Interventions for Sexual Issues and Dysfunctions Essay Example for Free

Interventions for Sexual Issues and Dysfunctions Essay Interventions for Sexual Issues and Dysfunctions LaShawnda Ogle Walden University The Wilson’s are currently experiencing some sexual dysfunctions, a condition that can cause a lot of distress during intercourse (Hecker amp; Wetchler, 2010). In the case study Mrs. Wilson has been diagnosed with having Vaginismus. Vaginismus is known for causing some severe pain and as a result causes the female to avoid sexual activity (p. 377). It’s formally defined as the involuntary spastic contraction of the outer one-third of the vagina. There can be treatment techniques. The two sexual therapy interventions I would suggest for the Wilson’s are Cognitive Behavioral Therapy (CBT) and a medically treated approach using a vaginal dilator. The one intervention method suggested for Mrs. Wilson would be that of Cognitive Behavioral Therapy. According to Hecker amp; Wetchler, (2010), women with vaginismus can show fear and have some anxiety with the thought of penetration. In order to help decrease those fears and anxieties CBT may help Mrs. Wilson’s sexual satisfaction increase as well as her over all well-being: addressing not only the physical pain or discomfort of sex but also the psychological aspects. For example: there are cognitive strategies such as: sexual exercises and relaxation techniques that can be applied with CBT in order to help relieve the pain associated with vaginismus (Hecker amp; Wetchler, 2010). CBT can also offer some coping skills along with restructuring a person’s way of thinking. Another intervention treatment method for sexual disorders such as that of Mrs. Wilson is more of a medically treated approach. Hecker amp; Wetchler, (2010) suggest a vaginal dilator as being a useful technique for modifying a conditioned response. Vaginal dilators are used to teach control of circumvaginal muscles (p. 377). In order to use these dilators they are generally supplied to people from a doctor’s office with or without the presence of the person’s partner. The private space offers the opportunity to help decrease the fear and anxiety with sex so that penetration can occur. The similarities of both CBT therapy and the medically treated approach using a vaginal dilator are that they both focus on calming the painful symptoms associated with sexual discourse in females. Another similarity with the two interventions is that they both offer suggestions in how to cope and deal with the shame and/or guilt associated with sexual dysfunctions. The only differences are the methods used to intervene. CBT focuses more on the cognition of dealing with negative thoughts that often occur with sexual disorders. The vaginal dilators focus on ways to relieve the stress without the conditioned fear response (p. 377). A challenge with using CBT therapy and vaginal dilators is that it encourages having both partners actively involved (Hecker amp; Wetchler, 2010). Sexual intercourse and dysfunctions can be a touchy subject that does not resolve itself without partner interaction, so getting both partners together could be somewhat of a challenge. In order to know whether or not a treatment intervention is working, both Mr. and Mrs. Wilson need to report the improvements in the symptoms of Mrs. Wilson. I would also like to know from both partners if increased enjoyment has occurred after treatment, in order to know whether or not my treatment interventions were working. Nonetheless, getting both partners together to discuss a sexual dysfunction is something I see as a challenge. References Hecker, L. , L. , amp; Wetchler, J. L. , eds. (2003). An Introduction to Marriage and Family Therapy (1st ed. ). Binghamton, NY: The Haworth Clinical Practice Press.

The Internet: Few Rules and No Ethics Essay -- The Wild Wild West, 201

Laws regulate what we do in our everyday life. These rules, however can not keep up with technology. Laws existing to regulate the internet are few and difficult to enforce. A crackdown on internet misuse has begun with the creation of filtering software and the prosecutions of internet offenders. Issues such as child pornography and seducing children over the internet, the downloading and manipulation of copyrighted files and images, and the sharing or accessing of people’s private and personal information are just some of the ethical challenges we face in cyberspace. According to Maxwell Taylor and Ethel Quayle in â€Å"Child Pornography: An Internet Crime†, individuals who are involved in the world of internet child pornography are escaping from their real world lives. The two authors interviewed 13 different convicted offenders in order to understand what happens in this fantasy world and why so many are being lured in (victims, as well as offenders). Through their many conversations they discovered that there is a kind of community created over the internet. One where adult males (and a few adult females) collect and trade pictures of kids and teenagers (of all ages, sometimes including babies) who are posing nude or even involved in any sexual act with an adult. Most of these images are used for personal sexual gratification. There are some who use them like money to get more of these kinds of images, and like money in the physical world, the more you have the higher you are in status. The internet makes their interest readily available, giving them access to this kind of information in massive amounts and in seconds. This underground world becomes an addiction, and often leads to interaction w... ...ng doing, that there is harm being caused, and that they are responsible for their actions is, in my opinion, the first step that needs to be taken to solve this ethical dilemma. Works Cited Taylor, Maxwell and Ethel Quayle. Child Pornography: An Internet Crime. New York: Brunner & Routledge, 2003. Williamson, Larry and Eric Pierson. The Rhetoric of Hate on the Internet: HatePorn’s Challenge to Modern Media Ethics. Journal of Mass Media Ethics. Volume 18, pp.256-267. Tompkins, Paula S. Truth, Trust, and Telepresence. Journal of Mass Media Ethics. Volume 18, pp.194-212. Kitross, Michael John and A. David Gordon. The Academy and Cyberspace Ethics. Journal of Mass Media Ethics. Volume 18, pp. 286-307. Nissenbaum, Helen. Hackers and the Contested Ontology of Cyberspace. New Media and Society. April 2004 volume 16, pp. 195-217.

Squash Buchi

The Philippines has lots of different kinds of foods to offer. Eating is one of the most popular hobbies of a Filipino. That is why at every street, there are people selling different kinds of foods. And because of that, it is not surprising that the food industry is one of the most popular business in the Philippines. Most of the Chinese Filipinos are ones who have businesses in the Chinese food and service restaurants. And because of that, Asian cuisine is a very popular dish in our country. In restaurants, they offer a 3-course meal; appetizer, main course, and dessert. And our focus here is one of the more popular Asian desserts; the Buchi or Jian Dui, which is mainly offered on some popular Asian cuisine restaurants.Thus, the Buchi can not only be a popular dessert in restaurants, but it can also be part of a Filipinos daily meals. Even up to this day, Buchi remains to be a popular dessert and this food continues to evolve as new techniques and styles of cooking find their way i nto our country. It is also a guilt-free kind of dessert because it is healthy. And by using new techniques and innovation in this food it can be further improved. And to have that improving taste, we will add another filling in it; a fleshy nutritious vegetable food that is called squash. In this research, we have to make this food not only a simple dessert but to have a new-taste of a healthy Filipino delicacyBackground of the StudyStreet food around Manila consists of mostly fried food. And one of these street foods is what we call â€Å"Buchi†, it is very similar to the Chinese yum cha sweet sesame seed balls. In our country, these are usually sold stuffed with sweet mung bean paste. Buchi are sticky rice balls filled with sweet bean paste, rolled in sesame seeds and deep fried to form a crunchy crust. Buchi is a type of fried Chinese pastry made from glutinous rice flour. Glutinous rice is known as malagkit and milled glutinous rice is known as known as galapong. It is a simple deep fried sweet dessert or snack treat. Buchi are commonly stuffed with mung bean paste. Mung beans are low in cholesterol and high in soluble dietary fibers.It also contains protease  inhibitors. Protease inhibitors slow the replication of certain cancer cells including those found in breast cancer. Protease inhibitors are known to block and prevent formation of tumor cells. In other studies, Mung beans are a low glycemic index food, which means the beans are a diabetic friendly food. Low glycemic foods promote healthy blood sugar levels. People who eat foods that have a low glycemic index tend to have lower total body fat levels as opposed to those who consume high-glycemic foods, such as white bread and soft drinks. So it is really a Nutritious snack to eat. On the other hand, One cup of cooked calabaza squash flesh provides healthy carbohydrate energy, 2 grams of protein and less than 1 gram of fat within 76 calories if cooked without butter or oil.These squash are ac tually vine fruits that most people use as vegetables in composing their meals. The American Diabetes Association considers winter squash starchy vegetables, with all varieties averaging 18 grams of carbohydrates, of which 6 grams are dietary-fiber carbs. Calabaza and other winter squash have about half the carbs of other starchy vegetables, such as peas and corn. If you are a diabetic or bodybuilder who counts carbohydrates, you’ll still need to monitor your portion size of squash to stay inside your carb boundaries. It contains negligible fat and no measurable cholesterol. One cup of squash contains about 0.2 g of fat. Cutting down on your fat and cholesterol intake is a giant step towards helping reduce your risk of heart disease. It is also particularly high in concentrations of beta carotene and lutein.Dietary lutein helps to prevent the onset of cataracts and macular degeneration, which often leads to blindness. A cup of squash provides about 135 micrograms of beta caro tene and 2,400 micrograms of lutein. And it contains high levels of manganese and vitamin C. Manganese aids in maintaining healthy bone structure, calcium absorption, enzyme creation, and bone building. It also contributes to the mineral density of the spinal column. Vitamin C aids in the production of collagen, which is essential for the building of bone mass, and magnesium is indispensible to the health of joints and bones. Iron, folate, zinc and phosphorous found in squash all contribute to the mineral health of bones, and help fortify against osteoporosis. Therefore, is Calabaza feasible to be used as a substitute for mung bean paste?Statement of the Problem The study will determine the acceptability of developed products using Squash as a Sub-Main Ingredient for the Buchi Filling. Specifically, the following questions were answered.1. What is the optimum level of formulation of Squash as a Sub-Main Ingredient for the Buchi Filling in developed products? 2. What are the sensory attributes of the developed products in terms of the following organoleptic properties:2.1 appearance 2.2 color 2.3 texture 2.4 aroma 2.5 flavor 2.6 general acceptability 3. Is there significant difference in appearance, color, texture, aroma, flavor and general acceptability of the developed products? 4. What is the theoretical nutritional and health contribution of the developed products? 5. What is the direct material cost of the developed products?Hypothesis There is no significant difference in the appearance, color, texture, aroma, flavor and general acceptability of the developed products.Scope of the Study The scope of our study is for the Filipinos who are engaged in eating Filipino snacks especially Buchi and the children who is not fond in eating nutritious foods like squash by providing them a snack which will fit their sweet tastes and at the same time the nutrients their body needs.Significance of the study The significance of this study is to innovate the common Buchi , by using a squash paste as a filling instead of mung bean paste. The main purpose of the researchers is to create a product that will satisfy both adult and children in having a food which is more delicious, sweet and at the same time healthier. This innovation will benefit those children’s and adults.Definition of TermsBeta carotene – is a vitamin that acts as an antioxidant, protecting cells against oxidation damage. Beta carotene is converted by the body to vitamin A. Cataract – is a clouding of the lens inside the eye which leads to a decrease in vision. It is the most common cause of blindness and is conventionally treated with surgery. Collagen – is he main structural protein found in animal connective tissue, yielding gelatin when boiled. Folate – is a B vitamin that is essential for cell growth and reproduction. Glutinous rice – is a type of rice grown mainly in Southeast and East Asia, which has opaque grains, very low amylose con tent, and is especially sticky when cooked. Glycemic Index or Glycaemic Index, (GI) provides a measure of how quickly blood sugar levels rise after eating a particular type of food. Jian dui – is a type of fried Chinese pastry made from glutinous rice flour.The pastry is coated with sesame seeds on the outside and is crisp and chewy. Inside the pastry is a large hollow, caused by the expansion of the dough. The hollow of the pastry is filled with a filling usually consisting of mung bean paste. Lutein provides nutritional support to our eyes and skin – the only organs of the body directly exposed to the outside environment. Lutein has been linked to promoting healthy eyes through reducing the risk of macular degeneration. Mung or Moong Bean – is the seed of Vigna radiata, native to the Indian subcontinent, and mainly cultivated In India, China, Thailand, Philippines, Indonesia, Burma, Bangladesh, Vietnam, Laos and Cambodia, but also in hot and dry regions of Sou thern Europe and the Southern United States.Protease – is an enzyme that breaks down proteins and peptides. Organoleptic properties – capable of detecting a sensory stimulus. Hedonic Scale – The term Hedonic Scale is used in food science, marketing research and tasting panels where the respondents indicate the extent to which they either like or dislike food. Sensory Attributes – To relate to a particular cause or source through the senses.CHAPTER II: Review of Related Literature and Related StudiesHISTORY OF SQUASH Our word â€Å"squash† came from the Massachuset Indian word askutasquash, meaning â€Å"eaten raw or uncooked.† Although the Indians may have eaten some forms of squash without cooking, today we like our squashes cooked. The late-growing, less symmetrical, odd-shaped, rough or warty kinds, small to medium in size, but with long-keeping qualities and hard rinds, are usually called winter squash. They belong, almost without except ion, to the species Cucurbita maxima or C. moschata.The small, quick-growing forms that are eaten before the rinds and seeds begin to harden are called summer squash and belong to the species C. pepo. Pumpkins also belong to that species, but large, late, smooth, symmetrical forms of C. maxima and C. moschata are sometimes called â€Å"pumpkins† regardless of species. The word â€Å"pumpkin† -improperly pronounced â€Å"punkin† by most Americans, including myself- is derived from the old French term pompion, meaning eaten when â€Å"cooked by the sun,† or ripe. In modern French, pumpkin is called potiron. (http://aggiehorticulture.tamu.edu)USES OF SQUASH The uses of Squash are the young shoots, flowers and fruits are used as vegetables, matured can be made into pies and other delicacies, seeds of mature fruits can be boiled in salted water, dried like water-melon seeds, roasted and used as snack food.NUTRITIONAL FACTS ABOUT SQUASH All varieties of squash are rich in carotene. Carotene has been proven to be beneficial at preventing cancer and lung disease. The carotene from squash can also help prevent high blood pressure, heart disease, and type 2 diabetes. In the summer months, the health benefits of squash include protecting against the damaging effects of sun exposure and preventing dehydration. The juice from summer squash has also been proven to be just as effective as some varieties of winter squash in preventing cell mutations in the protection against cancer.Since both winter and summer squash varieties are rich in B vitamins, they can also help to reverse many of the damaging effects of stress on the body and further prevent other types of illness. Squash is also a good source of vitamin C, which helps to boost the immune  system, prevent colds, and help fight allergies. The rinds of many squash are also a good source of fiber, which aids in proper digestion and is a vital element in preventing many types of disease. It i s important if you eat squash to also eat the peel or rind. (http://health.wikinut.com)Economic Production of Squash It is usually grown in home gardens and in commercial scale for its fruits, young shoots, flowers and seeds. In some places, intercropping squash with other crops such as corn, sugarcane, and coconut is practiced. Like other cucurbits, squash is recognized as an important source of vitamins and minerals. For best yield and profit, planting months must be from October to December, and May to July in hilly areas.Land PreparationPlow and harrow the field alternately 2-3 times. Furrow the field at a row spacing of 2 meters. Prepare hills at 1 meter apart. Incorporate organic fertilizer and complete fertilizer thoroughly with the soil at planting.PlantingPlant 2-3 seeds per hill. Remove weak seedlings and leave two plants per hill when the first true leaf has developed.HISTORY OF MUNG BEAN The mungbean, Vigna radiata (L.) Wilczek has been grown in India since ancient times . It is still widely grown in southeast Asia, Africa, South America and Australia. It was apparently grown in the United States as early as 1835 as the Chickasaw pea. It is also referred to as green gram, golden gram and chop suey bean. Mungbeans are grown widely for use as a human food (as dry beans or fresh sprouts), but can be used as a green manure crop and as forage for livestock. Virtually all the domestic production of mungbean is in Oklahoma. Fifteen to twenty million pounds of mungbean are consumed annually in the United States and nearly 75 percent of this is imported. (http://www.hort.purdue.edu)NUTRITIONAL FACTS OF MUNG BEANBasic Nutrition FactsMung beans are extremely low in calories, with 1 cup of mature sprouted seeds containing only 31 calories per serving. A serving also contains 1.9 grams of dietary fiber, or 8 percent of your daily value based on a 2,000-calorie diet. Fiber helps you feel full, so mung beans make a good low-calorie snack to ward off hunger pangs i n between meals, particularly if you're watching your weight. A serving of mung beans contains almost no fat at 0.19 grams per serving, only 6 milligrams of sodium and 5 percent of your daily value of iron. Powerful ProteinProtein is a vital part of any healthy diet because the body uses protein to repair and renew cells. As the body breaks down protein, amino acids are left that help the body break down food further. While meat, dairy products and eggs are all high in protein, these sources can also be high in cholesterol, and they aren't an option for people following a vegan diet. Mung beans contain 3.2 grams of protein per 1 cup serving. Interviewed on the †Today† show, Madelyn Fernstrom, director of the Weight Management Center at the University of Pittsburgh Medical Center, recommends that you strive for about 0.4 grams of protein per pound of body weight each day. Considerable Vitamin CA 1-cup serving of mung bean sprouts contains 23 percent daily value of vitamin C based on a 2,000-calorie diet. It's essential to get enough vitamin C in your daily diet because the body does not store it. The vitamin is an antioxidant that helps protect the body against damage from free radicals. It also helps the body produce collagen, necessary for skin, cartilage, ligaments and wound healing. Vitamin C serves a protective function, helping prevent heart disease and high blood pressure. Kick Up the Vitamin KMung beans are rich in vitamin K (Vitamin K is known as the clotting vitamin, because without it blood would not clot. Some studies suggest that it helps maintain strong bones in the elderly.), with a 1-cup size serving of sprouts containing 43 percent daily value. While vitamin K isn't as widely publicized as other vitamins, it's still important. The body stores vitamin K in the liver and fatty tissue, but replenishing through diet is necessary,  particularly if you have liver disease, gallbladder disease, celiac disease or are taking blood thinners. The vitamin helps keep your bones healthy and helps your blood clot normally.http://www.livestrong.comDIFFERENCE BETWEEN PUMPKIN AND SQUASHAccording to some studies and sites the researchers have visited the difference between Pumpkin and Squash is that the Pumpkin is generally used for carving and is always used to design during Halloween because if its very thick skin while the Squash is primarily used in cooking and is eaten raw or cooked.Season Chart for the production of Squash in the PhilippinesCHAPTER III: MethodologyResearch Design The researchers used an experimental design in conducting their research. An experimental design is a study design used to test cause-and-effect relationships between variables. The classic experimental design specifies an experimental group and a control group. The independent variable is administered to the experimental group and not to the control group, and both groups are measured on the same dependent variable. Subsequent experimental desig ns have used more groups and more measurements over longer periods.True experiments must have control, randomization, and manipulation. The researchers have conducted sensory evaluation and randomly selected students from World Citi Colleges to evaluate our finish product which are Lot 1(100% mung beans paste filling), Lot 2 (50% mung bean paste filling, 50% squash paste filling), Lot 3 (60% mung beans paste filling, 40% squash paste filling), Lot 4 (70% mung beans paste filling, 30% squash paste filling)Statistical Treatment of Data Sensory Evaluation The 7 and 9 Hedonic Scale was used to assess the developed bakery products. The 7 – Hedonic Scale was used to evaluate the appearance, color, texture and aroma of the developed bakery products while the 9 – Hedonic Scale was utilized to assess the flavor and general acceptability of the said product. Statistical TreatmentThe Analysis of Variances (ANOVA) was used to determine significant differences between and among the sensory attributes of the developed bakery products.Experimental Procedures Ingredients: 1 1/2 cups glutinous rice flour 3/4 cup water 1/8 tsp salt Sweet mung bean paste sesame seeds cooking oilProcedures: 1. Mix the flour, salt and water together in a bowl. Knead together just enough to form into a dough. 2. Divide the ball into small pieces and shape it into a ball then flatten the middle of the dough with your thumb. Spoon 1 tablespoon of sweet red bean paste into the middle of the dough. 3. Wrap the dough around the bean paste. Pinch the edges together to seal and roll it until the shape is round. 4. Roll the shaped dough over the sesame seeds.  5. Heat the cooking oil in a deep pan. (350 deg F) 6. Fry the balls in batches in the hot oil until golden brown.CHAPTER IV Presentation, Analysis and InterpretationTo ensure the exact measurement of the filling, the researchers used percentage as their measurement.Lot 1 Lot 2 Lot 3 Lot 4 Squash fillings 0% 50% 60% 70% Mung bean filli ngs 100% 50% 40% 30%It can be compared that Squash is richer in vitamins A(80%), and Vitamin C(10%), while mung bean is richer in Calcium(2%), Iron(7%), and in Magnesium(12%). While both of them gives 5 percent of Vitamin B-6.

Classical Music And Its Influence On The Modern World

There are many types of music in the world, with many different artists, backgrounds, and stories to tell. Every genre holds within itself a message, and this message shows a glimpse of the past as well as the possibilities of the future. People everywhere love music for these reasons and more, and I love one style of music in particular: a style that brings me comfort, makes me question the world, and gives me insight as to who I am. Classical music describes a genre that, for me, means more than just notes on the page or in the air; the music speaks to a deep and wonder-seeking part of me that cannot quite be described using words. The true evolution of primitive music began around 1750 during the Classical Era in Europe, with the pioneering works of Mozart and Haydn, as well as many others. Deriving from these great composers, the genre further evolved during the Romantic and Modern Eras by encompassing a deeply emotional and expressive side unlike anything heard before. 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United Nations And The United States Help Assist The...

Policy Paper: How can the United Nations and the United States help assist the reconstruction of Nepal, within the underdeveloped stance and corruption throughout the government and country? To: Sujeeta Bajracharya - UNDP of Strategic Planning and Development Effectiveness On April 25th, 2015 Gokha Earthquake with a magnitude of 7.8 struck Nepal. Followed by another earthquake reaching 7.3 magnitude. Over 800,000 homes across Nepal through cities and villages have been destroyed. With a count of 9,000 deaths and 22,000 injured people. Currently, not one single home has been restored through Nepal, although it has been one year since the earthquake. The Nepalese people reside under tarps, slates of metal, and whatever materials they can find to construct a place to sleep under. Which has made a large impact on the health and well being of the Nepalese people who do not have a place to live anymore. Water and food has become a major crisis for the Nepalese people. 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Positioning Strategy of Monster Energy - 1302 Words

As energy drink is yet a part of developing and new industry therefore Audience and Company Objectives are targets of Monster. The market of energy drink like monster energy is quite different from some other beverage industries. Monster energy drinks have become trendy part of society, but as some think the targeted market is unrestrained, wide or varied but it is not like that. In soon energy drink history, Athletes were the primary consumer when energy drinks were initially being sold in USA. This demonstrates that even primarily energy drinks were directed at a selected mass, a group of individuals with particular interests. Even though energy drinks’ consumer base has now prolonged beyond that of merely athletes, the target market is†¦show more content†¦As per the census in 2007 in US by US Census Bureau, this number is about 80 million. Hansen s Monster Energy drinks offer giant doses has high amount of sugar and caffeine in big black cans ornamented with claw marks in neon colours. Monster energy drinks’ scary packaging with a number of extreme sports sponsorships, positions it as an biggest competitor to Red Bull in such a fast emerging market worth $2 billion a year. Hansen got energized by Monster energy’s monster has monster energy’s slogan is â€Å"Unleash the beast†. The company got more than double sales since when it got introduced in April, 2002. In the year of 2005, Hansen got $20 million on sales of $180 million; however profit on sales of $80 million was just $3 million in the year 2001. Since then sales are getting more in turn gaining more profit. Due to such results, Hansen is able to earn high spot on BusinessWeek s annual ranking of Hot Growth Companies. Objective of Monster Energy is as Hansen has pushed the Monster brand with guerrilla marketing. Monster Energy’s team of ambassadors provide samples of monster energy drinks at different events, concerts and beach parties. Motocross, skateboarding competitions and surfing are being sponsored by Monster Energy. Hansen Company’s network of 300 independent distributors supplement the products in black monster vans by restocking specially designed racks inShow MoreRelatedMonster Energy Drink Target Audience and Company Objectives1190 Words   |  5 PagesConsumer Behavior Monster Energy Target Market Because the energy drink is still part of a new and developing industry, the energy drink target market is different than in some of the other beverage industries. Monster energy drinks have become a very popular, â€Å"hip† part of society, but the market at which they are aimed is not as wide and expansive, or diverse, as some might think. 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E-Business Strategies Samples for Students †MyAssignmenthelp.com

Question: Discuss about the E-Business Strategies American Well. Answer: Introduction E-business strategy is conceptualized as the iterative process for creating and modifying the business model of the organization. The e-business strategy often pays the initial focus on the business. Later, the focus shifts towards the integration of the emerging technologies (Agaku et al. 2014). The e-business strategy is generally formulated for boosting the brand awareness. The study focuses on the e-business strategies undertaken by American Well. The previous discussion shed lights on the formulation of the specific strategy. It has been observed that the company is focusing on expanding the business by establishing the e-business strategy. The current study will focus on the organizational position in this business scenario. Reviewing the current strategy, the study will provide the overview of the new strategy development. The roadmap of e-business strategy will be used as the strategic tool that can lead the company towards success. Based on the result of the new strategy dev elopment, the study would present some of the preferable recommendations for the future prospects. The application of these recommendations will be much beneficial to ensure the sustainable business growth and achievement of the competitive advantage. Current Strategies of American Well The analysis report derived from the previous study determines that the e-commerce business strategy is much beneficial to expand the business worldwide. People have been using the internet, browsing different online sites and making profits from the e-businesses. Internet is the useful source of spreading brand awareness among the customers worldwide (Grajales et al. 2014). The company has undertaken the internet and digitalization process to improve the healthcare services for the users. The company has been using the video conferencing process to communicate with the customers and provide them the necessary health treatments. The company is also focusing widely on establishing the telecommunication process as a form of health care. However, it has been observed that the current strategies are not efficient enough to ensure the long term sustainability. Even in this advanced world, people face difficulties to trust the online sources. They mostly prefer the face to face conversatio n for treating the bad health. Moreover, in case of the health services, people usually prefer the direct dealing process (Prestin, Vieux and Chou 2015). In addition to this, the current telecommunication world in US has become much advanced and competitive. Therefore, it can be much risky for the company to depend on the telecommunication procedure to strengthen the customer base. Hence, the strategies used by the company are somewhat limited. It is necessary for the company to develop the proper strategies that can lead the company towards long term sustainability (Jovarauskien? and Pilinkien? 2015). Moreover, it is even essential to keep the focus on the customers preferences to achieve the competitive advantage. According to strategic analysis, it has been noted that American Well has four major competencies to achieve growth. First, the knowledge of the medical professional is much commendable. The knowledgeable health care practitioners are involved to provide the health care services to the customers through online video conferencing. Another most specific competency is accessibility. The company ensures that the customers get the proper access to the healthcare services through online sources whenever they need it. The frequent availability of the internet is much helpful for the customers (Barrett et al. 2015). The use of the digitalization process by the company is much commendable. The company has been using the innovative form of digitalization that can be effective enough in reducing time and costs. Customers can get the help easily through this digitalization process (Malecki 2014). The use of internet is much in trend in todays world. Most of the people are taking the help of inte rnet to derive knowledge regarding any particular subject. The digital process is much helpful to demonstrate the health care services to the target customers. Another major competency skill of the company is the user-friendly services. The company is concerned about the use of the services by the customers with proper ease. The e-business services are quite user-friendly for the customers (Westerman, Bonnet and McAfee 2014). Hence, the company has the proper online care services that are effective enough to gather the customers attention. However, despite of all such competency skills, it has been noticed that the strategies have some of the limitations. Even though the customers are much advanced these days, it has been seen that they believe more in reality than the virtual explanation (Fitzgerald et al. 2014). The customers sometimes fear of security breaches while dealing through online sources. It is necessary to undertake the modified strategies that can reduce such risks of data breaching (Martins, Rindova and Greenbaum 2015). Moreover, the development of the new strategies even can be helpful to ensure the reliability among the target customers (Fairburn and Patel 2014). The further section of the study will be analyzing the development of the new strategy by providing the guidance through strategic roadmap. Development of New Strategies The current dynamic business world requires the closer review of the business activities. The managers need to take the responsibility of reviewing the progress report. It has been observed that sometimes, the strategies undertaken by the firms are not sufficient to achieve the proposed goals. The limitation in the strategy can lead the organizations towards losing the customer base (Khanna and Palepu 2013). Therefore, it is necessary to undertake the preferable strategy that can draw the attention of the customers and make the expected profits. The previous digitalization and telecommunication process undertaken by American Well was not impressive to the customers since they face difficulties to trust the virtual world. Therefore, the company needs to undertake the relevant solution by undertaking the fruitful strategy development. The company needs to pay focus on investing more capital resource to improve the technologies and online promotional process. It is necessary for the com pany to generate reliability among the target customers (Farhangi 2014). The involvement of the expertise doctors and the advanced technological equipment would be beneficial to generate trust among the customers. During the online payment, the customers would receive an invoice message as the proof for their transaction. The maintenance of the flexibility will also be ensured. The development of the more informative webpage is essential. When the customers will be able to get access to the necessary information, it will be beneficial for them to trust the source for the healthcare treatment. The company even needs to develop the proper strategic decisions to eliminate the risks related to the security breaches (Martins, Rindova and Greenbaum 2015). There is the high probability of losing the customer data. Hence, it is necessary for the company to develop the effective IT security system to protect the customer data. The involvement of the professional IT technician would be much b eneficial in developing such security system. The Strategic Road Map will guide the vision, objective, value proposition, and the related segmentations of the strategy development process (Snihur et al. 2014). The following strategic road map will provide the insightful ideas about the necessity of undertaking this IT security based software implementation. Strategic Road Map Figure 1: Strategic Road Map (Source: Spieth, Schneckenberg and Ricart 2014) The above figure provides the clear ideas about the strategic implementation process that can increase the business benefits. The structured method of the strategic implementation will be aligned with the previous strategy. The company would even establish the value proposition through the extra IT security. The customers will receive the necessary information and their data will also be secured. The company even will pay attention towards the privacy concerns of the target customers (Veit et al. 2014). The company will maintain the proper ethical parameter to provide the secure services to the customers worldwide. However, it is essential to keep the focus on the continuous review and monitoring process (Martins, Rindova and Greenbaum 2015). The continuous improvement of the e-business strategies will ensure the long-term sustainability. Considering such requirements, the further section of the study will provide some of the specific and preferable recommendations that will facilita te the purpose in a significant way. Recommendation The strategic road map provides the insightful ideas about the strategic implementation that can increase the business profitability and generate the trust among the target customers. However, in order to ensure the strengthened strategic position, it is essential for the company to pay attention towards some of the significant and essential recommendations. It is necessary for the company to develop the proper communication process with the customers. When the customers can frequently communicate with the company, it will generate the sense of reliability among them. Moreover, it will be much beneficial to mitigate the emerging risks as well. The concentration on the severity of the risks is necessary. Accordingly, it is essential to pay attention towards the alternative solutions to minimize the risks. However, the first preference would be to address the risks among the associated stakeholders. The review and monitoring process is essential for the company to measure the progress report. The management department of the e-business process need to monitor the process much frequently. The company needs to provide the online training process to the customers in order to use the advanced technological equipment. The virtual instruction is needed to be understandable to the customers. Accordingly, it will be much helpful to generate the proper faith and strengthen the potential customer base. The company even needs to be attentive towards the basic needs and demands of the customers. Fulfilling the customers expectation will be much beneficial in accomplishing the pre-determined objectives. Conclusion American Well provides the featured and beneficial online health care services to the customers worldwide. The company has undertaken this strategic decision to expand the business and ensure the sustainable growth for the future prospects. However, it has been noted that due to some of the significant limitations, the company requires modifying the e-business strategy. It is essential to generate the sense of reliability among the customers. The implementation of the IT security will thus be beneficial to protect the information of the target customers. The formulated strategy road map even provides the specific considerations to implement such business strategy. Accordingly, the company needs to keep the focus on the continuous review and monitoring process to mitigate the emerging risks and improve the e-business activities. References Agaku, I.T., Adisa, A.O., Ayo-Yusuf, O.A. and Connolly, G.N., 2014. Concern about security and privacy, and perceived control over collection and use of health information are related to withholding of health information from healthcare providers.Journal of the American Medical Informatics Association,21(2), pp.374-378. Barrett, M., Davidson, E., Prabhu, J. and Vargo, S.L., 2015. Service innovation in the digital age: key contributions and future directions.MIS quarterly,39(1), pp.135-154. Fairburn, C.G. and Patel, V., 2014. The global dissemination of psychological treatments: a road map for research and practice.American Journal of Psychiatry,171(5), pp.495-498. Farhangi, H., 2014. A road map to integration: Perspectives on smart grid development.IEEE Power and Energy Magazine,12(3), pp.52-66. Fitzgerald, M., Kruschwitz, N., Bonnet, D. and Welch, M., 2014. Embracing digital technology: A new strategic imperative.MIT sloan management review,55(2), p.1. Grajales III, F.J., Sheps, S., Ho, K., Novak-Lauscher, H. and Eysenbach, G., 2014. Social media: a review and tutorial of applications in medicine and health care.Journal of medical Internet research,16(2), p.e13. Jovarauskien?, D. and Pilinkien?, V., 2015. E-Business or E-technology?.Engineering Economics,61(1). Khanna, T. and Palepu, K., 2013.Winning in emerging markets: A road map for strategy and execution. Harvard Business Press. Malecki, E.J., 2014. Global Information Society: Technology, Knowledge, and Mobility. Martins, L.L., Rindova, V.P. and Greenbaum, B.E., 2015. Unlocking the hidden value of concepts: a cognitive approach to business model innovation.Strategic Entrepreneurship Journal,9(1), pp.99-117. Prestin, A., Vieux, S.N. and Chou, W.Y.S., 2015. Is online health activity alive and well or flatlining? Findings from 10 years of the Health Information National Trends Survey.Journal of health communication,20(7), pp.790-798. Snihur, Y., Pasquier, E., Scharovsky, G. and Andre, N., 2014. Metronomics: Potential Social Impact and New Business Models to Improve Availability of Cancer Treatments. InMetronomic Chemotherapy(pp. 247-261). Springer Berlin Heidelberg. Spieth, P., Schneckenberg, D. and Ricart, J.E., 2014. Business model innovationstate of the art and future challenges for the field.RD Management,44(3), pp.237-247. Veit, D., Clemons, E., Benlian, A., Buxmann, P., Hess, T., Kundisch, D., Leimeister, J.M., Loos, P. and Spann, M., 2014. Business models.Business Information Systems Engineering,6(1), pp.45-53. Westerman, G., Bonnet, D. and McAfee, A., 2014.Leading digital: Turning technology into business transformation. Harvard Business Press.