;TAG 716&gt;the differences&lt;/TAG&gt; between the expectations of &lt;TAG 718&gt;organized&lt;/TAG&gt; labor and &lt;TAG 719&gt;management&lt;/TAG&gt; of &lt;TAG 720&gt;MNCs&lt;/TAG&gt;, &lt;TAG 721&gt;the management&lt;/TAG&gt; of &lt;TAG 722&gt;international&lt;/TAG&gt; labor &lt;TAG 723&gt;relations&lt;/TAG&gt; will be a &lt;TAG 724&gt;major&lt;/TAG&gt; challenge &lt;TAG 725&gt;facing&lt;/TAG&gt; MNC &lt;TAG 726&gt;managers&lt;/TAG&gt; in the 21st century (Williams, 1994).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;The &lt;TAG 728&gt;extent&lt;/TAG&gt; to which the &lt;TAG 729&gt;practices&lt;/TAG&gt; and &lt;TAG 730&gt;processes&lt;/TAG&gt; of human resource management (HRM) &lt;TAG 732&gt;can&lt;/TAG&gt; be transferred from one &lt;TAG 733&gt;country&lt;/TAG&gt; to another has been the subject of considerable debate. This question is of special interest to multinational corporations (MNCs) when they seek to establish HRM processes spanning &lt;TAG 740&gt;different&lt;/TAG&gt; cultures and &lt;TAG 741&gt;countries&lt;/TAG&gt; (Adler, 1991; Schuler et al., 1993). It is &lt;TAG 743&gt;a question&lt;/TAG&gt; that has also aroused considerable &lt;TAG 744&gt;interest&lt;/TAG&gt; among those &lt;TAG 745&gt;researching&lt;/TAG&gt; HRM &lt;TAG 746&gt;practices&lt;/TAG&gt; at &lt;TAG 747&gt;MNC&lt;/TAG&gt; subsidiaries (e.g., Beechler and Yang, 1994; Hannon et al., 1995; Rosenzweig and Nohria,  1994).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Furthermore, There is an increasing demand for extensive, reliable, and &lt;TAG 750&gt;informative&lt;/TAG&gt; research into comparative and international HRM and this has made business organizations and government research funding &lt;TAG 754&gt;bodies&lt;/TAG&gt; more willing to fund &lt;TAG 755&gt;research&lt;/TAG&gt; in the &lt;TAG 756&gt;area&lt;/TAG&gt;. Moreover, both state bodies and business organizations have become more amenable to comparative/international HRM researchers, perceiving that there are now considerable benefits to granting them greater &lt;TAG 761&gt;levels&lt;/TAG&gt; of access and cooperation than they might hitherto have deemed acceptable. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;At a deeper &lt;TAG 764&gt;level&lt;/TAG&gt;, an increasing awareness of &lt;TAG 766&gt;the importance&lt;/TAG&gt; of &lt;TAG 767&gt;HRM&lt;/TAG&gt; in &lt;TAG 768&gt;the international&lt;/TAG&gt; business arena has seen a growth in two distinct strands of &lt;TAG 771&gt;literature&lt;/TAG&gt;. First, there is a growing body of &lt;TAG 774&gt;work&lt;/TAG&gt; that seeks to &lt;TAG 775&gt;determine&lt;/TAG&gt; practical implications for &lt;TAG 777&gt;managers&lt;/TAG&gt;. This type of &lt;TAG 779&gt;work&lt;/TAG&gt; focuses on &lt;TAG 780&gt;functional&lt;/TAG&gt; activities where they &lt;TAG 781&gt;relate&lt;/TAG&gt; to &lt;TAG 782&gt;the management&lt;/TAG&gt; of &lt;TAG 783&gt;employees&lt;/TAG&gt; in multinational &lt;TAG 784&gt;organizations&lt;/TAG&gt; (Bae et al., 1998; Brewster, 1993; Gertsen, 1990; Harish et al., 1998; Martin and Beaumont, 1998; Tung, 1990; Tung and Miller, 1990). It is of considerable  &lt;TAG 787&gt;value&lt;/TAG&gt; because it continues to push the boundaries of our knowledge and understanding of comparative and &lt;TAG 790&gt;international HRM&lt;/TAG&gt; forward in a meaningful, though technocratic, &lt;TAG 791&gt;sense&lt;/TAG&gt;. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Second, there has also been growing recognition that, although a focus on HRM-specific &lt;TAG 795&gt;activities&lt;/TAG&gt; in multinational firms is of considerable &lt;TAG 797&gt;importance&lt;/TAG&gt;, this does little to extend the conceptual/theoretical boundaries of &lt;TAG 799&gt;HRM&lt;/TAG&gt; (Ferner, 1994; Kochan et al., 1992). Consequently, a whole series of &lt;TAG 801&gt;studies&lt;/TAG&gt; have sought to provide new models, theories, and alternative understandings of, &lt;TAG 805&gt;for example&lt;/TAG&gt;, the linkages between business strategy and comparative/international &lt;TAG 808&gt;HRM&lt;/TAG&gt; (Festing, 1997; Kamoche, 1996; 1997; Kobrin, 1992; Millman et al., 1991; Schuler et al., 1993; Taylor et al., 1996), &lt;TAG 810&gt;problems&lt;/TAG&gt; of &lt;TAG 811&gt;control&lt;/TAG&gt; and autonomy in &lt;TAG 813&gt;the management&lt;/TAG&gt; decision-making &lt;TAG  814&gt;process&lt;/TAG&gt; that underlies &lt;TAG 815&gt;international HRM&lt;/TAG&gt; (Edwards et al., 1993), comparative &lt;TAG 816&gt;HRM&lt;/TAG&gt; research (Boxall, 1995; Chiu and Bu, 1990; Harzing and van Ruysseveldt, 1995; Teagarden et al., 1995), and &lt;TAG 818&gt;the role&lt;/TAG&gt; of ethnographic, case study material in &lt;TAG 821&gt;researching&lt;/TAG&gt; international &lt;TAG 822&gt;HRM&lt;/TAG&gt; (Ferner, 1997). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Altogether, to suggest that &lt;TAG 823&gt;research&lt;/TAG&gt; in comparative and &lt;TAG 824&gt;international HRM&lt;/TAG&gt; has failed to progress and adds little to our &lt;TAG 826&gt;understanding&lt;/TAG&gt; of this &lt;TAG 827&gt;key&lt;/TAG&gt; facet of &lt;TAG 828&gt;management&lt;/TAG&gt; is to deny the recent &lt;TAG 829&gt;growth&lt;/TAG&gt; of &lt;TAG 830&gt;research&lt;/TAG&gt; activity in the &lt;TAG 831&gt;field&lt;/TAG&gt; and the significant advances in knowledge made by the &lt;TAG 834&gt;resulting&lt;/TAG&gt; literature. Indeed, and as Scullion (1995, p. 377) noted, "it &lt;TAG 835&gt;can&lt;/TAG&gt; be argued that considerable progress has been made, given the relatively recent &lt;TAG 837&gt;emergence&lt;/TAG&gt; of the discipline." Accordingly, we would contend that the "marginal" tag is no longer tenable. As the articles in &lt;TAG 840&gt;this issue&lt;/TAG&gt;  indicate, &lt;TAG 841&gt;research&lt;/TAG&gt; in this &lt;TAG 842&gt;area&lt;/TAG&gt; has become a legitimate and valuable &lt;TAG 843&gt;field&lt;/TAG&gt; of inquiry. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;Considering the above features of an &lt;TAG 846&gt;international&lt;/TAG&gt; organization, it is &lt;TAG 847&gt;important&lt;/TAG&gt; to have an effective &lt;TAG 848&gt;people&lt;/TAG&gt; management within &lt;TAG 849&gt;the organization&lt;/TAG&gt;. However, it is &lt;TAG 850&gt;important&lt;/TAG&gt; first to consider the &lt;TAG 851&gt;culture&lt;/TAG&gt; of &lt;TAG 852&gt;an organization&lt;/TAG&gt;. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;H6&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/H6&gt; &lt;H6&gt;&lt;EM&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Leadership&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/EM&gt;&lt;/H6&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;TAG 853&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;Leadership&lt;/TAG&gt; is &lt;TAG 854&gt;a key&lt;/TAG&gt; issue in &lt;TAG 855&gt;the development&lt;/TAG&gt; of &lt;TAG 856&gt;groups&lt;/TAG&gt;, &lt;TAG 857&gt;organizations and&lt;/TAG&gt; nations. &lt;TAG 858&gt;The study&lt;/TAG&gt; of &lt;TAG 859&gt;leadership&lt;/TAG&gt; plays a crucial role in the &lt;TAG 861&gt;behavioral&lt;/TAG&gt; and &lt;TAG 862&gt;management&lt;/TAG&gt; sciences. &lt;/FONT&gt;&lt;/SPAN&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;It is generally accepted that good &lt;TAG 863&gt;leadership&lt;/TAG&gt; is essential to the &lt;TAG 864&gt;functioning&lt;/TAG&gt; of &lt;TAG 865&gt;an organization&lt;/TAG&gt;. It may be &lt;TAG 866&gt;useful&lt;/TAG&gt; to think of the &lt;TAG 867&gt;leadership&lt;/TAG&gt; process as the interaction between &lt;TAG 869&gt;the situation&lt;/TAG&gt;, the leader, and the followers. &lt;TAG 872&gt;Leadership&lt;/TAG&gt; is  a &lt;TAG 873&gt;behavior&lt;/TAG&gt; so it is defined as a &lt;TAG 874&gt;function&lt;/TAG&gt; of the &lt;TAG 875&gt;leader&lt;/TAG&gt;'s personality (Ratzburg, 2001). &lt;/SPAN&gt;&lt;SPAN style="COLOR: black"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;If the &lt;TAG 877&gt;leader&lt;/TAG&gt;'s skills, and motivations to fulfill certain felt &lt;TAG 880&gt;needs&lt;/TAG&gt;, are combined with his or her personality, then these factors contribute to &lt;TAG 883&gt;leader&lt;/TAG&gt; behavior.&lt;/SPAN&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt; Theoretical &lt;TAG 884&gt;work&lt;/TAG&gt; on &lt;TAG 885&gt;leadership&lt;/TAG&gt; was &lt;TAG 886&gt;developed&lt;/TAG&gt; throughout the century, starting with `trait theory', through to &lt;TAG 890&gt;theories&lt;/TAG&gt; which &lt;TAG 891&gt;focus on&lt;/TAG&gt; the way leaders &lt;TAG 893&gt;use and&lt;/TAG&gt; exploit power, &lt;TAG 895&gt;theories&lt;/TAG&gt; which explore &lt;TAG 896&gt;behavioral&lt;/TAG&gt; approaches, &lt;TAG 897&gt;others&lt;/TAG&gt; which look at contingencies, and finally those which consider &lt;TAG 899&gt;situational&lt;/TAG&gt; aspects. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;TAG 900&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;Leaders&lt;/TAG&gt; in a culturally diverse organization must not be biased towards a particular &lt;TAG 902&gt;culture&lt;/TAG&gt;. It is &lt;TAG 903&gt;important&lt;/TAG&gt; that the &lt;TAG 904&gt;leader&lt;/TAG&gt; avoids racism and &lt;TAG 906&gt;other&lt;/TAG&gt; acts that offend his/her &lt;TAG 907&gt;employees&lt;/TAG&gt;. Further, a &lt;TAG 908&gt;leader&lt;/TAG&gt; in this kind of environment must be sensitive to the &lt;TAG 912&gt;needs&lt;/TAG&gt; unique to a specific &lt;TAG 913&gt;employee&lt;/TAG&gt;. &lt;/FONT&gt;&lt;/SPAN&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;H5 style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/H5&gt; &lt;H5 style="MARGIN: 0in 0in 0pt"&gt;&lt;EM&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Motivation and Empowerment&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/EM&gt;&lt;/H5&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;In managing people in a &lt;TAG 915&gt;culturally diverse&lt;/TAG&gt; organization, as in any &lt;TAG 916&gt;organization&lt;/TAG&gt;, &lt;TAG 917&gt;the manager&lt;/TAG&gt; must first satisfy the &lt;TAG 919&gt;needs&lt;/TAG&gt; of &lt;TAG 920&gt;the employees&lt;/TAG&gt;. Motivational theories dealing with the &lt;TAG 922&gt;needs&lt;/TAG&gt; of &lt;TAG 923&gt;employees&lt;/TAG&gt; fall under the &lt;TAG 924&gt;general&lt;/TAG&gt; rubric of &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;Content Theories of &lt;TAG 926&gt;Motivation&lt;/TAG&gt; (Ratzburg, 2001)&lt;/SPAN&gt;&lt;/STRONG&gt;. Content theories state that &lt;TAG 928&gt;employees&lt;/TAG&gt;' &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;&lt;TAG 929&gt;behaviors&lt;/TAG&gt;&lt;/SPAN&gt;&lt;/STRONG&gt; are &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;a&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;STRONG&gt;&lt;SPAN  style="FONT-FAMILY: Arial"&gt; &lt;/SPAN&gt;&lt;/STRONG&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;&lt;TAG 930&gt;function&lt;/TAG&gt; of&lt;/SPAN&gt;&lt;/STRONG&gt; the workers' abilities to satisfy their &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;felt &lt;TAG 933&gt;needs&lt;/TAG&gt;&lt;/SPAN&gt;&lt;/STRONG&gt; at the &lt;TAG 934&gt;workplace&lt;/TAG&gt;. A basic &lt;TAG 935&gt;assumption&lt;/TAG&gt; of all &lt;TAG 936&gt;need&lt;/TAG&gt; theories is that, when &lt;TAG 937&gt;need&lt;/TAG&gt; deficiencies exist, &lt;TAG 938&gt;individuals&lt;/TAG&gt; are motivated into &lt;TAG 939&gt;action&lt;/TAG&gt; in order to satisfy them. The best known of the &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;&lt;TAG 941&gt;Content Theories&lt;/TAG&gt;&lt;/SPAN&gt;&lt;/STRONG&gt; of &lt;TAG 942&gt;Motivation&lt;/TAG&gt; is &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;Maslow's Hierarchy of &lt;TAG 945&gt;Needs&lt;/TAG&gt;&lt;/SPAN&gt;&lt;/STRONG&gt;. This is based on the &lt;TAG 946&gt;assumption&lt;/TAG&gt; that &lt;TAG 947&gt;people&lt;/TAG&gt; are motivated by physiological, safety, social, ego and esteem,  and self-actualization &lt;TAG 950&gt;needs&lt;/TAG&gt;. These &lt;TAG 951&gt;needs&lt;/TAG&gt; are ranked, according to the order in which they &lt;TAG 953&gt;influence&lt;/TAG&gt; human &lt;TAG 954&gt;behavior&lt;/TAG&gt;, in hierarchical fashion.&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/P&gt;&lt;PRE style="LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN class=proddesc1&gt;&lt;SPAN style="COLOR: #333333"&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN class=proddesc1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Empowerment is a technique for improving employee satisfaction, which is being undertaken by many &lt;TAG 959&gt;organizations&lt;/TAG&gt;. It involves &lt;TAG 960&gt;responsibility&lt;/TAG&gt; and &lt;TAG 961&gt;authority&lt;/TAG&gt; for &lt;TAG 962&gt;decisions&lt;/TAG&gt; affecting the &lt;TAG 963&gt;workplace&lt;/TAG&gt;, downward through &lt;TAG 964&gt;the organization&lt;/TAG&gt;. In an &lt;TAG 965&gt;international&lt;/TAG&gt; organization, &lt;TAG 966&gt;employees&lt;/TAG&gt; need to be  equally empowered. This empowerment results to an increased competence, self-esteem and self-respect, which are very &lt;TAG 970&gt;important&lt;/TAG&gt; to one's well being.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN style="COLOR: black"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/PRE&gt;&lt;PRE style="LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: black"&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;Moreover, &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;creating an &lt;TAG 972&gt;environment&lt;/TAG&gt; in the &lt;TAG 973&gt;workplace&lt;/TAG&gt; that &lt;TAG 974&gt;results&lt;/TAG&gt; in &lt;TAG 975&gt;employees&lt;/TAG&gt; feeling better about themselves when they are in it &lt;TAG 976&gt;results&lt;/TAG&gt; in love of their &lt;TAG 978&gt;work&lt;/TAG&gt;. A work environment that constantly raises an &lt;TAG 980&gt;employee&lt;/TAG&gt;'s self-esteem, above that  she/he &lt;TAG 982&gt;experiences&lt;/TAG&gt; anywhere else in their life, will be where she/he most desires to spend their &lt;TAG 985&gt;time&lt;/TAG&gt; and yields very &lt;TAG 987&gt;high&lt;/TAG&gt; employee satisfaction with their job and &lt;TAG 990&gt;costs&lt;/TAG&gt; next to nothing. &lt;TAG 991&gt;People&lt;/TAG&gt; do more of what they enjoy and less of what they don't enjoy. &lt;TAG 992&gt;The results&lt;/TAG&gt; also show that &lt;TAG 993&gt;people&lt;/TAG&gt; who enjoy &lt;TAG 994&gt;working&lt;/TAG&gt; are more &lt;TAG 995&gt;productive&lt;/TAG&gt;. &lt;/SPAN&gt;&lt;/STRONG&gt;&lt;/SPAN&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/PRE&gt;&lt;PRE style="LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Creating such a work environment is the &lt;TAG  997&gt;responsibility&lt;/TAG&gt; of all &lt;TAG 998&gt;corporate&lt;/TAG&gt; or organizational leadership. There are no schools that teach how to create such an &lt;TAG 1001&gt;environment&lt;/TAG&gt; and very, very few training programs that &lt;TAG 1003&gt;result&lt;/TAG&gt; in the &lt;TAG 1004&gt;behaviors&lt;/TAG&gt; necessary to do so. While a very small number of &lt;TAG 1006&gt;managers&lt;/TAG&gt; of &lt;TAG 1007&gt;people&lt;/TAG&gt; have found and refined the skills that produce such a &lt;TAG 1010&gt;high&lt;/TAG&gt; satisfaction &lt;TAG 1011&gt;environment&lt;/TAG&gt;, these are &lt;TAG 1012&gt;skills&lt;/TAG&gt; that anyone &lt;TAG 1013&gt;can&lt;/TAG&gt; learn and master through conscientious and consistent &lt;TAG 1015&gt;practice&lt;/TAG&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;/PRE&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;TAG 1016&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;Empowerment&lt;/TAG&gt; refers to &lt;TAG 1017&gt;the process&lt;/TAG&gt; of gaining &lt;TAG 1018&gt;influence&lt;/TAG&gt; over events and outcomes of &lt;TAG 1021&gt;importance&lt;/TAG&gt; to an &lt;TAG 1022&gt;individual&lt;/TAG&gt; or &lt;TAG 1023&gt;group&lt;/TAG&gt; (Fawcett et al. 1994). This definition recognizes the primary purpose for adopting this construct: &lt;TAG 1026&gt;enhancing&lt;/TAG&gt; people's &lt;TAG 1027&gt;control&lt;/TAG&gt; over their lives (Rappaport, 1981). It recognizes that &lt;TAG 1029&gt;empowerment&lt;/TAG&gt; endeavors should consider those domains important to a particular &lt;TAG 1031&gt;individual&lt;/TAG&gt; or &lt;TAG 1032&gt;group&lt;/TAG&gt; and facilitate a &lt;TAG 1033&gt;process&lt;/TAG&gt; that eventually leads to realized &lt;TAG 1034&gt;control&lt;/TAG&gt; and &lt;TAG 1035&gt;influence&lt;/TAG&gt; in those domains (Rapapaport, 1981). &lt;/FONT&gt;&lt;/SPAN&gt;&lt;FONT  face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Some &lt;TAG 1037&gt;organizations&lt;/TAG&gt; ignored the person-environment interaction and the critical role that both &lt;TAG 1040&gt;individuals&lt;/TAG&gt; and contextual characteristics &lt;TAG 1041&gt;play&lt;/TAG&gt; in the &lt;TAG 1042&gt;empowerment&lt;/TAG&gt; process, which &lt;TAG 1043&gt;result&lt;/TAG&gt; in risking the implementation of ill-fated &lt;TAG 1045&gt;empowerment&lt;/TAG&gt; initiatives. &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;When assessing the interaction between &lt;TAG 1047&gt;culture and&lt;/TAG&gt; empowerment, it seems &lt;TAG 1048&gt;useful&lt;/TAG&gt; to identify and &lt;TAG 1049&gt;understand&lt;/TAG&gt; those subcultures that might engender a &lt;TAG 1050&gt;work environment&lt;/TAG&gt; more or less empowering than the larger organizational system (Wilkins &amp;amp; Dyer, 1988)&lt;B style="mso-bidi-font-weight: normal"&gt;. &lt;/B&gt;By seeking these &lt;TAG 1052&gt;diverse&lt;/TAG&gt; subcultures, we &lt;TAG 1053&gt;can&lt;/TAG&gt; potentially elicit the unanticipated opportunities for &lt;TAG 1055&gt;empowerment&lt;/TAG&gt; present within a potentially disempowering, larger organizational &lt;TAG 1056&gt;context&lt;/TAG&gt;. &lt;/SPAN&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/P&gt;&lt;PRE style="LINE-HEIGHT: 200%; TEXT-ALIGN:  justify"&gt;&lt;FONT face="arial, helvetica, sans-serif"&gt;&lt;FONT size=3&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; COLOR: black; FONT-FAMILY: 'Courier New'"&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; COLOR: black; FONT-FAMILY: Arial"&gt;Aside from &lt;TAG 1057&gt;motivating&lt;/TAG&gt; and empowering their &lt;TAG 1058&gt;employees&lt;/TAG&gt;, &lt;TAG 1059&gt;managers&lt;/TAG&gt; should enable them to &lt;TAG 1060&gt;develop&lt;/TAG&gt; their self-management capabilities. &lt;/SPAN&gt;&lt;/STRONG&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Developmental&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;feedback seeking is the &lt;TAG 1064&gt;extent&lt;/TAG&gt; to which one seeks feedback on performance and &lt;TAG 1066&gt;development&lt;/TAG&gt; needs. &lt;TAG 1067&gt;Individuals&lt;/TAG&gt; need to &lt;TAG 1068&gt;understand&lt;/TAG&gt; themselves, their strengths and weaknesses, developmental needs, and performance in their current &lt;TAG 1072&gt;environment&lt;/TAG&gt;.  &lt;/SPAN&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; COLOR: black; FONT-FAMILY: Arial"&gt;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&amp;nbsp;&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/PRE&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;o:p&gt;&lt;FONT face="arial, helvetica, sans-serif" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/P&gt;&lt;/DIV&gt;&lt;/div&gt;&lt;br&gt;        &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-2538343263833795357?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/2538343263833795357/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=2538343263833795357' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/2538343263833795357'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/2538343263833795357'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2008/10/review-of-related-literature-on-human_01.html' title='Review of Related Literature on the Human Resource Function'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-3037881551986871764</id><published>2008-10-01T11:33:00.001+08:00</published><updated>2008-10-01T11:33:08.104+08:00</updated><title type='text'>Sample Literature Review on Advocating Knowledge Management</title><content type='html'>&lt;div style="font-family:arial, helvetica, sans-serif;font-size:10pt"&gt;&lt;DIV&gt; &lt;H2 style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center&gt;&lt;SPAN style="FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: Arial"&gt;Chapter 2&lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/H2&gt; &lt;H2 style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center&gt;&lt;SPAN style="FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: Arial"&gt;REVIEW OF RELATED LITERATURE&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/H2&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;This part of the study shall discuss the aspects of Knowledge management and its role as an integral factor in the success of an organization. The discussions on this portion of the study are based on studies and articles inclined on advocating KM.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;B&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Knowledge Management (KM)&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Knowledge management is a discipline best described as a continuing process that focuses on the creation of business performance improvements--centered on people and not technology. (Han, 2001) While technology enhances the feasibility of transferring knowledge between people, knowledge management includes creating and sharing knowledge as an organizational asset to drive the business. Moreover, The value proposition of knowledge management states that there are fundamental business reasons and expected benefits for pursuing this process approach. There are gains the organization can achieve by using knowledge management to measure results, such as creating an Intranet and knowledge repositories.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Furthermore, t&lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;/SPAN&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;he concept of knowledge management concerns the creation of structures that combine the most advanced elements of technological resources and the indispensable input of human response and decision-making (Raisinghani, 2000). The notion of knowledge management is nothing new. Corporations have always had some process to synthesize their experience and integrate it with knowledge acquired from outside sources (Sarvary, 1999). However, not until recently have scholars and practitioners alike become increasingly attracted to the science of applied knowledge within organizations. This movement is unique in combining information technology  theory with pioneering work on models of learning organizations (Senge, 1994).&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;FONT size=3&gt;On the other hand, Parikh (2001) posits that data are merely raw facts collected from business transactions and activities, and that data must be structured into a meaningful, composite model to become information. Once information is created from such constitution of pure data sets, it is able to filtered through a relative model of understanding. Thus, knowledge is created only as information is interpreted and evaluated from a contextual mental model. Because individuals and companies as wholes have different mental models (Senge, 1994), the knowledge gleaned from the same compilation of information can differ greatly, not only in quality but also in applicability. Knowledge management thus differs  from information management because the former implies a persistent, intentional effort of extracting from available information what is critical for business success, while the latter is more concerned with making critical information available in a timely and consistent manner to end-users within the organizational structure. Knowledge management is therefore the creative mining of information from diverse sources with the purpose of business opportunities in mind. As a firm works diligently toward perusing its information assets through the multitude of perceptual filters available, high-impact, matchless gems are unearthed, which have the potential to substantially affect the bottom-line.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;FONT size=3&gt;The distinction between tacit and explicit knowledge is critical to understanding the working mechanisms of knowledge management. Lubit (2001) observes that explicit knowledge is codified and stored in the "organizational memory" and is available to employees throughout the structure. Conversely, tacit knowledge is personal knowledge possessed by an employee that may be difficult to express or communicate to others. Because a population of employees possesses a theoretically infinite number of mental models, or ways of perceiving information, tacit knowledge is often individualized and highly specific in scope. Lubit (2001) argues that it is this knowledge that is often difficult to disseminate to others  in the context of the workplace, but it is also invaluable to propagate because it is a unique asset that is very hard to copy by other firms. Hence, given this premise, it can be logically understood that tacit knowledge can form the basis for competitive advantage, but to do so it must become manifest in the real world and utilized to actualize the strategic agendas of the organization. Ideally, a firm can better manage its intellectual capital base by uncovering the tacit knowledge of its employees and turning that into explicit knowledge, available to others (Erickson &amp;amp; Rothberg, 2000). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;FONT size=3&gt;Moreover, Stonehouse et al. (2001) noted that the concept of knowledge management has evolved from research on organizational learning. They argue that it is simply the next phase of an evolutionary process of strategic frameworks that seek to explain how an organization may generate superior performance relative to the competitors in its market. Earlier approaches centred on the competitive position of an organization within its industry. Subsequent attention was focused on the creative mastery of an organization's core competencies to achieve competitive advantage. Currently, the concentration is firmly upon effectively "working" knowledge to produce the fruits of fiscal gain, as reflected in the  company's financial statements and stock price. Concurrently, Senge (1994) contends that the only construct within grasp of an organization, which will produce lasting, sustainable advantage, is the usable knowledge produced from purposeful, well-orchestrated learning by all employees within the firm. This collaborative effort toward an openness to learning and new ideas creates a culture of excitement and creativity, which forms the basis for the organization as a learning organism synergistically created by the steadfast efforts of individual employees committed to this underlying philosophy. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;FONT size=3&gt;Most investigation into knowledge management has been concerned with capturing the knowledge embedded inside of the heads of individual employees (Nidumolu et al., 2001). This "within" approach is certainly a substantial place to begin the challenge of developing a thriving knowledge base, but appears to be less than holistic in its efforts. The vast expanse of knowledge outside the traditional boundaries of the company may prove just as useful (Gold et al., 2001). Nevertheless, the challenge of capturing functional knowledge in the midst of overwhelming information availability remains elusive (&lt;?xml:namespace prefix = u1 /&gt;&lt;u1:place st="on"&gt;&lt;?xml:namespace prefix = st1 ns =  "urn:schemas-microsoft-com:office:smarttags" /&gt;&lt;st1:place w:st="on"&gt;Oder&lt;/u1:place&gt;&lt;/FONT&gt;&lt;/st1:place&gt;&lt;FONT size=3&gt;, 2001). If a company is bathed in the true spirit of learning (Senge, 1994), it will develop structures and processes which create a balanced and complementary effort toward combining knowledge acquisition from inside and outside of the firm.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Knowledge Management as a Strategic Tool&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;SPAN style="mso-bidi-: EN-CAfont-size:12"&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;/SPAN&gt;&lt;FONT size=3&gt;&lt;FONT face="Times New Roman"&gt;&lt;SPAN style="mso-bidi-: EN-CAfont-size:12"&gt;The fundamental objective of any corporate Knowledge Management program is to support the achievement of strategic business objectives. In other words, the "starting-point" for KM is to understand what the organization's business objectives are.&lt;/SPAN&gt; (Hauschild et al, 2001) Many KM projects fail because they are treated as technology-projects. In order to be successful, KM must not be an end in itself, but must be a strong enabler to achieving real business results. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Moreover, consequent to understanding the basic strategic objectives, the next step is to identify key drivers including Knowledge Capabilities that are vital to achieve these business objectives. (Hauschild et al, 2001) This is followed by a Knowledge Inventory. This is characterized by an identification of what knowledge capabilities currently exist - and where or with whom. At this stage, a Knowledge Map may be prepared. This is described as a graphical representation of the business objectives, critical knowledge capabilities to achieve them and where or with whom they reside in the organization. The Knowledge Inventory and Knowledge Map enable identification of the organization's Knowledge Assets and where &amp;amp; how they can be accessed, Knowledge  Gaps and definition of strategies &amp;amp; initiatives to bridge the gaps, which could include the implementation of appropriate IT tools to support knowledge-sharing &amp;amp; collaboration both within the enterprise and in the extended enterprise - including customers, partners and suppliers - to help the organization make better decisions. Another is the formation of communities of practice by experts in each of the critical knowledge-capabilities identified earlier. In addition to that is the sharing of relevant best practices, case studies, lessons-learned, etc. from both internal &amp;amp; external sources.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Effective KM will enable the organization to become nimble and make well-informed business decisions. A key-objective of KM is to ensure that the right knowledge is available with the right person at the right time in a "consistent and systematic" manner to enable timely decision-making. (Hauschild et al, 2001) An organization's Knowledge Map must be a living organism that is updated continuously as Knowledge Gaps are filled, new Subject Matter Experts are identified or new Knowledge Capabilities are defined.&lt;SPAN style="mso-bidi-: EN-CAfont-size:12"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;B&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;/SPAN&gt;&lt;o:p&gt;&lt;FONT face="Times New Roman" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;B&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Critical Success Factors of Knowledge Management&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;This part of the chapter shall be taking into account the aspects that consequently lead to the success of a KM program. One of these factors is technology. &lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;/SPAN&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;KM technology solutions provide functionality to support knowledge sharing, collaboration, workflow, document-management, to mention a few, across the enterprise and beyond into the extended enterprise. (Hahiran, 2002) These tools typically provide a secure central space where employees, customers, partners &amp;amp; suppliers can exchange information, share knowledge and guide each other and the organization to better decisions. The most popular form of KM technology facilitation is the  knowledge-portal on the corporate intranet and extranets where customers, partners and/or suppliers are involved. Common technologies used for knowledge portals include standard Microsoft technologies or Lotus Notes databases. There are also vendors that provide specialized tools for collaboration, indexing &amp;amp; retrieval of content, Decision Support / Business Intelligence, Document-Management, just to mention a few. A company must choose a technology option that meets its KM objectives &amp;amp; investment plan. While technology is a key enabler to KM, it is important to ensure that the technology solution does not take the focus away from business issues and is user-friendly and simple to use. Many companies have made the mistake of expending a disproportionately high portion of their KM effort &amp;amp; resources on technology - at the cost of people-involvement or strategic commitment - resulting in zero or very limited business results. It is also  important to remember that users of the KM system are subject-matter experts in their respective areas of specialization and not necessarily IT experts.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Another success factor is the KM processes. These include standard processes for knowledge-contribution, content management such as accepting content, maintaining quality, keeping content current, deleting or archiving content that is obsolete; retrieval, membership on communities of practice, implementation-projects based on knowledge-reuse, methodology &amp;amp; standard formats to document best-practices &amp;amp; case studies, etc. It is important for processes to be as clear &amp;amp; simple as possible and well understood by employees across the organization. (Hahiran, 2002)&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Furthermore, the biggest challenge in KM is to ensure participation by employees and other members of the extended organization in the knowledge sharing, collaboration and re-use to achieve business results. In many organizations, this requires changing traditional mindsets &amp;amp; organizational culture from "knowledge-hoarding" to "knowledge-sharing" and creating an atmosphere of trust. This is achieved through a combination of motivation/recognition &amp;amp; rewards, re-alignment of performance appraisal systems, and other measurement systems. (Hahiran, 2002) A key to success in Knowledge Management is to provide people visibility, recognition and credit as "experts" in their respective areas of specialization - while leveraging their expertise for business  success.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;And lastly, a Knowledge Management program cold be considered successful when it has a sustained strategic commitment. Strategic management has a key role to play in promoting the desired behaviours both through example and by constant communication across the organization of the strategic importance it attaches to KM. (Hahiran, 2002) A key to success in KM is for top management to provide sustained strategic commitment to KM. KM initiatives in several organizations have failed because KM was a fad for a short while - and attention was then diverted to the "next big thing".&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;/SPAN&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;FONT size=3&gt;&lt;FONT face="Times New Roman"&gt;While all four are critical to build a learning organization and get business results from KM, a majority of organizations worldwide implementing KM have found it relatively easier to put technology &amp;amp; processes in place, whereas the "people" and "sustained strategic commitment" components have posed greater challenges. (Hahiran, 2002)&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;In relation to the success factors of KM, a variety of measures of ROI from KM has also been proposed. Many of these measures focus on attaching a value to an organization's intellectual capital. (Hauschild et al. 2001) However, to keep KM "implementation-oriented" and focussed on "real business results", it is more important to have a set of measures that are directly related to achievement of business results. A combination of lagging, such as actual business outcomes, and leading measures such as performance drivers that would lead to business outcomes should be used. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;It is also important to remember that effective KM is an enabler for competitive success, market-intelligence, customer-knowledge, better &amp;amp; quicker decision-making, etc. (Hauschild et al. 2001) All these are key to survival in business, but the exact contribution of KM to these may be difficult to measure in quantitative terms. Organizations that have successfully implemented KM for business results do not focus on theoretical measures - but use a combination of quantifiable and subjective measures to evaluate KM success.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;/SPAN&gt;&lt;FONT size=3&gt;&lt;FONT face="Times New Roman"&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt;Furthermore, &lt;/SPAN&gt;Pfeffer &amp;amp; Sutton (2000) describe three approaches that move organizations from adopting an almost mindless reliance on things past that impede action in the present: building a novel sub organization liberated from the passive ways of being, making it difficult—sometimes by drastic means—to adhere to the old ways, and building an organization in which employees constantly question precedent. The leaders of the firm must take the reins in galvanizing and maintaining a persistent effort towards an organizational culture of purposeful activity and knowledge application. This may be done by clearing articulating new expectations for firm  employees, and by socially and fiscally rewarding pro-initiative behaviour change, while penalizing lagging efforts toward organizational proactivity. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Learning from knowledge application involves post-analysis and critical process evaluation. Such evaluations lead to managerial learning regarding what knowledge initiatives actually produced tangible business results. This learning is difficult and often neglected by firms, but it is very important to maintain the wellspring of knowledge (Parikh, 2001). This cycle of knowledge implementation and critical review helps bridge the gap between the possession of theoretical knowledge and the actual application of such. In this sense, the speculative ideas regarding what will impact the bottom-line are empirically tested in the real world. This is yet another crucial steps in moving from obscure conceptualizations to refined knowledge that  can impact business decisions. Knowledge management should ideally provide relevant knowledge to help knowledge workers make appropriate decisions to determine organizational actions (Parikh, 2001).&lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;/SPAN&gt;&lt;o:p&gt;&lt;FONT face="Times New Roman" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Knowledge Management as an Advantage&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Among the central measure of organizational effectiveness is the creation and continuance of a measurable competitive advantage. Many broad initiatives such as efficiency, core competency advancement, actualization of customer-centric products and services, and limitation of the fixed costs of doing business can help to achieve a sustainable competitive advantage within the marketplace. Knowledge management is a targeted expertise designed to impact productivity and innovation in profound ways. It represents a new technology that is changing the competitive landscape of contemporary business (Sarvary, 1999). Knowledge management may exploit supply-side or demand-side economies of scale (Ofek &amp;amp; Sarvary, 2001). In the former case,  the role is to reduce the operating costs of the firm, while in the latter case its role is to create added value to customers by appreciably increasing product quality. Thus, the effective management of knowledge understandably has the capacity to deeply impact the way a firm does business from the minor details of daily operations to the broadest strategic decision-making processes. There always exists better ways to transform inputs into outputs through the refinement of processes. Both academics and business practitioners alike are beginning to grasp the power of knowledge in helping to do so.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;The science and art of knowledge management can be understood as a sequential framework of purposeful activity designed to produce tangible management decisions and resulting organizational activities, toward the ultimate purpose of producing gains in net income and market share. Knowledge management is a strategic process, which implies the goal of differentiation from competitors such that a sustainable competitive advantage is forged. One stage in the process may require the input of several other phases to galvanize its movement toward a usable "knowledge product", appropriate in supporting concrete decision-making and business action. In addition, the methodologies subsumed in each phase are presented as discrete activities unique  to that step in the process, but in reality often overlap considerably. (Yli-Renko et al., 2001) In this manner, the deliberate business behaviours that constitute the essence of any given stage may be strikingly similar to those of other steps, depending upon the specificity of the circumstances under which a firm operates.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Furthermore, the dissemination of salient knowledge is surmised to impact the formation of competitive advantage. The two most cited mediating factors for ensuring proper dissemination of knowledge are communication facilitation and organizational culture development. Buckman (1998) argues that one of the central purposes of knowledge management and sharing is to facilitate communication across all of the organization's boundaries, so that the entire company works together to address given business challenges and seize covert opportunities. In this way, knowledge managers need to look at specific tools and tactics that will encourage collaborative and productive exchange between employees. Managing knowledge flow is a crucial step in  moving the asset of quiescent knowledge into actualization (Fahey &amp;amp; Prusak, 1998). With efficient dissemination of knowledge, the company's ability to make impacting decisions increases dramatically, because individuals throughout the firm gain access to important strategic ideas, rather than merely retaining this knowledge within the ranks of high-level management. By giving employees access to each other, rather than going through vertical channels of upper management, those with the most current knowledge can share it with those who will benefit most from it (DeTienne &amp;amp; Jackson, 2001). This improves the organization's ability to make rapid decisions and execute them effectively.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;On the other hand, Pfeffer &amp;amp; Sutton (2000) maintain that to create a culture appropriate for transforming tacit knowledge into communal, explicit knowledge fear-based approaches to management must be abandoned. Despite the burgeoning literature within the field of leadership about the need to reconceptualize the control orientation of management and replace it with one that emphasizes facilitation and coaching, management practice remains dominated by control impulses (Beech &amp;amp; Crane, 1999). A key in overcoming tendencies of employees to hoard knowledge or to remain cautious in sharing ideas with others is for management to take the lead in creating an environment of understanding, shared control, compassion, and learning. All  ideas set forth in good faith and backed by rational analysis should be reinforced as beneficial to the company's efforts to create a cauldron of strategic innovation, even if such shared knowledge does not immediately produce resounding results.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-outline-level: 2"&gt;&lt;B&gt;&lt;SPAN style="DISPLAY: none; COLOR: black; FONT-FAMILY: Arial; mso-hide: all; mso-font-kerning: 18.0pt"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-outline-level: 2"&gt;&lt;B&gt;&lt;SPAN style="DISPLAY: none; COLOR: black; FONT-FAMILY: Arial; mso-hide: all; mso-font-kerning: 18.0pt"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-outline-level: 2"&gt;&lt;B&gt;&lt;SPAN style="DISPLAY: none; COLOR: black; FONT-FAMILY: Arial; mso-hide: all; mso-font-kerning: 18.0pt"&gt;&lt;FONT size=3&gt;Synthesis&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The chapter discussed the aspects of KM as a required factor for the efficient fulfillment of an organization's goals. Moreover, the discussions above posit that knowledge movement is pervasive. Whether it is defined in terms of learning, intellectual capital, &lt;/FONT&gt;&lt;A href="http://www.skyrme.com/insights/11kasset.htm" target=_blank&gt;&lt;SPAN style="COLOR: black"&gt;&lt;SPAN style="text-underline: nonecolor:windowtext"&gt;&lt;FONT size=3&gt;knowledge assets&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/A&gt;&lt;FONT size=3&gt;, &lt;/FONT&gt;&lt;A href="http://www.skyrme.com/insights/9mkis.htm" target=_blank&gt;&lt;SPAN style="COLOR: black"&gt;&lt;SPAN style="text-underline: nonecolor:windowtext"&gt;&lt;FONT size=3&gt;intelligence&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/A&gt;&lt;FONT size=3&gt;, expertise, insight or wisdom, it consummates to one assertion, enhance the management of the organization or perish.  Initiatives in industry, education and government are trying to tackle the same problems, issues and opportunities. Moreover, the discussions suggest that the immeasurable must be measured. Traditional financial accounting mechanisms fail to calculate/calibrate the most important resources of the firm - its intellectual capacity. Instead, current mechanisms treat people as liabilities or expenses instead of assets. The business case must be defined in order to justify necessary investment strategies in the human and social capital of the firm. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In this light, a collaborative research base must be established. There is minimal research activity for service functions or the services industry of the economy. There is minimal government funding and few consortia, which are non-industrial in mission. Enterprises are embarking upon individual R&amp;amp;D efforts when a collective degree of research - on a pre-competitive basis - is essential for establishing a solid foundation for the future of the industry. Likewise, initiatives must be designed as 'middle-up-down.' Top down leadership continues to be essential for management because traditional hierarchical structures will not disappear overnight. Grass roots activities, which are networked, can have the insight for change validated by those closest to the point-of-sale. Oftentimes, those closest to service  delivery are not the people empowered in an organization. The middle-up-down approach is described as a way to balance and integrate the best of both methods.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Similarly, the discussion above suggests that in order to achieve success through KM, insight is being gleaned rapidly. For those who embrace change as reality, there is little time to be spent on barriers. The future is far more exciting to create. In each profession, those who were deemed philosophers and futurists are being sought for counsel on business operations. What was theory yesterday is fundamental to business survival tomorrow. There is a cumulative effect between and among disciplines as leaders seek to understand the principles and policies of one another. Indeed, the field has become sufficiently sophisticated to warrant the benchmarking of best practices for even further dissemination and leverage.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Nevertheless, the implementation of the KM program takes many forms. The variety of new titles and program initiatives vary company-to-company due to the uniqueness of each corporate culture. New titles range from novel verbiage to re-labeling of traditional functions. There are many ways to configure the knowledge puzzle and leadership can come from any level, function or position in the company. Furthermore, management architectures are useful, but should not be limiting. A frame of reference is essential in order to scrutinize and interconnect the variables. However, exploration of the factors leads to identification of new variables and interconnections, which are fundamental to the business. The frame provides a way to organize the discussion and fuse the diverse values within the company culture. The  process must be dynamic - not static - in order to capitalize upon new business opportunities coming from unserved markets and unarticulated needs. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In addition, the discussions above also state that the nature of 'the collective' must be understood and harnessed. Enterprises are now defined as including multiple stakeholders: suppliers, partners, alliances, customers and - in some cases - competitors. These infrastructures are a combination of evolving, ecological systems and carefully premeditated schemes for profitable growth. The combination is what is of most value. Attention must now focus upon the definition of the whole and the interconnections of the pieces. Moreover, one could not discount the importance of technology. Technology is integral to the successful functioning of the knowledge enterprise. Similar to the misconceptions of computer-based education, artificial intelligence and the early renditions of &lt;/FONT&gt;&lt;A  href="http://www.skyrme.com/insights/7gw.htm" target=_blank&gt;&lt;SPAN style="COLOR: black"&gt;&lt;SPAN style="text-underline: nonecolor:windowtext"&gt;&lt;FONT size=3&gt;groupware&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/A&gt;&lt;FONT size=3&gt;, there is confusion as to the appropriate role for the supporting technology. The 'productivity paradox' explains why there has not been a commensurate economic return for the investment on technology investments, but it does not provide a path forward for the ideal technical solutions. This will take some time and considerable trial-and-error. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;Recent literature also states that the knowledge phenomenon must be managed and not left to providence. As incomplete as the systems might be, some influence and control is better than nothing at all. There are the inevitable unexpected forces, which cause a major shift in orientation. Management must be understood as both a science and an art in order to reap optimal advantage. &lt;/SPAN&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;The objective of KM is to support the achievement of business-objectives. Both knowledge-contributions/ sharing as well as re-use need to be encouraged and recognized at the individual employee level as well as the company level. This is best done by measuring and rewarding knowledge-performance. Sustained strategic commitment and a corporate  culture that is conducive to knowledge-performance are vital for success in Knowledge Management. Measures used to evaluate success in KM must be related to business results.&lt;/SPAN&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial"&gt; &lt;/SPAN&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt"&gt;&lt;B&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;References:&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Beech, N. &amp;amp; Crane, O. (1999). High performance teams and a climate of community. &lt;U&gt;Team Performance Management, 5&lt;/U&gt; (3), 87-102.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Buckman, R.H. (1998). Knowledge sharing at Buckman Labs. &lt;U&gt;Journal of&lt;/U&gt; &lt;U&gt;Business Strategy, 19&lt;/U&gt; (1), 1-15.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;DeTienne, K.B. &amp;amp; Jackson, &lt;u1:city st="on"&gt;&lt;u1:place st="on"&gt;&lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;L.A.&lt;/u1:place&gt;&lt;/u1:city&gt;&lt;/FONT&gt;&lt;/st1:place&gt;&lt;/st1:City&gt;&lt;FONT size=3&gt; (2001). Knowledge management: Understanding theory and developing strategy. &lt;U&gt;Competitiveness Review, 11&lt;/U&gt; (1), 1-11.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Erickson, G.S. &amp;amp; Rothberg, H.N. (2000). Intellectual capital and competitiveness: Guidelines for policy. &lt;U&gt;Competitiveness Review, 10&lt;/U&gt; (2), 192-198.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Fahey, L. &amp;amp; Prusak, L. (1998). The eleven deadliest sins of knowledge management. &lt;u1:state st="on"&gt;&lt;u1:place st="on"&gt;&lt;st1:State w:st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;U&gt;California&lt;/U&gt;&lt;/u1:place&gt;&lt;/u1:state&gt;&lt;/FONT&gt;&lt;/st1:place&gt;&lt;/st1:State&gt;&lt;FONT size=3&gt;&lt;U&gt; Management Review, 40&lt;/U&gt; (3), 265-276.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Gold, A.H., Malhotra, A., &amp;amp; Segars, A.H. (2001). Knowledge management: An organizational capabilities perspective. &lt;U&gt;Journal of Management Information Systems, 18&lt;/U&gt; (1), 185-214.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;u1:place st="on"&gt;&lt;u1:city st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;st1:City w:st="on"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Han&lt;/FONT&gt;&lt;/u1:city&gt;&lt;/SPAN&gt;&lt;/st1:City&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;, &lt;u1:country-region st="on"&gt;&lt;st1:country-region w:st="on"&gt;Frances&lt;/u1:country-region&gt;&lt;/FONT&gt;&lt;/u1:place&gt;&lt;/st1:country-region&gt;&lt;/SPAN&gt;&lt;/st1:place&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;. (2001) "Understanding Knowledge Management&lt;I&gt;.&lt;/I&gt;" &lt;I&gt;The Public Manager. Vol. 30, 2. p34&lt;/I&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;ADDRESS style="BACKGROUND: white; MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-STYLE: normal; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/ADDRESS&gt; &lt;ADDRESS style="BACKGROUND: white; MARGIN-LEFT: 0.5in; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-STYLE: normal; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;/SPAN&gt;&lt;SPAN&gt;&lt;FONT face="Times New Roman" size=3&gt;Hariharan, Arun. (2002) "Knowledge Management: A Strategic Tool." &lt;/FONT&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Journal of Knowledge Management Practice, December 2002 &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/ADDRESS&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;/SPAN&gt;&lt;SPAN style="mso-bidi-: EN-CA"&gt;&lt;FONT size=3&gt;&lt;FONT face="Times New Roman"&gt;Hauschild, S., Licht, T., &amp;amp; Stein, W., "Creating a Knowledge Culture",&lt;I&gt; McKinsey Quarterly, No.4, 2001&lt;o:p&gt;&lt;/o:p&gt;&lt;/I&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Lubit, R. (2001). Tacit knowledge and knowledge management: The keys to sustainable competitive advantage&lt;U&gt;. Organizational Dynamics, 29&lt;/U&gt; (3), 164-178.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Nidumolu, S.R., Subramani, M., &amp;amp; Aldrich, A. (2001). Situated learning and the situated knowledge web: Exploring the ground beneath knowledge management. &lt;U&gt;Journal of Management Information Systems, 18&lt;/U&gt; (1), 115-150.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Nidumolu, S.R., Subramani, M., &amp;amp; Aldrich, A. (2001). Situated learning and the situated knowledge web: Exploring the ground beneath knowledge management. &lt;U&gt;Journal of Management Information Systems, 18&lt;/U&gt; (1), 115-150.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;u1:place st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Oder&lt;/FONT&gt;&lt;/u1:place&gt;&lt;/SPAN&gt;&lt;/st1:place&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;, N. (2001). The competitive intelligence opportunity. &lt;U&gt;Library Journal, 126&lt;/U&gt; (4), 42-44.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Parikh, M. (2001). Knowledge management framework for high-tech research and development. &lt;U&gt;Engineering Management, 13&lt;/U&gt; (3), 27-33.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Pfeffer, &lt;u1:place st="on"&gt;&lt;u1:city st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;st1:City w:st="on"&gt;J.&lt;/u1:city&gt;&lt;/st1:City&gt; &lt;u1:state st="on"&gt;&lt;st1:State w:st="on"&gt;&amp;amp;&lt;/u1:state&gt;&lt;/st1:State&gt; &lt;u1:state st="on"&gt;&lt;st1:State w:st="on"&gt;Sutton&lt;/u1:state&gt;&lt;/st1:State&gt;, &lt;u1:state st="on"&gt;&lt;st1:State w:st="on"&gt;R.I.&lt;/u1:state&gt;&lt;/u1:place&gt;&lt;/FONT&gt;&lt;/st1:State&gt;&lt;/st1:place&gt;&lt;FONT size=3&gt; (2000). &lt;U&gt;The knowing-doing gap: How smart companies&lt;/U&gt; &lt;U&gt;turn knowledge into action.&lt;/U&gt; &lt;u1:city st="on"&gt;&lt;st1:City w:st="on"&gt;Cambridge&lt;/u1:city&gt;&lt;/FONT&gt;&lt;/st1:City&gt;&lt;FONT size=3&gt;, &lt;u1:state st="on"&gt;&lt;st1:State w:st="on"&gt;MA&lt;/u1:state&gt;&lt;/FONT&gt;&lt;/st1:State&gt;&lt;FONT size=3&gt;: &lt;u1:place st="on"&gt;&lt;u1:placename st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;st1:PlaceName w:st="on"&gt;Harvard&lt;/u1:placename&gt;&lt;/st1:PlaceName&gt; &lt;u1:placename  st="on"&gt;&lt;st1:PlaceName w:st="on"&gt;Business&lt;/u1:placename&gt;&lt;/st1:PlaceName&gt; &lt;u1:placetype st="on"&gt;&lt;st1:PlaceType w:st="on"&gt;School&lt;/u1:placetype&gt;&lt;/u1:place&gt;&lt;/FONT&gt;&lt;/st1:PlaceType&gt;&lt;/st1:place&gt;&lt;FONT size=3&gt; Press.&lt;SPAN style="mso-fareast-: EN-CAfont-family:'Times New Roman'"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;/SPAN&gt;&lt;FONT size=3&gt;&lt;FONT face="Times New Roman"&gt;Raisinghani, M.S. (2000). Knowledge management: A cognitive perspective on business and education. &lt;U&gt;American Business Review, 18&lt;/U&gt; (2), 105-112.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Sarvary, M. (1999). Knowledge management and competition in the consulting industry. &lt;u1:state st="on"&gt;&lt;u1:place st="on"&gt;&lt;st1:State w:st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;U&gt;California&lt;/U&gt;&lt;/u1:place&gt;&lt;/u1:state&gt;&lt;/FONT&gt;&lt;/st1:place&gt;&lt;/st1:State&gt;&lt;FONT size=3&gt;&lt;U&gt; Management Review, 41&lt;/U&gt; (2), 95-107.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Senge, P.M. (1994). &lt;U&gt;The fifth discipline: The art and practice of the learning organization.&lt;/U&gt; &lt;u1:state st="on"&gt;&lt;u1:place st="on"&gt;&lt;st1:State w:st="on"&gt;&lt;st1:place w:st="on"&gt;New York&lt;/u1:place&gt;&lt;/u1:state&gt;&lt;/FONT&gt;&lt;/st1:place&gt;&lt;/st1:State&gt;&lt;FONT size=3&gt;: Currency Doubleday.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Stonehouse, G.H., Pemberton, J.D., &amp;amp; Barber, C.E. (2001). The role of knowledge facilitators and inhibitors: Lessons from airline reservations systems. &lt;U&gt;Long Range Planning, 34&lt;/U&gt; (2), 115-138.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="BACKGROUND: white; MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in"&gt;&lt;SPAN lang=EN-CA style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-CA"&gt;&lt;FONT size=3&gt;Yli-Renko, H., Autio, E., &amp;amp; Sapienza, H.J. (2001). Social capital, knowledge acquisitions, and knowledge exploitation in young technology-based firms. &lt;U&gt;Strategic&lt;/U&gt; &lt;U&gt;Management Journal, 22&lt;/U&gt; (6), 587-613.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/DIV&gt;&lt;/div&gt;&lt;br&gt;        &lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-3037881551986871764?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/3037881551986871764/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=3037881551986871764' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/3037881551986871764'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/3037881551986871764'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2008/10/sample-literature-review-on-advocating.html' title='Sample Literature Review on Advocating Knowledge Management'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-4433798031934495263</id><published>2008-10-01T11:20:00.002+08:00</published><updated>2008-10-01T11:24:01.214+08:00</updated><category scheme='http://www.blogger.com/atom/ns#' term='Pharmaceutical Industry'/><title type='text'>Beijing Novartis Pharma Ltd. Literature Review Sample</title><content type='html'>&lt;div style="font-family:arial, helvetica, sans-serif;font-size:10pt"&gt;&lt;DIV&gt; &lt;H1 style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-SIZE: 12pt; COLOR: #333333; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;REVIEW OF RELATED LITERATURE&lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/H1&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;This portion of the study shall discuss the data collected from secondary sources such as journals, articles and other literature that would establish the effects of the reforms in &lt;?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/st1:place&gt;&lt;/st1:country-region&gt; with respect to the marketing strategies of Beijing Novartis Pharma Ltd.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;H1 style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-SIZE: 12pt; COLOR: #333333; LINE-HEIGHT: 200%; FONT-FAMILY: Arial"&gt;GENERAL REFORM IN CHINA&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/H1&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;China&lt;/SPAN&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt; has done remarkably well since the beginning of the economic reform movement in 1978. (Wu, 1996) Between 1979 and 1995, &lt;TAG 17&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s GDP grew at an average annual rate of 9.5 percent. &lt;TAG 21&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt;'s exports grew even faster and &lt;TAG 23&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; now ranks among the world's top 10 exporting economies. The economic boom is very much due to the  market-oriented reforms and opening up to the outside world. In the meantime, &lt;TAG 31&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; also faces a series of knotty problems. Amongst them, significant inflationary pressure and the prevalence of corruption is the most vexatious. The spectacular achievements of &lt;TAG 38&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s economic reform and development owes to an unusual strategy of &lt;TAG 42&gt;reform&lt;/TAG&gt;, namely, "&lt;TAG 44&gt;reforming&lt;/TAG&gt; and growing out of the established system" or an incremental strategy for short.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;FONT size=3&gt;Initially, the &lt;TAG 47&gt;reform&lt;/TAG&gt; measures were oriented towards delegating decision-making power and relinquishing benefits to lower levels in the state sector. (Wu, 1996) As in the former Soviet Union and the Central European countries, these "gradualism" measures did not work in &lt;TAG 57&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;. Since late 1980, the focus of &lt;TAG 59&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 60&gt;reform&lt;/TAG&gt; had shifted from the urban state sector to rural areas. Pioneering this effort was the introduction of the "household contract system." Within two years, household farming replaced the People's Commune. Since then, &lt;TAG  72&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; tried a new and unusual &lt;TAG 74&gt;reform&lt;/TAG&gt; strategy. Three aspects characterized the spirit of that &lt;TAG 76&gt;strategy&lt;/TAG&gt; such as encouraging the development of non-state economy; integrating the domestic market with international market through opening policy; and pioneering &lt;TAG 82&gt;reforms&lt;/TAG&gt; in coastal areas and promoting the &lt;TAG 85&gt;development&lt;/TAG&gt; of the interior regions.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;FONT size=3&gt;In addition, this new strategy proved to be correct and effective. From the point of view of the entire economy, however, the "incremental &lt;TAG 93&gt;reform&lt;/TAG&gt;" is a tactical arrangement. (Wu, 1996) Moreover, &lt;TAG 95&gt;reform&lt;/TAG&gt; in the state sector has been lagging behind. These results in consequences such as the exacerbation of &lt;TAG 99&gt;state&lt;/TAG&gt; enterprises financial conditions; the persistent pressure of inflation; widespread corruption and rent-seeking activities; and the widening gap between the rich and the poor. In addition, the severe inflation in 1988 and political unrest in 1989 slowed the pace of &lt;TAG 108&gt;reform&lt;/TAG&gt;. Confronted with such a situation, Deng Xiaoping advocated a &lt;TAG 110&gt;new&lt;/TAG&gt; upsurge in the &lt;TAG 111&gt;reform&lt;/TAG&gt; drive in  1992. In November 1993, &lt;TAG 112&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; concluded a &lt;TAG 113&gt;new&lt;/TAG&gt; reform &lt;TAG 114&gt;strategy&lt;/TAG&gt; of "overall advance with focal breakthrough" and started to "storm the heavily fortified positions." Moreover, the "focal breakthrough" refers to the expected progress in the &lt;TAG 119&gt;reform&lt;/TAG&gt; of &lt;TAG 120&gt;the state&lt;/TAG&gt; sector, while "overall advance" refers to the building of a market system as a whole. Likewise, a new wave of economic reform has been launched and gives priority to &lt;TAG 128&gt;the state&lt;/TAG&gt; sector. These include the building of a &lt;TAG 130&gt;new&lt;/TAG&gt; taxation system suitable for a market economy; &lt;TAG 133&gt;reforming&lt;/TAG&gt; the banking system; changing the state-owned enterprises into independent corporations; and reorganizing the social security &lt;TAG 139&gt;system&lt;/TAG&gt;. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Moreover, the Chinese Government undertook a more recent &lt;TAG 141&gt;economic reform&lt;/TAG&gt;. After fifteen years of negotiations, on November 10, 2001 at &lt;TAG 144&gt;the World&lt;/TAG&gt; Trade Organization (WTO) Ministerial Conference in &lt;st1:City w:st="on"&gt;Doha&lt;/st1:City&gt;, &lt;st1:country-region w:st="on"&gt;Qatar&lt;/st1:country-region&gt;, WTO members formally approved the accession package for the People's Republic of &lt;TAG 153&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt; (&lt;TAG 154&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;). &lt;TAG 155&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; became a full member, the WTO's 143rd, on December 11, 2001.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;TAG 158&gt;&lt;FONT size=3&gt;&lt;st1:country-region w:st="on"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;China&lt;/TAG&gt;&lt;/SPAN&gt;&lt;/st1:country-region&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;'s entry into the &lt;TAG 160&gt;WTO&lt;/TAG&gt; will make &lt;TAG 161&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s door even more &lt;TAG 163&gt;open&lt;/TAG&gt;. Both foreign investment and foreign trade are expected to increase. (Chow, 2000) Foreign firms will begin to penetrate &lt;TAG 169&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s financial and telecommunication sectors. Trade will increase in both directions and Chinese tariffs will be lowered and Chinese goods will have better access to &lt;TAG 178&gt;world&lt;/TAG&gt; markets &lt;TAG 179&gt;open&lt;/TAG&gt; to members of the &lt;TAG 181&gt;WTO&lt;/TAG&gt;. Using foreign competition to stimulate  the domestic &lt;TAG 184&gt;economy&lt;/TAG&gt; is a major objective in seeking to join &lt;TAG 186&gt;WTO&lt;/TAG&gt;, as explicitly &lt;TAG 187&gt;stated&lt;/TAG&gt; by Premier Zhu Rongji. The Chinese government is well aware of &lt;TAG 190&gt;the economic&lt;/TAG&gt; and social-political costs and benefits of joining &lt;TAG 192&gt;WTO&lt;/TAG&gt;. While it is pursuing institutional reforms in state-owned enterprises and the banking and financial sectors, it is aware that the &lt;TAG 198&gt;reforms&lt;/TAG&gt; and the accompanying globalization of the Chinese &lt;TAG 200&gt;economy&lt;/TAG&gt; have to proceed in an appropriate speed. If foreign competition enters &lt;TAG 203&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; too rapidly, adjustments by Chinese producers and &lt;TAG 206&gt;enterprises&lt;/TAG&gt; may be too severe to be socially desirable. The harmful &lt;TAG 208&gt;effects&lt;/TAG&gt; of &lt;TAG 209&gt;foreign&lt;/TAG&gt; competition are monitored by putting into practice gradually the reduction of import  tariffs and the admission of &lt;TAG 214&gt;foreign&lt;/TAG&gt; competition in &lt;TAG 215&gt;the financial&lt;/TAG&gt; and communication sectors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In &lt;TAG 217&gt;addition&lt;/TAG&gt;, there are three sets of forces that determine institutional changes in &lt;TAG 222&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;. (Chow, 2000) These are the role of &lt;TAG 224&gt;the government&lt;/TAG&gt;, incentives generated in the market sectors and inertia inherent in &lt;TAG 227&gt;economic&lt;/TAG&gt; institutions. In the last twenty &lt;TAG 228&gt;years&lt;/TAG&gt; the &lt;TAG 229&gt;government&lt;/TAG&gt; has guided &lt;TAG 230&gt;the changes&lt;/TAG&gt; in &lt;TAG 231&gt;economic&lt;/TAG&gt; institutions. In the future the &lt;TAG 233&gt;government&lt;/TAG&gt; will remain active, especially in the following areas. First, science/technology and education for the betterment of &lt;TAG 239&gt;the economy&lt;/TAG&gt; was &lt;TAG 240&gt;stated&lt;/TAG&gt; to be the main theme of his tenure when Premier Zhu Rongji responded to a  question raised during his first press conference in March 1998. Second, the &lt;TAG 246&gt;building&lt;/TAG&gt; of infrastructure, in connection with the plan for Western development in particular, will be of top priority. Other &lt;TAG 252&gt;areas&lt;/TAG&gt; of serious &lt;TAG 253&gt;government&lt;/TAG&gt; attention include the improvement of technology in agriculture, environment protection, &lt;TAG 258&gt;social&lt;/TAG&gt; welfare &lt;TAG 259&gt;system&lt;/TAG&gt;, health care and housing reform. There will be plenty of opportunities for &lt;TAG 264&gt;foreign&lt;/TAG&gt; investors to invest in all these &lt;TAG 266&gt;areas&lt;/TAG&gt;. Secondly, concerning &lt;TAG 267&gt;the market&lt;/TAG&gt; forces we can expect that private enterprises, joint ventures and &lt;TAG 270&gt;foreign&lt;/TAG&gt; owned &lt;TAG 271&gt;enterprises&lt;/TAG&gt;, under a &lt;TAG 272&gt;better&lt;/TAG&gt; legal &lt;TAG 273&gt;system and&lt;/TAG&gt; in an improved economic environment with &lt;TAG 276&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; a &lt;TAG  277&gt;member&lt;/TAG&gt; of &lt;TAG 278&gt;WTO&lt;/TAG&gt;, will contribute positively to growth in the next two decades. These &lt;TAG 282&gt;enterprises&lt;/TAG&gt; will play the role of township and village enterprises in serving as the most dynamic sector of &lt;TAG 286&gt;the economy&lt;/TAG&gt;. They also will provide competition to &lt;TAG 288&gt;the state&lt;/TAG&gt; and collective &lt;TAG 289&gt;enterprises&lt;/TAG&gt;, making them more efficient. Thirdly, inertia will prevent &lt;TAG 291&gt;economic&lt;/TAG&gt; institutions from &lt;TAG 292&gt;changing&lt;/TAG&gt; rapidly. Institutional inertia comes from lack of information, lack of knowledge, &lt;TAG 298&gt;social and&lt;/TAG&gt; political pressure affecting &lt;TAG 300&gt;economic&lt;/TAG&gt; decisions and simply persistence of customs and habits. Inertia explains the difficulties encountered in &lt;TAG 305&gt;reforming&lt;/TAG&gt; the &lt;TAG 306&gt;state&lt;/TAG&gt; enterprises and &lt;TAG 307&gt;the banking&lt;/TAG&gt; system. One most important problem common to both &lt;TAG 310&gt;institutions&lt;/TAG&gt; is &lt;TAG 311&gt;the lack&lt;/TAG&gt; of  well-trained &lt;/FONT&gt;&lt;A title="See other pages Jiglu tagged with 'manager'" href="http://vicfabe-tagging.jiglu.com/overlay/42114434187478240118dd9ee7cb6116/manager"&gt;&lt;FONT color=#5588aa size=3&gt;managers&lt;/FONT&gt;&lt;/A&gt;&lt;FONT size=3&gt; and staff. The second element of inertia is the tendency to retain the old ways of doing things. In many state-enterprises that have been &lt;TAG 318&gt;changed&lt;/TAG&gt; to share-holding companies, the shareholders still elect the same &lt;TAG 321&gt;governing&lt;/TAG&gt; people to &lt;TAG 322&gt;the new&lt;/TAG&gt; board of directors and there is no &lt;TAG 324&gt;change&lt;/TAG&gt; in management. One can explain this partly by political and &lt;TAG 327&gt;social&lt;/TAG&gt; pressure, another element of inertia I have just mentioned. Therefore we cannot expect that Chinese &lt;TAG 329&gt;state&lt;/TAG&gt; enterprises and &lt;TAG 330&gt;banks&lt;/TAG&gt; can be &lt;TAG 331&gt;changed&lt;/TAG&gt; to modern &lt;TAG 332&gt;institutions&lt;/TAG&gt; in a few &lt;TAG 333&gt;years&lt;/TAG&gt; simply by enacting &lt;TAG 334&gt;new&lt;/TAG&gt; laws. The &lt;TAG  335&gt;reform&lt;/TAG&gt; of these &lt;TAG 336&gt;institutions&lt;/TAG&gt; will be a slow and gradual process as it has been in the past, but continued progress there will likely be.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Moreover, &lt;TAG 339&gt;WTO&lt;/TAG&gt; membership will eliminate the acrimonious annual trade review that U.S. Congress holds. In &lt;TAG 342&gt;addition&lt;/TAG&gt;, it will deny other countries the ability to discriminate against &lt;TAG 345&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; on &lt;TAG 346&gt;trade&lt;/TAG&gt; matters. (Chow, 2000) &lt;TAG 347&gt;WTO&lt;/TAG&gt; membership will allow &lt;TAG 348&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; to be heard in the international &lt;TAG 349&gt;economic&lt;/TAG&gt; arena and to enjoy the privileges, like having access to the &lt;TAG 352&gt;WTO&lt;/TAG&gt; mechanism for &lt;TAG 353&gt;trade&lt;/TAG&gt; disputes. There will be a shot in the arm for Chinese goods with free &lt;TAG 355&gt;access&lt;/TAG&gt; to &lt;TAG 356&gt;world&lt;/TAG&gt; markets. The main  beneficiary will be those industries in which &lt;TAG 358&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; has competitive advantages, like textile, home appliances, bicycles and motorcycles, food, and toys. Likewise, there will be restructuring in &lt;TAG 366&gt;the economy&lt;/TAG&gt; and many jobs will be created in those industries that have the ability to capitalize on the opportunities to &lt;TAG 371&gt;export&lt;/TAG&gt; to &lt;TAG 372&gt;the world&lt;/TAG&gt; markets. &lt;TAG 373&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; will be forced to upgrade its &lt;TAG 375&gt;economy&lt;/TAG&gt; to international standards and eliminate unacceptable practices. These include respect for intellectual property, free &lt;TAG 380&gt;access&lt;/TAG&gt; to &lt;TAG 381&gt;markets&lt;/TAG&gt;, non-discriminatory and unfair &lt;TAG 382&gt;practices&lt;/TAG&gt;, and &lt;TAG 383&gt;respect&lt;/TAG&gt; for the rule of law. In &lt;TAG 386&gt;addition&lt;/TAG&gt;, &lt;TAG 387&gt;one&lt;/TAG&gt;  main beneficiary is Hong Kong, which traditionally serves as a conduit between &lt;TAG 390&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; and the rest of &lt;TAG 392&gt;the world&lt;/TAG&gt;. The &lt;TAG 393&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt; boom will enable &lt;st1:place w:st="on"&gt;Hong Kong&lt;/st1:place&gt; to sustain &lt;TAG 396&gt;and increase&lt;/TAG&gt; its &lt;TAG 397&gt;economic&lt;/TAG&gt; role. Chinese consumers will enjoy the fruits of a capitalist economy, with more choice of &lt;TAG 402&gt;goods&lt;/TAG&gt; and services. In &lt;TAG 404&gt;addition&lt;/TAG&gt;, prices will be lower and customer service will &lt;TAG 407&gt;improve&lt;/TAG&gt; with more &lt;TAG 408&gt;competition&lt;/TAG&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Nonetheless, in the proliferation of &lt;TAG 410&gt;open&lt;/TAG&gt; markets, many state-owned &lt;TAG 411&gt;enterprises&lt;/TAG&gt; that were &lt;TAG 412&gt;used&lt;/TAG&gt; to the centrally planned economic &lt;TAG 414&gt;system&lt;/TAG&gt; would be eliminated. (Chow, 2000) They are struggling with archaic machinery and old production methods, shoddy products, disregard for customers, heavy debt, and a stubborn, undisciplined, old workforce. They will be unable to survive with &lt;TAG 422&gt;open&lt;/TAG&gt; competition. Chinese farmers, who &lt;TAG 424&gt;lack&lt;/TAG&gt; modern farming techniques, machinery, and &lt;TAG 427&gt;economy&lt;/TAG&gt; of scale, will be overwhelmed by &lt;TAG 429&gt;foreign&lt;/TAG&gt; agricultural produce. A high tariff wall currently protects them. Furthermore, enormous labor restructuring will happen that is unprecedented in the modern &lt;TAG 433&gt;world&lt;/TAG&gt;. Labor  will migrate from rural to urban centers to seek job opportunities. Many millions of employees in the lower skill categories, including a high proportion of older people, will be jobless without skill retraining. At the same time, there will be shortage of &lt;TAG 445&gt;people&lt;/TAG&gt; needed to fill &lt;TAG 446&gt;New&lt;/TAG&gt; Economy positions, like IT, telecommunication, law, finance, &lt;TAG 451&gt;foreign&lt;/TAG&gt; trade, biotechnology, etc. Many &lt;TAG 453&gt;industries&lt;/TAG&gt; will be affected. &lt;TAG 455&gt;One&lt;/TAG&gt; of the biggest &lt;TAG 456&gt;industries&lt;/TAG&gt; to suffer in &lt;TAG 457&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; will be the car industry. It is protected by high &lt;TAG 459&gt;tariffs&lt;/TAG&gt; and lacks &lt;TAG 460&gt;the economy&lt;/TAG&gt; of scale to be &lt;TAG 462&gt;competitive&lt;/TAG&gt;. It will be attacked by &lt;TAG 463&gt;imports&lt;/TAG&gt; at cheaper prices and &lt;TAG 465&gt;better&lt;/TAG&gt; quality. Under &lt;TAG 466&gt;WTO&lt;/TAG&gt; rules, &lt;TAG 467&gt;tariffs&lt;/TAG&gt; will  eventually be eliminated, and there will be no requirement for &lt;TAG 469&gt;export&lt;/TAG&gt; quota and transfer of technology for local &lt;TAG 472&gt;production&lt;/TAG&gt;. &lt;TAG 473&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; will be under &lt;TAG 474&gt;pressure&lt;/TAG&gt; to &lt;TAG 475&gt;develop&lt;/TAG&gt; its own &lt;TAG 476&gt;technology&lt;/TAG&gt;. Likewise, &lt;TAG 477&gt;WTO&lt;/TAG&gt; membership will require changes in the structure of &lt;TAG 480&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 481&gt;economy&lt;/TAG&gt;, in the relationship between &lt;TAG 483&gt;government&lt;/TAG&gt; and &lt;TAG 484&gt;industry&lt;/TAG&gt;, and in &lt;TAG 485&gt;government&lt;/TAG&gt; structures, procedures, legal and regulatory frameworks. These &lt;TAG 488&gt;changes&lt;/TAG&gt; will take some time. However, the benefits for &lt;TAG 491&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; will be substantial. &lt;TAG  492&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 493&gt;export&lt;/TAG&gt; industries will obtain secure and predictable &lt;TAG 495&gt;access&lt;/TAG&gt; to foreign markets, generating further &lt;TAG 498&gt;jobs&lt;/TAG&gt; and economic growth. Liberalized investment rules, a more transparent regulatory framework, and &lt;TAG 502&gt;better&lt;/TAG&gt; export &lt;TAG 503&gt;market&lt;/TAG&gt; access will attract &lt;TAG 504&gt;foreign&lt;/TAG&gt; investors, and the &lt;TAG 505&gt;technology&lt;/TAG&gt; and &lt;TAG 506&gt;jobs&lt;/TAG&gt; they bring. Greater &lt;TAG 507&gt;competition&lt;/TAG&gt; within &lt;TAG 508&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; will &lt;TAG 509&gt;improve&lt;/TAG&gt; economic efficiency and productivity in the long run.&lt;/SPAN&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;MEDICAL REFORM IN &lt;TAG 513&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;CHINA&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;On December 9th, 1996 &lt;TAG 514&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt; held its &lt;TAG 515&gt;first&lt;/TAG&gt; national conference on health in &lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;Beijing&lt;/st1:place&gt;&lt;/st1:City&gt;. At that event President Jiang Zemin and Premier Li Peng lauded the accomplishments of &lt;TAG 522&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt;'s health care system of the last 40 &lt;TAG 524&gt;years&lt;/TAG&gt; boasting that &lt;TAG 525&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; had lowered its infant mortality rate from 200 to 31 deaths per 1000 live births and raised life expectancy from 35 &lt;TAG 531&gt;years&lt;/TAG&gt; to 70 &lt;TAG 532&gt;years&lt;/TAG&gt;. (Wong and Gabriel, 1998) President Jiang Zemin emphasized &lt;TAG 534&gt;the  importance&lt;/TAG&gt; of &lt;TAG 535&gt;the country&lt;/TAG&gt;'s health in relation to its &lt;TAG 538&gt;economic&lt;/TAG&gt; and socialist &lt;TAG 539&gt;development and&lt;/TAG&gt; urged &lt;TAG 540&gt;the people&lt;/TAG&gt; to create a competent &lt;TAG 541&gt;health care&lt;/TAG&gt; workforce. Premier Li Peng advocated &lt;TAG 543&gt;government&lt;/TAG&gt; leadership in shaping the nation's &lt;TAG 545&gt;health care&lt;/TAG&gt; system and advocated &lt;TAG 546&gt;reform&lt;/TAG&gt; as &lt;TAG 547&gt;the country&lt;/TAG&gt;'s impetus for &lt;TAG 548&gt;health care&lt;/TAG&gt; development. These were not &lt;TAG 549&gt;new&lt;/TAG&gt; themes for &lt;TAG 550&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s leadership. Indeed, &lt;TAG 552&gt;one&lt;/TAG&gt; of the most notable achievements of the Maoist era (from 1949 to 1976) was the dramatic &lt;TAG 554&gt;improvement&lt;/TAG&gt; in &lt;TAG 555&gt;access&lt;/TAG&gt; to &lt;TAG 556&gt;health care&lt;/TAG&gt; for &lt;TAG 557&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s citizens,  particularly those living in the rural &lt;TAG 560&gt;areas&lt;/TAG&gt; and the &lt;TAG 561&gt;urban&lt;/TAG&gt; poor. &lt;TAG 562&gt;Health care&lt;/TAG&gt; provision was greatly decentralized and diffused throughout the countryside and city neighborhoods during the Maoist era. The rapid economic growth that epitomized &lt;TAG 566&gt;the first&lt;/TAG&gt; stage of the post-1949 Chinese society can be, in part, attributed to the decision of the Chinese &lt;TAG 570&gt;government&lt;/TAG&gt; to "democratize" &lt;TAG 571&gt;health care&lt;/TAG&gt;, with "barefoot doctors" and &lt;TAG 572&gt;health&lt;/TAG&gt; clinics widely available to segments of the Chinese population that had never had &lt;TAG 575&gt;such access&lt;/TAG&gt; before.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;TAG 576&gt;&lt;FONT size=3&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;China&lt;/TAG&gt;&lt;/SPAN&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; is the most populous nation in &lt;TAG 578&gt;the world&lt;/TAG&gt; with a population of approximately 1.25 billion &lt;TAG 580&gt;people&lt;/TAG&gt;. (Wong and Gabriel, 1998) &lt;TAG 581&gt;The population&lt;/TAG&gt; is distributed over 22 provinces, 5 autonomous regions and 3 metropolitan municipalities under the central government. The provinces, which possess a high degree of fiscal independence, are themselves divided into 2182 counties (averaging 400,000 residents), 47,000 townships (averaging 18,000 residents) and 740,000 villages (averaging 1000 residents). The &lt;TAG 587&gt;urban&lt;/TAG&gt; population has grown substantially since the 1960's. From 1960 to 1992 the &lt;TAG 588&gt;urban&lt;/TAG&gt; population  climbed from 19% to 28%, and is expected &lt;TAG 589&gt;to increase&lt;/TAG&gt; further to 35% by the &lt;TAG 590&gt;year&lt;/TAG&gt; 2000.&lt;SUP&gt; &lt;/SUP&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;With the entry of &lt;TAG 592&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt; to &lt;TAG 593&gt;the World&lt;/TAG&gt; Trade organization, it also entails a number of &lt;TAG 596&gt;changes&lt;/TAG&gt; in the &lt;TAG 597&gt;health&lt;/TAG&gt; industry of &lt;TAG 598&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;. &lt;TAG 599&gt;First&lt;/TAG&gt;, the World Trade Organization (WTO) &lt;TAG 601&gt;entry&lt;/TAG&gt; will speed up the ongoing restructuring of &lt;TAG 604&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s pharmaceutical industry and its &lt;TAG 606&gt;health care&lt;/TAG&gt; reform. &lt;TAG 607&gt;Second&lt;/TAG&gt;, regulatory &lt;TAG 608&gt;changes&lt;/TAG&gt; stemming from &lt;TAG 609&gt;WTO&lt;/TAG&gt; accession will lower &lt;TAG 610&gt;tariffs&lt;/TAG&gt; on &lt;TAG 611&gt;imported&lt;/TAG&gt; drugs and bring welcome  &lt;TAG 612&gt;market&lt;/TAG&gt; opening in some &lt;TAG 613&gt;areas&lt;/TAG&gt;. &lt;SPAN class=body1&gt;&lt;TAG 614&gt;Tariff&lt;/TAG&gt; on &lt;TAG 615&gt;imported&lt;/TAG&gt; medicine are to drop from the current average of 14 percent to between 5.5 to 6.5 percent by 2003. Moreover, o&lt;/SPAN&gt;ther &lt;TAG 617&gt;changes&lt;/TAG&gt; will be less predictable. For instance, private insurers will be allowed to offer services after &lt;TAG 620&gt;WTO&lt;/TAG&gt; entry. This complements an existing trend where individuals are being made responsible for a portion of their healthcare costs. This is likely to depress demand for healthcare in the short term, as &lt;TAG 628&gt;people&lt;/TAG&gt; bear the true &lt;TAG 629&gt;price&lt;/TAG&gt; of their &lt;TAG 630&gt;healthcare&lt;/TAG&gt;. &lt;TAG 631&gt;Private&lt;/TAG&gt; insurance could counteract this, as it will focus on higher quality services and drugs.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Moreover, &lt;TAG 635&gt;the State&lt;/TAG&gt; Council in 1998 formulated &lt;TAG 636&gt;the new&lt;/TAG&gt; healthcare policy for employees working in cities and towns, and thus kicked off the &lt;TAG 641&gt;reform&lt;/TAG&gt; to the medical insurance mechanism. The objective of the &lt;TAG 644&gt;reform&lt;/TAG&gt; is to provide a remedy to the existing ailing &lt;TAG 646&gt;medical&lt;/TAG&gt; insurance &lt;TAG 647&gt;system&lt;/TAG&gt;. It includes three principles: wider coverage and lower state/employer contribution; shared &lt;TAG 651&gt;contribution&lt;/TAG&gt; by state/employer and &lt;TAG 652&gt;employee&lt;/TAG&gt;; separation of drug from medical service.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;The &lt;TAG 656&gt;reform&lt;/TAG&gt; will impact mainly five aspects of the pharmaceutical companies: &lt;TAG 660&gt;Financial&lt;/TAG&gt;, Supply chain, End user, Reimbursement and &lt;TAG 663&gt;Marketing&lt;/TAG&gt;. The &lt;TAG 664&gt;reform&lt;/TAG&gt; &lt;/SPAN&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;is to aim at&lt;/SPAN&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt; reducing medical expenses, particularly &lt;TAG 666&gt;drug&lt;/TAG&gt; fee. &lt;TAG 667&gt;The state&lt;/TAG&gt; very possibly will impose &lt;TAG 668&gt;price&lt;/TAG&gt; limit to &lt;TAG 669&gt;drugs&lt;/TAG&gt;. Chances of Novartis will be &lt;TAG 671&gt;forced&lt;/TAG&gt; to cut the &lt;TAG 672&gt;price&lt;/TAG&gt; for some existing &lt;TAG 673&gt;products&lt;/TAG&gt;, which are the biggest contributors to the sales and bottom line of the company. Also, the &lt;TAG 677&gt;price&lt;/TAG&gt; reduction incurred by the &lt;TAG 678&gt;reform&lt;/TAG&gt; will bring huge  &lt;TAG 679&gt;pressure&lt;/TAG&gt; on &lt;TAG 680&gt;the financial&lt;/TAG&gt; control of Novartis. Elizabeth Barnes said that Without doubt, a &lt;TAG 683&gt;financial&lt;/TAG&gt; objective will be a key objective and this will influence the type of pricing strategies used. (Barnes and McClelland, 1997) Moreover, Kotler and Armstrong (1997) also said &lt;TAG 690&gt;Marketers&lt;/TAG&gt; need to know &lt;TAG 691&gt;the laws&lt;/TAG&gt; affecting &lt;TAG 692&gt;price&lt;/TAG&gt; and make sure that their &lt;TAG 693&gt;pricing&lt;/TAG&gt; policies are defensible. Soon other players in the supply chain will feel the impact. Every &lt;TAG 697&gt;member&lt;/TAG&gt; of &lt;TAG 698&gt;the supply chain&lt;/TAG&gt; will be under tremendous stress in terms of stock management, account receivable and cost management, etc. to protect the shareholder value, operation margin and cash flow. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The level at which the &lt;TAG 708&gt;price&lt;/TAG&gt; of &lt;TAG 709&gt;a product&lt;/TAG&gt; is set has to be a careful balance between the &lt;TAG 712&gt;cost&lt;/TAG&gt; of &lt;TAG 713&gt;production&lt;/TAG&gt; and the &lt;TAG 714&gt;price&lt;/TAG&gt; that wholesalers, retailers and consumers are prepared to pay (Barnes and McClelland, 1997). &lt;TAG 718&gt;Price&lt;/TAG&gt; will become a sensitive issue after the implementation of &lt;TAG 721&gt;the new&lt;/TAG&gt; healthcare &lt;TAG 722&gt;reform&lt;/TAG&gt;. &lt;TAG 723&gt;Competition&lt;/TAG&gt; among wholesales and retailers will be intensified. Their margin will fall significantly and this will lead to consolidation in distribution. This trend will lead to the rise of powerful super-wholesalers, which will have bigger &lt;TAG 733&gt;national&lt;/TAG&gt; coverage, deeper penetration into &lt;TAG 735&gt;retailers&lt;/TAG&gt; and &lt;TAG 736&gt;better&lt;/TAG&gt; services.  Also, &lt;TAG 737&gt;the trend&lt;/TAG&gt; of &lt;TAG 738&gt;wholesales&lt;/TAG&gt; consolidation, hospital alliances and &lt;TAG 740&gt;retail&lt;/TAG&gt; chain stone operation will result in a smaller voice of &lt;TAG 744&gt;Novartis&lt;/TAG&gt; in &lt;TAG 745&gt;the supply chain&lt;/TAG&gt;. The end user-patients also will be motivated to control their medical expenses, and will have higher &lt;TAG 749&gt;awareness&lt;/TAG&gt; of &lt;TAG 750&gt;health and&lt;/TAG&gt; drugs. In reimbursement &lt;TAG 751&gt;aspect&lt;/TAG&gt;, due to this &lt;TAG 753&gt;reform&lt;/TAG&gt;, each province or municipality will only &lt;TAG 754&gt;develop&lt;/TAG&gt; one catalog. There won't be city-specific catalog any longer. The &lt;TAG 757&gt;good&lt;/TAG&gt; part about it is that pharmaceutical companies will be able &lt;TAG 759&gt;to focus&lt;/TAG&gt; resources in their &lt;TAG 760&gt;marketing&lt;/TAG&gt; efforts. However, the barrier of &lt;TAG 762&gt;entry&lt;/TAG&gt; will be higher. &lt;TAG 763&gt;Competition&lt;/TAG&gt; among &lt;TAG 764&gt;pharmaceutical companies&lt;/TAG&gt; will be &lt;TAG 765&gt;increased&lt;/TAG&gt;, and winning the support of &lt;TAG  767&gt;government&lt;/TAG&gt; officials and the recognition of the review committee has been more critical than ever. Therefore, &lt;TAG 770&gt;product&lt;/TAG&gt; entry into the &lt;TAG 771&gt;catalogs&lt;/TAG&gt; is the key to the survival and future growth of &lt;TAG 775&gt;pharmaceutical companies&lt;/TAG&gt;. The biggest involvement in a foreign market comes through direct investment – &lt;TAG 779&gt;the development&lt;/TAG&gt; of foreign-based assembly or manufacturing facilities. Generally, a firm develops a deeper relationship with &lt;TAG 783&gt;government&lt;/TAG&gt;, &lt;TAG 784&gt;customers&lt;/TAG&gt;, local suppliers, and distributors, allowing it to &lt;TAG 787&gt;better&lt;/TAG&gt; adapt its &lt;TAG 788&gt;products&lt;/TAG&gt; to the local &lt;TAG 789&gt;market&lt;/TAG&gt;. Finally, the firm keeps full control over the &lt;TAG 792&gt;investment&lt;/TAG&gt; and therefore can &lt;TAG 793&gt;develop&lt;/TAG&gt; manufacturing and &lt;TAG 794&gt;marketing&lt;/TAG&gt; policies that serve its long-term international objectives. (Kotler and Armstrong, 1997, p544)&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;TAG 797&gt;&lt;FONT size=3&gt;Due&lt;/TAG&gt; to the &lt;TAG 798&gt;reform&lt;/TAG&gt;, &lt;TAG 799&gt;the marketing&lt;/TAG&gt; strategy of &lt;TAG 800&gt;Novartis&lt;/TAG&gt; has to be &lt;TAG 801&gt;changed&lt;/TAG&gt; to adapt the situation. &lt;TAG 803&gt;Managers&lt;/TAG&gt;, of course, need to evaluate the situation, since in certain circumstances the best policy is to keep still, to merge into the background. (Barnes and McClelland, 1997)&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;THE PHARMACEUTICAL INDUSTRY&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Among the top &lt;TAG 811&gt;industries&lt;/TAG&gt; of &lt;TAG 812&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; is the &lt;TAG 813&gt;pharmaceutical industry&lt;/TAG&gt;. In an article by &lt;TAG 815&gt;Li&lt;/TAG&gt; (2000), he &lt;TAG 816&gt;stated&lt;/TAG&gt; that &lt;TAG 817&gt;the industry&lt;/TAG&gt; is growing at a relatively high &lt;TAG 818&gt;rate&lt;/TAG&gt;. He asserted that the total production of &lt;TAG 820&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 821&gt;pharmaceutical industry&lt;/TAG&gt; valued 113.79 billion yuan in &lt;TAG 822&gt;the first&lt;/TAG&gt; half of 2000, 22.3% higher than that of the same period 1999. This included &lt;TAG 824&gt;industrial&lt;/TAG&gt; value-added of 28.025 billion yuan, up 24.5% and 5 percentage points higher in year-on-year growth rate. In contrast, &lt;TAG 828&gt;the national&lt;/TAG&gt;  average &lt;TAG 829&gt;growth&lt;/TAG&gt; in &lt;TAG 830&gt;industrial&lt;/TAG&gt; value added was 13.3%. Furthermore, if divided by ownership types, &lt;TAG 832&gt;enterprises&lt;/TAG&gt; in all &lt;TAG 833&gt;sectors&lt;/TAG&gt; reported &lt;TAG 834&gt;positive&lt;/TAG&gt; growth except for some collectively owned &lt;TAG 835&gt;ones&lt;/TAG&gt;. The state-owed and state-controlled &lt;TAG 836&gt;enterprises&lt;/TAG&gt; turned out a total value-added of 10.117 billion yuan, up 5.5%; share-holding &lt;TAG 838&gt;companies&lt;/TAG&gt;, 8.183 billion yuan, up 110%; overseas-funded &lt;TAG 839&gt;companies&lt;/TAG&gt;, 5.885 billion yuan, up 0.94%; and collectively owned and &lt;TAG 840&gt;private&lt;/TAG&gt; ones, 3.027 billion yuan, down by 6%.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In &lt;TAG 841&gt;addition&lt;/TAG&gt;, &lt;TAG 842&gt;Li&lt;/TAG&gt; (2000) as well &lt;TAG 843&gt;stated&lt;/TAG&gt; that the &lt;TAG 844&gt;pharmaceutical industry&lt;/TAG&gt;'s sales volume is climbing up steadily. He &lt;TAG 846&gt;posited&lt;/TAG&gt; that &lt;TAG 847&gt;the total&lt;/TAG&gt; sales of pharmaceutical products in &lt;TAG 849&gt;the country&lt;/TAG&gt; topped 73.18 billion in &lt;TAG 850&gt;the first&lt;/TAG&gt; half of 2000, 14.2% higher than that of the same period in 1999. If divided by types, &lt;TAG 853&gt;one&lt;/TAG&gt; can see that &lt;TAG 854&gt;the growth&lt;/TAG&gt; in &lt;TAG 855&gt;sales&lt;/TAG&gt; of medicine and Chinese patent medicines is higher than &lt;TAG 858&gt;average&lt;/TAG&gt;, reaching 16.4% and 17.1%, &lt;TAG 859&gt;respectively&lt;/TAG&gt;. Of the 31 regions at provincial &lt;TAG 861&gt;levels&lt;/TAG&gt; in &lt;TAG 862&gt;the country&lt;/TAG&gt;, 26 reported &lt;TAG 863&gt;positive&lt;/TAG&gt; year-on-year &lt;TAG 864&gt;growth&lt;/TAG&gt; in the pharmaceutical product &lt;TAG  866&gt;sales&lt;/TAG&gt; in the &lt;TAG 867&gt;period&lt;/TAG&gt;, where the &lt;TAG 868&gt;companies&lt;/TAG&gt; accounted for 83.87% of &lt;TAG 869&gt;the total&lt;/TAG&gt; recorded. Similarly, 19 out of the 26 &lt;TAG 870&gt;regions&lt;/TAG&gt; posted &lt;TAG 871&gt;growth&lt;/TAG&gt; rates above &lt;TAG 872&gt;the national&lt;/TAG&gt; average. The coastal &lt;TAG 873&gt;area&lt;/TAG&gt; contributed greatly to &lt;TAG 874&gt;the total&lt;/TAG&gt; growth and the &lt;TAG 875&gt;regions&lt;/TAG&gt; of &lt;st1:City w:st="on"&gt;Shanghai&lt;/st1:City&gt;, &lt;st1:State w:st="on"&gt;Guangdong&lt;/st1:State&gt;, &lt;st1:State w:st="on"&gt;Jiangsu&lt;/st1:State&gt;, &lt;st1:State w:st="on"&gt;Shandong&lt;/st1:State&gt; and &lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;Beijing&lt;/st1:place&gt;&lt;/st1:City&gt; accounted for 54.4% of &lt;TAG 878&gt;the total&lt;/TAG&gt; sales. Likewise, the &lt;TAG 879&gt;period&lt;/TAG&gt; from January to June in 2000 also saw noticeable &lt;TAG 880&gt;growth&lt;/TAG&gt; in external &lt;TAG 881&gt;trade&lt;/TAG&gt; of &lt;TAG 882&gt;pharmaceutical&lt;/TAG&gt; products. &lt;TAG 883&gt;The total&lt;/TAG&gt; turnover in &lt;TAG 884&gt;period&lt;/TAG&gt; of January to May reached 2.472  billion US dollars, up 14.8%. &lt;TAG 886&gt;The total&lt;/TAG&gt; exports valued 1.485 billion dollars, up 14.5%; &lt;TAG 888&gt;imports&lt;/TAG&gt;, 987 million dollars, up 15.1%.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Furthermore, &lt;TAG 890&gt;the industry&lt;/TAG&gt; also displays an apparent &lt;TAG 892&gt;improvement&lt;/TAG&gt; in &lt;TAG 893&gt;production&lt;/TAG&gt; and &lt;TAG 894&gt;sales&lt;/TAG&gt;. (Li, 2000) In fact, 92.7% of &lt;TAG 896&gt;the country&lt;/TAG&gt;'s &lt;TAG 897&gt;pharmaceutical&lt;/TAG&gt; products were &lt;TAG 898&gt;marketed&lt;/TAG&gt; in &lt;TAG 899&gt;the first&lt;/TAG&gt; half of 2000, 2.7 percentage points higher than in 1999. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;On the other hand, it is also apparent that the profit of &lt;TAG 903&gt;pharmaceutical&lt;/TAG&gt; enterprises is on the rise. (Li, 2000) &lt;TAG 905&gt;The sales&lt;/TAG&gt; revenue of the pharm &lt;TAG 906&gt;enterprises&lt;/TAG&gt; in &lt;TAG 907&gt;the country&lt;/TAG&gt; reached 61.82 billion yuan in the Jan.-May &lt;TAG 908&gt;period&lt;/TAG&gt; on 2000, up 20.3%, which include profit of 4.148 billion yuan, up 23.5%, rocketing based on &lt;TAG 910&gt;the growth&lt;/TAG&gt; achieved in 1999. &lt;TAG 911&gt;Enterprises&lt;/TAG&gt; in East China reported &lt;TAG 913&gt;a total&lt;/TAG&gt; profit of 2.877 billion yuan, up 32.8%, and the &lt;TAG 914&gt;regions&lt;/TAG&gt; of &lt;st1:City w:st="on"&gt;Tianjin&lt;/st1:City&gt;, &lt;TAG 916&gt;&lt;st1:City w:st="on"&gt;Beijing&lt;/TAG&gt;&lt;/st1:City&gt;, &lt;st1:State w:st="on"&gt;Jiangsu&lt;/st1:State&gt; and &lt;st1:State w:st="on"&gt;&lt;st1:place w:st="on"&gt;Shandong&lt;/st1:place&gt;&lt;/st1:State&gt; reported &lt;TAG 917&gt;growth&lt;/TAG&gt; rates of over  30%. &lt;/SPAN&gt;&lt;SPAN class=mstext1&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN class=mstext1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN class=mstext1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;In correspondence to &lt;TAG 919&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 920&gt;accession&lt;/TAG&gt; to the &lt;TAG 921&gt;WTO&lt;/TAG&gt;, the &lt;TAG 922&gt;pharmaceutical&lt;/TAG&gt; sector as well experienced its &lt;TAG 923&gt;effects&lt;/TAG&gt; in terms of restriction and &lt;TAG 926&gt;competition&lt;/TAG&gt;. The newly implemented Pharmaceuticals &lt;TAG 928&gt;Control&lt;/TAG&gt; Law has brought about a long-sought transformation of &lt;TAG 929&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s medicine industry. (Lao, 2001) &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN class=body1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;The revised &lt;TAG 931&gt;law&lt;/TAG&gt; went into &lt;TAG 932&gt;effect&lt;/TAG&gt; on December after two-and-half-year deliberation since the  amendment to the &lt;TAG 933&gt;Pharmaceuticals&lt;/TAG&gt; Control &lt;TAG 934&gt;Law&lt;/TAG&gt; was officially launched in October 1998. It was perfectly timed to bring the domestic &lt;TAG 935&gt;pharmaceutical industry&lt;/TAG&gt; in line with &lt;TAG 937&gt;WTO&lt;/TAG&gt; rules. Moreover, &lt;TAG 938&gt;the economic&lt;/TAG&gt; and social changes following &lt;TAG 940&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 941&gt;WTO&lt;/TAG&gt; entry have brought about many &lt;TAG 942&gt;new&lt;/TAG&gt; demands for the &lt;TAG 943&gt;pharmaceutical&lt;/TAG&gt; sector. Therefore, the Chinese &lt;TAG 944&gt;government&lt;/TAG&gt; has performed 'major surgery' on the former &lt;TAG 946&gt;Pharmaceuticals&lt;/TAG&gt; Control &lt;TAG 947&gt;Law&lt;/TAG&gt;. In the said &lt;TAG 948&gt;law&lt;/TAG&gt;, the number of provisions nearly doubles the amount in the original &lt;TAG 952&gt;law&lt;/TAG&gt;; only two provisions remained unchanged. &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN class=body1&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN class=body1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN class=body1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Moreover, observers have pointed out that the domestic &lt;TAG 955&gt;pharmaceutical industry&lt;/TAG&gt; will face great challenges after &lt;TAG 957&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 958&gt;WTO&lt;/TAG&gt; accession. &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN class=mstext1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;(Lao, 2001) &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN class=body1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;It is necessary to keep the administration of high-quality &lt;TAG 960&gt;medicine&lt;/TAG&gt; in line with the international standards if domestic &lt;TAG 963&gt;pharmaceutical&lt;/TAG&gt; enterprises are to participate equally in global competition with their &lt;TAG 965&gt;foreign&lt;/TAG&gt; counterparts. Statistics show that &lt;TAG 967&gt;&lt;st1:country-region  w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; had about 3,700 &lt;TAG 968&gt;medicine&lt;/TAG&gt; producers in 1990, but the figure shot up to over 7,500 in 1998, and only 87 &lt;TAG 970&gt;enterprises&lt;/TAG&gt; or workshops gained &lt;TAG 971&gt;Good&lt;/TAG&gt; Manufacturing &lt;TAG 972&gt;Practice&lt;/TAG&gt; (GMP) certification. Moreover, with &lt;TAG 974&gt;the implementation&lt;/TAG&gt; of &lt;TAG 975&gt;the new&lt;/TAG&gt; law, some 6,300 domestic &lt;TAG 976&gt;pharmaceutical&lt;/TAG&gt; enterprises will be &lt;TAG 977&gt;required&lt;/TAG&gt; to abide by GMP standards before the &lt;TAG 979&gt;end&lt;/TAG&gt; of 2004. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN class=body1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;SPAN class=body1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Meanwhile, &lt;TAG 980&gt;the new&lt;/TAG&gt; law will treat &lt;TAG 981&gt;foreign&lt;/TAG&gt; medicine equally with domestic brands by stopping the &lt;TAG 984&gt;practice&lt;/TAG&gt; of examining the &lt;TAG 986&gt;imported&lt;/TAG&gt; medicine of each group and shifting &lt;TAG 988&gt;the focus&lt;/TAG&gt; to &lt;TAG 989&gt;market&lt;/TAG&gt; supervision. &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN class=mstext1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;(Lao, 2001) &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN class=body1&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Furthermore, the amended &lt;TAG 990&gt;law&lt;/TAG&gt; has simplified the administrative approval procedures and &lt;TAG 993&gt;established&lt;/TAG&gt; the regulations over the &lt;TAG 995&gt;imported&lt;/TAG&gt; medicine's examination and registration, which both meet the demands of &lt;TAG 998&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place  w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 999&gt;WTO&lt;/TAG&gt; entry. In &lt;TAG 1000&gt;addition&lt;/TAG&gt;, the influence of &lt;TAG 1002&gt;the new&lt;/TAG&gt; law on &lt;TAG 1003&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s &lt;TAG 1004&gt;medicine&lt;/TAG&gt; industry has been felt since it was passed by the Ninth &lt;TAG 1005&gt;National&lt;/TAG&gt; People's Congress Standing Committee last February of 2001. &lt;TAG 1008&gt;The new&lt;/TAG&gt; law stipulates that the &lt;TAG 1009&gt;medicine&lt;/TAG&gt; sales should follow international conventions and meet &lt;TAG 1012&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;'s needs. &lt;TAG 1014&gt;The establishment&lt;/TAG&gt; of &lt;TAG 1015&gt;medicine&lt;/TAG&gt; chain stores has become a common &lt;TAG 1016&gt;practice&lt;/TAG&gt; throughout &lt;TAG 1017&gt;the country&lt;/TAG&gt;. &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;H2 style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: Arial"&gt;&lt;FONT color=#999999&gt;NOVARTIS AND THE CHINESE HEALTHCARE REFORM&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/H2&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The 1990s mark &lt;TAG 1018&gt;the first&lt;/TAG&gt; decade in which &lt;TAG 1019&gt;companies&lt;/TAG&gt; around &lt;TAG 1020&gt;the world&lt;/TAG&gt; must start to think &lt;TAG 1021&gt;globally&lt;/TAG&gt;. &lt;TAG 1022&gt;Time&lt;/TAG&gt; and distance are shrinking rapidly with the advent of faster &lt;TAG 1023&gt;communication&lt;/TAG&gt;, transportation, and &lt;TAG 1025&gt;financial&lt;/TAG&gt; flows. &lt;TAG 1026&gt;Products&lt;/TAG&gt; developed in &lt;TAG 1027&gt;one&lt;/TAG&gt; country are finding enthusiastic acceptance in other &lt;TAG 1029&gt;countries&lt;/TAG&gt; (Kotler and &lt;TAG 1030&gt;Armstrong&lt;/TAG&gt;, 1997).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Nowadays &lt;TAG 1031&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt; is the most potential market for the &lt;TAG 1033&gt;foreign&lt;/TAG&gt; investors since &lt;TAG 1034&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; was accepted as a &lt;TAG 1036&gt;member&lt;/TAG&gt; of &lt;TAG 1037&gt;WTO&lt;/TAG&gt;. However, the &lt;TAG 1038&gt;foreign&lt;/TAG&gt; investors should be &lt;TAG 1039&gt;aware&lt;/TAG&gt; that the understanding the public &lt;TAG 1041&gt;policy&lt;/TAG&gt; implications of a particular &lt;TAG 1042&gt;marketing&lt;/TAG&gt; activity is not a simple matter. As Kotler and &lt;TAG 1045&gt;Armstrong&lt;/TAG&gt; (1997) pointed out that &lt;TAG 1046&gt;marketing&lt;/TAG&gt; decisions are strongly affected by &lt;TAG 1048&gt;developments&lt;/TAG&gt; in the political &lt;TAG 1049&gt;environment&lt;/TAG&gt;. &lt;TAG 1050&gt;Nations&lt;/TAG&gt; vary greatly in their political-legal &lt;TAG  1051&gt;environments&lt;/TAG&gt;. He also identified four political-legal factors should be considered in deciding whether to do &lt;/FONT&gt;&lt;A title="See other pages Jiglu tagged with 'Business'" href="http://vicfabe-tagging.jiglu.com/overlay/42114434187478240118dd9ee7cb6116/Business"&gt;&lt;FONT color=#5588aa size=3&gt;business&lt;/FONT&gt;&lt;/A&gt;&lt;FONT size=3&gt; in a given &lt;TAG 1054&gt;country&lt;/TAG&gt;, and &lt;TAG 1055&gt;one&lt;/TAG&gt; of them is &lt;EM&gt;&lt;TAG 1056&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;government&lt;/TAG&gt; bureaucracy&lt;/SPAN&gt;&lt;/EM&gt;. The host government runs an &lt;TAG 1059&gt;efficient&lt;/TAG&gt; system or &lt;TAG 1060&gt;reform&lt;/TAG&gt; and this will direct influence the corporate strategies of &lt;TAG 1063&gt;foreign&lt;/TAG&gt; companies.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Beijing Novartis Phama Ltd is a Swiss &lt;TAG 1065&gt;Pharmaceuticals Company&lt;/TAG&gt; to &lt;TAG 1066&gt;set&lt;/TAG&gt; joint venture in &lt;TAG 1068&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; in 1984. &lt;TAG 1069&gt;Novartis&lt;/TAG&gt; has its target products to &lt;TAG 1071&gt;good&lt;/TAG&gt; selling in &lt;TAG 1072&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt; and also has many potential marketing &lt;TAG 1074&gt;opportunities&lt;/TAG&gt; in every &lt;TAG 1075&gt;region&lt;/TAG&gt; in &lt;TAG 1076&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;. Meldrum and Mcdonald (1995) pointed out that a &lt;TAG 1078&gt;major&lt;/TAG&gt; concern for any &lt;TAG 1079&gt;producing&lt;/TAG&gt; organization is how it can best make its &lt;TAG 1080&gt;products&lt;/TAG&gt; be available to &lt;TAG 1081&gt;the market&lt;/TAG&gt;  place. In &lt;TAG 1082&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;, there are no &lt;TAG 1083&gt;private&lt;/TAG&gt; physicians, almost no &lt;TAG 1084&gt;private&lt;/TAG&gt; hospitals and clinics. &lt;TAG 1086&gt;The majority&lt;/TAG&gt; consumption of an ethical &lt;TAG 1087&gt;medicine&lt;/TAG&gt; is from &lt;TAG 1088&gt;state&lt;/TAG&gt; owned hospitals. Every &lt;TAG 1090&gt;hospital&lt;/TAG&gt; has its own pharmacy. According to &lt;TAG 1092&gt;government&lt;/TAG&gt; reimbursement &lt;TAG 1093&gt;policy&lt;/TAG&gt;, ethical &lt;TAG 1094&gt;medicine&lt;/TAG&gt; in reimbursement list can be reimbursed. However, there is a condition, only the ethical &lt;TAG 1096&gt;medicine&lt;/TAG&gt; prescribed by &lt;TAG 1097&gt;hospital&lt;/TAG&gt; doctors and bought in &lt;TAG 1098&gt;hospital&lt;/TAG&gt; pharmacies can be reimbursed. So that it is critical for any ethical &lt;TAG 1099&gt;medicine&lt;/TAG&gt; to get into &lt;TAG 1100&gt;hospital&lt;/TAG&gt; list. &lt;TAG 1101&gt;Hospital&lt;/TAG&gt; is the battle of &lt;TAG 1103&gt;competition&lt;/TAG&gt;. The tradition sales &lt;TAG 1105&gt;practice&lt;/TAG&gt;  of a Chinese local &lt;TAG 1106&gt;pharmaceutics company&lt;/TAG&gt; is to sell its &lt;TAG 1108&gt;products&lt;/TAG&gt; to distributors without its own &lt;TAG 1110&gt;hospital&lt;/TAG&gt; sales team. They do less academic and professional promotion. Every &lt;TAG 1112&gt;organization&lt;/TAG&gt; needs to audit the environment(s) in which it &lt;TAG 1113&gt;operates&lt;/TAG&gt;, and for this will &lt;TAG 1114&gt;require&lt;/TAG&gt; a sophisticated research activity. (Barnes and McClelland, 1997)&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;SPAN style="mso-bidi-: italicfont-family:'Times New Roman'"&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;/SPAN&gt;&lt;FONT face="Times New Roman"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-bidi-: italicfont-family:'Times New Roman'"&gt;In order to specify &lt;TAG 1117&gt;the effects&lt;/TAG&gt; of the &lt;TAG 1118&gt;healthcare&lt;/TAG&gt; reforms of the Chinese &lt;TAG 1119&gt;government&lt;/TAG&gt; to the marketing strategies of Beijing Novartis, the study will be focusing on the buying behavior of &lt;TAG 1124&gt;the consumers&lt;/TAG&gt; as well as &lt;TAG 1125&gt;the product&lt;/TAG&gt; pricing of &lt;TAG 1126&gt;the company&lt;/TAG&gt;. Korhonen (1999) provided several basic &lt;TAG 1127&gt;pricing&lt;/TAG&gt; theories and their assumptions. Among these include the cost-derived &lt;TAG 1129&gt;pricing&lt;/TAG&gt;, competition-based &lt;TAG 1130&gt;pricing&lt;/TAG&gt;, and value-based &lt;TAG 1131&gt;pricing&lt;/TAG&gt; theories. &lt;/SPAN&gt;&lt;SPAN style="mso-bidi-font-style: italicfont-family:Arial"&gt;In Cost-Derived &lt;TAG  1132&gt;Pricing&lt;/TAG&gt;, as it's name implies, &lt;TAG 1134&gt;cost&lt;/TAG&gt; is &lt;TAG 1135&gt;the major&lt;/TAG&gt; factor that determines the &lt;TAG 1137&gt;price&lt;/TAG&gt; of &lt;TAG 1138&gt;a product&lt;/TAG&gt;. Hence the &lt;TAG 1139&gt;price&lt;/TAG&gt; of &lt;TAG 1140&gt;a product&lt;/TAG&gt; is found by the &lt;TAG 1141&gt;cost&lt;/TAG&gt; of &lt;TAG 1142&gt;production&lt;/TAG&gt; and &lt;TAG 1143&gt;a profit&lt;/TAG&gt; margin. In Competition-Based &lt;TAG 1144&gt;Pricing&lt;/TAG&gt;, &lt;TAG 1145&gt;the importance&lt;/TAG&gt; is given to the &lt;TAG 1146&gt;prices&lt;/TAG&gt; of similar &lt;TAG 1147&gt;products&lt;/TAG&gt; on &lt;TAG 1148&gt;the market&lt;/TAG&gt;. On the other hand, the Value-Based &lt;TAG 1150&gt;pricing&lt;/TAG&gt; approach focuses on &lt;TAG 1151&gt;customers&lt;/TAG&gt; by the way they perceive the value of &lt;TAG 1154&gt;a product&lt;/TAG&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;SPAN style="mso-bidi-: italicfont-family:'Times New Roman'"&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;/SPAN&gt;&lt;SPAN style="mso-bidi-: italicfont-family:'Times New Roman'"&gt;&lt;FONT size=3&gt;&lt;FONT face="Times New Roman"&gt;Perner (2000) on the other &lt;TAG 1155&gt;hand&lt;/TAG&gt; refuted the common view of the concept of the word price as synonymous to a monetary amount. However, this measure leaves out an &lt;TAG 1161&gt;important&lt;/TAG&gt; piece of information on what exactly is taken in return of that monetary unit. &lt;TAG 1165&gt;One&lt;/TAG&gt; could only be certain that &lt;TAG 1166&gt;consumers&lt;/TAG&gt; often tend to respond strongly to &lt;TAG 1167&gt;price&lt;/TAG&gt; increases, and particularly when certain thresholds are reached. Thus, a more complete definition of &lt;TAG 1170&gt;price&lt;/TAG&gt; is provided as:&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; TEXT-ALIGN: center" align=center&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;SPAN style="mso-bidi-: italicfont-family:'Times New Roman'"&gt;&lt;FONT size=3&gt;Resources given up&lt;BR&gt;&lt;TAG 1172&gt;Price&lt;/TAG&gt; = _____________________&lt;BR&gt;Resources received&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/SPAN&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In the above formula price is defined as the &lt;TAG 1175&gt;percentage&lt;/TAG&gt; one acquires from the &lt;TAG 1176&gt;resources&lt;/TAG&gt; received and given up. Moreover, the numerator is usually &lt;TAG 1178&gt;stated&lt;/TAG&gt; in &lt;TAG 1179&gt;financial&lt;/TAG&gt; terms and the denominator is &lt;TAG 1180&gt;stated&lt;/TAG&gt; in &lt;TAG 1181&gt;terms&lt;/TAG&gt; of some other quantity. Moreover, &lt;TAG 1183&gt;price&lt;/TAG&gt; can be &lt;TAG 1184&gt;used&lt;/TAG&gt; in several &lt;TAG 1185&gt;ways&lt;/TAG&gt; to attract &lt;TAG 1186&gt;customers&lt;/TAG&gt;. (Perner, 2001) &lt;TAG 1187&gt;The first&lt;/TAG&gt; is through &lt;I&gt;&lt;SPAN style="DISPLAY: none; mso-hide: all"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/I&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;I&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;quality signaling&lt;/SPAN&gt;&lt;/I&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;. In this method, some manufacturers and &lt;TAG 1191&gt;retailers&lt;/TAG&gt; use &lt;TAG 1192&gt;price&lt;/TAG&gt; as a signal of quality. The other method is by &lt;I&gt;value positioning&lt;/I&gt;. In &lt;TAG 1196&gt;this method&lt;/TAG&gt;, certain brands and &lt;TAG 1198&gt;retailers&lt;/TAG&gt; position themselves as providing value--that is, reasonable &lt;TAG 1199&gt;quality&lt;/TAG&gt; at a low cost.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;On another &lt;TAG 1201&gt;study&lt;/TAG&gt; by Perner (2001) provided &lt;TAG 1202&gt;importance&lt;/TAG&gt; of consumer behavior in &lt;TAG 1204&gt;marketing strategies&lt;/TAG&gt;. According to &lt;TAG 1205&gt;the study&lt;/TAG&gt;, consumer behavior is &lt;TAG 1207&gt;the study&lt;/TAG&gt; of individuals, groups, or &lt;TAG 1210&gt;organizations and&lt;/TAG&gt; the &lt;/FONT&gt;&lt;A title="See other pages Jiglu tagged with 'process'" href="http://vicfabe-tagging.jiglu.com/overlay/42114434187478240118dd9ee7cb6116/process"&gt;&lt;FONT color=#5588aa size=3&gt;processes&lt;/FONT&gt;&lt;/A&gt;&lt;FONT size=3&gt; they &lt;TAG 1212&gt;use&lt;/TAG&gt; to select, secure, &lt;TAG 1214&gt;use&lt;/TAG&gt;, and dispose of &lt;TAG 1215&gt;products&lt;/TAG&gt;, &lt;TAG 1216&gt;services&lt;/TAG&gt;, experiences, or ideas to satisfy &lt;TAG 1219&gt;needs&lt;/TAG&gt; and the &lt;TAG 1220&gt;impacts&lt;/TAG&gt; that these processes have on the &lt;TAG 1222&gt;consumer&lt;/TAG&gt; and  society. Behavior occurs either for &lt;TAG 1225&gt;the individual&lt;/TAG&gt;, or in the context of a &lt;TAG 1227&gt;group&lt;/TAG&gt; or &lt;TAG 1228&gt;an organization&lt;/TAG&gt;. Moreover, &lt;TAG 1229&gt;consumer behavior&lt;/TAG&gt; involves &lt;TAG 1230&gt;the use&lt;/TAG&gt; and disposal of &lt;TAG 1232&gt;products&lt;/TAG&gt; as well as &lt;TAG 1233&gt;the study&lt;/TAG&gt; of how they are purchased. &lt;TAG 1234&gt;Product&lt;/TAG&gt; use is often of great interest to the &lt;TAG 1236&gt;marketer&lt;/TAG&gt;, because this may &lt;TAG 1237&gt;influence&lt;/TAG&gt; how &lt;TAG 1238&gt;a product&lt;/TAG&gt; is best positioned or how we can encourage &lt;TAG 1239&gt;increased&lt;/TAG&gt; consumption. He added that &lt;TAG 1240&gt;consumer behavior&lt;/TAG&gt; involves &lt;TAG 1241&gt;services&lt;/TAG&gt; and ideas as well as tangible &lt;TAG 1243&gt;products&lt;/TAG&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;TAG 1244&gt;&lt;FONT size=3&gt;Kotler&lt;/TAG&gt; (1980) on the other &lt;TAG 1245&gt;hand&lt;/TAG&gt; provided several factors that would &lt;TAG 1247&gt;influence&lt;/TAG&gt; the &lt;TAG 1248&gt;consuming behavior&lt;/TAG&gt; of buyers. Among these &lt;TAG 1250&gt;factors&lt;/TAG&gt; include the cultural, &lt;TAG 1251&gt;social&lt;/TAG&gt;, and &lt;/FONT&gt;&lt;A title="See other pages Jiglu tagged with 'personal'" href="http://vicfabe-tagging.jiglu.com/overlay/42114434187478240118dd9ee7cb6116/personal"&gt;&lt;FONT color=#5588aa size=3&gt;personal&lt;/FONT&gt;&lt;/A&gt;&lt;FONT size=3&gt; factors. Among the cultural aspects include the culture-values, perceptions, and preferences that are the most fundamental &lt;TAG 1256&gt;determinant&lt;/TAG&gt; of a person's wants and behavior; subcultures-nationalities, religions, racial &lt;TAG 1260&gt;groups&lt;/TAG&gt;, geographical regions; and the &lt;TAG 1262&gt;social&lt;/TAG&gt;  class-hierarchically ordered divisions in a &lt;TAG 1264&gt;society&lt;/TAG&gt;; &lt;TAG 1265&gt;members&lt;/TAG&gt; share similar &lt;TAG 1266&gt;values&lt;/TAG&gt;, interests and &lt;TAG 1268&gt;behavior&lt;/TAG&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;On the other &lt;TAG 1269&gt;hand&lt;/TAG&gt;, &lt;TAG 1270&gt;social&lt;/TAG&gt; factors that &lt;TAG 1271&gt;affect the&lt;/TAG&gt; buying &lt;TAG 1272&gt;behavior&lt;/TAG&gt; of &lt;TAG 1273&gt;the consumers&lt;/TAG&gt; of &lt;TAG 1274&gt;a product&lt;/TAG&gt; includes the &lt;TAG 1275&gt;reference&lt;/TAG&gt; groups-all &lt;TAG 1276&gt;groups&lt;/TAG&gt; that have an &lt;TAG 1277&gt;influence&lt;/TAG&gt; on attitudes or &lt;TAG 1279&gt;behavior&lt;/TAG&gt;; the family, which is the most influential primary &lt;TAG 1281&gt;reference&lt;/TAG&gt; group; and the &lt;TAG 1282&gt;roles and&lt;/TAG&gt; statuses, which &lt;TAG 1283&gt;Kotler&lt;/TAG&gt; defined as &lt;TAG 1284&gt;the activities&lt;/TAG&gt; a &lt;TAG 1285&gt;person&lt;/TAG&gt; is expected to perform and the status associated with each. (Kotler, 1980)&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;And lastly, &lt;TAG 1287&gt;Kotler&lt;/TAG&gt; (1980) &lt;TAG 1288&gt;stated&lt;/TAG&gt; that the &lt;TAG 1289&gt;personal&lt;/TAG&gt; factors include variables such as the age and life-cycle stage-people buy different &lt;TAG 1293&gt;goods&lt;/TAG&gt; over their lifetime. Another is the occupation and economic circumstances of the &lt;TAG 1297&gt;consumer&lt;/TAG&gt; as well as his/her lifestyle. The latter is defined as the pattern of &lt;TAG 1299&gt;living&lt;/TAG&gt; as expressed by &lt;TAG 1300&gt;activities&lt;/TAG&gt;, &lt;TAG 1301&gt;interests&lt;/TAG&gt;, opinions. Moreover, another &lt;TAG 1303&gt;personal&lt;/TAG&gt; factor is &lt;TAG 1304&gt;the personality&lt;/TAG&gt; and self-concept-personality characteristics that &lt;TAG 1305&gt;influence&lt;/TAG&gt; buying &lt;TAG 1306&gt;behavior&lt;/TAG&gt; of &lt;TAG 1307&gt;the consumers&lt;/TAG&gt;. The psychological &lt;TAG 1308&gt;factors&lt;/TAG&gt; such as the motivation of the &lt;TAG  1310&gt;consumer&lt;/TAG&gt; to purchase a &lt;TAG 1311&gt;need&lt;/TAG&gt;; the perception of the &lt;TAG 1313&gt;consumer&lt;/TAG&gt; towards &lt;TAG 1314&gt;a product&lt;/TAG&gt;; learning as related to the experiences of the &lt;TAG 1317&gt;consumer&lt;/TAG&gt;, and their beliefs and attitudes based on the thoughts and favorable, or otherwise, evaluations of &lt;TAG 1322&gt;a person&lt;/TAG&gt; towards a certain merchandise.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In consideration of the above review, &lt;TAG 1325&gt;the study&lt;/TAG&gt; would be &lt;TAG 1326&gt;using the&lt;/TAG&gt; above theories on &lt;TAG 1328&gt;examining&lt;/TAG&gt; the &lt;TAG 1329&gt;effects&lt;/TAG&gt; of the &lt;TAG 1330&gt;healthcare&lt;/TAG&gt; reforms of &lt;TAG 1331&gt;the People&lt;/TAG&gt;'s Republic of &lt;TAG 1332&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; to &lt;TAG 1333&gt;the marketing strategies&lt;/TAG&gt; of Beijing Novartis Pharma Ltd. It &lt;TAG 1335&gt;will use&lt;/TAG&gt; the theories of Perner and &lt;TAG 1337&gt;Kotler&lt;/TAG&gt; to &lt;TAG 1338&gt;measure&lt;/TAG&gt; both of &lt;TAG 1339&gt;the marketing strategies&lt;/TAG&gt; of &lt;TAG 1340&gt;Novartis&lt;/TAG&gt; particularly on its &lt;TAG 1341&gt;pricing&lt;/TAG&gt; and its &lt;TAG 1342&gt;consumer&lt;/TAG&gt;'s &lt;TAG 1343&gt;buying&lt;/TAG&gt; behavior.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify; tab-stops: list .5in"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Sources:&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; COLOR: #333333; FONT-FAMILY: Arial"&gt;Chow, Gregory. (2000) &lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;I&gt;&lt;TAG 1345&gt;China&lt;/TAG&gt;&lt;/I&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;&lt;I&gt;'s &lt;TAG 1346&gt;Economic Reform&lt;/TAG&gt; and &lt;TAG 1347&gt;Policies&lt;/TAG&gt; at the &lt;TAG 1348&gt;Beginning&lt;/TAG&gt; of the 21st Century.&lt;/I&gt; &lt;U&gt;Perspective, Volume 2, No. 1.&lt;/U&gt;&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;STRONG&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/STRONG&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Elizabeth Barnes &amp;amp; Bob McClelland, (1997) &lt;I&gt;&lt;TAG 1354&gt;Marketing&lt;/TAG&gt;, An &lt;TAG 1355&gt;Active&lt;/TAG&gt; Learning Approach.&lt;/I&gt; Blackwell Business Publishing&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN lang=EN-GB style="COLOR: #333333; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN lang=EN-GB style="COLOR: #333333; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"&gt;&lt;FONT size=3&gt;Korhonen, Jessica. (1999) &lt;I&gt;Utilising &lt;TAG 1357&gt;Pricing&lt;/TAG&gt; Theory as a basis for the Financing of a &lt;TAG 1360&gt;New&lt;/TAG&gt; Web-Service.&lt;/I&gt; Swedish &lt;st1:place w:st="on"&gt;&lt;st1:PlaceType w:st="on"&gt;School&lt;/st1:PlaceType&gt; of &lt;TAG 1361&gt;&lt;st1:PlaceName w:st="on"&gt;Economics&lt;/TAG&gt;&lt;/st1:PlaceName&gt;&lt;/st1:place&gt; and Business Administration.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;TAG 1363&gt;&lt;FONT size=3&gt;Kotler&lt;/TAG&gt;, Philip &amp;amp; Gary Armstrong, (1997) &lt;I&gt;&lt;TAG 1365&gt;Marketing&lt;/TAG&gt;, An introduction. &lt;/I&gt;Fourth Edition&lt;I&gt;, &lt;/I&gt;Pitman Publishing.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;TAG 1368&gt;&lt;FONT size=3&gt;Kotler&lt;/TAG&gt;, Philip. (1980) &lt;I&gt;Marketing management: analysis, &lt;TAG 1371&gt;planning&lt;/TAG&gt;, and &lt;TAG 1372&gt;control&lt;/TAG&gt;.&lt;/I&gt; &lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;Englewood&lt;/st1:place&gt;&lt;/st1:City&gt; Cliffs, N.J. : Prentice-Hall.&lt;/FONT&gt;&lt;/SPAN&gt;&lt;B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Lao, John. (2001) &lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;&lt;I&gt;&lt;TAG 1373&gt;China&lt;/TAG&gt;&lt;/I&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;&lt;I&gt; Incorporates Pharmacy into &lt;TAG 1375&gt;WTO&lt;/TAG&gt; Rules.&lt;/I&gt; &lt;U&gt;&lt;TAG 1376&gt;People&lt;/TAG&gt;'s Daily.&lt;/U&gt; Available: &lt;/FONT&gt;&lt;A href="http://english.peopledaily.com.cn/200112/08/eng20011208_86194.shtml"&gt;&lt;FONT color=#5588aa size=3&gt;http://english.peopledaily.com.cn/200112/08/eng20011208_86194.shtml&lt;/FONT&gt;&lt;/A&gt;&lt;FONT size=3&gt;. [Accessed 03/31/03]&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;TAG 1377&gt;&lt;FONT size=3&gt;Li&lt;/TAG&gt;, Jun. (2000) &lt;I&gt;An Analysis on Current &lt;TAG 1379&gt;Pharmaceutical Industry&lt;/TAG&gt; in &lt;TAG 1380&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/st1:place&gt;&lt;/st1:country-region&gt;&lt;/TAG&gt;.&lt;/I&gt; &lt;TAG 1381&gt;Investment&lt;/TAG&gt; in &lt;TAG 1382&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt; (Monthly Report), No. 7.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Mike Meldrum and Malcolm McDonald, (1995) &lt;I&gt;Key Marketing Concepts&lt;/I&gt;, Macmilian &lt;TAG 1386&gt;Business&lt;/TAG&gt; Publishing&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify; mso-pagination: none"&gt;&lt;SPAN style="LAYOUT-GRID-MODE: line; COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify; mso-pagination: none"&gt;&lt;FONT size=3&gt;&lt;SPAN style="LAYOUT-GRID-MODE: line; COLOR: #333333; FONT-FAMILY: Arial"&gt;Perner, Lars. (2000) &lt;I&gt;&lt;TAG 1387&gt;Pricing&lt;/TAG&gt;&lt;/I&gt;. &lt;/SPAN&gt;&lt;st1:PlaceName w:st="on"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;Anderson&lt;/SPAN&gt;&lt;/st1:PlaceName&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt; &lt;st1:PlaceName w:st="on"&gt;Graduate&lt;/st1:PlaceName&gt; &lt;st1:PlaceType w:st="on"&gt;School&lt;/st1:PlaceType&gt; of &lt;TAG 1388&gt;&lt;st1:PlaceName w:st="on"&gt;Management&lt;/TAG&gt;&lt;/st1:PlaceName&gt; &lt;st1:PlaceType w:st="on"&gt;University&lt;/st1:PlaceType&gt; of &lt;st1:State w:st="on"&gt;California&lt;/st1:State&gt;, &lt;st1:City w:st="on"&gt;&lt;st1:place w:st="on"&gt;Riverside&lt;/st1:place&gt;&lt;/st1:City&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify; tab-stops: list .5in"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify; tab-stops: list .5in"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Perner, Lars. (2001) &lt;I&gt;&lt;TAG 1390&gt;Consumer Behavior and&lt;/TAG&gt; Marketing &lt;TAG 1391&gt;Strategies&lt;/TAG&gt;.&lt;/I&gt; &lt;/FONT&gt;&lt;A href="http://www.consumerpsychologist.com/cpn1-1.htm"&gt;&lt;FONT color=#5588aa size=3&gt;Consumer Psychologist Newsletter, &lt;/FONT&gt;&lt;/A&gt;&lt;A href="http://www.consumerpsychologist.com/cpn1-1.htm"&gt;&lt;FONT color=#5588aa size=3&gt;Volume 1, Issue 1&lt;/FONT&gt;&lt;/A&gt;&lt;FONT size=3&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Wong, Brian and Satyananda Gabriel. (1998) &lt;I&gt;&lt;TAG 1392&gt;The influence&lt;/TAG&gt; of &lt;TAG 1393&gt;Economic&lt;/TAG&gt; Liberalization on &lt;TAG 1394&gt;Urban&lt;/TAG&gt; Healthcare &lt;TAG 1395&gt;Access&lt;/TAG&gt; in &lt;TAG 1396&gt;the People&lt;/TAG&gt;'s Republic of &lt;TAG 1397&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/st1:place&gt;&lt;/st1:country-region&gt;&lt;/TAG&gt;.&lt;/I&gt; &lt;st1:PlaceName w:st="on"&gt;Nanjing&lt;/st1:PlaceName&gt; &lt;st1:PlaceType w:st="on"&gt;University&lt;/st1:PlaceType&gt;, &lt;st1:place w:st="on"&gt;&lt;st1:City w:st="on"&gt;Nanjing&lt;/st1:City&gt;, &lt;TAG 1400&gt;&lt;st1:country-region w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:country-region&gt;&lt;/st1:place&gt;.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: -0.5in; TEXT-ALIGN: justify"&gt;&lt;FONT size=3&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; COLOR: #333333; FONT-FAMILY: Arial"&gt;Wu, Jinglian. (1996)&lt;I&gt; The &lt;TAG 1401&gt;Trends&lt;/TAG&gt; Of &lt;TAG 1402&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/st1:place&gt;&lt;/st1:country-region&gt;&lt;/TAG&gt;'s &lt;TAG 1403&gt;Economic Reform&lt;/TAG&gt;.&lt;/I&gt; &lt;/SPAN&gt;&lt;/STRONG&gt;&lt;SPAN style="COLOR: #333333; FONT-FAMILY: Arial"&gt;The &lt;st1:PlaceName w:st="on"&gt;Chinese&lt;/st1:PlaceName&gt; &lt;st1:PlaceType w:st="on"&gt;Academy&lt;/st1:PlaceType&gt; of Social Sciences and the &lt;TAG 1406&gt;&lt;st1:PlaceName w:st="on"&gt;Development&lt;/TAG&gt;&lt;/st1:PlaceName&gt; &lt;st1:PlaceName w:st="on"&gt;Research&lt;/st1:PlaceName&gt; &lt;st1:PlaceType w:st="on"&gt;Center&lt;/st1:PlaceType&gt; of &lt;TAG 1409&gt;the State&lt;/TAG&gt; Council, &lt;TAG 1410&gt;People&lt;/TAG&gt;'s Republic of &lt;TAG 1411&gt;&lt;st1:country-region w:st="on"&gt;&lt;st1:place w:st="on"&gt;China&lt;/TAG&gt;&lt;/st1:place&gt;&lt;/st1:country-region&gt;.&lt;/SPAN&gt;&lt;B&gt;&lt;SPAN style="FONT-FAMILY:  Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt;&lt;/DIV&gt;&lt;/div&gt;&lt;br&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5407902357081248967-4433798031934495263?l=literaturereviewsamples.blogspot.com' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://literaturereviewsamples.blogspot.com/feeds/4433798031934495263/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=5407902357081248967&amp;postID=4433798031934495263' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/4433798031934495263'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/5407902357081248967/posts/default/4433798031934495263'/><link rel='alternate' type='text/html' href='http://literaturereviewsamples.blogspot.com/2008/10/beijing-novartis-pharma-ltd-literature.html' title='Beijing Novartis Pharma Ltd. Literature Review Sample'/><author><name>Vic Fabe</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-5407902357081248967.post-6914297369484288590</id><published>2008-07-16T21:02:00.002+08:00</published><updated>2008-10-01T11:23:35.296+08:00</updated><category scheme='http://www.blogger.com/atom/ns#' term='Cancer'/><title type='text'>Free Literature Review Sample on Cancer</title><content type='html'>&lt;table cellspacing='0' cellpadding='0' border='0' &gt;&lt;tr&gt;&lt;td valign='top' style='font: inherit;'&gt;&lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-SIZE: 14pt; FONT-FAMILY: Arial"&gt;LITERATURE REVIEW&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: center" align=center&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;PROBLEM AND PREVALENCE OF CANCER&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;o:p&gt;&lt;FONT face="Times New Roman" size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Cancer is one of the most dangerous and most painful of all chronic illnesses, and is also the second most common cause of death after heart disease (eMedicine, 2005). It is a disease characterized by the uncontrolled growth and spread of abnormal cells (American Cancer Society, 2003). The growth of cancer can originate from both external and internal factors. Different treatments available for cancer include surgery, radiation, chemotherapy, hormones and immunotherapy (American Cancer Society, 2003).Cancer can develop from most types of cells in different parts of the body, and each cancer has its own pattern of growth and spread. Some cancers remain in the body for years without showing any symptoms. Others can grow, invade and spread rapidly, and are fatal in a short period of time (Australian  Institute of Health and Welfare, 2003, 2004). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Cancer is not only life-threatening, but may also greatly affect the quality of life of patients. There are many cancer-related problems that may cause difficulties for both the patient and medical attendants (Petersson, 2003). Difficulties may develop in the period between diagnosis and primary treatment, during primary treatment, and during follow-up (Petersson, 2003). Problems may arise during surgery, chemotherapy and radiotherapy like excessive pain on the patient's part and the degradation of their quality of life. According to the Scottish Intercollegiate Guidelines Network (SIGN) (2000), one third of patients with cancer do not experience pain, but two thirds of them experience severe pain. Of both those who experience mild and severe pain, 80% of them experience more than two pains in their  body (SIGN, 2000). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Cancer is not only life-threatening, but is also an economic plague. According to Research &lt;?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /&gt;&lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;America&lt;/st1:country-region&gt;&lt;/st1:place&gt; (2002), &lt;SPAN style="COLOR: black"&gt;each person who dies from cancer loses an estimated&lt;/SPAN&gt; &lt;SPAN style="COLOR: black"&gt;15 years of life. Collectively, more than 8 million years of life were lost in 1998 because of cancer. The cost of cancer in 2000 is estimated at more than $180 billion: $60 billion for direct medical costs; $120 billion for low productivity and premature death.&lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;CANCER IN &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;AUSTRALIA&lt;/st1:country-region&gt;&lt;/st1:place&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-ALIGN: justify"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;The &lt;I style="mso-bidi-font-style: normal"&gt;Cancer in Australia&lt;/I&gt; white papers that were documented by the Australian Institute of Health and Welfare (2003, 2004) are useful references about the prevalence of cancer in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Australia&lt;/st1:country-region&gt;&lt;/st1:place&gt;. According to the report, there were 85,231 new cancer cases and 35,466 deaths due to cancer in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Australia&lt;/st1:country-region&gt;&lt;/st1:place&gt; in 2000, but it excludes non-melanoma skin cancers (AIHW, 2003). This increased to 88,398 new cancer cases and 36,319 deaths in 2001, excluding non-melanoma skin cancers (AIHW, 2003). Cancer in Australia accounts for  30% of male deaths and 25% of female deaths in 2000, and accounts for 31% of male deaths and 26% of female deaths in 2001 (AIHW, 2003, 2004). This indicates that the number of cancer cases and deaths related to cancer are increasing annually in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Australia&lt;/st1:country-region&gt;&lt;/st1:place&gt; – a situation that is alarming to the citizens and the government. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;According to the report, the most common cancers causing death in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Australia&lt;/st1:country-region&gt;&lt;/st1:place&gt; in 2000 are lung (4,594 deaths in 2000), prostate (2,665) and colorectal (2,569) cancers in males, and breast (2,521), lung (2,317) and colorectal (2,149) cancers in females (AIHW, 2003). This number has slightly increased in 2001 to 4,657 deaths from lung cancer, 2,718 from prostate, 2,601 from colorectal cancers in males, and 2,594 from breast, 2,382 from lung and 2,153 from colorectal cancers in females (AIHW, 2004). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;The report also revealed that there were an estimated 267,600 persons in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Australia&lt;/st1:country-region&gt;&lt;/st1:place&gt; with malignant cancer who were residing in private households, and out of that number, 170,200 were males and 97,400 were females (AIHW, 2003). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Cancer in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Australia&lt;/st1:country-region&gt;&lt;/st1:place&gt; is also strongly attributed with smoking and drinking. In 2000, cancers attributed to excessive alcohol consumption accounted for 3.2% of all new cases of cancer, while those cases attributed to smoking accounted for 12.7% of all new cases of cancer (AIHW, 2003). On the other hand cancers attributed to smoking were 21.6% of all cancer deaths. In 2001, cancers attributed to alcohol consumption remains to 3.2% of all new cases of cancer, while those cases attributed to smoking decreased to 12.0% of all new cases of cancer. On the other hand, cancer deaths attributed to smoking very slightly decreased to 21.5% in 2001 (AIHW, 2003).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The types of cancers attributed to alcohol consumption include oral cancers; oesophagus; liver; larynx; and female breast cancer. On the other hand, those attributed to smoking include: oral cancers;&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;oesophagus; stomach; anus; pancreas; larynx; lung; vulva; penis; kidney; renal pelvis; and bladder (AIHW, 2003).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Findings about treatment and referrals in cancer in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Australia&lt;/st1:country-region&gt;&lt;/st1:place&gt; show that there is a significant increase in the overall rate of other treatments provided between 1998–2000 and 2002–2004. However, there was also a significant decrease in prescribing rates, for cancer between 1998 to 2000; when the rate was 30.5 per 100 contacts (confidence interval: 27.7–33.3) and 2002 to 2004 when the rate was 25.3 per 100 (AIHW, 2004).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;CANCER IN ARAB COUNTRIES&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Elattar (2005) stated that the cases of cancer in the Arab world are increasing due to the following reasons: reduction in the incidence of infectious disease; increase in the population average age; Westernization of social and dietary habits; increase smoking; increase in the incidence of hepatitis B and C; wrong use of plastic materials, pesticides and insecticides; and low socioeconomic status. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=Default style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Lung cancer is the most prevalent type of cancer in Arab countries, and the rest of the world. &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Tunisia&lt;/st1:country-region&gt;&lt;/st1:place&gt; has the most prevalent cases of lung cancer in males with 23.3%. It is followed by &lt;st1:country-region w:st="on"&gt;Morocco&lt;/st1:country-region&gt; and &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Algeria&lt;/st1:country-region&gt;&lt;/st1:place&gt; with18.8% and 16.8% respectively (Elattar, 2005). On the other hand, the prevalence rate in females is highest in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Iraq&lt;/st1:country-region&gt;&lt;/st1:place&gt; with 4.7%. It is followed by &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Lebanon&lt;/st1:country-region&gt;&lt;/st1:place&gt; and  other GC with 4.3% and 3.4% respectively (Elattar, 2005). On the other hand, the global incidence of lung cancer is increasing at an alarming rate - 0.5% per year (Elattar, 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=Default style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=Default style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;On the other hand, other prevalent types of cancer in the Arab communities include colorectal cancer, stomach cancer, liver cancer, prostate cancer, bladder cancer, breast cancer, cervical cancer, ovarian cancer, uterine cancer, lymphomas, leukemia, and thyroid cancer (Elattar, 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;NEEDS OF PATIENT WITH CANCER&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Many studies have focused on the different needs of cancer patients. As mentioned earlier, cancer and its symptoms may have a negative emotional and psychological impact on the people concerned. According to the Canadian Strategy for Cancer Control (2004), the full range of needs of cancer patients are attended to physical, emotional, social, informational, psychological, financial, spiritual and practical, that is why care delivery should be continuous, comprehensive and coordinated. What follows is a set of studies that focus on the different needs of patients with cancer. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The study of Aranda et al (2005) entitled "&lt;I style="mso-bidi-font-style: normal"&gt;&lt;SPAN style="mso-bidi-font-weight: bold"&gt;Mapping the quality of life and unmet needs of urban women with metastatic breast cancer" &lt;/SPAN&gt;&lt;/I&gt;&lt;SPAN style="mso-bidi-font-weight: bold"&gt;partly explored the needs of cancer patients as they specifically focused on &lt;/SPAN&gt;investigating the quality of life and support and information needs of urban women with&lt;SPAN style="mso-bidi-font-weight: bold"&gt; &lt;/SPAN&gt;advanced breast cancer. The setting was on four large urban hospitals in &lt;st1:place w:st="on"&gt;&lt;st1:City w:st="on"&gt;Melbourne&lt;/st1:City&gt;, &lt;st1:country-region w:st="on"&gt;Australia&lt;/st1:country-region&gt;&lt;/st1:place&gt; and the samples consist of 105 women with advanced breast cancer, who then completed a questionnaire that  contained the European Organization of Research and Treatment of Cancer Quality of Life Q-C30 and the Supportive Care Needs Survey (Aranda et al, 2005). The study found that one quarter and a third of the women reported difficulties with their physical, role and social functioning, and a little over a quarter of the women reported poor global health status (Aranda et al, 2005). The study also found that fatigue is one of the most prevalent unmet needs among urban women with cancer (Aranda et al, 2005). Another interesting finding of the study is that there were top 20 unmet needs, and 11 were from the psychological domain, 7 from the health systems domain and 2 from the physical domain. The two items most commonly rated as moderate or high need were 'concerns about the worries of those close to you' (41%) and 'to be informed about things you can do to help yourself get well' (41%). The next most common items related to fears about the future and control  over the situation, including being well informed. The items from the physical domain, which were 'pain' and 'not being able to do the things you used to', were ranked below 10 in the list (Aranda et al, 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Overall, the list of psychological unmet needs of patients with breast cancer includes: concerns about the worries of loved ones; uncertainty about the future; fears about physical disability or deterioration; learning to feel in control of his or her situation; fears about cancer spreading; concerns about the ability of loved ones to cope; fears about the cancer returning; changes to usual lifestyle; anxiety about having any treatment; making the most out of the time; and worry that results of treatment are beyond his or her control (Aranda et al, 2005).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;On the other hand, there also unmet health information needs that were highlighted in the study. In particular prevalence order, they are: informed about things they can do to help them become well; one member of the hospital staff to whom they can talk; informed about cancer which is under control or diminishing; being informed of their test results as soon as its feasible; being informed about the benefits or side effects of treatments; being given explanation about the tests; and access to professional council if ever the patient, family or friends need it (Aranda et al, 2005).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Finally, there are also physical daily living unmet needs such as: pain; not being able to do things they can usually do; easy car parking at the hospital or clinic; monetary travel allowance for travel, treatment, and equipment; drop-in counseling services; 24-hour telephone support and cancer advisory service; relaxation classes; home cleaning service; counseling services; brochures about services and benefits for patients; home gardening service; comfortable waiting room; library books and videos about cancer and related issues; food or drink facilities in or near the clinic waiting room; home nursing service; transport service to and from the hospital or clinic; respite care; and child minding at the hospital or clinic (Aranda et al, 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Despite the findings that Aranda et al (2005) generated, their study still has several limitations. First, the study cannot generally speak for every cases of cancer since it only focused on a particular type of cancer - breast cancer. Although types of cancer often provide similar experiences in terms of pain and discomfort, there are more distressing types such as lung cancer and brain cancer, and other lighter cases such as leukemia. This study basically shows the importance of investigating the psychological distresses of patients with different types of cancer. Investigating cancer types individually will provide the opportunity to compare data and draw better consensus regarding the met or unmet needs of cancer patients. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Furthermore, another limitation of the study is gender. Since most of cases of breast cancer are on women, the study only covered female respondents, who have different coping mechanisms and needs compared with male patients. It is interesting to cover both sexes as previous studies from different fields identified the differences of their behavior and attitude. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Faith and Needs&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Another study that explored specific aspects of needs of patients with cancer is the study of &lt;st1:place w:st="on"&gt;Clark&lt;/st1:place&gt;, Drain and Malone (2003) entitled "Addressing patient's emotional and spiritual needs".&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;The study is basically a comprehensive, systematic literature review and original research that aims to ascertain &lt;SPAN style="COLOR: #231f20"&gt;whether patients' emotional and spiritual&lt;/SPAN&gt; &lt;SPAN style="COLOR: #231f20"&gt;needs are important, whether hospitals are effective in&lt;/SPAN&gt; &lt;SPAN style="COLOR: #231f20"&gt;addressing these needs, and what strategies should&lt;/SPAN&gt; &lt;SPAN style="COLOR: #231f20"&gt;guide improvement. &lt;/SPAN&gt;The patient satisfaction data were derived from the Press Ganey Associates' 2001 National Inpatient  Database; survey data were collected from 1,732,562 patients between January 2001 and December 2001. The study found that a strong relationship between the "degree to which staff addressed emotional/spiritual needs" and overall patient satisfaction. Three measures most highly correlated with this measure of emotional/spiritual care were staff response to concerns/complaints, staff effort to include patients in decisions about treatment, and staff sensitivity to the inconvenience that health problems and hospitalization can cause (&lt;st1:place w:st="on"&gt;Clark&lt;/st1:place&gt;, Drain and Malone, 2003). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The strength of this study can be attributed to the number of respondents it covered. The study basically provided clear generalized quantitative findings, which is basically one of the strengths of quantitative research. However, this study can be questioned about its validity because of the short survey time it provided for the research given that there were a considerable huge number of respondents involved. Furthermore, the study fails to address other patient needs and only focused on the relationship of those needs with the manner the staff addresses them. Nonetheless, although this study may not be directly a research on the needs or unmet needs of patients with cancer, it showed that the emotions and spiritual side of cancer patients are active and are needed to be taken into  consideration. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;In another research, Soothill et al (2002) explored the &lt;SPAN style="COLOR: black"&gt;impact of having a religious faith on the cancer experience of patients and informal carers, focusing primarily on the association between faith and psychosocial needs. With 402 completed questionnaires, the researchers confirmed that around two-thirds of patients indicated they had an informal carer (Soothill et al, 2002). Then, they examined the relationship between the importance of 48 needs and faith for 189 paired patients and carers, while controlling for the effect of eight socio-demographic and clinical variables, using a logistic regression analysis (Soothill et al, 2002). Surprisingly, the study found that patients with  expressed faith identified fewer psychosocial needs than those without faith (Soothill et al, 2002). In contrast, carers with expressed faith identified more needs than those without faith in relation to support from family and neighbours (Soothill et al, 2002). Carers also needed more help with finding a sense of purpose and meaning, and help in dealing with unpredictability (Soothill et al, 2002).&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Soothill et al's (2002) study is another research that tries to link faith with the psychological well-being of cancer patients. Although the study did not specifically focus on psychological needs per se, it managed to identify some and be able to link them with faith or religion. This study basically confirmed the existence of psychological needs on cancer patients and that they struggle to manage or cope with such needs. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Frick et al (2005) also focused on assessing cancer patient's spiritual needs and preferences. The researchers conducted a phase-I study to test the practicability and usefulness of a short (15–30&amp;nbsp;min) clinical interview for the assessment of cancer patients' spiritual needs and preferences. The researchers asked the physicians to assess the spirituality of their patients using the semi-structured interview SPIR. The focus was on the meaning and effect of &lt;I&gt;s&lt;/I&gt;pirituality in the patient's life and coping system. Visual Analogue Scales (VAS) and Questionnaires were completed following the interview for rating whether SPIR had been helpful or distressing, and to what extent spirituality  seemed important in the patient's life and in coping with cancer disease. Thirty oncological outpatients were convinced to participate in the study. The study showed some interesting results, specifically discrepancies in terms of gender. Patients who considered the interview as very helpful (VAS&amp;nbsp;&amp;gt;&amp;nbsp;7) were more often female (&lt;I&gt;P&lt;/I&gt;&amp;nbsp;= 0.002). There were no differences between patients who evaluated the SPIR as very helpful and those who did not, as far as diagnosis, educational level or belonging to a religious community were concerned (Frick et al, 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Frick et al's (2005) study may have also focused on faith to prove the psychological needs of patients, but they however showed the significance of gender in such behavior. As mentioned earlier, gender can be a determining factor that may differentiate the different needs of cancer patients. The study found that female, given that they view the study helpful and who believes that faith is an important factor of coping, showed that they are more positive thinkers compared to their male counterparts. To have this attitude may mean that female patients have less psychological distress or psychological needs than their male counterparts. Nonetheless, although the study is a generalized piece of  research where a huge number of respondents were surveyed, it can be said that one of the limitations of the study perhaps, was its failure to acquire deeper opinion from the patients. Basically, the survey presented was straightforward and gave the patients without the opportunity to express into full details how they feel about the subject. Nonetheless, it can be considered related with this current study since it confirmed the existence of psychological needs of cancer patients – male or female. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Prevalence of Psychological Needs&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;In a different study, McIllMurray et al (2001) did not just focused on the impact of faith on cancer patients but generally focused on identifying the prevalence of psychosocial need, and the contributory factors to need, among cancer patients, using a descriptive cross-sectional questionnaire survey of adult cancer patients. The participants of the study have the following characteristics: tumour type (breast, colorectal, lymphoma, lung), being 1 month from a 'critical moment' in the cancer journey (i.e. diagnosis, end of first treatment, recurrence, move from active treatment to palliative care), and aged over 18 years (McIllmurray et al, 2001). The study found that psychosocial needs relating to the need categories 'health professionals', 'information' and 'support networks' are  commonly expressed and strongly felt by cancer patients. On the contrary, needs relating to 'identity', 'emotional and spiritual' issues and 'practical' issues are less commonly expressed but are also strongly felt. Particular needs are related to tumour type, illness 'critical moment', age, gender, health status, socioeconomic and other social factors (McIllmurray et al, 2001).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The strength of McIllmurray et al's (2001) lies in the variety of cancer types it explored. Unlike the previous study reviewed earlier, which only focused on breast cancer, McIllmurray et al's study covered several types such as breast, colorectal, lymphoma and lung. One significant important finding of the study is that patients with those types of cancer share one significant similarity – those cancer patients are concerned more with the basic needs such as contact with health professionals, information, financial problems etc rather than being concerned with emotional problems such as fear of being left out by friends, fear of being ridiculed, fear of losing sympathy, etc. However, the study still fails to deliver several factors that could have made the study more complete  than it is. First, the respondents of the study are very small compared to other large scale studies compared earlier. Second, the study fails to identify the key differences of needs by gender and by age, merely focusing only on the differences on the two types of psychological needs it identified. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The Effects of Traveling&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;The study&lt;/SPAN&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; of Lightfoot et al (2005) also examined a specific need of cancer patients. This study is unique from the others because it focuses on the psychological, physical, social, and economic impact of traveling great distances for cancer treatment. 410 respondents were asked to fill up a survey questionnaire that included questions about demographics; cancer treatment centre accessed; types of cancer treatment received; frequency and modes of travel; physical, emotional, and economic impact; and social supports. Quantitative data was entered into and analyzed using the SPSS software program. The study found that in terms of physical impact of traveling, more than half of the respondents reported experiencing physical symptoms as a result  of traveling to a cancer centre, and 28.6% reported discomfort ranging from "a fair amount" to "very much." On the other hand, the study also found out the most prevalent economic concern. More than half of respondents (61.7%) reported that traveling for cancer treatments affected their ability to carry out their job or schoolwork, and almost a quarter (23.4%) reported that traveling totally prevented them from doing their job. Finally, in terms of psychological and social impacts, most of the respondents or 80.5% of them reported emotional difficulty associated with travel from home to a cancer centre. Furthermore, 76.8% of spouses and 78.5% of families also found travel from home to a cancer centre to be emotionally difficult.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;This study specifically focused on a specific concern of cancer patients, which is traveling for treatment. Although the study did not generally focus on the needs of cancer patients, it mentioned and analyzed a specific factor that may trigger such needs. In a way, the relation of this study to the current study is small, but nonetheless, it provided an idea that a single factor alone such as traveling can be a cause or trigger of great psychological and emotional needs experienced by cancer patients. But like other previous studies, the study failed to differentiate the respondents by gender or by age, factors that could have unraveled something new in terms of how each would be affected by traveling and how it  would generate psychological distress on them. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Furthermore, like other previous studies that particular study suffers from small-scale respondents –meaning the number of respondents covered was not suitable enough or valid out of the total population of the setting. The study was quantitative and was able to provide a generalized result. However, the number of respondents should have been increased to compensate for the quantitative method. The advantage of quantitative research is that it can cover large-scale respondents. Not taking advantage of the fact was huge limitation for the study. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Other Soothill et al Studies&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;A study by Soothill et al (2003) focused on the needs of cancer patients. Specifically, &lt;SPAN style="COLOR: black"&gt;the study concerns in finding out which needs are regarded as important by patients and their carers; and which are the &lt;I&gt;unmet&lt;/I&gt; needs of patients and their carers. The respondents of the study were 233 &lt;I&gt;paired&lt;/I&gt; cancer patients and their carers, which were surveyed with a cross-sectional questionnaire survey in three health authorities in North West England. Interestingly, most of the pair of respondents expressed the importance of having good relationships with health-care professionals and receiving good-quality information. However, the study also found that patients were likely to identify more needs as important. But contrary to that result, carers have more  &lt;I&gt;unmet&lt;/I&gt; needs, reflecting their comparative neglect. The researchers concluded that 'universal' needs such as having good relationship with healthcare professionals and receiving quality services are being met, but 'situational' and 'personal' needs, particularly among carers, are relatively unmet and require greater attention on the part of nurses and primary care professionals (Soothill et al, 2003). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;That study by Soothill et al (2003) is related with this study because it identified the fact that most cancer patient's situational and personal needs are not being met by carers basically because the cancer patients prefer it that way. The study basically emphasized that the needs of cancer patients cannot be provided by the hospital staff alone. Some needs are very personal, which the patients need to keep as is. However, one specific need mentioned was the professional needs of cancer patients, which they often receive. Professional needs may include the quality of service or the friendliness or promptness of the hospital staff. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The study's strength was that it was thoroughly made by quantitative approach and the number of respondents was reasonable enough. However, it did not have any patient categories such as the type of cancer the patients have and its relationship with specific met or unmet needs. It also fails to identify the role of gender and age, and the severity of the cancer with the psychological or other needs of the patients. It did not also group the psychological needs of cancer patients. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Soothill et al (2005) followed another study, which was then focused on &lt;SPAN style="mso-bidi-font-weight: bold"&gt;grouping cancer patients by psychosocial needs. The study was basically a systematic classification of cancer patients, which was produced on the basis of their needs. In the study, 380 cancer patients responded to a self-completion questionnaire that included a 48-item inventory of psychosocial needs covering seven needs domains (information, health professionals, emotional and spiritual, identity, practical, support, and child care). Latent class analysis was used to identify differing patterns of psychosocial need. The researchers found four classes of needs, and they categorized them from Group A to D. Group A had a high level of expressed needs "across the  board," whereas Group D had a low level of expressed needs "across the board." Group B had high levels of expressed needs in all except the emotional, spiritual, identity, and practical domains, and Group C had low levels of expressed needs in all but the information and health professionals' domains (Soothill et al, 2005). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;FONT size=3&gt;This study is relevant because it presented cancer patients' needs in different categories. The researchers tried to prove that there are different types of cancer patients with different needs. It expressed that some groups of cancer patients have lower level of needs in terms of spiritual and emotional needs while having higher needs for information and professional domains. This categorization is highly relevant for this study because it may be encountered at any given point during the analysis of data. The expressed needs of patients are very complex and general, basically difficult to explain at a glance. With this categorized findings of Soothill et al (2005) however, it may be easy to analyze the data of the current study because the types of  needs are more understood than before. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;FONT size=3&gt;The Impact of Feedbacks&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;Boyes et al (2006) &lt;/SPAN&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;examined the effectiveness of giving medical oncologists immediate feedback about cancer patients' self-reported psychosocial well-being in reducing those patients' levels of anxiety, depression, perceived needs and physical symptoms. Chosen cancer patients were subjected to intervention and control groups. The respondents completed a computerized survey assessing their psychosocial well-being while waiting to see the oncologist. Intervention patients' responses were immediately scored and summary reports were placed in each patient's file for follow-up. A total of 48 participants (25 interventions and 23 controls) completed the survey four times. Intervention patients who reported a  debilitating physical symptom at visit 2 were significantly less likely to report a debilitating physical symptom at visit 3 compared with control patients. The study found that reductions in levels of anxiety, depression and perceived needs among intervention patients were not significantly different to control patients. The researchers concluded that repeated collection and immediate feedback of patient-reported health information to oncologists has potential to improve patients' symptom control, but has little impact upon emotional well-being, including those at high risk.&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;This study may not be directly related with the current study but it helps emphasize that psychological problems are separate problems of people with cancer. Perhaps the strength of thus study is that it teaches that psychological problems can be prevented, but not through the help of cancer experts, but rather psychology experts or psychiatrists. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;However, the study is also limited in terms of the number of respondents it covered. For a study expecting a generalized result, the sample was rather small. Furthermore, it again failed to emphasize the variation of results in gender, types of cancer and age, but rather merely focused on the relationship of the two variables it focused on. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Needs of Cancer Patients in Rural and Remote Areas&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Another useful study about the needs of cancer patients is the study by Clavarino et al (2002) entitled: "The needs of cancer patients and their families from rural and remote areas of &lt;st1:place w:st="on"&gt;&lt;st1:State w:st="on"&gt;Queensland&lt;/st1:State&gt;&lt;/st1:place&gt;". Similar to the study of Lightfoot et al (2005), Clavarino et al's (2002) study focused on the impact of traveling for treatment on cancer patients and their families. The data collection approach of the study was quantitative. Twenty-eight consecutive cancer patients, who were receiving radiation therapy treatment and 19 family carers, completed a structured needs assessment questionnaire and an in-depth interview. Clavarino et al (2002) found that &lt;SPAN style="COLOR: black"&gt;both patients and carers reported moderate to high levels  of unmet psychological need. However, Carers were found to have higher levels of anxiety than patients, although both groups had higher anxiety levels than the general population. Furthermore, the most frequently identified demands of a dual burden of caring is taking more responsibility for household tasks and organising new living arrangements for the family. &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;Another highlight of the study is that nearly 40% of carers reported some disruption to their schedule and half reported experiencing financial difficulties (Clavarino et al, 2002). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;This study is relevant because it confirmed that cancer patients have higher anxiety levels than normal persons. Furthermore, it also emphasized that cancer is such a stressful disease as shown by the carers. Because it is very distressing, not only are the patients affected but also their carers. This finding is also relevant because the instrument that was used for data collection was a structured needs assessment questionnaire, which basically proved that rural cancer patients may have more unmet needs than urban cancer patients – another factor that should be considered when determining the factors that affect the psychological conditions of the patients. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Emotional Needs Usually Undetected?&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;FONT size=3&gt;&lt;st1:place w:st="on"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Kendall&lt;/SPAN&gt;&lt;/st1:place&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt; (2000) stated that there is a report that most cancer patients suffer severe emotional distress. &lt;/SPAN&gt;&lt;SPAN style="FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;Studies show that between 25 and 60 percent of &lt;A name=besthit&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;cancer&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;/A&gt;&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;patients&lt;/SPAN&gt;&lt;/STRONG&gt; meet the diagnostic criteria for clinical depression. Unfortunately, oncologists, or &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;cancer&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;B  style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;specialists, and other doctors do not often refer &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;patients&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;for mental health treatment (&lt;st1:place w:st="on"&gt;Kendall&lt;/st1:place&gt;, 2000). Kendall (2000) further reported that &lt;SPAN style="COLOR: black"&gt;cancer patients are initially anxious about sheer survival, and then typically start worrying later about pain, disfigurement and dependence before shifting to financial concerns about their illness (Kendall, 2000). &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Chapman (2002) argued that cancer patient's emotional needs are often undetected by oncologists. Chapman (2002) cited that "Oncologists often are more attuned to their patients' requests for information about cancer and cancer treatment than they are to requests for emotional support". Physicians are not always able to detect and respond effectively on the information and emotional needs of cancer patients. They have difficulty in responding to indirect forms of communication. Chapman (2002) cited from a study conducted by researchers of &lt;st1:place w:st="on"&gt;&lt;st1:PlaceType w:st="on"&gt;University&lt;/st1:PlaceType&gt; of &lt;st1:PlaceName w:st="on"&gt;Sydney&lt;/st1:PlaceName&gt;&lt;/st1:place&gt; and found out the lack of capability of physicians to response to cancer patient's emotional concerns. In the study,  patients gave informational cues almost twice as often as emotional cues. Younger and female patients gave more emotional cues and asked more questions than did older and male patients. Most cues related to treatment issues rather than psychosocial, prognostic or other issues. However, the study found that although oncologists effectively identified and responded to the patients' needs for information, they less consistently addressed patients' cues for emotional support. The study showed that 38 percent of the emotional cues were not detected or not addressed by the oncologists. But the study also showed that the ability of doctors to answer the emotional questions is not the basis of patients for satisfaction. Chapman (2002) emphasized that this study supports previous studies that cancer patients are reluctant to disclose emotional concerns, perhaps because they do not want to burden their doctors.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;That study is significant with this current study because it once again emphasized that psychological problems are separate problems of people with cancer. Psychological or emotional problems should not be the concern of oncologist or cancer physicians because they should be handled by psychologists or psychiatrists. Furthermore, it stresses that it is in the patient's decision on whether or not he or she wants his or her psychological or emotional needs to be met. As stressed in that study, psychological or emotional distress is a very personal matter. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;One limitation of that study is again the lack of gender description – a limitation among many "met and unmet needs of cancer patients" study. The comparison of the demographic data of the respondents has also been left out in the study, meaning it suffers the same limitations of its predecessors. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Synthesis&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;All of the studies presented earlier are useful relevant literatures for this current study because they all emphasized the existence of different needs of patients with cancer. They all share the same beliefs that psychological, economic and emotional distresses of the cancer patients are as painful as the disease they experience. Among the results, they also share the same findings that patients often choose not to confide their emotional or psychological problems with physicians or nurses. They often express problems on professional needs and financial needs but not physical or emotional. Patients want to keep such problems personal and will not confide. Relatives or friends should be able to pinpoint a  psychological or emotional problem and be able to consult a psychologist before the condition can lead to a full blown psychological disorder. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;FONT size=3&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Another interesting find in the literature review is that cancer patients can be categorized in terms on the level of their needs. But most of the study agrees that cancer patients' always ask support for information and professional needs rather than for emotional or psychological needs. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;FONT size=3&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;The studies show similarity in the lack of emphasis on the demographic data of the respondents. All of the studies did not compare important demographic factors such as gender, age, financial status of the respondents, etc. However, some managed to focus on specific factors such as location, miles being traveled, and the female gender, but most lack comparison with opposite demographics. Future studies should basically try to determine if there is a difference between the met and unmet needs of male and female cancer patients, old and young, rich or poor. The distinction should be determined because it is a basic research interest. The demographic data of the respondents will be given focus in this current  research&lt;/SPAN&gt;&lt;FONT face="Times New Roman"&gt; &lt;/FONT&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;because it may reveal differences among different groups of respondents. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;B style="mso-bidi-font-weight: normal"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;PSYCHOLOGICAL FUNCTIONING&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/B&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;According to the &lt;st1:place w:st="on"&gt;&lt;st1:PlaceName w:st="on"&gt;United&lt;/st1:PlaceName&gt; &lt;st1:PlaceType w:st="on"&gt;State&lt;/st1:PlaceType&gt;&lt;/st1:place&gt;'s National Institute of Mental Health (2002), emotional upheavals are common experiences of cancer patients. For instance, fear of death, interruption of life plans, changes in body image and self-esteem, changes in social role, lifestyle, and medical bills are important issues to be faced NIMH (2002) stated that depression usually occurs, but other types of psychological disorders such as bipolar disorder and anxiety disorder can also manifest. The NIMH stated that the biggest misconceptions about these psychological implications are that they are normally experienced  by people with cancer. NIMH stressed that such perception should be changed because depression and anxiety disorder can be treated simultaneously with cancer treatments (NIMH, 2002). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The following are information on the several psychological disorders that are proven related on cancer.&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Anxiety Disorder&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The common predictors of anxiety disorder are the emergence of emotions such as excessive fear, worry, or uneasiness to an individual. Anxiety is a normal part of human development, arising in relation to novel stimuli, strangers, heights, and separation during infancy and toddlerhood, and largely disappearing during the pre-school years (King, Hamilton, and Ollendick, 1988; Muris, Meesters, Merckelbach, Sermon, and Zwakhalen, 1998). On the other hand, anxiety disorders are frequently related in content to such normal fears and worries, though the level is extreme, and they may appear close in time to the corresponding normal fears and worries or several years later (Last et al., 1996; Leonard, Goldberger, Rapoport, Cheslow, and Swedo, 1990; Thyer, 1993). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Anxiety disorders include: phobias (unrealistic and overwhelming fears of objects or situation); panic disorder (terrifying "panic attacks"); obsessive-compulsive disorder (causes children to become "trapped" in a pattern of repeated thoughts and behaviours, such as counting or hand washing); and post-traumatic stress disorder (a pattern of flashbacks and other symptoms and occurs in children who have experienced a psychologically distressing event) (SAMHA, 2004). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Severe Depression&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-GB style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"&gt;&lt;FONT size=3&gt;Depression, as defined by several psychology books is actually a kind of mental illness. Virtually, no one escapes depression. The illness cut across people of different ages, genders, races, and socio-economic statuses. During earlier generations, depression was perceived as a disease of old people only (Smith, 2000). Nonetheless, previous researches revealed that men and women are both at risk to suffer depression within their lifetimes. However, there is a significant disparity on the gathered statistics; women tend to be more highly susceptible (20-25%) to depression than their male counterpart (7-12%). On the one hand, people 60 years and older are more prone to experience chronic depression than younger ones. A person could suffer from it for about half a year to two years. If  ignored, depression could even lead to a more serious illness (Smith, 2000).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; TEXT-ALIGN: justify"&gt;&lt;SPAN lang=EN-GB style="COLOR: black; FONT-FAMILY: Arial; mso-ansi-language: EN-GB"&gt;&lt;FONT size=3&gt;Basically, there are seven types of depression (Smith, 2000). The first type of depression what people normally experience; a sudden feeling of sadness. The second type is the adjustment disorder, which is the kind of depression that is caused by inability of people to accommodate certain changes in their regular routines. Another one is the "mild depression" or "dysthymia". People suffering from this kind of depression usually feel useless and wasted.&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;They felt like crying all the time. And usually certain thoughts they became melancholic for no reason at all. The fourth type is the "major or severe depression". This is the most devastating and most serious case of depression. Because of its destructive nature, it is included in one  of the major behavioural problems that numerous people of all ages face today. According to recent studies, people suffering form this kind of depression are most likely to make an attempt to kill themselves. Usually, these people are the ones who do not mention anything about committing suicide (Smith, 2000). Then there is also manic depression, atypical depression, and Seasonal Affective Disorder. They are also dangerous types of depressions (SAMHA, 2003). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Depression is common for a person to be depressed into something emotionally moving to be overly or severely depressed is not. According to the Birmaher et al (1996), &lt;SPAN style="COLOR: black"&gt;symptoms of depression include sad mood, loss of interest or pleasure in activities that were once enjoyed, change in appetite or weight, difficulty sleeping or oversleeping, physical slowing or agitation, energy loss, feelings of worthlessness or inappropriate guilt, difficulty thinking or concentrating, and recurrent thoughts of death or suicide. Having more than five of the symptoms indicates severe depression (Birmaher et al, 1996). Major depression often begins between ages 15 to 30 but also can appear in children (Birmaher et al, 1996). &lt;/SPAN&gt;&lt;SPAN style="mso-spacerun:  yes"&gt;&amp;nbsp;&lt;/SPAN&gt;However, SAMHA (2003) provided a rather different predictor of severe depression. According to SAMHA (2003), the disorder is marked by changes in: emotions (children often feel sad, cry, or feel worthless); motivation (children lose interest in play activities, or schoolwork declines); physical well-being (children may experience changes in appetite or sleeping patterns and may have vague physical complaints); and thoughts (children believe they are ugly, unable to do anything right, or that the world or life is hopeless). &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Cases on Cancer Patients&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;SPAN style="TEXT-DECORATION: none"&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;One foreign study that actually focused in determining the psychological distresses of cancer patients is the study by Matsushita et al (2005). Specifically, the study &lt;SPAN style="COLOR: black"&gt;sought to characterize the psychological status of digestive cancer patients, and to investigate the relationship between psychological characteristics and clinical factors. The study found that the mean scores of anxiety and depression were significantly higher in the advanced-phase group than in the other two groups. Furthermore, the study also found that depression increased from before surgery to before discharge, and did not return to the preoperative level at 6 months after discharge, but no significant effect on  anxiety (Matsushita et al, 2005). The study also found that anxiety in the 'middle age' and 'chemotherapy' groups was more severe than in the 'elderly' and 'no chemotherapy' groups (Matsushita et al, 2005). It also found that depression in the 'medical treatment equipment', 'chemotherapy', and 'long-term hospitalization' groups was more severe than in the 'no equipment', 'no chemotherapy', and 'standard-term hospitalization' groups (Matsushita et al, 2005).&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;The study may be credible but it has its limitation of having only few samples because the approach was control group. However, the usefulness of this study is that in identifies another important factor that causes psychological distress on cancer patients, which is age. Furthermore, it also identified the quality of the equipment being used for cancer treatment as a factor that may affect the psychological and emotional condition of patients with cancer. Finally, it confirmed that depression can be linked with cancer patients. However, it only focused only on a specific type of cancer, which was digestive cancer. The results may be different if it explored other types of cancer and compared it  with other. Furthermore, the study also lacked demographic data focus, a common limitation among cancer patient studies as discussed earlier. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&lt;FONT face="Times New Roman"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/FONT&gt;&lt;/SPAN&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;In another foreign study, it was investigated if whether breast cancer patients have increased incidence of psychiatric admission with affective disorder, anxiety disorder or non-natural mortality compared with the general female population (Hjerl et al, 2002). The setting was in &lt;st1:place w:st="on"&gt;&lt;st1:country-region w:st="on"&gt;Denmark&lt;/st1:country-region&gt;&lt;/st1:place&gt; and the focus was on breast cancer. The findings of the study showed that the standardized incidence ratio of first-ever psychiatric admission with affective disorder was 1.49 (95% CI: 1.35–1.63) and with anxiety disorder 1.25 (95% CI: 1.06–1.46). The standardized non-natural mortality ratio during the first  year after breast cancer diagnosis was 1.54 (95% CI: 1.27–1.87) (Hjerl et al, 2002). The researchers concluded that &lt;SPAN style="COLOR: black"&gt;breast cancer patients have significantly increased incidence of psychiatric admission with affective disorder, anxiety disorders, and non-natural mortality &lt;/SPAN&gt;(Hjerl et al, 2002).&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; mso-layout-grid-align: none"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; LINE-HEIGHT: 200%; mso-layout-grid-align: none"&gt;&lt;FONT size=3&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;The weakness of this study, if it can be considered a weakness, is that it did not acquire first-hand in-depth information from the respondents because it mainly relied on a survey questionnaire. However, it did well in its quantitative findings and confirmed the relationship of anxiety disorder with females with breast cancer. Again, the study is another question of the demographic factors since female is only gender explored. Furthermore, there was no categorization of age, which makes one wonder on whether anxiety&lt;/SPAN&gt;&lt;FONT face="Times New Roman"&gt; &lt;/FONT&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;may best manifest when in the adolescent or later adult years. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;The study of Chen et al (2000) also testifies to the relationship between anxiety and cancer. &lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp;&lt;/SPAN&gt;The study's purpose was to compare anxiety &lt;SPAN style="COLOR: black"&gt;and depression in Taiwanese cancer patients with and without pain. Chen et al (2000) found that the prevalence of both anxiety and depression in the pain group was significantly higher than that for the pain-free group. After controlling the effect of disease-related factors, patient's pain status had a significant effect on depression, but not on anxiety. Furthermore, they also found that patients with pain had more depressive symptoms than patients without pain (Chen et al, 2000). &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P style="TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;This study is also significant with the current study because it identifies another factor for psychological distress on cancer patients. This study identified that the level of pain that the patient experience may also determine the level of depression or anxiety the patient may develop. Similarly, the study has the same limitations as the other studies previously reviewed. However, it basically provided an insight on the role of pain on psychological distress and also cleared the relationship of anxiety with pain. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P style="LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;In Onconurse.com (2000) it was stated that one of the symptoms and implications of lung cancer is related to the nervous system, which are called nervous system syndromes. Accordingly, some or most of the paraneoplastic syndromes that affect the nervous system appear to be caused by an attack of antibodies against healthy tissue. Some of the complications include psychosis and the mimicking of mental illnesses such as schizophrenia or bipolar disorder (Onconurse.com, 2000). Furthermore, an affected nervous system can also lead to dementia (Onconurse.com, 2000).&lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P style="LINE-HEIGHT: 200%"&gt;&lt;FONT size=3&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;SPAN style="mso-tab-count: 1"&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/SPAN&gt;Although that specific paragraph was only derived from&lt;/SPAN&gt;&lt;FONT face="Times New Roman"&gt; &lt;/FONT&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;a non-research article, it is a good insight on how cancer can affect ones brain and in an instance, change the psychological behavior of the patient. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P style="LINE-HEIGHT: 200%"&gt;&lt;FONT size=3&gt;&lt;I style="mso-bidi-font-style: normal"&gt;&lt;U&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;Quality of Life&lt;/SPAN&gt;&lt;/U&gt;&lt;/I&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;Elkateb et al (2002) conducted a study that assesses the quality of life of adolescents with cancer. The researchers viewed that quality of life of cancer patients are important nursing outcome variables that are directly and indirectly influenced by nursing care. The study found that major concerns of adolescents with cancer include: symptoms distress (78%); anxiety related treatment (75%); body image (69%); and physical well-being (34%) Similarly the two major concerns of mothers and nurses were also symptoms distress and anxiety related treatment. But noticeably, nurses do not seem to give or give only minimum importance or concern to the cognitive abilities of the patients. The study also found that patients cope with physical distress through leisure time exercise patterns, while they cope with psychological distress  through denial. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;FONT size=3&gt;This study somehow contradicts with the previous studies reviewed earlier – that most cancer patients are concerned with information and professional needs than emotional needs. However, it was also mentioned that the lack of specific focus and comparison of demographic data on research is prevalent in the cancer patient needs research. The study just previously presented focused on a specific demographic data, which is the adolescence stage, and found interesting results that are different from that of previous studies. This study showed that adolescents, given that they are young and adventurous, are more concerned with the distresses that bothers them instead of the quality of treatment they receive. They do not bother knowing how professional the staffs are or how much they will pay for the hospital and treatment fees.  This study confirmed that demographic data plays a strong part in comparing results of research. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;FONT size=3&gt;&lt;SPAN style="FONT-FAMILY: Arial"&gt;In another study, McEwen et al (1998) explored the quality of life of lung cancer patients by literature review covering cases from &lt;/SPAN&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;the last 25 years (1970 to 1995). Materials were searched and acquired in MEDLINE and manually. One of the interesting findings in the literature reviews was the importance of communication in improving lung cancer patients' quality of life. McEwen et al (1998) stated that early studies on the subject showed that psychological adjustment in lung &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;cancer&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight:  bold"&gt;patients&lt;/SPAN&gt;&lt;/STRONG&gt; might be improved if &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;patients&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;were given opportunities to ask questions about their disease and participate in decisions about treatment. Some of the studies reviewed showed that communication problems with medical staff were strongly associated with anxiety and with anticipatory nausea and vomiting. The main highlights of the study are:&lt;SPAN style="mso-spacerun: yes"&gt;&amp;nbsp; &lt;/SPAN&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;quality&lt;/SPAN&gt;&lt;/STRONG&gt; of &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;life&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;assessment can be a prognostic factor and predictor of survival; and that the need for inclusion of &lt;STRONG&gt;&lt;SPAN  style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;quality&lt;/SPAN&gt;&lt;/STRONG&gt; of &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;life&lt;/SPAN&gt;&lt;/STRONG&gt; as a valid end point in evaluation of the treatment of lung &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;cancer&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;&lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;patients&lt;/SPAN&gt;&lt;/STRONG&gt; has been emphasized. The review also emphasized the importance of a supportive environment in helping cancer patients with their problems. &lt;o:p&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/FONT&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;FONT size=3&gt;The weakness of the study is that it did not cover actual respondents but instead used previous data as the main data of the study. However, because of the long span of years of the studies included in the research, it is convincing in a sense that it summarized previous findings of studies within 25 years. One of the most important points it emphasized is that the staffs of the hospital taking care of the patient may influence or trigger the anxiety or depression of lung cancer patients. On the other hand, another limitation of the study is that it only focused on a single type of cancer, which is lung cancer. It also did not emphasize the demographic differences of the results and fails to expand or explain what has been collated for the study overall.  &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;FONT size=3&gt;A specific study assessed the &lt;SPAN style="mso-bidi-font-weight: bold"&gt;place of patient satisfaction in quality assessment of lung cancer thoracic surgery by comparing &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;quality&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;/SPAN&gt;&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;of non-small cell lung &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;cancer&lt;/SPAN&gt;&lt;/STRONG&gt;&lt;B style="mso-bidi-font-weight: normal"&gt; &lt;/B&gt;(NSCLC) surgical care with patient satisfaction (Auquier et al, 2005). The study found that one-year survival rates for &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;patients&lt;/SPAN&gt;&lt;/STRONG&gt; with stage I-II and stage  IIIA NSCLC were 84% and 58%, respectively. On the other hand, mean patient satisfaction was 78 [+ or -] 13/100 and 69 [+ or -] 13/100 for global staff and structure index, respectively ([+ or -] SD). Mean score for &lt;STRONG&gt;&lt;SPAN style="FONT-WEIGHT: normal; FONT-FAMILY: Arial; mso-bidi-font-weight: bold"&gt;quality&lt;/SPAN&gt;&lt;/STRONG&gt; of surgical care was 88.7/100 (range, 51 to 100). The absence of postoperative complication was significantly related to a high level of satisfaction regarding the structure (r = 0.30, p &amp;lt; 0.05). Other features of patient satisfaction did not show a significant correlation with the quality of the preoperative selection process or the surgical procedure itself (r &amp;lt; 0.20) (Auquier et al, 2005). Overall, the study did not support a shortcut between quality of care and patient satisfaction. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;FONT size=3&gt;This study by Auquier et al (2005) basically confirmed the importance of quality of care for patients with cancer. However, the main finding shows that quality of care does not necessarily result in patient satisfaction. It shows that there may be other stronger factors that may affect the satisfaction of patients with cancer but the study failed to identify it. This may be an indication that the ability of medical staff to comfort and take care of the psychological distresses of the patients may be linked with patient satisfaction. Unfortunately, that was not explored or even suggested in the study. &lt;o:p&gt;&lt;/o:p&gt;&lt;/FONT&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in"&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;&lt;o:p&gt;&lt;FONT size=3&gt;&amp;nbsp;&lt;/FONT&gt;&lt;/o:p&gt;&lt;/SPAN&gt;&lt;/P&gt; &lt;P class=MsoNormal style="MARGIN: 0in 0in 0pt; TEXT-INDENT: 0.5in; LINE-HEIGHT: 200%"&gt;&lt;FONT size=3&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial; mso-fareast-font-family: 'Arial Unicode MS'"&gt;Ryan et al (2005), on the other hand, &lt;/SPAN&gt;&lt;SPAN style="COLOR: black; FONT-FAMILY: Arial"&gt;identify barriers to cancer patients expressing their psychological concerns, and tried to recommend strategies to assist oncologists to elicit, recognize, and manage psychological distress in their patients. The method used for the study was also a literature search. Medline, Psychlit, and the Cochrane databases were searched for articles relating to the detection of emotional distress in patients. The researchers found that patients can give verbal and non-verbal information about their emotional state. But, there were a considerable number of patients who may not reveal emotional issues as they believe it is not a doctor's role to help with their emotional concerns. Also,  patients may normalize or somatize their feelings. The study also found from the literature review that anxiety and depression can mimic physical symptoms of cancer or treatments, and consequently emotional distress may not be detected. In terms of approaches, the researchers found that techniques such as active listening, using open questions and emotional words, responding appropri
