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Prostate brachytherapy (pronounced bray-kee-ther-uh-pee), the implantation of radioactive seeds into the prostate gland, is one of the standard methods of successfully treating prostate cancer. The tiny radioactive seeds are smaller than grains of rice. A prostate seed implant may be the only type of radiation therapy needed by a man with low-risk prostate cancer or it may be prescribed in addition to external beam radiation therapy in men with intermediate- and high- risk prostate cancer. The goal is to eradicate cancer cells while preserving healthy, surrounding tissue, such as the bladder, the urethra (the tube that connects the bladder to the penis), and the rectum. The advantages of prostate seed implants are significant. Fist, the procedure requires only minor surgery, usually causing fewer side effects than other treatments. Also, it is generally a same day, outpatient procedure. Men usually are able to return to work within several days, as long as they feel well enough. In addition, recent reports suggest that the procedure, when performed on properly selected men, is at least as effective as surgery to cure prostate cancer. Radiation exposure to other people is minimal, so restrictions do not apply unless the man is returning to a setting where a young child or pregnant woman is present. Treatment Planning Men undergo a pre-implant ultrasound study to determine where the radioactive seeds (and the needles to implant them) should be placed. A transrectal ultrasound, wherein an ultrasound probe is carefully positioned in the rectum to view the entire prostate, is performed. Images of the prostate are taken and are transferred to a special treatment planning computer, which evaluates the position of the prostate and generates a three-dimensional plan that dictates the precise placement of the seeds. Preparation for the Procedure Most candidates for prostate brachytherapy undergo blood tests, a chest x-ray and an EKG several days prior to the implant, in order to be approved for anesthesia. On the morning of the procedure, men receive an enema to help optimize the quality of the transrectal ultrasound images. In addition, blood thinners are discontinued several days prior to the procedure to help diminish the risk of bleeding. Day of the Procedure Typically, men who are scheduled to undergo seed placement arrive early in the morning. Next, the man is taken to the operating room for the procedure, where he undergoes either general or spinal anesthesia. Then, the radiation oncologist and the urologist work as a team to implant the seeds into the prostate, using transrectal ultrasound to guide the placement. The Implant Process Using the treatment plan and fluoroscopy (real-time x-ray), the radiation oncologist places the seeds within the prostate. The entire procedure usually takes less than one hour. After the seed placement, the urologist performs a cystoscopy (a procedure in which a slender, flexible, fiber optic scope is inserted from the penis into the bladder), to look for and remove any seeds that dislodged in the bladder or the urethra. Within the few next days, a CT scan is obtained to verify the placement of the seeds. Prostate Seed Implants: Recovery Because prostate implants do not involve major surgery, side effects are rarely severe. The most common side effects reported by men after prostate seed implants are: • Urinary frequency (60-70%) • Urinary burning (50%) • Urinary urgency (50%) • Erectile dysfunction (30%) • Blood in the urine (20-30%) • Increased bowel movements and bowel urgency (5%) • Fatigue (20%) • Pelvic pain (20%) • The need for temporary catheter placement (10-15%) • Urinary incontinence (less than 1%) In addition, up to 20 percent of men are found to have seed migration into their lungs. However, no detrimental effects have been reported. Infrequently, men have required trans-urethral resection, the “scraping” of the prostate gland via the penis, to relieve urinary obstruction after the seed placement. Follow-Up Men who undergo prostate brachytherapy report for follow-up visits four weeks after the procedure and every three months thereafter. A PSA blood test and a physical exam are performed to assess the status of the prostate. The good news is that prostate seed implants are usually successful at controlling prostate cancer within the gland. Such local control of disease correlates with rendering men free from prostate cancer. enlargment manhattan penis surgeon vigrx penis pills cheap penis enlargment penis enargement excercises pro solution pills side effects sex vig rx herbal penis enlargment pills penis enlagement doctor does penile enlargment work

The paper is a marketing analysis based on the example of Arnie Morton’s steakhouse. Particularly, the marketing environment, including the analysis of the company’s consumers and competitors, and the marketing mixing are analyzed. Finally, the companies perspectives are taken into consideration and positive and negative aspects of the company’s marketing is briefly analyzed. Processes that are now observed in the contemporary economy differ significantly from what happened even a few decades ago. The 20th century became a very important period in which the main preferences and interests of customers changed in favor of such industries as entertainment and food industry. It means that material interests are quite important society and investments in such industries may be very perspective. Arnie Morton’s steakhouse may be a good example that serves as a strong argument for the statement mentioned above. Taking into consideration these facts, this paper would be focused on the Arnie Morton’s steakhouse, particularly on its marketing environment and mix as well as the company’s perspectives would be discussed. The Marketing Environment At the beginning of the paper, it is necessary to analyze the marketing environment the company is in. But it is impossible to understand the current situation and position of Morton’s steakhouse if there is no information about its history and first steps in serious business. By the way, a historical background of Arnie Morton’s steakhouse is particularly interesting because its founder and chief to a certain extent managed to foresee the prospects of his company and industry at large. So, it is worthy to underline that the development of Morton’s of Chicago into one of the largest company, operating in the US restaurant business and having a great food-dining concept, may be traced back to a collage paper written more than three decades ago. At that time, one of those who would play a prominent role in the development and progress of Arnie Morton’s steakhouse, Allen J. Bernstein, being a junior marketing major at the University of Miami, was so eager in the restaurant business and particularly in branding that he decided to write a term paper on this topic. Quite remarkable fact is that he used a nearby Miami-based Burger King Corporation as the basis for his research. What is more interesting it is the conclusion that he made, namely he wrote: “I became fascinated with two things. One: the concept of what franchising was and two: the future of the leisure time industries, of which obviously eating out is a very significant one.” (Peters 2001:74). At this respect, the future chief of the company shows a great talent and intuition in ability to foresee prospects of the market development and demand. Actually, he turned to be a person that once being repossessed by some brilliant idea would attempt to make it true and probably due to it Morton’s is nowadays one of the largest companies in its segment of the market and continues to be quite a significant player and provide an ongoing international growth of its 61 unit. Generally speaking, Arnie Morton’s steakhouse was found in the late 1960s by Arnie Morton and Klaus Fritsch. They opened their first steakhouse in Chicago and since that time on the company has been developing quite dynamically. However, an unprecedented, rapid growth has been basically observed during the ‘epoch of Bernstein’ who came to the company, or more precisely acquired Morton’s steakhouse in 1989. Exactly this year, Allen J. Bernstein acquired eight of nine Morton’s that existed at that time. Bernstein, being a chairman, president and chief executive of New Hyde Park New York – based Morton’s Restaurant Group Inc., and soon he has opened 53 additional Morton’s, including seven international units. It was really a significant enlargement that made the company much more powerful than it has ever been before. Naturally, such an enlargement could not prevent the company from becoming a leading company in its segment of American market and what is also very important is the fact that the strategic step has been done practically immediately when seven international units of Morton’s steakhouse were acquired. This acquisition symbolized the intention of the company administration to broaden national market and become an international company. Naturally, it was a very perspective decision because in 1990s the world economy was characterized by the overwhelming process of globalization. At this period of time the world economy really became open and opportunities for businesses became practically unlimited geographically with rare exceptions. In such a situation Arnie Morton’s steakhouse could not remain limited by national borders of the US and attempted to enlarge its business. However, the general trend of the world economy is obvious not the only reason why the company has started business on the international level. One of the very important reasons was the intention to become a leader of the market in spite of all rivals Morton’s had to compete with. Among its most powerful and strong competitors may be named Bertolini’s that worked quite successfully but mainly in the national market. For instance, in 1999 it possessed twelve Bertolini’s in ten American cities. Though this company is characterized by a traditional Italian style and some times it is called an authentic Italian trattoria. But, anyway, it is obvious that the company itself and its leadership in the market is not sufficient and, furthermore, is impossible without customers. It is necessary to say that customers are the primary concern of Arnie Morton’s steakhouse management. The company is characterized by a high respect to its clientele and it is seen in strategic postulates proclaimed by the chief of the company. In order to explain what attitude to clients should prevail in Arnie Morton’s steakhouse it would be enough to quote Allen J. Bernstein who estimated that “my credo is if you’re an Alabama rubber band salesman and you stop in Atlanta for the first time, our people better treat that person as the most important person in the world.” Moreover, “they better be treated as if they were Mel Gibson, Sharon Stone, or former President Bush. Then, if you’re, in fact, really dear and near to the company, somebody of a prominent status, then we elevate you to a deity status.” (Peters 2001:80). So, judging from this the attitude to clients are very respectful and it seems that the company cares about clients at first turn, however, the company also demands a corresponding payment for such attitude but it will be discussed in the next chapter of the paper. college essays Custom Essays research papers penile enlargment device penis enhancement tip vimax penis enlargement traction device compare pennis enlargement pills free penis enhancement video vimax penis enlargement vimax penis enlargement tool magna rx review does penile enlargment work

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